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

Davis County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 99 counties in 2022, at 13%. Bremer County had the lowest, at 4.1%. The median was 6.3% and the figure for Iowa was 6.1%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest13Davis County
Lowest4.1Bremer County
Median6.399 counties
Iowa6.1History

Map of counties, 2022

Adair County: 5.6 %Adams County: 5.7 %Allamakee County: 8.9 %Appanoose County: 6.3 %Audubon County: 6.3 %Benton County: 5.1 %Black Hawk County: 6 %Boone County: 5.1 %Bremer County: 4.1 %Buchanan County: 5.6 %Buena Vista County: 11.3 %Butler County: 5.2 %Calhoun County: 6.3 %Carroll County: 5.2 %Cass County: 7.5 %Cedar County: 5 %Cerro Gordo County: 5.5 %Cherokee County: 6 %Chickasaw County: 7.1 %Clarke County: 7.7 %Clay County: 5.5 %Clayton County: 7.4 %Clinton County: 5.4 %Crawford County: 11.5 %Dallas County: 4.5 %Davis County: 13 %Decatur County: 6.6 %Delaware County: 5.8 %Des Moines County: 5.8 %Dickinson County: 6.2 %Dubuque County: 5.2 %Emmet County: 9 %Fayette County: 6.3 %Floyd County: 5.8 %Franklin County: 8.7 %Fremont County: 5.2 %Greene County: 6.3 %Grundy County: 4.7 %Guthrie County: 6.5 %Hamilton County: 5.9 %Hancock County: 6.2 %Hardin County: 6.7 %Harrison County: 6.3 %Henry County: 5.7 %Howard County: 7.1 %Humboldt County: 6.4 %Ida County: 5.8 %Iowa County: 4.9 %Jackson County: 5.9 %Jasper County: 5.4 %Jefferson County: 9 %Johnson County: 5.7 %Jones County: 5.6 %Keokuk County: 5.8 %Kossuth County: 6 %Lee County: 5.4 %Linn County: 5 %Louisa County: 7.7 %Lucas County: 6.1 %Lyon County: 6.6 %Madison County: 5.1 %Mahaska County: 5.8 %Marion County: 4.6 %Marshall County: 8.1 %Mills County: 4.5 %Mitchell County: 7.3 %Monona County: 6.3 %Monroe County: 5.3 %Montgomery County: 6.3 %Muscatine County: 6.2 %O'Brien County: 6.5 %Osceola County: 8.3 %Page County: 6.4 %Palo Alto County: 5.7 %Plymouth County: 5.3 %Pocahontas County: 8.8 %Polk County: 6.4 %Pottawattamie County: 6.5 %Poweshiek County: 5 %Ringgold County: 7.2 %Sac County: 6.3 %Scott County: 6.5 %Shelby County: 6.6 %Sioux County: 6.9 %Story County: 5.2 %Tama County: 7.6 %Taylor County: 7.7 %Union County: 6.4 %Van Buren County: 9.1 %Wapello County: 7.7 %Warren County: 4.3 %Washington County: 8 %Wayne County: 7 %Webster County: 6.4 %Winnebago County: 6.3 %Winneshiek County: 4.6 %Woodbury County: 8.3 %Worth County: 5.9 %Wright County: 6.3 %
  • Under 5.2
  • 5.2 to 5.8
  • 5.8 to 6.3
  • 6.3 to 6.5
  • 6.5 to 7.7
  • 7.7 and over
%, 2022. 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, 2022

Davis County: 13 %Davis County13Crawford County: 11.5 %Crawford County11.5Buena Vista County: 11.3 %Buena Vista County11.3Van Buren County: 9.1 %Van Buren County9.1Emmet County: 9 %Emmet County9Jefferson County: 9 %Jefferson County9Allamakee County: 8.9 %Allamakee County8.9Pocahontas County: 8.8 %Pocahontas County8.8Franklin County: 8.7 %Franklin County8.7Osceola County: 8.3 %Osceola County8.3Woodbury County: 8.3 %Woodbury County8.3Marshall County: 8.1 %Marshall County8.1Washington County: 8 %Washington County8Clarke County: 7.7 %Clarke County7.7Louisa County: 7.7 %Louisa County7.7Taylor County: 7.7 %Taylor County7.7Wapello County: 7.7 %Wapello County7.7Tama County: 7.6 %Tama County7.6Cass County: 7.5 %Cass County7.5Clayton County: 7.4 %Clayton County7.4Mitchell County: 7.3 %Mitchell County7.3Ringgold County: 7.2 %Ringgold County7.2Chickasaw County: 7.1 %Chickasaw County7.1Howard County: 7.1 %Howard County7.1Wayne County: 7 %Wayne County7Sioux County: 6.9 %Sioux County6.9Hardin County: 6.7 %Hardin County6.7Decatur County: 6.6 %Decatur County6.6Lyon County: 6.6 %Lyon County6.6Shelby County: 6.6 %Shelby County6.6Guthrie County: 6.5 %Guthrie County6.5O'Brien County: 6.5 %O'Brien County6.5Pottawattamie County: 6.5 %Pottawattamie County6.5Scott County: 6.5 %Scott County6.5Humboldt County: 6.4 %Humboldt County6.4Page County: 6.4 %Page County6.4Polk County: 6.4 %Polk County6.4Union County: 6.4 %Union County6.4Webster County: 6.4 %Webster County6.4Appanoose County: 6.3 %Appanoose County6.3Davis County: 13 %Davis County13Crawford County: 11.5 %Crawford County11.5Buena Vista County: 11.3 %Buena Vista County11.3Van Buren County: 9.1 %Van Buren County9.1Emmet County: 9 %Emmet County9Jefferson County: 9 %Jefferson County9Allamakee County: 8.9 %Allamakee County8.9Pocahontas County: 8.8 %Pocahontas County8.8Franklin County: 8.7 %Franklin County8.7Osceola County: 8.3 %Osceola County8.3Woodbury County: 8.3 %Woodbury County8.3Marshall County: 8.1 %Marshall County8.1Washington County: 8 %Washington County8Clarke County: 7.7 %Clarke County7.7Louisa County: 7.7 %Louisa County7.7Taylor County: 7.7 %Taylor County7.7Wapello County: 7.7 %Wapello County7.7Tama County: 7.6 %Tama County7.6Cass County: 7.5 %Cass County7.5Clayton County: 7.4 %Clayton County7.4Mitchell County: 7.3 %Mitchell County7.3Ringgold County: 7.2 %Ringgold County7.2Chickasaw County: 7.1 %Chickasaw County7.1Howard County: 7.1 %Howard County7.1Wayne County: 7 %Wayne County7Sioux County: 6.9 %Sioux County6.9Hardin County: 6.7 %Hardin County6.7Decatur County: 6.6 %Decatur County6.6Lyon County: 6.6 %Lyon County6.6Shelby County: 6.6 %Shelby County6.6Guthrie County: 6.5 %Guthrie County6.5O'Brien County: 6.5 %O'Brien County6.5Pottawattamie County: 6.5 %Pottawattamie County6.5Scott County: 6.5 %Scott County6.5Humboldt County: 6.4 %Humboldt County6.4Page County: 6.4 %Page County6.4Polk County: 6.4 %Polk County6.4Union County: 6.4 %Union County6.4Webster County: 6.4 %Webster County6.4Appanoose County: 6.3 %Appanoose 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

RankCounties2022 (%)Change on 2021
1Davis County13-0.9 pts
2Crawford County11.5-2.1 pts
3Buena Vista County11.3-2.4 pts
4Van Buren County9.1-1 pts
5Emmet County9+0.6 pts
5Jefferson County9-0.6 pts
7Allamakee County8.9-0.1 pts
8Pocahontas County8.8-0.7 pts
9Franklin County8.7-1.1 pts
10Osceola County8.3+0.2 pts
10Woodbury County8.3-2.8 pts
12Marshall County8.1-3.4 pts
13Washington County8-1.1 pts
14Clarke County7.7-1.3 pts
14Louisa County7.7-2.4 pts
14Taylor County7.7-1.8 pts
14Wapello County7.7-1.2 pts
18Tama County7.6-2.1 pts
19Cass County7.5-0.9 pts
20Clayton County7.4-1 pts
21Mitchell County7.3-0.2 pts
22Ringgold County7.2-0.2 pts
23Chickasaw County7.1-0.2 pts
23Howard County7.1-0.1 pts
25Wayne County7-2.3 pts
26Sioux County6.9-0.7 pts
27Hardin County6.7-0.8 pts
28Decatur County6.6-2.4 pts
28Lyon County6.6-0.8 pts
28Shelby County6.6-0.5 pts
31Guthrie County6.5-0.6 pts
31O'Brien County6.5-0.4 pts
31Pottawattamie County6.5-1.4 pts
31Scott County6.5+0.2 pts
35Humboldt County6.4-0.5 pts
35Page County6.40 pts
35Polk County6.4-0.2 pts
35Union County6.4-1.2 pts
35Webster County6.4-0.7 pts
40Appanoose County6.3-1 pts
40Audubon County6.3-1.7 pts
40Calhoun County6.3-0.4 pts
40Fayette County6.3-0.6 pts
40Greene County6.3-0.5 pts
40Harrison County6.3-0.3 pts
40Monona County6.3-0.6 pts
40Montgomery County6.3-0.8 pts
40Sac County6.3-0.9 pts
40Winnebago County6.3-0.6 pts
40Wright County6.3-1.2 pts
51Dickinson County6.20 pts
51Hancock County6.2-0.5 pts
51Muscatine County6.2-0.9 pts
54Lucas County6.1-1.2 pts
55Black Hawk County6-1.5 pts
55Cherokee County6-0.9 pts
55Kossuth County6-0.7 pts
58Hamilton County5.9-1.1 pts
58Jackson County5.9-0.5 pts
58Worth County5.9-0.9 pts
61Delaware County5.8-0.6 pts
61Des Moines County5.8-0.5 pts
61Floyd County5.8-1.5 pts
61Ida County5.8-1.4 pts
61Keokuk County5.8-1.3 pts
61Mahaska County5.8-0.8 pts
67Adams County5.7-1.4 pts
67Henry County5.7-0.8 pts
67Johnson County5.7-0.8 pts
67Palo Alto County5.7-0.7 pts
71Adair County5.6-0.8 pts
71Buchanan County5.6-0.7 pts
71Jones County5.6-0.8 pts
74Cerro Gordo County5.5-0.7 pts
74Clay County5.5-1.4 pts
76Clinton County5.4-1.2 pts
76Jasper County5.4-0.4 pts
76Lee County5.4-0.6 pts
79Monroe County5.3-1.7 pts
79Plymouth County5.3-1.4 pts
81Butler County5.2-1.6 pts
81Carroll County5.2-0.8 pts
81Dubuque County5.2-0.6 pts
81Fremont County5.2-1.2 pts
81Story County5.2-1 pts
86Benton County5.1-0.6 pts
86Boone County5.1-0.5 pts
86Madison County5.1-0.5 pts
89Cedar County5-0.1 pts
89Linn County5-0.6 pts
89Poweshiek County5-1.1 pts
92Iowa County4.9-0.5 pts
93Grundy County4.7-0.6 pts
94Marion County4.6-0.4 pts
94Winneshiek County4.60 pts
96Dallas County4.5-0.5 pts
96Mills County4.5-1 pts
98Warren County4.3-0.2 pts
99Bremer County4.1-0.3 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/iowa-counties?period=2022.
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-2022-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% in 2022, according to the U.S. Census Bureau.

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

Bremer County, with 4.1% in 2022.

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