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

Jasper County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 46 counties in 2018, at 25.3%. York County had the lowest, at 12.4%. The median was 16% and the figure for South Carolina was 15.7%. Source: the U.S. Census Bureau.

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Highest25.3Jasper County
Lowest12.4York County
Median1646 counties
South Carolina15.7History

Map of counties, 2018

Abbeville County: 17.2 %Aiken County: 15.5 %Allendale County: 13.3 %Anderson County: 15.5 %Bamberg County: 16 %Barnwell County: 15.1 %Beaufort County: 16.6 %Berkeley County: 14.9 %Calhoun County: 16.3 %Charleston County: 13 %Cherokee County: 16.3 %Chester County: 14.5 %Chesterfield County: 17.6 %Clarendon County: 18.1 %Colleton County: 17.4 %Darlington County: 15.7 %Dillon County: 19.3 %Dorchester County: 13.2 %Edgefield County: 16.4 %Fairfield County: 14.9 %Florence County: 15.6 %Georgetown County: 16.7 %Greenville County: 17.2 %Greenwood County: 17.4 %Hampton County: 15.1 %Horry County: 20.9 %Jasper County: 25.3 %Kershaw County: 14.7 %Lancaster County: 15.2 %Laurens County: 17.8 %Lee County: 14.8 %Lexington County: 14.4 %McCormick County: 14.7 %Marion County: 17.4 %Marlboro County: 16.4 %Newberry County: 17.9 %Oconee County: 19 %Orangeburg County: 16.1 %Pickens County: 16.2 %Richland County: 13.3 %Saluda County: 23.4 %Spartanburg County: 15.6 %Sumter County: 16 %Union County: 14.6 %Williamsburg County: 15.1 %York County: 12.4 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 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.

All counties, 2018

Jasper County: 25.3 %Jasper County25.3Saluda County: 23.4 %Saluda County23.4Horry County: 20.9 %Horry County20.9Dillon County: 19.3 %Dillon County19.3Oconee County: 19 %Oconee County19Clarendon County: 18.1 %Clarendon County18.1Newberry County: 17.9 %Newberry County17.9Laurens County: 17.8 %Laurens County17.8Chesterfield County: 17.6 %Chesterfield County17.6Colleton County: 17.4 %Colleton County17.4Greenwood County: 17.4 %Greenwood County17.4Marion County: 17.4 %Marion County17.4Abbeville County: 17.2 %Abbeville County17.2Greenville County: 17.2 %Greenville County17.2Georgetown County: 16.7 %Georgetown County16.7Beaufort County: 16.6 %Beaufort County16.6Edgefield County: 16.4 %Edgefield County16.4Marlboro County: 16.4 %Marlboro County16.4Calhoun County: 16.3 %Calhoun County16.3Cherokee County: 16.3 %Cherokee County16.3Pickens County: 16.2 %Pickens County16.2Orangeburg County: 16.1 %Orangeburg County16.1Bamberg County: 16 %Bamberg County16Sumter County: 16 %Sumter County16Darlington County: 15.7 %Darlington County15.7Florence County: 15.6 %Florence County15.6Spartanburg County: 15.6 %Spartanburg County15.6Aiken County: 15.5 %Aiken County15.5Anderson County: 15.5 %Anderson County15.5Lancaster County: 15.2 %Lancaster County15.2Barnwell County: 15.1 %Barnwell County15.1Hampton County: 15.1 %Hampton County15.1Williamsburg County: 15.1 %Williamsburg County15.1Berkeley County: 14.9 %Berkeley County14.9Fairfield County: 14.9 %Fairfield County14.9Lee County: 14.8 %Lee County14.8Kershaw County: 14.7 %Kershaw County14.7McCormick County: 14.7 %McCormick County14.7Union County: 14.6 %Union County14.6Chester County: 14.5 %Chester County14.5Lexington County: 14.4 %Lexington County14.4Allendale County: 13.3 %Allendale County13.3Richland County: 13.3 %Richland County13.3Dorchester County: 13.2 %Dorchester County13.2Charleston County: 13 %Charleston County13York County: 12.4 %York County12.4Jasper County: 25.3 %Jasper County25.3Saluda County: 23.4 %Saluda County23.4Horry County: 20.9 %Horry County20.9Dillon County: 19.3 %Dillon County19.3Oconee County: 19 %Oconee County19Clarendon County: 18.1 %Clarendon County18.1Newberry County: 17.9 %Newberry County17.9Laurens County: 17.8 %Laurens County17.8Chesterfield County: 17.6 %Chesterfield County17.6Colleton County: 17.4 %Colleton County17.4Greenwood County: 17.4 %Greenwood County17.4Marion County: 17.4 %Marion County17.4Abbeville County: 17.2 %Abbeville County17.2Greenville County: 17.2 %Greenville County17.2Georgetown County: 16.7 %Georgetown County16.7Beaufort County: 16.6 %Beaufort County16.6Edgefield County: 16.4 %Edgefield County16.4Marlboro County: 16.4 %Marlboro County16.4Calhoun County: 16.3 %Calhoun County16.3Cherokee County: 16.3 %Cherokee County16.3Pickens County: 16.2 %Pickens County16.2Orangeburg County: 16.1 %Orangeburg County16.1Bamberg County: 16 %Bamberg County16Sumter County: 16 %Sumter County16Darlington County: 15.7 %Darlington County15.7Florence County: 15.6 %Florence County15.6Spartanburg County: 15.6 %Spartanburg County15.6Aiken County: 15.5 %Aiken County15.5Anderson County: 15.5 %Anderson County15.5Lancaster County: 15.2 %Lancaster County15.2Barnwell County: 15.1 %Barnwell County15.1Hampton County: 15.1 %Hampton County15.1Williamsburg County: 15.1 %Williamsburg County15.1Berkeley County: 14.9 %Berkeley County14.9Fairfield County: 14.9 %Fairfield County14.9Lee County: 14.8 %Lee County14.8Kershaw County: 14.7 %Kershaw County14.7McCormick County: 14.7 %McCormick County14.7Union County: 14.6 %Union County14.6Chester County: 14.5 %Chester County14.5Lexington County: 14.4 %Lexington County14.4Allendale County: 13.3 %Allendale County13.3Richland County: 13.3 %Richland County13.3Dorchester County: 13.2 %Dorchester County13.2Charleston County: 13 %Charleston County13York County: 12.4 %York County12.4
%. 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
1Jasper County25.3+0.1 pts
2Saluda County23.4+0.5 pts
3Horry County20.90 pts
4Dillon County19.3-1.2 pts
5Oconee County19+0.6 pts
6Clarendon County18.1+0.2 pts
7Newberry County17.9-0.1 pts
8Laurens County17.8+0.1 pts
9Chesterfield County17.6-1 pts
10Colleton County17.4+0.6 pts
10Greenwood County17.4-0.7 pts
10Marion County17.40 pts
13Abbeville County17.2+1.3 pts
13Greenville County17.2+1.1 pts
15Georgetown County16.7+0.8 pts
16Beaufort County16.6-1.2 pts
17Edgefield County16.4+0.5 pts
17Marlboro County16.4-2 pts
19Calhoun County16.3+1.3 pts
19Cherokee County16.3-1.2 pts
21Pickens County16.2+0.5 pts
22Orangeburg County16.1-1.6 pts
23Bamberg County16-0.2 pts
23Sumter County16-0.2 pts
25Darlington County15.7+0.5 pts
26Florence County15.6+1.1 pts
26Spartanburg County15.6-0.4 pts
28Aiken County15.5-1.1 pts
28Anderson County15.5-0.8 pts
30Lancaster County15.2-1.4 pts
31Barnwell County15.1-0.9 pts
31Hampton County15.1-0.4 pts
31Williamsburg County15.10 pts
34Berkeley County14.9+0.4 pts
34Fairfield County14.9+0.9 pts
36Lee County14.8-0.1 pts
37Kershaw County14.7+0.1 pts
37McCormick County14.7+1.1 pts
39Union County14.6-0.5 pts
40Chester County14.5-0.7 pts
41Lexington County14.4-0.5 pts
42Allendale County13.3-1.7 pts
42Richland County13.3-0.2 pts
44Dorchester County13.2-0.7 pts
45Charleston County13-3 pts
46York County12.4-1.5 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 South Carolina 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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_carolina_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 South Carolina 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/south-carolina-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 South Carolina 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/south-carolina-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-carolina-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)?

Jasper County, with 25.3% in 2018, according to the U.S. Census Bureau.

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

York County, with 12.4% 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 South Carolina: more rankings