Counties in Nebraska by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Colfax County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 93 counties in 2024, at 18.3%. Wheeler County had the lowest, at 5.9%. The median was 9% and the figure for Nebraska was 9.4%. Source: the U.S. Census Bureau.

Highest18.3Colfax County
Median993 counties
Nebraska9.4History

Top 40 counties, 2024

Colfax County: 18.3 %Colfax County18.3Dawson County: 15.3 %Dawson County15.3Saline County: 14.4 %Saline County14.4Brown County: 14.3 %Brown County14.3Hall County: 14 %Hall County14Dakota County: 13.9 %Dakota County13.9Chase County: 13.2 %Chase County13.2Dixon County: 13.1 %Dixon County13.1Keya Paha County: 12.8 %Keya Paha County12.8Kimball County: 12.5 %Kimball County12.5Pawnee County: 12.4 %Pawnee County12.4Cuming County: 12.2 %Cuming County12.2Perkins County: 12.1 %Perkins County12.1Holt County: 12 %Holt County12Sioux County: 11.8 %Sioux County11.8Harlan County: 11.6 %Harlan County11.6Sheridan County: 11.4 %Sheridan County11.4Greeley County: 11.3 %Greeley County11.3Box Butte County: 11.2 %Box Butte County11.2Morrill County: 11.2 %Morrill County11.2Platte County: 11.2 %Platte County11.2Custer County: 11.1 %Custer County11.1Valley County: 11 %Valley County11Banner County: 10.9 %Banner County10.9Knox County: 10.9 %Knox County10.9Frontier County: 10.7 %Frontier County10.7Scotts Bluff County: 10.7 %Scotts Bluff County10.7Sherman County: 10.6 %Sherman County10.6Dodge County: 10.5 %Dodge County10.5Antelope County: 10.4 %Antelope County10.4Nemaha County: 10.4 %Nemaha County10.4Douglas County: 10.3 %Douglas County10.3Garden County: 10.1 %Garden County10.1Deuel County: 9.9 %Deuel County9.9Hayes County: 9.9 %Hayes County9.9Keith County: 9.9 %Keith County9.9Rock County: 9.9 %Rock County9.9Adams County: 9.8 %Adams County9.8Furnas County: 9.8 %Furnas County9.8Madison County: 9.7 %Madison 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

RankCounties2024 (%)Change on 2023
1Colfax County18.3+0.2 pts
2Dawson County15.3+1.8 pts
3Saline County14.4-0.1 pts
4Brown County14.3+3.3 pts
5Hall County14+0.7 pts
6Dakota County13.9+0.8 pts
7Chase County13.2+2 pts
8Dixon County13.1+1.5 pts
9Keya Paha County12.80 pts
10Kimball County12.5+0.7 pts
11Pawnee County12.4+1 pts
12Cuming County12.2+1.7 pts
13Perkins County12.1+0.1 pts
14Holt County12+1.9 pts
15Sioux County11.8+0.8 pts
16Harlan County11.6+0.8 pts
17Sheridan County11.4-1.2 pts
18Greeley County11.3+0.6 pts
19Box Butte County11.2-0.2 pts
19Morrill County11.2+1.4 pts
19Platte County11.2+1.7 pts
22Custer County11.1+2 pts
23Valley County11+0.6 pts
24Banner County10.9+3.7 pts
24Knox County10.9+1.2 pts
26Frontier County10.7+1.8 pts
26Scotts Bluff County10.7+0.2 pts
28Sherman County10.6+1.1 pts
29Dodge County10.5+0.6 pts
30Antelope County10.4+1.5 pts
30Nemaha County10.4+1.2 pts
32Douglas County10.3+0.6 pts
33Garden County10.1+0.2 pts
34Deuel County9.9+1.4 pts
34Hayes County9.9-0.8 pts
34Keith County9.90 pts
34Rock County9.9+1 pts
38Adams County9.8+1 pts
38Furnas County9.8+1.1 pts
40Madison County9.7+1.1 pts
41Dundy County9.6+1 pts
42Hitchcock County9.5-0.1 pts
43Boyd County9.30 pts
43Nuckolls County9.3+0.3 pts
45York County9.1+3.1 pts
46Buffalo County9-0.9 pts
46Phelps County9+0.8 pts
48Butler County8.9+0.5 pts
48Lincoln County8.9+0.4 pts
50Polk County8.8-0.2 pts
51Lancaster County8.5+0.6 pts
51Merrick County8.5+0.4 pts
53Arthur County8.4-1.2 pts
53Burt County8.4+0.3 pts
53Cherry County8.4-0.3 pts
53Johnson County8.4+0.3 pts
53Red Willow County8.4-1.5 pts
58McPherson County8.3+2.7 pts
58Otoe County8.3+0.6 pts
60Gage County8.2+0.8 pts
61Logan County8.1+1.1 pts
61Wayne County8.1+0.4 pts
61Webster County8.1+0.2 pts
64Cedar County8-0.1 pts
64Clay County8-0.8 pts
64Dawes County8-0.9 pts
64Howard County8+1.4 pts
64Richardson County8-0.6 pts
64Thomas County8-2.5 pts
70Franklin County7.9+0.6 pts
70Gosper County7.9-0.5 pts
70Jefferson County7.9+0.4 pts
73Boone County7.8+0.2 pts
73Nance County7.8+0.3 pts
73Thurston County7.8-0.8 pts
76Cheyenne County7.7-0.2 pts
77Garfield County7.6-0.7 pts
78Pierce County7.5+0.6 pts
79Grant County7.4-0.9 pts
79Seward County7.4+0.9 pts
81Blaine County7.1-3 pts
81Cass County7.1+0.8 pts
83Hooker County7-3 pts
84Fillmore County6.9+0.4 pts
84Thayer County6.9+0.1 pts
86Hamilton County6.7+0.7 pts
87Stanton County6.5+0.4 pts
88Sarpy County6.4+0.8 pts
89Kearney County6.3-1.1 pts
90Saunders County6.2+0.4 pts
91Washington County6.1+0.3 pts
92Loup County5.9-0.9 pts
92Wheeler County5.9+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-2024-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 Nebraska by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Nebraska by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties. 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 Nebraska by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties.

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 Nebraska by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2024,
  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 Nebraska by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties. 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-2024-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 Nebraska by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties.
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-2024-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)?

Colfax County, with 18.3% in 2024, according to the U.S. Census Bureau.

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

Wheeler County, with 5.9% in 2024.

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 Nebraska: more rankings