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 2017, at 24.5%. Onslow County had the lowest, at 11.2%. The median was 16.4% and the figure for North Carolina was 15.6%. Source: the U.S. Census Bureau.

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Highest24.5Duplin County
Lowest11.2Onslow County
Median16.4100 counties
North Carolina15.6History

Map of counties, 2017

Alamance County: 17.5 %Alexander County: 16.5 %Alleghany County: 21.5 %Anson County: 16.3 %Ashe County: 18.9 %Avery County: 23.6 %Beaufort County: 17.3 %Bertie County: 16 %Bladen County: 20.3 %Brunswick County: 15.9 %Buncombe County: 16.4 %Burke County: 18 %Cabarrus County: 13.3 %Caldwell County: 17.2 %Camden County: 14.3 %Carteret County: 15.1 %Caswell County: 15.3 %Catawba County: 16.5 %Chatham County: 16.9 %Cherokee County: 16.8 %Chowan County: 14.4 %Clay County: 18.4 %Cleveland County: 15 %Columbus County: 18.3 %Craven County: 14 %Cumberland County: 13.7 %Currituck County: 15.1 %Dare County: 15.4 %Davidson County: 16 %Davie County: 15 %Duplin County: 24.5 %Durham County: 16.2 %Edgecombe County: 15.5 %Forsyth County: 16.3 %Franklin County: 17.4 %Gaston County: 14.9 %Gates County: 13.8 %Graham County: 22.8 %Granville County: 13.9 %Greene County: 23.3 %Guilford County: 14.7 %Halifax County: 16.7 %Harnett County: 16.6 %Haywood County: 14.5 %Henderson County: 18.5 %Hertford County: 14.9 %Hoke County: 20.4 %Hyde County: 18.4 %Iredell County: 14.3 %Jackson County: 21.4 %Johnston County: 17.5 %Jones County: 18.6 %Lee County: 19 %Lenoir County: 16.9 %Lincoln County: 15.2 %McDowell County: 16 %Macon County: 18.8 %Madison County: 15 %Martin County: 13.4 %Mecklenburg County: 15.7 %Mitchell County: 16.9 %Montgomery County: 20.6 %Moore County: 14.4 %Nash County: 15.3 %New Hanover County: 14.5 %Northampton County: 13.8 %Onslow County: 11.2 %Orange County: 12.5 %Pamlico County: 14.7 %Pasquotank County: 15.3 %Pender County: 16.8 %Perquimans County: 14.5 %Person County: 14.2 %Pitt County: 13.2 %Polk County: 16.4 %Randolph County: 18.4 %Richmond County: 18.5 %Robeson County: 24.1 %Rockingham County: 15.7 %Rowan County: 17.3 %Rutherford County: 16.7 %Sampson County: 23.5 %Scotland County: 18.2 %Stanly County: 16 %Stokes County: 16 %Surry County: 18.1 %Swain County: 22.4 %Transylvania County: 18 %Tyrrell County: 20.9 %Union County: 13.3 %Vance County: 15.5 %Wake County: 12.3 %Warren County: 19.6 %Washington County: 16.2 %Watauga County: 16.2 %Wayne County: 19 %Wilkes County: 19.5 %Wilson County: 17.6 %Yadkin County: 17.2 %Yancey County: 17.6 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 18
  • 18 to 19
  • 19 and over
%, 2017. 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, 2017

Duplin County: 24.5 %Duplin County24.5Robeson County: 24.1 %Robeson County24.1Avery County: 23.6 %Avery County23.6Sampson County: 23.5 %Sampson County23.5Greene County: 23.3 %Greene County23.3Graham County: 22.8 %Graham County22.8Swain County: 22.4 %Swain County22.4Alleghany County: 21.5 %Alleghany County21.5Jackson County: 21.4 %Jackson County21.4Tyrrell County: 20.9 %Tyrrell County20.9Montgomery County: 20.6 %Montgomery County20.6Hoke County: 20.4 %Hoke County20.4Bladen County: 20.3 %Bladen County20.3Warren County: 19.6 %Warren County19.6Wilkes County: 19.5 %Wilkes County19.5Lee County: 19 %Lee County19Wayne County: 19 %Wayne County19Ashe County: 18.9 %Ashe County18.9Macon County: 18.8 %Macon County18.8Jones County: 18.6 %Jones County18.6Henderson County: 18.5 %Henderson County18.5Richmond County: 18.5 %Richmond County18.5Clay County: 18.4 %Clay County18.4Hyde County: 18.4 %Hyde County18.4Randolph County: 18.4 %Randolph County18.4Columbus County: 18.3 %Columbus County18.3Scotland County: 18.2 %Scotland County18.2Surry County: 18.1 %Surry County18.1Burke County: 18 %Burke County18Transylvania County: 18 %Transylvania County18Wilson County: 17.6 %Wilson County17.6Yancey County: 17.6 %Yancey County17.6Alamance County: 17.5 %Alamance County17.5Johnston County: 17.5 %Johnston County17.5Franklin County: 17.4 %Franklin County17.4Beaufort County: 17.3 %Beaufort County17.3Rowan County: 17.3 %Rowan County17.3Caldwell County: 17.2 %Caldwell County17.2Yadkin County: 17.2 %Yadkin County17.2Chatham County: 16.9 %Chatham County16.9Duplin County: 24.5 %Duplin County24.5Robeson County: 24.1 %Robeson County24.1Avery County: 23.6 %Avery County23.6Sampson County: 23.5 %Sampson County23.5Greene County: 23.3 %Greene County23.3Graham County: 22.8 %Graham County22.8Swain County: 22.4 %Swain County22.4Alleghany County: 21.5 %Alleghany County21.5Jackson County: 21.4 %Jackson County21.4Tyrrell County: 20.9 %Tyrrell County20.9Montgomery County: 20.6 %Montgomery County20.6Hoke County: 20.4 %Hoke County20.4Bladen County: 20.3 %Bladen County20.3Warren County: 19.6 %Warren County19.6Wilkes County: 19.5 %Wilkes County19.5Lee County: 19 %Lee County19Wayne County: 19 %Wayne County19Ashe County: 18.9 %Ashe County18.9Macon County: 18.8 %Macon County18.8Jones County: 18.6 %Jones County18.6Henderson County: 18.5 %Henderson County18.5Richmond County: 18.5 %Richmond County18.5Clay County: 18.4 %Clay County18.4Hyde County: 18.4 %Hyde County18.4Randolph County: 18.4 %Randolph County18.4Columbus County: 18.3 %Columbus County18.3Scotland County: 18.2 %Scotland County18.2Surry County: 18.1 %Surry County18.1Burke County: 18 %Burke County18Transylvania County: 18 %Transylvania County18Wilson County: 17.6 %Wilson County17.6Yancey County: 17.6 %Yancey County17.6Alamance County: 17.5 %Alamance County17.5Johnston County: 17.5 %Johnston County17.5Franklin County: 17.4 %Franklin County17.4Beaufort County: 17.3 %Beaufort County17.3Rowan County: 17.3 %Rowan County17.3Caldwell County: 17.2 %Caldwell County17.2Yadkin County: 17.2 %Yadkin County17.2Chatham County: 16.9 %Chatham County16.9
%. 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

RankCounties2017 (%)Change on 2016
1Duplin County24.5-0.8 pts
2Robeson County24.1-0.2 pts
3Avery County23.6+1.9 pts
4Sampson County23.5-0.3 pts
5Greene County23.3+0.8 pts
6Graham County22.8+2.1 pts
7Swain County22.4+0.3 pts
8Alleghany County21.5+1.8 pts
9Jackson County21.4+0.4 pts
10Tyrrell County20.9-0.6 pts
11Montgomery County20.6+1.2 pts
12Hoke County20.4-0.9 pts
13Bladen County20.3+0.1 pts
14Warren County19.6-0.3 pts
15Wilkes County19.5+1 pts
16Lee County19+0.6 pts
16Wayne County19+0.4 pts
18Ashe County18.9-0.2 pts
19Macon County18.8-1.2 pts
20Jones County18.6+2.2 pts
21Henderson County18.5+1 pts
21Richmond County18.5+1.2 pts
23Clay County18.4+0.5 pts
23Hyde County18.4+1.5 pts
23Randolph County18.4-0.9 pts
26Columbus County18.3-0.2 pts
27Scotland County18.2+0.8 pts
28Surry County18.1-0.6 pts
29Burke County18+0.7 pts
29Transylvania County18+1.5 pts
31Wilson County17.6+0.4 pts
31Yancey County17.6+0.5 pts
33Alamance County17.5+0.1 pts
33Johnston County17.5+1.1 pts
35Franklin County17.4+1.3 pts
36Beaufort County17.3+1.4 pts
36Rowan County17.3+1.3 pts
38Caldwell County17.2-0.1 pts
38Yadkin County17.2-0.3 pts
40Chatham County16.9+0.6 pts
40Lenoir County16.9-0.8 pts
40Mitchell County16.9+1 pts
43Cherokee County16.8-1.7 pts
43Pender County16.8+0.4 pts
45Halifax County16.7-0.5 pts
45Rutherford County16.7-0.7 pts
47Harnett County16.6+0.5 pts
48Alexander County16.5+0.5 pts
48Catawba County16.5+0.2 pts
50Buncombe County16.4+2.9 pts
50Polk County16.4+2 pts
52Anson County16.3-0.1 pts
52Forsyth County16.3+0.7 pts
54Durham County16.2+0.8 pts
54Washington County16.2+0.6 pts
54Watauga County16.2+1.5 pts
57Bertie County16+0.5 pts
57Davidson County16-0.1 pts
57McDowell County16-1 pts
57Stanly County16+1.1 pts
57Stokes County16+2 pts
62Brunswick County15.9-1.7 pts
63Mecklenburg County15.7+1.1 pts
63Rockingham County15.7-1 pts
65Edgecombe County15.5+0.1 pts
65Vance County15.5-0.3 pts
67Dare County15.4+0.5 pts
68Caswell County15.3-0.6 pts
68Nash County15.3+0.6 pts
68Pasquotank County15.3+0.2 pts
71Lincoln County15.2+1.8 pts
72Carteret County15.1+0.5 pts
72Currituck County15.1+1 pts
74Cleveland County15+0.1 pts
74Davie County15+0.1 pts
74Madison County15+0.2 pts
77Gaston County14.9+0.9 pts
77Hertford County14.9+0.3 pts
79Guilford County14.7+0.5 pts
79Pamlico County14.7-0.9 pts
81Haywood County14.5+0.7 pts
81New Hanover County14.5+1.4 pts
81Perquimans County14.5-0.3 pts
84Chowan County14.4-0.3 pts
84Moore County14.4+0.1 pts
86Camden County14.3+2.1 pts
86Iredell County14.3-0.5 pts
88Person County14.2-1.1 pts
89Craven County14-1 pts
90Granville County13.9-0.6 pts
91Gates County13.8+0.3 pts
91Northampton County13.8-0.8 pts
93Cumberland County13.7-0.1 pts
94Martin County13.4-0.7 pts
95Cabarrus County13.3+1 pts
95Union County13.3+0.4 pts
97Pitt County13.2-1.9 pts
98Orange County12.5+0.5 pts
99Wake County12.3+1 pts
100Onslow County11.2-1.3 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2017.
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-2017-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 24.5% in 2017, according to the U.S. Census Bureau.

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

Onslow County, with 11.2% in 2017.

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