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

Crawford County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 99 counties in 2015, at 14.4%. Warren County had the lowest, at 4.3%. The median was 6.8% and the figure for Iowa was 6.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest14.4Crawford County
Lowest4.3Warren County
Median6.899 counties
Iowa6.8History

Map of counties, 2015

Adair County: 6 %Adams County: 8.5 %Allamakee County: 8.7 %Appanoose County: 8.1 %Audubon County: 7.7 %Benton County: 6 %Black Hawk County: 7.4 %Boone County: 5.4 %Bremer County: 4.5 %Buchanan County: 6.1 %Buena Vista County: 13.2 %Butler County: 5.6 %Calhoun County: 7.1 %Carroll County: 5.7 %Cass County: 7.5 %Cedar County: 5.6 %Cerro Gordo County: 5.5 %Cherokee County: 6.8 %Chickasaw County: 7.8 %Clarke County: 7.9 %Clay County: 6.3 %Clayton County: 7 %Clinton County: 5.5 %Crawford County: 14.4 %Dallas County: 5 %Davis County: 12.4 %Decatur County: 8.9 %Delaware County: 6.4 %Des Moines County: 6.4 %Dickinson County: 5.5 %Dubuque County: 5.5 %Emmet County: 9.8 %Fayette County: 7.1 %Floyd County: 7.4 %Franklin County: 10.2 %Fremont County: 5.9 %Greene County: 7 %Grundy County: 4.6 %Guthrie County: 6.8 %Hamilton County: 6.3 %Hancock County: 6.5 %Hardin County: 6.7 %Harrison County: 7 %Henry County: 6.6 %Howard County: 8.3 %Humboldt County: 6.7 %Ida County: 6.7 %Iowa County: 5.4 %Jackson County: 7.5 %Jasper County: 5.8 %Jefferson County: 8 %Johnson County: 7.3 %Jones County: 6.3 %Keokuk County: 7.3 %Kossuth County: 5.9 %Lee County: 6.3 %Linn County: 5.5 %Louisa County: 9 %Lucas County: 8 %Lyon County: 6.4 %Madison County: 6 %Mahaska County: 6.3 %Marion County: 4.6 %Marshall County: 10.5 %Mills County: 5.4 %Mitchell County: 8.4 %Monona County: 7.7 %Monroe County: 8.1 %Montgomery County: 7.7 %Muscatine County: 7.8 %O'Brien County: 6.8 %Osceola County: 8.8 %Page County: 7.8 %Palo Alto County: 6.8 %Plymouth County: 5.6 %Pocahontas County: 6.8 %Polk County: 6.8 %Pottawattamie County: 7.1 %Poweshiek County: 6.6 %Ringgold County: 9.6 %Sac County: 7.1 %Scott County: 6.1 %Shelby County: 6.2 %Sioux County: 8.8 %Story County: 5.6 %Tama County: 9.2 %Taylor County: 9.4 %Union County: 7.5 %Van Buren County: 8.7 %Wapello County: 10.2 %Warren County: 4.3 %Washington County: 7.5 %Wayne County: 9.1 %Webster County: 6.8 %Winnebago County: 5.9 %Winneshiek County: 4.8 %Woodbury County: 10.2 %Worth County: 6.5 %Wright County: 8.7 %
  • Under 5.6
  • 5.6 to 6.3
  • 6.3 to 6.8
  • 6.8 to 7.6
  • 7.6 to 8.7
  • 8.7 and over
%, 2015. 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, 2015

Crawford County: 14.4 %Crawford County14.4Buena Vista County: 13.2 %Buena Vista County13.2Davis County: 12.4 %Davis County12.4Marshall County: 10.5 %Marshall County10.5Franklin County: 10.2 %Franklin County10.2Wapello County: 10.2 %Wapello County10.2Woodbury County: 10.2 %Woodbury County10.2Emmet County: 9.8 %Emmet County9.8Ringgold County: 9.6 %Ringgold County9.6Taylor County: 9.4 %Taylor County9.4Tama County: 9.2 %Tama County9.2Wayne County: 9.1 %Wayne County9.1Louisa County: 9 %Louisa County9Decatur County: 8.9 %Decatur County8.9Osceola County: 8.8 %Osceola County8.8Sioux County: 8.8 %Sioux County8.8Allamakee County: 8.7 %Allamakee County8.7Van Buren County: 8.7 %Van Buren County8.7Wright County: 8.7 %Wright County8.7Adams County: 8.5 %Adams County8.5Mitchell County: 8.4 %Mitchell County8.4Howard County: 8.3 %Howard County8.3Appanoose County: 8.1 %Appanoose County8.1Monroe County: 8.1 %Monroe County8.1Jefferson County: 8 %Jefferson County8Lucas County: 8 %Lucas County8Clarke County: 7.9 %Clarke County7.9Chickasaw County: 7.8 %Chickasaw County7.8Muscatine County: 7.8 %Muscatine County7.8Page County: 7.8 %Page County7.8Audubon County: 7.7 %Audubon County7.7Monona County: 7.7 %Monona County7.7Montgomery County: 7.7 %Montgomery County7.7Cass County: 7.5 %Cass County7.5Jackson County: 7.5 %Jackson County7.5Union County: 7.5 %Union County7.5Washington County: 7.5 %Washington County7.5Black Hawk County: 7.4 %Black Hawk County7.4Floyd County: 7.4 %Floyd County7.4Johnson County: 7.3 %Johnson County7.3Crawford County: 14.4 %Crawford County14.4Buena Vista County: 13.2 %Buena Vista County13.2Davis County: 12.4 %Davis County12.4Marshall County: 10.5 %Marshall County10.5Franklin County: 10.2 %Franklin County10.2Wapello County: 10.2 %Wapello County10.2Woodbury County: 10.2 %Woodbury County10.2Emmet County: 9.8 %Emmet County9.8Ringgold County: 9.6 %Ringgold County9.6Taylor County: 9.4 %Taylor County9.4Tama County: 9.2 %Tama County9.2Wayne County: 9.1 %Wayne County9.1Louisa County: 9 %Louisa County9Decatur County: 8.9 %Decatur County8.9Osceola County: 8.8 %Osceola County8.8Sioux County: 8.8 %Sioux County8.8Allamakee County: 8.7 %Allamakee County8.7Van Buren County: 8.7 %Van Buren County8.7Wright County: 8.7 %Wright County8.7Adams County: 8.5 %Adams County8.5Mitchell County: 8.4 %Mitchell County8.4Howard County: 8.3 %Howard County8.3Appanoose County: 8.1 %Appanoose County8.1Monroe County: 8.1 %Monroe County8.1Jefferson County: 8 %Jefferson County8Lucas County: 8 %Lucas County8Clarke County: 7.9 %Clarke County7.9Chickasaw County: 7.8 %Chickasaw County7.8Muscatine County: 7.8 %Muscatine County7.8Page County: 7.8 %Page County7.8Audubon County: 7.7 %Audubon County7.7Monona County: 7.7 %Monona County7.7Montgomery County: 7.7 %Montgomery County7.7Cass County: 7.5 %Cass County7.5Jackson County: 7.5 %Jackson County7.5Union County: 7.5 %Union County7.5Washington County: 7.5 %Washington County7.5Black Hawk County: 7.4 %Black Hawk County7.4Floyd County: 7.4 %Floyd County7.4Johnson County: 7.3 %Johnson County7.3
%. 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

RankCounties2015 (%)Change on 2014
1Crawford County14.4-0.1 pts
2Buena Vista County13.2-2.1 pts
3Davis County12.4-3.1 pts
4Marshall County10.5-1.6 pts
5Franklin County10.2-2.8 pts
5Wapello County10.2-2 pts
5Woodbury County10.2-4.2 pts
8Emmet County9.8-2.2 pts
9Ringgold County9.6-2.7 pts
10Taylor County9.4-2.2 pts
11Tama County9.2-1.5 pts
12Wayne County9.1-3.8 pts
13Louisa County9-2.2 pts
14Decatur County8.9-3.3 pts
15Osceola County8.8-2.6 pts
15Sioux County8.8-2 pts
17Allamakee County8.7-3.6 pts
17Van Buren County8.7-3.4 pts
17Wright County8.7-1.9 pts
20Adams County8.5-3.3 pts
21Mitchell County8.4-1.1 pts
22Howard County8.3-2.7 pts
23Appanoose County8.1-2.8 pts
23Monroe County8.1-5.1 pts
25Jefferson County8-2.8 pts
25Lucas County8-2.9 pts
27Clarke County7.9-3 pts
28Chickasaw County7.8-2.4 pts
28Muscatine County7.8-2 pts
28Page County7.8-1.6 pts
31Audubon County7.7-1.9 pts
31Monona County7.7-2.3 pts
31Montgomery County7.7-1.7 pts
34Cass County7.5-2.3 pts
34Jackson County7.5-2.1 pts
34Union County7.5-2.7 pts
34Washington County7.5-2.5 pts
38Black Hawk County7.4-1.8 pts
38Floyd County7.4-2.1 pts
40Johnson County7.3-0.5 pts
40Keokuk County7.3-3.2 pts
42Calhoun County7.1-1.6 pts
42Fayette County7.1-2 pts
42Pottawattamie County7.1-2.8 pts
42Sac County7.1-2.1 pts
46Clayton County7-2.7 pts
46Greene County7-2.6 pts
46Harrison County7-2 pts
49Cherokee County6.8-1.8 pts
49Guthrie County6.8-2.1 pts
49O'Brien County6.8-2.7 pts
49Palo Alto County6.8-1.5 pts
49Pocahontas County6.8-1.6 pts
49Polk County6.8-1.8 pts
49Webster County6.8-2.2 pts
56Hardin County6.7-1.8 pts
56Humboldt County6.7-1.8 pts
56Ida County6.7-1.6 pts
59Henry County6.6-3 pts
59Poweshiek County6.6-1.1 pts
61Hancock County6.5-1.9 pts
61Worth County6.5-1.6 pts
63Delaware County6.4-1.7 pts
63Des Moines County6.4-2.3 pts
63Lyon County6.4-2.4 pts
66Clay County6.3-1.5 pts
66Hamilton County6.3-3.2 pts
66Jones County6.3-2.2 pts
66Lee County6.3-2.6 pts
66Mahaska County6.3-2.2 pts
71Shelby County6.2-1.9 pts
72Buchanan County6.1-2.4 pts
72Scott County6.1-3.1 pts
74Adair County6-3.2 pts
74Benton County6-1.3 pts
74Madison County6-1.8 pts
77Fremont County5.9-2.1 pts
77Kossuth County5.9-1.5 pts
77Winnebago County5.9-2.2 pts
80Jasper County5.8-2.2 pts
81Carroll County5.7-1.7 pts
82Butler County5.6-2.1 pts
82Cedar County5.6-1.2 pts
82Plymouth County5.6-1.5 pts
82Story County5.6-2.8 pts
86Cerro Gordo County5.5-2.7 pts
86Clinton County5.5-2.4 pts
86Dickinson County5.5-2 pts
86Dubuque County5.5-2 pts
86Linn County5.5-1.2 pts
91Boone County5.4-2.5 pts
91Iowa County5.4-1.7 pts
91Mills County5.4-2.1 pts
94Dallas County5-1.6 pts
95Winneshiek County4.8-2.6 pts
96Grundy County4.6-1.3 pts
96Marion County4.6-2.2 pts
98Bremer County4.5-1.9 pts
99Warren County4.3-1.8 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-2015-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), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-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), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2015. 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), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2015.

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), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_by_2015,
  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), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2015. 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-2015-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), 2015
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-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2015.
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-2015-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)?

Crawford County, with 14.4% in 2015, 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 4.3% in 2015.

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