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

Saluda County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 46 counties in 2021, at 22.5%. Richland County had the lowest, at 12%. The median was 15.8% and the figure for South Carolina was 14.9%. Source: the U.S. Census Bureau.

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Highest22.5Saluda County
Median15.846 counties
South Carolina14.9History

Map of counties, 2021

Abbeville County: 15.8 %Aiken County: 14.8 %Allendale County: 15.7 %Anderson County: 16.2 %Bamberg County: 17.1 %Barnwell County: 16.8 %Beaufort County: 16.4 %Berkeley County: 12.8 %Calhoun County: 14.4 %Charleston County: 12.5 %Cherokee County: 16.4 %Chester County: 14.7 %Chesterfield County: 17.5 %Clarendon County: 18.1 %Colleton County: 17.9 %Darlington County: 15.7 %Dillon County: 16.6 %Dorchester County: 13.6 %Edgefield County: 16.1 %Fairfield County: 12.3 %Florence County: 14.2 %Georgetown County: 16.1 %Greenville County: 14.8 %Greenwood County: 17.1 %Hampton County: 16 %Horry County: 20.1 %Jasper County: 21.9 %Kershaw County: 14.6 %Lancaster County: 14.3 %Laurens County: 17.9 %Lee County: 14.8 %Lexington County: 13.8 %McCormick County: 13.6 %Marion County: 16.3 %Marlboro County: 17.2 %Newberry County: 17.2 %Oconee County: 17 %Orangeburg County: 16.4 %Pickens County: 15.3 %Richland County: 12 %Saluda County: 22.5 %Spartanburg County: 15.1 %Sumter County: 14.1 %Union County: 15.3 %Williamsburg County: 15.7 %York County: 12.1 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 17 and over
%, 2021. 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, 2021

Saluda County: 22.5 %Saluda County22.5Jasper County: 21.9 %Jasper County21.9Horry County: 20.1 %Horry County20.1Clarendon County: 18.1 %Clarendon County18.1Colleton County: 17.9 %Colleton County17.9Laurens County: 17.9 %Laurens County17.9Chesterfield County: 17.5 %Chesterfield County17.5Marlboro County: 17.2 %Marlboro County17.2Newberry County: 17.2 %Newberry County17.2Bamberg County: 17.1 %Bamberg County17.1Greenwood County: 17.1 %Greenwood County17.1Oconee County: 17 %Oconee County17Barnwell County: 16.8 %Barnwell County16.8Dillon County: 16.6 %Dillon County16.6Beaufort County: 16.4 %Beaufort County16.4Cherokee County: 16.4 %Cherokee County16.4Orangeburg County: 16.4 %Orangeburg County16.4Marion County: 16.3 %Marion County16.3Anderson County: 16.2 %Anderson County16.2Edgefield County: 16.1 %Edgefield County16.1Georgetown County: 16.1 %Georgetown County16.1Hampton County: 16 %Hampton County16Abbeville County: 15.8 %Abbeville County15.8Allendale County: 15.7 %Allendale County15.7Darlington County: 15.7 %Darlington County15.7Williamsburg County: 15.7 %Williamsburg County15.7Pickens County: 15.3 %Pickens County15.3Union County: 15.3 %Union County15.3Spartanburg County: 15.1 %Spartanburg County15.1Aiken County: 14.8 %Aiken County14.8Greenville County: 14.8 %Greenville County14.8Lee County: 14.8 %Lee County14.8Chester County: 14.7 %Chester County14.7Kershaw County: 14.6 %Kershaw County14.6Calhoun County: 14.4 %Calhoun County14.4Lancaster County: 14.3 %Lancaster County14.3Florence County: 14.2 %Florence County14.2Sumter County: 14.1 %Sumter County14.1Lexington County: 13.8 %Lexington County13.8Dorchester County: 13.6 %Dorchester County13.6McCormick County: 13.6 %McCormick County13.6Berkeley County: 12.8 %Berkeley County12.8Charleston County: 12.5 %Charleston County12.5Fairfield County: 12.3 %Fairfield County12.3York County: 12.1 %York County12.1Richland County: 12 %Richland County12Saluda County: 22.5 %Saluda County22.5Jasper County: 21.9 %Jasper County21.9Horry County: 20.1 %Horry County20.1Clarendon County: 18.1 %Clarendon County18.1Colleton County: 17.9 %Colleton County17.9Laurens County: 17.9 %Laurens County17.9Chesterfield County: 17.5 %Chesterfield County17.5Marlboro County: 17.2 %Marlboro County17.2Newberry County: 17.2 %Newberry County17.2Bamberg County: 17.1 %Bamberg County17.1Greenwood County: 17.1 %Greenwood County17.1Oconee County: 17 %Oconee County17Barnwell County: 16.8 %Barnwell County16.8Dillon County: 16.6 %Dillon County16.6Beaufort County: 16.4 %Beaufort County16.4Cherokee County: 16.4 %Cherokee County16.4Orangeburg County: 16.4 %Orangeburg County16.4Marion County: 16.3 %Marion County16.3Anderson County: 16.2 %Anderson County16.2Edgefield County: 16.1 %Edgefield County16.1Georgetown County: 16.1 %Georgetown County16.1Hampton County: 16 %Hampton County16Abbeville County: 15.8 %Abbeville County15.8Allendale County: 15.7 %Allendale County15.7Darlington County: 15.7 %Darlington County15.7Williamsburg County: 15.7 %Williamsburg County15.7Pickens County: 15.3 %Pickens County15.3Union County: 15.3 %Union County15.3Spartanburg County: 15.1 %Spartanburg County15.1Aiken County: 14.8 %Aiken County14.8Greenville County: 14.8 %Greenville County14.8Lee County: 14.8 %Lee County14.8Chester County: 14.7 %Chester County14.7Kershaw County: 14.6 %Kershaw County14.6Calhoun County: 14.4 %Calhoun County14.4Lancaster County: 14.3 %Lancaster County14.3Florence County: 14.2 %Florence County14.2Sumter County: 14.1 %Sumter County14.1Lexington County: 13.8 %Lexington County13.8Dorchester County: 13.6 %Dorchester County13.6McCormick County: 13.6 %McCormick County13.6Berkeley County: 12.8 %Berkeley County12.8Charleston County: 12.5 %Charleston County12.5Fairfield County: 12.3 %Fairfield County12.3York County: 12.1 %York County12.1Richland County: 12 %Richland County12
%. 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

RankCounties2021 (%)Change on 2020
1Saluda County22.5-2.8 pts
2Jasper County21.9-1.5 pts
3Horry County20.1+2.2 pts
4Clarendon County18.1+1.1 pts
5Colleton County17.9-0.9 pts
5Laurens County17.9+0.1 pts
7Chesterfield County17.5-0.5 pts
8Marlboro County17.2-0.7 pts
8Newberry County17.2-1.7 pts
10Bamberg County17.1+1.8 pts
10Greenwood County17.1+0.4 pts
12Oconee County17-1.1 pts
13Barnwell County16.8-0.8 pts
14Dillon County16.6-5.9 pts
15Beaufort County16.4+0.2 pts
15Cherokee County16.4-2.5 pts
15Orangeburg County16.4+0.8 pts
18Marion County16.3-1.8 pts
19Anderson County16.2-1.1 pts
20Edgefield County16.1+0.6 pts
20Georgetown County16.1-1.8 pts
22Hampton County16-0.8 pts
23Abbeville County15.8-2.7 pts
24Allendale County15.7+0.9 pts
24Darlington County15.7+0.8 pts
24Williamsburg County15.7-0.2 pts
27Pickens County15.3+0.2 pts
27Union County15.3+0.4 pts
29Spartanburg County15.1-0.6 pts
30Aiken County14.8+0.7 pts
30Greenville County14.8-0.2 pts
30Lee County14.8+0.1 pts
33Chester County14.7-1.2 pts
34Kershaw County14.60 pts
35Calhoun County14.4-0.2 pts
36Lancaster County14.30 pts
37Florence County14.2-1.6 pts
38Sumter County14.1-3.9 pts
39Lexington County13.8+0.6 pts
40Dorchester County13.6-1.6 pts
40McCormick County13.6-0.1 pts
42Berkeley County12.8-1.8 pts
43Charleston County12.5-0.5 pts
44Fairfield County12.3-2.1 pts
45York County12.1-1.5 pts
46Richland County12-2.1 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-carolina-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-carolina-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_carolina_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-carolina-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-carolina-counties?period=2021.
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-2021-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)?

Saluda County, with 22.5% in 2021, according to the U.S. Census Bureau.

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

Richland County, with 12% in 2021.

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