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 2016, at 25.3%. Wake County had the lowest, at 11.3%. The median was 16.1% and the figure for North Carolina was 15.1%. Source: the U.S. Census Bureau.

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Highest25.3Duplin County
Lowest11.3Wake County
Median16.1100 counties
North Carolina15.1History

Map of counties, 2016

Alamance County: 17.4 %Alexander County: 16 %Alleghany County: 19.7 %Anson County: 16.4 %Ashe County: 19.1 %Avery County: 21.7 %Beaufort County: 15.9 %Bertie County: 15.5 %Bladen County: 20.2 %Brunswick County: 17.6 %Buncombe County: 13.5 %Burke County: 17.3 %Cabarrus County: 12.3 %Caldwell County: 17.3 %Camden County: 12.2 %Carteret County: 14.6 %Caswell County: 15.9 %Catawba County: 16.3 %Chatham County: 16.3 %Cherokee County: 18.5 %Chowan County: 14.7 %Clay County: 17.9 %Cleveland County: 14.9 %Columbus County: 18.5 %Craven County: 15 %Cumberland County: 13.8 %Currituck County: 14.1 %Dare County: 14.9 %Davidson County: 16.1 %Davie County: 14.9 %Duplin County: 25.3 %Durham County: 15.4 %Edgecombe County: 15.4 %Forsyth County: 15.6 %Franklin County: 16.1 %Gaston County: 14 %Gates County: 13.5 %Graham County: 20.7 %Granville County: 14.5 %Greene County: 22.5 %Guilford County: 14.2 %Halifax County: 17.2 %Harnett County: 16.1 %Haywood County: 13.8 %Henderson County: 17.5 %Hertford County: 14.6 %Hoke County: 21.3 %Hyde County: 16.9 %Iredell County: 14.8 %Jackson County: 21 %Johnston County: 16.4 %Jones County: 16.4 %Lee County: 18.4 %Lenoir County: 17.7 %Lincoln County: 13.4 %McDowell County: 17 %Macon County: 20 %Madison County: 14.8 %Martin County: 14.1 %Mecklenburg County: 14.6 %Mitchell County: 15.9 %Montgomery County: 19.4 %Moore County: 14.3 %Nash County: 14.7 %New Hanover County: 13.1 %Northampton County: 14.6 %Onslow County: 12.5 %Orange County: 12 %Pamlico County: 15.6 %Pasquotank County: 15.1 %Pender County: 16.4 %Perquimans County: 14.8 %Person County: 15.3 %Pitt County: 15.1 %Polk County: 14.4 %Randolph County: 19.3 %Richmond County: 17.3 %Robeson County: 24.3 %Rockingham County: 16.7 %Rowan County: 16 %Rutherford County: 17.4 %Sampson County: 23.8 %Scotland County: 17.4 %Stanly County: 14.9 %Stokes County: 14 %Surry County: 18.7 %Swain County: 22.1 %Transylvania County: 16.5 %Tyrrell County: 21.5 %Union County: 12.9 %Vance County: 15.8 %Wake County: 11.3 %Warren County: 19.9 %Washington County: 15.6 %Watauga County: 14.7 %Wayne County: 18.6 %Wilkes County: 18.5 %Wilson County: 17.2 %Yadkin County: 17.5 %Yancey County: 17.1 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 17 to 19
  • 19 and over
%, 2016. 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, 2016

Duplin County: 25.3 %Duplin County25.3Robeson County: 24.3 %Robeson County24.3Sampson County: 23.8 %Sampson County23.8Greene County: 22.5 %Greene County22.5Swain County: 22.1 %Swain County22.1Avery County: 21.7 %Avery County21.7Tyrrell County: 21.5 %Tyrrell County21.5Hoke County: 21.3 %Hoke County21.3Jackson County: 21 %Jackson County21Graham County: 20.7 %Graham County20.7Bladen County: 20.2 %Bladen County20.2Macon County: 20 %Macon County20Warren County: 19.9 %Warren County19.9Alleghany County: 19.7 %Alleghany County19.7Montgomery County: 19.4 %Montgomery County19.4Randolph County: 19.3 %Randolph County19.3Ashe County: 19.1 %Ashe County19.1Surry County: 18.7 %Surry County18.7Wayne County: 18.6 %Wayne County18.6Cherokee County: 18.5 %Cherokee County18.5Columbus County: 18.5 %Columbus County18.5Wilkes County: 18.5 %Wilkes County18.5Lee County: 18.4 %Lee County18.4Clay County: 17.9 %Clay County17.9Lenoir County: 17.7 %Lenoir County17.7Brunswick County: 17.6 %Brunswick County17.6Henderson County: 17.5 %Henderson County17.5Yadkin County: 17.5 %Yadkin County17.5Alamance County: 17.4 %Alamance County17.4Rutherford County: 17.4 %Rutherford County17.4Scotland County: 17.4 %Scotland County17.4Burke County: 17.3 %Burke County17.3Caldwell County: 17.3 %Caldwell County17.3Richmond County: 17.3 %Richmond County17.3Halifax County: 17.2 %Halifax County17.2Wilson County: 17.2 %Wilson County17.2Yancey County: 17.1 %Yancey County17.1McDowell County: 17 %McDowell County17Hyde County: 16.9 %Hyde County16.9Rockingham County: 16.7 %Rockingham County16.7Duplin County: 25.3 %Duplin County25.3Robeson County: 24.3 %Robeson County24.3Sampson County: 23.8 %Sampson County23.8Greene County: 22.5 %Greene County22.5Swain County: 22.1 %Swain County22.1Avery County: 21.7 %Avery County21.7Tyrrell County: 21.5 %Tyrrell County21.5Hoke County: 21.3 %Hoke County21.3Jackson County: 21 %Jackson County21Graham County: 20.7 %Graham County20.7Bladen County: 20.2 %Bladen County20.2Macon County: 20 %Macon County20Warren County: 19.9 %Warren County19.9Alleghany County: 19.7 %Alleghany County19.7Montgomery County: 19.4 %Montgomery County19.4Randolph County: 19.3 %Randolph County19.3Ashe County: 19.1 %Ashe County19.1Surry County: 18.7 %Surry County18.7Wayne County: 18.6 %Wayne County18.6Cherokee County: 18.5 %Cherokee County18.5Columbus County: 18.5 %Columbus County18.5Wilkes County: 18.5 %Wilkes County18.5Lee County: 18.4 %Lee County18.4Clay County: 17.9 %Clay County17.9Lenoir County: 17.7 %Lenoir County17.7Brunswick County: 17.6 %Brunswick County17.6Henderson County: 17.5 %Henderson County17.5Yadkin County: 17.5 %Yadkin County17.5Alamance County: 17.4 %Alamance County17.4Rutherford County: 17.4 %Rutherford County17.4Scotland County: 17.4 %Scotland County17.4Burke County: 17.3 %Burke County17.3Caldwell County: 17.3 %Caldwell County17.3Richmond County: 17.3 %Richmond County17.3Halifax County: 17.2 %Halifax County17.2Wilson County: 17.2 %Wilson County17.2Yancey County: 17.1 %Yancey County17.1McDowell County: 17 %McDowell County17Hyde County: 16.9 %Hyde County16.9Rockingham County: 16.7 %Rockingham County16.7
%. 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

RankCounties2016 (%)Change on 2015
1Duplin County25.3-2.1 pts
2Robeson County24.3-1.7 pts
3Sampson County23.8+0.1 pts
4Greene County22.5+0.4 pts
5Swain County22.10 pts
6Avery County21.7+1.2 pts
7Tyrrell County21.5-1.6 pts
8Hoke County21.3-0.5 pts
9Jackson County21-0.5 pts
10Graham County20.7+0.1 pts
11Bladen County20.2-0.2 pts
12Macon County20-1.2 pts
13Warren County19.9-0.3 pts
14Alleghany County19.7-1.6 pts
15Montgomery County19.4-2.1 pts
16Randolph County19.3-0.7 pts
17Ashe County19.1-1.6 pts
18Surry County18.7-0.9 pts
19Wayne County18.6+1.3 pts
20Cherokee County18.5+0.4 pts
20Columbus County18.5-0.6 pts
20Wilkes County18.5-1.1 pts
23Lee County18.4-1.4 pts
24Clay County17.9+0.2 pts
25Lenoir County17.7-1 pts
26Brunswick County17.60 pts
27Henderson County17.5-0.3 pts
27Yadkin County17.5-0.4 pts
29Alamance County17.4-0.5 pts
29Rutherford County17.4+0.8 pts
29Scotland County17.4-1.4 pts
32Burke County17.3-1.7 pts
32Caldwell County17.3-1.5 pts
32Richmond County17.3-2.1 pts
35Halifax County17.2+0.4 pts
35Wilson County17.2-1.5 pts
37Yancey County17.1+1.2 pts
38McDowell County17+1.5 pts
39Hyde County16.9-1.5 pts
40Rockingham County16.7+0.5 pts
41Transylvania County16.5+0.2 pts
42Anson County16.4-0.6 pts
42Johnston County16.4-1.3 pts
42Jones County16.4-0.9 pts
42Pender County16.4-1.4 pts
46Catawba County16.3-1.3 pts
46Chatham County16.3-1.3 pts
48Davidson County16.1-0.4 pts
48Franklin County16.1-1.4 pts
48Harnett County16.1-1.2 pts
51Alexander County16+1.7 pts
51Rowan County16-1.4 pts
53Beaufort County15.9-0.6 pts
53Caswell County15.9+0.3 pts
53Mitchell County15.9-1.5 pts
56Vance County15.8-1.8 pts
57Forsyth County15.6-1.2 pts
57Pamlico County15.6+0.5 pts
57Washington County15.6-1.5 pts
60Bertie County15.5+0.2 pts
61Durham County15.4-1.4 pts
61Edgecombe County15.4-0.2 pts
63Person County15.3+0.9 pts
64Pasquotank County15.1+0.2 pts
64Pitt County15.1-0.3 pts
66Craven County15+0.4 pts
67Cleveland County14.9-1.8 pts
67Dare County14.9-2.3 pts
67Davie County14.9-0.7 pts
67Stanly County14.9-0.9 pts
71Iredell County14.8+0.2 pts
71Madison County14.8+0.1 pts
71Perquimans County14.8-0.1 pts
74Chowan County14.7-2.2 pts
74Nash County14.7-0.9 pts
74Watauga County14.7-0.3 pts
77Carteret County14.6-1.3 pts
77Hertford County14.6-1.3 pts
77Mecklenburg County14.6-1.6 pts
77Northampton County14.6-0.8 pts
81Granville County14.5+1.4 pts
82Polk County14.4-1.3 pts
83Moore County14.3-0.9 pts
84Guilford County14.2-2.3 pts
85Currituck County14.1-0.6 pts
85Martin County14.1-0.9 pts
87Gaston County14-2.3 pts
87Stokes County14-1.5 pts
89Cumberland County13.80 pts
89Haywood County13.8-0.6 pts
91Buncombe County13.5-2.9 pts
91Gates County13.5+0.4 pts
93Lincoln County13.4-3.4 pts
94New Hanover County13.1-1.9 pts
95Union County12.9-1.6 pts
96Onslow County12.5-0.2 pts
97Cabarrus County12.3-1.5 pts
98Camden County12.2-0.5 pts
99Orange County12-0.3 pts
100Wake County11.3-0.9 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2016.

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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2016,
  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), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2016.
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-2016-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 25.3% in 2016, 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 11.3% in 2016.

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