5 largest payers by market share

UnitedHealthcare is the largest insurer in the U.S. by market share, according to a July 2023 report from Value Penguin. 

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The health insurance industry is dominated by five companies that own 46 percent of the market. 

Here are the top five largest health insurance companies by market share:

  • UnitedHealthcare: 12 percent
  • Anthem: 11 percent
  • Centene: 10 percent
  • Humana: 7 percent
  • HCSC :6 percent
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