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

Yates County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 62 counties in 2023, at 11.8%. Saratoga County had the lowest, at 4.3%. The median was 6% and the figure for New York was 6.8%. Source: the U.S. Census Bureau.

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Highest11.8Yates County
Median662 counties
New York6.8History

Map of counties, 2023

Albany County: 5 %Allegany County: 6 %Bronx County: 9.7 %Broome County: 6.2 %Cattaraugus County: 6.6 %Cayuga County: 5.9 %Chautauqua County: 6.6 %Chemung County: 5.7 %Chenango County: 6 %Clinton County: 5.4 %Columbia County: 5.9 %Cortland County: 5.3 %Delaware County: 6.5 %Dutchess County: 5.6 %Erie County: 4.8 %Essex County: 6.2 %Franklin County: 6.4 %Fulton County: 6.2 %Genesee County: 5.1 %Greene County: 5.5 %Hamilton County: 7.2 %Herkimer County: 5.4 %Jefferson County: 6.2 %Kings County: 7.3 %Lewis County: 6.3 %Livingston County: 5.6 %Madison County: 5.2 %Monroe County: 5.2 %Montgomery County: 6.8 %Nassau County: 5.2 %New York County: 5.9 %Niagara County: 5.4 %Oneida County: 5.8 %Onondaga County: 5.1 %Ontario County: 5.3 %Orange County: 7 %Orleans County: 6.9 %Oswego County: 6.3 %Otsego County: 6.1 %Putnam County: 5.1 %Queens County: 10.5 %Rensselaer County: 5.4 %Richmond County: 5.7 %Rockland County: 7.7 %St. Lawrence County: 6 %Saratoga County: 4.3 %Schenectady County: 4.8 %Schoharie County: 6 %Schuyler County: 6.1 %Seneca County: 7.4 %Steuben County: 5.9 %Suffolk County: 6.1 %Sullivan County: 7.5 %Tioga County: 4.7 %Tompkins County: 5.2 %Ulster County: 8 %Warren County: 5.2 %Washington County: 5.4 %Wayne County: 6.4 %Westchester County: 6.4 %Wyoming County: 5.4 %Yates County: 11.8 %
  • Under 5.2
  • 5.2 to 5.4
  • 5.4 to 6
  • 6 to 6.2
  • 6.2 to 6.9
  • 6.9 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.

Top 40 counties, 2023

Yates County: 11.8 %Yates County11.8Queens County: 10.5 %Queens County10.5Bronx County: 9.7 %Bronx County9.7Ulster County: 8 %Ulster County8Rockland County: 7.7 %Rockland County7.7Sullivan County: 7.5 %Sullivan County7.5Seneca County: 7.4 %Seneca County7.4Kings County: 7.3 %Kings County7.3Hamilton County: 7.2 %Hamilton County7.2Orange County: 7 %Orange County7Orleans County: 6.9 %Orleans County6.9Montgomery County: 6.8 %Montgomery County6.8Cattaraugus County: 6.6 %Cattaraugus County6.6Chautauqua County: 6.6 %Chautauqua County6.6Delaware County: 6.5 %Delaware County6.5Franklin County: 6.4 %Franklin County6.4Wayne County: 6.4 %Wayne County6.4Westchester County: 6.4 %Westchester County6.4Lewis County: 6.3 %Lewis County6.3Oswego County: 6.3 %Oswego County6.3Broome County: 6.2 %Broome County6.2Essex County: 6.2 %Essex County6.2Fulton County: 6.2 %Fulton County6.2Jefferson County: 6.2 %Jefferson County6.2Otsego County: 6.1 %Otsego County6.1Schuyler County: 6.1 %Schuyler County6.1Suffolk County: 6.1 %Suffolk County6.1Allegany County: 6 %Allegany County6Chenango County: 6 %Chenango County6Schoharie County: 6 %Schoharie County6St. Lawrence County: 6 %St. Lawrence County6Cayuga County: 5.9 %Cayuga County5.9Columbia County: 5.9 %Columbia County5.9New York County: 5.9 %New York County5.9Steuben County: 5.9 %Steuben County5.9Oneida County: 5.8 %Oneida County5.8Chemung County: 5.7 %Chemung County5.7Richmond County: 5.7 %Richmond County5.7Dutchess County: 5.6 %Dutchess County5.6Livingston County: 5.6 %Livingston County5.6Yates County: 11.8 %Yates County11.8Queens County: 10.5 %Queens County10.5Bronx County: 9.7 %Bronx County9.7Ulster County: 8 %Ulster County8Rockland County: 7.7 %Rockland County7.7Sullivan County: 7.5 %Sullivan County7.5Seneca County: 7.4 %Seneca County7.4Kings County: 7.3 %Kings County7.3Hamilton County: 7.2 %Hamilton County7.2Orange County: 7 %Orange County7Orleans County: 6.9 %Orleans County6.9Montgomery County: 6.8 %Montgomery County6.8Cattaraugus County: 6.6 %Cattaraugus County6.6Chautauqua County: 6.6 %Chautauqua County6.6Delaware County: 6.5 %Delaware County6.5Franklin County: 6.4 %Franklin County6.4Wayne County: 6.4 %Wayne County6.4Westchester County: 6.4 %Westchester County6.4Lewis County: 6.3 %Lewis County6.3Oswego County: 6.3 %Oswego County6.3Broome County: 6.2 %Broome County6.2Essex County: 6.2 %Essex County6.2Fulton County: 6.2 %Fulton County6.2Jefferson County: 6.2 %Jefferson County6.2Otsego County: 6.1 %Otsego County6.1Schuyler County: 6.1 %Schuyler County6.1Suffolk County: 6.1 %Suffolk County6.1Allegany County: 6 %Allegany County6Chenango County: 6 %Chenango County6Schoharie County: 6 %Schoharie County6St. Lawrence County: 6 %St. Lawrence County6Cayuga County: 5.9 %Cayuga County5.9Columbia County: 5.9 %Columbia County5.9New York County: 5.9 %New York County5.9Steuben County: 5.9 %Steuben County5.9Oneida County: 5.8 %Oneida County5.8Chemung County: 5.7 %Chemung County5.7Richmond County: 5.7 %Richmond County5.7Dutchess County: 5.6 %Dutchess County5.6Livingston County: 5.6 %Livingston County5.6
%. 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
1Yates County11.8+1.5 pts
2Queens County10.5-0.1 pts
3Bronx County9.7+0.7 pts
4Ulster County8-0.2 pts
5Rockland County7.7+1.3 pts
6Sullivan County7.5+0.4 pts
7Seneca County7.4+0.7 pts
8Kings County7.3-0.7 pts
9Hamilton County7.2-2 pts
10Orange County7+0.3 pts
11Orleans County6.9+0.5 pts
12Montgomery County6.8+1.1 pts
13Cattaraugus County6.6-1.1 pts
13Chautauqua County6.6+0.1 pts
15Delaware County6.5-0.1 pts
16Franklin County6.4-0.6 pts
16Wayne County6.4+0.4 pts
16Westchester County6.40 pts
19Lewis County6.3+0.2 pts
19Oswego County6.3+0.4 pts
21Broome County6.20 pts
21Essex County6.20 pts
21Fulton County6.2-0.4 pts
21Jefferson County6.2+0.5 pts
25Otsego County6.1+0.6 pts
25Schuyler County6.10 pts
25Suffolk County6.1-0.5 pts
28Allegany County6+0.1 pts
28Chenango County6+0.7 pts
28Schoharie County6+0.3 pts
28St. Lawrence County6-0.7 pts
32Cayuga County5.9-1 pts
32Columbia County5.9-0.1 pts
32New York County5.9+0.6 pts
32Steuben County5.9+0.5 pts
36Oneida County5.8+0.3 pts
37Chemung County5.70 pts
37Richmond County5.7-0.4 pts
39Dutchess County5.6+0.2 pts
39Livingston County5.6+0.7 pts
41Greene County5.5-0.1 pts
42Clinton County5.4-0.5 pts
42Herkimer County5.4-0.1 pts
42Niagara County5.4+0.3 pts
42Rensselaer County5.4+0.4 pts
42Washington County5.4-0.7 pts
42Wyoming County5.4+0.2 pts
48Cortland County5.30 pts
48Ontario County5.3+0.4 pts
50Madison County5.2+0.5 pts
50Monroe County5.2+0.4 pts
50Nassau County5.2-0.1 pts
50Tompkins County5.2-0.1 pts
50Warren County5.2-0.4 pts
55Genesee County5.1-0.1 pts
55Onondaga County5.1-0.2 pts
55Putnam County5.1+0.1 pts
58Albany County5-0.2 pts
59Erie County4.8-0.3 pts
59Schenectady County4.8-0.6 pts
61Tioga County4.7-0.2 pts
62Saratoga County4.30 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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2023 (Accessed: 12 October 2026).

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

Yates County, with 11.8% in 2023, 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 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 New York: more rankings