Mediacom offers service in 21 states. The average download speed on Mediacom is 100 Mbps. Mediacom offers service in 3,612,081 Households. Your best chance of finding Mediacom service is in Iowa, their largest coverage area. You can also find Mediacom in Minnesota, Missouri, Alabama, and many others. It is a Cable provider, which means they deliver service by utilizing the cable television lines they are already running to your home. Typically, you will get a cable modem or cable box from which you can connect your in home router.