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

Duplin County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 100 counties in 2013, at 32.8%. Wake County had the lowest, at 18%. The median was 23% and the figure for North Carolina was 22.5%. Source: the U.S. Census Bureau.

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Highest32.8Duplin County
Lowest18Wake County
Median23100 counties
North Carolina22.5History

Map of counties, 2013

Alamance County: 24.3 %Alexander County: 21.4 %Alleghany County: 30.3 %Anson County: 24 %Ashe County: 28 %Avery County: 28.9 %Beaufort County: 23.8 %Bertie County: 21.1 %Bladen County: 24.8 %Brunswick County: 23 %Buncombe County: 24.3 %Burke County: 24 %Cabarrus County: 20.5 %Caldwell County: 24.3 %Camden County: 18.8 %Carteret County: 22.4 %Caswell County: 20.6 %Catawba County: 23 %Chatham County: 23.2 %Cherokee County: 26.6 %Chowan County: 22.5 %Clay County: 25.9 %Cleveland County: 20.6 %Columbus County: 26 %Craven County: 21.3 %Cumberland County: 20.1 %Currituck County: 21 %Dare County: 23.8 %Davidson County: 22 %Davie County: 22.1 %Duplin County: 32.8 %Durham County: 21.7 %Edgecombe County: 21.9 %Forsyth County: 22 %Franklin County: 23.7 %Gaston County: 22.3 %Gates County: 20 %Graham County: 27 %Granville County: 20.1 %Greene County: 27.3 %Guilford County: 22.6 %Halifax County: 21.4 %Harnett County: 24.4 %Haywood County: 22.4 %Henderson County: 24.7 %Hertford County: 21.6 %Hoke County: 26.5 %Hyde County: 27.2 %Iredell County: 22.3 %Jackson County: 28.8 %Johnston County: 24.6 %Jones County: 25.5 %Lee County: 26.7 %Lenoir County: 24.7 %Lincoln County: 22.5 %McDowell County: 21.8 %Macon County: 30.3 %Madison County: 21.6 %Martin County: 21.2 %Mecklenburg County: 23 %Mitchell County: 22.4 %Montgomery County: 29.3 %Moore County: 21 %Nash County: 21.9 %New Hanover County: 22.5 %Northampton County: 20.4 %Onslow County: 20.2 %Orange County: 18 %Pamlico County: 23.1 %Pasquotank County: 21.4 %Pender County: 24.7 %Perquimans County: 20.8 %Person County: 20.3 %Pitt County: 21.8 %Polk County: 25.2 %Randolph County: 26.1 %Richmond County: 25.9 %Robeson County: 32.2 %Rockingham County: 22.3 %Rowan County: 23.9 %Rutherford County: 22.9 %Sampson County: 29.9 %Scotland County: 23.6 %Stanly County: 22.3 %Stokes County: 20 %Surry County: 25.1 %Swain County: 27.2 %Transylvania County: 24.1 %Tyrrell County: 29.9 %Union County: 20.4 %Vance County: 23.2 %Wake County: 18 %Warren County: 24.8 %Washington County: 21 %Watauga County: 21.2 %Wayne County: 22.9 %Wilkes County: 25.2 %Wilson County: 25.2 %Yadkin County: 24.6 %Yancey County: 24.5 %
  • Under 21
  • 21 to 22
  • 22 to 23
  • 23 to 25
  • 25 to 26
  • 26 and over
%, 2013. 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, 2013

Duplin County: 32.8 %Duplin County32.8Robeson County: 32.2 %Robeson County32.2Alleghany County: 30.3 %Alleghany County30.3Macon County: 30.3 %Macon County30.3Sampson County: 29.9 %Sampson County29.9Tyrrell County: 29.9 %Tyrrell County29.9Montgomery County: 29.3 %Montgomery County29.3Avery County: 28.9 %Avery County28.9Jackson County: 28.8 %Jackson County28.8Ashe County: 28 %Ashe County28Greene County: 27.3 %Greene County27.3Hyde County: 27.2 %Hyde County27.2Swain County: 27.2 %Swain County27.2Graham County: 27 %Graham County27Lee County: 26.7 %Lee County26.7Cherokee County: 26.6 %Cherokee County26.6Hoke County: 26.5 %Hoke County26.5Randolph County: 26.1 %Randolph County26.1Columbus County: 26 %Columbus County26Clay County: 25.9 %Clay County25.9Richmond County: 25.9 %Richmond County25.9Jones County: 25.5 %Jones County25.5Polk County: 25.2 %Polk County25.2Wilkes County: 25.2 %Wilkes County25.2Wilson County: 25.2 %Wilson County25.2Surry County: 25.1 %Surry County25.1Bladen County: 24.8 %Bladen County24.8Warren County: 24.8 %Warren County24.8Henderson County: 24.7 %Henderson County24.7Lenoir County: 24.7 %Lenoir County24.7Pender County: 24.7 %Pender County24.7Johnston County: 24.6 %Johnston County24.6Yadkin County: 24.6 %Yadkin County24.6Yancey County: 24.5 %Yancey County24.5Harnett County: 24.4 %Harnett County24.4Alamance County: 24.3 %Alamance County24.3Buncombe County: 24.3 %Buncombe County24.3Caldwell County: 24.3 %Caldwell County24.3Transylvania County: 24.1 %Transylvania County24.1Anson County: 24 %Anson County24Duplin County: 32.8 %Duplin County32.8Robeson County: 32.2 %Robeson County32.2Alleghany County: 30.3 %Alleghany County30.3Macon County: 30.3 %Macon County30.3Sampson County: 29.9 %Sampson County29.9Tyrrell County: 29.9 %Tyrrell County29.9Montgomery County: 29.3 %Montgomery County29.3Avery County: 28.9 %Avery County28.9Jackson County: 28.8 %Jackson County28.8Ashe County: 28 %Ashe County28Greene County: 27.3 %Greene County27.3Hyde County: 27.2 %Hyde County27.2Swain County: 27.2 %Swain County27.2Graham County: 27 %Graham County27Lee County: 26.7 %Lee County26.7Cherokee County: 26.6 %Cherokee County26.6Hoke County: 26.5 %Hoke County26.5Randolph County: 26.1 %Randolph County26.1Columbus County: 26 %Columbus County26Clay County: 25.9 %Clay County25.9Richmond County: 25.9 %Richmond County25.9Jones County: 25.5 %Jones County25.5Polk County: 25.2 %Polk County25.2Wilkes County: 25.2 %Wilkes County25.2Wilson County: 25.2 %Wilson County25.2Surry County: 25.1 %Surry County25.1Bladen County: 24.8 %Bladen County24.8Warren County: 24.8 %Warren County24.8Henderson County: 24.7 %Henderson County24.7Lenoir County: 24.7 %Lenoir County24.7Pender County: 24.7 %Pender County24.7Johnston County: 24.6 %Johnston County24.6Yadkin County: 24.6 %Yadkin County24.6Yancey County: 24.5 %Yancey County24.5Harnett County: 24.4 %Harnett County24.4Alamance County: 24.3 %Alamance County24.3Buncombe County: 24.3 %Buncombe County24.3Caldwell County: 24.3 %Caldwell County24.3Transylvania County: 24.1 %Transylvania County24.1Anson County: 24 %Anson County24
%. 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

RankCounties2013 (%)Change on 2012
1Duplin County32.8-0.2 pts
2Robeson County32.2-1.5 pts
3Alleghany County30.3-1.6 pts
3Macon County30.3-0.4 pts
5Sampson County29.9+0.8 pts
5Tyrrell County29.9+0.3 pts
7Montgomery County29.3-0.3 pts
8Avery County28.9-1.9 pts
9Jackson County28.8-1.3 pts
10Ashe County28-0.8 pts
11Greene County27.3-1.2 pts
12Hyde County27.2-1.7 pts
12Swain County27.2-1.9 pts
14Graham County27+0.6 pts
15Lee County26.7-0.5 pts
16Cherokee County26.6+1.2 pts
17Hoke County26.5-2.4 pts
18Randolph County26.1-0.7 pts
19Columbus County26-0.2 pts
20Clay County25.9-0.4 pts
20Richmond County25.9-0.9 pts
22Jones County25.5+0.4 pts
23Polk County25.2+1.2 pts
23Wilkes County25.2-1.4 pts
23Wilson County25.2-1 pts
26Surry County25.1-1.9 pts
27Bladen County24.8-3.1 pts
27Warren County24.8-1.5 pts
29Henderson County24.7-1.4 pts
29Lenoir County24.7-1.4 pts
29Pender County24.7-0.7 pts
32Johnston County24.6-1.7 pts
32Yadkin County24.6+0.4 pts
34Yancey County24.5-0.1 pts
35Harnett County24.4-0.8 pts
36Alamance County24.3-0.6 pts
36Buncombe County24.3-0.3 pts
36Caldwell County24.3+1.6 pts
39Transylvania County24.1-0.7 pts
40Anson County24+0.7 pts
40Burke County24-1.6 pts
42Rowan County23.9-1.6 pts
43Beaufort County23.8-0.6 pts
43Dare County23.8-0.3 pts
45Franklin County23.7-1.8 pts
46Scotland County23.6-1.9 pts
47Chatham County23.20 pts
47Vance County23.2-1.8 pts
49Pamlico County23.1+0.7 pts
50Brunswick County23-1.2 pts
50Catawba County23-1.3 pts
50Mecklenburg County230 pts
53Rutherford County22.9-1.1 pts
53Wayne County22.9-2.4 pts
55Guilford County22.6-1.3 pts
56Chowan County22.5+0.2 pts
56Lincoln County22.5+0.6 pts
56New Hanover County22.5+0.4 pts
59Carteret County22.4-1.7 pts
59Haywood County22.4-0.3 pts
59Mitchell County22.4+0.9 pts
62Gaston County22.3-1.8 pts
62Iredell County22.3-0.8 pts
62Rockingham County22.3-0.6 pts
62Stanly County22.3+0.5 pts
66Davie County22.1+0.3 pts
67Davidson County22-1 pts
67Forsyth County22-2.3 pts
69Edgecombe County21.9-0.6 pts
69Nash County21.9-1.7 pts
71McDowell County21.8-2 pts
71Pitt County21.8-0.9 pts
73Durham County21.7-2.1 pts
74Hertford County21.6-2.7 pts
74Madison County21.6-1.3 pts
76Alexander County21.4-2.5 pts
76Halifax County21.4-1.6 pts
76Pasquotank County21.4-1.6 pts
79Craven County21.3-1.1 pts
80Martin County21.2-2.4 pts
80Watauga County21.2-2.2 pts
82Bertie County21.1-0.2 pts
83Currituck County21-0.3 pts
83Moore County21-1.1 pts
83Washington County21-0.5 pts
86Perquimans County20.8-1 pts
87Caswell County20.6-1.6 pts
87Cleveland County20.6-2 pts
89Cabarrus County20.5-1.7 pts
90Northampton County20.4-0.6 pts
90Union County20.4-0.2 pts
92Person County20.3-1.4 pts
93Onslow County20.2-0.9 pts
94Cumberland County20.1-1.3 pts
94Granville County20.1-2.7 pts
96Gates County20-0.3 pts
96Stokes County20-1.5 pts
98Camden County18.8+0.5 pts
99Orange County18+0.8 pts
99Wake County18-0.2 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-2013-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), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-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), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2013. 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), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2013.

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), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2013,
  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), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2013. 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-2013-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), 2013
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-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2013.
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-2013-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)?

Duplin County, with 32.8% in 2013, 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 18% in 2013.

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