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

Wheatland County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 56 counties in 2020, at 23.7%. Petroleum County had the lowest, at 7.2%. The median was 12.8% and the figure for Montana was 12.1%. Source: the U.S. Census Bureau.

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Highest23.7Wheatland County
Median12.856 counties
Montana12.1History

Map of counties, 2020

Beaverhead County: 12.4 %Big Horn County: 20.5 %Blaine County: 19 %Broadwater County: 13 %Carbon County: 11.3 %Carter County: 9.7 %Cascade County: 12.1 %Chouteau County: 15.6 %Custer County: 12.1 %Daniels County: 10.1 %Dawson County: 10.3 %Deer Lodge County: 11.1 %Fallon County: 13.4 %Fergus County: 13.6 %Flathead County: 11.8 %Gallatin County: 10.2 %Garfield County: 8.9 %Glacier County: 21.3 %Golden Valley County: 11.8 %Granite County: 13.3 %Hill County: 14.6 %Jefferson County: 10 %Judith Basin County: 11.5 %Lake County: 22 %Lewis and Clark County: 9.4 %Liberty County: 18.5 %Lincoln County: 16 %McCone County: 9.2 %Madison County: 13.6 %Meagher County: 15.8 %Mineral County: 13.8 %Missoula County: 10.7 %Musselshell County: 11.9 %Park County: 12.6 %Petroleum County: 7.2 %Phillips County: 16.2 %Pondera County: 15.7 %Powder River County: 13.6 %Powell County: 14.4 %Prairie County: 15.2 %Ravalli County: 13.8 %Richland County: 11.3 %Roosevelt County: 19.2 %Rosebud County: 16.8 %Sanders County: 16.5 %Sheridan County: 12.1 %Silver Bow County: 11.2 %Stillwater County: 8.8 %Sweet Grass County: 11.6 %Teton County: 14 %Toole County: 13 %Treasure County: 14.2 %Valley County: 12.1 %Wheatland County: 23.7 %Wibaux County: 11.7 %Yellowstone County: 10.6 %
  • Under 10
  • 10 to 12
  • 12 to 13
  • 13 to 14
  • 14 to 16
  • 16 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.

All counties, 2020

Wheatland County: 23.7 %Wheatland County23.7Lake County: 22 %Lake County22Glacier County: 21.3 %Glacier County21.3Big Horn County: 20.5 %Big Horn County20.5Roosevelt County: 19.2 %Roosevelt County19.2Blaine County: 19 %Blaine County19Liberty County: 18.5 %Liberty County18.5Rosebud County: 16.8 %Rosebud County16.8Sanders County: 16.5 %Sanders County16.5Phillips County: 16.2 %Phillips County16.2Lincoln County: 16 %Lincoln County16Meagher County: 15.8 %Meagher County15.8Pondera County: 15.7 %Pondera County15.7Chouteau County: 15.6 %Chouteau County15.6Prairie County: 15.2 %Prairie County15.2Hill County: 14.6 %Hill County14.6Powell County: 14.4 %Powell County14.4Treasure County: 14.2 %Treasure County14.2Teton County: 14 %Teton County14Mineral County: 13.8 %Mineral County13.8Ravalli County: 13.8 %Ravalli County13.8Fergus County: 13.6 %Fergus County13.6Madison County: 13.6 %Madison County13.6Powder River County: 13.6 %Powder River County13.6Fallon County: 13.4 %Fallon County13.4Granite County: 13.3 %Granite County13.3Broadwater County: 13 %Broadwater County13Toole County: 13 %Toole County13Park County: 12.6 %Park County12.6Beaverhead County: 12.4 %Beaverhead County12.4Cascade County: 12.1 %Cascade County12.1Custer County: 12.1 %Custer County12.1Sheridan County: 12.1 %Sheridan County12.1Valley County: 12.1 %Valley County12.1Musselshell County: 11.9 %Musselshell County11.9Flathead County: 11.8 %Flathead County11.8Golden Valley County: 11.8 %Golden Valley County11.8Wibaux County: 11.7 %Wibaux County11.7Sweet Grass County: 11.6 %Sweet Grass County11.6Judith Basin County: 11.5 %Judith Basin County11.5Carbon County: 11.3 %Carbon County11.3Richland County: 11.3 %Richland County11.3Silver Bow County: 11.2 %Silver Bow County11.2Deer Lodge County: 11.1 %Deer Lodge County11.1Missoula County: 10.7 %Missoula County10.7Yellowstone County: 10.6 %Yellowstone County10.6Dawson County: 10.3 %Dawson County10.3Gallatin County: 10.2 %Gallatin County10.2Daniels County: 10.1 %Daniels County10.1Jefferson County: 10 %Jefferson County10Carter County: 9.7 %Carter County9.7Lewis and Clark County: 9.4 %Lewis and Clark County9.4McCone County: 9.2 %McCone County9.2Garfield County: 8.9 %Garfield County8.9Stillwater County: 8.8 %Stillwater County8.8Petroleum County: 7.2 %Petroleum County7.2Wheatland County: 23.7 %Wheatland County23.7Lake County: 22 %Lake County22Glacier County: 21.3 %Glacier County21.3Big Horn County: 20.5 %Big Horn County20.5Roosevelt County: 19.2 %Roosevelt County19.2Blaine County: 19 %Blaine County19Liberty County: 18.5 %Liberty County18.5Rosebud County: 16.8 %Rosebud County16.8Sanders County: 16.5 %Sanders County16.5Phillips County: 16.2 %Phillips County16.2Lincoln County: 16 %Lincoln County16Meagher County: 15.8 %Meagher County15.8Pondera County: 15.7 %Pondera County15.7Chouteau County: 15.6 %Chouteau County15.6Prairie County: 15.2 %Prairie County15.2Hill County: 14.6 %Hill County14.6Powell County: 14.4 %Powell County14.4Treasure County: 14.2 %Treasure County14.2Teton County: 14 %Teton County14Mineral County: 13.8 %Mineral County13.8Ravalli County: 13.8 %Ravalli County13.8Fergus County: 13.6 %Fergus County13.6Madison County: 13.6 %Madison County13.6Powder River County: 13.6 %Powder River County13.6Fallon County: 13.4 %Fallon County13.4Granite County: 13.3 %Granite County13.3Broadwater County: 13 %Broadwater County13Toole County: 13 %Toole County13Park County: 12.6 %Park County12.6Beaverhead County: 12.4 %Beaverhead County12.4Cascade County: 12.1 %Cascade County12.1Custer County: 12.1 %Custer County12.1Sheridan County: 12.1 %Sheridan County12.1Valley County: 12.1 %Valley County12.1Musselshell County: 11.9 %Musselshell County11.9Flathead County: 11.8 %Flathead County11.8Golden Valley County: 11.8 %Golden Valley County11.8Wibaux County: 11.7 %Wibaux County11.7Sweet Grass County: 11.6 %Sweet Grass County11.6Judith Basin County: 11.5 %Judith Basin County11.5Carbon County: 11.3 %Carbon County11.3Richland County: 11.3 %Richland County11.3Silver Bow County: 11.2 %Silver Bow County11.2Deer Lodge County: 11.1 %Deer Lodge County11.1Missoula County: 10.7 %Missoula County10.7Yellowstone County: 10.6 %Yellowstone County10.6Dawson County: 10.3 %Dawson County10.3Gallatin County: 10.2 %Gallatin County10.2Daniels County: 10.1 %Daniels County10.1Jefferson County: 10 %Jefferson County10Carter County: 9.7 %Carter County9.7Lewis and Clark County: 9.4 %Lewis and Clark County9.4McCone County: 9.2 %McCone County9.2Garfield County: 8.9 %Garfield County8.9Stillwater County: 8.8 %Stillwater County8.8Petroleum County: 7.2 %Petroleum County7.2
%. 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
1Wheatland County23.7+2.2 pts
2Lake County22+3.7 pts
3Glacier County21.3-3.1 pts
4Big Horn County20.5+1.2 pts
5Roosevelt County19.2-6.1 pts
6Blaine County19+0.9 pts
7Liberty County18.5+2.1 pts
8Rosebud County16.8+1.3 pts
9Sanders County16.5-1.4 pts
10Phillips County16.2-1.8 pts
11Lincoln County16-0.2 pts
12Meagher County15.8+5.4 pts
13Pondera County15.7+1.9 pts
14Chouteau County15.60 pts
15Prairie County15.2+2.1 pts
16Hill County14.6-0.6 pts
17Powell County14.4+1.3 pts
18Treasure County14.2+3.6 pts
19Teton County14+0.8 pts
20Mineral County13.8+2 pts
20Ravalli County13.8-0.4 pts
22Fergus County13.6+0.8 pts
22Madison County13.6-0.8 pts
22Powder River County13.60 pts
25Fallon County13.4+1.5 pts
26Granite County13.3-0.9 pts
27Broadwater County13+1.3 pts
27Toole County13-2.2 pts
29Park County12.6+1.5 pts
30Beaverhead County12.4+0.7 pts
31Cascade County12.1+0.7 pts
31Custer County12.1+1.5 pts
31Sheridan County12.1-0.1 pts
31Valley County12.1+0.2 pts
35Musselshell County11.9-3.2 pts
36Flathead County11.8+0.1 pts
36Golden Valley County11.8-1.6 pts
38Wibaux County11.7-2.4 pts
39Sweet Grass County11.6+0.1 pts
40Judith Basin County11.5-1.4 pts
41Carbon County11.3-1.2 pts
41Richland County11.3-0.5 pts
43Silver Bow County11.2+0.5 pts
44Deer Lodge County11.10 pts
45Missoula County10.7+0.1 pts
46Yellowstone County10.6+0.7 pts
47Dawson County10.3+1.9 pts
48Gallatin County10.2+1.1 pts
49Daniels County10.1-1.4 pts
50Jefferson County10+0.2 pts
51Carter County9.7-3.9 pts
52Lewis and Clark County9.4+0.3 pts
53McCone County9.2-8 pts
54Garfield County8.9-7.9 pts
55Stillwater County8.8+0.2 pts
56Petroleum County7.2-1.3 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 Montana 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 Montana 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/montana-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 Montana 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/montana-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 Montana 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/montana-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_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 Montana 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/montana-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 Montana 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/montana-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-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)?

Wheatland County, with 23.7% in 2020, according to the U.S. Census Bureau.

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

Petroleum County, with 7.2% 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 Montana: more rankings