Counties in Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate)
Pickett County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 95 counties in 2022, at 19.4%. Williamson County had the lowest, at 6.8%. The median was 14.1% and the figure for Tennessee was 13.2%. Source: the U.S. Census Bureau.
Map of counties, 2022
- Under 13
- 13 to 14
- 14 to 15
- 15 to 16
- 16 and over
Top 40 counties, 2022
Full ranking
| Rank | Counties | 2022 (%) | Change on 2021 |
|---|---|---|---|
| 1 | Pickett County | 19.4 | +1 pts |
| 2 | Bledsoe County | 18.8 | -2.5 pts |
| 3 | Warren County | 18.1 | -1.3 pts |
| 4 | Sevier County | 17.9 | -2.5 pts |
| 5 | Macon County | 17.7 | +1.4 pts |
| 6 | Perry County | 17.5 | -1.2 pts |
| 7 | Sequatchie County | 17.3 | +0.9 pts |
| 8 | Lewis County | 17.1 | -0.8 pts |
| 9 | DeKalb County | 16.7 | -2.6 pts |
| 9 | White County | 16.7 | -0.4 pts |
| 11 | Hamblen County | 16.5 | -2.3 pts |
| 12 | Lake County | 16.4 | -1.5 pts |
| 13 | Grundy County | 16.3 | -2.7 pts |
| 14 | Scott County | 16.2 | -0.8 pts |
| 15 | Jackson County | 16.1 | -0.7 pts |
| 16 | Rhea County | 15.9 | -0.6 pts |
| 17 | Crockett County | 15.8 | -1.5 pts |
| 17 | McNairy County | 15.8 | -0.2 pts |
| 19 | Benton County | 15.7 | -1.2 pts |
| 19 | Carter County | 15.7 | -0.8 pts |
| 21 | Bedford County | 15.6 | -2.7 pts |
| 21 | Hickman County | 15.6 | -0.4 pts |
| 21 | Johnson County | 15.6 | -0.7 pts |
| 24 | Cocke County | 15.4 | -0.8 pts |
| 24 | Lawrence County | 15.4 | -0.3 pts |
| 24 | Obion County | 15.4 | -1 pts |
| 27 | Clay County | 15.3 | -2 pts |
| 28 | Cumberland County | 15.2 | -0.9 pts |
| 28 | Houston County | 15.2 | -3.9 pts |
| 30 | Hardin County | 15.1 | -1.9 pts |
| 31 | Polk County | 15 | -0.6 pts |
| 31 | Union County | 15 | -3.1 pts |
| 33 | Fentress County | 14.9 | -1.6 pts |
| 34 | Morgan County | 14.8 | -0.8 pts |
| 35 | Cannon County | 14.7 | -0.2 pts |
| 35 | Davidson County | 14.7 | -1.6 pts |
| 37 | Gibson County | 14.5 | -0.5 pts |
| 37 | Haywood County | 14.5 | -1.5 pts |
| 37 | Stewart County | 14.5 | -1.5 pts |
| 40 | Campbell County | 14.4 | -2.4 pts |
| 40 | Humphreys County | 14.4 | -2.2 pts |
| 40 | McMinn County | 14.4 | -1.6 pts |
| 40 | Overton County | 14.4 | -1.4 pts |
| 44 | Jefferson County | 14.3 | +0.1 pts |
| 44 | Lauderdale County | 14.3 | -0.9 pts |
| 46 | Greene County | 14.2 | +0.2 pts |
| 46 | Shelby County | 14.2 | -2 pts |
| 48 | Monroe County | 14.1 | -1.4 pts |
| 48 | Robertson County | 14.1 | +1.2 pts |
| 48 | Smith County | 14.1 | -1.2 pts |
| 48 | Washington County | 14.1 | -0.3 pts |
| 52 | Henry County | 14 | -2.1 pts |
| 53 | Claiborne County | 13.9 | -1.3 pts |
| 54 | Henderson County | 13.8 | -3.4 pts |
| 54 | Weakley County | 13.8 | -0.9 pts |
| 56 | Cheatham County | 13.7 | -2.1 pts |
| 56 | Decatur County | 13.7 | -2.2 pts |
| 56 | Marion County | 13.7 | -0.4 pts |
| 59 | Chester County | 13.6 | -1.2 pts |
| 59 | Coffee County | 13.6 | -2.1 pts |
| 59 | Grainger County | 13.6 | -4.2 pts |
| 62 | Hawkins County | 13.4 | -0.1 pts |
| 62 | Van Buren County | 13.4 | -4.2 pts |
| 64 | Bradley County | 13.3 | -3.2 pts |
| 64 | Dickson County | 13.3 | -0.7 pts |
| 64 | Lincoln County | 13.3 | -2.2 pts |
| 64 | Putnam County | 13.3 | -1.4 pts |
| 68 | Blount County | 13.2 | -0.4 pts |
| 68 | Giles County | 13.2 | 0 pts |
| 68 | Hancock County | 13.2 | -1.5 pts |
| 68 | Loudon County | 13.2 | -0.8 pts |
| 68 | Wayne County | 13.2 | -2.5 pts |
| 73 | Anderson County | 13.1 | -1.8 pts |
| 73 | Madison County | 13.1 | -0.8 pts |
| 75 | Hardeman County | 13 | -2.1 pts |
| 76 | Dyer County | 12.8 | -1.9 pts |
| 76 | Hamilton County | 12.8 | -1.7 pts |
| 76 | Meigs County | 12.8 | -2.1 pts |
| 79 | Marshall County | 12.6 | -2.1 pts |
| 79 | Unicoi County | 12.6 | -2.2 pts |
| 81 | Sullivan County | 12.5 | -1.5 pts |
| 82 | Franklin County | 12.3 | -2.7 pts |
| 83 | Maury County | 11.9 | -0.4 pts |
| 83 | Rutherford County | 11.9 | -0.1 pts |
| 85 | Knox County | 11.6 | -1.1 pts |
| 86 | Carroll County | 11.5 | -2.4 pts |
| 87 | Montgomery County | 11.3 | -0.8 pts |
| 87 | Moore County | 11.3 | -1.2 pts |
| 87 | Tipton County | 11.3 | -0.9 pts |
| 90 | Sumner County | 11.2 | -1.8 pts |
| 91 | Fayette County | 11.1 | -2 pts |
| 91 | Trousdale County | 11.1 | -2.1 pts |
| 93 | Roane County | 10.4 | -2.6 pts |
| 94 | Wilson County | 10.3 | -1.5 pts |
| 95 | Williamson County | 6.8 | -0.2 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-2022-csv.zip. Retrieved 2026-10-12.
Citation styles
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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2022.
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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2022 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_tennessee_by_2022,
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), 2022}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2022
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2022.
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-2022-csv.zip. Retrieved 2026-10-12.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_18_64","level":"province","within":"Tennessee","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=province&within=Tennessee&limit=10
Questions
Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?
Pickett County, with 19.4% in 2022, 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 6.8% in 2022.
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.