I live 8 miles outside Chico, CA 95926. I have one choice, a WISP, which provides 6Mbps for $75 with a cap of 150GB. They just started offering 10Mbps with 200GB for $85. I'm grateful to have them, but this is impossible for a household AND someone with kids who game. The lag is terrible.
My only other 'option' is satellite, which I had for 10 very long years. I swear, I'll move before I ever go back to that.