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 2020, at 13.8%. Oldham County had the lowest, at 4.8%. The median was 8.4% and the figure for Kentucky was 8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest13.8Todd County
Lowest4.8Oldham County
Median8.4120 counties
Kentucky8History

Map of counties, 2020

Adair County: 8.8 %Allen County: 8.5 %Anderson County: 8 %Ballard County: 8.9 %Barren County: 9.7 %Bath County: 8.1 %Bell County: 8.4 %Boone County: 6.5 %Bourbon County: 9.3 %Boyd County: 7.2 %Boyle County: 7.6 %Bracken County: 7.6 %Breathitt County: 6.7 %Breckinridge County: 8.4 %Bullitt County: 6.1 %Butler County: 10.8 %Caldwell County: 8.4 %Calloway County: 11.1 %Campbell County: 6.3 %Carlisle County: 10.5 %Carroll County: 9.6 %Carter County: 9.5 %Casey County: 10.6 %Christian County: 9 %Clark County: 7.7 %Clay County: 8.5 %Clinton County: 11.1 %Crittenden County: 9.7 %Cumberland County: 8.2 %Daviess County: 8.2 %Edmonson County: 10.6 %Elliott County: 6.2 %Estill County: 8.7 %Fayette County: 9.1 %Fleming County: 8.5 %Floyd County: 7.6 %Franklin County: 9.2 %Fulton County: 9.2 %Gallatin County: 10.4 %Garrard County: 9.7 %Grant County: 9.1 %Graves County: 9.6 %Grayson County: 8.9 %Green County: 11.4 %Greenup County: 6.9 %Hancock County: 7.4 %Hardin County: 8.3 %Harlan County: 7 %Harrison County: 8 %Hart County: 10.4 %Henderson County: 7.5 %Henry County: 9.5 %Hickman County: 10.7 %Hopkins County: 7.8 %Jackson County: 8.7 %Jefferson County: 6.7 %Jessamine County: 8.7 %Johnson County: 7.6 %Kenton County: 7.1 %Knott County: 7.8 %Knox County: 8.3 %Larue County: 8.5 %Laurel County: 9 %Lawrence County: 9.1 %Lee County: 7.7 %Leslie County: 7.2 %Letcher County: 8.3 %Lewis County: 8.6 %Lincoln County: 8.9 %Livingston County: 8.1 %Logan County: 9.2 %Lyon County: 7.6 %McCracken County: 7.4 %McCreary County: 8.3 %McLean County: 8.9 %Madison County: 7.8 %Magoffin County: 9.7 %Marion County: 8.1 %Marshall County: 8.6 %Martin County: 7 %Mason County: 8.6 %Meade County: 7.7 %Menifee County: 8.3 %Mercer County: 8.2 %Metcalfe County: 8.5 %Monroe County: 10.5 %Montgomery County: 8.6 %Morgan County: 8.3 %Muhlenberg County: 8.4 %Nelson County: 7.4 %Nicholas County: 9.1 %Ohio County: 8.9 %Oldham County: 4.8 %Owen County: 10.1 %Owsley County: 6.9 %Pendleton County: 8.7 %Perry County: 6.6 %Pike County: 8.4 %Powell County: 7.9 %Pulaski County: 7.9 %Robertson County: 7.9 %Rockcastle County: 6.7 %Rowan County: 8.4 %Russell County: 9.7 %Scott County: 6.5 %Shelby County: 8.7 %Simpson County: 9.3 %Spencer County: 7.1 %Taylor County: 7.6 %Todd County: 13.8 %Trigg County: 7.9 %Trimble County: 7.8 %Union County: 8.7 %Warren County: 9.7 %Washington County: 10.2 %Wayne County: 8.8 %Webster County: 11 %Whitley County: 8.2 %Wolfe County: 8 %Woodford County: 8.3 %
  • Under 7.4
  • 7.4 to 8
  • 8 to 8.4
  • 8.4 to 8.9
  • 8.9 to 9.7
  • 9.7 and over
%, 2020. 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, 2020

Todd County: 13.8 %Todd County13.8Green County: 11.4 %Green County11.4Calloway County: 11.1 %Calloway County11.1Clinton County: 11.1 %Clinton County11.1Webster County: 11 %Webster County11Butler County: 10.8 %Butler County10.8Hickman County: 10.7 %Hickman County10.7Casey County: 10.6 %Casey County10.6Edmonson County: 10.6 %Edmonson County10.6Carlisle County: 10.5 %Carlisle County10.5Monroe County: 10.5 %Monroe County10.5Gallatin County: 10.4 %Gallatin County10.4Hart County: 10.4 %Hart County10.4Washington County: 10.2 %Washington County10.2Owen County: 10.1 %Owen County10.1Barren County: 9.7 %Barren County9.7Crittenden County: 9.7 %Crittenden County9.7Garrard County: 9.7 %Garrard County9.7Magoffin County: 9.7 %Magoffin County9.7Russell County: 9.7 %Russell County9.7Warren County: 9.7 %Warren County9.7Carroll County: 9.6 %Carroll County9.6Graves County: 9.6 %Graves County9.6Carter County: 9.5 %Carter County9.5Henry County: 9.5 %Henry County9.5Bourbon County: 9.3 %Bourbon County9.3Simpson County: 9.3 %Simpson County9.3Franklin County: 9.2 %Franklin County9.2Fulton County: 9.2 %Fulton County9.2Logan County: 9.2 %Logan County9.2Fayette County: 9.1 %Fayette County9.1Grant County: 9.1 %Grant County9.1Lawrence County: 9.1 %Lawrence County9.1Nicholas County: 9.1 %Nicholas County9.1Christian County: 9 %Christian County9Laurel County: 9 %Laurel County9Ballard County: 8.9 %Ballard County8.9Grayson County: 8.9 %Grayson County8.9Lincoln County: 8.9 %Lincoln County8.9McLean County: 8.9 %McLean County8.9Todd County: 13.8 %Todd County13.8Green County: 11.4 %Green County11.4Calloway County: 11.1 %Calloway County11.1Clinton County: 11.1 %Clinton County11.1Webster County: 11 %Webster County11Butler County: 10.8 %Butler County10.8Hickman County: 10.7 %Hickman County10.7Casey County: 10.6 %Casey County10.6Edmonson County: 10.6 %Edmonson County10.6Carlisle County: 10.5 %Carlisle County10.5Monroe County: 10.5 %Monroe County10.5Gallatin County: 10.4 %Gallatin County10.4Hart County: 10.4 %Hart County10.4Washington County: 10.2 %Washington County10.2Owen County: 10.1 %Owen County10.1Barren County: 9.7 %Barren County9.7Crittenden County: 9.7 %Crittenden County9.7Garrard County: 9.7 %Garrard County9.7Magoffin County: 9.7 %Magoffin County9.7Russell County: 9.7 %Russell County9.7Warren County: 9.7 %Warren County9.7Carroll County: 9.6 %Carroll County9.6Graves County: 9.6 %Graves County9.6Carter County: 9.5 %Carter County9.5Henry County: 9.5 %Henry County9.5Bourbon County: 9.3 %Bourbon County9.3Simpson County: 9.3 %Simpson County9.3Franklin County: 9.2 %Franklin County9.2Fulton County: 9.2 %Fulton County9.2Logan County: 9.2 %Logan County9.2Fayette County: 9.1 %Fayette County9.1Grant County: 9.1 %Grant County9.1Lawrence County: 9.1 %Lawrence County9.1Nicholas County: 9.1 %Nicholas County9.1Christian County: 9 %Christian County9Laurel County: 9 %Laurel County9Ballard County: 8.9 %Ballard County8.9Grayson County: 8.9 %Grayson County8.9Lincoln County: 8.9 %Lincoln County8.9McLean County: 8.9 %McLean County8.9
%. 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

RankCounties2020 (%)Change on 2019
1Todd County13.8-0.4 pts
2Green County11.4-0.3 pts
3Calloway County11.1+1 pts
3Clinton County11.1+0.5 pts
5Webster County11-0.6 pts
6Butler County10.8-0.4 pts
7Hickman County10.7+0.6 pts
8Casey County10.6-1.9 pts
8Edmonson County10.60 pts
10Carlisle County10.5-0.2 pts
10Monroe County10.5-1.4 pts
12Gallatin County10.4-0.2 pts
12Hart County10.40 pts
14Washington County10.2+0.5 pts
15Owen County10.1+0.6 pts
16Barren County9.7+0.2 pts
16Crittenden County9.7+0.1 pts
16Garrard County9.7-1.2 pts
16Magoffin County9.7-2.1 pts
16Russell County9.7-1.8 pts
16Warren County9.7-0.9 pts
22Carroll County9.60 pts
22Graves County9.6-0.8 pts
24Carter County9.5-1.2 pts
24Henry County9.5-1.3 pts
26Bourbon County9.3-1.4 pts
26Simpson County9.3+0.8 pts
28Franklin County9.2+0.2 pts
28Fulton County9.2+0.9 pts
28Logan County9.2-0.5 pts
31Fayette County9.1-1.2 pts
31Grant County9.1+1.1 pts
31Lawrence County9.1-1.3 pts
31Nicholas County9.1-2.8 pts
35Christian County9-1.5 pts
35Laurel County9-0.9 pts
37Ballard County8.9+0.7 pts
37Grayson County8.9-1.8 pts
37Lincoln County8.9-2.5 pts
37McLean County8.9+0.5 pts
37Ohio County8.9-0.5 pts
42Adair County8.8-1.1 pts
42Wayne County8.8-1.2 pts
44Estill County8.7-1.1 pts
44Jackson County8.7-1.2 pts
44Jessamine County8.7-1 pts
44Pendleton County8.7-0.3 pts
44Shelby County8.7-1.9 pts
44Union County8.7-0.8 pts
50Lewis County8.6-1.9 pts
50Marshall County8.6+0.4 pts
50Mason County8.6-0.7 pts
50Montgomery County8.6-0.3 pts
54Allen County8.5-1.4 pts
54Clay County8.5-2.7 pts
54Fleming County8.5-3.4 pts
54Larue County8.5-1.2 pts
54Metcalfe County8.5-1.2 pts
59Bell County8.4-2.4 pts
59Breckinridge County8.4-1.9 pts
59Caldwell County8.4-0.9 pts
59Muhlenberg County8.4-1.4 pts
59Pike County8.4-2 pts
59Rowan County8.4-0.9 pts
65Hardin County8.3+0.8 pts
65Knox County8.3-1.5 pts
65Letcher County8.3-1 pts
65McCreary County8.3-2.3 pts
65Menifee County8.3-0.9 pts
65Morgan County8.3-2.6 pts
65Woodford County8.3-0.4 pts
72Cumberland County8.2-1.2 pts
72Daviess County8.2-0.5 pts
72Mercer County8.2-0.9 pts
72Whitley County8.2-1.2 pts
76Bath County8.1-2.1 pts
76Livingston County8.1-0.8 pts
76Marion County8.1-0.6 pts
79Anderson County8+0.3 pts
79Harrison County8-0.8 pts
79Wolfe County8-1.3 pts
82Powell County7.9-0.9 pts
82Pulaski County7.9-3.2 pts
82Robertson County7.9-1.6 pts
82Trigg County7.9-1.3 pts
86Hopkins County7.8-0.2 pts
86Knott County7.8-2.2 pts
86Madison County7.8-0.4 pts
86Trimble County7.8-0.3 pts
90Clark County7.7-0.2 pts
90Lee County7.7-0.9 pts
90Meade County7.7+0.3 pts
93Boyle County7.60 pts
93Bracken County7.6-0.7 pts
93Floyd County7.6-2.9 pts
93Johnson County7.6-1.6 pts
93Lyon County7.6-1.5 pts
93Taylor County7.6-1 pts
99Henderson County7.5-0.9 pts
100Hancock County7.4+0.4 pts
100McCracken County7.4-0.8 pts
100Nelson County7.4+0.2 pts
103Boyd County7.2-1.3 pts
103Leslie County7.2-2.6 pts
105Kenton County7.1-0.6 pts
105Spencer County7.1+0.2 pts
107Harlan County7-3.1 pts
107Martin County7-2.3 pts
109Greenup County6.9-0.8 pts
109Owsley County6.9-1.8 pts
111Breathitt County6.7-2.4 pts
111Jefferson County6.7-1.7 pts
111Rockcastle County6.7-2.2 pts
114Perry County6.6-2.8 pts
115Boone County6.50 pts
115Scott County6.5-0.8 pts
117Campbell County6.3-0.3 pts
118Elliott County6.2-1.7 pts
119Bullitt County6.1-0.9 pts
120Oldham County4.8-0.1 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2020.
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-2020-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 13.8% in 2020, 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 4.8% in 2020.

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