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

Glacier County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 56 counties in 2021, at 22.1%. Petroleum County had the lowest, at 7.3%. The median was 12.6% and the figure for Montana was 11.7%. Source: the U.S. Census Bureau.

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Highest22.1Glacier County
Median12.656 counties
Montana11.7History

Map of counties, 2021

Beaverhead County: 12.1 %Big Horn County: 20 %Blaine County: 18.6 %Broadwater County: 12.3 %Carbon County: 11.9 %Carter County: 11.5 %Cascade County: 12.3 %Chouteau County: 15.5 %Custer County: 11.3 %Daniels County: 10.6 %Dawson County: 10.1 %Deer Lodge County: 11.9 %Fallon County: 12.8 %Fergus County: 12 %Flathead County: 12.2 %Gallatin County: 8.8 %Garfield County: 14.2 %Glacier County: 22.1 %Golden Valley County: 13.5 %Granite County: 16.3 %Hill County: 13.8 %Jefferson County: 10.2 %Judith Basin County: 10.8 %Lake County: 18 %Lewis and Clark County: 9.5 %Liberty County: 19.7 %Lincoln County: 14.7 %McCone County: 12 %Madison County: 13.7 %Meagher County: 15.6 %Mineral County: 14.3 %Missoula County: 10 %Musselshell County: 14 %Park County: 10.4 %Petroleum County: 7.3 %Phillips County: 14.3 %Pondera County: 13.8 %Powder River County: 15.4 %Powell County: 11.4 %Prairie County: 18.4 %Ravalli County: 13.6 %Richland County: 10 %Roosevelt County: 19.6 %Rosebud County: 17.8 %Sanders County: 17.4 %Sheridan County: 11.4 %Silver Bow County: 10.3 %Stillwater County: 10.5 %Sweet Grass County: 10.7 %Teton County: 13.2 %Toole County: 13.6 %Treasure County: 14.5 %Valley County: 12 %Wheatland County: 18.3 %Wibaux County: 11.8 %Yellowstone County: 10.9 %
  • Under 11
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  • 17 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.

All counties, 2021

Glacier County: 22.1 %Glacier County22.1Big Horn County: 20 %Big Horn County20Liberty County: 19.7 %Liberty County19.7Roosevelt County: 19.6 %Roosevelt County19.6Blaine County: 18.6 %Blaine County18.6Prairie County: 18.4 %Prairie County18.4Wheatland County: 18.3 %Wheatland County18.3Lake County: 18 %Lake County18Rosebud County: 17.8 %Rosebud County17.8Sanders County: 17.4 %Sanders County17.4Granite County: 16.3 %Granite County16.3Meagher County: 15.6 %Meagher County15.6Chouteau County: 15.5 %Chouteau County15.5Powder River County: 15.4 %Powder River County15.4Lincoln County: 14.7 %Lincoln County14.7Treasure County: 14.5 %Treasure County14.5Mineral County: 14.3 %Mineral County14.3Phillips County: 14.3 %Phillips County14.3Garfield County: 14.2 %Garfield County14.2Musselshell County: 14 %Musselshell County14Hill County: 13.8 %Hill County13.8Pondera County: 13.8 %Pondera County13.8Madison County: 13.7 %Madison County13.7Ravalli County: 13.6 %Ravalli County13.6Toole County: 13.6 %Toole County13.6Golden Valley County: 13.5 %Golden Valley County13.5Teton County: 13.2 %Teton County13.2Fallon County: 12.8 %Fallon County12.8Broadwater County: 12.3 %Broadwater County12.3Cascade County: 12.3 %Cascade County12.3Flathead County: 12.2 %Flathead County12.2Beaverhead County: 12.1 %Beaverhead County12.1Fergus County: 12 %Fergus County12McCone County: 12 %McCone County12Valley County: 12 %Valley County12Carbon County: 11.9 %Carbon County11.9Deer Lodge County: 11.9 %Deer Lodge County11.9Wibaux County: 11.8 %Wibaux County11.8Carter County: 11.5 %Carter County11.5Powell County: 11.4 %Powell County11.4Sheridan County: 11.4 %Sheridan County11.4Custer County: 11.3 %Custer County11.3Yellowstone County: 10.9 %Yellowstone County10.9Judith Basin County: 10.8 %Judith Basin County10.8Sweet Grass County: 10.7 %Sweet Grass County10.7Daniels County: 10.6 %Daniels County10.6Stillwater County: 10.5 %Stillwater County10.5Park County: 10.4 %Park County10.4Silver Bow County: 10.3 %Silver Bow County10.3Jefferson County: 10.2 %Jefferson County10.2Dawson County: 10.1 %Dawson County10.1Missoula County: 10 %Missoula County10Richland County: 10 %Richland County10Lewis and Clark County: 9.5 %Lewis and Clark County9.5Gallatin County: 8.8 %Gallatin County8.8Petroleum County: 7.3 %Petroleum County7.3Glacier County: 22.1 %Glacier County22.1Big Horn County: 20 %Big Horn County20Liberty County: 19.7 %Liberty County19.7Roosevelt County: 19.6 %Roosevelt County19.6Blaine County: 18.6 %Blaine County18.6Prairie County: 18.4 %Prairie County18.4Wheatland County: 18.3 %Wheatland County18.3Lake County: 18 %Lake County18Rosebud County: 17.8 %Rosebud County17.8Sanders County: 17.4 %Sanders County17.4Granite County: 16.3 %Granite County16.3Meagher County: 15.6 %Meagher County15.6Chouteau County: 15.5 %Chouteau County15.5Powder River County: 15.4 %Powder River County15.4Lincoln County: 14.7 %Lincoln County14.7Treasure County: 14.5 %Treasure County14.5Mineral County: 14.3 %Mineral County14.3Phillips County: 14.3 %Phillips County14.3Garfield County: 14.2 %Garfield County14.2Musselshell County: 14 %Musselshell County14Hill County: 13.8 %Hill County13.8Pondera County: 13.8 %Pondera County13.8Madison County: 13.7 %Madison County13.7Ravalli County: 13.6 %Ravalli County13.6Toole County: 13.6 %Toole County13.6Golden Valley County: 13.5 %Golden Valley County13.5Teton County: 13.2 %Teton County13.2Fallon County: 12.8 %Fallon County12.8Broadwater County: 12.3 %Broadwater County12.3Cascade County: 12.3 %Cascade County12.3Flathead County: 12.2 %Flathead County12.2Beaverhead County: 12.1 %Beaverhead County12.1Fergus County: 12 %Fergus County12McCone County: 12 %McCone County12Valley County: 12 %Valley County12Carbon County: 11.9 %Carbon County11.9Deer Lodge County: 11.9 %Deer Lodge County11.9Wibaux County: 11.8 %Wibaux County11.8Carter County: 11.5 %Carter County11.5Powell County: 11.4 %Powell County11.4Sheridan County: 11.4 %Sheridan County11.4Custer County: 11.3 %Custer County11.3Yellowstone County: 10.9 %Yellowstone County10.9Judith Basin County: 10.8 %Judith Basin County10.8Sweet Grass County: 10.7 %Sweet Grass County10.7Daniels County: 10.6 %Daniels County10.6Stillwater County: 10.5 %Stillwater County10.5Park County: 10.4 %Park County10.4Silver Bow County: 10.3 %Silver Bow County10.3Jefferson County: 10.2 %Jefferson County10.2Dawson County: 10.1 %Dawson County10.1Missoula County: 10 %Missoula County10Richland County: 10 %Richland County10Lewis and Clark County: 9.5 %Lewis and Clark County9.5Gallatin County: 8.8 %Gallatin County8.8Petroleum County: 7.3 %Petroleum County7.3
%. 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
1Glacier County22.1+0.8 pts
2Big Horn County20-0.5 pts
3Liberty County19.7+1.2 pts
4Roosevelt County19.6+0.4 pts
5Blaine County18.6-0.4 pts
6Prairie County18.4+3.2 pts
7Wheatland County18.3-5.4 pts
8Lake County18-4 pts
9Rosebud County17.8+1 pts
10Sanders County17.4+0.9 pts
11Granite County16.3+3 pts
12Meagher County15.6-0.2 pts
13Chouteau County15.5-0.1 pts
14Powder River County15.4+1.8 pts
15Lincoln County14.7-1.3 pts
16Treasure County14.5+0.3 pts
17Mineral County14.3+0.5 pts
17Phillips County14.3-1.9 pts
19Garfield County14.2+5.3 pts
20Musselshell County14+2.1 pts
21Hill County13.8-0.8 pts
21Pondera County13.8-1.9 pts
23Madison County13.7+0.1 pts
24Ravalli County13.6-0.2 pts
24Toole County13.6+0.6 pts
26Golden Valley County13.5+1.7 pts
27Teton County13.2-0.8 pts
28Fallon County12.8-0.6 pts
29Broadwater County12.3-0.7 pts
29Cascade County12.3+0.2 pts
31Flathead County12.2+0.4 pts
32Beaverhead County12.1-0.3 pts
33Fergus County12-1.6 pts
33McCone County12+2.8 pts
33Valley County12-0.1 pts
36Carbon County11.9+0.6 pts
36Deer Lodge County11.9+0.8 pts
38Wibaux County11.8+0.1 pts
39Carter County11.5+1.8 pts
40Powell County11.4-3 pts
40Sheridan County11.4-0.7 pts
42Custer County11.3-0.8 pts
43Yellowstone County10.9+0.3 pts
44Judith Basin County10.8-0.7 pts
45Sweet Grass County10.7-0.9 pts
46Daniels County10.6+0.5 pts
47Stillwater County10.5+1.7 pts
48Park County10.4-2.2 pts
49Silver Bow County10.3-0.9 pts
50Jefferson County10.2+0.2 pts
51Dawson County10.1-0.2 pts
52Missoula County10-0.7 pts
52Richland County10-1.3 pts
54Lewis and Clark County9.5+0.1 pts
55Gallatin County8.8-1.4 pts
56Petroleum County7.3+0.1 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 Montana 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 Montana 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/montana-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 Montana 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/montana-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 Montana 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/montana-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_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 Montana 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/montana-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 Montana 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/montana-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-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)?

Glacier County, with 22.1% in 2021, 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 7.3% 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 Montana: more rankings