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

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

Esmeralda County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 17 counties in 2020, at 19.3%. Eureka County had the lowest, at 7.8%. The median was 15.5% and the figure for Nevada was 16.1%. Source: the U.S. Census Bureau.

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Highest19.3Esmeralda County
Lowest7.8Eureka County
Median15.517 counties
Nevada16.1History

Map of counties, 2020

Churchill County: 17 %Clark County: 16.2 %Douglas County: 12.9 %Elko County: 16.2 %Esmeralda County: 19.3 %Eureka County: 7.8 %Humboldt County: 19.1 %Lander County: 16.5 %Lincoln County: 13.6 %Lyon County: 17.7 %Mineral County: 13.5 %Nye County: 15 %Pershing County: 15 %Storey County: 12.2 %Washoe County: 15.5 %White Pine County: 14.1 %Carson City: 18.6 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 18
  • 18 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.

All counties, 2020

Esmeralda County: 19.3 %Esmeralda County19.3Humboldt County: 19.1 %Humboldt County19.1Carson City: 18.6 %Carson City18.6Lyon County: 17.7 %Lyon County17.7Churchill County: 17 %Churchill County17Lander County: 16.5 %Lander County16.5Clark County: 16.2 %Clark County16.2Elko County: 16.2 %Elko County16.2Washoe County: 15.5 %Washoe County15.5Nye County: 15 %Nye County15Pershing County: 15 %Pershing County15White Pine County: 14.1 %White Pine County14.1Lincoln County: 13.6 %Lincoln County13.6Mineral County: 13.5 %Mineral County13.5Douglas County: 12.9 %Douglas County12.9Storey County: 12.2 %Storey County12.2Eureka County: 7.8 %Eureka County7.8Esmeralda County: 19.3 %Esmeralda County19.3Humboldt County: 19.1 %Humboldt County19.1Carson City: 18.6 %Carson City18.6Lyon County: 17.7 %Lyon County17.7Churchill County: 17 %Churchill County17Lander County: 16.5 %Lander County16.5Clark County: 16.2 %Clark County16.2Elko County: 16.2 %Elko County16.2Washoe County: 15.5 %Washoe County15.5Nye County: 15 %Nye County15Pershing County: 15 %Pershing County15White Pine County: 14.1 %White Pine County14.1Lincoln County: 13.6 %Lincoln County13.6Mineral County: 13.5 %Mineral County13.5Douglas County: 12.9 %Douglas County12.9Storey County: 12.2 %Storey County12.2Eureka County: 7.8 %Eureka County7.8
%. 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
1Esmeralda County19.3+0.7 pts
2Humboldt County19.1+2.3 pts
3Carson City18.6+1.7 pts
4Lyon County17.7+2.9 pts
5Churchill County17+1.9 pts
6Lander County16.5+2.6 pts
7Clark County16.2+0.1 pts
7Elko County16.2+1.9 pts
9Washoe County15.5+1.4 pts
10Nye County15+0.4 pts
10Pershing County15-0.1 pts
12White Pine County14.1+2.5 pts
13Lincoln County13.6+1 pts
14Mineral County13.5-0.5 pts
15Douglas County12.9+1 pts
16Storey County12.2+2.9 pts
17Eureka County7.8+1.2 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 Nevada 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 Nevada 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/nevada-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 Nevada 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/nevada-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 Nevada 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/nevada-counties?period=2020 (Accessed: 12 October 2026).

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

Esmeralda County, with 19.3% in 2020, according to the U.S. Census Bureau.

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

Eureka County, with 7.8% 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 Nevada: more rankings