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

Buena Vista County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 99 counties in 2016, at 11.4%. Warren County had the lowest, at 3.9%. The median was 6.1% and the figure for Iowa was 6%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Lowest3.9Warren County
Median6.199 counties
Iowa6History

Map of counties, 2016

Adair County: 5.2 %Adams County: 6.8 %Allamakee County: 8.3 %Appanoose County: 6.8 %Audubon County: 6.6 %Benton County: 4.8 %Black Hawk County: 6.2 %Boone County: 4.8 %Bremer County: 4 %Buchanan County: 5.7 %Buena Vista County: 11.4 %Butler County: 5.2 %Calhoun County: 6 %Carroll County: 4.5 %Cass County: 6.8 %Cedar County: 4.4 %Cerro Gordo County: 4.9 %Cherokee County: 6.5 %Chickasaw County: 6.2 %Clarke County: 6.8 %Clay County: 5.4 %Clayton County: 6.3 %Clinton County: 4.9 %Crawford County: 11.3 %Dallas County: 4.6 %Davis County: 10.4 %Decatur County: 8 %Delaware County: 5.7 %Des Moines County: 5.9 %Dickinson County: 4.8 %Dubuque County: 5 %Emmet County: 8.4 %Fayette County: 6.2 %Floyd County: 6.7 %Franklin County: 8 %Fremont County: 5.2 %Greene County: 6.2 %Grundy County: 3.9 %Guthrie County: 6.2 %Hamilton County: 6.1 %Hancock County: 5.7 %Hardin County: 6 %Harrison County: 5.8 %Henry County: 5.6 %Howard County: 6.9 %Humboldt County: 5.5 %Ida County: 5.4 %Iowa County: 4.7 %Jackson County: 6.1 %Jasper County: 4.7 %Jefferson County: 8.1 %Johnson County: 6.3 %Jones County: 5.6 %Keokuk County: 7.2 %Kossuth County: 5 %Lee County: 5.1 %Linn County: 4.3 %Louisa County: 9.1 %Lucas County: 6.3 %Lyon County: 6.3 %Madison County: 5.5 %Mahaska County: 5.3 %Marion County: 4.5 %Marshall County: 9.5 %Mills County: 4.8 %Mitchell County: 7.2 %Monona County: 6.5 %Monroe County: 6.5 %Montgomery County: 7.2 %Muscatine County: 6.9 %O'Brien County: 5.9 %Osceola County: 7.8 %Page County: 6.4 %Palo Alto County: 5.7 %Plymouth County: 5.8 %Pocahontas County: 7 %Polk County: 6.2 %Pottawattamie County: 6.2 %Poweshiek County: 6.1 %Ringgold County: 8.3 %Sac County: 6.1 %Scott County: 5.1 %Shelby County: 5.3 %Sioux County: 7 %Story County: 5.4 %Tama County: 7.7 %Taylor County: 7.4 %Union County: 5.8 %Van Buren County: 7.4 %Wapello County: 8.7 %Warren County: 3.9 %Washington County: 6.2 %Wayne County: 8.4 %Webster County: 6 %Winnebago County: 4.8 %Winneshiek County: 4.9 %Woodbury County: 9.1 %Worth County: 5.2 %Wright County: 7.7 %
  • Under 4.9
  • 4.9 to 5.6
  • 5.6 to 6.1
  • 6.1 to 6.5
  • 6.5 to 7.6
  • 7.6 and over
%, 2016. 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, 2016

Buena Vista County: 11.4 %Buena Vista County11.4Crawford County: 11.3 %Crawford County11.3Davis County: 10.4 %Davis County10.4Marshall County: 9.5 %Marshall County9.5Louisa County: 9.1 %Louisa County9.1Woodbury County: 9.1 %Woodbury County9.1Wapello County: 8.7 %Wapello County8.7Emmet County: 8.4 %Emmet County8.4Wayne County: 8.4 %Wayne County8.4Allamakee County: 8.3 %Allamakee County8.3Ringgold County: 8.3 %Ringgold County8.3Jefferson County: 8.1 %Jefferson County8.1Decatur County: 8 %Decatur County8Franklin County: 8 %Franklin County8Osceola County: 7.8 %Osceola County7.8Tama County: 7.7 %Tama County7.7Wright County: 7.7 %Wright County7.7Taylor County: 7.4 %Taylor County7.4Van Buren County: 7.4 %Van Buren County7.4Keokuk County: 7.2 %Keokuk County7.2Mitchell County: 7.2 %Mitchell County7.2Montgomery County: 7.2 %Montgomery County7.2Pocahontas County: 7 %Pocahontas County7Sioux County: 7 %Sioux County7Howard County: 6.9 %Howard County6.9Muscatine County: 6.9 %Muscatine County6.9Adams County: 6.8 %Adams County6.8Appanoose County: 6.8 %Appanoose County6.8Cass County: 6.8 %Cass County6.8Clarke County: 6.8 %Clarke County6.8Floyd County: 6.7 %Floyd County6.7Audubon County: 6.6 %Audubon County6.6Cherokee County: 6.5 %Cherokee County6.5Monona County: 6.5 %Monona County6.5Monroe County: 6.5 %Monroe County6.5Page County: 6.4 %Page County6.4Clayton County: 6.3 %Clayton County6.3Johnson County: 6.3 %Johnson County6.3Lucas County: 6.3 %Lucas County6.3Lyon County: 6.3 %Lyon County6.3Buena Vista County: 11.4 %Buena Vista County11.4Crawford County: 11.3 %Crawford County11.3Davis County: 10.4 %Davis County10.4Marshall County: 9.5 %Marshall County9.5Louisa County: 9.1 %Louisa County9.1Woodbury County: 9.1 %Woodbury County9.1Wapello County: 8.7 %Wapello County8.7Emmet County: 8.4 %Emmet County8.4Wayne County: 8.4 %Wayne County8.4Allamakee County: 8.3 %Allamakee County8.3Ringgold County: 8.3 %Ringgold County8.3Jefferson County: 8.1 %Jefferson County8.1Decatur County: 8 %Decatur County8Franklin County: 8 %Franklin County8Osceola County: 7.8 %Osceola County7.8Tama County: 7.7 %Tama County7.7Wright County: 7.7 %Wright County7.7Taylor County: 7.4 %Taylor County7.4Van Buren County: 7.4 %Van Buren County7.4Keokuk County: 7.2 %Keokuk County7.2Mitchell County: 7.2 %Mitchell County7.2Montgomery County: 7.2 %Montgomery County7.2Pocahontas County: 7 %Pocahontas County7Sioux County: 7 %Sioux County7Howard County: 6.9 %Howard County6.9Muscatine County: 6.9 %Muscatine County6.9Adams County: 6.8 %Adams County6.8Appanoose County: 6.8 %Appanoose County6.8Cass County: 6.8 %Cass County6.8Clarke County: 6.8 %Clarke County6.8Floyd County: 6.7 %Floyd County6.7Audubon County: 6.6 %Audubon County6.6Cherokee County: 6.5 %Cherokee County6.5Monona County: 6.5 %Monona County6.5Monroe County: 6.5 %Monroe County6.5Page County: 6.4 %Page County6.4Clayton County: 6.3 %Clayton County6.3Johnson County: 6.3 %Johnson County6.3Lucas County: 6.3 %Lucas County6.3Lyon County: 6.3 %Lyon County6.3
%. 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

RankCounties2016 (%)Change on 2015
1Buena Vista County11.4-1.8 pts
2Crawford County11.3-3.1 pts
3Davis County10.4-2 pts
4Marshall County9.5-1 pts
5Louisa County9.1+0.1 pts
5Woodbury County9.1-1.1 pts
7Wapello County8.7-1.5 pts
8Emmet County8.4-1.4 pts
8Wayne County8.4-0.7 pts
10Allamakee County8.3-0.4 pts
10Ringgold County8.3-1.3 pts
12Jefferson County8.1+0.1 pts
13Decatur County8-0.9 pts
13Franklin County8-2.2 pts
15Osceola County7.8-1 pts
16Tama County7.7-1.5 pts
16Wright County7.7-1 pts
18Taylor County7.4-2 pts
18Van Buren County7.4-1.3 pts
20Keokuk County7.2-0.1 pts
20Mitchell County7.2-1.2 pts
20Montgomery County7.2-0.5 pts
23Pocahontas County7+0.2 pts
23Sioux County7-1.8 pts
25Howard County6.9-1.4 pts
25Muscatine County6.9-0.9 pts
27Adams County6.8-1.7 pts
27Appanoose County6.8-1.3 pts
27Cass County6.8-0.7 pts
27Clarke County6.8-1.1 pts
31Floyd County6.7-0.7 pts
32Audubon County6.6-1.1 pts
33Cherokee County6.5-0.3 pts
33Monona County6.5-1.2 pts
33Monroe County6.5-1.6 pts
36Page County6.4-1.4 pts
37Clayton County6.3-0.7 pts
37Johnson County6.3-1 pts
37Lucas County6.3-1.7 pts
37Lyon County6.3-0.1 pts
41Black Hawk County6.2-1.2 pts
41Chickasaw County6.2-1.6 pts
41Fayette County6.2-0.9 pts
41Greene County6.2-0.8 pts
41Guthrie County6.2-0.6 pts
41Polk County6.2-0.6 pts
41Pottawattamie County6.2-0.9 pts
41Washington County6.2-1.3 pts
49Hamilton County6.1-0.2 pts
49Jackson County6.1-1.4 pts
49Poweshiek County6.1-0.5 pts
49Sac County6.1-1 pts
53Calhoun County6-1.1 pts
53Hardin County6-0.7 pts
53Webster County6-0.8 pts
56Des Moines County5.9-0.5 pts
56O'Brien County5.9-0.9 pts
58Harrison County5.8-1.2 pts
58Plymouth County5.8+0.2 pts
58Union County5.8-1.7 pts
61Buchanan County5.7-0.4 pts
61Delaware County5.7-0.7 pts
61Hancock County5.7-0.8 pts
61Palo Alto County5.7-1.1 pts
65Henry County5.6-1 pts
65Jones County5.6-0.7 pts
67Humboldt County5.5-1.2 pts
67Madison County5.5-0.5 pts
69Clay County5.4-0.9 pts
69Ida County5.4-1.3 pts
69Story County5.4-0.2 pts
72Mahaska County5.3-1 pts
72Shelby County5.3-0.9 pts
74Adair County5.2-0.8 pts
74Butler County5.2-0.4 pts
74Fremont County5.2-0.7 pts
74Worth County5.2-1.3 pts
78Lee County5.1-1.2 pts
78Scott County5.1-1 pts
80Dubuque County5-0.5 pts
80Kossuth County5-0.9 pts
82Cerro Gordo County4.9-0.6 pts
82Clinton County4.9-0.6 pts
82Winneshiek County4.9+0.1 pts
85Benton County4.8-1.2 pts
85Boone County4.8-0.6 pts
85Dickinson County4.8-0.7 pts
85Mills County4.8-0.6 pts
85Winnebago County4.8-1.1 pts
90Iowa County4.7-0.7 pts
90Jasper County4.7-1.1 pts
92Dallas County4.6-0.4 pts
93Carroll County4.5-1.2 pts
93Marion County4.5-0.1 pts
95Cedar County4.4-1.2 pts
96Linn County4.3-1.2 pts
97Bremer County4-0.5 pts
98Grundy County3.9-0.7 pts
98Warren County3.9-0.4 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2016.

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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_by_2016,
  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), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2016.
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-2016-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)?

Buena Vista County, with 11.4% in 2016, 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 3.9% in 2016.

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