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

Davis County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 99 counties in 2024, at 13.9%. Warren County had the lowest, at 4.4%. The median was 7.4% and the figure for Iowa was 7.5%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest13.9Davis County
Lowest4.4Warren County
Median7.499 counties
Iowa7.5History

Map of counties, 2024

Adair County: 6.5 %Adams County: 7.1 %Allamakee County: 10.4 %Appanoose County: 10.1 %Audubon County: 7.7 %Benton County: 6 %Black Hawk County: 7.8 %Boone County: 5.5 %Bremer County: 5.5 %Buchanan County: 7.3 %Buena Vista County: 12.3 %Butler County: 7 %Calhoun County: 7.1 %Carroll County: 5.9 %Cass County: 8.2 %Cedar County: 6.2 %Cerro Gordo County: 6.7 %Cherokee County: 8.1 %Chickasaw County: 9.8 %Clarke County: 8.8 %Clay County: 7.1 %Clayton County: 10.2 %Clinton County: 6.8 %Crawford County: 12.1 %Dallas County: 5 %Davis County: 13.9 %Decatur County: 8.8 %Delaware County: 7.1 %Des Moines County: 6.9 %Dickinson County: 6.2 %Dubuque County: 6.3 %Emmet County: 9.7 %Fayette County: 7.5 %Floyd County: 6.9 %Franklin County: 10.7 %Fremont County: 5.7 %Greene County: 8.2 %Grundy County: 5.5 %Guthrie County: 7.2 %Hamilton County: 9 %Hancock County: 7.5 %Hardin County: 8.7 %Harrison County: 7 %Henry County: 8 %Howard County: 10.1 %Humboldt County: 8 %Ida County: 6.7 %Iowa County: 6.2 %Jackson County: 7.4 %Jasper County: 7.3 %Jefferson County: 11 %Johnson County: 7 %Jones County: 6.7 %Keokuk County: 6.9 %Kossuth County: 7.7 %Lee County: 6.8 %Linn County: 6.4 %Louisa County: 9.5 %Lucas County: 7.8 %Lyon County: 6.8 %Madison County: 6.2 %Mahaska County: 6.6 %Marion County: 5.9 %Marshall County: 10.4 %Mills County: 5.4 %Mitchell County: 8.8 %Monona County: 7.1 %Monroe County: 6 %Montgomery County: 7.4 %Muscatine County: 8 %O'Brien County: 9.8 %Osceola County: 10 %Page County: 7.9 %Palo Alto County: 6.7 %Plymouth County: 7.1 %Pocahontas County: 8.8 %Polk County: 8.4 %Pottawattamie County: 7.4 %Poweshiek County: 7.5 %Ringgold County: 8 %Sac County: 7.9 %Scott County: 6.2 %Shelby County: 7.1 %Sioux County: 9.8 %Story County: 6.7 %Tama County: 9 %Taylor County: 8.2 %Union County: 7.4 %Van Buren County: 12.7 %Wapello County: 10.1 %Warren County: 4.4 %Washington County: 9.4 %Wayne County: 10.6 %Webster County: 8.5 %Winnebago County: 6.4 %Winneshiek County: 6.1 %Woodbury County: 10.6 %Worth County: 5.3 %Wright County: 8.3 %
  • Under 6.2
  • 6.2 to 6.9
  • 6.9 to 7.4
  • 7.4 to 8.2
  • 8.2 to 9.8
  • 9.8 and over
%, 2024. 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.

Top 40 counties, 2024

Davis County: 13.9 %Davis County13.9Van Buren County: 12.7 %Van Buren County12.7Buena Vista County: 12.3 %Buena Vista County12.3Crawford County: 12.1 %Crawford County12.1Jefferson County: 11 %Jefferson County11Franklin County: 10.7 %Franklin County10.7Wayne County: 10.6 %Wayne County10.6Woodbury County: 10.6 %Woodbury County10.6Allamakee County: 10.4 %Allamakee County10.4Marshall County: 10.4 %Marshall County10.4Clayton County: 10.2 %Clayton County10.2Appanoose County: 10.1 %Appanoose County10.1Howard County: 10.1 %Howard County10.1Wapello County: 10.1 %Wapello County10.1Osceola County: 10 %Osceola County10Chickasaw County: 9.8 %Chickasaw County9.8O'Brien County: 9.8 %O'Brien County9.8Sioux County: 9.8 %Sioux County9.8Emmet County: 9.7 %Emmet County9.7Louisa County: 9.5 %Louisa County9.5Washington County: 9.4 %Washington County9.4Hamilton County: 9 %Hamilton County9Tama County: 9 %Tama County9Clarke County: 8.8 %Clarke County8.8Decatur County: 8.8 %Decatur County8.8Mitchell County: 8.8 %Mitchell County8.8Pocahontas County: 8.8 %Pocahontas County8.8Hardin County: 8.7 %Hardin County8.7Webster County: 8.5 %Webster County8.5Polk County: 8.4 %Polk County8.4Wright County: 8.3 %Wright County8.3Cass County: 8.2 %Cass County8.2Greene County: 8.2 %Greene County8.2Taylor County: 8.2 %Taylor County8.2Cherokee County: 8.1 %Cherokee County8.1Henry County: 8 %Henry County8Humboldt County: 8 %Humboldt County8Muscatine County: 8 %Muscatine County8Ringgold County: 8 %Ringgold County8Page County: 7.9 %Page County7.9Davis County: 13.9 %Davis County13.9Van Buren County: 12.7 %Van Buren County12.7Buena Vista County: 12.3 %Buena Vista County12.3Crawford County: 12.1 %Crawford County12.1Jefferson County: 11 %Jefferson County11Franklin County: 10.7 %Franklin County10.7Wayne County: 10.6 %Wayne County10.6Woodbury County: 10.6 %Woodbury County10.6Allamakee County: 10.4 %Allamakee County10.4Marshall County: 10.4 %Marshall County10.4Clayton County: 10.2 %Clayton County10.2Appanoose County: 10.1 %Appanoose County10.1Howard County: 10.1 %Howard County10.1Wapello County: 10.1 %Wapello County10.1Osceola County: 10 %Osceola County10Chickasaw County: 9.8 %Chickasaw County9.8O'Brien County: 9.8 %O'Brien County9.8Sioux County: 9.8 %Sioux County9.8Emmet County: 9.7 %Emmet County9.7Louisa County: 9.5 %Louisa County9.5Washington County: 9.4 %Washington County9.4Hamilton County: 9 %Hamilton County9Tama County: 9 %Tama County9Clarke County: 8.8 %Clarke County8.8Decatur County: 8.8 %Decatur County8.8Mitchell County: 8.8 %Mitchell County8.8Pocahontas County: 8.8 %Pocahontas County8.8Hardin County: 8.7 %Hardin County8.7Webster County: 8.5 %Webster County8.5Polk County: 8.4 %Polk County8.4Wright County: 8.3 %Wright County8.3Cass County: 8.2 %Cass County8.2Greene County: 8.2 %Greene County8.2Taylor County: 8.2 %Taylor County8.2Cherokee County: 8.1 %Cherokee County8.1Henry County: 8 %Henry County8Humboldt County: 8 %Humboldt County8Muscatine County: 8 %Muscatine County8Ringgold County: 8 %Ringgold County8Page County: 7.9 %Page County7.9
%. 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

RankCounties2024 (%)Change on 2023
1Davis County13.9+0.3 pts
2Van Buren County12.7+2.4 pts
3Buena Vista County12.3-0.9 pts
4Crawford County12.1+0.5 pts
5Jefferson County11+1.5 pts
6Franklin County10.7+2.3 pts
7Wayne County10.6+1.2 pts
7Woodbury County10.6+0.5 pts
9Allamakee County10.4+1.1 pts
9Marshall County10.4+0.6 pts
11Clayton County10.2+1.3 pts
12Appanoose County10.1+2.4 pts
12Howard County10.1+1.7 pts
12Wapello County10.1+1.3 pts
15Osceola County10+1.1 pts
16Chickasaw County9.8+2.8 pts
16O'Brien County9.8+1.9 pts
16Sioux County9.8+1.9 pts
19Emmet County9.7+0.5 pts
20Louisa County9.5+0.8 pts
21Washington County9.4+0.6 pts
22Hamilton County9+1.3 pts
22Tama County9+0.1 pts
24Clarke County8.8+0.3 pts
24Decatur County8.8+0.6 pts
24Mitchell County8.8+0.6 pts
24Pocahontas County8.8+0.4 pts
28Hardin County8.7+1.1 pts
29Webster County8.5-0.7 pts
30Polk County8.4+0.2 pts
31Wright County8.3+0.8 pts
32Cass County8.2+0.4 pts
32Greene County8.2+1.5 pts
32Taylor County8.2-0.3 pts
35Cherokee County8.1+1.3 pts
36Henry County8+0.9 pts
36Humboldt County8+0.9 pts
36Muscatine County8+0.6 pts
36Ringgold County8+1.5 pts
40Page County7.9+2 pts
40Sac County7.9+1.3 pts
42Black Hawk County7.8+0.5 pts
42Lucas County7.8+0.7 pts
44Audubon County7.7+0.7 pts
44Kossuth County7.7+0.1 pts
46Fayette County7.5+0.7 pts
46Hancock County7.5+0.2 pts
46Poweshiek County7.5+1.8 pts
49Jackson County7.4+1.1 pts
49Montgomery County7.4+0.6 pts
49Pottawattamie County7.4+0.6 pts
49Union County7.4+0.6 pts
53Buchanan County7.3+0.5 pts
53Jasper County7.3+1.2 pts
55Guthrie County7.2+0.3 pts
56Adams County7.1+0.2 pts
56Calhoun County7.1+0.8 pts
56Clay County7.1+0.8 pts
56Delaware County7.1+0.9 pts
56Monona County7.1+0.2 pts
56Plymouth County7.1+0.3 pts
56Shelby County7.1+0.6 pts
63Butler County7+0.5 pts
63Harrison County7+0.8 pts
63Johnson County7-0.1 pts
66Des Moines County6.9+0.2 pts
66Floyd County6.9+0.5 pts
66Keokuk County6.9+0.5 pts
69Clinton County6.8+0.3 pts
69Lee County6.8+0.3 pts
69Lyon County6.8+1.1 pts
72Cerro Gordo County6.7+1.3 pts
72Ida County6.7+0.5 pts
72Jones County6.7+0.7 pts
72Palo Alto County6.7+0.3 pts
72Story County6.7+0.7 pts
77Mahaska County6.6+0.1 pts
78Adair County6.5+1.1 pts
79Linn County6.4+0.6 pts
79Winnebago County6.4+0.2 pts
81Dubuque County6.3+1.3 pts
82Cedar County6.2+0.9 pts
82Dickinson County6.20 pts
82Iowa County6.2+0.5 pts
82Madison County6.2+0.9 pts
82Scott County6.2-0.2 pts
87Winneshiek County6.1+0.7 pts
88Benton County6+1.1 pts
88Monroe County6-0.1 pts
90Carroll County5.9+0.6 pts
90Marion County5.9+1.1 pts
92Fremont County5.7-0.4 pts
93Boone County5.5+0.6 pts
93Bremer County5.5+0.8 pts
93Grundy County5.5+0.4 pts
96Mills County5.4+0.5 pts
97Worth County5.3+0.1 pts
98Dallas County5+0.3 pts
99Warren County4.4+0.1 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-2024-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 Iowa by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Iowa by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties. 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 Iowa by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties.

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 Iowa by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_by_2024,
  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 Iowa by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties. 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-2024-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 Iowa by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties.
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-2024-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)?

Davis County, with 13.9% in 2024, according to the U.S. Census Bureau.

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

Warren County, with 4.4% in 2024.

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 Iowa: more rankings