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

Liberty County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 56 counties in 2023, at 18.6%. Petroleum County had the lowest, at 9.7%. The median was 13.3% and the figure for Montana was 11.9%. Source: the U.S. Census Bureau.

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Highest18.6Liberty County
Median13.356 counties
Montana11.9History

Map of counties, 2023

Beaverhead County: 12 %Big Horn County: 16.9 %Blaine County: 16.5 %Broadwater County: 11.6 %Carbon County: 12.4 %Carter County: 14.3 %Cascade County: 11.3 %Chouteau County: 17 %Custer County: 12.7 %Daniels County: 9.9 %Dawson County: 10.9 %Deer Lodge County: 10.7 %Fallon County: 10.6 %Fergus County: 14.1 %Flathead County: 12.6 %Gallatin County: 9.8 %Garfield County: 17.4 %Glacier County: 16 %Golden Valley County: 14.9 %Granite County: 17.4 %Hill County: 14.6 %Jefferson County: 10.9 %Judith Basin County: 14.3 %Lake County: 15.8 %Lewis and Clark County: 10.9 %Liberty County: 18.6 %Lincoln County: 15.6 %McCone County: 12.4 %Madison County: 12.4 %Meagher County: 13.2 %Mineral County: 14 %Missoula County: 10.3 %Musselshell County: 14.9 %Park County: 9.9 %Petroleum County: 9.7 %Phillips County: 13.1 %Pondera County: 16.7 %Powder River County: 12.5 %Powell County: 12.1 %Prairie County: 17.8 %Ravalli County: 13.3 %Richland County: 11.1 %Roosevelt County: 14.2 %Rosebud County: 14.4 %Sanders County: 18.6 %Sheridan County: 13.7 %Silver Bow County: 10.6 %Stillwater County: 11.1 %Sweet Grass County: 10.8 %Teton County: 14.6 %Toole County: 16.3 %Treasure County: 13.5 %Valley County: 14.5 %Wheatland County: 18 %Wibaux County: 11.8 %Yellowstone County: 11.6 %
  • Under 11
  • 11 to 12
  • 12 to 13
  • 13 to 14
  • 14 to 16
  • 16 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.

All counties, 2023

Liberty County: 18.6 %Liberty County18.6Sanders County: 18.6 %Sanders County18.6Wheatland County: 18 %Wheatland County18Prairie County: 17.8 %Prairie County17.8Garfield County: 17.4 %Garfield County17.4Granite County: 17.4 %Granite County17.4Chouteau County: 17 %Chouteau County17Big Horn County: 16.9 %Big Horn County16.9Pondera County: 16.7 %Pondera County16.7Blaine County: 16.5 %Blaine County16.5Toole County: 16.3 %Toole County16.3Glacier County: 16 %Glacier County16Lake County: 15.8 %Lake County15.8Lincoln County: 15.6 %Lincoln County15.6Golden Valley County: 14.9 %Golden Valley County14.9Musselshell County: 14.9 %Musselshell County14.9Hill County: 14.6 %Hill County14.6Teton County: 14.6 %Teton County14.6Valley County: 14.5 %Valley County14.5Rosebud County: 14.4 %Rosebud County14.4Carter County: 14.3 %Carter County14.3Judith Basin County: 14.3 %Judith Basin County14.3Roosevelt County: 14.2 %Roosevelt County14.2Fergus County: 14.1 %Fergus County14.1Mineral County: 14 %Mineral County14Sheridan County: 13.7 %Sheridan County13.7Treasure County: 13.5 %Treasure County13.5Ravalli County: 13.3 %Ravalli County13.3Meagher County: 13.2 %Meagher County13.2Phillips County: 13.1 %Phillips County13.1Custer County: 12.7 %Custer County12.7Flathead County: 12.6 %Flathead County12.6Powder River County: 12.5 %Powder River County12.5Carbon County: 12.4 %Carbon County12.4Madison County: 12.4 %Madison County12.4McCone County: 12.4 %McCone County12.4Powell County: 12.1 %Powell County12.1Beaverhead County: 12 %Beaverhead County12Wibaux County: 11.8 %Wibaux County11.8Broadwater County: 11.6 %Broadwater County11.6Yellowstone County: 11.6 %Yellowstone County11.6Cascade County: 11.3 %Cascade County11.3Richland County: 11.1 %Richland County11.1Stillwater County: 11.1 %Stillwater County11.1Dawson County: 10.9 %Dawson County10.9Jefferson County: 10.9 %Jefferson County10.9Lewis and Clark County: 10.9 %Lewis and Clark County10.9Sweet Grass County: 10.8 %Sweet Grass County10.8Deer Lodge County: 10.7 %Deer Lodge County10.7Fallon County: 10.6 %Fallon County10.6Silver Bow County: 10.6 %Silver Bow County10.6Missoula County: 10.3 %Missoula County10.3Daniels County: 9.9 %Daniels County9.9Park County: 9.9 %Park County9.9Gallatin County: 9.8 %Gallatin County9.8Petroleum County: 9.7 %Petroleum County9.7Liberty County: 18.6 %Liberty County18.6Sanders County: 18.6 %Sanders County18.6Wheatland County: 18 %Wheatland County18Prairie County: 17.8 %Prairie County17.8Garfield County: 17.4 %Garfield County17.4Granite County: 17.4 %Granite County17.4Chouteau County: 17 %Chouteau County17Big Horn County: 16.9 %Big Horn County16.9Pondera County: 16.7 %Pondera County16.7Blaine County: 16.5 %Blaine County16.5Toole County: 16.3 %Toole County16.3Glacier County: 16 %Glacier County16Lake County: 15.8 %Lake County15.8Lincoln County: 15.6 %Lincoln County15.6Golden Valley County: 14.9 %Golden Valley County14.9Musselshell County: 14.9 %Musselshell County14.9Hill County: 14.6 %Hill County14.6Teton County: 14.6 %Teton County14.6Valley County: 14.5 %Valley County14.5Rosebud County: 14.4 %Rosebud County14.4Carter County: 14.3 %Carter County14.3Judith Basin County: 14.3 %Judith Basin County14.3Roosevelt County: 14.2 %Roosevelt County14.2Fergus County: 14.1 %Fergus County14.1Mineral County: 14 %Mineral County14Sheridan County: 13.7 %Sheridan County13.7Treasure County: 13.5 %Treasure County13.5Ravalli County: 13.3 %Ravalli County13.3Meagher County: 13.2 %Meagher County13.2Phillips County: 13.1 %Phillips County13.1Custer County: 12.7 %Custer County12.7Flathead County: 12.6 %Flathead County12.6Powder River County: 12.5 %Powder River County12.5Carbon County: 12.4 %Carbon County12.4Madison County: 12.4 %Madison County12.4McCone County: 12.4 %McCone County12.4Powell County: 12.1 %Powell County12.1Beaverhead County: 12 %Beaverhead County12Wibaux County: 11.8 %Wibaux County11.8Broadwater County: 11.6 %Broadwater County11.6Yellowstone County: 11.6 %Yellowstone County11.6Cascade County: 11.3 %Cascade County11.3Richland County: 11.1 %Richland County11.1Stillwater County: 11.1 %Stillwater County11.1Dawson County: 10.9 %Dawson County10.9Jefferson County: 10.9 %Jefferson County10.9Lewis and Clark County: 10.9 %Lewis and Clark County10.9Sweet Grass County: 10.8 %Sweet Grass County10.8Deer Lodge County: 10.7 %Deer Lodge County10.7Fallon County: 10.6 %Fallon County10.6Silver Bow County: 10.6 %Silver Bow County10.6Missoula County: 10.3 %Missoula County10.3Daniels County: 9.9 %Daniels County9.9Park County: 9.9 %Park County9.9Gallatin County: 9.8 %Gallatin County9.8Petroleum County: 9.7 %Petroleum County9.7
%. 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
1Liberty County18.6-0.2 pts
1Sanders County18.6+0.3 pts
3Wheatland County18-1.8 pts
4Prairie County17.8+0.5 pts
5Garfield County17.4+4.1 pts
5Granite County17.4+2.4 pts
7Chouteau County17+0.9 pts
8Big Horn County16.9+1.2 pts
9Pondera County16.7+0.7 pts
10Blaine County16.5+0.7 pts
11Toole County16.3+1.5 pts
12Glacier County16+0.2 pts
13Lake County15.8-2.3 pts
14Lincoln County15.6-1.3 pts
15Golden Valley County14.9+1.1 pts
15Musselshell County14.9+1.5 pts
17Hill County14.6-0.9 pts
17Teton County14.6+1.3 pts
19Valley County14.5-0.9 pts
20Rosebud County14.4+1.3 pts
21Carter County14.3+1.3 pts
21Judith Basin County14.3+1.9 pts
23Roosevelt County14.2-2.1 pts
24Fergus County14.1+1.5 pts
25Mineral County14+0.9 pts
26Sheridan County13.7+0.3 pts
27Treasure County13.5-1 pts
28Ravalli County13.3+0.1 pts
29Meagher County13.2-3.4 pts
30Phillips County13.1+0.3 pts
31Custer County12.7-0.3 pts
32Flathead County12.6-0.6 pts
33Powder River County12.5-2.7 pts
34Carbon County12.4+0.9 pts
34Madison County12.4-1.4 pts
34McCone County12.4-0.1 pts
37Powell County12.1-2.3 pts
38Beaverhead County12-1.2 pts
39Wibaux County11.8-2.1 pts
40Broadwater County11.6-1 pts
40Yellowstone County11.6+1.1 pts
42Cascade County11.3-1.2 pts
43Richland County11.1-0.4 pts
43Stillwater County11.1+1.2 pts
45Dawson County10.9+1.2 pts
45Jefferson County10.9+0.3 pts
45Lewis and Clark County10.9+0.4 pts
48Sweet Grass County10.8-0.4 pts
49Deer Lodge County10.7-1.8 pts
50Fallon County10.60 pts
50Silver Bow County10.6-0.6 pts
52Missoula County10.3+0.3 pts
53Daniels County9.9-3.6 pts
53Park County9.9-1.4 pts
55Gallatin County9.8+0.9 pts
56Petroleum County9.7+3.1 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-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 Montana 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 Montana 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/montana-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 Montana 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/montana-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 Montana 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/montana-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_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 Montana 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/montana-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 Montana 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/montana-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-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)?

Liberty County, with 18.6% in 2023, 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 9.7% 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 Montana: more rankings