| BlueCross BlueShield of Illinois | A | 166.1 | +61.7% |
| Anthem Colorado | A | 132.5 | +29.0% |
| BlueCross BlueShield of Wyoming | A | 132.3 | +28.8% |
| BlueCross BlueShield of South Carolina | A | 124.7 | +21.5% |
| HMSA (BCBS Hawaii) | A | 124.1 | +20.8% |
| Regence Idaho | A | 118.4 | +15.3% |
| Premera Blue Cross | A | 114.9 | +11.9% |
| BlueCross BlueShield of Nebraska | A | 113.2 | +10.2% |
| BlueCross BlueShield of Texas | A | 113.2 | +10.2% |
| BlueCross BlueShield of Oklahoma | A | 112.4 | +9.4% |
| Regence Utah | A | 109.7 | +6.8% |
| Blue KC (Kansas City) | A | 109.6 | +6.7% |
| BlueCross BlueShield of Arkansas | A | 108.5 | +5.6% |
| Blue Shield of California | A | 108.1 | +5.3% |
| BlueCross BlueShield of Kansas | A | 108.1 | +5.3% |
| BCBS North Dakota | A | 107.3 | +4.4% |
| Blue Cross of Idaho | A | 107.1 | +4.3% |
| BlueCross BlueShield of Louisiana | A | 107.0 | +4.2% |
| Blue Cross NC | A | 105.7 | +2.9% |
| Kaiser Permanente | A | 105.4 | +2.7% |
| Regence BlueCross BlueShield | A | 105.0 | +2.2% |
| Excellus BCBS | B+ | 103.7 | +1.0% |
| Aetna | B | 103.2 | +0.4% |
| Anthem Massachusetts | B | 102.9 | +0.2% |
| Anthem Wisconsin | B | 102.8 | +0.1% |
| Capital Blue Cross | B | 102.7 | +-0.0% |
| Regence Washington | C+ | 101.5 | -1.2% |
| BlueCross BlueShield of Vermont | C+ | 101.1 | -1.6% |
| Anthem California | C+ | 100.6 | -2.0% |
| Anthem New Hampshire | C | 100.2 | -2.5% |
| Centene | C | 100.1 | -2.6% |
| Anthem Indiana | C | 100.1 | -2.6% |
| Anthem Missouri | C | 100.0 | -2.6% |
| Horizon BCBS of New Jersey | C | 100.0 | -2.6% |
| Wellmark BCBS (Iowa/South Dakota) | C | 100.0 | -2.6% |
| Cigna | C | 100.0 | -2.6% |
| Anthem Kentucky | C | 100.0 | -2.6% |
| UnitedHealthcare | C | 100.0 | -2.6% |
| Anthem New York | C | 100.0 | -2.6% |
| Anthem Ohio | C | 100.0 | -2.6% |
| BlueCross BlueShield of Tennessee | C | 100.0 | -2.6% |
| Harvard Pilgrim Health Care | C | 100.0 | -2.6% |
| BlueCross BlueShield of Alabama | C | 99.9 | -2.7% |
| Anthem Georgia | C | 99.9 | -2.8% |
| CareFirst BlueCross BlueShield | C | 99.9 | -2.8% |
| Regence Oregon | C | 99.9 | -2.8% |
| BlueCross BlueShield of Minnesota | C | 99.8 | -2.8% |
| Anthem Virginia | C | 99.7 | -2.9% |
| Florida Blue | C | 99.7 | -2.9% |
| Anthem Connecticut | C | 99.7 | -3.0% |
| Anthem Nevada | C | 99.7 | -3.0% |
| BlueCross BlueShield of Massachusetts | D | 99.5 | -3.1% |
| BlueCross BlueShield of Rhode Island | D | 99.1 | -3.5% |
| Anthem Maine | D | 98.4 | -4.2% |
| BlueCross BlueShield of Mississippi | D | 96.2 | -6.3% |
| BlueCross BlueShield of Michigan | D | 95.3 | -7.2% |
| BlueCross BlueShield of Arizona | D | 83.0 | -19.2% |