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 2022, at 18.6%. Sarpy County had the lowest, at 5.6%. The median was 9.4% and the figure for Nebraska was 9.2%. Source: the U.S. Census Bureau.

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Highest18.6Colfax County
Lowest5.6Sarpy County
Median9.493 counties
Nebraska9.2History

Map of counties, 2022

Adams County: 9.6 %Antelope County: 10 %Arthur County: 8.3 %Banner County: 7.3 %Blaine County: 8.4 %Boone County: 7.2 %Box Butte County: 13.4 %Boyd County: 10.8 %Brown County: 12.1 %Buffalo County: 9.2 %Burt County: 9.6 %Butler County: 8.4 %Cass County: 6.8 %Cedar County: 8.5 %Chase County: 13.6 %Cherry County: 9.5 %Cheyenne County: 9.2 %Clay County: 10.2 %Colfax County: 18.6 %Cuming County: 13.3 %Custer County: 8.7 %Dakota County: 13.4 %Dawes County: 9.2 %Dawson County: 15.7 %Deuel County: 8.6 %Dixon County: 12.5 %Dodge County: 10.4 %Douglas County: 9.5 %Dundy County: 11.4 %Fillmore County: 7.6 %Franklin County: 8.5 %Frontier County: 9.3 %Furnas County: 10 %Gage County: 8.5 %Garden County: 9.9 %Garfield County: 7.4 %Gosper County: 10 %Grant County: 9.4 %Greeley County: 11.2 %Hall County: 12.9 %Hamilton County: 7.1 %Harlan County: 10.6 %Hayes County: 10.5 %Hitchcock County: 9.1 %Holt County: 10.8 %Hooker County: 10.8 %Howard County: 6.8 %Jefferson County: 8.7 %Johnson County: 8.1 %Kearney County: 7.8 %Keith County: 9.7 %Keya Paha County: 11.8 %Kimball County: 14.1 %Knox County: 11.2 %Lancaster County: 8.6 %Lincoln County: 8.7 %Logan County: 8.4 %Loup County: 5.8 %McPherson County: 5.9 %Madison County: 10.8 %Merrick County: 8.7 %Morrill County: 11 %Nance County: 7.8 %Nemaha County: 11.4 %Nuckolls County: 10.6 %Otoe County: 8.8 %Pawnee County: 11.4 %Perkins County: 12.7 %Phelps County: 8.7 %Pierce County: 7.1 %Platte County: 11 %Polk County: 9.3 %Red Willow County: 9.6 %Richardson County: 9.6 %Rock County: 9.1 %Saline County: 13.9 %Sarpy County: 5.6 %Saunders County: 6.3 %Scotts Bluff County: 11.7 %Seward County: 7.7 %Sheridan County: 13.4 %Sherman County: 9.4 %Sioux County: 6.9 %Stanton County: 6.9 %Thayer County: 8.7 %Thomas County: 10.3 %Thurston County: 10.5 %Valley County: 11 %Washington County: 6.2 %Wayne County: 7.6 %Webster County: 8.3 %Wheeler County: 6.9 %York County: 7.7 %
  • Under 7.6
  • 7.6 to 8.6
  • 8.6 to 9.4
  • 9.4 to 10
  • 10 to 11
  • 11 and over
%, 2022. 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, 2022

Colfax County: 18.6 %Colfax County18.6Dawson County: 15.7 %Dawson County15.7Kimball County: 14.1 %Kimball County14.1Saline County: 13.9 %Saline County13.9Chase County: 13.6 %Chase County13.6Box Butte County: 13.4 %Box Butte County13.4Dakota County: 13.4 %Dakota County13.4Sheridan County: 13.4 %Sheridan County13.4Cuming County: 13.3 %Cuming County13.3Hall County: 12.9 %Hall County12.9Perkins County: 12.7 %Perkins County12.7Dixon County: 12.5 %Dixon County12.5Brown County: 12.1 %Brown County12.1Keya Paha County: 11.8 %Keya Paha County11.8Scotts Bluff County: 11.7 %Scotts Bluff County11.7Dundy County: 11.4 %Dundy County11.4Nemaha County: 11.4 %Nemaha County11.4Pawnee County: 11.4 %Pawnee County11.4Greeley County: 11.2 %Greeley County11.2Knox County: 11.2 %Knox County11.2Morrill County: 11 %Morrill County11Platte County: 11 %Platte County11Valley County: 11 %Valley County11Boyd County: 10.8 %Boyd County10.8Holt County: 10.8 %Holt County10.8Hooker County: 10.8 %Hooker County10.8Madison County: 10.8 %Madison County10.8Harlan County: 10.6 %Harlan County10.6Nuckolls County: 10.6 %Nuckolls County10.6Hayes County: 10.5 %Hayes County10.5Thurston County: 10.5 %Thurston County10.5Dodge County: 10.4 %Dodge County10.4Thomas County: 10.3 %Thomas County10.3Clay County: 10.2 %Clay County10.2Antelope County: 10 %Antelope County10Furnas County: 10 %Furnas County10Gosper County: 10 %Gosper County10Garden County: 9.9 %Garden County9.9Keith County: 9.7 %Keith County9.7Adams County: 9.6 %Adams County9.6Colfax County: 18.6 %Colfax County18.6Dawson County: 15.7 %Dawson County15.7Kimball County: 14.1 %Kimball County14.1Saline County: 13.9 %Saline County13.9Chase County: 13.6 %Chase County13.6Box Butte County: 13.4 %Box Butte County13.4Dakota County: 13.4 %Dakota County13.4Sheridan County: 13.4 %Sheridan County13.4Cuming County: 13.3 %Cuming County13.3Hall County: 12.9 %Hall County12.9Perkins County: 12.7 %Perkins County12.7Dixon County: 12.5 %Dixon County12.5Brown County: 12.1 %Brown County12.1Keya Paha County: 11.8 %Keya Paha County11.8Scotts Bluff County: 11.7 %Scotts Bluff County11.7Dundy County: 11.4 %Dundy County11.4Nemaha County: 11.4 %Nemaha County11.4Pawnee County: 11.4 %Pawnee County11.4Greeley County: 11.2 %Greeley County11.2Knox County: 11.2 %Knox County11.2Morrill County: 11 %Morrill County11Platte County: 11 %Platte County11Valley County: 11 %Valley County11Boyd County: 10.8 %Boyd County10.8Holt County: 10.8 %Holt County10.8Hooker County: 10.8 %Hooker County10.8Madison County: 10.8 %Madison County10.8Harlan County: 10.6 %Harlan County10.6Nuckolls County: 10.6 %Nuckolls County10.6Hayes County: 10.5 %Hayes County10.5Thurston County: 10.5 %Thurston County10.5Dodge County: 10.4 %Dodge County10.4Thomas County: 10.3 %Thomas County10.3Clay County: 10.2 %Clay County10.2Antelope County: 10 %Antelope County10Furnas County: 10 %Furnas County10Gosper County: 10 %Gosper County10Garden County: 9.9 %Garden County9.9Keith County: 9.7 %Keith County9.7Adams County: 9.6 %Adams County9.6
%. 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

RankCounties2022 (%)Change on 2021
1Colfax County18.6-3.1 pts
2Dawson County15.7-0.7 pts
3Kimball County14.1-0.1 pts
4Saline County13.9-0.9 pts
5Chase County13.6-0.3 pts
6Box Butte County13.4+0.2 pts
6Dakota County13.4-3.2 pts
6Sheridan County13.4-1.2 pts
9Cuming County13.3+1.4 pts
10Hall County12.9-2.5 pts
11Perkins County12.7+0.2 pts
12Dixon County12.5+0.4 pts
13Brown County12.1+1.7 pts
14Keya Paha County11.8+0.6 pts
15Scotts Bluff County11.7-0.6 pts
16Dundy County11.4-2.6 pts
16Nemaha County11.4+1.9 pts
16Pawnee County11.4-1.5 pts
19Greeley County11.2+0.4 pts
19Knox County11.2-0.3 pts
21Morrill County11-1.9 pts
21Platte County11-0.5 pts
21Valley County110 pts
24Boyd County10.8+1.4 pts
24Holt County10.8+2.1 pts
24Hooker County10.8+0.9 pts
24Madison County10.8-1.1 pts
28Harlan County10.6-0.3 pts
28Nuckolls County10.6-0.4 pts
30Hayes County10.5-2.6 pts
30Thurston County10.5-4.9 pts
32Dodge County10.4-0.9 pts
33Thomas County10.3+1.5 pts
34Clay County10.2-1 pts
35Antelope County10-1.9 pts
35Furnas County10-1.4 pts
35Gosper County10-0.2 pts
38Garden County9.9-1.2 pts
39Keith County9.7-2.1 pts
40Adams County9.6-1.4 pts
40Burt County9.6-1.8 pts
40Red Willow County9.6+0.2 pts
40Richardson County9.6-1.3 pts
44Cherry County9.5+0.1 pts
44Douglas County9.5-1.4 pts
46Grant County9.4-0.2 pts
46Sherman County9.40 pts
48Frontier County9.3+0.3 pts
48Polk County9.3-2.8 pts
50Buffalo County9.2-0.6 pts
50Cheyenne County9.2+0.6 pts
50Dawes County9.2-2 pts
53Hitchcock County9.1-1.1 pts
53Rock County9.1-0.4 pts
55Otoe County8.8-0.2 pts
56Custer County8.7-0.6 pts
56Jefferson County8.7-1.4 pts
56Lincoln County8.7+0.3 pts
56Merrick County8.7-0.4 pts
56Phelps County8.7-0.9 pts
56Thayer County8.7-0.6 pts
62Deuel County8.6-1.2 pts
62Lancaster County8.6+0.1 pts
64Cedar County8.5-0.8 pts
64Franklin County8.5-0.2 pts
64Gage County8.5-0.6 pts
67Blaine County8.4+0.3 pts
67Butler County8.4-0.1 pts
67Logan County8.4-1.8 pts
70Arthur County8.3-1.2 pts
70Webster County8.3-0.2 pts
72Johnson County8.1-1.6 pts
73Kearney County7.8-0.2 pts
73Nance County7.8+0.2 pts
75Seward County7.7+0.5 pts
75York County7.7+0.5 pts
77Fillmore County7.6-1.5 pts
77Wayne County7.6-0.9 pts
79Garfield County7.4-0.1 pts
80Banner County7.3-0.8 pts
81Boone County7.2-1.4 pts
82Hamilton County7.1+0.3 pts
82Pierce County7.1-0.2 pts
84Sioux County6.9-2.2 pts
84Stanton County6.9-1.5 pts
84Wheeler County6.9-1.8 pts
87Cass County6.8-0.6 pts
87Howard County6.8-0.8 pts
89Saunders County6.3-1.2 pts
90Washington County6.2-0.5 pts
91McPherson County5.9-2.1 pts
92Loup County5.80 pts
93Sarpy County5.6-1.3 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2022.
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-2022-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 18.6% in 2022, according to the U.S. Census Bureau.

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

Sarpy County, with 5.6% in 2022.

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