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 2021, at 11.7%. Saratoga County had the lowest, at 4.7%. The median was 6.2% and the figure for New York was 7.4%. Source: the U.S. Census Bureau.

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Highest11.7Queens County
Median6.262 counties
New York7.4History

Map of counties, 2021

Albany County: 5.4 %Allegany County: 5.9 %Bronx County: 10.6 %Broome County: 6.2 %Cattaraugus County: 7.7 %Cayuga County: 5.9 %Chautauqua County: 6.5 %Chemung County: 5.9 %Chenango County: 6 %Clinton County: 6.1 %Columbia County: 6.2 %Cortland County: 5.9 %Delaware County: 6.4 %Dutchess County: 5.8 %Erie County: 4.8 %Essex County: 6.8 %Franklin County: 7 %Fulton County: 6.5 %Genesee County: 6.1 %Greene County: 6.6 %Hamilton County: 8.8 %Herkimer County: 6.4 %Jefferson County: 6.2 %Kings County: 8.8 %Lewis County: 6.1 %Livingston County: 5.3 %Madison County: 4.8 %Monroe County: 5.6 %Montgomery County: 6.6 %Nassau County: 5.1 %New York County: 6 %Niagara County: 5.3 %Oneida County: 6.4 %Onondaga County: 5.7 %Ontario County: 5.1 %Orange County: 6.5 %Orleans County: 7.1 %Oswego County: 6.4 %Otsego County: 6.1 %Putnam County: 5.4 %Queens County: 11.7 %Rensselaer County: 5.3 %Richmond County: 5.9 %Rockland County: 6.7 %St. Lawrence County: 6.6 %Saratoga County: 4.7 %Schenectady County: 6 %Schoharie County: 5.7 %Schuyler County: 5.9 %Seneca County: 7.5 %Steuben County: 6.6 %Suffolk County: 6.3 %Sullivan County: 7.6 %Tioga County: 5.3 %Tompkins County: 5.6 %Ulster County: 7.3 %Warren County: 5.5 %Washington County: 6.7 %Wayne County: 6.8 %Westchester County: 7 %Wyoming County: 5.4 %Yates County: 10.7 %
  • Under 5.4
  • 5.4 to 5.9
  • 5.9 to 6.2
  • 6.2 to 6.5
  • 6.5 to 7
  • 7 and over
%, 2021. 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, 2021

Queens County: 11.7 %Queens County11.7Yates County: 10.7 %Yates County10.7Bronx County: 10.6 %Bronx County10.6Hamilton County: 8.8 %Hamilton County8.8Kings County: 8.8 %Kings County8.8Cattaraugus County: 7.7 %Cattaraugus County7.7Sullivan County: 7.6 %Sullivan County7.6Seneca County: 7.5 %Seneca County7.5Ulster County: 7.3 %Ulster County7.3Orleans County: 7.1 %Orleans County7.1Franklin County: 7 %Franklin County7Westchester County: 7 %Westchester County7Essex County: 6.8 %Essex County6.8Wayne County: 6.8 %Wayne County6.8Rockland County: 6.7 %Rockland County6.7Washington County: 6.7 %Washington County6.7Greene County: 6.6 %Greene County6.6Montgomery County: 6.6 %Montgomery County6.6St. Lawrence County: 6.6 %St. Lawrence County6.6Steuben County: 6.6 %Steuben County6.6Chautauqua County: 6.5 %Chautauqua County6.5Fulton County: 6.5 %Fulton County6.5Orange County: 6.5 %Orange County6.5Delaware County: 6.4 %Delaware County6.4Herkimer County: 6.4 %Herkimer County6.4Oneida County: 6.4 %Oneida County6.4Oswego County: 6.4 %Oswego County6.4Suffolk County: 6.3 %Suffolk County6.3Broome County: 6.2 %Broome County6.2Columbia County: 6.2 %Columbia County6.2Jefferson County: 6.2 %Jefferson County6.2Clinton County: 6.1 %Clinton County6.1Genesee County: 6.1 %Genesee County6.1Lewis County: 6.1 %Lewis County6.1Otsego County: 6.1 %Otsego County6.1Chenango County: 6 %Chenango County6New York County: 6 %New York County6Schenectady County: 6 %Schenectady County6Allegany County: 5.9 %Allegany County5.9Cayuga County: 5.9 %Cayuga County5.9Queens County: 11.7 %Queens County11.7Yates County: 10.7 %Yates County10.7Bronx County: 10.6 %Bronx County10.6Hamilton County: 8.8 %Hamilton County8.8Kings County: 8.8 %Kings County8.8Cattaraugus County: 7.7 %Cattaraugus County7.7Sullivan County: 7.6 %Sullivan County7.6Seneca County: 7.5 %Seneca County7.5Ulster County: 7.3 %Ulster County7.3Orleans County: 7.1 %Orleans County7.1Franklin County: 7 %Franklin County7Westchester County: 7 %Westchester County7Essex County: 6.8 %Essex County6.8Wayne County: 6.8 %Wayne County6.8Rockland County: 6.7 %Rockland County6.7Washington County: 6.7 %Washington County6.7Greene County: 6.6 %Greene County6.6Montgomery County: 6.6 %Montgomery County6.6St. Lawrence County: 6.6 %St. Lawrence County6.6Steuben County: 6.6 %Steuben County6.6Chautauqua County: 6.5 %Chautauqua County6.5Fulton County: 6.5 %Fulton County6.5Orange County: 6.5 %Orange County6.5Delaware County: 6.4 %Delaware County6.4Herkimer County: 6.4 %Herkimer County6.4Oneida County: 6.4 %Oneida County6.4Oswego County: 6.4 %Oswego County6.4Suffolk County: 6.3 %Suffolk County6.3Broome County: 6.2 %Broome County6.2Columbia County: 6.2 %Columbia County6.2Jefferson County: 6.2 %Jefferson County6.2Clinton County: 6.1 %Clinton County6.1Genesee County: 6.1 %Genesee County6.1Lewis County: 6.1 %Lewis County6.1Otsego County: 6.1 %Otsego County6.1Chenango County: 6 %Chenango County6New York County: 6 %New York County6Schenectady County: 6 %Schenectady County6Allegany County: 5.9 %Allegany County5.9Cayuga County: 5.9 %Cayuga County5.9
%. 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

RankCounties2021 (%)Change on 2020
1Queens County11.7-0.1 pts
2Yates County10.7+1.6 pts
3Bronx County10.6-0.6 pts
4Hamilton County8.8-1.1 pts
4Kings County8.8-0.6 pts
6Cattaraugus County7.7-0.4 pts
7Sullivan County7.6+0.2 pts
8Seneca County7.5+0.4 pts
9Ulster County7.3-0.1 pts
10Orleans County7.1+1.3 pts
11Franklin County7-1 pts
11Westchester County7+0.2 pts
13Essex County6.8+0.8 pts
13Wayne County6.8-0.3 pts
15Rockland County6.70 pts
15Washington County6.7+0.6 pts
17Greene County6.6+0.3 pts
17Montgomery County6.60 pts
17St. Lawrence County6.6+0.3 pts
17Steuben County6.6-0.2 pts
21Chautauqua County6.5-0.5 pts
21Fulton County6.5+0.1 pts
21Orange County6.5-0.3 pts
24Delaware County6.4-0.5 pts
24Herkimer County6.4-0.4 pts
24Oneida County6.4+0.2 pts
24Oswego County6.4+0.3 pts
28Suffolk County6.3+0.6 pts
29Broome County6.20 pts
29Columbia County6.2-0.7 pts
29Jefferson County6.2-0.1 pts
32Clinton County6.1-0.1 pts
32Genesee County6.1+0.4 pts
32Lewis County6.1+0.1 pts
32Otsego County6.1-0.1 pts
36Chenango County6+0.2 pts
36New York County6+0.7 pts
36Schenectady County6+0.8 pts
39Allegany County5.9-0.2 pts
39Cayuga County5.9-0.8 pts
39Chemung County5.9-0.1 pts
39Cortland County5.90 pts
39Richmond County5.9+0.6 pts
39Schuyler County5.9+0.4 pts
45Dutchess County5.8+0.3 pts
46Onondaga County5.7+0.1 pts
46Schoharie County5.7-0.1 pts
48Monroe County5.6+0.2 pts
48Tompkins County5.6+0.6 pts
50Warren County5.5-0.6 pts
51Albany County5.4-0.1 pts
51Putnam County5.4+0.5 pts
51Wyoming County5.4-0.2 pts
54Livingston County5.3-0.5 pts
54Niagara County5.3-0.1 pts
54Rensselaer County5.3+0.9 pts
54Tioga County5.3+0.1 pts
58Nassau County5.1+0.2 pts
58Ontario County5.1-0.3 pts
60Erie County4.8-0.2 pts
60Madison County4.8-0.4 pts
62Saratoga County4.7+0.3 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_new_york_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2021.
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-2021-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 11.7% in 2021, 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 4.7% in 2021.

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