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 2019, at 27.2%. Wake County had the lowest, at 12.1%. The median was 17.1% and the figure for North Carolina was 16.3%. Source: the U.S. Census Bureau.

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Highest27.2Duplin County
Lowest12.1Wake County
Median17.1100 counties
North Carolina16.3History

Map of counties, 2019

Alamance County: 18.2 %Alexander County: 16.2 %Alleghany County: 22.7 %Anson County: 16.3 %Ashe County: 19.5 %Avery County: 22 %Beaufort County: 17.4 %Bertie County: 15 %Bladen County: 19.3 %Brunswick County: 15.7 %Buncombe County: 17 %Burke County: 18.5 %Cabarrus County: 13.6 %Caldwell County: 18.5 %Camden County: 13.2 %Carteret County: 15.6 %Caswell County: 15.6 %Catawba County: 18.3 %Chatham County: 16.5 %Cherokee County: 19.6 %Chowan County: 14 %Clay County: 20.1 %Cleveland County: 16.9 %Columbus County: 20.5 %Craven County: 15.6 %Cumberland County: 15.8 %Currituck County: 14.7 %Dare County: 15.7 %Davidson County: 17.7 %Davie County: 15.3 %Duplin County: 27.2 %Durham County: 16.4 %Edgecombe County: 15.1 %Forsyth County: 17.7 %Franklin County: 16.5 %Gaston County: 17 %Gates County: 13.7 %Graham County: 22.8 %Granville County: 15.9 %Greene County: 25.5 %Guilford County: 16.2 %Halifax County: 18.4 %Harnett County: 19.1 %Haywood County: 14.6 %Henderson County: 17.5 %Hertford County: 16.7 %Hoke County: 20.9 %Hyde County: 19.5 %Iredell County: 15.3 %Jackson County: 22.4 %Johnston County: 18.1 %Jones County: 20.6 %Lee County: 19.8 %Lenoir County: 18.7 %Lincoln County: 15.3 %McDowell County: 17.8 %Macon County: 21.4 %Madison County: 15.8 %Martin County: 15.8 %Mecklenburg County: 15.8 %Mitchell County: 17.3 %Montgomery County: 21.2 %Moore County: 14.2 %Nash County: 15.3 %New Hanover County: 14.4 %Northampton County: 15.4 %Onslow County: 13.4 %Orange County: 12.2 %Pamlico County: 16.5 %Pasquotank County: 15 %Pender County: 16 %Perquimans County: 14.9 %Person County: 15.1 %Pitt County: 14.4 %Polk County: 16 %Randolph County: 21.5 %Richmond County: 18.4 %Robeson County: 23.8 %Rockingham County: 16.5 %Rowan County: 17.9 %Rutherford County: 16.8 %Sampson County: 25.1 %Scotland County: 17.5 %Stanly County: 17.7 %Stokes County: 14.5 %Surry County: 20.4 %Swain County: 26.5 %Transylvania County: 18.4 %Tyrrell County: 19.7 %Union County: 13.9 %Vance County: 18.4 %Wake County: 12.1 %Warren County: 20.3 %Washington County: 17.1 %Watauga County: 14.5 %Wayne County: 19.2 %Wilkes County: 19.9 %Wilson County: 20.3 %Yadkin County: 18.1 %Yancey County: 18.5 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 to 20
  • 20 and over
%, 2019. 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, 2019

Duplin County: 27.2 %Duplin County27.2Swain County: 26.5 %Swain County26.5Greene County: 25.5 %Greene County25.5Sampson County: 25.1 %Sampson County25.1Robeson County: 23.8 %Robeson County23.8Graham County: 22.8 %Graham County22.8Alleghany County: 22.7 %Alleghany County22.7Jackson County: 22.4 %Jackson County22.4Avery County: 22 %Avery County22Randolph County: 21.5 %Randolph County21.5Macon County: 21.4 %Macon County21.4Montgomery County: 21.2 %Montgomery County21.2Hoke County: 20.9 %Hoke County20.9Jones County: 20.6 %Jones County20.6Columbus County: 20.5 %Columbus County20.5Surry County: 20.4 %Surry County20.4Warren County: 20.3 %Warren County20.3Wilson County: 20.3 %Wilson County20.3Clay County: 20.1 %Clay County20.1Wilkes County: 19.9 %Wilkes County19.9Lee County: 19.8 %Lee County19.8Tyrrell County: 19.7 %Tyrrell County19.7Cherokee County: 19.6 %Cherokee County19.6Ashe County: 19.5 %Ashe County19.5Hyde County: 19.5 %Hyde County19.5Bladen County: 19.3 %Bladen County19.3Wayne County: 19.2 %Wayne County19.2Harnett County: 19.1 %Harnett County19.1Lenoir County: 18.7 %Lenoir County18.7Burke County: 18.5 %Burke County18.5Caldwell County: 18.5 %Caldwell County18.5Yancey County: 18.5 %Yancey County18.5Halifax County: 18.4 %Halifax County18.4Richmond County: 18.4 %Richmond County18.4Transylvania County: 18.4 %Transylvania County18.4Vance County: 18.4 %Vance County18.4Catawba County: 18.3 %Catawba County18.3Alamance County: 18.2 %Alamance County18.2Johnston County: 18.1 %Johnston County18.1Yadkin County: 18.1 %Yadkin County18.1Duplin County: 27.2 %Duplin County27.2Swain County: 26.5 %Swain County26.5Greene County: 25.5 %Greene County25.5Sampson County: 25.1 %Sampson County25.1Robeson County: 23.8 %Robeson County23.8Graham County: 22.8 %Graham County22.8Alleghany County: 22.7 %Alleghany County22.7Jackson County: 22.4 %Jackson County22.4Avery County: 22 %Avery County22Randolph County: 21.5 %Randolph County21.5Macon County: 21.4 %Macon County21.4Montgomery County: 21.2 %Montgomery County21.2Hoke County: 20.9 %Hoke County20.9Jones County: 20.6 %Jones County20.6Columbus County: 20.5 %Columbus County20.5Surry County: 20.4 %Surry County20.4Warren County: 20.3 %Warren County20.3Wilson County: 20.3 %Wilson County20.3Clay County: 20.1 %Clay County20.1Wilkes County: 19.9 %Wilkes County19.9Lee County: 19.8 %Lee County19.8Tyrrell County: 19.7 %Tyrrell County19.7Cherokee County: 19.6 %Cherokee County19.6Ashe County: 19.5 %Ashe County19.5Hyde County: 19.5 %Hyde County19.5Bladen County: 19.3 %Bladen County19.3Wayne County: 19.2 %Wayne County19.2Harnett County: 19.1 %Harnett County19.1Lenoir County: 18.7 %Lenoir County18.7Burke County: 18.5 %Burke County18.5Caldwell County: 18.5 %Caldwell County18.5Yancey County: 18.5 %Yancey County18.5Halifax County: 18.4 %Halifax County18.4Richmond County: 18.4 %Richmond County18.4Transylvania County: 18.4 %Transylvania County18.4Vance County: 18.4 %Vance County18.4Catawba County: 18.3 %Catawba County18.3Alamance County: 18.2 %Alamance County18.2Johnston County: 18.1 %Johnston County18.1Yadkin County: 18.1 %Yadkin County18.1
%. 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

RankCounties2019 (%)Change on 2018
1Duplin County27.2+1.5 pts
2Swain County26.5+3 pts
3Greene County25.5+1.7 pts
4Sampson County25.1+1.1 pts
5Robeson County23.80 pts
6Graham County22.8+0.6 pts
7Alleghany County22.7+2 pts
8Jackson County22.4+1.7 pts
9Avery County22+0.9 pts
10Randolph County21.5+1.8 pts
11Macon County21.40 pts
12Montgomery County21.2+2.3 pts
13Hoke County20.9+1 pts
14Jones County20.6+2 pts
15Columbus County20.5+1.1 pts
16Surry County20.4+2 pts
17Warren County20.3+0.6 pts
17Wilson County20.3+2 pts
19Clay County20.1+0.9 pts
20Wilkes County19.9+1.1 pts
21Lee County19.8-0.3 pts
22Tyrrell County19.7-1.3 pts
23Cherokee County19.6+1.7 pts
24Ashe County19.5+1.3 pts
24Hyde County19.5-0.9 pts
26Bladen County19.3-2.4 pts
27Wayne County19.2+0.3 pts
28Harnett County19.1+1.2 pts
29Lenoir County18.7+1 pts
30Burke County18.5+2.2 pts
30Caldwell County18.5+0.7 pts
30Yancey County18.5+0.6 pts
33Halifax County18.4+2 pts
33Richmond County18.4+1.3 pts
33Transylvania County18.4-1.4 pts
33Vance County18.4+1.9 pts
37Catawba County18.3+2.2 pts
38Alamance County18.2+1.4 pts
39Johnston County18.1+1.3 pts
39Yadkin County18.1+0.7 pts
41Rowan County17.9+1.1 pts
42McDowell County17.8+0.8 pts
43Davidson County17.7+0.5 pts
43Forsyth County17.7+1.6 pts
43Stanly County17.7+1.9 pts
46Henderson County17.50 pts
46Scotland County17.5-1.2 pts
48Beaufort County17.4+1.7 pts
49Mitchell County17.3+0.2 pts
50Washington County17.1+1.6 pts
51Buncombe County17+2.2 pts
51Gaston County17+1.8 pts
53Cleveland County16.9+0.8 pts
54Rutherford County16.8-0.3 pts
55Hertford County16.7+1.6 pts
56Chatham County16.5+0.6 pts
56Franklin County16.5-0.3 pts
56Pamlico County16.5+1.3 pts
56Rockingham County16.5+0.2 pts
60Durham County16.4+1.3 pts
61Anson County16.3-0.3 pts
62Alexander County16.2+1 pts
62Guilford County16.2+2.2 pts
64Pender County16+0.3 pts
64Polk County16-0.4 pts
66Granville County15.9+0.9 pts
67Cumberland County15.8+2 pts
67Madison County15.8+1.1 pts
67Martin County15.8+1.5 pts
67Mecklenburg County15.80 pts
71Brunswick County15.70 pts
71Dare County15.7-1.7 pts
73Carteret County15.60 pts
73Caswell County15.60 pts
73Craven County15.6+1.6 pts
76Northampton County15.4+0.6 pts
77Davie County15.3-0.2 pts
77Iredell County15.3+0.8 pts
77Lincoln County15.3+0.4 pts
77Nash County15.3+0.6 pts
81Edgecombe County15.1-0.9 pts
81Person County15.1+1 pts
83Bertie County15-0.2 pts
83Pasquotank County15+0.8 pts
85Perquimans County14.9-0.9 pts
86Currituck County14.7+0.1 pts
87Haywood County14.60 pts
88Stokes County14.5-0.1 pts
88Watauga County14.5+0.1 pts
90New Hanover County14.4+0.6 pts
90Pitt County14.40 pts
92Moore County14.20 pts
93Chowan County14-0.3 pts
94Union County13.9-1.4 pts
95Gates County13.7+1 pts
96Cabarrus County13.6+0.2 pts
97Onslow County13.4+0.7 pts
98Camden County13.2-0.9 pts
99Orange County12.20 pts
100Wake County12.1+0.3 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2019.
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-2019-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 27.2% in 2019, 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 12.1% in 2019.

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