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

Big Horn County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 56 counties in 2017, at 25.3%. Lewis and Clark County had the lowest, at 8.9%. The median was 13% and the figure for Montana was 12.1%. Source: the U.S. Census Bureau.

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Highest25.3Big Horn County
Median1356 counties
Montana12.1History

Map of counties, 2017

Beaverhead County: 13 %Big Horn County: 25.3 %Blaine County: 21.5 %Broadwater County: 12.2 %Carbon County: 12.4 %Carter County: 13 %Cascade County: 12.2 %Chouteau County: 16.5 %Custer County: 10.4 %Daniels County: 10.8 %Dawson County: 9.2 %Deer Lodge County: 11.4 %Fallon County: 10 %Fergus County: 13.2 %Flathead County: 12.1 %Gallatin County: 9.5 %Garfield County: 13.8 %Glacier County: 25.1 %Golden Valley County: 14.7 %Granite County: 14.4 %Hill County: 15.7 %Jefferson County: 9.3 %Judith Basin County: 12.1 %Lake County: 18.6 %Lewis and Clark County: 8.9 %Liberty County: 18.8 %Lincoln County: 14.8 %McCone County: 15.2 %Madison County: 14.7 %Meagher County: 12.5 %Mineral County: 12 %Missoula County: 10 %Musselshell County: 13.9 %Park County: 11.3 %Petroleum County: 11.3 %Phillips County: 15.9 %Pondera County: 16 %Powder River County: 14.8 %Powell County: 12.2 %Prairie County: 12.4 %Ravalli County: 14.6 %Richland County: 11.9 %Roosevelt County: 25 %Rosebud County: 16.4 %Sanders County: 17.3 %Sheridan County: 11.7 %Silver Bow County: 11.2 %Stillwater County: 9.2 %Sweet Grass County: 10.5 %Teton County: 13.6 %Toole County: 15.3 %Treasure County: 15 %Valley County: 14.2 %Wheatland County: 19.9 %Wibaux County: 12.5 %Yellowstone County: 10.8 %
  • Under 11
  • 11 to 12
  • 12 to 13
  • 13 to 15
  • 15 to 16
  • 16 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.

All counties, 2017

Big Horn County: 25.3 %Big Horn County25.3Glacier County: 25.1 %Glacier County25.1Roosevelt County: 25 %Roosevelt County25Blaine County: 21.5 %Blaine County21.5Wheatland County: 19.9 %Wheatland County19.9Liberty County: 18.8 %Liberty County18.8Lake County: 18.6 %Lake County18.6Sanders County: 17.3 %Sanders County17.3Chouteau County: 16.5 %Chouteau County16.5Rosebud County: 16.4 %Rosebud County16.4Pondera County: 16 %Pondera County16Phillips County: 15.9 %Phillips County15.9Hill County: 15.7 %Hill County15.7Toole County: 15.3 %Toole County15.3McCone County: 15.2 %McCone County15.2Treasure County: 15 %Treasure County15Lincoln County: 14.8 %Lincoln County14.8Powder River County: 14.8 %Powder River County14.8Golden Valley County: 14.7 %Golden Valley County14.7Madison County: 14.7 %Madison County14.7Ravalli County: 14.6 %Ravalli County14.6Granite County: 14.4 %Granite County14.4Valley County: 14.2 %Valley County14.2Musselshell County: 13.9 %Musselshell County13.9Garfield County: 13.8 %Garfield County13.8Teton County: 13.6 %Teton County13.6Fergus County: 13.2 %Fergus County13.2Beaverhead County: 13 %Beaverhead County13Carter County: 13 %Carter County13Meagher County: 12.5 %Meagher County12.5Wibaux County: 12.5 %Wibaux County12.5Carbon County: 12.4 %Carbon County12.4Prairie County: 12.4 %Prairie County12.4Broadwater County: 12.2 %Broadwater County12.2Cascade County: 12.2 %Cascade County12.2Powell County: 12.2 %Powell County12.2Flathead County: 12.1 %Flathead County12.1Judith Basin County: 12.1 %Judith Basin County12.1Mineral County: 12 %Mineral County12Richland County: 11.9 %Richland County11.9Sheridan County: 11.7 %Sheridan County11.7Deer Lodge County: 11.4 %Deer Lodge County11.4Park County: 11.3 %Park County11.3Petroleum County: 11.3 %Petroleum County11.3Silver Bow County: 11.2 %Silver Bow County11.2Daniels County: 10.8 %Daniels County10.8Yellowstone County: 10.8 %Yellowstone County10.8Sweet Grass County: 10.5 %Sweet Grass County10.5Custer County: 10.4 %Custer County10.4Fallon County: 10 %Fallon County10Missoula County: 10 %Missoula County10Gallatin County: 9.5 %Gallatin County9.5Jefferson County: 9.3 %Jefferson County9.3Dawson County: 9.2 %Dawson County9.2Stillwater County: 9.2 %Stillwater County9.2Lewis and Clark County: 8.9 %Lewis and Clark County8.9Big Horn County: 25.3 %Big Horn County25.3Glacier County: 25.1 %Glacier County25.1Roosevelt County: 25 %Roosevelt County25Blaine County: 21.5 %Blaine County21.5Wheatland County: 19.9 %Wheatland County19.9Liberty County: 18.8 %Liberty County18.8Lake County: 18.6 %Lake County18.6Sanders County: 17.3 %Sanders County17.3Chouteau County: 16.5 %Chouteau County16.5Rosebud County: 16.4 %Rosebud County16.4Pondera County: 16 %Pondera County16Phillips County: 15.9 %Phillips County15.9Hill County: 15.7 %Hill County15.7Toole County: 15.3 %Toole County15.3McCone County: 15.2 %McCone County15.2Treasure County: 15 %Treasure County15Lincoln County: 14.8 %Lincoln County14.8Powder River County: 14.8 %Powder River County14.8Golden Valley County: 14.7 %Golden Valley County14.7Madison County: 14.7 %Madison County14.7Ravalli County: 14.6 %Ravalli County14.6Granite County: 14.4 %Granite County14.4Valley County: 14.2 %Valley County14.2Musselshell County: 13.9 %Musselshell County13.9Garfield County: 13.8 %Garfield County13.8Teton County: 13.6 %Teton County13.6Fergus County: 13.2 %Fergus County13.2Beaverhead County: 13 %Beaverhead County13Carter County: 13 %Carter County13Meagher County: 12.5 %Meagher County12.5Wibaux County: 12.5 %Wibaux County12.5Carbon County: 12.4 %Carbon County12.4Prairie County: 12.4 %Prairie County12.4Broadwater County: 12.2 %Broadwater County12.2Cascade County: 12.2 %Cascade County12.2Powell County: 12.2 %Powell County12.2Flathead County: 12.1 %Flathead County12.1Judith Basin County: 12.1 %Judith Basin County12.1Mineral County: 12 %Mineral County12Richland County: 11.9 %Richland County11.9Sheridan County: 11.7 %Sheridan County11.7Deer Lodge County: 11.4 %Deer Lodge County11.4Park County: 11.3 %Park County11.3Petroleum County: 11.3 %Petroleum County11.3Silver Bow County: 11.2 %Silver Bow County11.2Daniels County: 10.8 %Daniels County10.8Yellowstone County: 10.8 %Yellowstone County10.8Sweet Grass County: 10.5 %Sweet Grass County10.5Custer County: 10.4 %Custer County10.4Fallon County: 10 %Fallon County10Missoula County: 10 %Missoula County10Gallatin County: 9.5 %Gallatin County9.5Jefferson County: 9.3 %Jefferson County9.3Dawson County: 9.2 %Dawson County9.2Stillwater County: 9.2 %Stillwater County9.2Lewis and Clark County: 8.9 %Lewis and Clark 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

RankCounties2017 (%)Change on 2016
1Big Horn County25.3+0.4 pts
2Glacier County25.1-2.5 pts
3Roosevelt County25+1.4 pts
4Blaine County21.5+0.5 pts
5Wheatland County19.9+2.2 pts
6Liberty County18.8+2.9 pts
7Lake County18.6-0.3 pts
8Sanders County17.3-0.2 pts
9Chouteau County16.5-1.9 pts
10Rosebud County16.4+0.6 pts
11Pondera County16+0.4 pts
12Phillips County15.9-0.6 pts
13Hill County15.7+0.1 pts
14Toole County15.3+1.6 pts
15McCone County15.2+0.4 pts
16Treasure County150 pts
17Lincoln County14.8+0.1 pts
17Powder River County14.8+2.8 pts
19Golden Valley County14.7+3 pts
19Madison County14.7+2.4 pts
21Ravalli County14.6+1.1 pts
22Granite County14.4+0.5 pts
23Valley County14.2-0.8 pts
24Musselshell County13.9+0.3 pts
25Garfield County13.8+3.1 pts
26Teton County13.6+0.6 pts
27Fergus County13.2+2.4 pts
28Beaverhead County13+0.7 pts
28Carter County13-1.5 pts
30Meagher County12.5-0.3 pts
30Wibaux County12.5+0.6 pts
32Carbon County12.4+0.9 pts
32Prairie County12.4+0.4 pts
34Broadwater County12.2-0.1 pts
34Cascade County12.2-0.4 pts
34Powell County12.2+0.3 pts
37Flathead County12.1+0.7 pts
37Judith Basin County12.1+0.7 pts
39Mineral County12-1.1 pts
40Richland County11.9+2.2 pts
41Sheridan County11.7+0.5 pts
42Deer Lodge County11.4+0.9 pts
43Park County11.3-0.3 pts
43Petroleum County11.3-4 pts
45Silver Bow County11.2+0.3 pts
46Daniels County10.8-0.5 pts
46Yellowstone County10.8+0.5 pts
48Sweet Grass County10.5-0.2 pts
49Custer County10.4+0.5 pts
50Fallon County10+2.6 pts
50Missoula County10-1.2 pts
52Gallatin County9.5+0.9 pts
53Jefferson County9.3-0.5 pts
54Dawson County9.2+0.1 pts
54Stillwater County9.2+0.5 pts
56Lewis and Clark County8.9-0.2 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 Montana 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 Montana 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/montana-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 Montana 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/montana-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 Montana 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/montana-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_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 Montana 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/montana-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 Montana 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/montana-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-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)?

Big Horn County, with 25.3% in 2017, according to the U.S. Census Bureau.

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

Lewis and Clark County, with 8.9% 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 Montana: more rankings