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

Colfax County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 93 counties in 2019, at 21.8%. Banner County had the lowest, at 6.8%. The median was 12.1% and the figure for Nebraska was 11.4%. Source: the U.S. Census Bureau.

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Highest21.8Colfax County
Lowest6.8Banner County
Median12.193 counties
Nebraska11.4History

Map of counties, 2019

Adams County: 11.5 %Antelope County: 11.5 %Arthur County: 11.9 %Banner County: 6.8 %Blaine County: 20.6 %Boone County: 10.5 %Box Butte County: 12.3 %Boyd County: 13.6 %Brown County: 14 %Buffalo County: 11.2 %Burt County: 13 %Butler County: 9.5 %Cass County: 7.8 %Cedar County: 10.6 %Chase County: 15.3 %Cherry County: 18.5 %Cheyenne County: 8.7 %Clay County: 12.6 %Colfax County: 21.8 %Cuming County: 13.9 %Custer County: 13.2 %Dakota County: 19.4 %Dawes County: 12.3 %Dawson County: 19 %Deuel County: 12.4 %Dixon County: 12 %Dodge County: 12.3 %Douglas County: 12.6 %Dundy County: 21.8 %Fillmore County: 9.7 %Franklin County: 11.5 %Frontier County: 12.5 %Furnas County: 14.5 %Gage County: 10.6 %Garden County: 14.8 %Garfield County: 9.7 %Gosper County: 9.6 %Grant County: 11.8 %Greeley County: 14.5 %Hall County: 15.9 %Hamilton County: 8.2 %Harlan County: 12.8 %Hayes County: 20.9 %Hitchcock County: 13.2 %Holt County: 11.7 %Hooker County: 12.8 %Howard County: 10.6 %Jefferson County: 11 %Johnson County: 12.1 %Kearney County: 8.5 %Keith County: 12 %Keya Paha County: 19.2 %Kimball County: 14 %Knox County: 14.7 %Lancaster County: 9.6 %Lincoln County: 10.1 %Logan County: 12.4 %Loup County: 11.1 %McPherson County: 13.4 %Madison County: 13.2 %Merrick County: 11.9 %Morrill County: 15.3 %Nance County: 10.7 %Nemaha County: 9.2 %Nuckolls County: 11.6 %Otoe County: 11.3 %Pawnee County: 13.4 %Perkins County: 12.9 %Phelps County: 9.2 %Pierce County: 9.6 %Platte County: 12 %Polk County: 11.9 %Red Willow County: 11.4 %Richardson County: 11.5 %Rock County: 13.4 %Saline County: 14.9 %Sarpy County: 7 %Saunders County: 8.1 %Scotts Bluff County: 14 %Seward County: 7.7 %Sheridan County: 19.5 %Sherman County: 13.8 %Sioux County: 14.3 %Stanton County: 9 %Thayer County: 10.5 %Thomas County: 16 %Thurston County: 21.6 %Valley County: 12.9 %Washington County: 7.6 %Wayne County: 9 %Webster County: 10.4 %Wheeler County: 13.7 %York County: 9.4 %
  • Under 9.6
  • 9.6 to 11
  • 11 to 12
  • 12 to 13
  • 13 to 15
  • 15 and over
%, 2019. 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.

Top 40 counties, 2019

Colfax County: 21.8 %Colfax County21.8Dundy County: 21.8 %Dundy County21.8Thurston County: 21.6 %Thurston County21.6Hayes County: 20.9 %Hayes County20.9Blaine County: 20.6 %Blaine County20.6Sheridan County: 19.5 %Sheridan County19.5Dakota County: 19.4 %Dakota County19.4Keya Paha County: 19.2 %Keya Paha County19.2Dawson County: 19 %Dawson County19Cherry County: 18.5 %Cherry County18.5Thomas County: 16 %Thomas County16Hall County: 15.9 %Hall County15.9Chase County: 15.3 %Chase County15.3Morrill County: 15.3 %Morrill County15.3Saline County: 14.9 %Saline County14.9Garden County: 14.8 %Garden County14.8Knox County: 14.7 %Knox County14.7Furnas County: 14.5 %Furnas County14.5Greeley County: 14.5 %Greeley County14.5Sioux County: 14.3 %Sioux County14.3Brown County: 14 %Brown County14Kimball County: 14 %Kimball County14Scotts Bluff County: 14 %Scotts Bluff County14Cuming County: 13.9 %Cuming County13.9Sherman County: 13.8 %Sherman County13.8Wheeler County: 13.7 %Wheeler County13.7Boyd County: 13.6 %Boyd County13.6McPherson County: 13.4 %McPherson County13.4Pawnee County: 13.4 %Pawnee County13.4Rock County: 13.4 %Rock County13.4Custer County: 13.2 %Custer County13.2Hitchcock County: 13.2 %Hitchcock County13.2Madison County: 13.2 %Madison County13.2Burt County: 13 %Burt County13Perkins County: 12.9 %Perkins County12.9Valley County: 12.9 %Valley County12.9Harlan County: 12.8 %Harlan County12.8Hooker County: 12.8 %Hooker County12.8Clay County: 12.6 %Clay County12.6Douglas County: 12.6 %Douglas County12.6Colfax County: 21.8 %Colfax County21.8Dundy County: 21.8 %Dundy County21.8Thurston County: 21.6 %Thurston County21.6Hayes County: 20.9 %Hayes County20.9Blaine County: 20.6 %Blaine County20.6Sheridan County: 19.5 %Sheridan County19.5Dakota County: 19.4 %Dakota County19.4Keya Paha County: 19.2 %Keya Paha County19.2Dawson County: 19 %Dawson County19Cherry County: 18.5 %Cherry County18.5Thomas County: 16 %Thomas County16Hall County: 15.9 %Hall County15.9Chase County: 15.3 %Chase County15.3Morrill County: 15.3 %Morrill County15.3Saline County: 14.9 %Saline County14.9Garden County: 14.8 %Garden County14.8Knox County: 14.7 %Knox County14.7Furnas County: 14.5 %Furnas County14.5Greeley County: 14.5 %Greeley County14.5Sioux County: 14.3 %Sioux County14.3Brown County: 14 %Brown County14Kimball County: 14 %Kimball County14Scotts Bluff County: 14 %Scotts Bluff County14Cuming County: 13.9 %Cuming County13.9Sherman County: 13.8 %Sherman County13.8Wheeler County: 13.7 %Wheeler County13.7Boyd County: 13.6 %Boyd County13.6McPherson County: 13.4 %McPherson County13.4Pawnee County: 13.4 %Pawnee County13.4Rock County: 13.4 %Rock County13.4Custer County: 13.2 %Custer County13.2Hitchcock County: 13.2 %Hitchcock County13.2Madison County: 13.2 %Madison County13.2Burt County: 13 %Burt County13Perkins County: 12.9 %Perkins County12.9Valley County: 12.9 %Valley County12.9Harlan County: 12.8 %Harlan County12.8Hooker County: 12.8 %Hooker County12.8Clay County: 12.6 %Clay County12.6Douglas County: 12.6 %Douglas County12.6
%. 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

RankCounties2019 (%)Change on 2018
1Colfax County21.8+1.5 pts
1Dundy County21.8+0.9 pts
3Thurston County21.6+1.5 pts
4Hayes County20.9+0.6 pts
5Blaine County20.6+8.1 pts
6Sheridan County19.5+1.5 pts
7Dakota County19.4+0.5 pts
8Keya Paha County19.2+3.7 pts
9Dawson County19+0.9 pts
10Cherry County18.5+0.9 pts
11Thomas County16+1.3 pts
12Hall County15.9+0.6 pts
13Chase County15.3-0.9 pts
13Morrill County15.3-0.9 pts
15Saline County14.9-1.1 pts
16Garden County14.8+1.2 pts
17Knox County14.70 pts
18Furnas County14.5+1.2 pts
18Greeley County14.5-0.7 pts
20Sioux County14.3+0.7 pts
21Brown County14+1.7 pts
21Kimball County14+0.7 pts
21Scotts Bluff County14+0.1 pts
24Cuming County13.9+0.5 pts
25Sherman County13.8+0.2 pts
26Wheeler County13.7-1.1 pts
27Boyd County13.6+0.7 pts
28McPherson County13.4+1.4 pts
28Pawnee County13.4-0.8 pts
28Rock County13.4+2 pts
31Custer County13.2+0.6 pts
31Hitchcock County13.2+1.2 pts
31Madison County13.2+0.4 pts
34Burt County13-0.6 pts
35Perkins County12.9-0.4 pts
35Valley County12.9+0.9 pts
37Harlan County12.8+0.9 pts
37Hooker County12.8+1.8 pts
39Clay County12.6+0.4 pts
39Douglas County12.6-0.1 pts
41Frontier County12.5-0.1 pts
42Deuel County12.4-0.9 pts
42Logan County12.4+0.1 pts
44Box Butte County12.3+1.3 pts
44Dawes County12.3+0.2 pts
44Dodge County12.3-0.2 pts
47Johnson County12.1+0.9 pts
48Dixon County12+0.2 pts
48Keith County12+0.8 pts
48Platte County12-1 pts
51Arthur County11.9-0.3 pts
51Merrick County11.9+1.4 pts
51Polk County11.9+1 pts
54Grant County11.8+2 pts
55Holt County11.7-0.7 pts
56Nuckolls County11.6+0.7 pts
57Adams County11.5+0.8 pts
57Antelope County11.5-0.8 pts
57Franklin County11.5+1.3 pts
57Richardson County11.5+0.1 pts
61Red Willow County11.4+1.4 pts
62Otoe County11.3+1.3 pts
63Buffalo County11.2+0.1 pts
64Loup County11.1+1.3 pts
65Jefferson County11+0.8 pts
66Nance County10.7+0.4 pts
67Cedar County10.6-0.4 pts
67Gage County10.6+0.4 pts
67Howard County10.6-0.1 pts
70Boone County10.5+0.4 pts
70Thayer County10.5-0.7 pts
72Webster County10.4-0.9 pts
73Lincoln County10.1+0.8 pts
74Fillmore County9.7+0.7 pts
74Garfield County9.7-1.8 pts
76Gosper County9.6+1.4 pts
76Lancaster County9.6-0.1 pts
76Pierce County9.6+0.1 pts
79Butler County9.5+0.5 pts
80York County9.4+0.8 pts
81Nemaha County9.2+0.8 pts
81Phelps County9.2-0.4 pts
83Stanton County9+0.6 pts
83Wayne County9+0.7 pts
85Cheyenne County8.7+1.1 pts
86Kearney County8.5-0.3 pts
87Hamilton County8.2-0.2 pts
88Saunders County8.1+0.3 pts
89Cass County7.80 pts
90Seward County7.7+0.2 pts
91Washington County7.6+0.6 pts
92Sarpy County7-0.6 pts
93Banner County6.8-2.8 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2019.
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-2019-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 21.8% in 2019, according to the U.S. Census Bureau.

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

Banner County, with 6.8% in 2019.

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