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)

Swain County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 100 counties in 2022, at 23.6%. Orange County had the lowest, at 9.4%. The median was 14.6% and the figure for North Carolina was 13.5%. Source: the U.S. Census Bureau.

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Highest23.6Swain County
Lowest9.4Orange County
Median14.6100 counties
North Carolina13.5History

Map of counties, 2022

Alamance County: 15.4 %Alexander County: 14.4 %Alleghany County: 20.5 %Anson County: 15.5 %Ashe County: 15.8 %Avery County: 18.2 %Beaufort County: 14.7 %Bertie County: 13.8 %Bladen County: 17.2 %Brunswick County: 11.8 %Buncombe County: 15.4 %Burke County: 15.8 %Cabarrus County: 10.7 %Caldwell County: 15.7 %Camden County: 10.9 %Carteret County: 14.4 %Caswell County: 14.6 %Catawba County: 14.3 %Chatham County: 13.3 %Cherokee County: 16 %Chowan County: 13.5 %Clay County: 15.3 %Cleveland County: 13.3 %Columbus County: 16.9 %Craven County: 13.1 %Cumberland County: 13.4 %Currituck County: 11.3 %Dare County: 12.7 %Davidson County: 15.1 %Davie County: 12.2 %Duplin County: 19.2 %Durham County: 12.3 %Edgecombe County: 13.6 %Forsyth County: 14.3 %Franklin County: 15 %Gaston County: 13.5 %Gates County: 10.7 %Graham County: 19.7 %Granville County: 14.5 %Greene County: 21.9 %Guilford County: 12.5 %Halifax County: 15.1 %Harnett County: 14.8 %Haywood County: 14.4 %Henderson County: 16.3 %Hertford County: 14.2 %Hoke County: 14.3 %Hyde County: 22.6 %Iredell County: 11.7 %Jackson County: 18.1 %Johnston County: 15.7 %Jones County: 16.1 %Lee County: 16.4 %Lenoir County: 15.9 %Lincoln County: 12 %McDowell County: 16.6 %Macon County: 19.5 %Madison County: 12.5 %Martin County: 15.3 %Mecklenburg County: 13.3 %Mitchell County: 13.6 %Montgomery County: 19.8 %Moore County: 12.6 %Nash County: 17 %New Hanover County: 12.7 %Northampton County: 12 %Onslow County: 11.7 %Orange County: 9.4 %Pamlico County: 14.3 %Pasquotank County: 11.8 %Pender County: 13.9 %Perquimans County: 13 %Person County: 12.8 %Pitt County: 12.5 %Polk County: 14.4 %Randolph County: 16.5 %Richmond County: 15.9 %Robeson County: 20.1 %Rockingham County: 15.2 %Rowan County: 14 %Rutherford County: 14.5 %Sampson County: 21.1 %Scotland County: 14.4 %Stanly County: 15.2 %Stokes County: 12.2 %Surry County: 16.4 %Swain County: 23.6 %Transylvania County: 15.6 %Tyrrell County: 19 %Union County: 12.8 %Vance County: 16 %Wake County: 10.1 %Warren County: 18 %Washington County: 14.7 %Watauga County: 13.5 %Wayne County: 17.3 %Wilkes County: 16.3 %Wilson County: 15.6 %Yadkin County: 15.7 %Yancey County: 15.1 %
  • Under 13
  • 13 to 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 17 and over
%, 2022. 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, 2022

Swain County: 23.6 %Swain County23.6Hyde County: 22.6 %Hyde County22.6Greene County: 21.9 %Greene County21.9Sampson County: 21.1 %Sampson County21.1Alleghany County: 20.5 %Alleghany County20.5Robeson County: 20.1 %Robeson County20.1Montgomery County: 19.8 %Montgomery County19.8Graham County: 19.7 %Graham County19.7Macon County: 19.5 %Macon County19.5Duplin County: 19.2 %Duplin County19.2Tyrrell County: 19 %Tyrrell County19Avery County: 18.2 %Avery County18.2Jackson County: 18.1 %Jackson County18.1Warren County: 18 %Warren County18Wayne County: 17.3 %Wayne County17.3Bladen County: 17.2 %Bladen County17.2Nash County: 17 %Nash County17Columbus County: 16.9 %Columbus County16.9McDowell County: 16.6 %McDowell County16.6Randolph County: 16.5 %Randolph County16.5Lee County: 16.4 %Lee County16.4Surry County: 16.4 %Surry County16.4Henderson County: 16.3 %Henderson County16.3Wilkes County: 16.3 %Wilkes County16.3Jones County: 16.1 %Jones County16.1Cherokee County: 16 %Cherokee County16Vance County: 16 %Vance County16Lenoir County: 15.9 %Lenoir County15.9Richmond County: 15.9 %Richmond County15.9Ashe County: 15.8 %Ashe County15.8Burke County: 15.8 %Burke County15.8Caldwell County: 15.7 %Caldwell County15.7Johnston County: 15.7 %Johnston County15.7Yadkin County: 15.7 %Yadkin County15.7Transylvania County: 15.6 %Transylvania County15.6Wilson County: 15.6 %Wilson County15.6Anson County: 15.5 %Anson County15.5Alamance County: 15.4 %Alamance County15.4Buncombe County: 15.4 %Buncombe County15.4Clay County: 15.3 %Clay County15.3Swain County: 23.6 %Swain County23.6Hyde County: 22.6 %Hyde County22.6Greene County: 21.9 %Greene County21.9Sampson County: 21.1 %Sampson County21.1Alleghany County: 20.5 %Alleghany County20.5Robeson County: 20.1 %Robeson County20.1Montgomery County: 19.8 %Montgomery County19.8Graham County: 19.7 %Graham County19.7Macon County: 19.5 %Macon County19.5Duplin County: 19.2 %Duplin County19.2Tyrrell County: 19 %Tyrrell County19Avery County: 18.2 %Avery County18.2Jackson County: 18.1 %Jackson County18.1Warren County: 18 %Warren County18Wayne County: 17.3 %Wayne County17.3Bladen County: 17.2 %Bladen County17.2Nash County: 17 %Nash County17Columbus County: 16.9 %Columbus County16.9McDowell County: 16.6 %McDowell County16.6Randolph County: 16.5 %Randolph County16.5Lee County: 16.4 %Lee County16.4Surry County: 16.4 %Surry County16.4Henderson County: 16.3 %Henderson County16.3Wilkes County: 16.3 %Wilkes County16.3Jones County: 16.1 %Jones County16.1Cherokee County: 16 %Cherokee County16Vance County: 16 %Vance County16Lenoir County: 15.9 %Lenoir County15.9Richmond County: 15.9 %Richmond County15.9Ashe County: 15.8 %Ashe County15.8Burke County: 15.8 %Burke County15.8Caldwell County: 15.7 %Caldwell County15.7Johnston County: 15.7 %Johnston County15.7Yadkin County: 15.7 %Yadkin County15.7Transylvania County: 15.6 %Transylvania County15.6Wilson County: 15.6 %Wilson County15.6Anson County: 15.5 %Anson County15.5Alamance County: 15.4 %Alamance County15.4Buncombe County: 15.4 %Buncombe County15.4Clay County: 15.3 %Clay County15.3
%. 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

RankCounties2022 (%)Change on 2021
1Swain County23.6-0.7 pts
2Hyde County22.6-0.2 pts
3Greene County21.9-3 pts
4Sampson County21.1-1.4 pts
5Alleghany County20.5-1 pts
6Robeson County20.1-2 pts
7Montgomery County19.8-0.7 pts
8Graham County19.7-4.2 pts
9Macon County19.5-0.3 pts
10Duplin County19.2-5.2 pts
11Tyrrell County19-2 pts
12Avery County18.2+0.2 pts
13Jackson County18.1-3 pts
14Warren County18-1.4 pts
15Wayne County17.3-1.3 pts
16Bladen County17.2-0.3 pts
17Nash County17-0.2 pts
18Columbus County16.9-1.6 pts
19McDowell County16.6-1 pts
20Randolph County16.5-3.6 pts
21Lee County16.4-3.6 pts
21Surry County16.4-2 pts
23Henderson County16.3-0.3 pts
23Wilkes County16.3-2.8 pts
25Jones County16.1-3.5 pts
26Cherokee County16-2.4 pts
26Vance County16-2 pts
28Lenoir County15.9-1.5 pts
28Richmond County15.9-0.8 pts
30Ashe County15.8-0.4 pts
30Burke County15.8-1.7 pts
32Caldwell County15.7-1 pts
32Johnston County15.7-0.2 pts
32Yadkin County15.7-1.9 pts
35Transylvania County15.6-0.3 pts
35Wilson County15.6-4.1 pts
37Anson County15.5-0.5 pts
38Alamance County15.4-1.9 pts
38Buncombe County15.4+0.5 pts
40Clay County15.3-4.9 pts
40Martin County15.3-1.1 pts
42Rockingham County15.2-2.1 pts
42Stanly County15.2-1.1 pts
44Davidson County15.1-1.4 pts
44Halifax County15.1-0.6 pts
44Yancey County15.1-1.9 pts
47Franklin County15-0.7 pts
48Harnett County14.8-1 pts
49Beaufort County14.7-1.8 pts
49Washington County14.70 pts
51Caswell County14.6-1.6 pts
52Granville County14.5+0.1 pts
52Rutherford County14.5-2.5 pts
54Alexander County14.4-1.2 pts
54Carteret County14.4-0.3 pts
54Haywood County14.4-1.2 pts
54Polk County14.4-0.6 pts
54Scotland County14.4-3 pts
59Catawba County14.3-2.3 pts
59Forsyth County14.3-1.8 pts
59Hoke County14.3-3.8 pts
59Pamlico County14.3-2.8 pts
63Hertford County14.2-0.2 pts
64Rowan County14-3.7 pts
65Pender County13.9-1.5 pts
66Bertie County13.8-0.2 pts
67Edgecombe County13.6-0.5 pts
67Mitchell County13.6-2.8 pts
69Chowan County13.5-1.3 pts
69Gaston County13.5-1.6 pts
69Watauga County13.5-0.4 pts
72Cumberland County13.4-0.9 pts
73Chatham County13.3-1.2 pts
73Cleveland County13.3-3.3 pts
73Mecklenburg County13.3-1.6 pts
76Craven County13.1-0.4 pts
77Perquimans County13-1.5 pts
78Person County12.8-1.8 pts
78Union County12.8+0.5 pts
80Dare County12.7-1.4 pts
80New Hanover County12.7-0.4 pts
82Moore County12.6-1.6 pts
83Guilford County12.5-2.1 pts
83Madison County12.5-1.2 pts
83Pitt County12.5-2.7 pts
86Durham County12.3-2.4 pts
87Davie County12.2-2.3 pts
87Stokes County12.2-2.8 pts
89Lincoln County12-2.4 pts
89Northampton County12-2.1 pts
91Brunswick County11.8-2.3 pts
91Pasquotank County11.8-1.9 pts
93Iredell County11.7-2.6 pts
93Onslow County11.7-2.1 pts
95Currituck County11.3-2.9 pts
96Camden County10.9-3.2 pts
97Cabarrus County10.7-2.9 pts
97Gates County10.7-2.4 pts
99Wake County10.1-0.7 pts
100Orange County9.4-2.3 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2022.
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-2022-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)?

Swain County, with 23.6% in 2022, according to the U.S. Census Bureau.

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

Orange County, with 9.4% in 2022.

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