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.

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Highest19.4Pickett County
Median14.195 counties
Tennessee13.2History

Map of counties, 2022

Anderson County: 13.1 %Bedford County: 15.6 %Benton County: 15.7 %Bledsoe County: 18.8 %Blount County: 13.2 %Bradley County: 13.3 %Campbell County: 14.4 %Cannon County: 14.7 %Carroll County: 11.5 %Carter County: 15.7 %Cheatham County: 13.7 %Chester County: 13.6 %Claiborne County: 13.9 %Clay County: 15.3 %Cocke County: 15.4 %Coffee County: 13.6 %Crockett County: 15.8 %Cumberland County: 15.2 %Davidson County: 14.7 %Decatur County: 13.7 %DeKalb County: 16.7 %Dickson County: 13.3 %Dyer County: 12.8 %Fayette County: 11.1 %Fentress County: 14.9 %Franklin County: 12.3 %Gibson County: 14.5 %Giles County: 13.2 %Grainger County: 13.6 %Greene County: 14.2 %Grundy County: 16.3 %Hamblen County: 16.5 %Hamilton County: 12.8 %Hancock County: 13.2 %Hardeman County: 13 %Hardin County: 15.1 %Hawkins County: 13.4 %Haywood County: 14.5 %Henderson County: 13.8 %Henry County: 14 %Hickman County: 15.6 %Houston County: 15.2 %Humphreys County: 14.4 %Jackson County: 16.1 %Jefferson County: 14.3 %Johnson County: 15.6 %Knox County: 11.6 %Lake County: 16.4 %Lauderdale County: 14.3 %Lawrence County: 15.4 %Lewis County: 17.1 %Lincoln County: 13.3 %Loudon County: 13.2 %McMinn County: 14.4 %McNairy County: 15.8 %Macon County: 17.7 %Madison County: 13.1 %Marion County: 13.7 %Marshall County: 12.6 %Maury County: 11.9 %Meigs County: 12.8 %Monroe County: 14.1 %Montgomery County: 11.3 %Moore County: 11.3 %Morgan County: 14.8 %Obion County: 15.4 %Overton County: 14.4 %Perry County: 17.5 %Pickett County: 19.4 %Polk County: 15 %Putnam County: 13.3 %Rhea County: 15.9 %Roane County: 10.4 %Robertson County: 14.1 %Rutherford County: 11.9 %Scott County: 16.2 %Sequatchie County: 17.3 %Sevier County: 17.9 %Shelby County: 14.2 %Smith County: 14.1 %Stewart County: 14.5 %Sullivan County: 12.5 %Sumner County: 11.2 %Tipton County: 11.3 %Trousdale County: 11.1 %Unicoi County: 12.6 %Union County: 15 %Van Buren County: 13.4 %Warren County: 18.1 %Washington County: 14.1 %Wayne County: 13.2 %Weakley County: 13.8 %White County: 16.7 %Williamson County: 6.8 %Wilson County: 10.3 %
  • Under 13
  • 13 to 14
  • 14 to 15
  • 15 to 16
  • 16 and over
%, 2022. 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, 2022

Pickett County: 19.4 %Pickett County19.4Bledsoe County: 18.8 %Bledsoe County18.8Warren County: 18.1 %Warren County18.1Sevier County: 17.9 %Sevier County17.9Macon County: 17.7 %Macon County17.7Perry County: 17.5 %Perry County17.5Sequatchie County: 17.3 %Sequatchie County17.3Lewis County: 17.1 %Lewis County17.1DeKalb County: 16.7 %DeKalb County16.7White County: 16.7 %White County16.7Hamblen County: 16.5 %Hamblen County16.5Lake County: 16.4 %Lake County16.4Grundy County: 16.3 %Grundy County16.3Scott County: 16.2 %Scott County16.2Jackson County: 16.1 %Jackson County16.1Rhea County: 15.9 %Rhea County15.9Crockett County: 15.8 %Crockett County15.8McNairy County: 15.8 %McNairy County15.8Benton County: 15.7 %Benton County15.7Carter County: 15.7 %Carter County15.7Bedford County: 15.6 %Bedford County15.6Hickman County: 15.6 %Hickman County15.6Johnson County: 15.6 %Johnson County15.6Cocke County: 15.4 %Cocke County15.4Lawrence County: 15.4 %Lawrence County15.4Obion County: 15.4 %Obion County15.4Clay County: 15.3 %Clay County15.3Cumberland County: 15.2 %Cumberland County15.2Houston County: 15.2 %Houston County15.2Hardin County: 15.1 %Hardin County15.1Polk County: 15 %Polk County15Union County: 15 %Union County15Fentress County: 14.9 %Fentress County14.9Morgan County: 14.8 %Morgan County14.8Cannon County: 14.7 %Cannon County14.7Davidson County: 14.7 %Davidson County14.7Gibson County: 14.5 %Gibson County14.5Haywood County: 14.5 %Haywood County14.5Stewart County: 14.5 %Stewart County14.5Campbell County: 14.4 %Campbell County14.4Pickett County: 19.4 %Pickett County19.4Bledsoe County: 18.8 %Bledsoe County18.8Warren County: 18.1 %Warren County18.1Sevier County: 17.9 %Sevier County17.9Macon County: 17.7 %Macon County17.7Perry County: 17.5 %Perry County17.5Sequatchie County: 17.3 %Sequatchie County17.3Lewis County: 17.1 %Lewis County17.1DeKalb County: 16.7 %DeKalb County16.7White County: 16.7 %White County16.7Hamblen County: 16.5 %Hamblen County16.5Lake County: 16.4 %Lake County16.4Grundy County: 16.3 %Grundy County16.3Scott County: 16.2 %Scott County16.2Jackson County: 16.1 %Jackson County16.1Rhea County: 15.9 %Rhea County15.9Crockett County: 15.8 %Crockett County15.8McNairy County: 15.8 %McNairy County15.8Benton County: 15.7 %Benton County15.7Carter County: 15.7 %Carter County15.7Bedford County: 15.6 %Bedford County15.6Hickman County: 15.6 %Hickman County15.6Johnson County: 15.6 %Johnson County15.6Cocke County: 15.4 %Cocke County15.4Lawrence County: 15.4 %Lawrence County15.4Obion County: 15.4 %Obion County15.4Clay County: 15.3 %Clay County15.3Cumberland County: 15.2 %Cumberland County15.2Houston County: 15.2 %Houston County15.2Hardin County: 15.1 %Hardin County15.1Polk County: 15 %Polk County15Union County: 15 %Union County15Fentress County: 14.9 %Fentress County14.9Morgan County: 14.8 %Morgan County14.8Cannon County: 14.7 %Cannon County14.7Davidson County: 14.7 %Davidson County14.7Gibson County: 14.5 %Gibson County14.5Haywood County: 14.5 %Haywood County14.5Stewart County: 14.5 %Stewart County14.5Campbell County: 14.4 %Campbell County14.4
%. 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

RankCounties2022 (%)Change on 2021
1Pickett County19.4+1 pts
2Bledsoe County18.8-2.5 pts
3Warren County18.1-1.3 pts
4Sevier County17.9-2.5 pts
5Macon County17.7+1.4 pts
6Perry County17.5-1.2 pts
7Sequatchie County17.3+0.9 pts
8Lewis County17.1-0.8 pts
9DeKalb County16.7-2.6 pts
9White County16.7-0.4 pts
11Hamblen County16.5-2.3 pts
12Lake County16.4-1.5 pts
13Grundy County16.3-2.7 pts
14Scott County16.2-0.8 pts
15Jackson County16.1-0.7 pts
16Rhea County15.9-0.6 pts
17Crockett County15.8-1.5 pts
17McNairy County15.8-0.2 pts
19Benton County15.7-1.2 pts
19Carter County15.7-0.8 pts
21Bedford County15.6-2.7 pts
21Hickman County15.6-0.4 pts
21Johnson County15.6-0.7 pts
24Cocke County15.4-0.8 pts
24Lawrence County15.4-0.3 pts
24Obion County15.4-1 pts
27Clay County15.3-2 pts
28Cumberland County15.2-0.9 pts
28Houston County15.2-3.9 pts
30Hardin County15.1-1.9 pts
31Polk County15-0.6 pts
31Union County15-3.1 pts
33Fentress County14.9-1.6 pts
34Morgan County14.8-0.8 pts
35Cannon County14.7-0.2 pts
35Davidson County14.7-1.6 pts
37Gibson County14.5-0.5 pts
37Haywood County14.5-1.5 pts
37Stewart County14.5-1.5 pts
40Campbell County14.4-2.4 pts
40Humphreys County14.4-2.2 pts
40McMinn County14.4-1.6 pts
40Overton County14.4-1.4 pts
44Jefferson County14.3+0.1 pts
44Lauderdale County14.3-0.9 pts
46Greene County14.2+0.2 pts
46Shelby County14.2-2 pts
48Monroe County14.1-1.4 pts
48Robertson County14.1+1.2 pts
48Smith County14.1-1.2 pts
48Washington County14.1-0.3 pts
52Henry County14-2.1 pts
53Claiborne County13.9-1.3 pts
54Henderson County13.8-3.4 pts
54Weakley County13.8-0.9 pts
56Cheatham County13.7-2.1 pts
56Decatur County13.7-2.2 pts
56Marion County13.7-0.4 pts
59Chester County13.6-1.2 pts
59Coffee County13.6-2.1 pts
59Grainger County13.6-4.2 pts
62Hawkins County13.4-0.1 pts
62Van Buren County13.4-4.2 pts
64Bradley County13.3-3.2 pts
64Dickson County13.3-0.7 pts
64Lincoln County13.3-2.2 pts
64Putnam County13.3-1.4 pts
68Blount County13.2-0.4 pts
68Giles County13.20 pts
68Hancock County13.2-1.5 pts
68Loudon County13.2-0.8 pts
68Wayne County13.2-2.5 pts
73Anderson County13.1-1.8 pts
73Madison County13.1-0.8 pts
75Hardeman County13-2.1 pts
76Dyer County12.8-1.9 pts
76Hamilton County12.8-1.7 pts
76Meigs County12.8-2.1 pts
79Marshall County12.6-2.1 pts
79Unicoi County12.6-2.2 pts
81Sullivan County12.5-1.5 pts
82Franklin County12.3-2.7 pts
83Maury County11.9-0.4 pts
83Rutherford County11.9-0.1 pts
85Knox County11.6-1.1 pts
86Carroll County11.5-2.4 pts
87Montgomery County11.3-0.8 pts
87Moore County11.3-1.2 pts
87Tipton County11.3-0.9 pts
90Sumner County11.2-1.8 pts
91Fayette County11.1-2 pts
91Trousdale County11.1-2.1 pts
93Roane County10.4-2.6 pts
94Wilson County10.3-1.5 pts
95Williamson County6.8-0.2 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

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), 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  - 
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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.

Uninsured rate, ages 18 to 64 (US model-based estimate): other rankings

Counties in Tennessee: more rankings