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

Todd County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 120 counties in 2018, at 11.2%. Oldham County had the lowest, at 4.5%. The median was 8.1% and the figure for Kentucky was 7.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest11.2Todd County
Lowest4.5Oldham County
Median8.1120 counties
Kentucky7.8History

Map of counties, 2018

Adair County: 9.2 %Allen County: 8.2 %Anderson County: 7 %Ballard County: 7.6 %Barren County: 9.4 %Bath County: 9.1 %Bell County: 8.6 %Boone County: 5.1 %Bourbon County: 9.7 %Boyd County: 6.7 %Boyle County: 6.5 %Bracken County: 6.9 %Breathitt County: 7.9 %Breckinridge County: 9.5 %Bullitt County: 5.8 %Butler County: 9.5 %Caldwell County: 6.6 %Calloway County: 8.2 %Campbell County: 5.1 %Carlisle County: 9 %Carroll County: 8.7 %Carter County: 8.3 %Casey County: 9.3 %Christian County: 8 %Clark County: 6.7 %Clay County: 9.9 %Clinton County: 10 %Crittenden County: 8.2 %Cumberland County: 7.9 %Daviess County: 6.9 %Edmonson County: 8.8 %Elliott County: 7.2 %Estill County: 8.4 %Fayette County: 9.9 %Fleming County: 10.1 %Floyd County: 8.8 %Franklin County: 7.9 %Fulton County: 7.2 %Gallatin County: 9.1 %Garrard County: 9.1 %Grant County: 7.9 %Graves County: 8.6 %Grayson County: 8.4 %Green County: 9.2 %Greenup County: 6.8 %Hancock County: 6.1 %Hardin County: 6.1 %Harlan County: 8.6 %Harrison County: 8.4 %Hart County: 9 %Henderson County: 7 %Henry County: 8 %Hickman County: 8.1 %Hopkins County: 6.9 %Jackson County: 8.6 %Jefferson County: 7.7 %Jessamine County: 9 %Johnson County: 7.3 %Kenton County: 7.4 %Knott County: 8.4 %Knox County: 9.3 %Larue County: 8.1 %Laurel County: 7.9 %Lawrence County: 8.1 %Lee County: 7.4 %Leslie County: 8.3 %Letcher County: 8.2 %Lewis County: 9.3 %Lincoln County: 9.2 %Livingston County: 7 %Logan County: 7.8 %Lyon County: 7.6 %McCracken County: 7.3 %McCreary County: 8.7 %McLean County: 8 %Madison County: 7.1 %Magoffin County: 9.6 %Marion County: 7 %Marshall County: 7.4 %Martin County: 8.1 %Mason County: 6.9 %Meade County: 6.7 %Menifee County: 7.5 %Mercer County: 7.9 %Metcalfe County: 8 %Monroe County: 9.5 %Montgomery County: 7.3 %Morgan County: 8.4 %Muhlenberg County: 9.1 %Nelson County: 6 %Nicholas County: 8.9 %Ohio County: 7.8 %Oldham County: 4.5 %Owen County: 8.1 %Owsley County: 6.9 %Pendleton County: 7.9 %Perry County: 7.7 %Pike County: 8.7 %Powell County: 8.2 %Pulaski County: 9.1 %Robertson County: 8.1 %Rockcastle County: 7.7 %Rowan County: 8.3 %Russell County: 8.9 %Scott County: 6.1 %Shelby County: 9.1 %Simpson County: 7.5 %Spencer County: 6.2 %Taylor County: 7.7 %Todd County: 11.2 %Trigg County: 8 %Trimble County: 7 %Union County: 8.1 %Warren County: 9.2 %Washington County: 9 %Wayne County: 8.9 %Webster County: 10.4 %Whitley County: 7.7 %Wolfe County: 8 %Woodford County: 7.3 %
  • Under 7
  • 7 to 7.7
  • 7.7 to 8.1
  • 8.1 to 8.6
  • 8.6 to 9.1
  • 9.1 and over
%, 2018. 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, 2018

Todd County: 11.2 %Todd County11.2Webster County: 10.4 %Webster County10.4Fleming County: 10.1 %Fleming County10.1Clinton County: 10 %Clinton County10Clay County: 9.9 %Clay County9.9Fayette County: 9.9 %Fayette County9.9Bourbon County: 9.7 %Bourbon County9.7Magoffin County: 9.6 %Magoffin County9.6Breckinridge County: 9.5 %Breckinridge County9.5Butler County: 9.5 %Butler County9.5Monroe County: 9.5 %Monroe County9.5Barren County: 9.4 %Barren County9.4Casey County: 9.3 %Casey County9.3Knox County: 9.3 %Knox County9.3Lewis County: 9.3 %Lewis County9.3Adair County: 9.2 %Adair County9.2Green County: 9.2 %Green County9.2Lincoln County: 9.2 %Lincoln County9.2Warren County: 9.2 %Warren County9.2Bath County: 9.1 %Bath County9.1Gallatin County: 9.1 %Gallatin County9.1Garrard County: 9.1 %Garrard County9.1Muhlenberg County: 9.1 %Muhlenberg County9.1Pulaski County: 9.1 %Pulaski County9.1Shelby County: 9.1 %Shelby County9.1Carlisle County: 9 %Carlisle County9Hart County: 9 %Hart County9Jessamine County: 9 %Jessamine County9Washington County: 9 %Washington County9Nicholas County: 8.9 %Nicholas County8.9Russell County: 8.9 %Russell County8.9Wayne County: 8.9 %Wayne County8.9Edmonson County: 8.8 %Edmonson County8.8Floyd County: 8.8 %Floyd County8.8Carroll County: 8.7 %Carroll County8.7McCreary County: 8.7 %McCreary County8.7Pike County: 8.7 %Pike County8.7Bell County: 8.6 %Bell County8.6Graves County: 8.6 %Graves County8.6Harlan County: 8.6 %Harlan County8.6Todd County: 11.2 %Todd County11.2Webster County: 10.4 %Webster County10.4Fleming County: 10.1 %Fleming County10.1Clinton County: 10 %Clinton County10Clay County: 9.9 %Clay County9.9Fayette County: 9.9 %Fayette County9.9Bourbon County: 9.7 %Bourbon County9.7Magoffin County: 9.6 %Magoffin County9.6Breckinridge County: 9.5 %Breckinridge County9.5Butler County: 9.5 %Butler County9.5Monroe County: 9.5 %Monroe County9.5Barren County: 9.4 %Barren County9.4Casey County: 9.3 %Casey County9.3Knox County: 9.3 %Knox County9.3Lewis County: 9.3 %Lewis County9.3Adair County: 9.2 %Adair County9.2Green County: 9.2 %Green County9.2Lincoln County: 9.2 %Lincoln County9.2Warren County: 9.2 %Warren County9.2Bath County: 9.1 %Bath County9.1Gallatin County: 9.1 %Gallatin County9.1Garrard County: 9.1 %Garrard County9.1Muhlenberg County: 9.1 %Muhlenberg County9.1Pulaski County: 9.1 %Pulaski County9.1Shelby County: 9.1 %Shelby County9.1Carlisle County: 9 %Carlisle County9Hart County: 9 %Hart County9Jessamine County: 9 %Jessamine County9Washington County: 9 %Washington County9Nicholas County: 8.9 %Nicholas County8.9Russell County: 8.9 %Russell County8.9Wayne County: 8.9 %Wayne County8.9Edmonson County: 8.8 %Edmonson County8.8Floyd County: 8.8 %Floyd County8.8Carroll County: 8.7 %Carroll County8.7McCreary County: 8.7 %McCreary County8.7Pike County: 8.7 %Pike County8.7Bell County: 8.6 %Bell County8.6Graves County: 8.6 %Graves County8.6Harlan County: 8.6 %Harlan County8.6
%. 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

RankCounties2018 (%)Change on 2017
1Todd County11.2+1.4 pts
2Webster County10.4+0.9 pts
3Fleming County10.1+0.7 pts
4Clinton County10+0.6 pts
5Clay County9.9+0.4 pts
5Fayette County9.9+1.4 pts
7Bourbon County9.7+0.4 pts
8Magoffin County9.60 pts
9Breckinridge County9.5+0.9 pts
9Butler County9.5+0.7 pts
9Monroe County9.5+0.2 pts
12Barren County9.4+1.3 pts
13Casey County9.3-0.3 pts
13Knox County9.3+0.9 pts
13Lewis County9.3+1.3 pts
16Adair County9.2+1.4 pts
16Green County9.2-0.2 pts
16Lincoln County9.20 pts
16Warren County9.2+0.6 pts
20Bath County9.1+0.9 pts
20Gallatin County9.1-0.4 pts
20Garrard County9.1+0.8 pts
20Muhlenberg County9.1+1.1 pts
20Pulaski County9.1+1.1 pts
20Shelby County9.1-0.1 pts
26Carlisle County9+0.6 pts
26Hart County9+0.2 pts
26Jessamine County9+0.2 pts
26Washington County9+0.9 pts
30Nicholas County8.90 pts
30Russell County8.9-0.2 pts
30Wayne County8.9-0.2 pts
33Edmonson County8.8+0.2 pts
33Floyd County8.8+1.3 pts
35Carroll County8.7-0.4 pts
35McCreary County8.7-0.6 pts
35Pike County8.7+0.9 pts
38Bell County8.6+0.5 pts
38Graves County8.6-0.1 pts
38Harlan County8.6+0.3 pts
38Jackson County8.6+0.6 pts
42Estill County8.4+0.1 pts
42Grayson County8.4+0.3 pts
42Harrison County8.4+1 pts
42Knott County8.4-0.5 pts
42Morgan County8.4-0.3 pts
47Carter County8.3+0.9 pts
47Leslie County8.3-0.4 pts
47Rowan County8.3+0.1 pts
50Allen County8.2+0.1 pts
50Calloway County8.2+1.1 pts
50Crittenden County8.2+0.6 pts
50Letcher County8.2+0.9 pts
50Powell County8.2+0.6 pts
55Hickman County8.1+0.4 pts
55Larue County8.1+0.1 pts
55Lawrence County8.10 pts
55Martin County8.1-0.3 pts
55Owen County8.1+1 pts
55Robertson County8.1-0.2 pts
55Union County8.1-0.2 pts
62Christian County8+0.5 pts
62Henry County8+0.2 pts
62McLean County8+0.6 pts
62Metcalfe County8+0.3 pts
62Trigg County8+0.3 pts
62Wolfe County8+0.2 pts
68Breathitt County7.9+0.2 pts
68Cumberland County7.9-0.7 pts
68Franklin County7.9+1.1 pts
68Grant County7.9+0.6 pts
68Laurel County7.9-0.3 pts
68Mercer County7.9+0.3 pts
68Pendleton County7.9+1.1 pts
75Logan County7.8-0.2 pts
75Ohio County7.8+0.3 pts
77Jefferson County7.7+0.2 pts
77Perry County7.7-0.2 pts
77Rockcastle County7.7+0.2 pts
77Taylor County7.7+0.4 pts
77Whitley County7.7+0.3 pts
82Ballard County7.6+0.5 pts
82Lyon County7.6+0.7 pts
84Menifee County7.5-0.4 pts
84Simpson County7.5+0.3 pts
86Kenton County7.4+0.6 pts
86Lee County7.4-0.1 pts
86Marshall County7.4+0.5 pts
89Johnson County7.30 pts
89McCracken County7.3+0.5 pts
89Montgomery County7.3+0.3 pts
89Woodford County7.3-0.8 pts
93Elliott County7.2+0.1 pts
93Fulton County7.2+0.2 pts
95Madison County7.10 pts
96Anderson County7+0.9 pts
96Henderson County7+0.4 pts
96Livingston County7+0.3 pts
96Marion County7-0.3 pts
96Trimble County7-0.2 pts
101Bracken County6.9-0.1 pts
101Daviess County6.9+0.2 pts
101Hopkins County6.9-0.9 pts
101Mason County6.9-0.6 pts
101Owsley County6.9-0.3 pts
106Greenup County6.8+0.6 pts
107Boyd County6.7+0.5 pts
107Clark County6.7+0.5 pts
107Meade County6.7+0.1 pts
110Caldwell County6.6+0.1 pts
111Boyle County6.5+0.4 pts
112Spencer County6.2+0.6 pts
113Hancock County6.1+0.7 pts
113Hardin County6.1+0.3 pts
113Scott County6.10 pts
116Nelson County60 pts
117Bullitt County5.8+0.2 pts
118Boone County5.1+0.1 pts
118Campbell County5.1-0.1 pts
120Oldham County4.50 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-2018-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), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2018. 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), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2018.

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), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2018,
  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), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2018. 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-2018-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), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2018.
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-2018-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)?

Todd County, with 11.2% in 2018, 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 4.5% in 2018.

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