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

Queens County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 62 counties in 2020, at 11.8%. Saratoga County had the lowest, at 4.4%. The median was 6.1% and the figure for New York was 7.3%. Source: the U.S. Census Bureau.

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Highest11.8Queens County
Median6.162 counties
New York7.3History

Map of counties, 2020

Albany County: 5.5 %Allegany County: 6.1 %Bronx County: 11.2 %Broome County: 6.2 %Cattaraugus County: 8.1 %Cayuga County: 6.7 %Chautauqua County: 7 %Chemung County: 6 %Chenango County: 5.8 %Clinton County: 6.2 %Columbia County: 6.9 %Cortland County: 5.9 %Delaware County: 6.9 %Dutchess County: 5.5 %Erie County: 5 %Essex County: 6 %Franklin County: 8 %Fulton County: 6.4 %Genesee County: 5.7 %Greene County: 6.3 %Hamilton County: 9.9 %Herkimer County: 6.8 %Jefferson County: 6.3 %Kings County: 9.4 %Lewis County: 6 %Livingston County: 5.8 %Madison County: 5.2 %Monroe County: 5.4 %Montgomery County: 6.6 %Nassau County: 4.9 %New York County: 5.3 %Niagara County: 5.4 %Oneida County: 6.2 %Onondaga County: 5.6 %Ontario County: 5.4 %Orange County: 6.8 %Orleans County: 5.8 %Oswego County: 6.1 %Otsego County: 6.2 %Putnam County: 4.9 %Queens County: 11.8 %Rensselaer County: 4.4 %Richmond County: 5.3 %Rockland County: 6.7 %St. Lawrence County: 6.3 %Saratoga County: 4.4 %Schenectady County: 5.2 %Schoharie County: 5.8 %Schuyler County: 5.5 %Seneca County: 7.1 %Steuben County: 6.8 %Suffolk County: 5.7 %Sullivan County: 7.4 %Tioga County: 5.2 %Tompkins County: 5 %Ulster County: 7.4 %Warren County: 6.1 %Washington County: 6.1 %Wayne County: 7.1 %Westchester County: 6.8 %Wyoming County: 5.6 %Yates County: 9.1 %
  • Under 5.3
  • 5.3 to 5.7
  • 5.7 to 6.1
  • 6.1 to 6.5
  • 6.5 to 7.1
  • 7.1 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.

Top 40 counties, 2020

Queens County: 11.8 %Queens County11.8Bronx County: 11.2 %Bronx County11.2Hamilton County: 9.9 %Hamilton County9.9Kings County: 9.4 %Kings County9.4Yates County: 9.1 %Yates County9.1Cattaraugus County: 8.1 %Cattaraugus County8.1Franklin County: 8 %Franklin County8Sullivan County: 7.4 %Sullivan County7.4Ulster County: 7.4 %Ulster County7.4Seneca County: 7.1 %Seneca County7.1Wayne County: 7.1 %Wayne County7.1Chautauqua County: 7 %Chautauqua County7Columbia County: 6.9 %Columbia County6.9Delaware County: 6.9 %Delaware County6.9Herkimer County: 6.8 %Herkimer County6.8Orange County: 6.8 %Orange County6.8Steuben County: 6.8 %Steuben County6.8Westchester County: 6.8 %Westchester County6.8Cayuga County: 6.7 %Cayuga County6.7Rockland County: 6.7 %Rockland County6.7Montgomery County: 6.6 %Montgomery County6.6Fulton County: 6.4 %Fulton County6.4Greene County: 6.3 %Greene County6.3Jefferson County: 6.3 %Jefferson County6.3St. Lawrence County: 6.3 %St. Lawrence County6.3Broome County: 6.2 %Broome County6.2Clinton County: 6.2 %Clinton County6.2Oneida County: 6.2 %Oneida County6.2Otsego County: 6.2 %Otsego County6.2Allegany County: 6.1 %Allegany County6.1Oswego County: 6.1 %Oswego County6.1Warren County: 6.1 %Warren County6.1Washington County: 6.1 %Washington County6.1Chemung County: 6 %Chemung County6Essex County: 6 %Essex County6Lewis County: 6 %Lewis County6Cortland County: 5.9 %Cortland County5.9Chenango County: 5.8 %Chenango County5.8Livingston County: 5.8 %Livingston County5.8Orleans County: 5.8 %Orleans County5.8Queens County: 11.8 %Queens County11.8Bronx County: 11.2 %Bronx County11.2Hamilton County: 9.9 %Hamilton County9.9Kings County: 9.4 %Kings County9.4Yates County: 9.1 %Yates County9.1Cattaraugus County: 8.1 %Cattaraugus County8.1Franklin County: 8 %Franklin County8Sullivan County: 7.4 %Sullivan County7.4Ulster County: 7.4 %Ulster County7.4Seneca County: 7.1 %Seneca County7.1Wayne County: 7.1 %Wayne County7.1Chautauqua County: 7 %Chautauqua County7Columbia County: 6.9 %Columbia County6.9Delaware County: 6.9 %Delaware County6.9Herkimer County: 6.8 %Herkimer County6.8Orange County: 6.8 %Orange County6.8Steuben County: 6.8 %Steuben County6.8Westchester County: 6.8 %Westchester County6.8Cayuga County: 6.7 %Cayuga County6.7Rockland County: 6.7 %Rockland County6.7Montgomery County: 6.6 %Montgomery County6.6Fulton County: 6.4 %Fulton County6.4Greene County: 6.3 %Greene County6.3Jefferson County: 6.3 %Jefferson County6.3St. Lawrence County: 6.3 %St. Lawrence County6.3Broome County: 6.2 %Broome County6.2Clinton County: 6.2 %Clinton County6.2Oneida County: 6.2 %Oneida County6.2Otsego County: 6.2 %Otsego County6.2Allegany County: 6.1 %Allegany County6.1Oswego County: 6.1 %Oswego County6.1Warren County: 6.1 %Warren County6.1Washington County: 6.1 %Washington County6.1Chemung County: 6 %Chemung County6Essex County: 6 %Essex County6Lewis County: 6 %Lewis County6Cortland County: 5.9 %Cortland County5.9Chenango County: 5.8 %Chenango County5.8Livingston County: 5.8 %Livingston County5.8Orleans County: 5.8 %Orleans County5.8
%. 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
1Queens County11.8-0.9 pts
2Bronx County11.2+0.2 pts
3Hamilton County9.9+1.8 pts
4Kings County9.4+0.3 pts
5Yates County9.1-0.5 pts
6Cattaraugus County8.1-0.1 pts
7Franklin County8-0.3 pts
8Sullivan County7.4-0.1 pts
8Ulster County7.4+0.5 pts
10Seneca County7.1+0.7 pts
10Wayne County7.1+2.1 pts
12Chautauqua County7+0.5 pts
13Columbia County6.9+0.5 pts
13Delaware County6.9+0.4 pts
15Herkimer County6.8+1.1 pts
15Orange County6.8+0.7 pts
15Steuben County6.8+0.6 pts
15Westchester County6.8-0.2 pts
19Cayuga County6.7+1.1 pts
19Rockland County6.7-0.6 pts
21Montgomery County6.6+0.3 pts
22Fulton County6.4+0.8 pts
23Greene County6.3+0.6 pts
23Jefferson County6.3+0.4 pts
23St. Lawrence County6.3-0.2 pts
26Broome County6.20 pts
26Clinton County6.2+0.3 pts
26Oneida County6.20 pts
26Otsego County6.2+0.3 pts
30Allegany County6.1-0.2 pts
30Oswego County6.1-0.3 pts
30Warren County6.1+1.1 pts
30Washington County6.1+0.1 pts
34Chemung County6+1 pts
34Essex County6+0.4 pts
34Lewis County60 pts
37Cortland County5.9+1 pts
38Chenango County5.8+0.3 pts
38Livingston County5.8+0.4 pts
38Orleans County5.8-1.2 pts
38Schoharie County5.8-0.1 pts
42Genesee County5.7+0.5 pts
42Suffolk County5.7-0.4 pts
44Onondaga County5.6-0.2 pts
44Wyoming County5.6+0.4 pts
46Albany County5.5+0.8 pts
46Dutchess County5.5-0.7 pts
46Schuyler County5.50 pts
49Monroe County5.4+0.3 pts
49Niagara County5.4+0.3 pts
49Ontario County5.4+0.6 pts
52New York County5.3-0.9 pts
52Richmond County5.3-0.7 pts
54Madison County5.2+0.2 pts
54Schenectady County5.2-0.6 pts
54Tioga County5.2+0.1 pts
57Erie County5+0.2 pts
57Tompkins County5-0.2 pts
59Nassau County4.9-0.7 pts
59Putnam County4.9+0.1 pts
61Rensselaer County4.4-0.6 pts
61Saratoga County4.4+0.2 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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2020 (Accessed: 12 October 2026).

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

Queens County, with 11.8% in 2020, 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 4.4% 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 New York: more rankings