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

Mountrail County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 53 counties in 2022, at 13.2%. Sargent County had the lowest, at 5.4%. The median was 8% and the figure for North Dakota was 8%. Source: the U.S. Census Bureau.

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Highest13.2Mountrail County
Median853 counties
North Dakota8History

Map of counties, 2022

Adams County: 8.6 %Barnes County: 6.9 %Benson County: 8.7 %Billings County: 8.1 %Bottineau County: 9 %Bowman County: 10.2 %Burke County: 7.8 %Burleigh County: 6.5 %Cass County: 8.3 %Cavalier County: 6.4 %Dickey County: 9.6 %Divide County: 7.7 %Dunn County: 11.2 %Eddy County: 8.9 %Emmons County: 8.8 %Foster County: 8.4 %Golden Valley County: 7.7 %Grand Forks County: 7.4 %Grant County: 6.8 %Griggs County: 6.8 %Hettinger County: 8.6 %Kidder County: 8.1 %LaMoure County: 10.1 %Logan County: 7.3 %McHenry County: 5.9 %McIntosh County: 9.3 %McKenzie County: 8.4 %McLean County: 7.8 %Mercer County: 7.1 %Morton County: 7.3 %Mountrail County: 13.2 %Nelson County: 7.7 %Oliver County: 6.2 %Pembina County: 8.5 %Pierce County: 5.9 %Ramsey County: 8.5 %Ransom County: 7.7 %Renville County: 7.7 %Richland County: 8 %Rolette County: 13.2 %Sargent County: 5.4 %Sheridan County: 10.2 %Sioux County: 9.3 %Slope County: 6.4 %Stark County: 8.4 %Steele County: 6 %Stutsman County: 7.2 %Towner County: 10.2 %Traill County: 6.9 %Walsh County: 11.7 %Ward County: 7.3 %Wells County: 7 %Williams County: 11.2 %
  • Under 6.8
  • 6.8 to 7.3
  • 7.3 to 8
  • 8 to 8.6
  • 8.6 to 9.8
  • 9.8 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.

All counties, 2022

Mountrail County: 13.2 %Mountrail County13.2Rolette County: 13.2 %Rolette County13.2Walsh County: 11.7 %Walsh County11.7Dunn County: 11.2 %Dunn County11.2Williams County: 11.2 %Williams County11.2Bowman County: 10.2 %Bowman County10.2Sheridan County: 10.2 %Sheridan County10.2Towner County: 10.2 %Towner County10.2LaMoure County: 10.1 %LaMoure County10.1Dickey County: 9.6 %Dickey County9.6McIntosh County: 9.3 %McIntosh County9.3Sioux County: 9.3 %Sioux County9.3Bottineau County: 9 %Bottineau County9Eddy County: 8.9 %Eddy County8.9Emmons County: 8.8 %Emmons County8.8Benson County: 8.7 %Benson County8.7Adams County: 8.6 %Adams County8.6Hettinger County: 8.6 %Hettinger County8.6Pembina County: 8.5 %Pembina County8.5Ramsey County: 8.5 %Ramsey County8.5Foster County: 8.4 %Foster County8.4McKenzie County: 8.4 %McKenzie County8.4Stark County: 8.4 %Stark County8.4Cass County: 8.3 %Cass County8.3Billings County: 8.1 %Billings County8.1Kidder County: 8.1 %Kidder County8.1Richland County: 8 %Richland County8Burke County: 7.8 %Burke County7.8McLean County: 7.8 %McLean County7.8Divide County: 7.7 %Divide County7.7Golden Valley County: 7.7 %Golden Valley County7.7Nelson County: 7.7 %Nelson County7.7Ransom County: 7.7 %Ransom County7.7Renville County: 7.7 %Renville County7.7Grand Forks County: 7.4 %Grand Forks County7.4Logan County: 7.3 %Logan County7.3Morton County: 7.3 %Morton County7.3Ward County: 7.3 %Ward County7.3Stutsman County: 7.2 %Stutsman County7.2Mercer County: 7.1 %Mercer County7.1Wells County: 7 %Wells County7Barnes County: 6.9 %Barnes County6.9Traill County: 6.9 %Traill County6.9Grant County: 6.8 %Grant County6.8Griggs County: 6.8 %Griggs County6.8Burleigh County: 6.5 %Burleigh County6.5Cavalier County: 6.4 %Cavalier County6.4Slope County: 6.4 %Slope County6.4Oliver County: 6.2 %Oliver County6.2Steele County: 6 %Steele County6McHenry County: 5.9 %McHenry County5.9Pierce County: 5.9 %Pierce County5.9Sargent County: 5.4 %Sargent County5.4Mountrail County: 13.2 %Mountrail County13.2Rolette County: 13.2 %Rolette County13.2Walsh County: 11.7 %Walsh County11.7Dunn County: 11.2 %Dunn County11.2Williams County: 11.2 %Williams County11.2Bowman County: 10.2 %Bowman County10.2Sheridan County: 10.2 %Sheridan County10.2Towner County: 10.2 %Towner County10.2LaMoure County: 10.1 %LaMoure County10.1Dickey County: 9.6 %Dickey County9.6McIntosh County: 9.3 %McIntosh County9.3Sioux County: 9.3 %Sioux County9.3Bottineau County: 9 %Bottineau County9Eddy County: 8.9 %Eddy County8.9Emmons County: 8.8 %Emmons County8.8Benson County: 8.7 %Benson County8.7Adams County: 8.6 %Adams County8.6Hettinger County: 8.6 %Hettinger County8.6Pembina County: 8.5 %Pembina County8.5Ramsey County: 8.5 %Ramsey County8.5Foster County: 8.4 %Foster County8.4McKenzie County: 8.4 %McKenzie County8.4Stark County: 8.4 %Stark County8.4Cass County: 8.3 %Cass County8.3Billings County: 8.1 %Billings County8.1Kidder County: 8.1 %Kidder County8.1Richland County: 8 %Richland County8Burke County: 7.8 %Burke County7.8McLean County: 7.8 %McLean County7.8Divide County: 7.7 %Divide County7.7Golden Valley County: 7.7 %Golden Valley County7.7Nelson County: 7.7 %Nelson County7.7Ransom County: 7.7 %Ransom County7.7Renville County: 7.7 %Renville County7.7Grand Forks County: 7.4 %Grand Forks County7.4Logan County: 7.3 %Logan County7.3Morton County: 7.3 %Morton County7.3Ward County: 7.3 %Ward County7.3Stutsman County: 7.2 %Stutsman County7.2Mercer County: 7.1 %Mercer County7.1Wells County: 7 %Wells County7Barnes County: 6.9 %Barnes County6.9Traill County: 6.9 %Traill County6.9Grant County: 6.8 %Grant County6.8Griggs County: 6.8 %Griggs County6.8Burleigh County: 6.5 %Burleigh County6.5Cavalier County: 6.4 %Cavalier County6.4Slope County: 6.4 %Slope County6.4Oliver County: 6.2 %Oliver County6.2Steele County: 6 %Steele County6McHenry County: 5.9 %McHenry County5.9Pierce County: 5.9 %Pierce County5.9Sargent County: 5.4 %Sargent County5.4
%. 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
1Mountrail County13.2-3.2 pts
1Rolette County13.2-4.2 pts
3Walsh County11.7-1.1 pts
4Dunn County11.2-1.6 pts
4Williams County11.2-1.7 pts
6Bowman County10.2-2.4 pts
6Sheridan County10.2-2.5 pts
6Towner County10.2-4.1 pts
9LaMoure County10.1-1.2 pts
10Dickey County9.6+0.8 pts
11McIntosh County9.3-1.4 pts
11Sioux County9.3-6.9 pts
13Bottineau County9-1.5 pts
14Eddy County8.9-1.3 pts
15Emmons County8.8-2.8 pts
16Benson County8.7-6.3 pts
17Adams County8.6-3.2 pts
17Hettinger County8.6-4.1 pts
19Pembina County8.5-2.9 pts
19Ramsey County8.5-2.6 pts
21Foster County8.4-1.3 pts
21McKenzie County8.4-4.6 pts
21Stark County8.4-1.7 pts
24Cass County8.3-0.4 pts
25Billings County8.1-1.6 pts
25Kidder County8.1-2.3 pts
27Richland County8-2.7 pts
28Burke County7.8-3.1 pts
28McLean County7.8-2.3 pts
30Divide County7.7-4.7 pts
30Golden Valley County7.7-3 pts
30Nelson County7.7-3.1 pts
30Ransom County7.7-3.4 pts
30Renville County7.7-2.5 pts
35Grand Forks County7.4-2.5 pts
36Logan County7.3-1.3 pts
36Morton County7.3-1.9 pts
36Ward County7.3-4.1 pts
39Stutsman County7.2-1.9 pts
40Mercer County7.1-1.2 pts
41Wells County7-2.2 pts
42Barnes County6.9-2.2 pts
42Traill County6.9-3.1 pts
44Grant County6.8-2.9 pts
44Griggs County6.8-2.4 pts
46Burleigh County6.5-1.5 pts
47Cavalier County6.4-2 pts
47Slope County6.4-3.5 pts
49Oliver County6.2-2.4 pts
50Steele County6-0.9 pts
51McHenry County5.9-3.3 pts
51Pierce County5.9-1.1 pts
53Sargent County5.4-1.6 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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/north-dakota-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)?

Mountrail County, with 13.2% in 2022, according to the U.S. Census Bureau.

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

Sargent County, with 5.4% 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 Dakota: more rankings