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 2021, at 12.9%. Oldham County had the lowest, at 4.3%. The median was 8.2% and the figure for Kentucky was 7.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest12.9Todd County
Lowest4.3Oldham County
Median8.2120 counties
Kentucky7.9History

Map of counties, 2021

Adair County: 9 %Allen County: 7.7 %Anderson County: 6.9 %Ballard County: 7.6 %Barren County: 9.5 %Bath County: 8.2 %Bell County: 9.3 %Boone County: 5.1 %Bourbon County: 9.5 %Boyd County: 6.8 %Boyle County: 7 %Bracken County: 8 %Breathitt County: 8.1 %Breckinridge County: 8.3 %Bullitt County: 6.1 %Butler County: 10.9 %Caldwell County: 7.9 %Calloway County: 8.8 %Campbell County: 5.5 %Carlisle County: 9.2 %Carroll County: 8.1 %Carter County: 8.7 %Casey County: 10.4 %Christian County: 9 %Clark County: 6.6 %Clay County: 10.1 %Clinton County: 10 %Crittenden County: 7.9 %Cumberland County: 8.1 %Daviess County: 7.3 %Edmonson County: 9.8 %Elliott County: 6.9 %Estill County: 9.1 %Fayette County: 9.2 %Fleming County: 9.4 %Floyd County: 9 %Franklin County: 8.1 %Fulton County: 8.1 %Gallatin County: 9.3 %Garrard County: 9.2 %Grant County: 8 %Graves County: 8.4 %Grayson County: 8.3 %Green County: 10.3 %Greenup County: 6.8 %Hancock County: 7.3 %Hardin County: 7.4 %Harlan County: 8.8 %Harrison County: 7.3 %Hart County: 9.4 %Henderson County: 7.1 %Henry County: 9.8 %Hickman County: 10.1 %Hopkins County: 7.2 %Jackson County: 9.4 %Jefferson County: 7.8 %Jessamine County: 8.4 %Johnson County: 8.1 %Kenton County: 6.8 %Knott County: 9.4 %Knox County: 8.7 %Larue County: 9.2 %Laurel County: 9.4 %Lawrence County: 8.9 %Lee County: 7.9 %Leslie County: 8 %Letcher County: 8.6 %Lewis County: 9.3 %Lincoln County: 9.3 %Livingston County: 7.5 %Logan County: 8.6 %Lyon County: 8.4 %McCracken County: 6.6 %McCreary County: 9.8 %McLean County: 8.2 %Madison County: 7.9 %Magoffin County: 10.3 %Marion County: 7.5 %Marshall County: 7 %Martin County: 7.9 %Mason County: 7.5 %Meade County: 6.6 %Menifee County: 9 %Mercer County: 7.8 %Metcalfe County: 8 %Monroe County: 9 %Montgomery County: 7.6 %Morgan County: 8 %Muhlenberg County: 8.4 %Nelson County: 6.4 %Nicholas County: 9.1 %Ohio County: 8.6 %Oldham County: 4.3 %Owen County: 8.9 %Owsley County: 9 %Pendleton County: 8 %Perry County: 7.6 %Pike County: 8.9 %Powell County: 7.4 %Pulaski County: 8.7 %Robertson County: 8.1 %Rockcastle County: 8.6 %Rowan County: 7.8 %Russell County: 8.8 %Scott County: 5.9 %Shelby County: 9.2 %Simpson County: 6.8 %Spencer County: 6 %Taylor County: 7.3 %Todd County: 12.9 %Trigg County: 7.7 %Trimble County: 8 %Union County: 7.5 %Warren County: 9.8 %Washington County: 7.8 %Wayne County: 8.6 %Webster County: 10.4 %Whitley County: 8.3 %Wolfe County: 9.8 %Woodford County: 7 %
  • Under 7.2
  • 7.2 to 7.9
  • 7.9 to 8.2
  • 8.2 to 8.9
  • 8.9 to 9.4
  • 9.4 and over
%, 2021. 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, 2021

Todd County: 12.9 %Todd County12.9Butler County: 10.9 %Butler County10.9Casey County: 10.4 %Casey County10.4Webster County: 10.4 %Webster County10.4Green County: 10.3 %Green County10.3Magoffin County: 10.3 %Magoffin County10.3Clay County: 10.1 %Clay County10.1Hickman County: 10.1 %Hickman County10.1Clinton County: 10 %Clinton County10Edmonson County: 9.8 %Edmonson County9.8Henry County: 9.8 %Henry County9.8McCreary County: 9.8 %McCreary County9.8Warren County: 9.8 %Warren County9.8Wolfe County: 9.8 %Wolfe County9.8Barren County: 9.5 %Barren County9.5Bourbon County: 9.5 %Bourbon County9.5Fleming County: 9.4 %Fleming County9.4Hart County: 9.4 %Hart County9.4Jackson County: 9.4 %Jackson County9.4Knott County: 9.4 %Knott County9.4Laurel County: 9.4 %Laurel County9.4Bell County: 9.3 %Bell County9.3Gallatin County: 9.3 %Gallatin County9.3Lewis County: 9.3 %Lewis County9.3Lincoln County: 9.3 %Lincoln County9.3Carlisle County: 9.2 %Carlisle County9.2Fayette County: 9.2 %Fayette County9.2Garrard County: 9.2 %Garrard County9.2Larue County: 9.2 %Larue County9.2Shelby County: 9.2 %Shelby County9.2Estill County: 9.1 %Estill County9.1Nicholas County: 9.1 %Nicholas County9.1Adair County: 9 %Adair County9Christian County: 9 %Christian County9Floyd County: 9 %Floyd County9Menifee County: 9 %Menifee County9Monroe County: 9 %Monroe County9Owsley County: 9 %Owsley County9Lawrence County: 8.9 %Lawrence County8.9Owen County: 8.9 %Owen County8.9Todd County: 12.9 %Todd County12.9Butler County: 10.9 %Butler County10.9Casey County: 10.4 %Casey County10.4Webster County: 10.4 %Webster County10.4Green County: 10.3 %Green County10.3Magoffin County: 10.3 %Magoffin County10.3Clay County: 10.1 %Clay County10.1Hickman County: 10.1 %Hickman County10.1Clinton County: 10 %Clinton County10Edmonson County: 9.8 %Edmonson County9.8Henry County: 9.8 %Henry County9.8McCreary County: 9.8 %McCreary County9.8Warren County: 9.8 %Warren County9.8Wolfe County: 9.8 %Wolfe County9.8Barren County: 9.5 %Barren County9.5Bourbon County: 9.5 %Bourbon County9.5Fleming County: 9.4 %Fleming County9.4Hart County: 9.4 %Hart County9.4Jackson County: 9.4 %Jackson County9.4Knott County: 9.4 %Knott County9.4Laurel County: 9.4 %Laurel County9.4Bell County: 9.3 %Bell County9.3Gallatin County: 9.3 %Gallatin County9.3Lewis County: 9.3 %Lewis County9.3Lincoln County: 9.3 %Lincoln County9.3Carlisle County: 9.2 %Carlisle County9.2Fayette County: 9.2 %Fayette County9.2Garrard County: 9.2 %Garrard County9.2Larue County: 9.2 %Larue County9.2Shelby County: 9.2 %Shelby County9.2Estill County: 9.1 %Estill County9.1Nicholas County: 9.1 %Nicholas County9.1Adair County: 9 %Adair County9Christian County: 9 %Christian County9Floyd County: 9 %Floyd County9Menifee County: 9 %Menifee County9Monroe County: 9 %Monroe County9Owsley County: 9 %Owsley County9Lawrence County: 8.9 %Lawrence County8.9Owen County: 8.9 %Owen 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

RankCounties2021 (%)Change on 2020
1Todd County12.9-0.9 pts
2Butler County10.9+0.1 pts
3Casey County10.4-0.2 pts
3Webster County10.4-0.6 pts
5Green County10.3-1.1 pts
5Magoffin County10.3+0.6 pts
7Clay County10.1+1.6 pts
7Hickman County10.1-0.6 pts
9Clinton County10-1.1 pts
10Edmonson County9.8-0.8 pts
10Henry County9.8+0.3 pts
10McCreary County9.8+1.5 pts
10Warren County9.8+0.1 pts
10Wolfe County9.8+1.8 pts
15Barren County9.5-0.2 pts
15Bourbon County9.5+0.2 pts
17Fleming County9.4+0.9 pts
17Hart County9.4-1 pts
17Jackson County9.4+0.7 pts
17Knott County9.4+1.6 pts
17Laurel County9.4+0.4 pts
22Bell County9.3+0.9 pts
22Gallatin County9.3-1.1 pts
22Lewis County9.3+0.7 pts
22Lincoln County9.3+0.4 pts
26Carlisle County9.2-1.3 pts
26Fayette County9.2+0.1 pts
26Garrard County9.2-0.5 pts
26Larue County9.2+0.7 pts
26Shelby County9.2+0.5 pts
31Estill County9.1+0.4 pts
31Nicholas County9.10 pts
33Adair County9+0.2 pts
33Christian County90 pts
33Floyd County9+1.4 pts
33Menifee County9+0.7 pts
33Monroe County9-1.5 pts
33Owsley County9+2.1 pts
39Lawrence County8.9-0.2 pts
39Owen County8.9-1.2 pts
39Pike County8.9+0.5 pts
42Calloway County8.8-2.3 pts
42Harlan County8.8+1.8 pts
42Russell County8.8-0.9 pts
45Carter County8.7-0.8 pts
45Knox County8.7+0.4 pts
45Pulaski County8.7+0.8 pts
48Letcher County8.6+0.3 pts
48Logan County8.6-0.6 pts
48Ohio County8.6-0.3 pts
48Rockcastle County8.6+1.9 pts
48Wayne County8.6-0.2 pts
53Graves County8.4-1.2 pts
53Jessamine County8.4-0.3 pts
53Lyon County8.4+0.8 pts
53Muhlenberg County8.40 pts
57Breckinridge County8.3-0.1 pts
57Grayson County8.3-0.6 pts
57Whitley County8.3+0.1 pts
60Bath County8.2+0.1 pts
60McLean County8.2-0.7 pts
62Breathitt County8.1+1.4 pts
62Carroll County8.1-1.5 pts
62Cumberland County8.1-0.1 pts
62Franklin County8.1-1.1 pts
62Fulton County8.1-1.1 pts
62Johnson County8.1+0.5 pts
62Robertson County8.1+0.2 pts
69Bracken County8+0.4 pts
69Grant County8-1.1 pts
69Leslie County8+0.8 pts
69Metcalfe County8-0.5 pts
69Morgan County8-0.3 pts
69Pendleton County8-0.7 pts
69Trimble County8+0.2 pts
76Caldwell County7.9-0.5 pts
76Crittenden County7.9-1.8 pts
76Lee County7.9+0.2 pts
76Madison County7.9+0.1 pts
76Martin County7.9+0.9 pts
81Jefferson County7.8+1.1 pts
81Mercer County7.8-0.4 pts
81Rowan County7.8-0.6 pts
81Washington County7.8-2.4 pts
85Allen County7.7-0.8 pts
85Trigg County7.7-0.2 pts
87Ballard County7.6-1.3 pts
87Montgomery County7.6-1 pts
87Perry County7.6+1 pts
90Livingston County7.5-0.6 pts
90Marion County7.5-0.6 pts
90Mason County7.5-1.1 pts
90Union County7.5-1.2 pts
94Hardin County7.4-0.9 pts
94Powell County7.4-0.5 pts
96Daviess County7.3-0.9 pts
96Hancock County7.3-0.1 pts
96Harrison County7.3-0.7 pts
96Taylor County7.3-0.3 pts
100Hopkins County7.2-0.6 pts
101Henderson County7.1-0.4 pts
102Boyle County7-0.6 pts
102Marshall County7-1.6 pts
102Woodford County7-1.3 pts
105Anderson County6.9-1.1 pts
105Elliott County6.9+0.7 pts
107Boyd County6.8-0.4 pts
107Greenup County6.8-0.1 pts
107Kenton County6.8-0.3 pts
107Simpson County6.8-2.5 pts
111Clark County6.6-1.1 pts
111McCracken County6.6-0.8 pts
111Meade County6.6-1.1 pts
114Nelson County6.4-1 pts
115Bullitt County6.10 pts
116Spencer County6-1.1 pts
117Scott County5.9-0.6 pts
118Campbell County5.5-0.8 pts
119Boone County5.1-1.4 pts
120Oldham County4.3-0.5 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2021.
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-2021-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 12.9% in 2021, 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 4.3% in 2021.

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