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

Texas County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 77 counties in 2018, at 29.8%. Cleveland County had the lowest, at 15.5%. The median was 21.7% and the figure for Oklahoma was 20.2%. Source: the U.S. Census Bureau.

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Highest29.8Texas County
Median21.777 counties
Oklahoma20.2History

Map of counties, 2018

Adair County: 29 %Alfalfa County: 20.6 %Atoka County: 23.3 %Beaver County: 23.9 %Beckham County: 20.8 %Blaine County: 19.3 %Bryan County: 23.9 %Caddo County: 22.8 %Canadian County: 15.8 %Carter County: 24 %Cherokee County: 27.7 %Choctaw County: 23.1 %Cimarron County: 26 %Cleveland County: 15.5 %Coal County: 24.3 %Comanche County: 16.8 %Cotton County: 19.2 %Craig County: 22.5 %Creek County: 18.3 %Custer County: 23.1 %Delaware County: 27.6 %Dewey County: 21.2 %Ellis County: 21.1 %Garfield County: 20.9 %Garvin County: 24.2 %Grady County: 17.6 %Grant County: 16.4 %Greer County: 17 %Harmon County: 25.8 %Harper County: 27.2 %Haskell County: 26.1 %Hughes County: 24 %Jackson County: 18.8 %Jefferson County: 25.2 %Johnston County: 22.5 %Kay County: 21 %Kingfisher County: 20.3 %Kiowa County: 20 %Latimer County: 21.3 %Le Flore County: 25.6 %Lincoln County: 21 %Logan County: 17.6 %Love County: 21.4 %McClain County: 18.5 %McCurtain County: 26.2 %McIntosh County: 25.2 %Major County: 19.8 %Marshall County: 27.8 %Mayes County: 22.1 %Murray County: 19.4 %Muskogee County: 23.4 %Noble County: 17 %Nowata County: 23 %Okfuskee County: 23.3 %Oklahoma County: 20.9 %Okmulgee County: 21.1 %Osage County: 18.2 %Ottawa County: 23.7 %Pawnee County: 19.9 %Payne County: 18.9 %Pittsburg County: 22.6 %Pontotoc County: 22 %Pottawatomie County: 19 %Pushmataha County: 25.3 %Roger Mills County: 22.2 %Rogers County: 16.8 %Seminole County: 24 %Sequoyah County: 24.7 %Stephens County: 21 %Texas County: 29.8 %Tillman County: 24 %Tulsa County: 19.3 %Wagoner County: 18.1 %Washington County: 19.5 %Washita County: 22.7 %Woods County: 17.1 %Woodward County: 21.7 %
  • Under 18
  • 18 to 20
  • 20 to 22
  • 22 to 23
  • 23 to 25
  • 25 and over
%, 2018. 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, 2018

Texas County: 29.8 %Texas County29.8Adair County: 29 %Adair County29Marshall County: 27.8 %Marshall County27.8Cherokee County: 27.7 %Cherokee County27.7Delaware County: 27.6 %Delaware County27.6Harper County: 27.2 %Harper County27.2McCurtain County: 26.2 %McCurtain County26.2Haskell County: 26.1 %Haskell County26.1Cimarron County: 26 %Cimarron County26Harmon County: 25.8 %Harmon County25.8Le Flore County: 25.6 %Le Flore County25.6Pushmataha County: 25.3 %Pushmataha County25.3Jefferson County: 25.2 %Jefferson County25.2McIntosh County: 25.2 %McIntosh County25.2Sequoyah County: 24.7 %Sequoyah County24.7Coal County: 24.3 %Coal County24.3Garvin County: 24.2 %Garvin County24.2Carter County: 24 %Carter County24Hughes County: 24 %Hughes County24Seminole County: 24 %Seminole County24Tillman County: 24 %Tillman County24Beaver County: 23.9 %Beaver County23.9Bryan County: 23.9 %Bryan County23.9Ottawa County: 23.7 %Ottawa County23.7Muskogee County: 23.4 %Muskogee County23.4Atoka County: 23.3 %Atoka County23.3Okfuskee County: 23.3 %Okfuskee County23.3Choctaw County: 23.1 %Choctaw County23.1Custer County: 23.1 %Custer County23.1Nowata County: 23 %Nowata County23Caddo County: 22.8 %Caddo County22.8Washita County: 22.7 %Washita County22.7Pittsburg County: 22.6 %Pittsburg County22.6Craig County: 22.5 %Craig County22.5Johnston County: 22.5 %Johnston County22.5Roger Mills County: 22.2 %Roger Mills County22.2Mayes County: 22.1 %Mayes County22.1Pontotoc County: 22 %Pontotoc County22Woodward County: 21.7 %Woodward County21.7Love County: 21.4 %Love County21.4Texas County: 29.8 %Texas County29.8Adair County: 29 %Adair County29Marshall County: 27.8 %Marshall County27.8Cherokee County: 27.7 %Cherokee County27.7Delaware County: 27.6 %Delaware County27.6Harper County: 27.2 %Harper County27.2McCurtain County: 26.2 %McCurtain County26.2Haskell County: 26.1 %Haskell County26.1Cimarron County: 26 %Cimarron County26Harmon County: 25.8 %Harmon County25.8Le Flore County: 25.6 %Le Flore County25.6Pushmataha County: 25.3 %Pushmataha County25.3Jefferson County: 25.2 %Jefferson County25.2McIntosh County: 25.2 %McIntosh County25.2Sequoyah County: 24.7 %Sequoyah County24.7Coal County: 24.3 %Coal County24.3Garvin County: 24.2 %Garvin County24.2Carter County: 24 %Carter County24Hughes County: 24 %Hughes County24Seminole County: 24 %Seminole County24Tillman County: 24 %Tillman County24Beaver County: 23.9 %Beaver County23.9Bryan County: 23.9 %Bryan County23.9Ottawa County: 23.7 %Ottawa County23.7Muskogee County: 23.4 %Muskogee County23.4Atoka County: 23.3 %Atoka County23.3Okfuskee County: 23.3 %Okfuskee County23.3Choctaw County: 23.1 %Choctaw County23.1Custer County: 23.1 %Custer County23.1Nowata County: 23 %Nowata County23Caddo County: 22.8 %Caddo County22.8Washita County: 22.7 %Washita County22.7Pittsburg County: 22.6 %Pittsburg County22.6Craig County: 22.5 %Craig County22.5Johnston County: 22.5 %Johnston County22.5Roger Mills County: 22.2 %Roger Mills County22.2Mayes County: 22.1 %Mayes County22.1Pontotoc County: 22 %Pontotoc County22Woodward County: 21.7 %Woodward County21.7Love County: 21.4 %Love County21.4
%. 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

RankCounties2018 (%)Change on 2017
1Texas County29.8+3.7 pts
2Adair County29-0.6 pts
3Marshall County27.8+0.1 pts
4Cherokee County27.7-2.1 pts
5Delaware County27.6-1.2 pts
6Harper County27.2-1.4 pts
7McCurtain County26.2-0.3 pts
8Haskell County26.1+0.9 pts
9Cimarron County26-2.6 pts
10Harmon County25.8-2.8 pts
11Le Flore County25.6+0.2 pts
12Pushmataha County25.3-0.1 pts
13Jefferson County25.2+0.9 pts
13McIntosh County25.2+0.7 pts
15Sequoyah County24.7+0.2 pts
16Coal County24.3-0.5 pts
17Garvin County24.2+1.9 pts
18Carter County24+1.9 pts
18Hughes County24-0.5 pts
18Seminole County24-0.3 pts
18Tillman County24-0.1 pts
22Beaver County23.9+0.5 pts
22Bryan County23.9+0.4 pts
24Ottawa County23.7-0.5 pts
25Muskogee County23.4+0.5 pts
26Atoka County23.3-0.7 pts
26Okfuskee County23.3-0.5 pts
28Choctaw County23.1-2.7 pts
28Custer County23.1-1.7 pts
30Nowata County23-1.6 pts
31Caddo County22.8-2.1 pts
32Washita County22.7+1.8 pts
33Pittsburg County22.6-1.6 pts
34Craig County22.5+0.1 pts
34Johnston County22.5-0.7 pts
36Roger Mills County22.2+1.2 pts
37Mayes County22.1-0.9 pts
38Pontotoc County22+1.3 pts
39Woodward County21.7+0.6 pts
40Love County21.4+1.1 pts
41Latimer County21.3-2.3 pts
42Dewey County21.2-2 pts
43Ellis County21.1-0.6 pts
43Okmulgee County21.1+0.9 pts
45Kay County21+1.5 pts
45Lincoln County21-1.6 pts
45Stephens County21+1 pts
48Garfield County20.9-1.9 pts
48Oklahoma County20.9+0.9 pts
50Beckham County20.8-0.2 pts
51Alfalfa County20.6+0.1 pts
52Kingfisher County20.3-0.3 pts
53Kiowa County20-1 pts
54Pawnee County19.9-1.4 pts
55Major County19.8-2.1 pts
56Washington County19.5-0.2 pts
57Murray County19.4-0.8 pts
58Blaine County19.3-1.9 pts
58Tulsa County19.3+0.4 pts
60Cotton County19.2-2.2 pts
61Pottawatomie County19-1.9 pts
62Payne County18.90 pts
63Jackson County18.8-1.4 pts
64McClain County18.5+1.3 pts
65Creek County18.3-1.5 pts
66Osage County18.2-1.7 pts
67Wagoner County18.1-1 pts
68Grady County17.60 pts
68Logan County17.6+1.4 pts
70Woods County17.1+1 pts
71Greer County17-0.2 pts
71Noble County17-0.8 pts
73Comanche County16.8-1.4 pts
73Rogers County16.8+0.9 pts
75Grant County16.4-1.9 pts
76Canadian County15.8+0.1 pts
77Cleveland County15.5+0.3 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-2018-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 Oklahoma by uninsured rate, ages 18 to 64 (US model-based estimate), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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 Oklahoma by uninsured rate, ages 18 to 64 (US model-based estimate), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/oklahoma-counties?period=2018. 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 Oklahoma by uninsured rate, ages 18 to 64 (US model-based estimate), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/oklahoma-counties?period=2018.

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 Oklahoma by uninsured rate, ages 18 to 64 (US model-based estimate), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/oklahoma-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_oklahoma_by_2018,
  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 Oklahoma by uninsured rate, ages 18 to 64 (US model-based estimate), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/oklahoma-counties?period=2018. 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-2018-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 Oklahoma by uninsured rate, ages 18 to 64 (US model-based estimate), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/oklahoma-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/oklahoma-counties?period=2018.
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-2018-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)?

Texas County, with 29.8% in 2018, according to the U.S. Census Bureau.

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

Cleveland County, with 15.5% in 2018.

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 Oklahoma: more rankings