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 2021, at 21.7%. Loup County had the lowest, at 5.8%. The median was 9.7% and the figure for Nebraska was 10.1%. Source: the U.S. Census Bureau.

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Highest21.7Colfax County
Lowest5.8Loup County
Median9.793 counties
Nebraska10.1History

Map of counties, 2021

Adams County: 11 %Antelope County: 11.9 %Arthur County: 9.5 %Banner County: 8.1 %Blaine County: 8.1 %Boone County: 8.6 %Box Butte County: 13.2 %Boyd County: 9.4 %Brown County: 10.4 %Buffalo County: 9.8 %Burt County: 11.4 %Butler County: 8.5 %Cass County: 7.4 %Cedar County: 9.3 %Chase County: 13.9 %Cherry County: 9.4 %Cheyenne County: 8.6 %Clay County: 11.2 %Colfax County: 21.7 %Cuming County: 11.9 %Custer County: 9.3 %Dakota County: 16.6 %Dawes County: 11.2 %Dawson County: 16.4 %Deuel County: 9.8 %Dixon County: 12.1 %Dodge County: 11.3 %Douglas County: 10.9 %Dundy County: 14 %Fillmore County: 9.1 %Franklin County: 8.7 %Frontier County: 9 %Furnas County: 11.4 %Gage County: 9.1 %Garden County: 11.1 %Garfield County: 7.5 %Gosper County: 10.2 %Grant County: 9.6 %Greeley County: 10.8 %Hall County: 15.4 %Hamilton County: 6.8 %Harlan County: 10.9 %Hayes County: 13.1 %Hitchcock County: 10.2 %Holt County: 8.7 %Hooker County: 9.9 %Howard County: 7.6 %Jefferson County: 10.1 %Johnson County: 9.7 %Kearney County: 8 %Keith County: 11.8 %Keya Paha County: 11.2 %Kimball County: 14.2 %Knox County: 11.5 %Lancaster County: 8.5 %Lincoln County: 8.4 %Logan County: 10.2 %Loup County: 5.8 %McPherson County: 8 %Madison County: 11.9 %Merrick County: 9.1 %Morrill County: 12.9 %Nance County: 7.6 %Nemaha County: 9.5 %Nuckolls County: 11 %Otoe County: 9 %Pawnee County: 12.9 %Perkins County: 12.5 %Phelps County: 9.6 %Pierce County: 7.3 %Platte County: 11.5 %Polk County: 12.1 %Red Willow County: 9.4 %Richardson County: 10.9 %Rock County: 9.5 %Saline County: 14.8 %Sarpy County: 6.9 %Saunders County: 7.5 %Scotts Bluff County: 12.3 %Seward County: 7.2 %Sheridan County: 14.6 %Sherman County: 9.4 %Sioux County: 9.1 %Stanton County: 8.4 %Thayer County: 9.3 %Thomas County: 8.8 %Thurston County: 15.4 %Valley County: 11 %Washington County: 6.7 %Wayne County: 8.5 %Webster County: 8.5 %Wheeler County: 8.7 %York County: 7.2 %
  • Under 8.2
  • 8.2 to 9.1
  • 9.1 to 9.7
  • 9.7 to 11
  • 11 to 12
  • 12 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.

Top 40 counties, 2021

Colfax County: 21.7 %Colfax County21.7Dakota County: 16.6 %Dakota County16.6Dawson County: 16.4 %Dawson County16.4Hall County: 15.4 %Hall County15.4Thurston County: 15.4 %Thurston County15.4Saline County: 14.8 %Saline County14.8Sheridan County: 14.6 %Sheridan County14.6Kimball County: 14.2 %Kimball County14.2Dundy County: 14 %Dundy County14Chase County: 13.9 %Chase County13.9Box Butte County: 13.2 %Box Butte County13.2Hayes County: 13.1 %Hayes County13.1Morrill County: 12.9 %Morrill County12.9Pawnee County: 12.9 %Pawnee County12.9Perkins County: 12.5 %Perkins County12.5Scotts Bluff County: 12.3 %Scotts Bluff County12.3Dixon County: 12.1 %Dixon County12.1Polk County: 12.1 %Polk County12.1Antelope County: 11.9 %Antelope County11.9Cuming County: 11.9 %Cuming County11.9Madison County: 11.9 %Madison County11.9Keith County: 11.8 %Keith County11.8Knox County: 11.5 %Knox County11.5Platte County: 11.5 %Platte County11.5Burt County: 11.4 %Burt County11.4Furnas County: 11.4 %Furnas County11.4Dodge County: 11.3 %Dodge County11.3Clay County: 11.2 %Clay County11.2Dawes County: 11.2 %Dawes County11.2Keya Paha County: 11.2 %Keya Paha County11.2Garden County: 11.1 %Garden County11.1Adams County: 11 %Adams County11Nuckolls County: 11 %Nuckolls County11Valley County: 11 %Valley County11Douglas County: 10.9 %Douglas County10.9Harlan County: 10.9 %Harlan County10.9Richardson County: 10.9 %Richardson County10.9Greeley County: 10.8 %Greeley County10.8Brown County: 10.4 %Brown County10.4Gosper County: 10.2 %Gosper County10.2Colfax County: 21.7 %Colfax County21.7Dakota County: 16.6 %Dakota County16.6Dawson County: 16.4 %Dawson County16.4Hall County: 15.4 %Hall County15.4Thurston County: 15.4 %Thurston County15.4Saline County: 14.8 %Saline County14.8Sheridan County: 14.6 %Sheridan County14.6Kimball County: 14.2 %Kimball County14.2Dundy County: 14 %Dundy County14Chase County: 13.9 %Chase County13.9Box Butte County: 13.2 %Box Butte County13.2Hayes County: 13.1 %Hayes County13.1Morrill County: 12.9 %Morrill County12.9Pawnee County: 12.9 %Pawnee County12.9Perkins County: 12.5 %Perkins County12.5Scotts Bluff County: 12.3 %Scotts Bluff County12.3Dixon County: 12.1 %Dixon County12.1Polk County: 12.1 %Polk County12.1Antelope County: 11.9 %Antelope County11.9Cuming County: 11.9 %Cuming County11.9Madison County: 11.9 %Madison County11.9Keith County: 11.8 %Keith County11.8Knox County: 11.5 %Knox County11.5Platte County: 11.5 %Platte County11.5Burt County: 11.4 %Burt County11.4Furnas County: 11.4 %Furnas County11.4Dodge County: 11.3 %Dodge County11.3Clay County: 11.2 %Clay County11.2Dawes County: 11.2 %Dawes County11.2Keya Paha County: 11.2 %Keya Paha County11.2Garden County: 11.1 %Garden County11.1Adams County: 11 %Adams County11Nuckolls County: 11 %Nuckolls County11Valley County: 11 %Valley County11Douglas County: 10.9 %Douglas County10.9Harlan County: 10.9 %Harlan County10.9Richardson County: 10.9 %Richardson County10.9Greeley County: 10.8 %Greeley County10.8Brown County: 10.4 %Brown County10.4Gosper County: 10.2 %Gosper County10.2
%. 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
1Colfax County21.7-1.2 pts
2Dakota County16.6-2.5 pts
3Dawson County16.4-3.6 pts
4Hall County15.4-2.6 pts
4Thurston County15.4-5.1 pts
6Saline County14.8-0.9 pts
7Sheridan County14.6-1.4 pts
8Kimball County14.2-0.9 pts
9Dundy County14-3.6 pts
10Chase County13.9-1.9 pts
11Box Butte County13.2-2.1 pts
12Hayes County13.10 pts
13Morrill County12.9-2.4 pts
13Pawnee County12.9+1 pts
15Perkins County12.5-1.3 pts
16Scotts Bluff County12.3-3.8 pts
17Dixon County12.1-2.9 pts
17Polk County12.1-1.4 pts
19Antelope County11.9-0.8 pts
19Cuming County11.9-2.9 pts
19Madison County11.9-2.2 pts
22Keith County11.8-0.4 pts
23Knox County11.5-2.7 pts
23Platte County11.5-1.7 pts
25Burt County11.4-2.9 pts
25Furnas County11.4-2.5 pts
27Dodge County11.3-1.8 pts
28Clay County11.2-1.8 pts
28Dawes County11.2-0.8 pts
28Keya Paha County11.2+1.1 pts
31Garden County11.1-0.3 pts
32Adams County11-1.3 pts
32Nuckolls County11-0.1 pts
32Valley County11-2.1 pts
35Douglas County10.9-0.2 pts
35Harlan County10.9-1.4 pts
35Richardson County10.9-3.7 pts
38Greeley County10.8-0.3 pts
39Brown County10.4-0.8 pts
40Gosper County10.2-2.5 pts
40Hitchcock County10.2-1.3 pts
40Logan County10.2-1.1 pts
43Jefferson County10.1-1.5 pts
44Hooker County9.9-5.5 pts
45Buffalo County9.8-1.7 pts
45Deuel County9.8-3.1 pts
47Johnson County9.7-2.4 pts
48Grant County9.6-1.8 pts
48Phelps County9.6-1.1 pts
50Arthur County9.5+2 pts
50Nemaha County9.5-1.4 pts
50Rock County9.5+0.2 pts
53Boyd County9.4-1.9 pts
53Cherry County9.4-3.1 pts
53Red Willow County9.4-2.3 pts
53Sherman County9.4-0.5 pts
57Cedar County9.3-2 pts
57Custer County9.3-2.2 pts
57Thayer County9.3-1.5 pts
60Fillmore County9.1-1 pts
60Gage County9.1-1.9 pts
60Merrick County9.1-2.1 pts
60Sioux County9.1+0.6 pts
64Frontier County9-0.5 pts
64Otoe County9-1.2 pts
66Thomas County8.8-3.5 pts
67Franklin County8.7-1.1 pts
67Holt County8.7-1.9 pts
67Wheeler County8.7-0.5 pts
70Boone County8.6-0.2 pts
70Cheyenne County8.6-1.2 pts
72Butler County8.5-0.9 pts
72Lancaster County8.5-1.9 pts
72Wayne County8.5-1.4 pts
72Webster County8.5-1.6 pts
76Lincoln County8.4-3 pts
76Stanton County8.4-1.4 pts
78Banner County8.1+1 pts
78Blaine County8.1+0.1 pts
80Kearney County8-1.3 pts
80McPherson County8-0.9 pts
82Howard County7.6-1.1 pts
82Nance County7.6-1.8 pts
84Garfield County7.5-0.6 pts
84Saunders County7.5-1.9 pts
86Cass County7.4-1.6 pts
87Pierce County7.3-1 pts
88Seward County7.2-1.4 pts
88York County7.2-2.7 pts
90Sarpy County6.9-0.5 pts
91Hamilton County6.8-2.8 pts
92Washington County6.7-1.5 pts
93Loup County5.8-2.1 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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2021 (Accessed: 12 October 2026).

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

Colfax County, with 21.7% in 2021, according to the U.S. Census Bureau.

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

Loup County, with 5.8% 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 Nebraska: more rankings