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)

Sampson County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 100 counties in 2023, at 21.9%. Wake County had the lowest, at 9.4%. The median was 14% and the figure for North Carolina was 13.2%. Source: the U.S. Census Bureau.

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Highest21.9Sampson County
Lowest9.4Wake County
Median14100 counties
North Carolina13.2History

Map of counties, 2023

Alamance County: 14.6 %Alexander County: 13.5 %Alleghany County: 20.2 %Anson County: 15.8 %Ashe County: 15.4 %Avery County: 16.9 %Beaufort County: 13.8 %Bertie County: 13.2 %Bladen County: 13.8 %Brunswick County: 10.6 %Buncombe County: 15.1 %Burke County: 15.1 %Cabarrus County: 10.6 %Caldwell County: 15.9 %Camden County: 10.2 %Carteret County: 11.7 %Caswell County: 14 %Catawba County: 14.7 %Chatham County: 13.1 %Cherokee County: 14.6 %Chowan County: 13.6 %Clay County: 14.9 %Cleveland County: 12.2 %Columbus County: 16.2 %Craven County: 13.2 %Cumberland County: 11.9 %Currituck County: 11.3 %Dare County: 11.8 %Davidson County: 14.2 %Davie County: 12.2 %Duplin County: 21.5 %Durham County: 13 %Edgecombe County: 13.3 %Forsyth County: 14 %Franklin County: 13.9 %Gaston County: 13.7 %Gates County: 11 %Graham County: 16.9 %Granville County: 13.2 %Greene County: 20.9 %Guilford County: 13 %Halifax County: 14.8 %Harnett County: 14.6 %Haywood County: 13 %Henderson County: 15 %Hertford County: 12.6 %Hoke County: 14.6 %Hyde County: 20.8 %Iredell County: 12.7 %Jackson County: 17.8 %Johnston County: 14 %Jones County: 15.1 %Lee County: 16.7 %Lenoir County: 15.2 %Lincoln County: 12.4 %McDowell County: 14.6 %Macon County: 17.7 %Madison County: 12.2 %Martin County: 13.7 %Mecklenburg County: 14.3 %Mitchell County: 13.2 %Montgomery County: 17.3 %Moore County: 11.4 %Nash County: 15.1 %New Hanover County: 12.4 %Northampton County: 11.2 %Onslow County: 10.1 %Orange County: 11 %Pamlico County: 12.7 %Pasquotank County: 11.2 %Pender County: 13.4 %Perquimans County: 13.5 %Person County: 12.2 %Pitt County: 13 %Polk County: 14.6 %Randolph County: 16.3 %Richmond County: 13.8 %Robeson County: 18.2 %Rockingham County: 15.3 %Rowan County: 13.8 %Rutherford County: 15.7 %Sampson County: 21.9 %Scotland County: 14.1 %Stanly County: 12.3 %Stokes County: 12.8 %Surry County: 16.4 %Swain County: 18.5 %Transylvania County: 12.5 %Tyrrell County: 18.9 %Union County: 11.1 %Vance County: 14.6 %Wake County: 9.4 %Warren County: 17.2 %Washington County: 12.1 %Watauga County: 13.6 %Wayne County: 17.4 %Wilkes County: 16.8 %Wilson County: 16.1 %Yadkin County: 14.3 %Yancey County: 14.7 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 to 17
  • 17 and over
%, 2023. 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, 2023

Sampson County: 21.9 %Sampson County21.9Duplin County: 21.5 %Duplin County21.5Greene County: 20.9 %Greene County20.9Hyde County: 20.8 %Hyde County20.8Alleghany County: 20.2 %Alleghany County20.2Tyrrell County: 18.9 %Tyrrell County18.9Swain County: 18.5 %Swain County18.5Robeson County: 18.2 %Robeson County18.2Jackson County: 17.8 %Jackson County17.8Macon County: 17.7 %Macon County17.7Wayne County: 17.4 %Wayne County17.4Montgomery County: 17.3 %Montgomery County17.3Warren County: 17.2 %Warren County17.2Avery County: 16.9 %Avery County16.9Graham County: 16.9 %Graham County16.9Wilkes County: 16.8 %Wilkes County16.8Lee County: 16.7 %Lee County16.7Surry County: 16.4 %Surry County16.4Randolph County: 16.3 %Randolph County16.3Columbus County: 16.2 %Columbus County16.2Wilson County: 16.1 %Wilson County16.1Caldwell County: 15.9 %Caldwell County15.9Anson County: 15.8 %Anson County15.8Rutherford County: 15.7 %Rutherford County15.7Ashe County: 15.4 %Ashe County15.4Rockingham County: 15.3 %Rockingham County15.3Lenoir County: 15.2 %Lenoir County15.2Buncombe County: 15.1 %Buncombe County15.1Burke County: 15.1 %Burke County15.1Jones County: 15.1 %Jones County15.1Nash County: 15.1 %Nash County15.1Henderson County: 15 %Henderson County15Clay County: 14.9 %Clay County14.9Halifax County: 14.8 %Halifax County14.8Catawba County: 14.7 %Catawba County14.7Yancey County: 14.7 %Yancey County14.7Alamance County: 14.6 %Alamance County14.6Cherokee County: 14.6 %Cherokee County14.6Harnett County: 14.6 %Harnett County14.6Hoke County: 14.6 %Hoke County14.6Sampson County: 21.9 %Sampson County21.9Duplin County: 21.5 %Duplin County21.5Greene County: 20.9 %Greene County20.9Hyde County: 20.8 %Hyde County20.8Alleghany County: 20.2 %Alleghany County20.2Tyrrell County: 18.9 %Tyrrell County18.9Swain County: 18.5 %Swain County18.5Robeson County: 18.2 %Robeson County18.2Jackson County: 17.8 %Jackson County17.8Macon County: 17.7 %Macon County17.7Wayne County: 17.4 %Wayne County17.4Montgomery County: 17.3 %Montgomery County17.3Warren County: 17.2 %Warren County17.2Avery County: 16.9 %Avery County16.9Graham County: 16.9 %Graham County16.9Wilkes County: 16.8 %Wilkes County16.8Lee County: 16.7 %Lee County16.7Surry County: 16.4 %Surry County16.4Randolph County: 16.3 %Randolph County16.3Columbus County: 16.2 %Columbus County16.2Wilson County: 16.1 %Wilson County16.1Caldwell County: 15.9 %Caldwell County15.9Anson County: 15.8 %Anson County15.8Rutherford County: 15.7 %Rutherford County15.7Ashe County: 15.4 %Ashe County15.4Rockingham County: 15.3 %Rockingham County15.3Lenoir County: 15.2 %Lenoir County15.2Buncombe County: 15.1 %Buncombe County15.1Burke County: 15.1 %Burke County15.1Jones County: 15.1 %Jones County15.1Nash County: 15.1 %Nash County15.1Henderson County: 15 %Henderson County15Clay County: 14.9 %Clay County14.9Halifax County: 14.8 %Halifax County14.8Catawba County: 14.7 %Catawba County14.7Yancey County: 14.7 %Yancey County14.7Alamance County: 14.6 %Alamance County14.6Cherokee County: 14.6 %Cherokee County14.6Harnett County: 14.6 %Harnett County14.6Hoke County: 14.6 %Hoke County14.6
%. 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

RankCounties2023 (%)Change on 2022
1Sampson County21.9+0.8 pts
2Duplin County21.5+2.3 pts
3Greene County20.9-1 pts
4Hyde County20.8-1.8 pts
5Alleghany County20.2-0.3 pts
6Tyrrell County18.9-0.1 pts
7Swain County18.5-5.1 pts
8Robeson County18.2-1.9 pts
9Jackson County17.8-0.3 pts
10Macon County17.7-1.8 pts
11Wayne County17.4+0.1 pts
12Montgomery County17.3-2.5 pts
13Warren County17.2-0.8 pts
14Avery County16.9-1.3 pts
14Graham County16.9-2.8 pts
16Wilkes County16.8+0.5 pts
17Lee County16.7+0.3 pts
18Surry County16.40 pts
19Randolph County16.3-0.2 pts
20Columbus County16.2-0.7 pts
21Wilson County16.1+0.5 pts
22Caldwell County15.9+0.2 pts
23Anson County15.8+0.3 pts
24Rutherford County15.7+1.2 pts
25Ashe County15.4-0.4 pts
26Rockingham County15.3+0.1 pts
27Lenoir County15.2-0.7 pts
28Buncombe County15.1-0.3 pts
28Burke County15.1-0.7 pts
28Jones County15.1-1 pts
28Nash County15.1-1.9 pts
32Henderson County15-1.3 pts
33Clay County14.9-0.4 pts
34Halifax County14.8-0.3 pts
35Catawba County14.7+0.4 pts
35Yancey County14.7-0.4 pts
37Alamance County14.6-0.8 pts
37Cherokee County14.6-1.4 pts
37Harnett County14.6-0.2 pts
37Hoke County14.6+0.3 pts
37McDowell County14.6-2 pts
37Polk County14.6+0.2 pts
37Vance County14.6-1.4 pts
44Mecklenburg County14.3+1 pts
44Yadkin County14.3-1.4 pts
46Davidson County14.2-0.9 pts
47Scotland County14.1-0.3 pts
48Caswell County14-0.6 pts
48Forsyth County14-0.3 pts
48Johnston County14-1.7 pts
51Franklin County13.9-1.1 pts
52Beaufort County13.8-0.9 pts
52Bladen County13.8-3.4 pts
52Richmond County13.8-2.1 pts
52Rowan County13.8-0.2 pts
56Gaston County13.7+0.2 pts
56Martin County13.7-1.6 pts
58Chowan County13.6+0.1 pts
58Watauga County13.6+0.1 pts
60Alexander County13.5-0.9 pts
60Perquimans County13.5+0.5 pts
62Pender County13.4-0.5 pts
63Edgecombe County13.3-0.3 pts
64Bertie County13.2-0.6 pts
64Craven County13.2+0.1 pts
64Granville County13.2-1.3 pts
64Mitchell County13.2-0.4 pts
68Chatham County13.1-0.2 pts
69Durham County13+0.7 pts
69Guilford County13+0.5 pts
69Haywood County13-1.4 pts
69Pitt County13+0.5 pts
73Stokes County12.8+0.6 pts
74Iredell County12.7+1 pts
74Pamlico County12.7-1.6 pts
76Hertford County12.6-1.6 pts
77Transylvania County12.5-3.1 pts
78Lincoln County12.4+0.4 pts
78New Hanover County12.4-0.3 pts
80Stanly County12.3-2.9 pts
81Cleveland County12.2-1.1 pts
81Davie County12.20 pts
81Madison County12.2-0.3 pts
81Person County12.2-0.6 pts
85Washington County12.1-2.6 pts
86Cumberland County11.9-1.5 pts
87Dare County11.8-0.9 pts
88Carteret County11.7-2.7 pts
89Moore County11.4-1.2 pts
90Currituck County11.30 pts
91Northampton County11.2-0.8 pts
91Pasquotank County11.2-0.6 pts
93Union County11.1-1.7 pts
94Gates County11+0.3 pts
94Orange County11+1.6 pts
96Brunswick County10.6-1.2 pts
96Cabarrus County10.6-0.1 pts
98Camden County10.2-0.7 pts
99Onslow County10.1-1.6 pts
100Wake County9.4-0.7 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-carolina-counties?period=2023.
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-2023-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)?

Sampson County, with 21.9% in 2023, 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 9.4% in 2023.

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