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

Scotland County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 115 counties in 2017, at 25.5%. St. Charles County had the lowest, at 7.4%. The median was 15.5% and the figure for Missouri was 13.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest25.5Scotland County
Median15.5115 counties
Missouri13.2History

Map of counties, 2017

Adair County: 12.3 %Andrew County: 11.2 %Atchison County: 13.7 %Audrain County: 15.2 %Barry County: 20.9 %Barton County: 17.4 %Bates County: 15.4 %Benton County: 17.5 %Bollinger County: 17 %Boone County: 11.7 %Buchanan County: 14.2 %Butler County: 15.9 %Caldwell County: 14.6 %Callaway County: 12.7 %Camden County: 16.6 %Cape Girardeau County: 12.5 %Carroll County: 16.1 %Carter County: 19.7 %Cass County: 11 %Cedar County: 17.9 %Chariton County: 14.3 %Christian County: 12.5 %Clark County: 16 %Clay County: 10.6 %Clinton County: 11 %Cole County: 12.3 %Cooper County: 12.7 %Crawford County: 18.2 %Dade County: 17.6 %Dallas County: 20.2 %Daviess County: 18.5 %DeKalb County: 12.4 %Dent County: 19.7 %Douglas County: 18.5 %Dunklin County: 16.8 %Franklin County: 12.5 %Gasconade County: 14 %Gentry County: 14.4 %Greene County: 13.6 %Grundy County: 16.1 %Harrison County: 17.6 %Henry County: 15.5 %Hickory County: 19.1 %Holt County: 15.1 %Howard County: 14.6 %Howell County: 16 %Iron County: 15.4 %Jackson County: 15.3 %Jasper County: 17.5 %Jefferson County: 12.1 %Johnson County: 11.9 %Knox County: 19.7 %Laclede County: 17.2 %Lafayette County: 12.6 %Lawrence County: 16.8 %Lewis County: 13.8 %Lincoln County: 12.5 %Linn County: 15.1 %Livingston County: 14.7 %McDonald County: 24.7 %Macon County: 14.5 %Madison County: 15.2 %Maries County: 17.5 %Marion County: 12.4 %Mercer County: 17.6 %Miller County: 16.3 %Mississippi County: 16.9 %Moniteau County: 18.7 %Monroe County: 14.5 %Montgomery County: 15.5 %Morgan County: 22.3 %New Madrid County: 16.5 %Newton County: 19.3 %Nodaway County: 12.7 %Oregon County: 17.7 %Osage County: 11.6 %Ozark County: 19.9 %Pemiscot County: 15 %Perry County: 10.3 %Pettis County: 17.8 %Phelps County: 16.7 %Pike County: 14.4 %Platte County: 7.9 %Polk County: 16.4 %Pulaski County: 14.3 %Putnam County: 16.3 %Ralls County: 12.4 %Randolph County: 14.1 %Ray County: 13.6 %Reynolds County: 17.8 %Ripley County: 19.1 %St. Charles County: 7.4 %St. Clair County: 18.9 %Ste. Genevieve County: 13 %St. Francois County: 13.9 %St. Louis County: 9.8 %Saline County: 15.5 %Schuyler County: 17.4 %Scotland County: 25.5 %Scott County: 15.1 %Shannon County: 19.8 %Shelby County: 16.4 %Stoddard County: 14.7 %Stone County: 16.9 %Sullivan County: 17.9 %Taney County: 19.7 %Texas County: 19.7 %Vernon County: 15.8 %Warren County: 12.6 %Washington County: 16 %Wayne County: 18.1 %Webster County: 18.2 %Worth County: 13.9 %Wright County: 20.3 %St. Louis city: 14.8 %
  • Under 13
  • 13 to 14
  • 14 to 16
  • 16 to 17
  • 17 to 19
  • 19 and over
%, 2017. 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, 2017

Scotland County: 25.5 %Scotland County25.5McDonald County: 24.7 %McDonald County24.7Morgan County: 22.3 %Morgan County22.3Barry County: 20.9 %Barry County20.9Wright County: 20.3 %Wright County20.3Dallas County: 20.2 %Dallas County20.2Ozark County: 19.9 %Ozark County19.9Shannon County: 19.8 %Shannon County19.8Carter County: 19.7 %Carter County19.7Dent County: 19.7 %Dent County19.7Knox County: 19.7 %Knox County19.7Taney County: 19.7 %Taney County19.7Texas County: 19.7 %Texas County19.7Newton County: 19.3 %Newton County19.3Hickory County: 19.1 %Hickory County19.1Ripley County: 19.1 %Ripley County19.1St. Clair County: 18.9 %St. Clair County18.9Moniteau County: 18.7 %Moniteau County18.7Daviess County: 18.5 %Daviess County18.5Douglas County: 18.5 %Douglas County18.5Crawford County: 18.2 %Crawford County18.2Webster County: 18.2 %Webster County18.2Wayne County: 18.1 %Wayne County18.1Cedar County: 17.9 %Cedar County17.9Sullivan County: 17.9 %Sullivan County17.9Pettis County: 17.8 %Pettis County17.8Reynolds County: 17.8 %Reynolds County17.8Oregon County: 17.7 %Oregon County17.7Dade County: 17.6 %Dade County17.6Harrison County: 17.6 %Harrison County17.6Mercer County: 17.6 %Mercer County17.6Benton County: 17.5 %Benton County17.5Jasper County: 17.5 %Jasper County17.5Maries County: 17.5 %Maries County17.5Barton County: 17.4 %Barton County17.4Schuyler County: 17.4 %Schuyler County17.4Laclede County: 17.2 %Laclede County17.2Bollinger County: 17 %Bollinger County17Mississippi County: 16.9 %Mississippi County16.9Stone County: 16.9 %Stone County16.9Scotland County: 25.5 %Scotland County25.5McDonald County: 24.7 %McDonald County24.7Morgan County: 22.3 %Morgan County22.3Barry County: 20.9 %Barry County20.9Wright County: 20.3 %Wright County20.3Dallas County: 20.2 %Dallas County20.2Ozark County: 19.9 %Ozark County19.9Shannon County: 19.8 %Shannon County19.8Carter County: 19.7 %Carter County19.7Dent County: 19.7 %Dent County19.7Knox County: 19.7 %Knox County19.7Taney County: 19.7 %Taney County19.7Texas County: 19.7 %Texas County19.7Newton County: 19.3 %Newton County19.3Hickory County: 19.1 %Hickory County19.1Ripley County: 19.1 %Ripley County19.1St. Clair County: 18.9 %St. Clair County18.9Moniteau County: 18.7 %Moniteau County18.7Daviess County: 18.5 %Daviess County18.5Douglas County: 18.5 %Douglas County18.5Crawford County: 18.2 %Crawford County18.2Webster County: 18.2 %Webster County18.2Wayne County: 18.1 %Wayne County18.1Cedar County: 17.9 %Cedar County17.9Sullivan County: 17.9 %Sullivan County17.9Pettis County: 17.8 %Pettis County17.8Reynolds County: 17.8 %Reynolds County17.8Oregon County: 17.7 %Oregon County17.7Dade County: 17.6 %Dade County17.6Harrison County: 17.6 %Harrison County17.6Mercer County: 17.6 %Mercer County17.6Benton County: 17.5 %Benton County17.5Jasper County: 17.5 %Jasper County17.5Maries County: 17.5 %Maries County17.5Barton County: 17.4 %Barton County17.4Schuyler County: 17.4 %Schuyler County17.4Laclede County: 17.2 %Laclede County17.2Bollinger County: 17 %Bollinger County17Mississippi County: 16.9 %Mississippi County16.9Stone County: 16.9 %Stone County16.9
%. 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

RankCounties2017 (%)Change on 2016
1Scotland County25.5+4.4 pts
2McDonald County24.7-2.4 pts
3Morgan County22.3+1.7 pts
4Barry County20.9+1.2 pts
5Wright County20.3+0.9 pts
6Dallas County20.2+2.1 pts
7Ozark County19.9-0.8 pts
8Shannon County19.8+1.5 pts
9Carter County19.7+0.8 pts
9Dent County19.7+0.7 pts
9Knox County19.7+1.2 pts
9Taney County19.7+0.3 pts
9Texas County19.7+3 pts
14Newton County19.3+1.2 pts
15Hickory County19.1+0.7 pts
15Ripley County19.1+1.1 pts
17St. Clair County18.9+0.4 pts
18Moniteau County18.7+0.7 pts
19Daviess County18.5-0.5 pts
19Douglas County18.50 pts
21Crawford County18.2+1.2 pts
21Webster County18.2+0.9 pts
23Wayne County18.1+0.8 pts
24Cedar County17.9+0.8 pts
24Sullivan County17.9+0.4 pts
26Pettis County17.8+1.4 pts
26Reynolds County17.8+0.9 pts
28Oregon County17.7+0.6 pts
29Dade County17.6+0.6 pts
29Harrison County17.60 pts
29Mercer County17.6+1.1 pts
32Benton County17.5+1.4 pts
32Jasper County17.5+0.8 pts
32Maries County17.5+0.4 pts
35Barton County17.4-0.7 pts
35Schuyler County17.4-2.4 pts
37Laclede County17.2+0.9 pts
38Bollinger County17+0.3 pts
39Mississippi County16.9+1.3 pts
39Stone County16.9-0.6 pts
41Dunklin County16.8-1 pts
41Lawrence County16.8-0.7 pts
43Phelps County16.7+0.6 pts
44Camden County16.6-0.9 pts
45New Madrid County16.5+1.1 pts
46Polk County16.4+0.8 pts
46Shelby County16.4+1.1 pts
48Miller County16.3+0.2 pts
48Putnam County16.3+0.5 pts
50Carroll County16.1+2.1 pts
50Grundy County16.1+1.5 pts
52Clark County16+0.9 pts
52Howell County16-0.7 pts
52Washington County16-0.9 pts
55Butler County15.9-0.5 pts
56Vernon County15.8-0.3 pts
57Henry County15.5+1.4 pts
57Montgomery County15.5-0.4 pts
57Saline County15.50 pts
60Bates County15.40 pts
60Iron County15.4-0.3 pts
62Jackson County15.3+1.2 pts
63Audrain County15.2+0.8 pts
63Madison County15.2-0.8 pts
65Holt County15.1+0.3 pts
65Linn County15.1+0.9 pts
65Scott County15.1+1.2 pts
68Pemiscot County15+0.3 pts
69St. Louis city14.8-0.2 pts
70Livingston County14.7-0.9 pts
70Stoddard County14.7+0.2 pts
72Caldwell County14.6-0.1 pts
72Howard County14.6+1.2 pts
74Macon County14.5-1.2 pts
74Monroe County14.5+0.3 pts
76Gentry County14.4-0.1 pts
76Pike County14.4-1.3 pts
78Chariton County14.3+0.1 pts
78Pulaski County14.3+0.6 pts
80Buchanan County14.2+1.3 pts
81Randolph County14.1+0.5 pts
82Gasconade County14-0.3 pts
83St. Francois County13.9+0.6 pts
83Worth County13.9-0.7 pts
85Lewis County13.8-0.4 pts
86Atchison County13.7+1.1 pts
87Greene County13.60 pts
87Ray County13.6+0.9 pts
89Ste. Genevieve County130 pts
90Callaway County12.7+0.2 pts
90Cooper County12.70 pts
90Nodaway County12.7-0.2 pts
93Lafayette County12.6-0.2 pts
93Warren County12.6-1 pts
95Cape Girardeau County12.5-1.2 pts
95Christian County12.5+0.6 pts
95Franklin County12.5+0.3 pts
95Lincoln County12.5+0.9 pts
99DeKalb County12.4+0.1 pts
99Marion County12.4-0.4 pts
99Ralls County12.4+0.3 pts
102Adair County12.3-2.1 pts
102Cole County12.3+1.1 pts
104Jefferson County12.1+0.7 pts
105Johnson County11.9+0.2 pts
106Boone County11.7+0.8 pts
107Osage County11.6+0.2 pts
108Andrew County11.2-1.3 pts
109Cass County11+0.6 pts
109Clinton County11-1.4 pts
111Clay County10.6+0.8 pts
112Perry County10.3-0.6 pts
113St. Louis County9.8-0.1 pts
114Platte County7.9-0.4 pts
115St. Charles County7.4+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-2017-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 Missouri by uninsured rate, ages 18 to 64 (US model-based estimate), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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 Missouri by uninsured rate, ages 18 to 64 (US model-based estimate), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/missouri-counties?period=2017. 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 Missouri by uninsured rate, ages 18 to 64 (US model-based estimate), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/missouri-counties?period=2017.

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 Missouri by uninsured rate, ages 18 to 64 (US model-based estimate), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/missouri-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2017,
  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 Missouri by uninsured rate, ages 18 to 64 (US model-based estimate), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/missouri-counties?period=2017. 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-2017-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 Missouri by uninsured rate, ages 18 to 64 (US model-based estimate), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/missouri-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/missouri-counties?period=2017.
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-2017-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)?

Scotland County, with 25.5% in 2017, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

St. Charles County, with 7.4% in 2017.

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 Missouri: more rankings