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 2023, at 18.5%. White Pine County had the lowest, at 8.2%. The median was 12.4% and the figure for Nevada was 14.6%. Source: the U.S. Census Bureau.

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Highest18.5Esmeralda County
Median12.417 counties
Nevada14.6History

Map of counties, 2023

Churchill County: 12.4 %Clark County: 15.4 %Douglas County: 10.3 %Elko County: 11.7 %Esmeralda County: 18.5 %Eureka County: 8.6 %Humboldt County: 12.9 %Lander County: 11 %Lincoln County: 10.3 %Lyon County: 13.2 %Mineral County: 10.2 %Nye County: 13.7 %Pershing County: 12.8 %Storey County: 8.9 %Washoe County: 12.5 %White Pine County: 8.2 %Carson City: 13.8 %
  • Under 10
  • 10 to 11
  • 11 to 13
  • 13 to 14
  • 14 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.

All counties, 2023

Esmeralda County: 18.5 %Esmeralda County18.5Clark County: 15.4 %Clark County15.4Carson City: 13.8 %Carson City13.8Nye County: 13.7 %Nye County13.7Lyon County: 13.2 %Lyon County13.2Humboldt County: 12.9 %Humboldt County12.9Pershing County: 12.8 %Pershing County12.8Washoe County: 12.5 %Washoe County12.5Churchill County: 12.4 %Churchill County12.4Elko County: 11.7 %Elko County11.7Lander County: 11 %Lander County11Douglas County: 10.3 %Douglas County10.3Lincoln County: 10.3 %Lincoln County10.3Mineral County: 10.2 %Mineral County10.2Storey County: 8.9 %Storey County8.9Eureka County: 8.6 %Eureka County8.6White Pine County: 8.2 %White Pine County8.2Esmeralda County: 18.5 %Esmeralda County18.5Clark County: 15.4 %Clark County15.4Carson City: 13.8 %Carson City13.8Nye County: 13.7 %Nye County13.7Lyon County: 13.2 %Lyon County13.2Humboldt County: 12.9 %Humboldt County12.9Pershing County: 12.8 %Pershing County12.8Washoe County: 12.5 %Washoe County12.5Churchill County: 12.4 %Churchill County12.4Elko County: 11.7 %Elko County11.7Lander County: 11 %Lander County11Douglas County: 10.3 %Douglas County10.3Lincoln County: 10.3 %Lincoln County10.3Mineral County: 10.2 %Mineral County10.2Storey County: 8.9 %Storey County8.9Eureka County: 8.6 %Eureka County8.6White Pine County: 8.2 %White Pine County8.2
%. 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

RankCounties2023 (%)Change on 2022
1Esmeralda County18.5-2.2 pts
2Clark County15.4-0.4 pts
3Carson City13.8-2.4 pts
4Nye County13.7+2 pts
5Lyon County13.2-0.8 pts
6Humboldt County12.9-1.2 pts
7Pershing County12.8+0.8 pts
8Washoe County12.5-2.2 pts
9Churchill County12.4+0.4 pts
10Elko County11.7-0.3 pts
11Lander County11-1.7 pts
12Douglas County10.3-0.4 pts
12Lincoln County10.3-2.8 pts
14Mineral County10.2-1.9 pts
15Storey County8.9-6 pts
16Eureka County8.6+0.9 pts
17White Pine County8.2-2.1 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-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 Nevada 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 Nevada 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/nevada-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 Nevada 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/nevada-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 Nevada 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/nevada-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nevada_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 Nevada 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/nevada-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 Nevada 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/nevada-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/nevada-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)?

Esmeralda County, with 18.5% in 2023, according to the U.S. Census Bureau.

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

White Pine County, with 8.2% 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 Nevada: more rankings