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

Casey County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 120 counties in 2024, at 14.8%. Oldham County had the lowest, at 4.9%. The median was 9.9% and the figure for Kentucky was 9.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest14.8Casey County
Lowest4.9Oldham County
Median9.9120 counties
Kentucky9.4History

Map of counties, 2024

Adair County: 11.5 %Allen County: 9.9 %Anderson County: 8.1 %Ballard County: 6.9 %Barren County: 10.7 %Bath County: 11.1 %Bell County: 9.8 %Boone County: 6.5 %Bourbon County: 11 %Boyd County: 8.3 %Boyle County: 8.1 %Bracken County: 9 %Breathitt County: 10.2 %Breckinridge County: 10.6 %Bullitt County: 6.6 %Butler County: 11.5 %Caldwell County: 9.9 %Calloway County: 10.4 %Campbell County: 6.3 %Carlisle County: 8.8 %Carroll County: 10.5 %Carter County: 10.1 %Casey County: 14.8 %Christian County: 11.8 %Clark County: 7.4 %Clay County: 12 %Clinton County: 10.4 %Crittenden County: 10.7 %Cumberland County: 10 %Daviess County: 9.3 %Edmonson County: 10 %Elliott County: 10.8 %Estill County: 10.7 %Fayette County: 10.6 %Fleming County: 12.8 %Floyd County: 10.8 %Franklin County: 9 %Fulton County: 8.2 %Gallatin County: 9.5 %Garrard County: 11.3 %Grant County: 9.1 %Graves County: 9.6 %Grayson County: 9.5 %Green County: 10.5 %Greenup County: 8.9 %Hancock County: 7.7 %Hardin County: 8 %Harlan County: 10.2 %Harrison County: 8.5 %Hart County: 11.7 %Henderson County: 8.2 %Henry County: 10.1 %Hickman County: 8.9 %Hopkins County: 9.7 %Jackson County: 11.7 %Jefferson County: 9.3 %Jessamine County: 9.6 %Johnson County: 10.6 %Kenton County: 7.6 %Knott County: 11.1 %Knox County: 12.2 %Larue County: 10.5 %Laurel County: 10.8 %Lawrence County: 10.6 %Lee County: 9.9 %Leslie County: 8.8 %Letcher County: 10 %Lewis County: 11.5 %Lincoln County: 11.9 %Livingston County: 7.3 %Logan County: 10.1 %Lyon County: 9.4 %McCracken County: 8.1 %McCreary County: 11.2 %McLean County: 7.7 %Madison County: 8.6 %Magoffin County: 11.6 %Marion County: 9.8 %Marshall County: 8.6 %Martin County: 9.7 %Mason County: 9.8 %Meade County: 8.5 %Menifee County: 10.6 %Mercer County: 9 %Metcalfe County: 10.3 %Monroe County: 11.9 %Montgomery County: 8.9 %Morgan County: 11.2 %Muhlenberg County: 8.8 %Nelson County: 8.6 %Nicholas County: 11.3 %Ohio County: 10.4 %Oldham County: 4.9 %Owen County: 10 %Owsley County: 8.7 %Pendleton County: 10.4 %Perry County: 9.6 %Pike County: 9.7 %Powell County: 9.8 %Pulaski County: 10.6 %Robertson County: 7.9 %Rockcastle County: 10.4 %Rowan County: 9 %Russell County: 11.1 %Scott County: 6.3 %Shelby County: 9.2 %Simpson County: 9.3 %Spencer County: 7 %Taylor County: 9.1 %Todd County: 14.8 %Trigg County: 11 %Trimble County: 8 %Union County: 9.4 %Warren County: 12.3 %Washington County: 8.3 %Wayne County: 10.6 %Webster County: 11.4 %Whitley County: 9.5 %Wolfe County: 12.6 %Woodford County: 9.7 %
  • Under 8.3
  • 8.3 to 9.2
  • 9.2 to 9.9
  • 9.9 to 11
  • 11 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

Casey County: 14.8 %Casey County14.8Todd County: 14.8 %Todd County14.8Fleming County: 12.8 %Fleming County12.8Wolfe County: 12.6 %Wolfe County12.6Warren County: 12.3 %Warren County12.3Knox County: 12.2 %Knox County12.2Clay County: 12 %Clay County12Lincoln County: 11.9 %Lincoln County11.9Monroe County: 11.9 %Monroe County11.9Christian County: 11.8 %Christian County11.8Hart County: 11.7 %Hart County11.7Jackson County: 11.7 %Jackson County11.7Magoffin County: 11.6 %Magoffin County11.6Adair County: 11.5 %Adair County11.5Butler County: 11.5 %Butler County11.5Lewis County: 11.5 %Lewis County11.5Webster County: 11.4 %Webster County11.4Garrard County: 11.3 %Garrard County11.3Nicholas County: 11.3 %Nicholas County11.3McCreary County: 11.2 %McCreary County11.2Morgan County: 11.2 %Morgan County11.2Bath County: 11.1 %Bath County11.1Knott County: 11.1 %Knott County11.1Russell County: 11.1 %Russell County11.1Bourbon County: 11 %Bourbon County11Trigg County: 11 %Trigg County11Elliott County: 10.8 %Elliott County10.8Floyd County: 10.8 %Floyd County10.8Laurel County: 10.8 %Laurel County10.8Barren County: 10.7 %Barren County10.7Crittenden County: 10.7 %Crittenden County10.7Estill County: 10.7 %Estill County10.7Breckinridge County: 10.6 %Breckinridge County10.6Fayette County: 10.6 %Fayette County10.6Johnson County: 10.6 %Johnson County10.6Lawrence County: 10.6 %Lawrence County10.6Menifee County: 10.6 %Menifee County10.6Pulaski County: 10.6 %Pulaski County10.6Wayne County: 10.6 %Wayne County10.6Carroll County: 10.5 %Carroll County10.5Casey County: 14.8 %Casey County14.8Todd County: 14.8 %Todd County14.8Fleming County: 12.8 %Fleming County12.8Wolfe County: 12.6 %Wolfe County12.6Warren County: 12.3 %Warren County12.3Knox County: 12.2 %Knox County12.2Clay County: 12 %Clay County12Lincoln County: 11.9 %Lincoln County11.9Monroe County: 11.9 %Monroe County11.9Christian County: 11.8 %Christian County11.8Hart County: 11.7 %Hart County11.7Jackson County: 11.7 %Jackson County11.7Magoffin County: 11.6 %Magoffin County11.6Adair County: 11.5 %Adair County11.5Butler County: 11.5 %Butler County11.5Lewis County: 11.5 %Lewis County11.5Webster County: 11.4 %Webster County11.4Garrard County: 11.3 %Garrard County11.3Nicholas County: 11.3 %Nicholas County11.3McCreary County: 11.2 %McCreary County11.2Morgan County: 11.2 %Morgan County11.2Bath County: 11.1 %Bath County11.1Knott County: 11.1 %Knott County11.1Russell County: 11.1 %Russell County11.1Bourbon County: 11 %Bourbon County11Trigg County: 11 %Trigg County11Elliott County: 10.8 %Elliott County10.8Floyd County: 10.8 %Floyd County10.8Laurel County: 10.8 %Laurel County10.8Barren County: 10.7 %Barren County10.7Crittenden County: 10.7 %Crittenden County10.7Estill County: 10.7 %Estill County10.7Breckinridge County: 10.6 %Breckinridge County10.6Fayette County: 10.6 %Fayette County10.6Johnson County: 10.6 %Johnson County10.6Lawrence County: 10.6 %Lawrence County10.6Menifee County: 10.6 %Menifee County10.6Pulaski County: 10.6 %Pulaski County10.6Wayne County: 10.6 %Wayne County10.6Carroll County: 10.5 %Carroll County10.5
%. 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
1Casey County14.8+3.9 pts
1Todd County14.8+2.4 pts
3Fleming County12.8+3.1 pts
4Wolfe County12.6+2.9 pts
5Warren County12.3+3.4 pts
6Knox County12.2+3.4 pts
7Clay County12+2.3 pts
8Lincoln County11.9+2.7 pts
8Monroe County11.9+3.1 pts
10Christian County11.8+2.1 pts
11Hart County11.7+2.3 pts
11Jackson County11.7+2.3 pts
13Magoffin County11.6+2.3 pts
14Adair County11.5+3.1 pts
14Butler County11.5+2 pts
14Lewis County11.5+1.8 pts
17Webster County11.4+1.9 pts
18Garrard County11.3+1.3 pts
18Nicholas County11.3+2.4 pts
20McCreary County11.2+1.8 pts
20Morgan County11.2+2.3 pts
22Bath County11.1+3.3 pts
22Knott County11.1+2.2 pts
22Russell County11.1+3.2 pts
25Bourbon County11+2.3 pts
25Trigg County11+1.6 pts
27Elliott County10.8+2.9 pts
27Floyd County10.8+1.8 pts
27Laurel County10.8+2.8 pts
30Barren County10.7+2.1 pts
30Crittenden County10.7+2.5 pts
30Estill County10.7+0.9 pts
33Breckinridge County10.6+2.1 pts
33Fayette County10.6+1.9 pts
33Johnson County10.6+2.3 pts
33Lawrence County10.6+2.4 pts
33Menifee County10.6+3 pts
33Pulaski County10.6+1.5 pts
33Wayne County10.6+1.4 pts
40Carroll County10.5+2.5 pts
40Green County10.5+1.7 pts
40Larue County10.5+2.5 pts
43Calloway County10.4+2.1 pts
43Clinton County10.4+2.3 pts
43Ohio County10.4+1.3 pts
43Pendleton County10.4+3 pts
43Rockcastle County10.4+2.1 pts
48Metcalfe County10.3+2.5 pts
49Breathitt County10.2+2.3 pts
49Harlan County10.2+1.5 pts
51Carter County10.1+2.2 pts
51Henry County10.1+1.6 pts
51Logan County10.1+2.7 pts
54Cumberland County10+0.7 pts
54Edmonson County10+2.2 pts
54Letcher County10+1.2 pts
54Owen County10+2.2 pts
58Allen County9.9+2.5 pts
58Caldwell County9.9+1.3 pts
58Lee County9.9+0.7 pts
61Bell County9.8+0.9 pts
61Marion County9.8+2.4 pts
61Mason County9.8+2.7 pts
61Powell County9.8+1.5 pts
65Hopkins County9.7+1.6 pts
65Martin County9.7+1.5 pts
65Pike County9.7+1.5 pts
65Woodford County9.7+2.5 pts
69Graves County9.6+1.8 pts
69Jessamine County9.6+1.2 pts
69Perry County9.6+2.2 pts
72Gallatin County9.5+1.9 pts
72Grayson County9.5+1.1 pts
72Whitley County9.5+0.8 pts
75Lyon County9.4+1.2 pts
75Union County9.4+2.1 pts
77Daviess County9.3+2.1 pts
77Jefferson County9.3+1.7 pts
77Simpson County9.3+1.6 pts
80Shelby County9.2+1.3 pts
81Grant County9.1+2.2 pts
81Taylor County9.1+2.1 pts
83Bracken County9+1.8 pts
83Franklin County9+2.6 pts
83Mercer County9+1.4 pts
83Rowan County9+2 pts
87Greenup County8.9+1.6 pts
87Hickman County8.9+0.8 pts
87Montgomery County8.9+1.3 pts
90Carlisle County8.8+0.6 pts
90Leslie County8.8+1.6 pts
90Muhlenberg County8.8+1.2 pts
93Owsley County8.7+0.6 pts
94Madison County8.6+1 pts
94Marshall County8.6+1.8 pts
94Nelson County8.6+2.5 pts
97Harrison County8.5+1.3 pts
97Meade County8.5+2 pts
99Boyd County8.3+1.6 pts
99Washington County8.3+1.8 pts
101Fulton County8.2+0.8 pts
101Henderson County8.2+0.3 pts
103Anderson County8.1+1.8 pts
103Boyle County8.1+1.5 pts
103McCracken County8.1+1.3 pts
106Hardin County8+0.5 pts
106Trimble County8+0.8 pts
108Robertson County7.9+0.2 pts
109Hancock County7.7+1 pts
109McLean County7.7+0.8 pts
111Kenton County7.6+1.9 pts
112Clark County7.4+1.2 pts
113Livingston County7.3+0.8 pts
114Spencer County7+1.3 pts
115Ballard County6.9+1.2 pts
116Bullitt County6.6+1 pts
117Boone County6.5+1.2 pts
118Campbell County6.3+0.5 pts
118Scott County6.3+0.9 pts
120Oldham County4.9+1.2 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 Kentucky 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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-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)?

Casey County, with 14.8% in 2024, according to the U.S. Census Bureau.

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

Oldham County, with 4.9% 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 Kentucky: more rankings