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Highest Health Savings Account (HSA) Rates in Iowa
29 Iowa-specific products

By Aviel Fahl

Newest reading: October 13, 2026

Top Iowa Rate:3.30%

The Iowa market

Iowa accounts

29

Institutions

29

Top Iowa APY

3.30% APY

Nationally: 1.01% APY

FDIC national average

0.37%

As of Sep 2026

29 health savings accounts (HSAs) are open only to Iowa residents, from 29 institutions. The highest advertised APY among them is 3.30%.

The highest nationally available rate is 1.01% APY, 229 basis points below the Iowa leader.

15 of the 29 Iowa health savings accounts (HSAs) advertise more than the FDIC national average of 0.37% for savings accounts as of Sep 2026.

Iowa-Specific Health Savings (HSA) Accounts

Health Savings (HSA) accounts specifically available to Iowa residents.

#1

The Clinton National Bank

CNB Health Savings

+$305
per year
3.30% APY
Oct 3, 2026

Needs at least $15,000

APY Range: 3.05% – 3.30%
FDIC InsuredNo MinimumsIn-Person Access

What to Watch

Variable rate. The bank can change the rate on this account at its discretion. Interest is paid on the full balance at the rate for the tier that contains the balance.

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. BalanceN/A
Maintenance Fee$0
Compound Freqdaily
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 4439)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

No movement is shown for an “Up to” rate.

Official SiteThe Clinton National Bank

Direct Link to Product Page (Not Sponsored)

#2

Green Belt Bank & Trust

Health Savings Account

+$304
per year
3.04% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access

What to Watch

The stated APY is paid only with electronic statements. Without them the account earns the bank's lower posted rate.

Show Fine Print & Trends
Min. Deposit$0
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 26760)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteGreen Belt Bank & Trust

Direct Link to Product Page (Not Sponsored)

#3

Iowa State Bank

Health Savings Account - Fixed Rate

+$304
per year
3.04% APY
Oct 12, 2026
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$50
Min. BalanceN/A
Maintenance Fee$0
Compound Freqmonthly
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 15947)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

Rate Increased
+0.29%
Since 30 days ago
Official SiteIowa State Bank

Direct Link to Product Page (Not Sponsored)

#4

Connection Bank

Health Savings

+$245
per year
2.45% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$0
Min. BalanceN/A
Maintenance Fee$0
Compound Freqdaily
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 955)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

Rate Increased
+0.16%
Since 7 days ago
Official SiteConnection Bank

Direct Link to Product Page (Not Sponsored)

#5

Peoples Savings Bank

Health Savings Account

+$205
per year
2.05% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$0
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 14868)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SitePeoples Savings Bank

Direct Link to Product Page (Not Sponsored)

#6

Mount Vernon Bank and Trust Company

Health Savings Account

+$200
per year
2.50% APY
Oct 7, 2026

Needs at least $25,000

APY Range: 1.00% – 2.50%
FDIC InsuredLow MinimumsIn-Person Access

What to Watch

The account charges a $25.00 setup fee at opening, a $25.00 fee each year, and a $25.00 fee to close it. Electronic statements are free; paper statements cost $3.00 a month plus tax.

Show Fine Print & Trends
Min. Deposit$500
Min. Balance$0.01
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 10494)
EligibilityYou must be enrolled in a High Deductible Health Plan to open this account.
Mobile Ratings
BBB Rating

Rate Stability

No movement is shown for an “Up to” rate.

Official SiteMount Vernon Bank and Trust Company

Direct Link to Product Page (Not Sponsored)

#7

Farmers State Bank

Health Savings Account

+$150
per year
3.00% APY
Oct 7, 2026

Needs at least $50,000

APY Range: 0.50% – 3.00%
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$100
Min. Balance$0
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 14209)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

No movement is shown for an “Up to” rate.

Official SiteFarmers State Bank

Direct Link to Product Page (Not Sponsored)

#8

First Nebraska Bank

Health Savings Account

+$106
per year
1.06% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access

What to Watch

A $15 setup fee applies. There is no annual fee.

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. BalanceN/A
Maintenance Fee$0
Compound Freqmonthly
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 12248)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

Rate Increased
+0.06%
Since 7 days ago
Official SiteFirst Nebraska Bank

Direct Link to Product Page (Not Sponsored)

#9

Union State Bank

Health Savings Account

+$90
per year
0.90% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 14982)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteUnion State Bank

Direct Link to Product Page (Not Sponsored)

#10

American Bank and Trust Company, National Association

Health Savings Account

+$50
per year
0.50% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. Balance$0
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 34955)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteAmerican Bank and Trust Company, National Association

Direct Link to Product Page (Not Sponsored)

#11

Chelsea Savings Bank

Health Savings Account

+$50
per year
1.00% APY
Oct 7, 2026

Needs at least $50,000

APY Range: 0.50% – 1.00%
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$100
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 15427)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

No movement is shown for an “Up to” rate.

Official SiteChelsea Savings Bank

Direct Link to Product Page (Not Sponsored)

#12

Iowa State Bank and Trust Company of Fairfield, Iowa

Health Savings

+$50
per year
0.50% APY
Oct 13, 2026
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$100
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 14413)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteIowa State Bank and Trust Company of Fairfield, Iowa

Direct Link to Product Page (Not Sponsored)

#13

Primebank

HSA Checking

+$50
per year
0.50% APY
Oct 3, 2026

Needs at least $10,000

APY Range: 0.10% – 0.50%
FDIC InsuredLow MinimumsIn-Person Access

What to Watch

The account can be opened with $100, but balances below $500 earn no interest.

Show Fine Print & Trends
Min. Deposit$100
Min. Balance$500
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 8101)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SitePrimebank

Direct Link to Product Page (Not Sponsored)

#14

Washington State Bank

HSA

+$40
per year
0.40% APY
Oct 3, 2026
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$200
Min. BalanceN/A
Maintenance Fee$0
Compound Freqquarterly
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 214)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 7 days
Official SiteWashington State Bank

Direct Link to Product Page (Not Sponsored)

#15

Marion County State Bank

Health Savings Account (HSA)

+$30
per year
0.30% APY
Oct 7, 2026
FDIC InsuredLow MinimumsIn-Person Access

What to Watch

A custodial fee of $15.00 is charged once a year, each January, rather than each month. Closing the account costs a further $25.00.

Show Fine Print & Trends
Min. Deposit$100
Min. BalanceN/A
Maintenance FeeAn annual custodial fee of $15.00 is charged each January. An exit fee of $25.00 is charged at account closing.
Compound Freqmonthly
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 15272)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteMarion County State Bank

Direct Link to Product Page (Not Sponsored)

#16

Bank Plus

Health Savings Account

+$25
per year
0.55% APY
Oct 7, 2026

Needs at least $75,000.01

APY Range: 0.25% – 0.55%
FDIC InsuredNo MinimumsIn-Person Access

What to Watch

Variable rate. The rate can change at any time after the account is opened.

Show Fine Print & Trends
Min. Deposit$0
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 16547)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

No movement is shown for an “Up to” rate.

Official SiteBank Plus

Direct Link to Product Page (Not Sponsored)

#17

Farmers & Merchants Bank & Trust

Health Savings

+$25
per year
0.25% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access

What to Watch

The monthly service charge does not apply to accounts signed up for e-statements.

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. BalanceN/A
Maintenance Fee$0
Compound Freqmonthly
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 13737)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteFarmers & Merchants Bank & Trust

Direct Link to Product Page (Not Sponsored)

#18

Farmers Trust and Savings Bank

Health Savings Account

+$25
per year
0.35% APY
Oct 7, 2026

Needs at least $14,999

APY Range: 0.15% – 0.35%
FDIC InsuredNo MinimumsIn-Person Access

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. Balance$0.01
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 12858)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

No movement is shown for an “Up to” rate.

Official SiteFarmers Trust and Savings Bank

Direct Link to Product Page (Not Sponsored)

#19

Boone Bank & Trust Co.

HSA

+$20
per year
0.20% APY
Oct 7, 2026
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$100
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 33552)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 7 days
Official SiteBoone Bank & Trust Co.

Direct Link to Product Page (Not Sponsored)

#20

Nicolet National Bank

Health Savings Account (HSA)

+$20
per year
0.20% APY
Oct 13, 2026

Needs at least $10,000

APY Range: 0.01% – 0.20%
FDIC InsuredLow MinimumsIn-Person Access

What to Watch

A $10 set-up fee applies when the account is opened. A $5 monthly fee applies to paper statements.

Show Fine Print & Trends
Min. Deposit$100
Min. BalanceN/A
Maintenance Fee$5 monthly fee for paper statements.
Compound Freqmonthly
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 57038)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 7 days
Official SiteNicolet National Bank

Direct Link to Product Page (Not Sponsored)

#21

Exchange State Bank

Health Savings Account

+$15
per year
0.15% APY
Oct 7, 2026

Needs at least $2,500

APY Range: 0.10% – 0.15%
FDIC InsuredNo MinimumsIn-Person Access

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. BalanceN/A
Maintenance Fee$0
Compound Frequnknown
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 10132)
EligibilityUnited States
Mobile Ratings
BBB Rating
Not Rated(Not BBB Accredited)

Rate Stability

Very StableNo rate changes in last 90 days
Official SiteExchange State Bank

Direct Link to Product Page (Not Sponsored)

#22

Fidelity Bank & Trust

Health Savings Account

+$15
per year
0.15% APY
Oct 13, 2026
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$50
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 14382)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteFidelity Bank & Trust

Direct Link to Product Page (Not Sponsored)

#23

BankOrion

Health Savings Account

+$10
per year
0.10% APY
Oct 7, 2026
FDIC InsuredLow MinimumsIn-Person Access

What to Watch

Variable rate. The rate can change after the account is open. A service charge applies when the balance falls below $100.

Show Fine Print & Trends
Min. Deposit$100
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 11739)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 7 days
Official SiteBankOrion

Direct Link to Product Page (Not Sponsored)

#24

FreedomBank

FreedomBank HSA

+$10
per year
0.10% APY
Oct 13, 2026

Needs at least $10,000

APY Range: 0.05% – 0.10%
FDIC InsuredNo MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$0
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 11767)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteFreedomBank

Direct Link to Product Page (Not Sponsored)

#25

Lincoln Savings Bank

Health Savings

+$10
per year
0.10% APY
Oct 7, 2026
FDIC InsuredNo MinimumsIn-Person Access

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. Balance$0.01
Maintenance Fee$0
Compound Freqmonthly
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 14207)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteLincoln Savings Bank

Direct Link to Product Page (Not Sponsored)

#26

TruBank

Health Savings Account

+$10
per year
0.10% APY
Oct 13, 2026
FDIC InsuredNo MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$0
Min. Balance$0
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 25267)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteTruBank

Direct Link to Product Page (Not Sponsored)

#27

Federation Bank

HSA Checking

+$5
per year
0.05% APY
Oct 12, 2026
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$50
Min. Balance$0.01
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 14352)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

StableNo rate changes in last 30 days
Official SiteFederation Bank

Direct Link to Product Page (Not Sponsored)

#28

Premier Bank

Health Savings Account

+$3
per year
0.05% APY
Oct 7, 2026

Needs at least $25,000

APY Range: 0.02% – 0.05%
FDIC InsuredNo MinimumsIn-Person Access

We could not confirm: minimum deposit.

Show Fine Print & Trends
Min. DepositN/A
Min. Balance$0
Maintenance FeeA monthly maintenance fee of $2.50 will be imposed if the average daily balance for the statement cycle in your HSA Account falls below $1,500.
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 34849)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

No movement is shown for an “Up to” rate.

Official SitePremier Bank

Direct Link to Product Page (Not Sponsored)

#29

Great Southern Bank

Health Savings Account (HSA)

+$2
per year
0.02% APY
Oct 7, 2026
FDIC InsuredLow MinimumsIn-Person Access
Show Fine Print & Trends
Min. Deposit$25
Min. BalanceN/A
Maintenance Fee$0
Compound FreqN/A
Direct DepositNot required
Deposit InsuranceFDIC Insured(Cert: 29546)
EligibilityUnited States
Mobile Ratings
BBB Rating

Rate Stability

Rate Adjusted
-0.02%
Since 30 days ago
Official SiteGreat Southern Bank

Direct Link to Product Page (Not Sponsored)

Nationally Available Health Savings (HSA) Accounts

The 2 highest-rate health savings (hsa) accounts available nationwide, including in Iowa.

InstitutionProduct / Term
nbkc Bank
Personal Health Saving Account
1.01%
Omb Bank
Health Savings Accountneeds at least $25,000
Up to0.20%

See the full national list