Uninsured rate, ages 18 to 64 (US model-based estimate)

People aged 18 to 64 without health insurance coverage of any kind, as a percentage of all people aged 18 to 64. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

Keep it in a collection in your library.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Working-age adults; the rate for everyone under 65 is uninsured_rate_under_65.

Key facts

Figures last updated on 2026-10-12.

Rankings

US states by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Top 15. Source: U.S. Census Bureau.

Texas: 21.6 %Texas21.6Oklahoma: 16.5 %Oklahoma16.5Georgia: 16.4 %Georgia16.4New Mexico: 16 %New Mexico16Nevada: 15.6 %Nevada15.6Florida: 15.5 %Florida15.5Mississippi: 14.5 %Mississippi14.5Alaska: 14.2 %Alaska14.2Arizona: 14.2 %Arizona14.2Wyoming: 13.8 %Wyoming13.8Tennessee: 13.3 %Tennessee13.3South Carolina: 13.1 %South Carolina13.1Arkansas: 13 %Arkansas13Idaho: 12.4 %Idaho12.4Montana: 12.3 %Montana12.3Texas: 21.6 %Texas21.6Oklahoma: 16.5 %Oklahoma16.5Georgia: 16.4 %Georgia16.4New Mexico: 16 %New Mexico16Nevada: 15.6 %Nevada15.6Florida: 15.5 %Florida15.5Mississippi: 14.5 %Mississippi14.5Alaska: 14.2 %Alaska14.2Arizona: 14.2 %Arizona14.2Wyoming: 13.8 %Wyoming13.8Tennessee: 13.3 %Tennessee13.3South Carolina: 13.1 %South Carolina13.1Arkansas: 13 %Arkansas13Idaho: 12.4 %Idaho12.4Montana: 12.3 %Montana12.3
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking of states

Places with data

Published for regions and states, provinces and counties.

Regions and states

Provinces and counties

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Which places have the highest uninsured rate, ages 18 to 64 (US model-based estimate)? Use official data and cite it.
rank_places {"indicator":"uninsured_rate_18_64","level":"region","within":"United States"}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=region&within=United%20States

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.