Counties in Texas by uninsured rate, ages 18 to 64 (US model-based estimate)
Kenedy County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 254 counties in 2021, at 47.1%. Loving County had the lowest, at 2.8%. The median was 25.5% and the figure for Texas was 24.1%. Source: the U.S. Census Bureau.
Map of counties, 2021
- Under 21
- 21 to 24
- 24 to 26
- 26 to 27
- 27 to 30
- 30 and over
Top 40 counties, 2021
Full ranking
| Rank | Counties | 2021 (%) | Change on 2020 |
|---|---|---|---|
| 1 | Kenedy County | 47.1 | +5.4 pts |
| 2 | Presidio County | 46.4 | +1.9 pts |
| 3 | Hidalgo County | 42.8 | -0.5 pts |
| 4 | Webb County | 39.3 | -2.5 pts |
| 5 | Gaines County | 38.7 | -0.7 pts |
| 6 | Cameron County | 38.6 | +0.1 pts |
| 7 | Starr County | 38.4 | +1 pts |
| 8 | Ochiltree County | 36.7 | +1.9 pts |
| 9 | Dallam County | 36.6 | -0.4 pts |
| 9 | Moore County | 36.6 | +0.9 pts |
| 11 | Maverick County | 36.4 | -2.3 pts |
| 12 | Zapata County | 35.7 | -2.5 pts |
| 13 | Collingsworth County | 34.9 | +0.5 pts |
| 14 | Culberson County | 34.8 | +1.9 pts |
| 15 | Terry County | 34.3 | +2.6 pts |
| 16 | Swisher County | 34.2 | -0.7 pts |
| 17 | Hudspeth County | 34 | +1.5 pts |
| 18 | Hall County | 33.9 | +3.5 pts |
| 19 | Cochran County | 33.7 | +0.6 pts |
| 20 | Edwards County | 33.6 | +2.2 pts |
| 20 | Sherman County | 33.6 | +2.7 pts |
| 22 | Yoakum County | 33.5 | -0.4 pts |
| 23 | Bailey County | 33.1 | -0.2 pts |
| 24 | Deaf Smith County | 33 | -1.3 pts |
| 25 | Hansford County | 32.7 | -1.8 pts |
| 26 | Menard County | 32.6 | +1.1 pts |
| 27 | San Saba County | 32.2 | -0.3 pts |
| 28 | Schleicher County | 31.8 | +4 pts |
| 28 | Shelby County | 31.8 | +1.7 pts |
| 28 | Wheeler County | 31.8 | +1.2 pts |
| 31 | Gonzales County | 31.7 | +3 pts |
| 32 | Parmer County | 31.6 | +1.1 pts |
| 33 | Castro County | 31.4 | -1.7 pts |
| 34 | Titus County | 31.3 | +0.2 pts |
| 35 | Lamb County | 31.2 | +0.6 pts |
| 35 | Mason County | 31.2 | +1 pts |
| 37 | Mills County | 31 | +1.6 pts |
| 38 | Hardeman County | 30.9 | -0.2 pts |
| 39 | Gray County | 30.8 | +0.3 pts |
| 40 | Floyd County | 30.6 | -2.5 pts |
| 40 | Lipscomb County | 30.6 | +3.6 pts |
| 42 | Crockett County | 30.5 | +2.2 pts |
| 42 | Val Verde County | 30.5 | +0.1 pts |
| 44 | Navarro County | 30.3 | +3 pts |
| 45 | Knox County | 30 | +2.3 pts |
| 45 | Potter County | 30 | -1.1 pts |
| 47 | Pecos County | 29.8 | -0.3 pts |
| 47 | Willacy County | 29.8 | -0.7 pts |
| 49 | Cherokee County | 29.6 | +1.4 pts |
| 49 | El Paso County | 29.6 | +0.5 pts |
| 51 | Briscoe County | 29.5 | +3.2 pts |
| 51 | Caldwell County | 29.5 | +1.9 pts |
| 51 | Hale County | 29.5 | -0.3 pts |
| 54 | Frio County | 29.4 | +2.8 pts |
| 54 | Hockley County | 29.4 | +0.1 pts |
| 54 | San Augustine County | 29.4 | +6.6 pts |
| 57 | Crane County | 29.3 | +3.8 pts |
| 57 | Duval County | 29.3 | +2.9 pts |
| 57 | Madison County | 29.3 | +3.5 pts |
| 60 | Jack County | 29.1 | +4.6 pts |
| 61 | Ector County | 29 | +3.3 pts |
| 61 | Liberty County | 29 | +0.4 pts |
| 61 | Uvalde County | 29 | -1 pts |
| 64 | Crosby County | 28.9 | +1.4 pts |
| 65 | Dawson County | 28.8 | +0.2 pts |
| 66 | Dickens County | 28.6 | +5.1 pts |
| 67 | McCulloch County | 28.5 | +0.6 pts |
| 68 | Stephens County | 28.4 | -0.1 pts |
| 69 | Andrews County | 28.3 | -1 pts |
| 69 | Hemphill County | 28.3 | +1.7 pts |
| 71 | King County | 28.2 | +2.3 pts |
| 71 | Real County | 28.2 | -0.5 pts |
| 73 | Dallas County | 28.1 | +1 pts |
| 73 | Harris County | 28.1 | +1.4 pts |
| 73 | Haskell County | 28.1 | +0.1 pts |
| 73 | Wharton County | 28.1 | -0.6 pts |
| 77 | Matagorda County | 28 | +1 pts |
| 78 | Kimble County | 27.8 | +1.6 pts |
| 78 | Wilbarger County | 27.8 | +0.8 pts |
| 80 | Brooks County | 27.6 | 0 pts |
| 80 | Jefferson County | 27.6 | -0.5 pts |
| 80 | Reeves County | 27.6 | +1.8 pts |
| 83 | Waller County | 27.5 | -0.4 pts |
| 84 | Jim Hogg County | 27.4 | +0.7 pts |
| 84 | Winkler County | 27.4 | +2 pts |
| 86 | Brewster County | 27.3 | +1.1 pts |
| 86 | Dimmit County | 27.3 | -0.5 pts |
| 88 | Eastland County | 27.2 | +3.4 pts |
| 88 | Rains County | 27.2 | +1.8 pts |
| 88 | Sutton County | 27.2 | +0.5 pts |
| 91 | Garza County | 27 | -1.2 pts |
| 92 | Angelina County | 26.9 | +0.4 pts |
| 92 | Comanche County | 26.9 | +2.4 pts |
| 92 | Shackelford County | 26.9 | +3.5 pts |
| 95 | Live Oak County | 26.8 | +2.8 pts |
| 95 | San Jacinto County | 26.8 | +1.1 pts |
| 95 | Ward County | 26.8 | +0.3 pts |
| 98 | Atascosa County | 26.7 | -0.4 pts |
| 99 | Zavala County | 26.6 | -2.6 pts |
| 100 | Bastrop County | 26.5 | +0.6 pts |
| 100 | Coleman County | 26.5 | +2.5 pts |
| 100 | Gregg County | 26.5 | +0.9 pts |
| 100 | Hopkins County | 26.5 | +2.2 pts |
| 100 | Jim Wells County | 26.5 | +1.7 pts |
| 100 | Nacogdoches County | 26.5 | -0.3 pts |
| 106 | Colorado County | 26.4 | -0.5 pts |
| 106 | Leon County | 26.4 | +0.6 pts |
| 106 | Wood County | 26.4 | +1.3 pts |
| 109 | Childress County | 26.3 | -0.1 pts |
| 109 | Glasscock County | 26.3 | +2.8 pts |
| 109 | La Salle County | 26.3 | -0.1 pts |
| 109 | Reagan County | 26.3 | +1.7 pts |
| 113 | Hamilton County | 26.2 | -0.1 pts |
| 113 | Lee County | 26.2 | +3.7 pts |
| 113 | Throckmorton County | 26.2 | +1.5 pts |
| 113 | Tyler County | 26.2 | +2.7 pts |
| 117 | Newton County | 26.1 | +2.9 pts |
| 117 | Scurry County | 26.1 | +0.8 pts |
| 119 | Aransas County | 26 | -1.7 pts |
| 119 | Grimes County | 26 | 0 pts |
| 121 | Gillespie County | 25.9 | -0.6 pts |
| 121 | Limestone County | 25.9 | +0.8 pts |
| 121 | Nueces County | 25.9 | +1.5 pts |
| 124 | Martin County | 25.8 | +1.9 pts |
| 125 | Donley County | 25.7 | +0.3 pts |
| 125 | Palo Pinto County | 25.7 | +0.9 pts |
| 127 | Henderson County | 25.5 | +0.9 pts |
| 127 | Kerr County | 25.5 | +0.6 pts |
| 127 | Kleberg County | 25.5 | -0.7 pts |
| 127 | Nolan County | 25.5 | +1.2 pts |
| 127 | Upton County | 25.5 | +0.8 pts |
| 132 | Cooke County | 25.4 | -0.2 pts |
| 132 | Smith County | 25.4 | -0.1 pts |
| 132 | Young County | 25.4 | +0.5 pts |
| 135 | Montague County | 25.3 | +0.8 pts |
| 136 | Lynn County | 25.2 | +0.7 pts |
| 136 | Stonewall County | 25.2 | +1.4 pts |
| 138 | Lamar County | 25.1 | +0.7 pts |
| 138 | Llano County | 25.1 | +2.1 pts |
| 140 | Burleson County | 25 | +2.2 pts |
| 140 | DeWitt County | 25 | +2.4 pts |
| 140 | Runnels County | 25 | -0.6 pts |
| 140 | San Patricio County | 25 | +0.2 pts |
| 144 | Hill County | 24.9 | -2.5 pts |
| 144 | Jeff Davis County | 24.9 | -8 pts |
| 146 | Freestone County | 24.8 | +0.7 pts |
| 146 | Houston County | 24.8 | +2.3 pts |
| 146 | Hunt County | 24.8 | +2.4 pts |
| 146 | Terrell County | 24.8 | +1.2 pts |
| 146 | Victoria County | 24.8 | +0.5 pts |
| 151 | Erath County | 24.7 | +2.7 pts |
| 152 | Camp County | 24.6 | +1.2 pts |
| 152 | Jackson County | 24.6 | -1.2 pts |
| 154 | Austin County | 24.5 | -0.5 pts |
| 154 | Bosque County | 24.5 | -0.7 pts |
| 154 | Burnet County | 24.5 | -0.9 pts |
| 154 | Marion County | 24.5 | +3.3 pts |
| 154 | Rusk County | 24.5 | -0.9 pts |
| 159 | Anderson County | 24.3 | +1.6 pts |
| 159 | Falls County | 24.3 | +1.6 pts |
| 159 | Sabine County | 24.3 | +2.4 pts |
| 159 | Wise County | 24.3 | -0.8 pts |
| 163 | Howard County | 24.2 | +1.3 pts |
| 164 | Milam County | 23.9 | -0.7 pts |
| 164 | Van Zandt County | 23.9 | +0.4 pts |
| 166 | Jones County | 23.6 | +1.1 pts |
| 166 | Karnes County | 23.6 | +2 pts |
| 168 | Polk County | 23.5 | +1.1 pts |
| 168 | Tom Green County | 23.5 | +3.2 pts |
| 168 | Trinity County | 23.5 | +1.4 pts |
| 171 | McLennan County | 23.4 | +0.9 pts |
| 171 | Tarrant County | 23.4 | +0.4 pts |
| 171 | Walker County | 23.4 | +3.3 pts |
| 174 | Calhoun County | 23.3 | -0.2 pts |
| 174 | Fannin County | 23.3 | -0.3 pts |
| 174 | Jasper County | 23.3 | +1.6 pts |
| 174 | Sterling County | 23.3 | +1.2 pts |
| 178 | Refugio County | 23.2 | +1.8 pts |
| 179 | Bandera County | 23 | +2.5 pts |
| 179 | Bexar County | 23 | +0.2 pts |
| 181 | Goliad County | 22.9 | +2.2 pts |
| 181 | Harrison County | 22.9 | +1.4 pts |
| 181 | Hutchinson County | 22.9 | -0.3 pts |
| 181 | Panola County | 22.9 | -0.4 pts |
| 185 | Grayson County | 22.7 | +0.2 pts |
| 186 | Coke County | 22.6 | -0.1 pts |
| 186 | Upshur County | 22.6 | +1.3 pts |
| 188 | Robertson County | 22.5 | +0.6 pts |
| 189 | Fayette County | 22.4 | -1.2 pts |
| 189 | Lampasas County | 22.4 | +0.4 pts |
| 189 | McMullen County | 22.4 | +4.1 pts |
| 192 | Johnson County | 22.3 | +0.2 pts |
| 192 | Taylor County | 22.3 | +1.6 pts |
| 192 | Washington County | 22.3 | +1.5 pts |
| 195 | Hartley County | 22.2 | -1.6 pts |
| 196 | Brown County | 22 | +1 pts |
| 197 | Cass County | 21.9 | -0.8 pts |
| 197 | Cottle County | 21.9 | -2.7 pts |
| 197 | Medina County | 21.9 | +0.8 pts |
| 200 | Kaufman County | 21.8 | +2 pts |
| 200 | Lavaca County | 21.8 | +2.2 pts |
| 202 | Ellis County | 21.7 | -1.2 pts |
| 202 | Midland County | 21.7 | +0.2 pts |
| 202 | Wichita County | 21.7 | -0.2 pts |
| 205 | Bee County | 21.6 | -1.5 pts |
| 206 | Callahan County | 21.5 | -0.6 pts |
| 206 | Montgomery County | 21.5 | +1.7 pts |
| 206 | Morris County | 21.5 | -0.1 pts |
| 209 | Red River County | 21.3 | -1.4 pts |
| 210 | Foard County | 21.2 | -0.4 pts |
| 211 | Blanco County | 21.1 | -1.8 pts |
| 212 | Mitchell County | 20.9 | -1.8 pts |
| 213 | Archer County | 20.8 | -0.1 pts |
| 213 | Bowie County | 20.8 | +1.3 pts |
| 215 | Lubbock County | 20.7 | +0.4 pts |
| 216 | Brazos County | 20.6 | +1.6 pts |
| 217 | Baylor County | 20.4 | +0.7 pts |
| 218 | Somervell County | 20.2 | +0.8 pts |
| 219 | Hood County | 20 | +0.4 pts |
| 220 | Delta County | 19.9 | -0.5 pts |
| 221 | Motley County | 19.8 | -0.8 pts |
| 222 | Fisher County | 19.7 | -0.9 pts |
| 222 | Irion County | 19.7 | +1.9 pts |
| 224 | Parker County | 19.5 | +0.7 pts |
| 224 | Wilson County | 19.5 | +1 pts |
| 226 | Orange County | 19.4 | +0.2 pts |
| 227 | Hardin County | 19.2 | -0.7 pts |
| 228 | Clay County | 19.1 | -0.8 pts |
| 228 | Concho County | 19.1 | -3 pts |
| 230 | Hays County | 19 | +0.8 pts |
| 231 | Brazoria County | 18.9 | +1.6 pts |
| 231 | Galveston County | 18.9 | +0.3 pts |
| 233 | Bell County | 18.8 | -1.9 pts |
| 234 | Coryell County | 18.7 | -1.5 pts |
| 235 | Franklin County | 18.5 | +2.2 pts |
| 236 | Carson County | 18.4 | +2.1 pts |
| 236 | Randall County | 18.4 | +1.9 pts |
| 238 | Armstrong County | 18.3 | -0.9 pts |
| 239 | Chambers County | 18.2 | +2.4 pts |
| 240 | Kendall County | 17.4 | -0.6 pts |
| 241 | Guadalupe County | 17.3 | -0.6 pts |
| 242 | Kinney County | 17.2 | -4.9 pts |
| 243 | Roberts County | 17 | -0.4 pts |
| 243 | Travis County | 17 | +1.6 pts |
| 245 | Comal County | 16.8 | +0.4 pts |
| 246 | Fort Bend County | 16.2 | -1.3 pts |
| 247 | Oldham County | 15.7 | -2.5 pts |
| 248 | Williamson County | 15.6 | +1.1 pts |
| 249 | Rockwall County | 14.9 | +1.3 pts |
| 250 | Denton County | 14.2 | -0.3 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
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), 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties?period=2021 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_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 Texas 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/texas-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 Texas 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/texas-counties?period=2021
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/texas-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 -
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)?
Kenedy County, with 47.1% in 2021, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?
Loving County, with 2.8% 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.