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

Rolette County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 53 counties in 2017, at 21.2%. Traill County had the lowest, at 6.9%. The median was 9.9% and the figure for North Dakota was 9.1%. Source: the U.S. Census Bureau.

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Highest21.2Rolette County
Lowest6.9Traill County
Median9.953 counties
North Dakota9.1History

Map of counties, 2017

Adams County: 9 %Barnes County: 8.5 %Benson County: 17 %Billings County: 12.9 %Bottineau County: 10.7 %Bowman County: 11.4 %Burke County: 11.2 %Burleigh County: 7.2 %Cass County: 7.8 %Cavalier County: 8.6 %Dickey County: 9.4 %Divide County: 10.4 %Dunn County: 13.1 %Eddy County: 9.9 %Emmons County: 11.5 %Foster County: 7.7 %Golden Valley County: 9.2 %Grand Forks County: 9 %Grant County: 16.2 %Griggs County: 9.7 %Hettinger County: 10.4 %Kidder County: 10.5 %LaMoure County: 10.8 %Logan County: 15.2 %McHenry County: 9 %McIntosh County: 13.4 %McKenzie County: 12.1 %McLean County: 9.8 %Mercer County: 7.2 %Morton County: 7.5 %Mountrail County: 14.7 %Nelson County: 10.3 %Oliver County: 8.5 %Pembina County: 10.1 %Pierce County: 10.8 %Ramsey County: 9.8 %Ransom County: 8.4 %Renville County: 8 %Richland County: 8.5 %Rolette County: 21.2 %Sargent County: 7.7 %Sheridan County: 15.5 %Sioux County: 21.1 %Slope County: 12.6 %Stark County: 9.3 %Steele County: 7.5 %Stutsman County: 8.8 %Towner County: 11.1 %Traill County: 6.9 %Walsh County: 10.9 %Ward County: 8.9 %Wells County: 8.4 %Williams County: 10.4 %
  • Under 8.3
  • 8.3 to 9
  • 9 to 9.9
  • 9.9 to 11
  • 11 to 13
  • 13 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.

All counties, 2017

Rolette County: 21.2 %Rolette County21.2Sioux County: 21.1 %Sioux County21.1Benson County: 17 %Benson County17Grant County: 16.2 %Grant County16.2Sheridan County: 15.5 %Sheridan County15.5Logan County: 15.2 %Logan County15.2Mountrail County: 14.7 %Mountrail County14.7McIntosh County: 13.4 %McIntosh County13.4Dunn County: 13.1 %Dunn County13.1Billings County: 12.9 %Billings County12.9Slope County: 12.6 %Slope County12.6McKenzie County: 12.1 %McKenzie County12.1Emmons County: 11.5 %Emmons County11.5Bowman County: 11.4 %Bowman County11.4Burke County: 11.2 %Burke County11.2Towner County: 11.1 %Towner County11.1Walsh County: 10.9 %Walsh County10.9LaMoure County: 10.8 %LaMoure County10.8Pierce County: 10.8 %Pierce County10.8Bottineau County: 10.7 %Bottineau County10.7Kidder County: 10.5 %Kidder County10.5Divide County: 10.4 %Divide County10.4Hettinger County: 10.4 %Hettinger County10.4Williams County: 10.4 %Williams County10.4Nelson County: 10.3 %Nelson County10.3Pembina County: 10.1 %Pembina County10.1Eddy County: 9.9 %Eddy County9.9McLean County: 9.8 %McLean County9.8Ramsey County: 9.8 %Ramsey County9.8Griggs County: 9.7 %Griggs County9.7Dickey County: 9.4 %Dickey County9.4Stark County: 9.3 %Stark County9.3Golden Valley County: 9.2 %Golden Valley County9.2Adams County: 9 %Adams County9Grand Forks County: 9 %Grand Forks County9McHenry County: 9 %McHenry County9Ward County: 8.9 %Ward County8.9Stutsman County: 8.8 %Stutsman County8.8Cavalier County: 8.6 %Cavalier County8.6Barnes County: 8.5 %Barnes County8.5Oliver County: 8.5 %Oliver County8.5Richland County: 8.5 %Richland County8.5Ransom County: 8.4 %Ransom County8.4Wells County: 8.4 %Wells County8.4Renville County: 8 %Renville County8Cass County: 7.8 %Cass County7.8Foster County: 7.7 %Foster County7.7Sargent County: 7.7 %Sargent County7.7Morton County: 7.5 %Morton County7.5Steele County: 7.5 %Steele County7.5Burleigh County: 7.2 %Burleigh County7.2Mercer County: 7.2 %Mercer County7.2Traill County: 6.9 %Traill County6.9Rolette County: 21.2 %Rolette County21.2Sioux County: 21.1 %Sioux County21.1Benson County: 17 %Benson County17Grant County: 16.2 %Grant County16.2Sheridan County: 15.5 %Sheridan County15.5Logan County: 15.2 %Logan County15.2Mountrail County: 14.7 %Mountrail County14.7McIntosh County: 13.4 %McIntosh County13.4Dunn County: 13.1 %Dunn County13.1Billings County: 12.9 %Billings County12.9Slope County: 12.6 %Slope County12.6McKenzie County: 12.1 %McKenzie County12.1Emmons County: 11.5 %Emmons County11.5Bowman County: 11.4 %Bowman County11.4Burke County: 11.2 %Burke County11.2Towner County: 11.1 %Towner County11.1Walsh County: 10.9 %Walsh County10.9LaMoure County: 10.8 %LaMoure County10.8Pierce County: 10.8 %Pierce County10.8Bottineau County: 10.7 %Bottineau County10.7Kidder County: 10.5 %Kidder County10.5Divide County: 10.4 %Divide County10.4Hettinger County: 10.4 %Hettinger County10.4Williams County: 10.4 %Williams County10.4Nelson County: 10.3 %Nelson County10.3Pembina County: 10.1 %Pembina County10.1Eddy County: 9.9 %Eddy County9.9McLean County: 9.8 %McLean County9.8Ramsey County: 9.8 %Ramsey County9.8Griggs County: 9.7 %Griggs County9.7Dickey County: 9.4 %Dickey County9.4Stark County: 9.3 %Stark County9.3Golden Valley County: 9.2 %Golden Valley County9.2Adams County: 9 %Adams County9Grand Forks County: 9 %Grand Forks County9McHenry County: 9 %McHenry County9Ward County: 8.9 %Ward County8.9Stutsman County: 8.8 %Stutsman County8.8Cavalier County: 8.6 %Cavalier County8.6Barnes County: 8.5 %Barnes County8.5Oliver County: 8.5 %Oliver County8.5Richland County: 8.5 %Richland County8.5Ransom County: 8.4 %Ransom County8.4Wells County: 8.4 %Wells County8.4Renville County: 8 %Renville County8Cass County: 7.8 %Cass County7.8Foster County: 7.7 %Foster County7.7Sargent County: 7.7 %Sargent County7.7Morton County: 7.5 %Morton County7.5Steele County: 7.5 %Steele County7.5Burleigh County: 7.2 %Burleigh County7.2Mercer County: 7.2 %Mercer County7.2Traill County: 6.9 %Traill County6.9
%. 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
1Rolette County21.2+1.7 pts
2Sioux County21.1+4.7 pts
3Benson County17+0.2 pts
4Grant County16.2+2.6 pts
5Sheridan County15.5+3.5 pts
6Logan County15.2+1.9 pts
7Mountrail County14.7+2.1 pts
8McIntosh County13.4+3.5 pts
9Dunn County13.1+1.5 pts
10Billings County12.9+2.3 pts
11Slope County12.6+5.1 pts
12McKenzie County12.1+3.5 pts
13Emmons County11.5+0.6 pts
14Bowman County11.4+3.4 pts
15Burke County11.2+2.3 pts
16Towner County11.1+0.9 pts
17Walsh County10.9+0.6 pts
18LaMoure County10.8+1.7 pts
18Pierce County10.8+1.1 pts
20Bottineau County10.7+1.2 pts
21Kidder County10.5+1 pts
22Divide County10.4+0.9 pts
22Hettinger County10.4+1.9 pts
22Williams County10.4+2.7 pts
25Nelson County10.3+1.7 pts
26Pembina County10.1+1.4 pts
27Eddy County9.9+0.6 pts
28McLean County9.8+1.2 pts
28Ramsey County9.8+1.1 pts
30Griggs County9.7+0.6 pts
31Dickey County9.4+0.6 pts
32Stark County9.3+1.9 pts
33Golden Valley County9.2+1.5 pts
34Adams County9+1 pts
34Grand Forks County9+2.1 pts
34McHenry County9+0.7 pts
37Ward County8.9+0.5 pts
38Stutsman County8.8+1.1 pts
39Cavalier County8.6+0.2 pts
40Barnes County8.50 pts
40Oliver County8.5+2.2 pts
40Richland County8.5+1.4 pts
43Ransom County8.4+1.6 pts
43Wells County8.4+0.6 pts
45Renville County8+0.9 pts
46Cass County7.8+1.1 pts
47Foster County7.7+0.9 pts
47Sargent County7.7+0.3 pts
49Morton County7.5+0.8 pts
49Steele County7.5-1.1 pts
51Burleigh County7.2+1 pts
51Mercer County7.2+1.3 pts
53Traill County6.9+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-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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-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)?

Rolette County, with 21.2% in 2017, according to the U.S. Census Bureau.

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

Traill County, with 6.9% 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 Dakota: more rankings