Counties in New York by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Yates County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 62 counties in 2024, at 11%. Saratoga County had the lowest, at 4.2%. The median was 6.2% and the figure for New York was 7%. Source: the U.S. Census Bureau.

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Highest11Yates County
Median6.262 counties
New York7History

Map of counties, 2024

Albany County: 5.6 %Allegany County: 6.1 %Bronx County: 10 %Broome County: 6.3 %Cattaraugus County: 7.3 %Cayuga County: 6.4 %Chautauqua County: 6.9 %Chemung County: 5.3 %Chenango County: 6 %Clinton County: 6.3 %Columbia County: 6.3 %Cortland County: 5.8 %Delaware County: 6.5 %Dutchess County: 5.5 %Erie County: 5.1 %Essex County: 6.1 %Franklin County: 6.3 %Fulton County: 6.2 %Genesee County: 5.1 %Greene County: 5.7 %Hamilton County: 6.6 %Herkimer County: 6 %Jefferson County: 6.2 %Kings County: 8.1 %Lewis County: 6.9 %Livingston County: 5 %Madison County: 5.2 %Monroe County: 5.1 %Montgomery County: 6.5 %Nassau County: 5.2 %New York County: 5.8 %Niagara County: 5.5 %Oneida County: 5.9 %Onondaga County: 5.7 %Ontario County: 4.8 %Orange County: 6.6 %Orleans County: 7.2 %Oswego County: 5.7 %Otsego County: 6.8 %Putnam County: 5.1 %Queens County: 10 %Rensselaer County: 5.1 %Richmond County: 6.2 %Rockland County: 7.3 %St. Lawrence County: 6.7 %Saratoga County: 4.2 %Schenectady County: 5.7 %Schoharie County: 5.7 %Schuyler County: 6.3 %Seneca County: 7.5 %Steuben County: 6 %Suffolk County: 6.2 %Sullivan County: 7.5 %Tioga County: 5.1 %Tompkins County: 5.5 %Ulster County: 7.4 %Warren County: 5.7 %Washington County: 6.3 %Wayne County: 6.5 %Westchester County: 7 %Wyoming County: 5.4 %Yates County: 11 %
  • Under 5.2
  • 5.2 to 5.7
  • 5.7 to 6.2
  • 6.2 to 6.4
  • 6.4 to 7
  • 7 and over
%, 2024. 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, 2024

Yates County: 11 %Yates County11Bronx County: 10 %Bronx County10Queens County: 10 %Queens County10Kings County: 8.1 %Kings County8.1Seneca County: 7.5 %Seneca County7.5Sullivan County: 7.5 %Sullivan County7.5Ulster County: 7.4 %Ulster County7.4Cattaraugus County: 7.3 %Cattaraugus County7.3Rockland County: 7.3 %Rockland County7.3Orleans County: 7.2 %Orleans County7.2Westchester County: 7 %Westchester County7Chautauqua County: 6.9 %Chautauqua County6.9Lewis County: 6.9 %Lewis County6.9Otsego County: 6.8 %Otsego County6.8St. Lawrence County: 6.7 %St. Lawrence County6.7Hamilton County: 6.6 %Hamilton County6.6Orange County: 6.6 %Orange County6.6Delaware County: 6.5 %Delaware County6.5Montgomery County: 6.5 %Montgomery County6.5Wayne County: 6.5 %Wayne County6.5Cayuga County: 6.4 %Cayuga County6.4Broome County: 6.3 %Broome County6.3Clinton County: 6.3 %Clinton County6.3Columbia County: 6.3 %Columbia County6.3Franklin County: 6.3 %Franklin County6.3Schuyler County: 6.3 %Schuyler County6.3Washington County: 6.3 %Washington County6.3Fulton County: 6.2 %Fulton County6.2Jefferson County: 6.2 %Jefferson County6.2Richmond County: 6.2 %Richmond County6.2Suffolk County: 6.2 %Suffolk County6.2Allegany County: 6.1 %Allegany County6.1Essex County: 6.1 %Essex County6.1Chenango County: 6 %Chenango County6Herkimer County: 6 %Herkimer County6Steuben County: 6 %Steuben County6Oneida County: 5.9 %Oneida County5.9Cortland County: 5.8 %Cortland County5.8New York County: 5.8 %New York County5.8Greene County: 5.7 %Greene County5.7Yates County: 11 %Yates County11Bronx County: 10 %Bronx County10Queens County: 10 %Queens County10Kings County: 8.1 %Kings County8.1Seneca County: 7.5 %Seneca County7.5Sullivan County: 7.5 %Sullivan County7.5Ulster County: 7.4 %Ulster County7.4Cattaraugus County: 7.3 %Cattaraugus County7.3Rockland County: 7.3 %Rockland County7.3Orleans County: 7.2 %Orleans County7.2Westchester County: 7 %Westchester County7Chautauqua County: 6.9 %Chautauqua County6.9Lewis County: 6.9 %Lewis County6.9Otsego County: 6.8 %Otsego County6.8St. Lawrence County: 6.7 %St. Lawrence County6.7Hamilton County: 6.6 %Hamilton County6.6Orange County: 6.6 %Orange County6.6Delaware County: 6.5 %Delaware County6.5Montgomery County: 6.5 %Montgomery County6.5Wayne County: 6.5 %Wayne County6.5Cayuga County: 6.4 %Cayuga County6.4Broome County: 6.3 %Broome County6.3Clinton County: 6.3 %Clinton County6.3Columbia County: 6.3 %Columbia County6.3Franklin County: 6.3 %Franklin County6.3Schuyler County: 6.3 %Schuyler County6.3Washington County: 6.3 %Washington County6.3Fulton County: 6.2 %Fulton County6.2Jefferson County: 6.2 %Jefferson County6.2Richmond County: 6.2 %Richmond County6.2Suffolk County: 6.2 %Suffolk County6.2Allegany County: 6.1 %Allegany County6.1Essex County: 6.1 %Essex County6.1Chenango County: 6 %Chenango County6Herkimer County: 6 %Herkimer County6Steuben County: 6 %Steuben County6Oneida County: 5.9 %Oneida County5.9Cortland County: 5.8 %Cortland County5.8New York County: 5.8 %New York County5.8Greene County: 5.7 %Greene County5.7
%. 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

RankCounties2024 (%)Change on 2023
1Yates County11-0.8 pts
2Bronx County10+0.3 pts
2Queens County10-0.5 pts
4Kings County8.1+0.8 pts
5Seneca County7.5+0.1 pts
5Sullivan County7.50 pts
7Ulster County7.4-0.6 pts
8Cattaraugus County7.3+0.7 pts
8Rockland County7.3-0.4 pts
10Orleans County7.2+0.3 pts
11Westchester County7+0.6 pts
12Chautauqua County6.9+0.3 pts
12Lewis County6.9+0.6 pts
14Otsego County6.8+0.7 pts
15St. Lawrence County6.7+0.7 pts
16Hamilton County6.6-0.6 pts
16Orange County6.6-0.4 pts
18Delaware County6.50 pts
18Montgomery County6.5-0.3 pts
18Wayne County6.5+0.1 pts
21Cayuga County6.4+0.5 pts
22Broome County6.3+0.1 pts
22Clinton County6.3+0.9 pts
22Columbia County6.3+0.4 pts
22Franklin County6.3-0.1 pts
22Schuyler County6.3+0.2 pts
22Washington County6.3+0.9 pts
28Fulton County6.20 pts
28Jefferson County6.20 pts
28Richmond County6.2+0.5 pts
28Suffolk County6.2+0.1 pts
32Allegany County6.1+0.1 pts
32Essex County6.1-0.1 pts
34Chenango County60 pts
34Herkimer County6+0.6 pts
34Steuben County6+0.1 pts
37Oneida County5.9+0.1 pts
38Cortland County5.8+0.5 pts
38New York County5.8-0.1 pts
40Greene County5.7+0.2 pts
40Onondaga County5.7+0.6 pts
40Oswego County5.7-0.6 pts
40Schenectady County5.7+0.9 pts
40Schoharie County5.7-0.3 pts
40Warren County5.7+0.5 pts
46Albany County5.6+0.6 pts
47Dutchess County5.5-0.1 pts
47Niagara County5.5+0.1 pts
47Tompkins County5.5+0.3 pts
50Wyoming County5.40 pts
51Chemung County5.3-0.4 pts
52Madison County5.20 pts
52Nassau County5.20 pts
54Erie County5.1+0.3 pts
54Genesee County5.10 pts
54Monroe County5.1-0.1 pts
54Putnam County5.10 pts
54Rensselaer County5.1-0.3 pts
54Tioga County5.1+0.4 pts
60Livingston County5-0.6 pts
61Ontario County4.8-0.5 pts
62Saratoga County4.2-0.1 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-2024-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 New York by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 New York by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties. 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 New York by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties.

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 New York by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_new_york_2024,
  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 New York by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties. 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-2024-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 New York by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties.
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-2024-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)?

Yates County, with 11% in 2024, according to the U.S. Census Bureau.

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

Saratoga County, with 4.2% in 2024.

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 New York: more rankings