Counties in California by uninsured rate, ages 18 to 64 (US model-based estimate)

Colusa County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 58 counties in 2013, at 31%. San Francisco County had the lowest, at 14%. The median was 22.5% and the figure for California was 23.9%. Source: the U.S. Census Bureau.

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Highest31Colusa County
Median22.558 counties
California23.9History

Map of counties, 2013

Alameda County: 17.4 %Alpine County: 20 %Amador County: 18.3 %Butte County: 20.6 %Calaveras County: 18.6 %Colusa County: 31 %Contra Costa County: 17.3 %Del Norte County: 20.9 %El Dorado County: 15.8 %Fresno County: 26.9 %Glenn County: 28.6 %Humboldt County: 24.8 %Imperial County: 27.7 %Inyo County: 21.3 %Kern County: 27.1 %Kings County: 24.6 %Lake County: 24 %Lassen County: 15.5 %Los Angeles County: 29.3 %Madera County: 29.7 %Marin County: 14.2 %Mariposa County: 17.6 %Mendocino County: 26.3 %Merced County: 28.2 %Modoc County: 26.9 %Mono County: 27.1 %Monterey County: 31 %Napa County: 21.4 %Nevada County: 19.8 %Orange County: 23 %Placer County: 15.4 %Plumas County: 21 %Riverside County: 27.4 %Sacramento County: 21.1 %San Benito County: 24 %San Bernardino County: 25.9 %San Diego County: 21.5 %San Francisco County: 14 %San Joaquin County: 24.8 %San Luis Obispo County: 18.5 %San Mateo County: 14.3 %Santa Barbara County: 25.6 %Santa Clara County: 15.6 %Santa Cruz County: 22.2 %Shasta County: 21.8 %Sierra County: 22.7 %Siskiyou County: 23.7 %Solano County: 18.1 %Sonoma County: 20.5 %Stanislaus County: 26.4 %Sutter County: 26.3 %Tehama County: 23.8 %Trinity County: 22.6 %Tulare County: 28.9 %Tuolumne County: 18.4 %Ventura County: 22.3 %Yolo County: 20.2 %Yuba County: 23.6 %
  • Under 18
  • 18 to 21
  • 21 to 22
  • 22 to 25
  • 25 to 27
  • 27 and over
%, 2013. 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. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2013

Colusa County: 31 %Colusa County31Monterey County: 31 %Monterey County31Madera County: 29.7 %Madera County29.7Los Angeles County: 29.3 %Los Angeles County29.3Tulare County: 28.9 %Tulare County28.9Glenn County: 28.6 %Glenn County28.6Merced County: 28.2 %Merced County28.2Imperial County: 27.7 %Imperial County27.7Riverside County: 27.4 %Riverside County27.4Kern County: 27.1 %Kern County27.1Mono County: 27.1 %Mono County27.1Fresno County: 26.9 %Fresno County26.9Modoc County: 26.9 %Modoc County26.9Stanislaus County: 26.4 %Stanislaus County26.4Mendocino County: 26.3 %Mendocino County26.3Sutter County: 26.3 %Sutter County26.3San Bernardino County: 25.9 %San Bernardino County25.9Santa Barbara County: 25.6 %Santa Barbara County25.6Humboldt County: 24.8 %Humboldt County24.8San Joaquin County: 24.8 %San Joaquin County24.8Kings County: 24.6 %Kings County24.6Lake County: 24 %Lake County24San Benito County: 24 %San Benito County24Tehama County: 23.8 %Tehama County23.8Siskiyou County: 23.7 %Siskiyou County23.7Yuba County: 23.6 %Yuba County23.6Orange County: 23 %Orange County23Sierra County: 22.7 %Sierra County22.7Trinity County: 22.6 %Trinity County22.6Ventura County: 22.3 %Ventura County22.3Santa Cruz County: 22.2 %Santa Cruz County22.2Shasta County: 21.8 %Shasta County21.8San Diego County: 21.5 %San Diego County21.5Napa County: 21.4 %Napa County21.4Inyo County: 21.3 %Inyo County21.3Sacramento County: 21.1 %Sacramento County21.1Plumas County: 21 %Plumas County21Del Norte County: 20.9 %Del Norte County20.9Butte County: 20.6 %Butte County20.6Sonoma County: 20.5 %Sonoma County20.5Yolo County: 20.2 %Yolo County20.2Alpine County: 20 %Alpine County20Nevada County: 19.8 %Nevada County19.8Calaveras County: 18.6 %Calaveras County18.6San Luis Obispo County: 18.5 %San Luis Obispo County18.5Tuolumne County: 18.4 %Tuolumne County18.4Amador County: 18.3 %Amador County18.3Solano County: 18.1 %Solano County18.1Mariposa County: 17.6 %Mariposa County17.6Alameda County: 17.4 %Alameda County17.4Contra Costa County: 17.3 %Contra Costa County17.3El Dorado County: 15.8 %El Dorado County15.8Santa Clara County: 15.6 %Santa Clara County15.6Lassen County: 15.5 %Lassen County15.5Placer County: 15.4 %Placer County15.4San Mateo County: 14.3 %San Mateo County14.3Marin County: 14.2 %Marin County14.2San Francisco County: 14 %San Francisco County14Colusa County: 31 %Colusa County31Monterey County: 31 %Monterey County31Madera County: 29.7 %Madera County29.7Los Angeles County: 29.3 %Los Angeles County29.3Tulare County: 28.9 %Tulare County28.9Glenn County: 28.6 %Glenn County28.6Merced County: 28.2 %Merced County28.2Imperial County: 27.7 %Imperial County27.7Riverside County: 27.4 %Riverside County27.4Kern County: 27.1 %Kern County27.1Mono County: 27.1 %Mono County27.1Fresno County: 26.9 %Fresno County26.9Modoc County: 26.9 %Modoc County26.9Stanislaus County: 26.4 %Stanislaus County26.4Mendocino County: 26.3 %Mendocino County26.3Sutter County: 26.3 %Sutter County26.3San Bernardino County: 25.9 %San Bernardino County25.9Santa Barbara County: 25.6 %Santa Barbara County25.6Humboldt County: 24.8 %Humboldt County24.8San Joaquin County: 24.8 %San Joaquin County24.8Kings County: 24.6 %Kings County24.6Lake County: 24 %Lake County24San Benito County: 24 %San Benito County24Tehama County: 23.8 %Tehama County23.8Siskiyou County: 23.7 %Siskiyou County23.7Yuba County: 23.6 %Yuba County23.6Orange County: 23 %Orange County23Sierra County: 22.7 %Sierra County22.7Trinity County: 22.6 %Trinity County22.6Ventura County: 22.3 %Ventura County22.3Santa Cruz County: 22.2 %Santa Cruz County22.2Shasta County: 21.8 %Shasta County21.8San Diego County: 21.5 %San Diego County21.5Napa County: 21.4 %Napa County21.4Inyo County: 21.3 %Inyo County21.3Sacramento County: 21.1 %Sacramento County21.1Plumas County: 21 %Plumas County21Del Norte County: 20.9 %Del Norte County20.9Butte County: 20.6 %Butte County20.6Sonoma County: 20.5 %Sonoma County20.5Yolo County: 20.2 %Yolo County20.2Alpine County: 20 %Alpine County20Nevada County: 19.8 %Nevada County19.8Calaveras County: 18.6 %Calaveras County18.6San Luis Obispo County: 18.5 %San Luis Obispo County18.5Tuolumne County: 18.4 %Tuolumne County18.4Amador County: 18.3 %Amador County18.3Solano County: 18.1 %Solano County18.1Mariposa County: 17.6 %Mariposa County17.6Alameda County: 17.4 %Alameda County17.4Contra Costa County: 17.3 %Contra Costa County17.3El Dorado County: 15.8 %El Dorado County15.8Santa Clara County: 15.6 %Santa Clara County15.6Lassen County: 15.5 %Lassen County15.5Placer County: 15.4 %Placer County15.4San Mateo County: 14.3 %San Mateo County14.3Marin County: 14.2 %Marin County14.2San Francisco County: 14 %San Francisco County14
%. 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

RankCounties2013 (%)Change on 2012
1Colusa County31+1.8 pts
1Monterey County31+0.6 pts
3Madera County29.7-2.3 pts
4Los Angeles County29.3-0.9 pts
5Tulare County28.9-1.4 pts
6Glenn County28.6-0.2 pts
7Merced County28.2+0.1 pts
8Imperial County27.7-1.6 pts
9Riverside County27.4-1 pts
10Kern County27.1-0.2 pts
10Mono County27.1+0.6 pts
12Fresno County26.9-2.8 pts
12Modoc County26.9+0.7 pts
14Stanislaus County26.4+0.7 pts
15Mendocino County26.3-0.1 pts
15Sutter County26.3+1 pts
17San Bernardino County25.9-1.7 pts
18Santa Barbara County25.6+0.2 pts
19Humboldt County24.8+0.3 pts
19San Joaquin County24.8-0.4 pts
21Kings County24.6-1.1 pts
22Lake County24-0.5 pts
22San Benito County24+0.6 pts
24Tehama County23.8-1.2 pts
25Siskiyou County23.7+1.5 pts
26Yuba County23.6-0.5 pts
27Orange County23-0.9 pts
28Sierra County22.7-0.2 pts
29Trinity County22.6-0.1 pts
30Ventura County22.3-0.6 pts
31Santa Cruz County22.2+0.2 pts
32Shasta County21.8-1 pts
33San Diego County21.5-0.5 pts
34Napa County21.4-0.8 pts
35Inyo County21.3-2.4 pts
36Sacramento County21.1-0.8 pts
37Plumas County21-0.8 pts
38Del Norte County20.9-0.7 pts
39Butte County20.6-2.6 pts
40Sonoma County20.5-0.9 pts
41Yolo County20.2+0.6 pts
42Alpine County20-1.3 pts
43Nevada County19.8+0.3 pts
44Calaveras County18.6-0.5 pts
45San Luis Obispo County18.5-1.3 pts
46Tuolumne County18.4-1.8 pts
47Amador County18.3+0.6 pts
48Solano County18.1-0.6 pts
49Mariposa County17.6-3.8 pts
50Alameda County17.4-0.4 pts
51Contra Costa County17.3+0.8 pts
52El Dorado County15.8-0.3 pts
53Santa Clara County15.6-0.9 pts
54Lassen County15.5-0.8 pts
55Placer County15.40 pts
56San Mateo County14.3-1.4 pts
57Marin County14.2-0.6 pts
58San Francisco County14-1 pts

Other periods

About this ranking

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.

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.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

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. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties (Counties in California by uninsured rate, ages 18 to 64 (US model-based estimate), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in California by uninsured rate, ages 18 to 64 (US model-based estimate), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2013. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Counties in California by uninsured rate, ages 18 to 64 (US model-based estimate), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2013.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in California by uninsured rate, ages 18 to 64 (US model-based estimate), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_by_2013,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in California by uninsured rate, ages 18 to 64 (US model-based estimate), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2013. Publisher attribution: 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. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in California by uninsured rate, ages 18 to 64 (US model-based estimate), 2013
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/california-counties?period=2013.
N1  - Publisher attribution: 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. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?

Colusa County, with 31% in 2013, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

San Francisco County, with 14% in 2013.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: 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.

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

Counties in California: more rankings