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 2019, at 14.2%. Oldham County had the lowest, at 4.9%. The median was 9.5% and the figure for Kentucky was 9%. Source: the U.S. Census Bureau.

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Highest14.2Todd County
Lowest4.9Oldham County
Median9.5120 counties
Kentucky9History

Map of counties, 2019

Adair County: 9.9 %Allen County: 9.9 %Anderson County: 7.7 %Ballard County: 8.2 %Barren County: 9.5 %Bath County: 10.2 %Bell County: 10.8 %Boone County: 6.5 %Bourbon County: 10.7 %Boyd County: 8.5 %Boyle County: 7.6 %Bracken County: 8.3 %Breathitt County: 9.1 %Breckinridge County: 10.3 %Bullitt County: 7 %Butler County: 11.2 %Caldwell County: 9.3 %Calloway County: 10.1 %Campbell County: 6.6 %Carlisle County: 10.7 %Carroll County: 9.6 %Carter County: 10.7 %Casey County: 12.5 %Christian County: 10.5 %Clark County: 7.9 %Clay County: 11.2 %Clinton County: 10.6 %Crittenden County: 9.6 %Cumberland County: 9.4 %Daviess County: 8.7 %Edmonson County: 10.6 %Elliott County: 7.9 %Estill County: 9.8 %Fayette County: 10.3 %Fleming County: 11.9 %Floyd County: 10.5 %Franklin County: 9 %Fulton County: 8.3 %Gallatin County: 10.6 %Garrard County: 10.9 %Grant County: 8 %Graves County: 10.4 %Grayson County: 10.7 %Green County: 11.7 %Greenup County: 7.7 %Hancock County: 7 %Hardin County: 7.5 %Harlan County: 10.1 %Harrison County: 8.8 %Hart County: 10.4 %Henderson County: 8.4 %Henry County: 10.8 %Hickman County: 10.1 %Hopkins County: 8 %Jackson County: 9.9 %Jefferson County: 8.4 %Jessamine County: 9.7 %Johnson County: 9.2 %Kenton County: 7.7 %Knott County: 10 %Knox County: 9.8 %Larue County: 9.7 %Laurel County: 9.9 %Lawrence County: 10.4 %Lee County: 8.6 %Leslie County: 9.8 %Letcher County: 9.3 %Lewis County: 10.5 %Lincoln County: 11.4 %Livingston County: 8.9 %Logan County: 9.7 %Lyon County: 9.1 %McCracken County: 8.2 %McCreary County: 10.6 %McLean County: 8.4 %Madison County: 8.2 %Magoffin County: 11.8 %Marion County: 8.7 %Marshall County: 8.2 %Martin County: 9.3 %Mason County: 9.3 %Meade County: 7.4 %Menifee County: 9.2 %Mercer County: 9.1 %Metcalfe County: 9.7 %Monroe County: 11.9 %Montgomery County: 8.9 %Morgan County: 10.9 %Muhlenberg County: 9.8 %Nelson County: 7.2 %Nicholas County: 11.9 %Ohio County: 9.4 %Oldham County: 4.9 %Owen County: 9.5 %Owsley County: 8.7 %Pendleton County: 9 %Perry County: 9.4 %Pike County: 10.4 %Powell County: 8.8 %Pulaski County: 11.1 %Robertson County: 9.5 %Rockcastle County: 8.9 %Rowan County: 9.3 %Russell County: 11.5 %Scott County: 7.3 %Shelby County: 10.6 %Simpson County: 8.5 %Spencer County: 6.9 %Taylor County: 8.6 %Todd County: 14.2 %Trigg County: 9.2 %Trimble County: 8.1 %Union County: 9.5 %Warren County: 10.6 %Washington County: 9.7 %Wayne County: 10 %Webster County: 11.6 %Whitley County: 9.4 %Wolfe County: 9.3 %Woodford County: 8.7 %
  • Under 8.2
  • 8.2 to 8.9
  • 8.9 to 9.5
  • 9.5 to 10
  • 10 to 11
  • 11 and over
%, 2019. 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, 2019

Todd County: 14.2 %Todd County14.2Casey County: 12.5 %Casey County12.5Fleming County: 11.9 %Fleming County11.9Monroe County: 11.9 %Monroe County11.9Nicholas County: 11.9 %Nicholas County11.9Magoffin County: 11.8 %Magoffin County11.8Green County: 11.7 %Green County11.7Webster County: 11.6 %Webster County11.6Russell County: 11.5 %Russell County11.5Lincoln County: 11.4 %Lincoln County11.4Butler County: 11.2 %Butler County11.2Clay County: 11.2 %Clay County11.2Pulaski County: 11.1 %Pulaski County11.1Garrard County: 10.9 %Garrard County10.9Morgan County: 10.9 %Morgan County10.9Bell County: 10.8 %Bell County10.8Henry County: 10.8 %Henry County10.8Bourbon County: 10.7 %Bourbon County10.7Carlisle County: 10.7 %Carlisle County10.7Carter County: 10.7 %Carter County10.7Grayson County: 10.7 %Grayson County10.7Clinton County: 10.6 %Clinton County10.6Edmonson County: 10.6 %Edmonson County10.6Gallatin County: 10.6 %Gallatin County10.6McCreary County: 10.6 %McCreary County10.6Shelby County: 10.6 %Shelby County10.6Warren County: 10.6 %Warren County10.6Christian County: 10.5 %Christian County10.5Floyd County: 10.5 %Floyd County10.5Lewis County: 10.5 %Lewis County10.5Graves County: 10.4 %Graves County10.4Hart County: 10.4 %Hart County10.4Lawrence County: 10.4 %Lawrence County10.4Pike County: 10.4 %Pike County10.4Breckinridge County: 10.3 %Breckinridge County10.3Fayette County: 10.3 %Fayette County10.3Bath County: 10.2 %Bath County10.2Calloway County: 10.1 %Calloway County10.1Harlan County: 10.1 %Harlan County10.1Hickman County: 10.1 %Hickman County10.1Todd County: 14.2 %Todd County14.2Casey County: 12.5 %Casey County12.5Fleming County: 11.9 %Fleming County11.9Monroe County: 11.9 %Monroe County11.9Nicholas County: 11.9 %Nicholas County11.9Magoffin County: 11.8 %Magoffin County11.8Green County: 11.7 %Green County11.7Webster County: 11.6 %Webster County11.6Russell County: 11.5 %Russell County11.5Lincoln County: 11.4 %Lincoln County11.4Butler County: 11.2 %Butler County11.2Clay County: 11.2 %Clay County11.2Pulaski County: 11.1 %Pulaski County11.1Garrard County: 10.9 %Garrard County10.9Morgan County: 10.9 %Morgan County10.9Bell County: 10.8 %Bell County10.8Henry County: 10.8 %Henry County10.8Bourbon County: 10.7 %Bourbon County10.7Carlisle County: 10.7 %Carlisle County10.7Carter County: 10.7 %Carter County10.7Grayson County: 10.7 %Grayson County10.7Clinton County: 10.6 %Clinton County10.6Edmonson County: 10.6 %Edmonson County10.6Gallatin County: 10.6 %Gallatin County10.6McCreary County: 10.6 %McCreary County10.6Shelby County: 10.6 %Shelby County10.6Warren County: 10.6 %Warren County10.6Christian County: 10.5 %Christian County10.5Floyd County: 10.5 %Floyd County10.5Lewis County: 10.5 %Lewis County10.5Graves County: 10.4 %Graves County10.4Hart County: 10.4 %Hart County10.4Lawrence County: 10.4 %Lawrence County10.4Pike County: 10.4 %Pike County10.4Breckinridge County: 10.3 %Breckinridge County10.3Fayette County: 10.3 %Fayette County10.3Bath County: 10.2 %Bath County10.2Calloway County: 10.1 %Calloway County10.1Harlan County: 10.1 %Harlan County10.1Hickman County: 10.1 %Hickman County10.1
%. 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

RankCounties2019 (%)Change on 2018
1Todd County14.2+3 pts
2Casey County12.5+3.2 pts
3Fleming County11.9+1.8 pts
3Monroe County11.9+2.4 pts
3Nicholas County11.9+3 pts
6Magoffin County11.8+2.2 pts
7Green County11.7+2.5 pts
8Webster County11.6+1.2 pts
9Russell County11.5+2.6 pts
10Lincoln County11.4+2.2 pts
11Butler County11.2+1.7 pts
11Clay County11.2+1.3 pts
13Pulaski County11.1+2 pts
14Garrard County10.9+1.8 pts
14Morgan County10.9+2.5 pts
16Bell County10.8+2.2 pts
16Henry County10.8+2.8 pts
18Bourbon County10.7+1 pts
18Carlisle County10.7+1.7 pts
18Carter County10.7+2.4 pts
18Grayson County10.7+2.3 pts
22Clinton County10.6+0.6 pts
22Edmonson County10.6+1.8 pts
22Gallatin County10.6+1.5 pts
22McCreary County10.6+1.9 pts
22Shelby County10.6+1.5 pts
22Warren County10.6+1.4 pts
28Christian County10.5+2.5 pts
28Floyd County10.5+1.7 pts
28Lewis County10.5+1.2 pts
31Graves County10.4+1.8 pts
31Hart County10.4+1.4 pts
31Lawrence County10.4+2.3 pts
31Pike County10.4+1.7 pts
35Breckinridge County10.3+0.8 pts
35Fayette County10.3+0.4 pts
37Bath County10.2+1.1 pts
38Calloway County10.1+1.9 pts
38Harlan County10.1+1.5 pts
38Hickman County10.1+2 pts
41Knott County10+1.6 pts
41Wayne County10+1.1 pts
43Adair County9.9+0.7 pts
43Allen County9.9+1.7 pts
43Jackson County9.9+1.3 pts
43Laurel County9.9+2 pts
47Estill County9.8+1.4 pts
47Knox County9.8+0.5 pts
47Leslie County9.8+1.5 pts
47Muhlenberg County9.8+0.7 pts
51Jessamine County9.7+0.7 pts
51Larue County9.7+1.6 pts
51Logan County9.7+1.9 pts
51Metcalfe County9.7+1.7 pts
51Washington County9.7+0.7 pts
56Carroll County9.6+0.9 pts
56Crittenden County9.6+1.4 pts
58Barren County9.5+0.1 pts
58Owen County9.5+1.4 pts
58Robertson County9.5+1.4 pts
58Union County9.5+1.4 pts
62Cumberland County9.4+1.5 pts
62Ohio County9.4+1.6 pts
62Perry County9.4+1.7 pts
62Whitley County9.4+1.7 pts
66Caldwell County9.3+2.7 pts
66Letcher County9.3+1.1 pts
66Martin County9.3+1.2 pts
66Mason County9.3+2.4 pts
66Rowan County9.3+1 pts
66Wolfe County9.3+1.3 pts
72Johnson County9.2+1.9 pts
72Menifee County9.2+1.7 pts
72Trigg County9.2+1.2 pts
75Breathitt County9.1+1.2 pts
75Lyon County9.1+1.5 pts
75Mercer County9.1+1.2 pts
78Franklin County9+1.1 pts
78Pendleton County9+1.1 pts
80Livingston County8.9+1.9 pts
80Montgomery County8.9+1.6 pts
80Rockcastle County8.9+1.2 pts
83Harrison County8.8+0.4 pts
83Powell County8.8+0.6 pts
85Daviess County8.7+1.8 pts
85Marion County8.7+1.7 pts
85Owsley County8.7+1.8 pts
85Woodford County8.7+1.4 pts
89Lee County8.6+1.2 pts
89Taylor County8.6+0.9 pts
91Boyd County8.5+1.8 pts
91Simpson County8.5+1 pts
93Henderson County8.4+1.4 pts
93Jefferson County8.4+0.7 pts
93McLean County8.4+0.4 pts
96Bracken County8.3+1.4 pts
96Fulton County8.3+1.1 pts
98Ballard County8.2+0.6 pts
98Madison County8.2+1.1 pts
98Marshall County8.2+0.8 pts
98McCracken County8.2+0.9 pts
102Trimble County8.1+1.1 pts
103Grant County8+0.1 pts
103Hopkins County8+1.1 pts
105Clark County7.9+1.2 pts
105Elliott County7.9+0.7 pts
107Anderson County7.7+0.7 pts
107Greenup County7.7+0.9 pts
107Kenton County7.7+0.3 pts
110Boyle County7.6+1.1 pts
111Hardin County7.5+1.4 pts
112Meade County7.4+0.7 pts
113Scott County7.3+1.2 pts
114Nelson County7.2+1.2 pts
115Bullitt County7+1.2 pts
115Hancock County7+0.9 pts
117Spencer County6.9+0.7 pts
118Campbell County6.6+1.5 pts
119Boone County6.5+1.4 pts
120Oldham County4.9+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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2019.
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-2019-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 14.2% in 2019, 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 2019.

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