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)

Duplin County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 100 counties in 2015, at 27.4%. Wake County had the lowest, at 12.2%. The median was 16.8% and the figure for North Carolina was 16.2%. Source: the U.S. Census Bureau.

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Highest27.4Duplin County
Lowest12.2Wake County
Median16.8100 counties
North Carolina16.2History

Map of counties, 2015

Alamance County: 17.9 %Alexander County: 14.3 %Alleghany County: 21.3 %Anson County: 17 %Ashe County: 20.7 %Avery County: 20.5 %Beaufort County: 16.5 %Bertie County: 15.3 %Bladen County: 20.4 %Brunswick County: 17.6 %Buncombe County: 16.4 %Burke County: 19 %Cabarrus County: 13.8 %Caldwell County: 18.8 %Camden County: 12.7 %Carteret County: 15.9 %Caswell County: 15.6 %Catawba County: 17.6 %Chatham County: 17.6 %Cherokee County: 18.1 %Chowan County: 16.9 %Clay County: 17.7 %Cleveland County: 16.7 %Columbus County: 19.1 %Craven County: 14.6 %Cumberland County: 13.8 %Currituck County: 14.7 %Dare County: 17.2 %Davidson County: 16.5 %Davie County: 15.6 %Duplin County: 27.4 %Durham County: 16.8 %Edgecombe County: 15.6 %Forsyth County: 16.8 %Franklin County: 17.5 %Gaston County: 16.3 %Gates County: 13.1 %Graham County: 20.6 %Granville County: 13.1 %Greene County: 22.1 %Guilford County: 16.5 %Halifax County: 16.8 %Harnett County: 17.3 %Haywood County: 14.4 %Henderson County: 17.8 %Hertford County: 15.9 %Hoke County: 21.8 %Hyde County: 18.4 %Iredell County: 14.6 %Jackson County: 21.5 %Johnston County: 17.7 %Jones County: 17.3 %Lee County: 19.8 %Lenoir County: 18.7 %Lincoln County: 16.8 %McDowell County: 15.5 %Macon County: 21.2 %Madison County: 14.7 %Martin County: 15 %Mecklenburg County: 16.2 %Mitchell County: 17.4 %Montgomery County: 21.5 %Moore County: 15.2 %Nash County: 15.6 %New Hanover County: 15 %Northampton County: 15.4 %Onslow County: 12.7 %Orange County: 12.3 %Pamlico County: 15.1 %Pasquotank County: 14.9 %Pender County: 17.8 %Perquimans County: 14.9 %Person County: 14.4 %Pitt County: 15.4 %Polk County: 15.7 %Randolph County: 20 %Richmond County: 19.4 %Robeson County: 26 %Rockingham County: 16.2 %Rowan County: 17.4 %Rutherford County: 16.6 %Sampson County: 23.7 %Scotland County: 18.8 %Stanly County: 15.8 %Stokes County: 15.5 %Surry County: 19.6 %Swain County: 22.1 %Transylvania County: 16.3 %Tyrrell County: 23.1 %Union County: 14.5 %Vance County: 17.6 %Wake County: 12.2 %Warren County: 20.2 %Washington County: 17.1 %Watauga County: 15 %Wayne County: 17.3 %Wilkes County: 19.6 %Wilson County: 18.7 %Yadkin County: 17.9 %Yancey County: 15.9 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 to 20
  • 20 and over
%, 2015. 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, 2015

Duplin County: 27.4 %Duplin County27.4Robeson County: 26 %Robeson County26Sampson County: 23.7 %Sampson County23.7Tyrrell County: 23.1 %Tyrrell County23.1Greene County: 22.1 %Greene County22.1Swain County: 22.1 %Swain County22.1Hoke County: 21.8 %Hoke County21.8Jackson County: 21.5 %Jackson County21.5Montgomery County: 21.5 %Montgomery County21.5Alleghany County: 21.3 %Alleghany County21.3Macon County: 21.2 %Macon County21.2Ashe County: 20.7 %Ashe County20.7Graham County: 20.6 %Graham County20.6Avery County: 20.5 %Avery County20.5Bladen County: 20.4 %Bladen County20.4Warren County: 20.2 %Warren County20.2Randolph County: 20 %Randolph County20Lee County: 19.8 %Lee County19.8Surry County: 19.6 %Surry County19.6Wilkes County: 19.6 %Wilkes County19.6Richmond County: 19.4 %Richmond County19.4Columbus County: 19.1 %Columbus County19.1Burke County: 19 %Burke County19Caldwell County: 18.8 %Caldwell County18.8Scotland County: 18.8 %Scotland County18.8Lenoir County: 18.7 %Lenoir County18.7Wilson County: 18.7 %Wilson County18.7Hyde County: 18.4 %Hyde County18.4Cherokee County: 18.1 %Cherokee County18.1Alamance County: 17.9 %Alamance County17.9Yadkin County: 17.9 %Yadkin County17.9Henderson County: 17.8 %Henderson County17.8Pender County: 17.8 %Pender County17.8Clay County: 17.7 %Clay County17.7Johnston County: 17.7 %Johnston County17.7Brunswick County: 17.6 %Brunswick County17.6Catawba County: 17.6 %Catawba County17.6Chatham County: 17.6 %Chatham County17.6Vance County: 17.6 %Vance County17.6Franklin County: 17.5 %Franklin County17.5Duplin County: 27.4 %Duplin County27.4Robeson County: 26 %Robeson County26Sampson County: 23.7 %Sampson County23.7Tyrrell County: 23.1 %Tyrrell County23.1Greene County: 22.1 %Greene County22.1Swain County: 22.1 %Swain County22.1Hoke County: 21.8 %Hoke County21.8Jackson County: 21.5 %Jackson County21.5Montgomery County: 21.5 %Montgomery County21.5Alleghany County: 21.3 %Alleghany County21.3Macon County: 21.2 %Macon County21.2Ashe County: 20.7 %Ashe County20.7Graham County: 20.6 %Graham County20.6Avery County: 20.5 %Avery County20.5Bladen County: 20.4 %Bladen County20.4Warren County: 20.2 %Warren County20.2Randolph County: 20 %Randolph County20Lee County: 19.8 %Lee County19.8Surry County: 19.6 %Surry County19.6Wilkes County: 19.6 %Wilkes County19.6Richmond County: 19.4 %Richmond County19.4Columbus County: 19.1 %Columbus County19.1Burke County: 19 %Burke County19Caldwell County: 18.8 %Caldwell County18.8Scotland County: 18.8 %Scotland County18.8Lenoir County: 18.7 %Lenoir County18.7Wilson County: 18.7 %Wilson County18.7Hyde County: 18.4 %Hyde County18.4Cherokee County: 18.1 %Cherokee County18.1Alamance County: 17.9 %Alamance County17.9Yadkin County: 17.9 %Yadkin County17.9Henderson County: 17.8 %Henderson County17.8Pender County: 17.8 %Pender County17.8Clay County: 17.7 %Clay County17.7Johnston County: 17.7 %Johnston County17.7Brunswick County: 17.6 %Brunswick County17.6Catawba County: 17.6 %Catawba County17.6Chatham County: 17.6 %Chatham County17.6Vance County: 17.6 %Vance County17.6Franklin County: 17.5 %Franklin County17.5
%. 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

RankCounties2015 (%)Change on 2014
1Duplin County27.4-1.9 pts
2Robeson County26-2.3 pts
3Sampson County23.7-2.2 pts
4Tyrrell County23.1-4 pts
5Greene County22.1-3 pts
5Swain County22.1-3.2 pts
7Hoke County21.8-0.1 pts
8Jackson County21.5-2.4 pts
8Montgomery County21.5-3.7 pts
10Alleghany County21.3-3.1 pts
11Macon County21.2-3.5 pts
12Ashe County20.7-3 pts
13Graham County20.6-2.8 pts
14Avery County20.5-4 pts
15Bladen County20.4-2.6 pts
16Warren County20.2-1.2 pts
17Randolph County20-1 pts
18Lee County19.8-2.5 pts
19Surry County19.6-3.3 pts
19Wilkes County19.6-2.9 pts
21Richmond County19.4-3.3 pts
22Columbus County19.1-3.7 pts
23Burke County19-2 pts
24Caldwell County18.8-2.4 pts
24Scotland County18.8-2.4 pts
26Lenoir County18.7-1.1 pts
26Wilson County18.7-4.2 pts
28Hyde County18.4-2 pts
29Cherokee County18.1-4.9 pts
30Alamance County17.9-2.9 pts
30Yadkin County17.9-2.5 pts
32Henderson County17.8-3.1 pts
32Pender County17.8-2.2 pts
34Clay County17.7-4.6 pts
34Johnston County17.7-2.6 pts
36Brunswick County17.6-3.2 pts
36Catawba County17.6-1.6 pts
36Chatham County17.6-1.3 pts
36Vance County17.6-2.6 pts
40Franklin County17.5-4.4 pts
41Mitchell County17.4-1.8 pts
41Rowan County17.4-3.8 pts
43Harnett County17.3-3 pts
43Jones County17.3-2.9 pts
43Wayne County17.3-3.9 pts
46Dare County17.2-3.1 pts
47Washington County17.1-1.4 pts
48Anson County17-3.8 pts
49Chowan County16.9-3.1 pts
50Durham County16.8-1.8 pts
50Forsyth County16.8-2.8 pts
50Halifax County16.8-2.6 pts
50Lincoln County16.8-1.8 pts
54Cleveland County16.7-1 pts
55Rutherford County16.6-2.6 pts
56Beaufort County16.5-2.4 pts
56Davidson County16.5-3.2 pts
56Guilford County16.5-1.8 pts
59Buncombe County16.4-1.7 pts
60Gaston County16.3-3.5 pts
60Transylvania County16.3-3.1 pts
62Mecklenburg County16.2-2.5 pts
62Rockingham County16.2-2.2 pts
64Carteret County15.9-3.6 pts
64Hertford County15.9-3.5 pts
64Yancey County15.9-3.8 pts
67Stanly County15.8-2.5 pts
68Polk County15.7-4.9 pts
69Caswell County15.6-3.7 pts
69Davie County15.6-1.6 pts
69Edgecombe County15.6-3.1 pts
69Nash County15.6-3.7 pts
73McDowell County15.5-3.6 pts
73Stokes County15.5-2.2 pts
75Northampton County15.4-2.5 pts
75Pitt County15.4-2.3 pts
77Bertie County15.3-2.3 pts
78Moore County15.2-3.2 pts
79Pamlico County15.1-3.4 pts
80Martin County15-3.5 pts
80New Hanover County15-2.4 pts
80Watauga County15-1.7 pts
83Pasquotank County14.9-4.7 pts
83Perquimans County14.9-4 pts
85Currituck County14.7-3.4 pts
85Madison County14.7-3.8 pts
87Craven County14.6-3.7 pts
87Iredell County14.6-3.6 pts
89Union County14.5-2.6 pts
90Haywood County14.4-4 pts
90Person County14.4-3.5 pts
92Alexander County14.3-5.9 pts
93Cabarrus County13.8-3.2 pts
93Cumberland County13.8-3.2 pts
95Gates County13.1-4.1 pts
95Granville County13.1-4.7 pts
97Camden County12.7-3.3 pts
97Onslow County12.7-2 pts
99Orange County12.3-2.1 pts
100Wake County12.2-2.7 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-2015-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), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-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), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2015. 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), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2015.

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), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2015,
  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), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2015. 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-2015-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), 2015
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-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2015.
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-2015-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 27.4% in 2015, 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 12.2% in 2015.

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