Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / Counties in North Carolina

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

Duplin County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 100 counties in 2024, at 19.9%. Wake County had the lowest, at 8.5%. The median was 12.8% and the figure for North Carolina was 12%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest19.9Duplin County
Lowest8.5Wake County
Median12.8100 counties
North Carolina12History

Map of counties, 2024

Alamance County: 13.9 %Alexander County: 11.7 %Alleghany County: 18.3 %Anson County: 14.4 %Ashe County: 14.8 %Avery County: 15.9 %Beaufort County: 13 %Bertie County: 12.1 %Bladen County: 13.6 %Brunswick County: 10 %Buncombe County: 13.4 %Burke County: 14 %Cabarrus County: 11.1 %Caldwell County: 13.6 %Camden County: 8.9 %Carteret County: 11.2 %Caswell County: 14.3 %Catawba County: 13.7 %Chatham County: 12.5 %Cherokee County: 12.4 %Chowan County: 12.4 %Clay County: 12.9 %Cleveland County: 12 %Columbus County: 14.3 %Craven County: 11 %Cumberland County: 11 %Currituck County: 9.4 %Dare County: 10.2 %Davidson County: 12.1 %Davie County: 10.9 %Duplin County: 19.9 %Durham County: 11.6 %Edgecombe County: 12.8 %Forsyth County: 13.1 %Franklin County: 13.1 %Gaston County: 12.7 %Gates County: 9.3 %Graham County: 14.7 %Granville County: 11.6 %Greene County: 19.2 %Guilford County: 12 %Halifax County: 14.6 %Harnett County: 12.1 %Haywood County: 11.5 %Henderson County: 14 %Hertford County: 12.2 %Hoke County: 12.8 %Hyde County: 14 %Iredell County: 10.6 %Jackson County: 16.2 %Johnston County: 12.7 %Jones County: 13 %Lee County: 16.2 %Lenoir County: 15.2 %Lincoln County: 10.4 %McDowell County: 14.1 %Macon County: 17 %Madison County: 11.7 %Martin County: 12.6 %Mecklenburg County: 12.8 %Mitchell County: 11.2 %Montgomery County: 17.1 %Moore County: 10.4 %Nash County: 13.4 %New Hanover County: 10.2 %Northampton County: 10.4 %Onslow County: 9.7 %Orange County: 9.2 %Pamlico County: 11.8 %Pasquotank County: 11.4 %Pender County: 12.1 %Perquimans County: 11.8 %Person County: 12.8 %Pitt County: 11.7 %Polk County: 13.5 %Randolph County: 15 %Richmond County: 13 %Robeson County: 17.5 %Rockingham County: 12.8 %Rowan County: 13.5 %Rutherford County: 14.6 %Sampson County: 17.4 %Scotland County: 12.2 %Stanly County: 11.8 %Stokes County: 10.2 %Surry County: 15.2 %Swain County: 13.3 %Transylvania County: 11.7 %Tyrrell County: 15.9 %Union County: 10.4 %Vance County: 14.3 %Wake County: 8.5 %Warren County: 15.4 %Washington County: 12.3 %Watauga County: 12 %Wayne County: 14.9 %Wilkes County: 14.9 %Wilson County: 14.7 %Yadkin County: 13.8 %Yancey County: 13.6 %
  • Under 11
  • 11 to 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 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

Duplin County: 19.9 %Duplin County19.9Greene County: 19.2 %Greene County19.2Alleghany County: 18.3 %Alleghany County18.3Robeson County: 17.5 %Robeson County17.5Sampson County: 17.4 %Sampson County17.4Montgomery County: 17.1 %Montgomery County17.1Macon County: 17 %Macon County17Jackson County: 16.2 %Jackson County16.2Lee County: 16.2 %Lee County16.2Avery County: 15.9 %Avery County15.9Tyrrell County: 15.9 %Tyrrell County15.9Warren County: 15.4 %Warren County15.4Lenoir County: 15.2 %Lenoir County15.2Surry County: 15.2 %Surry County15.2Randolph County: 15 %Randolph County15Wayne County: 14.9 %Wayne County14.9Wilkes County: 14.9 %Wilkes County14.9Ashe County: 14.8 %Ashe County14.8Graham County: 14.7 %Graham County14.7Wilson County: 14.7 %Wilson County14.7Halifax County: 14.6 %Halifax County14.6Rutherford County: 14.6 %Rutherford County14.6Anson County: 14.4 %Anson County14.4Caswell County: 14.3 %Caswell County14.3Columbus County: 14.3 %Columbus County14.3Vance County: 14.3 %Vance County14.3McDowell County: 14.1 %McDowell County14.1Burke County: 14 %Burke County14Henderson County: 14 %Henderson County14Hyde County: 14 %Hyde County14Alamance County: 13.9 %Alamance County13.9Yadkin County: 13.8 %Yadkin County13.8Catawba County: 13.7 %Catawba County13.7Bladen County: 13.6 %Bladen County13.6Caldwell County: 13.6 %Caldwell County13.6Yancey County: 13.6 %Yancey County13.6Polk County: 13.5 %Polk County13.5Rowan County: 13.5 %Rowan County13.5Buncombe County: 13.4 %Buncombe County13.4Nash County: 13.4 %Nash County13.4Duplin County: 19.9 %Duplin County19.9Greene County: 19.2 %Greene County19.2Alleghany County: 18.3 %Alleghany County18.3Robeson County: 17.5 %Robeson County17.5Sampson County: 17.4 %Sampson County17.4Montgomery County: 17.1 %Montgomery County17.1Macon County: 17 %Macon County17Jackson County: 16.2 %Jackson County16.2Lee County: 16.2 %Lee County16.2Avery County: 15.9 %Avery County15.9Tyrrell County: 15.9 %Tyrrell County15.9Warren County: 15.4 %Warren County15.4Lenoir County: 15.2 %Lenoir County15.2Surry County: 15.2 %Surry County15.2Randolph County: 15 %Randolph County15Wayne County: 14.9 %Wayne County14.9Wilkes County: 14.9 %Wilkes County14.9Ashe County: 14.8 %Ashe County14.8Graham County: 14.7 %Graham County14.7Wilson County: 14.7 %Wilson County14.7Halifax County: 14.6 %Halifax County14.6Rutherford County: 14.6 %Rutherford County14.6Anson County: 14.4 %Anson County14.4Caswell County: 14.3 %Caswell County14.3Columbus County: 14.3 %Columbus County14.3Vance County: 14.3 %Vance County14.3McDowell County: 14.1 %McDowell County14.1Burke County: 14 %Burke County14Henderson County: 14 %Henderson County14Hyde County: 14 %Hyde County14Alamance County: 13.9 %Alamance County13.9Yadkin County: 13.8 %Yadkin County13.8Catawba County: 13.7 %Catawba County13.7Bladen County: 13.6 %Bladen County13.6Caldwell County: 13.6 %Caldwell County13.6Yancey County: 13.6 %Yancey County13.6Polk County: 13.5 %Polk County13.5Rowan County: 13.5 %Rowan County13.5Buncombe County: 13.4 %Buncombe County13.4Nash County: 13.4 %Nash County13.4
%. 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
1Duplin County19.9-1.6 pts
2Greene County19.2-1.7 pts
3Alleghany County18.3-1.9 pts
4Robeson County17.5-0.7 pts
5Sampson County17.4-4.5 pts
6Montgomery County17.1-0.2 pts
7Macon County17-0.7 pts
8Jackson County16.2-1.6 pts
8Lee County16.2-0.5 pts
10Avery County15.9-1 pts
10Tyrrell County15.9-3 pts
12Warren County15.4-1.8 pts
13Lenoir County15.20 pts
13Surry County15.2-1.2 pts
15Randolph County15-1.3 pts
16Wayne County14.9-2.5 pts
16Wilkes County14.9-1.9 pts
18Ashe County14.8-0.6 pts
19Graham County14.7-2.2 pts
19Wilson County14.7-1.4 pts
21Halifax County14.6-0.2 pts
21Rutherford County14.6-1.1 pts
23Anson County14.4-1.4 pts
24Caswell County14.3+0.3 pts
24Columbus County14.3-1.9 pts
24Vance County14.3-0.3 pts
27McDowell County14.1-0.5 pts
28Burke County14-1.1 pts
28Henderson County14-1 pts
28Hyde County14-6.8 pts
31Alamance County13.9-0.7 pts
32Yadkin County13.8-0.5 pts
33Catawba County13.7-1 pts
34Bladen County13.6-0.2 pts
34Caldwell County13.6-2.3 pts
34Yancey County13.6-1.1 pts
37Polk County13.5-1.1 pts
37Rowan County13.5-0.3 pts
39Buncombe County13.4-1.7 pts
39Nash County13.4-1.7 pts
41Swain County13.3-5.2 pts
42Forsyth County13.1-0.9 pts
42Franklin County13.1-0.8 pts
44Beaufort County13-0.8 pts
44Jones County13-2.1 pts
44Richmond County13-0.8 pts
47Clay County12.9-2 pts
48Edgecombe County12.8-0.5 pts
48Hoke County12.8-1.8 pts
48Mecklenburg County12.8-1.5 pts
48Person County12.8+0.6 pts
48Rockingham County12.8-2.5 pts
53Gaston County12.7-1 pts
53Johnston County12.7-1.3 pts
55Martin County12.6-1.1 pts
56Chatham County12.5-0.6 pts
57Cherokee County12.4-2.2 pts
57Chowan County12.4-1.2 pts
59Washington County12.3+0.2 pts
60Hertford County12.2-0.4 pts
60Scotland County12.2-1.9 pts
62Bertie County12.1-1.1 pts
62Davidson County12.1-2.1 pts
62Harnett County12.1-2.5 pts
62Pender County12.1-1.3 pts
66Cleveland County12-0.2 pts
66Guilford County12-1 pts
66Watauga County12-1.6 pts
69Pamlico County11.8-0.9 pts
69Perquimans County11.8-1.7 pts
69Stanly County11.8-0.5 pts
72Alexander County11.7-1.8 pts
72Madison County11.7-0.5 pts
72Pitt County11.7-1.3 pts
72Transylvania County11.7-0.8 pts
76Durham County11.6-1.4 pts
76Granville County11.6-1.6 pts
78Haywood County11.5-1.5 pts
79Pasquotank County11.4+0.2 pts
80Carteret County11.2-0.5 pts
80Mitchell County11.2-2 pts
82Cabarrus County11.1+0.5 pts
83Craven County11-2.2 pts
83Cumberland County11-0.9 pts
85Davie County10.9-1.3 pts
86Iredell County10.6-2.1 pts
87Lincoln County10.4-2 pts
87Moore County10.4-1 pts
87Northampton County10.4-0.8 pts
87Union County10.4-0.7 pts
91Dare County10.2-1.6 pts
91New Hanover County10.2-2.2 pts
91Stokes County10.2-2.6 pts
94Brunswick County10-0.6 pts
95Onslow County9.7-0.4 pts
96Currituck County9.4-1.9 pts
97Gates County9.3-1.7 pts
98Orange County9.2-1.8 pts
99Camden County8.9-1.3 pts
100Wake County8.5-0.9 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in North Carolina by uninsured rate, ages 18 to 64 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_18_64","level":"province","within":"North Carolina","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=province&within=North%20Carolina&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Duplin County, with 19.9% in 2024, according to the U.S. Census Bureau.

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

Wake County, with 8.5% 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 North Carolina: more rankings