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

Bledsoe County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 95 counties in 2021, at 21.3%. Williamson County had the lowest, at 7%. The median was 15.7% and the figure for Tennessee was 14.6%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest21.3Bledsoe County
Median15.795 counties
Tennessee14.6History

Map of counties, 2021

Anderson County: 14.9 %Bedford County: 18.3 %Benton County: 16.9 %Bledsoe County: 21.3 %Blount County: 13.6 %Bradley County: 16.5 %Campbell County: 16.8 %Cannon County: 14.9 %Carroll County: 13.9 %Carter County: 16.5 %Cheatham County: 15.8 %Chester County: 14.8 %Claiborne County: 15.2 %Clay County: 17.3 %Cocke County: 16.2 %Coffee County: 15.7 %Crockett County: 17.3 %Cumberland County: 16.1 %Davidson County: 16.3 %Decatur County: 15.9 %DeKalb County: 19.3 %Dickson County: 14 %Dyer County: 14.7 %Fayette County: 13.1 %Fentress County: 16.5 %Franklin County: 15 %Gibson County: 15 %Giles County: 13.2 %Grainger County: 17.8 %Greene County: 14 %Grundy County: 19 %Hamblen County: 18.8 %Hamilton County: 14.5 %Hancock County: 14.7 %Hardeman County: 15.1 %Hardin County: 17 %Hawkins County: 13.5 %Haywood County: 16 %Henderson County: 17.2 %Henry County: 16.1 %Hickman County: 16 %Houston County: 19.1 %Humphreys County: 16.6 %Jackson County: 16.8 %Jefferson County: 14.2 %Johnson County: 16.3 %Knox County: 12.7 %Lake County: 17.9 %Lauderdale County: 15.2 %Lawrence County: 15.7 %Lewis County: 17.9 %Lincoln County: 15.5 %Loudon County: 14 %McMinn County: 16 %McNairy County: 16 %Macon County: 16.3 %Madison County: 13.9 %Marion County: 14.1 %Marshall County: 14.7 %Maury County: 12.3 %Meigs County: 14.9 %Monroe County: 15.5 %Montgomery County: 12.1 %Moore County: 12.5 %Morgan County: 15.6 %Obion County: 16.4 %Overton County: 15.8 %Perry County: 18.7 %Pickett County: 18.4 %Polk County: 15.6 %Putnam County: 14.7 %Rhea County: 16.5 %Roane County: 13 %Robertson County: 12.9 %Rutherford County: 12 %Scott County: 17 %Sequatchie County: 16.4 %Sevier County: 20.4 %Shelby County: 16.2 %Smith County: 15.3 %Stewart County: 16 %Sullivan County: 14 %Sumner County: 13 %Tipton County: 12.2 %Trousdale County: 13.2 %Unicoi County: 14.8 %Union County: 18.1 %Van Buren County: 17.6 %Warren County: 19.4 %Washington County: 14.4 %Wayne County: 15.7 %Weakley County: 14.7 %White County: 17.1 %Williamson County: 7 %Wilson County: 11.8 %
  • 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.

Top 40 counties, 2021

Bledsoe County: 21.3 %Bledsoe County21.3Sevier County: 20.4 %Sevier County20.4Warren County: 19.4 %Warren County19.4DeKalb County: 19.3 %DeKalb County19.3Houston County: 19.1 %Houston County19.1Grundy County: 19 %Grundy County19Hamblen County: 18.8 %Hamblen County18.8Perry County: 18.7 %Perry County18.7Pickett County: 18.4 %Pickett County18.4Bedford County: 18.3 %Bedford County18.3Union County: 18.1 %Union County18.1Lake County: 17.9 %Lake County17.9Lewis County: 17.9 %Lewis County17.9Grainger County: 17.8 %Grainger County17.8Van Buren County: 17.6 %Van Buren County17.6Clay County: 17.3 %Clay County17.3Crockett County: 17.3 %Crockett County17.3Henderson County: 17.2 %Henderson County17.2White County: 17.1 %White County17.1Hardin County: 17 %Hardin County17Scott County: 17 %Scott County17Benton County: 16.9 %Benton County16.9Campbell County: 16.8 %Campbell County16.8Jackson County: 16.8 %Jackson County16.8Humphreys County: 16.6 %Humphreys County16.6Bradley County: 16.5 %Bradley County16.5Carter County: 16.5 %Carter County16.5Fentress County: 16.5 %Fentress County16.5Rhea County: 16.5 %Rhea County16.5Obion County: 16.4 %Obion County16.4Sequatchie County: 16.4 %Sequatchie County16.4Davidson County: 16.3 %Davidson County16.3Johnson County: 16.3 %Johnson County16.3Macon County: 16.3 %Macon County16.3Cocke County: 16.2 %Cocke County16.2Shelby County: 16.2 %Shelby County16.2Cumberland County: 16.1 %Cumberland County16.1Henry County: 16.1 %Henry County16.1Haywood County: 16 %Haywood County16Hickman County: 16 %Hickman County16Bledsoe County: 21.3 %Bledsoe County21.3Sevier County: 20.4 %Sevier County20.4Warren County: 19.4 %Warren County19.4DeKalb County: 19.3 %DeKalb County19.3Houston County: 19.1 %Houston County19.1Grundy County: 19 %Grundy County19Hamblen County: 18.8 %Hamblen County18.8Perry County: 18.7 %Perry County18.7Pickett County: 18.4 %Pickett County18.4Bedford County: 18.3 %Bedford County18.3Union County: 18.1 %Union County18.1Lake County: 17.9 %Lake County17.9Lewis County: 17.9 %Lewis County17.9Grainger County: 17.8 %Grainger County17.8Van Buren County: 17.6 %Van Buren County17.6Clay County: 17.3 %Clay County17.3Crockett County: 17.3 %Crockett County17.3Henderson County: 17.2 %Henderson County17.2White County: 17.1 %White County17.1Hardin County: 17 %Hardin County17Scott County: 17 %Scott County17Benton County: 16.9 %Benton County16.9Campbell County: 16.8 %Campbell County16.8Jackson County: 16.8 %Jackson County16.8Humphreys County: 16.6 %Humphreys County16.6Bradley County: 16.5 %Bradley County16.5Carter County: 16.5 %Carter County16.5Fentress County: 16.5 %Fentress County16.5Rhea County: 16.5 %Rhea County16.5Obion County: 16.4 %Obion County16.4Sequatchie County: 16.4 %Sequatchie County16.4Davidson County: 16.3 %Davidson County16.3Johnson County: 16.3 %Johnson County16.3Macon County: 16.3 %Macon County16.3Cocke County: 16.2 %Cocke County16.2Shelby County: 16.2 %Shelby County16.2Cumberland County: 16.1 %Cumberland County16.1Henry County: 16.1 %Henry County16.1Haywood County: 16 %Haywood County16Hickman County: 16 %Hickman County16
%. 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
1Bledsoe County21.3+2.9 pts
2Sevier County20.4-0.6 pts
3Warren County19.4+0.4 pts
4DeKalb County19.3+2.6 pts
5Houston County19.1+1.3 pts
6Grundy County19+1.9 pts
7Hamblen County18.8+0.3 pts
8Perry County18.7+1.1 pts
9Pickett County18.4-0.5 pts
10Bedford County18.3-0.5 pts
11Union County18.1+1.8 pts
12Lake County17.9+3 pts
12Lewis County17.9+2.4 pts
14Grainger County17.8+0.8 pts
15Van Buren County17.6+1.7 pts
16Clay County17.3+1.5 pts
16Crockett County17.3-1.3 pts
18Henderson County17.2+0.8 pts
19White County17.1+0.8 pts
20Hardin County17+1.3 pts
20Scott County17+1.7 pts
22Benton County16.9+1.3 pts
23Campbell County16.8+1.6 pts
23Jackson County16.8-0.4 pts
25Humphreys County16.6+0.3 pts
26Bradley County16.5+1.8 pts
26Carter County16.5+0.3 pts
26Fentress County16.5+3 pts
26Rhea County16.5-2.9 pts
30Obion County16.40 pts
30Sequatchie County16.4+0.9 pts
32Davidson County16.3+1 pts
32Johnson County16.3+0.9 pts
32Macon County16.3-0.1 pts
35Cocke County16.2-0.4 pts
35Shelby County16.2+0.4 pts
37Cumberland County16.1+0.9 pts
37Henry County16.1+0.6 pts
39Haywood County16-1.3 pts
39Hickman County16-1.4 pts
39McMinn County16-0.5 pts
39McNairy County16+1.6 pts
39Stewart County16+0.6 pts
44Decatur County15.9+2 pts
45Cheatham County15.8+1.6 pts
45Overton County15.8+1.2 pts
47Coffee County15.7-0.7 pts
47Lawrence County15.7-1.5 pts
47Wayne County15.7+1.5 pts
50Morgan County15.6-0.1 pts
50Polk County15.6+0.2 pts
52Lincoln County15.5-0.3 pts
52Monroe County15.5-0.6 pts
54Smith County15.3+0.4 pts
55Claiborne County15.2+1.1 pts
55Lauderdale County15.2-0.4 pts
57Hardeman County15.1-0.7 pts
58Franklin County15+0.3 pts
58Gibson County15+0.2 pts
60Anderson County14.9+1.3 pts
60Cannon County14.9-0.6 pts
60Meigs County14.9-0.2 pts
63Chester County14.8-0.1 pts
63Unicoi County14.8+0.3 pts
65Dyer County14.7+0.9 pts
65Hancock County14.7+0.9 pts
65Marshall County14.7-0.8 pts
65Putnam County14.7-1.7 pts
65Weakley County14.7-1.6 pts
70Hamilton County14.5-0.1 pts
71Washington County14.4-0.9 pts
72Jefferson County14.20 pts
73Marion County14.1-0.1 pts
74Dickson County14-1 pts
74Greene County14+0.6 pts
74Loudon County14-1.3 pts
74Sullivan County14-1.4 pts
78Carroll County13.9-1.5 pts
78Madison County13.9-2.7 pts
80Blount County13.6+0.3 pts
81Hawkins County13.5+0.1 pts
82Giles County13.2-1.4 pts
82Trousdale County13.2-1.7 pts
84Fayette County13.1-1.1 pts
85Roane County13+1.4 pts
85Sumner County13+0.7 pts
87Robertson County12.9+0.2 pts
88Knox County12.7+0.5 pts
89Moore County12.50 pts
90Maury County12.3-0.8 pts
91Tipton County12.2-2.3 pts
92Montgomery County12.1+0.5 pts
93Rutherford County12-1.7 pts
94Wilson County11.8+0.8 pts
95Williamson County7-1.2 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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_by_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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-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)?

Bledsoe County, with 21.3% in 2021, 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% 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 Tennessee: more rankings