Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate)
Hidalgo County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 254 counties in 2017, at 42.4%. Roberts County had the lowest, at 12.8%. The median was 24.9% and the figure for Texas was 23.4%. Source: the U.S. Census Bureau.
Map of counties, 2017
- Under 21
- 21 to 23
- 23 to 25
- 25 to 26
- 26 to 29
- 29 and over
Top 40 counties, 2017
Full ranking
| Rank | Counties | 2017 (%) | Change on 2016 |
|---|---|---|---|
| 1 | Hidalgo County | 42.4 | +1.7 pts |
| 2 | Starr County | 39.6 | -0.1 pts |
| 3 | Zapata County | 39.5 | 0 pts |
| 4 | Webb County | 38.7 | +1.1 pts |
| 5 | Gaines County | 38.4 | +1.7 pts |
| 6 | Cameron County | 38 | -0.7 pts |
| 7 | Collingsworth County | 37.6 | +2.3 pts |
| 8 | Presidio County | 36.6 | 0 pts |
| 9 | Maverick County | 35.2 | -0.7 pts |
| 10 | Dallam County | 34.9 | +3.6 pts |
| 11 | Castro County | 34.8 | +0.9 pts |
| 12 | Bailey County | 34.5 | +0.1 pts |
| 13 | Ochiltree County | 34.3 | +2.9 pts |
| 14 | Hudspeth County | 34 | -3.4 pts |
| 14 | Parmer County | 34 | +3.5 pts |
| 16 | Briscoe County | 33.7 | -0.3 pts |
| 17 | Moore County | 33.6 | +1.4 pts |
| 17 | San Saba County | 33.6 | +2.5 pts |
| 19 | Hall County | 33.3 | -2.5 pts |
| 20 | Cochran County | 33.1 | -1.7 pts |
| 21 | Deaf Smith County | 32.2 | +1.9 pts |
| 22 | Sherman County | 31.9 | +0.9 pts |
| 23 | Culberson County | 31.2 | +1.6 pts |
| 24 | Titus County | 30.9 | +0.3 pts |
| 25 | Cottle County | 30.6 | +0.6 pts |
| 26 | Hansford County | 30.5 | +0.1 pts |
| 26 | Lipscomb County | 30.5 | +4 pts |
| 26 | Terry County | 30.5 | +0.2 pts |
| 29 | Gonzales County | 30.4 | -0.6 pts |
| 29 | Lamb County | 30.4 | +0.6 pts |
| 29 | Stephens County | 30.4 | +3.3 pts |
| 32 | Jeff Davis County | 30.2 | +0.4 pts |
| 33 | Shelby County | 30.1 | +0.1 pts |
| 34 | Hardeman County | 30 | +2.3 pts |
| 35 | Garza County | 29.5 | +2.6 pts |
| 35 | Gray County | 29.5 | +2.2 pts |
| 35 | Haskell County | 29.5 | +3.7 pts |
| 38 | Throckmorton County | 29.4 | +6.6 pts |
| 39 | Terrell County | 29.3 | +5.7 pts |
| 39 | Val Verde County | 29.3 | -0.1 pts |
| 41 | Mason County | 29.2 | +0.8 pts |
| 41 | Potter County | 29.2 | 0 pts |
| 43 | Comanche County | 29.1 | +0.4 pts |
| 43 | El Paso County | 29.1 | +1.9 pts |
| 43 | Floyd County | 29.1 | +1 pts |
| 46 | Hale County | 28.9 | -0.4 pts |
| 46 | Willacy County | 28.9 | -0.9 pts |
| 48 | Yoakum County | 28.8 | +0.4 pts |
| 49 | Waller County | 28.7 | +0.2 pts |
| 50 | Knox County | 28.5 | +1.7 pts |
| 51 | Schleicher County | 28.4 | +2.7 pts |
| 52 | Jack County | 28.2 | +4.1 pts |
| 52 | Mills County | 28.2 | +1.3 pts |
| 52 | Reagan County | 28.2 | +2.2 pts |
| 52 | Swisher County | 28.2 | -0.6 pts |
| 56 | Leon County | 28.1 | +2.5 pts |
| 56 | Menard County | 28.1 | -1.1 pts |
| 58 | Edwards County | 28 | +0.1 pts |
| 58 | Frio County | 28 | +2.5 pts |
| 58 | Uvalde County | 28 | -0.3 pts |
| 61 | Wheeler County | 27.9 | +3.4 pts |
| 62 | Hamilton County | 27.7 | +1.3 pts |
| 62 | Nacogdoches County | 27.7 | +2.2 pts |
| 62 | Reeves County | 27.7 | +2.4 pts |
| 65 | Pecos County | 27.5 | +1.5 pts |
| 66 | Kenedy County | 27.4 | +2.8 pts |
| 67 | Hemphill County | 27.3 | +3.9 pts |
| 67 | Navarro County | 27.3 | +0.5 pts |
| 69 | Dallas County | 27.2 | +0.8 pts |
| 70 | Montague County | 27.1 | +2.3 pts |
| 71 | Grimes County | 27 | +2 pts |
| 71 | Harris County | 27 | +1.7 pts |
| 73 | Cherokee County | 26.9 | -0.5 pts |
| 74 | Crosby County | 26.8 | -0.3 pts |
| 74 | Dickens County | 26.8 | -0.4 pts |
| 74 | San Jacinto County | 26.8 | +1.4 pts |
| 77 | Andrews County | 26.6 | +5 pts |
| 77 | Winkler County | 26.6 | +3.5 pts |
| 79 | Erath County | 26.5 | +1.7 pts |
| 79 | Foard County | 26.5 | -0.3 pts |
| 79 | King County | 26.5 | +2.4 pts |
| 82 | Gillespie County | 26.4 | +0.8 pts |
| 83 | Coleman County | 26.3 | +2.2 pts |
| 83 | Young County | 26.3 | +1.5 pts |
| 85 | Angelina County | 26.2 | +1.8 pts |
| 85 | Matagorda County | 26.2 | +1.9 pts |
| 87 | Bastrop County | 26.1 | +0.8 pts |
| 87 | Caldwell County | 26.1 | +0.9 pts |
| 87 | Madison County | 26.1 | 0 pts |
| 90 | Camp County | 26 | +0.8 pts |
| 90 | Crockett County | 26 | +1.6 pts |
| 90 | Dawson County | 26 | -0.8 pts |
| 90 | Kerr County | 26 | +2 pts |
| 90 | Polk County | 26 | 0 pts |
| 95 | Ector County | 25.9 | +0.7 pts |
| 95 | Gregg County | 25.9 | +2 pts |
| 95 | Kinney County | 25.9 | +1.4 pts |
| 95 | Rains County | 25.9 | +2.1 pts |
| 99 | Falls County | 25.8 | +2.5 pts |
| 99 | Hopkins County | 25.8 | +1.3 pts |
| 99 | Palo Pinto County | 25.8 | +0.3 pts |
| 102 | Aransas County | 25.7 | +1.3 pts |
| 102 | Bosque County | 25.7 | -0.2 pts |
| 102 | Colorado County | 25.7 | +3.4 pts |
| 102 | Eastland County | 25.7 | +1.6 pts |
| 102 | Liberty County | 25.7 | +0.7 pts |
| 107 | Upton County | 25.6 | +1.6 pts |
| 107 | Zavala County | 25.6 | -1.5 pts |
| 109 | Duval County | 25.5 | +1.9 pts |
| 109 | Sutton County | 25.5 | +1.3 pts |
| 109 | Wharton County | 25.5 | -0.3 pts |
| 109 | Wilbarger County | 25.5 | +3 pts |
| 113 | Lee County | 25.4 | +4 pts |
| 113 | Limestone County | 25.4 | +0.8 pts |
| 113 | Martin County | 25.4 | +1.3 pts |
| 116 | Fannin County | 25.3 | +0.6 pts |
| 116 | Ward County | 25.3 | +1.7 pts |
| 116 | Wise County | 25.3 | +5.1 pts |
| 119 | Jim Wells County | 25.2 | +0.7 pts |
| 119 | Real County | 25.2 | -2.8 pts |
| 121 | Hockley County | 25.1 | +0.9 pts |
| 121 | Jim Hogg County | 25.1 | -1.1 pts |
| 123 | Dimmit County | 25 | +1.5 pts |
| 123 | Henderson County | 25 | -0.2 pts |
| 123 | Mitchell County | 25 | +1.2 pts |
| 126 | Crane County | 24.9 | +1.5 pts |
| 126 | Rusk County | 24.9 | -0.2 pts |
| 128 | Hill County | 24.8 | -1.8 pts |
| 128 | Kimble County | 24.8 | -0.9 pts |
| 130 | Runnels County | 24.7 | +1.1 pts |
| 131 | Childress County | 24.6 | +4.6 pts |
| 131 | McCulloch County | 24.6 | 0 pts |
| 133 | Burnet County | 24.4 | +1.4 pts |
| 133 | Jefferson County | 24.4 | -0.1 pts |
| 133 | Kleberg County | 24.4 | -1.6 pts |
| 133 | Van Zandt County | 24.4 | -1.7 pts |
| 137 | Sterling County | 24.3 | +3.2 pts |
| 138 | Cooke County | 24.1 | +0.7 pts |
| 138 | Milam County | 24.1 | +0.8 pts |
| 138 | Sabine County | 24.1 | +2.2 pts |
| 141 | Motley County | 23.9 | -4.4 pts |
| 141 | Smith County | 23.9 | +1.2 pts |
| 141 | Stonewall County | 23.9 | +3.3 pts |
| 141 | Trinity County | 23.9 | -1.3 pts |
| 145 | Hutchinson County | 23.8 | +0.9 pts |
| 146 | Bee County | 23.7 | +1.2 pts |
| 147 | Houston County | 23.6 | +1 pts |
| 148 | Austin County | 23.5 | +1.8 pts |
| 149 | Hartley County | 23.4 | +0.2 pts |
| 149 | Wood County | 23.4 | +0.4 pts |
| 151 | Anderson County | 23.3 | +2.8 pts |
| 151 | Concho County | 23.3 | +2.3 pts |
| 153 | Atascosa County | 23.2 | +0.6 pts |
| 153 | Lampasas County | 23.2 | +1.1 pts |
| 153 | Live Oak County | 23.2 | +1.3 pts |
| 156 | Burleson County | 23.1 | +1.3 pts |
| 156 | Freestone County | 23.1 | -1.2 pts |
| 156 | Glasscock County | 23.1 | +1.4 pts |
| 156 | Nueces County | 23.1 | +0.3 pts |
| 160 | Fayette County | 23 | +1 pts |
| 160 | Llano County | 23 | +1.7 pts |
| 162 | Donley County | 22.9 | -2.4 pts |
| 162 | Grayson County | 22.9 | +0.2 pts |
| 162 | San Patricio County | 22.9 | -0.2 pts |
| 165 | Jones County | 22.8 | -0.3 pts |
| 165 | Lamar County | 22.8 | -0.6 pts |
| 165 | Loving County | 22.8 | +1.7 pts |
| 168 | Blanco County | 22.7 | -0.7 pts |
| 168 | Calhoun County | 22.7 | +0.9 pts |
| 168 | Jackson County | 22.7 | +0.6 pts |
| 171 | Brewster County | 22.6 | +2.4 pts |
| 171 | Fisher County | 22.6 | +2.7 pts |
| 171 | Red River County | 22.6 | -1 pts |
| 171 | Washington County | 22.6 | +2.1 pts |
| 175 | Midland County | 22.5 | +2.3 pts |
| 176 | Lynn County | 22.4 | -2.5 pts |
| 177 | Shackelford County | 22.3 | -0.6 pts |
| 178 | Brown County | 22.2 | +1.7 pts |
| 179 | Brooks County | 22.1 | -1.9 pts |
| 180 | Coke County | 22 | +2.5 pts |
| 180 | Franklin County | 22 | +1.5 pts |
| 180 | Howard County | 22 | +2 pts |
| 180 | Hunt County | 22 | -1.5 pts |
| 180 | Walker County | 22 | +1.7 pts |
| 185 | San Augustine County | 21.9 | +0.2 pts |
| 185 | Scurry County | 21.9 | +0.5 pts |
| 187 | Nolan County | 21.8 | +0.6 pts |
| 187 | Robertson County | 21.8 | -1.2 pts |
| 189 | Callahan County | 21.7 | -0.1 pts |
| 189 | Tarrant County | 21.7 | +0.9 pts |
| 189 | Victoria County | 21.7 | -1.4 pts |
| 192 | Baylor County | 21.6 | +2.1 pts |
| 192 | Ellis County | 21.6 | +1.2 pts |
| 192 | Marion County | 21.6 | +1.6 pts |
| 192 | McLennan County | 21.6 | +0.1 pts |
| 192 | Panola County | 21.6 | +1.2 pts |
| 192 | Refugio County | 21.6 | +1.2 pts |
| 192 | Upshur County | 21.6 | +0.1 pts |
| 199 | Johnson County | 21.5 | +0.2 pts |
| 199 | Somervell County | 21.5 | +0.6 pts |
| 201 | Wichita County | 21.2 | +2.7 pts |
| 202 | DeWitt County | 21.1 | +0.8 pts |
| 202 | Karnes County | 21.1 | +2.7 pts |
| 202 | Lavaca County | 21.1 | +1.8 pts |
| 205 | Bexar County | 20.9 | +0.6 pts |
| 205 | Tom Green County | 20.9 | +0.4 pts |
| 207 | Archer County | 20.8 | +1 pts |
| 207 | Jasper County | 20.8 | +1.9 pts |
| 209 | Delta County | 20.6 | -0.4 pts |
| 209 | Harrison County | 20.6 | -0.1 pts |
| 209 | La Salle County | 20.6 | -0.4 pts |
| 212 | Clay County | 20.5 | +1 pts |
| 213 | Montgomery County | 20.3 | 0 pts |
| 213 | Newton County | 20.3 | +0.3 pts |
| 213 | Taylor County | 20.3 | +0.4 pts |
| 216 | Tyler County | 20.2 | +0.7 pts |
| 217 | Bandera County | 20.1 | +0.4 pts |
| 217 | Bowie County | 20.1 | +1 pts |
| 219 | Kaufman County | 20 | -1.5 pts |
| 219 | McMullen County | 20 | +3.5 pts |
| 221 | Hood County | 19.9 | -0.4 pts |
| 221 | Morris County | 19.9 | -3.7 pts |
| 223 | Chambers County | 19.4 | +1 pts |
| 223 | Medina County | 19.4 | -0.4 pts |
| 225 | Brazos County | 19.2 | +0.2 pts |
| 225 | Hays County | 19.2 | +0.7 pts |
| 227 | Cass County | 19.1 | +0.8 pts |
| 228 | Kent County | 19 | -3 pts |
| 228 | Wilson County | 19 | +1 pts |
| 230 | Armstrong County | 18.9 | +1.5 pts |
| 230 | Carson County | 18.9 | +2 pts |
| 230 | Galveston County | 18.9 | +0.2 pts |
| 233 | Lubbock County | 18.8 | +0.5 pts |
| 234 | Orange County | 18.2 | +1 pts |
| 235 | Coryell County | 18 | +1.4 pts |
| 236 | Oldham County | 17.5 | +0.8 pts |
| 237 | Parker County | 17.4 | -0.8 pts |
| 238 | Goliad County | 17.3 | +1.4 pts |
| 239 | Borden County | 16.8 | +1.6 pts |
| 240 | Bell County | 16.7 | -0.2 pts |
| 240 | Brazoria County | 16.7 | -1.3 pts |
| 242 | Travis County | 16.6 | -0.9 pts |
| 243 | Guadalupe County | 16.5 | -1.2 pts |
| 243 | Kendall County | 16.5 | +0.5 pts |
| 245 | Comal County | 16.4 | +0.4 pts |
| 246 | Hardin County | 16.3 | -1.4 pts |
| 247 | Fort Bend County | 16.1 | +1.5 pts |
| 248 | Irion County | 16 | +1 pts |
| 249 | Rockwall County | 15.8 | +0.4 pts |
| 250 | Randall County | 15.6 | +0.4 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-2017-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 Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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 Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2017. 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 Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2017.
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 Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2017 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_2017,
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 Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2017}},
year = {2026},
howpublished = {Data set},
url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2017. 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-2017-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 Texas by uninsured rate, ages 18 to 64 (US model-based estimate), 2017
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-2017-csv.zip
L2 - https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2017
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-counties?period=2017.
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-2017-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 Texas 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":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=province&within=Texas&limit=10
Questions
Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?
Hidalgo County, with 42.4% in 2017, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?
Roberts County, with 12.8% in 2017.
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.