Except for New Mexico and Wyoming, the annual employee-only premium (i.e. single premium) costs for health insurance coverage for small businesses (with fewer than 50 employees) in the Mountain states typically run below national average rates for similarly sized businesses. Average small business premium costs are higher in New Mexico and Wyoming mainly because of particularly high costs for businesses with fewer than 10 employees. Data from the most recent (2019) Medical Expenditure Panel Survey, a health-cost related survey conducted by the Agency for Healthcare Research and Quality, provides the following detail about annual small business employee-only health premium costs in the Mountain states and nationally:
| All Businesses with | Businesses with | Businesses with | |
| State | under 50 Employees | 10 to 24 Employees | under 10 Employees |
| AZ | $5,924 | $5,528 | $6,436 |
| CO | $6,144 | $6,410 | $6,443 |
| ID | $5,962 | $5,651 | $6,656 |
| MT | $6,063 | $6,826 | $5,584 |
| NV | $5,464 | $5,874 | $5,764 |
| NM | $7,249 | $6,372 | $8,203 |
| UT | $5,067 | $5,116 | $4,656 |
| WY | $7,590 | $6,215 | $8,224 |
| U.S. | $6,920 | $6,892 | $7,528 |
Source: Medical Expenditure Panel Survey Table II.C.1 - Average total single premium (in dollars) per enrolled employee at private-sector establishments that offer health insurance by firm size and State: United States, 2019
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