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 2022, at 10.6%. Saratoga County had the lowest, at 4.3%. The median was 5.8% and the figure for New York was 6.8%. Source: the U.S. Census Bureau.

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Highest10.6Queens County
Median5.862 counties
New York6.8History

Map of counties, 2022

Albany County: 5.2 %Allegany County: 5.9 %Bronx County: 9 %Broome County: 6.2 %Cattaraugus County: 7.7 %Cayuga County: 6.9 %Chautauqua County: 6.5 %Chemung County: 5.7 %Chenango County: 5.3 %Clinton County: 5.9 %Columbia County: 6 %Cortland County: 5.3 %Delaware County: 6.6 %Dutchess County: 5.4 %Erie County: 5.1 %Essex County: 6.2 %Franklin County: 7 %Fulton County: 6.6 %Genesee County: 5.2 %Greene County: 5.6 %Hamilton County: 9.2 %Herkimer County: 5.5 %Jefferson County: 5.7 %Kings County: 8 %Lewis County: 6.1 %Livingston County: 4.9 %Madison County: 4.7 %Monroe County: 4.8 %Montgomery County: 5.7 %Nassau County: 5.3 %New York County: 5.3 %Niagara County: 5.1 %Oneida County: 5.5 %Onondaga County: 5.3 %Ontario County: 4.9 %Orange County: 6.7 %Orleans County: 6.4 %Oswego County: 5.9 %Otsego County: 5.5 %Putnam County: 5 %Queens County: 10.6 %Rensselaer County: 5 %Richmond County: 6.1 %Rockland County: 6.4 %St. Lawrence County: 6.7 %Saratoga County: 4.3 %Schenectady County: 5.4 %Schoharie County: 5.7 %Schuyler County: 6.1 %Seneca County: 6.7 %Steuben County: 5.4 %Suffolk County: 6.6 %Sullivan County: 7.1 %Tioga County: 4.9 %Tompkins County: 5.3 %Ulster County: 8.2 %Warren County: 5.6 %Washington County: 6.1 %Wayne County: 6 %Westchester County: 6.4 %Wyoming County: 5.2 %Yates County: 10.3 %
  • Under 5.2
  • 5.2 to 5.4
  • 5.4 to 5.8
  • 5.8 to 6.2
  • 6.2 to 6.7
  • 6.7 and over
%, 2022. 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, 2022

Queens County: 10.6 %Queens County10.6Yates County: 10.3 %Yates County10.3Hamilton County: 9.2 %Hamilton County9.2Bronx County: 9 %Bronx County9Ulster County: 8.2 %Ulster County8.2Kings County: 8 %Kings County8Cattaraugus County: 7.7 %Cattaraugus County7.7Sullivan County: 7.1 %Sullivan County7.1Franklin County: 7 %Franklin County7Cayuga County: 6.9 %Cayuga County6.9Orange County: 6.7 %Orange County6.7Seneca County: 6.7 %Seneca County6.7St. Lawrence County: 6.7 %St. Lawrence County6.7Delaware County: 6.6 %Delaware County6.6Fulton County: 6.6 %Fulton County6.6Suffolk County: 6.6 %Suffolk County6.6Chautauqua County: 6.5 %Chautauqua County6.5Orleans County: 6.4 %Orleans County6.4Rockland County: 6.4 %Rockland County6.4Westchester County: 6.4 %Westchester County6.4Broome County: 6.2 %Broome County6.2Essex County: 6.2 %Essex County6.2Lewis County: 6.1 %Lewis County6.1Richmond County: 6.1 %Richmond County6.1Schuyler County: 6.1 %Schuyler County6.1Washington County: 6.1 %Washington County6.1Columbia County: 6 %Columbia County6Wayne County: 6 %Wayne County6Allegany County: 5.9 %Allegany County5.9Clinton County: 5.9 %Clinton County5.9Oswego County: 5.9 %Oswego County5.9Chemung County: 5.7 %Chemung County5.7Jefferson County: 5.7 %Jefferson County5.7Montgomery County: 5.7 %Montgomery County5.7Schoharie County: 5.7 %Schoharie County5.7Greene County: 5.6 %Greene County5.6Warren County: 5.6 %Warren County5.6Herkimer County: 5.5 %Herkimer County5.5Oneida County: 5.5 %Oneida County5.5Otsego County: 5.5 %Otsego County5.5Queens County: 10.6 %Queens County10.6Yates County: 10.3 %Yates County10.3Hamilton County: 9.2 %Hamilton County9.2Bronx County: 9 %Bronx County9Ulster County: 8.2 %Ulster County8.2Kings County: 8 %Kings County8Cattaraugus County: 7.7 %Cattaraugus County7.7Sullivan County: 7.1 %Sullivan County7.1Franklin County: 7 %Franklin County7Cayuga County: 6.9 %Cayuga County6.9Orange County: 6.7 %Orange County6.7Seneca County: 6.7 %Seneca County6.7St. Lawrence County: 6.7 %St. Lawrence County6.7Delaware County: 6.6 %Delaware County6.6Fulton County: 6.6 %Fulton County6.6Suffolk County: 6.6 %Suffolk County6.6Chautauqua County: 6.5 %Chautauqua County6.5Orleans County: 6.4 %Orleans County6.4Rockland County: 6.4 %Rockland County6.4Westchester County: 6.4 %Westchester County6.4Broome County: 6.2 %Broome County6.2Essex County: 6.2 %Essex County6.2Lewis County: 6.1 %Lewis County6.1Richmond County: 6.1 %Richmond County6.1Schuyler County: 6.1 %Schuyler County6.1Washington County: 6.1 %Washington County6.1Columbia County: 6 %Columbia County6Wayne County: 6 %Wayne County6Allegany County: 5.9 %Allegany County5.9Clinton County: 5.9 %Clinton County5.9Oswego County: 5.9 %Oswego County5.9Chemung County: 5.7 %Chemung County5.7Jefferson County: 5.7 %Jefferson County5.7Montgomery County: 5.7 %Montgomery County5.7Schoharie County: 5.7 %Schoharie County5.7Greene County: 5.6 %Greene County5.6Warren County: 5.6 %Warren County5.6Herkimer County: 5.5 %Herkimer County5.5Oneida County: 5.5 %Oneida County5.5Otsego County: 5.5 %Otsego County5.5
%. 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

RankCounties2022 (%)Change on 2021
1Queens County10.6-1.1 pts
2Yates County10.3-0.4 pts
3Hamilton County9.2+0.4 pts
4Bronx County9-1.6 pts
5Ulster County8.2+0.9 pts
6Kings County8-0.8 pts
7Cattaraugus County7.70 pts
8Sullivan County7.1-0.5 pts
9Franklin County70 pts
10Cayuga County6.9+1 pts
11Orange County6.7+0.2 pts
11Seneca County6.7-0.8 pts
11St. Lawrence County6.7+0.1 pts
14Delaware County6.6+0.2 pts
14Fulton County6.6+0.1 pts
14Suffolk County6.6+0.3 pts
17Chautauqua County6.50 pts
18Orleans County6.4-0.7 pts
18Rockland County6.4-0.3 pts
18Westchester County6.4-0.6 pts
21Broome County6.20 pts
21Essex County6.2-0.6 pts
23Lewis County6.10 pts
23Richmond County6.1+0.2 pts
23Schuyler County6.1+0.2 pts
23Washington County6.1-0.6 pts
27Columbia County6-0.2 pts
27Wayne County6-0.8 pts
29Allegany County5.90 pts
29Clinton County5.9-0.2 pts
29Oswego County5.9-0.5 pts
32Chemung County5.7-0.2 pts
32Jefferson County5.7-0.5 pts
32Montgomery County5.7-0.9 pts
32Schoharie County5.70 pts
36Greene County5.6-1 pts
36Warren County5.6+0.1 pts
38Herkimer County5.5-0.9 pts
38Oneida County5.5-0.9 pts
38Otsego County5.5-0.6 pts
41Dutchess County5.4-0.4 pts
41Schenectady County5.4-0.6 pts
41Steuben County5.4-1.2 pts
44Chenango County5.3-0.7 pts
44Cortland County5.3-0.6 pts
44Nassau County5.3+0.2 pts
44New York County5.3-0.7 pts
44Onondaga County5.3-0.4 pts
44Tompkins County5.3-0.3 pts
50Albany County5.2-0.2 pts
50Genesee County5.2-0.9 pts
50Wyoming County5.2-0.2 pts
53Erie County5.1+0.3 pts
53Niagara County5.1-0.2 pts
55Putnam County5-0.4 pts
55Rensselaer County5-0.3 pts
57Livingston County4.9-0.4 pts
57Ontario County4.9-0.2 pts
57Tioga County4.9-0.4 pts
60Monroe County4.8-0.8 pts
61Madison County4.7-0.1 pts
62Saratoga County4.3-0.4 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_new_york_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/new-york-counties?period=2022.
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-2022-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 10.6% in 2022, 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 4.3% in 2022.

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