Counties in Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Bledsoe County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 95 counties in 2024, at 20.3%. Williamson County had the lowest, at 7.6%. The median was 13.8% and the figure for Tennessee was 13.3%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest20.3Bledsoe County
Median13.895 counties
Tennessee13.3History

Map of counties, 2024

Anderson County: 11.8 %Bedford County: 18 %Benton County: 14.5 %Bledsoe County: 20.3 %Blount County: 11.8 %Bradley County: 14.3 %Campbell County: 13.6 %Cannon County: 14.9 %Carroll County: 12 %Carter County: 13.9 %Cheatham County: 13.6 %Chester County: 13.5 %Claiborne County: 13.7 %Clay County: 16.4 %Cocke County: 15.3 %Coffee County: 13.5 %Crockett County: 16.1 %Cumberland County: 14.2 %Davidson County: 14.5 %Decatur County: 15.5 %DeKalb County: 16.5 %Dickson County: 12.2 %Dyer County: 11.9 %Fayette County: 11.6 %Fentress County: 14.1 %Franklin County: 11.9 %Gibson County: 13.5 %Giles County: 13.5 %Grainger County: 14 %Greene County: 13.5 %Grundy County: 16.6 %Hamblen County: 16 %Hamilton County: 13.1 %Hancock County: 13.2 %Hardeman County: 13.9 %Hardin County: 14.4 %Hawkins County: 12.5 %Haywood County: 13.8 %Henderson County: 13.1 %Henry County: 14.7 %Hickman County: 15.3 %Houston County: 12.9 %Humphreys County: 13.4 %Jackson County: 17.5 %Jefferson County: 12.8 %Johnson County: 17.8 %Knox County: 11.5 %Lake County: 15.6 %Lauderdale County: 13.5 %Lawrence County: 13.8 %Lewis County: 15.8 %Lincoln County: 13.5 %Loudon County: 13.2 %McMinn County: 14.3 %McNairy County: 13.8 %Macon County: 17.2 %Madison County: 12.7 %Marion County: 14.7 %Marshall County: 12.8 %Maury County: 11.3 %Meigs County: 13.3 %Monroe County: 12.6 %Montgomery County: 10.7 %Moore County: 10.6 %Morgan County: 15 %Obion County: 15.2 %Overton County: 15.9 %Perry County: 15.6 %Pickett County: 15.9 %Polk County: 13.9 %Putnam County: 15 %Rhea County: 15.8 %Roane County: 11.1 %Robertson County: 13.3 %Rutherford County: 13.3 %Scott County: 16.7 %Sequatchie County: 18.4 %Sevier County: 18.1 %Shelby County: 15.3 %Smith County: 13.6 %Stewart County: 14.2 %Sullivan County: 12.4 %Sumner County: 11.3 %Tipton County: 10.3 %Trousdale County: 13.7 %Unicoi County: 12.5 %Union County: 15.2 %Van Buren County: 13.9 %Warren County: 16.6 %Washington County: 13 %Wayne County: 14.8 %Weakley County: 14.2 %White County: 16.5 %Williamson County: 7.6 %Wilson County: 10.3 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 to 16
  • 16 and over
%, 2024. 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, 2024

Bledsoe County: 20.3 %Bledsoe County20.3Sequatchie County: 18.4 %Sequatchie County18.4Sevier County: 18.1 %Sevier County18.1Bedford County: 18 %Bedford County18Johnson County: 17.8 %Johnson County17.8Jackson County: 17.5 %Jackson County17.5Macon County: 17.2 %Macon County17.2Scott County: 16.7 %Scott County16.7Grundy County: 16.6 %Grundy County16.6Warren County: 16.6 %Warren County16.6DeKalb County: 16.5 %DeKalb County16.5White County: 16.5 %White County16.5Clay County: 16.4 %Clay County16.4Crockett County: 16.1 %Crockett County16.1Hamblen County: 16 %Hamblen County16Overton County: 15.9 %Overton County15.9Pickett County: 15.9 %Pickett County15.9Lewis County: 15.8 %Lewis County15.8Rhea County: 15.8 %Rhea County15.8Lake County: 15.6 %Lake County15.6Perry County: 15.6 %Perry County15.6Decatur County: 15.5 %Decatur County15.5Cocke County: 15.3 %Cocke County15.3Hickman County: 15.3 %Hickman County15.3Shelby County: 15.3 %Shelby County15.3Obion County: 15.2 %Obion County15.2Union County: 15.2 %Union County15.2Morgan County: 15 %Morgan County15Putnam County: 15 %Putnam County15Cannon County: 14.9 %Cannon County14.9Wayne County: 14.8 %Wayne County14.8Henry County: 14.7 %Henry County14.7Marion County: 14.7 %Marion County14.7Benton County: 14.5 %Benton County14.5Davidson County: 14.5 %Davidson County14.5Hardin County: 14.4 %Hardin County14.4Bradley County: 14.3 %Bradley County14.3McMinn County: 14.3 %McMinn County14.3Cumberland County: 14.2 %Cumberland County14.2Stewart County: 14.2 %Stewart County14.2Bledsoe County: 20.3 %Bledsoe County20.3Sequatchie County: 18.4 %Sequatchie County18.4Sevier County: 18.1 %Sevier County18.1Bedford County: 18 %Bedford County18Johnson County: 17.8 %Johnson County17.8Jackson County: 17.5 %Jackson County17.5Macon County: 17.2 %Macon County17.2Scott County: 16.7 %Scott County16.7Grundy County: 16.6 %Grundy County16.6Warren County: 16.6 %Warren County16.6DeKalb County: 16.5 %DeKalb County16.5White County: 16.5 %White County16.5Clay County: 16.4 %Clay County16.4Crockett County: 16.1 %Crockett County16.1Hamblen County: 16 %Hamblen County16Overton County: 15.9 %Overton County15.9Pickett County: 15.9 %Pickett County15.9Lewis County: 15.8 %Lewis County15.8Rhea County: 15.8 %Rhea County15.8Lake County: 15.6 %Lake County15.6Perry County: 15.6 %Perry County15.6Decatur County: 15.5 %Decatur County15.5Cocke County: 15.3 %Cocke County15.3Hickman County: 15.3 %Hickman County15.3Shelby County: 15.3 %Shelby County15.3Obion County: 15.2 %Obion County15.2Union County: 15.2 %Union County15.2Morgan County: 15 %Morgan County15Putnam County: 15 %Putnam County15Cannon County: 14.9 %Cannon County14.9Wayne County: 14.8 %Wayne County14.8Henry County: 14.7 %Henry County14.7Marion County: 14.7 %Marion County14.7Benton County: 14.5 %Benton County14.5Davidson County: 14.5 %Davidson County14.5Hardin County: 14.4 %Hardin County14.4Bradley County: 14.3 %Bradley County14.3McMinn County: 14.3 %McMinn County14.3Cumberland County: 14.2 %Cumberland County14.2Stewart County: 14.2 %Stewart County14.2
%. 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

RankCounties2024 (%)Change on 2023
1Bledsoe County20.3-0.7 pts
2Sequatchie County18.4+2.4 pts
3Sevier County18.10 pts
4Bedford County18+1.8 pts
5Johnson County17.8+0.9 pts
6Jackson County17.5+1.6 pts
7Macon County17.2-0.9 pts
8Scott County16.7+1 pts
9Grundy County16.6+1.6 pts
9Warren County16.6-0.1 pts
11DeKalb County16.5+0.8 pts
11White County16.5+1.5 pts
13Clay County16.4+0.3 pts
14Crockett County16.1+1.4 pts
15Hamblen County16-0.2 pts
16Overton County15.9+1.2 pts
16Pickett County15.9+0.5 pts
18Lewis County15.8+1 pts
18Rhea County15.8+2.5 pts
20Lake County15.6+0.8 pts
20Perry County15.6+0.7 pts
22Decatur County15.5+1.2 pts
23Cocke County15.3+1 pts
23Hickman County15.3+0.7 pts
23Shelby County15.3-0.2 pts
26Obion County15.2+0.9 pts
26Union County15.2+0.2 pts
28Morgan County15-1.6 pts
28Putnam County15+0.9 pts
30Cannon County14.9+1 pts
31Wayne County14.8-1.1 pts
32Henry County14.7+2.3 pts
32Marion County14.7-0.3 pts
34Benton County14.5-0.9 pts
34Davidson County14.5+0.5 pts
36Hardin County14.4-0.6 pts
37Bradley County14.3+1 pts
37McMinn County14.3+0.8 pts
39Cumberland County14.2+0.9 pts
39Stewart County14.2+1.4 pts
39Weakley County14.2+2.7 pts
42Fentress County14.1-0.9 pts
43Grainger County14+0.6 pts
44Carter County13.9+0.3 pts
44Hardeman County13.9+0.3 pts
44Polk County13.9-0.7 pts
44Van Buren County13.9-1 pts
48Haywood County13.8-0.1 pts
48Lawrence County13.8-0.7 pts
48McNairy County13.8+0.1 pts
51Claiborne County13.7+0.5 pts
51Trousdale County13.7+1.3 pts
53Campbell County13.6+0.2 pts
53Cheatham County13.6+0.4 pts
53Smith County13.6+0.4 pts
56Chester County13.5+0.5 pts
56Coffee County13.5-0.4 pts
56Gibson County13.5+0.8 pts
56Giles County13.5+0.6 pts
56Greene County13.5-0.5 pts
56Lauderdale County13.5+0.1 pts
56Lincoln County13.5-0.3 pts
63Humphreys County13.4-0.7 pts
64Meigs County13.30 pts
64Robertson County13.3+1.2 pts
64Rutherford County13.3+0.9 pts
67Hancock County13.2+0.1 pts
67Loudon County13.2+0.1 pts
69Hamilton County13.1+0.3 pts
69Henderson County13.1-0.7 pts
71Washington County13-0.2 pts
72Houston County12.9-0.6 pts
73Jefferson County12.8+0.8 pts
73Marshall County12.8-1 pts
75Madison County12.7-0.6 pts
76Monroe County12.6-1.5 pts
77Hawkins County12.5-0.6 pts
77Unicoi County12.5+1 pts
79Sullivan County12.4+0.6 pts
80Dickson County12.2+1.1 pts
81Carroll County12+0.9 pts
82Dyer County11.9-0.2 pts
82Franklin County11.9+0.8 pts
84Anderson County11.8+1 pts
84Blount County11.8+0.6 pts
86Fayette County11.6+1.5 pts
87Knox County11.5-1.4 pts
88Maury County11.3+0.5 pts
88Sumner County11.3+0.9 pts
90Roane County11.1+0.9 pts
91Montgomery County10.7-1.4 pts
92Moore County10.6-0.6 pts
93Tipton County10.3-1.2 pts
93Wilson County10.3+0.3 pts
95Williamson County7.6+0.7 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-2024-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 Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties. 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 Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties.

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 Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_by_2024,
  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 Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties. 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-2024-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 Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties.
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-2024-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)?

Bledsoe County, with 20.3% in 2024, according to the U.S. Census Bureau.

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

Williamson County, with 7.6% in 2024.

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 Tennessee: more rankings