By percentage-point change in margin from 2019. Using available information from insurance regulators, net income and profit margins were calculated for Blue Cross and Blue Shield companies
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| Company | Net income 2020 ytd |
%-change from 2019 |
Margin 2020 ytd |
%-point change from 2019 |
|---|---|---|---|---|
| Blue Cross and Blue Shield of Tennessee | $232,059,602 | 13.41% | 5.65% | 0.45 |
| CareFirst Blue Cross and Blue Shield | $194,365,107 | -1.5% | 4.4% | -0.04 |
| Premera Blue Cross | $69,795,788 | -60.76% | 3.38% | -5.43 |
| Guidewell Health (Florida Blue) | $637,153,382 | -6.18% | 6.45% | -0.74 |
| Arkansas Blue Cross and Blue Shield | $59,743,875 | -0.23% | 4.66% | 0.11 |
| Blue Cross and Blue Shield of Massachusetts | $213,891,285 | 156.4% | 5.22% | 3.22 |
| Blue Cross and Blue Shield of Alabama | $131,115,798 | -62.96% | 4.03% | -7.46 |
| Blue Cross and Blue Shield of Kansas City | $-7,435,438 | -150.67% | -0.76% | -2.3 |
| Health Care Service Corp. | $2,598,165,012 | 14.51% | 12.18% | 0.64 |
| Horizon Blue Cross and Blue Shield of New Jersey | $-3,503,270 | -109.77% | -1.24% | -14.68 |
| Blue Cross and Blue Shield of Vermont | $41,671,732 | 323.08% | 16.17% | 12.8 |
| Blue Cross and Blue Shield of Nebraska | $20,132,811 | -8.4% | 2.65% | -0.28 |
| Blue Cross and Blue Shield of Kansas | $1,202,383 | 14.14% | 27.85% | 1,604.53 |
| Blue Cross and Blue Shield of Minnesota | $220,961,514 | 99.88% | 7% | 3.43 |
| Blue Cross and Blue Shield of South Carolina | $64,371,542 | -60.37% | 2.8% | -4.18 |
| Blue Cross and Blue Shield of North Carolina | $364,521,068 | -22.32% | 8.15% | -2.14 |
| Blue Cross of Idaho | $64,321,598 | 49.45% | 6.53% | 1.71 |
| Cambia Health Solutions | $81,397,735 | -39.94% | 2.97% | -2.05 |
| Excellus Blue Cross and Blue Shield | $194,535,970 | 30.8% | 6.33% | 1.38 |
| Wellmark Blue Cross and Blue Shield | $169,912,643 | -18.56% | 8.76% | -1.97 |
| Capital Blue Cross | $59,533,268 | 148.83% | 5.43% | 3.47 |
| Blue Cross and Blue Shield of Louisiana | $151,661,097 | 41.98% | 7.47% | 1.91 |
| Highmark | $538,256,649 | 96.59% | 7.86% | 3.32 |
| Blue Cross and Blue Shield of Arizona | $75,119,717 | -42.82% | 6.27% | -5.07 |
| Blue Cross and Blue Shield of Rhode Island | $15,591,581 | -61.41% | 1.85% | -2.81 |
| Blue Cross and Blue Shield of Wyoming | $43,267,582 | 30.03% | 14.04% | 3.45 |
| Blue Cross and Blue Shield of North Dakota | $55,979,310 | 148.79% | 9.83% | 6.11 |
| Hawaii Medical Service Association | $52,157,616 | -8.68% | 2.97% | -0.24 |
| HealthNow New York | $24,983,134 | -72.6% | 1.76% | -4.66 |
| Blue Cross and Blue Shield of Michigan | $586,167,282 | -2.59% | 8.27% | -0.17 |
| Blue Cross and Blue Shield of California | $627,773,721 | -26.92% | 5.87% | -2.16 |
| Independence Blue Cross | $311,966,732 | 95.21% | 3.33% | 1.41 |
Publicly traded Anthem plans were excluded.
Some plan information, such as those in New Jersey, may be incomplete depending on state requirements for reporting.