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 2023, at 21%. Williamson County had the lowest, at 6.9%. The median was 13.6% and the figure for Tennessee was 13.1%. Source: the U.S. Census Bureau.

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Median13.695 counties
Tennessee13.1History

Map of counties, 2023

Anderson County: 10.8 %Bedford County: 16.2 %Benton County: 15.4 %Bledsoe County: 21 %Blount County: 11.2 %Bradley County: 13.3 %Campbell County: 13.4 %Cannon County: 13.9 %Carroll County: 11.1 %Carter County: 13.6 %Cheatham County: 13.2 %Chester County: 13 %Claiborne County: 13.2 %Clay County: 16.1 %Cocke County: 14.3 %Coffee County: 13.9 %Crockett County: 14.7 %Cumberland County: 13.3 %Davidson County: 14 %Decatur County: 14.3 %DeKalb County: 15.7 %Dickson County: 11.1 %Dyer County: 12.1 %Fayette County: 10.1 %Fentress County: 15 %Franklin County: 11.1 %Gibson County: 12.7 %Giles County: 12.9 %Grainger County: 13.4 %Greene County: 14 %Grundy County: 15 %Hamblen County: 16.2 %Hamilton County: 12.8 %Hancock County: 13.1 %Hardeman County: 13.6 %Hardin County: 15 %Hawkins County: 13.1 %Haywood County: 13.9 %Henderson County: 13.8 %Henry County: 12.4 %Hickman County: 14.6 %Houston County: 13.5 %Humphreys County: 14.1 %Jackson County: 15.9 %Jefferson County: 12 %Johnson County: 16.9 %Knox County: 12.9 %Lake County: 14.8 %Lauderdale County: 13.4 %Lawrence County: 14.5 %Lewis County: 14.8 %Lincoln County: 13.8 %Loudon County: 13.1 %McMinn County: 13.5 %McNairy County: 13.7 %Macon County: 18.1 %Madison County: 13.3 %Marion County: 15 %Marshall County: 13.8 %Maury County: 10.8 %Meigs County: 13.3 %Monroe County: 14.1 %Montgomery County: 12.1 %Moore County: 11.2 %Morgan County: 16.6 %Obion County: 14.3 %Overton County: 14.7 %Perry County: 14.9 %Pickett County: 15.4 %Polk County: 14.6 %Putnam County: 14.1 %Rhea County: 13.3 %Roane County: 10.2 %Robertson County: 12.1 %Rutherford County: 12.4 %Scott County: 15.7 %Sequatchie County: 16 %Sevier County: 18.1 %Shelby County: 15.5 %Smith County: 13.2 %Stewart County: 12.8 %Sullivan County: 11.8 %Sumner County: 10.4 %Tipton County: 11.5 %Trousdale County: 12.4 %Unicoi County: 11.5 %Union County: 15 %Van Buren County: 14.9 %Warren County: 16.7 %Washington County: 13.2 %Wayne County: 15.9 %Weakley County: 11.5 %White County: 15 %Williamson County: 6.9 %Wilson County: 10 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 and over
%, 2023. 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, 2023

Bledsoe County: 21 %Bledsoe County21Macon County: 18.1 %Macon County18.1Sevier County: 18.1 %Sevier County18.1Johnson County: 16.9 %Johnson County16.9Warren County: 16.7 %Warren County16.7Morgan County: 16.6 %Morgan County16.6Bedford County: 16.2 %Bedford County16.2Hamblen County: 16.2 %Hamblen County16.2Clay County: 16.1 %Clay County16.1Sequatchie County: 16 %Sequatchie County16Jackson County: 15.9 %Jackson County15.9Wayne County: 15.9 %Wayne County15.9DeKalb County: 15.7 %DeKalb County15.7Scott County: 15.7 %Scott County15.7Shelby County: 15.5 %Shelby County15.5Benton County: 15.4 %Benton County15.4Pickett County: 15.4 %Pickett County15.4Fentress County: 15 %Fentress County15Grundy County: 15 %Grundy County15Hardin County: 15 %Hardin County15Marion County: 15 %Marion County15Union County: 15 %Union County15White County: 15 %White County15Perry County: 14.9 %Perry County14.9Van Buren County: 14.9 %Van Buren County14.9Lake County: 14.8 %Lake County14.8Lewis County: 14.8 %Lewis County14.8Crockett County: 14.7 %Crockett County14.7Overton County: 14.7 %Overton County14.7Hickman County: 14.6 %Hickman County14.6Polk County: 14.6 %Polk County14.6Lawrence County: 14.5 %Lawrence County14.5Cocke County: 14.3 %Cocke County14.3Decatur County: 14.3 %Decatur County14.3Obion County: 14.3 %Obion County14.3Humphreys County: 14.1 %Humphreys County14.1Monroe County: 14.1 %Monroe County14.1Putnam County: 14.1 %Putnam County14.1Davidson County: 14 %Davidson County14Greene County: 14 %Greene County14Bledsoe County: 21 %Bledsoe County21Macon County: 18.1 %Macon County18.1Sevier County: 18.1 %Sevier County18.1Johnson County: 16.9 %Johnson County16.9Warren County: 16.7 %Warren County16.7Morgan County: 16.6 %Morgan County16.6Bedford County: 16.2 %Bedford County16.2Hamblen County: 16.2 %Hamblen County16.2Clay County: 16.1 %Clay County16.1Sequatchie County: 16 %Sequatchie County16Jackson County: 15.9 %Jackson County15.9Wayne County: 15.9 %Wayne County15.9DeKalb County: 15.7 %DeKalb County15.7Scott County: 15.7 %Scott County15.7Shelby County: 15.5 %Shelby County15.5Benton County: 15.4 %Benton County15.4Pickett County: 15.4 %Pickett County15.4Fentress County: 15 %Fentress County15Grundy County: 15 %Grundy County15Hardin County: 15 %Hardin County15Marion County: 15 %Marion County15Union County: 15 %Union County15White County: 15 %White County15Perry County: 14.9 %Perry County14.9Van Buren County: 14.9 %Van Buren County14.9Lake County: 14.8 %Lake County14.8Lewis County: 14.8 %Lewis County14.8Crockett County: 14.7 %Crockett County14.7Overton County: 14.7 %Overton County14.7Hickman County: 14.6 %Hickman County14.6Polk County: 14.6 %Polk County14.6Lawrence County: 14.5 %Lawrence County14.5Cocke County: 14.3 %Cocke County14.3Decatur County: 14.3 %Decatur County14.3Obion County: 14.3 %Obion County14.3Humphreys County: 14.1 %Humphreys County14.1Monroe County: 14.1 %Monroe County14.1Putnam County: 14.1 %Putnam County14.1Davidson County: 14 %Davidson County14Greene County: 14 %Greene County14
%. 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

RankCounties2023 (%)Change on 2022
1Bledsoe County21+2.2 pts
2Macon County18.1+0.4 pts
2Sevier County18.1+0.2 pts
4Johnson County16.9+1.3 pts
5Warren County16.7-1.4 pts
6Morgan County16.6+1.8 pts
7Bedford County16.2+0.6 pts
7Hamblen County16.2-0.3 pts
9Clay County16.1+0.8 pts
10Sequatchie County16-1.3 pts
11Jackson County15.9-0.2 pts
11Wayne County15.9+2.7 pts
13DeKalb County15.7-1 pts
13Scott County15.7-0.5 pts
15Shelby County15.5+1.3 pts
16Benton County15.4-0.3 pts
16Pickett County15.4-4 pts
18Fentress County15+0.1 pts
18Grundy County15-1.3 pts
18Hardin County15-0.1 pts
18Marion County15+1.3 pts
18Union County150 pts
18White County15-1.7 pts
24Perry County14.9-2.6 pts
24Van Buren County14.9+1.5 pts
26Lake County14.8-1.6 pts
26Lewis County14.8-2.3 pts
28Crockett County14.7-1.1 pts
28Overton County14.7+0.3 pts
30Hickman County14.6-1 pts
30Polk County14.6-0.4 pts
32Lawrence County14.5-0.9 pts
33Cocke County14.3-1.1 pts
33Decatur County14.3+0.6 pts
33Obion County14.3-1.1 pts
36Humphreys County14.1-0.3 pts
36Monroe County14.10 pts
36Putnam County14.1+0.8 pts
39Davidson County14-0.7 pts
39Greene County14-0.2 pts
41Cannon County13.9-0.8 pts
41Coffee County13.9+0.3 pts
41Haywood County13.9-0.6 pts
44Henderson County13.80 pts
44Lincoln County13.8+0.5 pts
44Marshall County13.8+1.2 pts
47McNairy County13.7-2.1 pts
48Carter County13.6-2.1 pts
48Hardeman County13.6+0.6 pts
50Houston County13.5-1.7 pts
50McMinn County13.5-0.9 pts
52Campbell County13.4-1 pts
52Grainger County13.4-0.2 pts
52Lauderdale County13.4-0.9 pts
55Bradley County13.30 pts
55Cumberland County13.3-1.9 pts
55Madison County13.3+0.2 pts
55Meigs County13.3+0.5 pts
55Rhea County13.3-2.6 pts
60Cheatham County13.2-0.5 pts
60Claiborne County13.2-0.7 pts
60Smith County13.2-0.9 pts
60Washington County13.2-0.9 pts
64Hancock County13.1-0.1 pts
64Hawkins County13.1-0.3 pts
64Loudon County13.1-0.1 pts
67Chester County13-0.6 pts
68Giles County12.9-0.3 pts
68Knox County12.9+1.3 pts
70Hamilton County12.80 pts
70Stewart County12.8-1.7 pts
72Gibson County12.7-1.8 pts
73Henry County12.4-1.6 pts
73Rutherford County12.4+0.5 pts
73Trousdale County12.4+1.3 pts
76Dyer County12.1-0.7 pts
76Montgomery County12.1+0.8 pts
76Robertson County12.1-2 pts
79Jefferson County12-2.3 pts
80Sullivan County11.8-0.7 pts
81Tipton County11.5+0.2 pts
81Unicoi County11.5-1.1 pts
81Weakley County11.5-2.3 pts
84Blount County11.2-2 pts
84Moore County11.2-0.1 pts
86Carroll County11.1-0.4 pts
86Dickson County11.1-2.2 pts
86Franklin County11.1-1.2 pts
89Anderson County10.8-2.3 pts
89Maury County10.8-1.1 pts
91Sumner County10.4-0.8 pts
92Roane County10.2-0.2 pts
93Fayette County10.1-1 pts
94Wilson County10-0.3 pts
95Williamson County6.9+0.1 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-counties?period=2023.
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-2023-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% in 2023, 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 6.9% in 2023.

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