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 2023, at 18.1%. Sarpy County had the lowest, at 5.6%. The median was 8.8% and the figure for Nebraska was 8.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest18.1Colfax County
Lowest5.6Sarpy County
Median8.893 counties
Nebraska8.8History

Map of counties, 2023

Adams County: 8.8 %Antelope County: 8.9 %Arthur County: 9.6 %Banner County: 7.2 %Blaine County: 10.1 %Boone County: 7.6 %Box Butte County: 11.4 %Boyd County: 9.3 %Brown County: 11 %Buffalo County: 9.9 %Burt County: 8.1 %Butler County: 8.4 %Cass County: 6.3 %Cedar County: 8.1 %Chase County: 11.2 %Cherry County: 8.7 %Cheyenne County: 7.9 %Clay County: 8.8 %Colfax County: 18.1 %Cuming County: 10.5 %Custer County: 9.1 %Dakota County: 13.1 %Dawes County: 8.9 %Dawson County: 13.5 %Deuel County: 8.5 %Dixon County: 11.6 %Dodge County: 9.9 %Douglas County: 9.7 %Dundy County: 8.6 %Fillmore County: 6.5 %Franklin County: 7.3 %Frontier County: 8.9 %Furnas County: 8.7 %Gage County: 7.4 %Garden County: 9.9 %Garfield County: 8.3 %Gosper County: 8.4 %Grant County: 8.3 %Greeley County: 10.7 %Hall County: 13.3 %Hamilton County: 6 %Harlan County: 10.8 %Hayes County: 10.7 %Hitchcock County: 9.6 %Holt County: 10.1 %Hooker County: 10 %Howard County: 6.6 %Jefferson County: 7.5 %Johnson County: 8.1 %Kearney County: 7.4 %Keith County: 9.9 %Keya Paha County: 12.8 %Kimball County: 11.8 %Knox County: 9.7 %Lancaster County: 7.9 %Lincoln County: 8.5 %Logan County: 7 %Loup County: 6.8 %McPherson County: 5.6 %Madison County: 8.6 %Merrick County: 8.1 %Morrill County: 9.8 %Nance County: 7.5 %Nemaha County: 9.2 %Nuckolls County: 9 %Otoe County: 7.7 %Pawnee County: 11.4 %Perkins County: 12 %Phelps County: 8.2 %Pierce County: 6.9 %Platte County: 9.5 %Polk County: 9 %Red Willow County: 9.9 %Richardson County: 8.6 %Rock County: 8.9 %Saline County: 14.5 %Sarpy County: 5.6 %Saunders County: 5.8 %Scotts Bluff County: 10.5 %Seward County: 6.5 %Sheridan County: 12.6 %Sherman County: 9.5 %Sioux County: 11 %Stanton County: 6.1 %Thayer County: 6.8 %Thomas County: 10.5 %Thurston County: 8.6 %Valley County: 10.4 %Washington County: 5.8 %Wayne County: 7.7 %Webster County: 7.9 %Wheeler County: 5.7 %York County: 6 %
  • Under 7.1
  • 7.1 to 8.1
  • 8.1 to 8.8
  • 8.8 to 9.7
  • 9.7 to 11
  • 11 and over
%, 2023. 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, 2023

Colfax County: 18.1 %Colfax County18.1Saline County: 14.5 %Saline County14.5Dawson County: 13.5 %Dawson County13.5Hall County: 13.3 %Hall County13.3Dakota County: 13.1 %Dakota County13.1Keya Paha County: 12.8 %Keya Paha County12.8Sheridan County: 12.6 %Sheridan County12.6Perkins County: 12 %Perkins County12Kimball County: 11.8 %Kimball County11.8Dixon County: 11.6 %Dixon County11.6Box Butte County: 11.4 %Box Butte County11.4Pawnee County: 11.4 %Pawnee County11.4Chase County: 11.2 %Chase County11.2Brown County: 11 %Brown County11Sioux County: 11 %Sioux County11Harlan County: 10.8 %Harlan County10.8Greeley County: 10.7 %Greeley County10.7Hayes County: 10.7 %Hayes County10.7Cuming County: 10.5 %Cuming County10.5Scotts Bluff County: 10.5 %Scotts Bluff County10.5Thomas County: 10.5 %Thomas County10.5Valley County: 10.4 %Valley County10.4Blaine County: 10.1 %Blaine County10.1Holt County: 10.1 %Holt County10.1Hooker County: 10 %Hooker County10Buffalo County: 9.9 %Buffalo County9.9Dodge County: 9.9 %Dodge County9.9Garden County: 9.9 %Garden County9.9Keith County: 9.9 %Keith County9.9Red Willow County: 9.9 %Red Willow County9.9Morrill County: 9.8 %Morrill County9.8Douglas County: 9.7 %Douglas County9.7Knox County: 9.7 %Knox County9.7Arthur County: 9.6 %Arthur County9.6Hitchcock County: 9.6 %Hitchcock County9.6Platte County: 9.5 %Platte County9.5Sherman County: 9.5 %Sherman County9.5Boyd County: 9.3 %Boyd County9.3Nemaha County: 9.2 %Nemaha County9.2Custer County: 9.1 %Custer County9.1Colfax County: 18.1 %Colfax County18.1Saline County: 14.5 %Saline County14.5Dawson County: 13.5 %Dawson County13.5Hall County: 13.3 %Hall County13.3Dakota County: 13.1 %Dakota County13.1Keya Paha County: 12.8 %Keya Paha County12.8Sheridan County: 12.6 %Sheridan County12.6Perkins County: 12 %Perkins County12Kimball County: 11.8 %Kimball County11.8Dixon County: 11.6 %Dixon County11.6Box Butte County: 11.4 %Box Butte County11.4Pawnee County: 11.4 %Pawnee County11.4Chase County: 11.2 %Chase County11.2Brown County: 11 %Brown County11Sioux County: 11 %Sioux County11Harlan County: 10.8 %Harlan County10.8Greeley County: 10.7 %Greeley County10.7Hayes County: 10.7 %Hayes County10.7Cuming County: 10.5 %Cuming County10.5Scotts Bluff County: 10.5 %Scotts Bluff County10.5Thomas County: 10.5 %Thomas County10.5Valley County: 10.4 %Valley County10.4Blaine County: 10.1 %Blaine County10.1Holt County: 10.1 %Holt County10.1Hooker County: 10 %Hooker County10Buffalo County: 9.9 %Buffalo County9.9Dodge County: 9.9 %Dodge County9.9Garden County: 9.9 %Garden County9.9Keith County: 9.9 %Keith County9.9Red Willow County: 9.9 %Red Willow County9.9Morrill County: 9.8 %Morrill County9.8Douglas County: 9.7 %Douglas County9.7Knox County: 9.7 %Knox County9.7Arthur County: 9.6 %Arthur County9.6Hitchcock County: 9.6 %Hitchcock County9.6Platte County: 9.5 %Platte County9.5Sherman County: 9.5 %Sherman County9.5Boyd County: 9.3 %Boyd County9.3Nemaha County: 9.2 %Nemaha County9.2Custer County: 9.1 %Custer County9.1
%. 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

RankCounties2023 (%)Change on 2022
1Colfax County18.1-0.5 pts
2Saline County14.5+0.6 pts
3Dawson County13.5-2.2 pts
4Hall County13.3+0.4 pts
5Dakota County13.1-0.3 pts
6Keya Paha County12.8+1 pts
7Sheridan County12.6-0.8 pts
8Perkins County12-0.7 pts
9Kimball County11.8-2.3 pts
10Dixon County11.6-0.9 pts
11Box Butte County11.4-2 pts
11Pawnee County11.40 pts
13Chase County11.2-2.4 pts
14Brown County11-1.1 pts
14Sioux County11+4.1 pts
16Harlan County10.8+0.2 pts
17Greeley County10.7-0.5 pts
17Hayes County10.7+0.2 pts
19Cuming County10.5-2.8 pts
19Scotts Bluff County10.5-1.2 pts
19Thomas County10.5+0.2 pts
22Valley County10.4-0.6 pts
23Blaine County10.1+1.7 pts
23Holt County10.1-0.7 pts
25Hooker County10-0.8 pts
26Buffalo County9.9+0.7 pts
26Dodge County9.9-0.5 pts
26Garden County9.90 pts
26Keith County9.9+0.2 pts
26Red Willow County9.9+0.3 pts
31Morrill County9.8-1.2 pts
32Douglas County9.7+0.2 pts
32Knox County9.7-1.5 pts
34Arthur County9.6+1.3 pts
34Hitchcock County9.6+0.5 pts
36Platte County9.5-1.5 pts
36Sherman County9.5+0.1 pts
38Boyd County9.3-1.5 pts
39Nemaha County9.2-2.2 pts
40Custer County9.1+0.4 pts
41Nuckolls County9-1.6 pts
41Polk County9-0.3 pts
43Antelope County8.9-1.1 pts
43Dawes County8.9-0.3 pts
43Frontier County8.9-0.4 pts
43Rock County8.9-0.2 pts
47Adams County8.8-0.8 pts
47Clay County8.8-1.4 pts
49Cherry County8.7-0.8 pts
49Furnas County8.7-1.3 pts
51Dundy County8.6-2.8 pts
51Madison County8.6-2.2 pts
51Richardson County8.6-1 pts
51Thurston County8.6-1.9 pts
55Deuel County8.5-0.1 pts
55Lincoln County8.5-0.2 pts
57Butler County8.40 pts
57Gosper County8.4-1.6 pts
59Garfield County8.3+0.9 pts
59Grant County8.3-1.1 pts
61Phelps County8.2-0.5 pts
62Burt County8.1-1.5 pts
62Cedar County8.1-0.4 pts
62Johnson County8.10 pts
62Merrick County8.1-0.6 pts
66Cheyenne County7.9-1.3 pts
66Lancaster County7.9-0.7 pts
66Webster County7.9-0.4 pts
69Otoe County7.7-1.1 pts
69Wayne County7.7+0.1 pts
71Boone County7.6+0.4 pts
72Jefferson County7.5-1.2 pts
72Nance County7.5-0.3 pts
74Gage County7.4-1.1 pts
74Kearney County7.4-0.4 pts
76Franklin County7.3-1.2 pts
77Banner County7.2-0.1 pts
78Logan County7-1.4 pts
79Pierce County6.9-0.2 pts
80Loup County6.8+1 pts
80Thayer County6.8-1.9 pts
82Howard County6.6-0.2 pts
83Fillmore County6.5-1.1 pts
83Seward County6.5-1.2 pts
85Cass County6.3-0.5 pts
86Stanton County6.1-0.8 pts
87Hamilton County6-1.1 pts
87York County6-1.7 pts
89Saunders County5.8-0.5 pts
89Washington County5.8-0.4 pts
91Wheeler County5.7-1.2 pts
92McPherson County5.6-0.3 pts
92Sarpy County5.60 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nebraska-counties?period=2023.
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-2023-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 18.1% in 2023, 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 2023.

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