Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / Counties in Nebraska

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 2020, at 22.9%. Banner County had the lowest, at 7.1%. The median was 11.4% and the figure for Nebraska was 11.4%. Source: the U.S. Census Bureau.

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Highest22.9Colfax County
Lowest7.1Banner County
Median11.493 counties
Nebraska11.4History

Map of counties, 2020

Adams County: 12.3 %Antelope County: 12.7 %Arthur County: 7.5 %Banner County: 7.1 %Blaine County: 8 %Boone County: 8.8 %Box Butte County: 15.3 %Boyd County: 11.3 %Brown County: 11.2 %Buffalo County: 11.5 %Burt County: 14.3 %Butler County: 9.4 %Cass County: 9 %Cedar County: 11.3 %Chase County: 15.8 %Cherry County: 12.5 %Cheyenne County: 9.8 %Clay County: 13 %Colfax County: 22.9 %Cuming County: 14.8 %Custer County: 11.5 %Dakota County: 19.1 %Dawes County: 12 %Dawson County: 20 %Deuel County: 12.9 %Dixon County: 15 %Dodge County: 13.1 %Douglas County: 11.1 %Dundy County: 17.6 %Fillmore County: 10.1 %Franklin County: 9.8 %Frontier County: 9.5 %Furnas County: 13.9 %Gage County: 11 %Garden County: 11.4 %Garfield County: 8.1 %Gosper County: 12.7 %Grant County: 11.4 %Greeley County: 11.1 %Hall County: 18 %Hamilton County: 9.6 %Harlan County: 12.3 %Hayes County: 13.1 %Hitchcock County: 11.5 %Holt County: 10.6 %Hooker County: 15.4 %Howard County: 8.7 %Jefferson County: 11.6 %Johnson County: 12.1 %Kearney County: 9.3 %Keith County: 12.2 %Keya Paha County: 10.1 %Kimball County: 15.1 %Knox County: 14.2 %Lancaster County: 10.4 %Lincoln County: 11.4 %Logan County: 11.3 %Loup County: 7.9 %McPherson County: 8.9 %Madison County: 14.1 %Merrick County: 11.2 %Morrill County: 15.3 %Nance County: 9.4 %Nemaha County: 10.9 %Nuckolls County: 11.1 %Otoe County: 10.2 %Pawnee County: 11.9 %Perkins County: 13.8 %Phelps County: 10.7 %Pierce County: 8.3 %Platte County: 13.2 %Polk County: 13.5 %Red Willow County: 11.7 %Richardson County: 14.6 %Rock County: 9.3 %Saline County: 15.7 %Sarpy County: 7.4 %Saunders County: 9.4 %Scotts Bluff County: 16.1 %Seward County: 8.6 %Sheridan County: 16 %Sherman County: 9.9 %Sioux County: 8.5 %Stanton County: 9.8 %Thayer County: 10.8 %Thomas County: 12.3 %Thurston County: 20.5 %Valley County: 13.1 %Washington County: 8.2 %Wayne County: 9.9 %Webster County: 10.1 %Wheeler County: 9.2 %York County: 9.9 %
  • Under 9.3
  • 9.3 to 10
  • 10 to 11
  • 11 to 13
  • 13 to 15
  • 15 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.

Top 40 counties, 2020

Colfax County: 22.9 %Colfax County22.9Thurston County: 20.5 %Thurston County20.5Dawson County: 20 %Dawson County20Dakota County: 19.1 %Dakota County19.1Hall County: 18 %Hall County18Dundy County: 17.6 %Dundy County17.6Scotts Bluff County: 16.1 %Scotts Bluff County16.1Sheridan County: 16 %Sheridan County16Chase County: 15.8 %Chase County15.8Saline County: 15.7 %Saline County15.7Hooker County: 15.4 %Hooker County15.4Box Butte County: 15.3 %Box Butte County15.3Morrill County: 15.3 %Morrill County15.3Kimball County: 15.1 %Kimball County15.1Dixon County: 15 %Dixon County15Cuming County: 14.8 %Cuming County14.8Richardson County: 14.6 %Richardson County14.6Burt County: 14.3 %Burt County14.3Knox County: 14.2 %Knox County14.2Madison County: 14.1 %Madison County14.1Furnas County: 13.9 %Furnas County13.9Perkins County: 13.8 %Perkins County13.8Polk County: 13.5 %Polk County13.5Platte County: 13.2 %Platte County13.2Dodge County: 13.1 %Dodge County13.1Hayes County: 13.1 %Hayes County13.1Valley County: 13.1 %Valley County13.1Clay County: 13 %Clay County13Deuel County: 12.9 %Deuel County12.9Antelope County: 12.7 %Antelope County12.7Gosper County: 12.7 %Gosper County12.7Cherry County: 12.5 %Cherry County12.5Adams County: 12.3 %Adams County12.3Harlan County: 12.3 %Harlan County12.3Thomas County: 12.3 %Thomas County12.3Keith County: 12.2 %Keith County12.2Johnson County: 12.1 %Johnson County12.1Dawes County: 12 %Dawes County12Pawnee County: 11.9 %Pawnee County11.9Red Willow County: 11.7 %Red Willow County11.7Colfax County: 22.9 %Colfax County22.9Thurston County: 20.5 %Thurston County20.5Dawson County: 20 %Dawson County20Dakota County: 19.1 %Dakota County19.1Hall County: 18 %Hall County18Dundy County: 17.6 %Dundy County17.6Scotts Bluff County: 16.1 %Scotts Bluff County16.1Sheridan County: 16 %Sheridan County16Chase County: 15.8 %Chase County15.8Saline County: 15.7 %Saline County15.7Hooker County: 15.4 %Hooker County15.4Box Butte County: 15.3 %Box Butte County15.3Morrill County: 15.3 %Morrill County15.3Kimball County: 15.1 %Kimball County15.1Dixon County: 15 %Dixon County15Cuming County: 14.8 %Cuming County14.8Richardson County: 14.6 %Richardson County14.6Burt County: 14.3 %Burt County14.3Knox County: 14.2 %Knox County14.2Madison County: 14.1 %Madison County14.1Furnas County: 13.9 %Furnas County13.9Perkins County: 13.8 %Perkins County13.8Polk County: 13.5 %Polk County13.5Platte County: 13.2 %Platte County13.2Dodge County: 13.1 %Dodge County13.1Hayes County: 13.1 %Hayes County13.1Valley County: 13.1 %Valley County13.1Clay County: 13 %Clay County13Deuel County: 12.9 %Deuel County12.9Antelope County: 12.7 %Antelope County12.7Gosper County: 12.7 %Gosper County12.7Cherry County: 12.5 %Cherry County12.5Adams County: 12.3 %Adams County12.3Harlan County: 12.3 %Harlan County12.3Thomas County: 12.3 %Thomas County12.3Keith County: 12.2 %Keith County12.2Johnson County: 12.1 %Johnson County12.1Dawes County: 12 %Dawes County12Pawnee County: 11.9 %Pawnee County11.9Red Willow County: 11.7 %Red Willow County11.7
%. 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

RankCounties2020 (%)Change on 2019
1Colfax County22.9+1.1 pts
2Thurston County20.5-1.1 pts
3Dawson County20+1 pts
4Dakota County19.1-0.3 pts
5Hall County18+2.1 pts
6Dundy County17.6-4.2 pts
7Scotts Bluff County16.1+2.1 pts
8Sheridan County16-3.5 pts
9Chase County15.8+0.5 pts
10Saline County15.7+0.8 pts
11Hooker County15.4+2.6 pts
12Box Butte County15.3+3 pts
12Morrill County15.30 pts
14Kimball County15.1+1.1 pts
15Dixon County15+3 pts
16Cuming County14.8+0.9 pts
17Richardson County14.6+3.1 pts
18Burt County14.3+1.3 pts
19Knox County14.2-0.5 pts
20Madison County14.1+0.9 pts
21Furnas County13.9-0.6 pts
22Perkins County13.8+0.9 pts
23Polk County13.5+1.6 pts
24Platte County13.2+1.2 pts
25Dodge County13.1+0.8 pts
25Hayes County13.1-7.8 pts
25Valley County13.1+0.2 pts
28Clay County13+0.4 pts
29Deuel County12.9+0.5 pts
30Antelope County12.7+1.2 pts
30Gosper County12.7+3.1 pts
32Cherry County12.5-6 pts
33Adams County12.3+0.8 pts
33Harlan County12.3-0.5 pts
33Thomas County12.3-3.7 pts
36Keith County12.2+0.2 pts
37Johnson County12.10 pts
38Dawes County12-0.3 pts
39Pawnee County11.9-1.5 pts
40Red Willow County11.7+0.3 pts
41Jefferson County11.6+0.6 pts
42Buffalo County11.5+0.3 pts
42Custer County11.5-1.7 pts
42Hitchcock County11.5-1.7 pts
45Garden County11.4-3.4 pts
45Grant County11.4-0.4 pts
45Lincoln County11.4+1.3 pts
48Boyd County11.3-2.3 pts
48Cedar County11.3+0.7 pts
48Logan County11.3-1.1 pts
51Brown County11.2-2.8 pts
51Merrick County11.2-0.7 pts
53Douglas County11.1-1.5 pts
53Greeley County11.1-3.4 pts
53Nuckolls County11.1-0.5 pts
56Gage County11+0.4 pts
57Nemaha County10.9+1.7 pts
58Thayer County10.8+0.3 pts
59Phelps County10.7+1.5 pts
60Holt County10.6-1.1 pts
61Lancaster County10.4+0.8 pts
62Otoe County10.2-1.1 pts
63Fillmore County10.1+0.4 pts
63Keya Paha County10.1-9.1 pts
63Webster County10.1-0.3 pts
66Sherman County9.9-3.9 pts
66Wayne County9.9+0.9 pts
66York County9.9+0.5 pts
69Cheyenne County9.8+1.1 pts
69Franklin County9.8-1.7 pts
69Stanton County9.8+0.8 pts
72Hamilton County9.6+1.4 pts
73Frontier County9.5-3 pts
74Butler County9.4-0.1 pts
74Nance County9.4-1.3 pts
74Saunders County9.4+1.3 pts
77Kearney County9.3+0.8 pts
77Rock County9.3-4.1 pts
79Wheeler County9.2-4.5 pts
80Cass County9+1.2 pts
81McPherson County8.9-4.5 pts
82Boone County8.8-1.7 pts
83Howard County8.7-1.9 pts
84Seward County8.6+0.9 pts
85Sioux County8.5-5.8 pts
86Pierce County8.3-1.3 pts
87Washington County8.2+0.6 pts
88Garfield County8.1-1.6 pts
89Blaine County8-12.6 pts
90Loup County7.9-3.2 pts
91Arthur County7.5-4.4 pts
92Sarpy County7.4+0.4 pts
93Banner County7.1+0.3 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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2020 (Accessed: 12 October 2026).

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

Colfax County, with 22.9% in 2020, 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 7.1% 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 Nebraska: more rankings