The Rising Cost of Health Insurance Premiums
Explore how insurance spending and premiums have changed across the nation and in your state.
Health insurance premiums have grown out of step with the rest of the economy
Since 2011, the average premium for private health insurance has grown 78%.
Prices across the economy grew 39% over the same period.
Insurance premiums rose at twice the rate of inflation.
Increases in health care spending are driving growth in premiums
Since 2011, the average premium for private health insurance has grown from $4,008 to $7,151.
Health insurance premiums increased nearly dollar-for-dollar with health insurer spending on medical claims.
The band between the two lines is the insurer markup, the part of the premium that covers the insurer’s administrative costs and profit.
Health insurers’ markups, measured in percentage terms, have actually gone down
Between 2011 and 2024, insurers' markups, measured as a share of premiums, decreased from 19% to 15%.
Ultimately, the increase in premiums is being driven by growth in health care spending, not a higher percentage of markups.
Explore health spending and insurance premiums by state
Learn more
Growth in Health Care Spending Explains 91% of the Growth in Insurance Premiums From 2011 to 2024 · 2026 JAMA paper
Who Pays for Rising Health Care Prices? Evidence from Hospital Mergers · 2024 Yale Tobin Center for Economic Policy Paper
Variation in Health Spending Growth for the Privately Insured from 2007 to 2014 · 2019 Health Affairs paper
Data and replication code · Github repository
Sources: CCIIO Medical Loss Ratio Public Use Files, composite delivered 2026-07-21; CPI-U from the Bureau of Labor Statistics.