Today in America, over 93 million adults, nearly 40 percent, are considered obese. The issue of obesity goes beyond people's waistlines — it's the large economic impact on healthcare that directly affects the cost of health insurance for Americans. By some estimations, obesity-related healthcare costs range from $147 billion to $210 billion per year, and with health insurance companies footing those bills, it's driving up the cost of health insurance for all Americans.

When ranking the fittest and the fattest states, there's really no clear cut divide in state obesity levels. According to data from the Center for Disease Control, West Virginia ranks highest at 38.1 percent of adults who are obese, compared to the lowest state, Colorado, at 22.6 percent. Colorado's 22.6 percent of obese adults goes to show that America's obesity is prevalent even at its lowest levels.

To rank the fittest and fattest states, we analyzed CDC obesity data along with Body Mass Index (BMI) data from QuoteWizard health insurance users to find an aggregate ranking of fittest and fattest states. Each state was evaluated by their rate of obesity (CDC data) and their average BMI (QuoteWizard data). Final rankings were determined by an aggregate ranking of overall obesity figures. States are ranked from 1 to 50, 1 being fittest and 50 being fattest.

Rank (fittest) State
1 Hawaii
2 Montana
3 Connecticut
4 Vermont
5 New Jersey
6 California
7 Colorado
8 Massachusetts
9 Rhode Island
10 New Hampshire
11 New Mexico
12 Maine
13 New York
14 Wyoming
15 Nevada
16 Washington
17 Minnesota
18 South Dakota
19 Idaho
20 Utah
21 Oregon
22 Delaware
23 Alaska
24 North Dakota
25 Arizona
26 Pennsylvania
27 Maryland
28 Wisconsin
29 Florida
30 Nebraska
31 Virginia
32 Michigan
33 Illinois
34 North Carolina
35 Ohio
36 Iowa
37 Tennessee
38 Georgia
39 Kansas
40 Indiana
41 South Carolina
42 Missouri
43 Louisiana
44 West Virgina
45 Arkansas
46 Oklahoma
47 Alabama
48 Texas
49 Kentucky
50 Mississippi

Obesity Impact on Health Insurance Cost

Obesity rates in America have risen steadily, by 34%, over the last two decades. As obesity rates have increased, health insurance premiums have grown exponentially. In 2018, health insurance premiums for single person coverage averaged $6,896, nearly triple the average premium in 2000. Obesity isn't the singular cause of rising health insurance premiums, but as America's obesity rates grow, the billions in healthcare costs will force insurance companies to continually raise their premiums.

Methodology

QuoteWizard analysts compared CDC obesity data along with Body Mass Index (BMI) data from QuoteWizard health insurance users to find an aggregate ranking of fittest and fattest states. Each state was evaluated by their rate of obesity (CDC data) and their average BMI (QuoteWizard data). Final rankings were determined by an aggregate ranking of overall obesity figures. States are ranked from 1 to 50, 1 being fittest and 50 being fattest.