Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / Counties in Kentucky

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 2023, at 12.4%. Oldham County had the lowest, at 3.7%. The median was 8% and the figure for Kentucky was 7.6%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest12.4Todd County
Lowest3.7Oldham County
Median8120 counties
Kentucky7.6History

Map of counties, 2023

Adair County: 8.4 %Allen County: 7.4 %Anderson County: 6.3 %Ballard County: 5.7 %Barren County: 8.6 %Bath County: 7.8 %Bell County: 8.9 %Boone County: 5.3 %Bourbon County: 8.7 %Boyd County: 6.7 %Boyle County: 6.6 %Bracken County: 7.2 %Breathitt County: 7.9 %Breckinridge County: 8.5 %Bullitt County: 5.6 %Butler County: 9.5 %Caldwell County: 8.6 %Calloway County: 8.3 %Campbell County: 5.8 %Carlisle County: 8.2 %Carroll County: 8 %Carter County: 7.9 %Casey County: 10.9 %Christian County: 9.7 %Clark County: 6.2 %Clay County: 9.7 %Clinton County: 8.1 %Crittenden County: 8.2 %Cumberland County: 9.3 %Daviess County: 7.2 %Edmonson County: 7.8 %Elliott County: 7.9 %Estill County: 9.8 %Fayette County: 8.7 %Fleming County: 9.7 %Floyd County: 9 %Franklin County: 6.4 %Fulton County: 7.4 %Gallatin County: 7.6 %Garrard County: 10 %Grant County: 6.9 %Graves County: 7.8 %Grayson County: 8.4 %Green County: 8.8 %Greenup County: 7.3 %Hancock County: 6.7 %Hardin County: 7.5 %Harlan County: 8.7 %Harrison County: 7.2 %Hart County: 9.4 %Henderson County: 7.9 %Henry County: 8.5 %Hickman County: 8.1 %Hopkins County: 8.1 %Jackson County: 9.4 %Jefferson County: 7.6 %Jessamine County: 8.4 %Johnson County: 8.3 %Kenton County: 5.7 %Knott County: 8.9 %Knox County: 8.8 %Larue County: 8 %Laurel County: 8 %Lawrence County: 8.2 %Lee County: 9.2 %Leslie County: 7.2 %Letcher County: 8.8 %Lewis County: 9.7 %Lincoln County: 9.2 %Livingston County: 6.5 %Logan County: 7.4 %Lyon County: 8.2 %McCracken County: 6.8 %McCreary County: 9.4 %McLean County: 6.9 %Madison County: 7.6 %Magoffin County: 9.3 %Marion County: 7.4 %Marshall County: 6.8 %Martin County: 8.2 %Mason County: 7.1 %Meade County: 6.5 %Menifee County: 7.6 %Mercer County: 7.6 %Metcalfe County: 7.8 %Monroe County: 8.8 %Montgomery County: 7.6 %Morgan County: 8.9 %Muhlenberg County: 7.6 %Nelson County: 6.1 %Nicholas County: 8.9 %Ohio County: 9.1 %Oldham County: 3.7 %Owen County: 7.8 %Owsley County: 8.1 %Pendleton County: 7.4 %Perry County: 7.4 %Pike County: 8.2 %Powell County: 8.3 %Pulaski County: 9.1 %Robertson County: 7.7 %Rockcastle County: 8.3 %Rowan County: 7 %Russell County: 7.9 %Scott County: 5.4 %Shelby County: 7.9 %Simpson County: 7.7 %Spencer County: 5.7 %Taylor County: 7 %Todd County: 12.4 %Trigg County: 9.4 %Trimble County: 7.2 %Union County: 7.3 %Warren County: 8.9 %Washington County: 6.5 %Wayne County: 9.2 %Webster County: 9.5 %Whitley County: 8.7 %Wolfe County: 9.7 %Woodford County: 7.2 %
  • Under 6.9
  • 6.9 to 7.6
  • 7.6 to 8
  • 8 to 8.4
  • 8.4 to 9.1
  • 9.1 and over
%, 2023. 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, 2023

Todd County: 12.4 %Todd County12.4Casey County: 10.9 %Casey County10.9Garrard County: 10 %Garrard County10Estill County: 9.8 %Estill County9.8Christian County: 9.7 %Christian County9.7Clay County: 9.7 %Clay County9.7Fleming County: 9.7 %Fleming County9.7Lewis County: 9.7 %Lewis County9.7Wolfe County: 9.7 %Wolfe County9.7Butler County: 9.5 %Butler County9.5Webster County: 9.5 %Webster County9.5Hart County: 9.4 %Hart County9.4Jackson County: 9.4 %Jackson County9.4McCreary County: 9.4 %McCreary County9.4Trigg County: 9.4 %Trigg County9.4Cumberland County: 9.3 %Cumberland County9.3Magoffin County: 9.3 %Magoffin County9.3Lee County: 9.2 %Lee County9.2Lincoln County: 9.2 %Lincoln County9.2Wayne County: 9.2 %Wayne County9.2Ohio County: 9.1 %Ohio County9.1Pulaski County: 9.1 %Pulaski County9.1Floyd County: 9 %Floyd County9Bell County: 8.9 %Bell County8.9Knott County: 8.9 %Knott County8.9Morgan County: 8.9 %Morgan County8.9Nicholas County: 8.9 %Nicholas County8.9Warren County: 8.9 %Warren County8.9Green County: 8.8 %Green County8.8Knox County: 8.8 %Knox County8.8Letcher County: 8.8 %Letcher County8.8Monroe County: 8.8 %Monroe County8.8Bourbon County: 8.7 %Bourbon County8.7Fayette County: 8.7 %Fayette County8.7Harlan County: 8.7 %Harlan County8.7Whitley County: 8.7 %Whitley County8.7Barren County: 8.6 %Barren County8.6Caldwell County: 8.6 %Caldwell County8.6Breckinridge County: 8.5 %Breckinridge County8.5Henry County: 8.5 %Henry County8.5Todd County: 12.4 %Todd County12.4Casey County: 10.9 %Casey County10.9Garrard County: 10 %Garrard County10Estill County: 9.8 %Estill County9.8Christian County: 9.7 %Christian County9.7Clay County: 9.7 %Clay County9.7Fleming County: 9.7 %Fleming County9.7Lewis County: 9.7 %Lewis County9.7Wolfe County: 9.7 %Wolfe County9.7Butler County: 9.5 %Butler County9.5Webster County: 9.5 %Webster County9.5Hart County: 9.4 %Hart County9.4Jackson County: 9.4 %Jackson County9.4McCreary County: 9.4 %McCreary County9.4Trigg County: 9.4 %Trigg County9.4Cumberland County: 9.3 %Cumberland County9.3Magoffin County: 9.3 %Magoffin County9.3Lee County: 9.2 %Lee County9.2Lincoln County: 9.2 %Lincoln County9.2Wayne County: 9.2 %Wayne County9.2Ohio County: 9.1 %Ohio County9.1Pulaski County: 9.1 %Pulaski County9.1Floyd County: 9 %Floyd County9Bell County: 8.9 %Bell County8.9Knott County: 8.9 %Knott County8.9Morgan County: 8.9 %Morgan County8.9Nicholas County: 8.9 %Nicholas County8.9Warren County: 8.9 %Warren County8.9Green County: 8.8 %Green County8.8Knox County: 8.8 %Knox County8.8Letcher County: 8.8 %Letcher County8.8Monroe County: 8.8 %Monroe County8.8Bourbon County: 8.7 %Bourbon County8.7Fayette County: 8.7 %Fayette County8.7Harlan County: 8.7 %Harlan County8.7Whitley County: 8.7 %Whitley County8.7Barren County: 8.6 %Barren County8.6Caldwell County: 8.6 %Caldwell County8.6Breckinridge County: 8.5 %Breckinridge County8.5Henry County: 8.5 %Henry County8.5
%. 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

RankCounties2023 (%)Change on 2022
1Todd County12.4-1 pts
2Casey County10.9+0.4 pts
3Garrard County10+0.4 pts
4Estill County9.8+1 pts
5Christian County9.7+0.9 pts
5Clay County9.70 pts
5Fleming County9.7+1.1 pts
5Lewis County9.7+1.1 pts
5Wolfe County9.7+1 pts
10Butler County9.5-1 pts
10Webster County9.5-0.8 pts
12Hart County9.4+0.3 pts
12Jackson County9.4+0.9 pts
12McCreary County9.4+0.1 pts
12Trigg County9.4+0.6 pts
16Cumberland County9.3+0.7 pts
16Magoffin County9.3+0.5 pts
18Lee County9.2+1.3 pts
18Lincoln County9.2+0.4 pts
18Wayne County9.20 pts
21Ohio County9.10 pts
21Pulaski County9.1-0.3 pts
23Floyd County9+0.8 pts
24Bell County8.9+0.7 pts
24Knott County8.9+0.8 pts
24Morgan County8.9-0.9 pts
24Nicholas County8.9+0.9 pts
24Warren County8.9-1.8 pts
29Green County8.8-0.1 pts
29Knox County8.8+0.3 pts
29Letcher County8.8+0.6 pts
29Monroe County8.8-0.3 pts
33Bourbon County8.7+0.3 pts
33Fayette County8.7-0.1 pts
33Harlan County8.7+0.9 pts
33Whitley County8.7+0.6 pts
37Barren County8.6+0.2 pts
37Caldwell County8.6+1 pts
39Breckinridge County8.5+0.2 pts
39Henry County8.50 pts
41Adair County8.4-0.1 pts
41Grayson County8.4-0.1 pts
41Jessamine County8.4-0.2 pts
44Calloway County8.3+0.2 pts
44Johnson County8.3+0.7 pts
44Powell County8.3+1.3 pts
44Rockcastle County8.3+0.5 pts
48Carlisle County8.2-1.3 pts
48Crittenden County8.20 pts
48Lawrence County8.2-0.6 pts
48Lyon County8.2-1.3 pts
48Martin County8.2+0.5 pts
48Pike County8.2+0.2 pts
54Clinton County8.1-1.3 pts
54Hickman County8.1+0.1 pts
54Hopkins County8.1+0.3 pts
54Owsley County8.1+0.7 pts
58Carroll County8+0.2 pts
58Larue County8-2.3 pts
58Laurel County8-0.1 pts
61Breathitt County7.9+0.3 pts
61Carter County7.9-0.9 pts
61Elliott County7.9+1.9 pts
61Henderson County7.9+0.2 pts
61Russell County7.9-0.8 pts
61Shelby County7.9-0.1 pts
67Bath County7.8+0.7 pts
67Edmonson County7.8-1 pts
67Graves County7.8-0.3 pts
67Metcalfe County7.8+0.6 pts
67Owen County7.8-0.4 pts
72Robertson County7.7+0.5 pts
72Simpson County7.7+1.1 pts
74Gallatin County7.6+0.4 pts
74Jefferson County7.6+0.2 pts
74Madison County7.6+0.7 pts
74Menifee County7.60 pts
74Mercer County7.6+0.2 pts
74Montgomery County7.6+0.2 pts
74Muhlenberg County7.6-0.3 pts
81Hardin County7.5+0.7 pts
82Allen County7.4+0.1 pts
82Fulton County7.4-0.6 pts
82Logan County7.4-0.4 pts
82Marion County7.4+0.3 pts
82Pendleton County7.4+0.1 pts
82Perry County7.4-0.3 pts
88Greenup County7.3+0.3 pts
88Union County7.3-0.1 pts
90Bracken County7.2+0.4 pts
90Daviess County7.2+0.2 pts
90Harrison County7.2+0.2 pts
90Leslie County7.2+1 pts
90Trimble County7.2-0.2 pts
90Woodford County7.2+0.6 pts
96Mason County7.1-1 pts
97Rowan County7+0.1 pts
97Taylor County7-0.3 pts
99Grant County6.9-0.4 pts
99McLean County6.9-1 pts
101Marshall County6.8-0.2 pts
101McCracken County6.8-0.7 pts
103Boyd County6.7-0.2 pts
103Hancock County6.7+0.1 pts
105Boyle County6.6-0.3 pts
106Livingston County6.50 pts
106Meade County6.5-0.3 pts
106Washington County6.5-0.9 pts
109Franklin County6.4-0.8 pts
110Anderson County6.3-0.3 pts
111Clark County6.2+0.3 pts
112Nelson County6.10 pts
113Campbell County5.8+0.4 pts
114Ballard County5.7-1.3 pts
114Kenton County5.7-0.5 pts
114Spencer County5.7-0.1 pts
117Bullitt County5.6+0.2 pts
118Scott County5.4+0.3 pts
119Boone County5.30 pts
120Oldham County3.7-0.4 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/kentucky-counties?period=2023.
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-2023-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 12.4% in 2023, 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 3.7% in 2023.

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