Counties in North Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Logan County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 53 counties in 2024, at 12%. Oliver County had the lowest, at 5.2%. The median was 7.4% and the figure for North Dakota was 7%. Source: the U.S. Census Bureau.

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Highest12Logan County
Lowest5.2Oliver County
Median7.453 counties
North Dakota7History

Map of counties, 2024

Adams County: 11.5 %Barnes County: 6.5 %Benson County: 9.3 %Billings County: 6 %Bottineau County: 7.4 %Bowman County: 9.3 %Burke County: 7 %Burleigh County: 6 %Cass County: 6.6 %Cavalier County: 6 %Dickey County: 9.1 %Divide County: 9.7 %Dunn County: 9.1 %Eddy County: 6.5 %Emmons County: 8.2 %Foster County: 5.4 %Golden Valley County: 6.1 %Grand Forks County: 6.6 %Grant County: 10.7 %Griggs County: 5.8 %Hettinger County: 6.6 %Kidder County: 8.7 %LaMoure County: 7.8 %Logan County: 12 %McHenry County: 7.7 %McIntosh County: 10 %McKenzie County: 8.1 %McLean County: 6.6 %Mercer County: 6.3 %Morton County: 6 %Mountrail County: 11.6 %Nelson County: 7.5 %Oliver County: 5.2 %Pembina County: 7.5 %Pierce County: 5.7 %Ramsey County: 7 %Ransom County: 8.3 %Renville County: 7.4 %Richland County: 6.4 %Rolette County: 9.9 %Sargent County: 5.5 %Sheridan County: 10.3 %Sioux County: 8.5 %Slope County: 8 %Stark County: 7.7 %Steele County: 6.5 %Stutsman County: 6.7 %Towner County: 7.2 %Traill County: 6 %Walsh County: 10.4 %Ward County: 6.8 %Wells County: 6.3 %Williams County: 8.9 %
  • Under 6
  • 6 to 6.6
  • 6.6 to 7.4
  • 7.4 to 8.2
  • 8.2 to 9.4
  • 9.4 and over
%, 2024. 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.

All counties, 2024

Logan County: 12 %Logan County12Mountrail County: 11.6 %Mountrail County11.6Adams County: 11.5 %Adams County11.5Grant County: 10.7 %Grant County10.7Walsh County: 10.4 %Walsh County10.4Sheridan County: 10.3 %Sheridan County10.3McIntosh County: 10 %McIntosh County10Rolette County: 9.9 %Rolette County9.9Divide County: 9.7 %Divide County9.7Benson County: 9.3 %Benson County9.3Bowman County: 9.3 %Bowman County9.3Dickey County: 9.1 %Dickey County9.1Dunn County: 9.1 %Dunn County9.1Williams County: 8.9 %Williams County8.9Kidder County: 8.7 %Kidder County8.7Sioux County: 8.5 %Sioux County8.5Ransom County: 8.3 %Ransom County8.3Emmons County: 8.2 %Emmons County8.2McKenzie County: 8.1 %McKenzie County8.1Slope County: 8 %Slope County8LaMoure County: 7.8 %LaMoure County7.8McHenry County: 7.7 %McHenry County7.7Stark County: 7.7 %Stark County7.7Nelson County: 7.5 %Nelson County7.5Pembina County: 7.5 %Pembina County7.5Bottineau County: 7.4 %Bottineau County7.4Renville County: 7.4 %Renville County7.4Towner County: 7.2 %Towner County7.2Burke County: 7 %Burke County7Ramsey County: 7 %Ramsey County7Ward County: 6.8 %Ward County6.8Stutsman County: 6.7 %Stutsman County6.7Cass County: 6.6 %Cass County6.6Grand Forks County: 6.6 %Grand Forks County6.6Hettinger County: 6.6 %Hettinger County6.6McLean County: 6.6 %McLean County6.6Barnes County: 6.5 %Barnes County6.5Eddy County: 6.5 %Eddy County6.5Steele County: 6.5 %Steele County6.5Richland County: 6.4 %Richland County6.4Mercer County: 6.3 %Mercer County6.3Wells County: 6.3 %Wells County6.3Golden Valley County: 6.1 %Golden Valley County6.1Billings County: 6 %Billings County6Burleigh County: 6 %Burleigh County6Cavalier County: 6 %Cavalier County6Morton County: 6 %Morton County6Traill County: 6 %Traill County6Griggs County: 5.8 %Griggs County5.8Pierce County: 5.7 %Pierce County5.7Sargent County: 5.5 %Sargent County5.5Foster County: 5.4 %Foster County5.4Oliver County: 5.2 %Oliver County5.2Logan County: 12 %Logan County12Mountrail County: 11.6 %Mountrail County11.6Adams County: 11.5 %Adams County11.5Grant County: 10.7 %Grant County10.7Walsh County: 10.4 %Walsh County10.4Sheridan County: 10.3 %Sheridan County10.3McIntosh County: 10 %McIntosh County10Rolette County: 9.9 %Rolette County9.9Divide County: 9.7 %Divide County9.7Benson County: 9.3 %Benson County9.3Bowman County: 9.3 %Bowman County9.3Dickey County: 9.1 %Dickey County9.1Dunn County: 9.1 %Dunn County9.1Williams County: 8.9 %Williams County8.9Kidder County: 8.7 %Kidder County8.7Sioux County: 8.5 %Sioux County8.5Ransom County: 8.3 %Ransom County8.3Emmons County: 8.2 %Emmons County8.2McKenzie County: 8.1 %McKenzie County8.1Slope County: 8 %Slope County8LaMoure County: 7.8 %LaMoure County7.8McHenry County: 7.7 %McHenry County7.7Stark County: 7.7 %Stark County7.7Nelson County: 7.5 %Nelson County7.5Pembina County: 7.5 %Pembina County7.5Bottineau County: 7.4 %Bottineau County7.4Renville County: 7.4 %Renville County7.4Towner County: 7.2 %Towner County7.2Burke County: 7 %Burke County7Ramsey County: 7 %Ramsey County7Ward County: 6.8 %Ward County6.8Stutsman County: 6.7 %Stutsman County6.7Cass County: 6.6 %Cass County6.6Grand Forks County: 6.6 %Grand Forks County6.6Hettinger County: 6.6 %Hettinger County6.6McLean County: 6.6 %McLean County6.6Barnes County: 6.5 %Barnes County6.5Eddy County: 6.5 %Eddy County6.5Steele County: 6.5 %Steele County6.5Richland County: 6.4 %Richland County6.4Mercer County: 6.3 %Mercer County6.3Wells County: 6.3 %Wells County6.3Golden Valley County: 6.1 %Golden Valley County6.1Billings County: 6 %Billings County6Burleigh County: 6 %Burleigh County6Cavalier County: 6 %Cavalier County6Morton County: 6 %Morton County6Traill County: 6 %Traill County6Griggs County: 5.8 %Griggs County5.8Pierce County: 5.7 %Pierce County5.7Sargent County: 5.5 %Sargent County5.5Foster County: 5.4 %Foster County5.4Oliver County: 5.2 %Oliver County5.2
%. 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

RankCounties2024 (%)Change on 2023
1Logan County12+4.2 pts
2Mountrail County11.6+1.4 pts
3Adams County11.5+2.2 pts
4Grant County10.7+2.1 pts
5Walsh County10.4+1.3 pts
6Sheridan County10.3+0.8 pts
7McIntosh County10+2.3 pts
8Rolette County9.9-0.1 pts
9Divide County9.7+1.8 pts
10Benson County9.3+0.8 pts
10Bowman County9.3+0.4 pts
12Dickey County9.1+0.8 pts
12Dunn County9.1+0.2 pts
14Williams County8.9+0.9 pts
15Kidder County8.7+0.6 pts
16Sioux County8.5-0.4 pts
17Ransom County8.3+1.1 pts
18Emmons County8.2+0.3 pts
19McKenzie County8.1+1.6 pts
20Slope County8+0.1 pts
21LaMoure County7.8-0.1 pts
22McHenry County7.7+1.1 pts
22Stark County7.7+0.9 pts
24Nelson County7.5+1.9 pts
24Pembina County7.5+0.9 pts
26Bottineau County7.4+0.3 pts
26Renville County7.4+0.7 pts
28Towner County7.2-1.7 pts
29Burke County7+0.4 pts
29Ramsey County7+0.6 pts
31Ward County6.8-0.1 pts
32Stutsman County6.7+0.4 pts
33Cass County6.6+1 pts
33Grand Forks County6.6+1 pts
33Hettinger County6.6-1.7 pts
33McLean County6.6-0.1 pts
37Barnes County6.5+0.8 pts
37Eddy County6.5-0.2 pts
37Steele County6.5+1.6 pts
40Richland County6.4+0.1 pts
41Mercer County6.3+0.4 pts
41Wells County6.30 pts
43Golden Valley County6.1-0.4 pts
44Billings County6-2.4 pts
44Burleigh County6+0.6 pts
44Cavalier County6+0.8 pts
44Morton County6+1 pts
44Traill County6+0.3 pts
49Griggs County5.8+0.1 pts
50Pierce County5.7-0.2 pts
51Sargent County5.5+1.3 pts
52Foster County5.4-0.7 pts
53Oliver County5.2+0.2 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-2024-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 Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-counties. 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 Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-counties.

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 Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_2024,
  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 Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-counties. 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-2024-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 Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-counties.
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-2024-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)?

Logan County, with 12% in 2024, according to the U.S. Census Bureau.

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

Oliver County, with 5.2% in 2024.

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 Dakota: more rankings