Yes, this is a big deal.

SCOTUS is going to create precedent no matter what. There are a few outcomes.

First, and easiest to understand, they could rule that Trump is disqualified from serving as President (or any office) per section 3 of the 14th amendment. Congress could remove the restriction, but that would be almost impossible given the current Congressional climate. In that situation, Trump is off the ballot entirely, and while he and his followers will violently thrash about for a while, he won't be President under any circumstances.

I don't think that's likely, but one can hope.

Second, the court could rule that Trump is not disqualified, either because Article 14 Section 3 doesn't apply to President (an incredibly stupid argument that ignores all evidence and rational thought) or because Trump didn't support an insurrection. Could be that they say it wasn't proven to be an insurrection (which isn't true, several participants have been convicted of seditious conspiracy) or that he didn't support it (which isn't true, he gave a speech at the rally and was tweeting his support, not to mention the eyewitnesses at the White House). Maybe the court finds he cannot be penalized because he hasn't been convicted yet, or because the impeachment vote went his way (also stupid arguments that ignore the wording of the amendment).

I think one of these is possible, because the court is a fraud and there is no justice. Any of these findings would require twisting the law and ignoring objective truth in favor of a political win, and these justices have already demonstrated that's something they are capable of.

Third, they could rule narrowly that the Colorado Court and/or the state of Maine can keep him off the ballot, but make no ruling regarding whether he is actually disqualified from holding office. This would be interesting, because they would basically be saying that it's up to each state to make their own determination for at least the primary. The issue could come back to the court later if he ends up with the nomination after being disqualified in some states, at which point they would have to rule on the issue.

I doubt they punt like that.

Last option is they narrowly find Colorado and Maine overstepped their authority, but make no ruling on the larger issue related to whether he is or is not disqualified by the 14th amendment. Could be any number of procedural issues. This split-the-baby attempt puts him back on the ballots everywhere and makes it harder for states to keep him off primary ballots. Like the previous possibility, this would likely end up back before the court assuming Trump is the nominee.

This one seems likely to me, because I can imagine a few of the justices are hoping that the electorate will take the heat by nominating someone else. If Trump loses to Haley, his supporters won't be angry with the Court, nobody can cry that their rights have been violated. And if he does receive the nomination, then they get a second bite at the apple to disqualify him should the justices' owners decide they don't want Trump to be President.

I suppose there's still a chance (however so slight) that the SCOTUS decision makes Trump ineligible for federal office, which would then apply to all states.

Maine and Colorado removed him from the primary ballot, these are states and delegates he can not win. So blue states actually matter because if he doesn't win the nomination, he won't be the Republican candidate. If enough states do it, it's possible that another candidate could slide in.

He’ll only ever be removed from states that he never would’ve won, right?

Maine splits their electoral votes unlike most states. In 2020 Trump won one electoral vote there. Not enough to swing the election by any means tho.

Even if he's only removed from the ballots in blue states, it'll have an effect on an downballot elections in those states. The base of the Republican party is still very deep into trumpism; and they're more likely to vote at all if their guy is on the ballot. If he's not, they may refuse to participate at all, which could potentially swing local races or otherwise make them competitive rather than safe positions.

On the national scale, if a congressional district is already competitive and those otherwise reliable Republican voters don't show up, it could give the democratic nominees for those districts an edge- assuming "keep Trump from getting back into the White House" isn't the only motivation energizing the Democratic party's base.

The Republican party's majority was already thin after the midterms, and the gap has been narrowing due to party infighting; on top of that, they barely won back the house during a midterm election without securing the Senate during the election cycle that is most advantageous to the minority party (since a ton of voters only vote during presidential elections).

The more states that ban Trump from the ballot, the more likely it is that the discouragement felt by the Republican party's base- particularly the Trumpist faction- leads to a number of them no longer feeling energized to vote, which may lead to progressive and centrist Democratic wins in competitive districts up and down the ballots, which may affect local or state politics enough to affect policy in a way that less more toward the progressive side of things- again, provided that the Democratic party doesn't rely too heavily on "we're not Trumpists" and find themselves going against Haley instead of Trump without a cohesive plan.

Tl;dr: Trump missing from the ballot in only blue states could still significantly affect downballot elections and initiatives, and give the Democratic party an edge in their efforts to take back the house and solidify their hold on the Senate- provided the Dems work on their messaging, energize their base, and win over independents.

Has a presidential candidate ever been removed from the ballot at the State level before historically?