Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / US counties

US counties by uninsured rate, ages 18 to 64 (US model-based estimate)

Presidio County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 3143 counties in 2022, at 40.7%. Los Alamos County had the lowest, at 2.5%. The median was 11.1%. Source: the U.S. Census Bureau.

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Highest40.7Presidio County
Lowest2.5Los Alamos County
Median11.13143 counties

Map of counties, 2022

%, 2022. Hatched areas have no value for this period. 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

Presidio County: 40.7 %Presidio County40.7Hidalgo County: 39.8 %Hidalgo County39.8Kenedy County: 39.1 %Kenedy County39.1Gaines County: 38.1 %Gaines County38.1Edwards County: 35.9 %Edwards County35.9Webb County: 35.7 %Webb County35.7Dallam County: 35 %Dallam County35Maverick County: 34.4 %Maverick County34.4Bailey County: 33.1 %Bailey County33.1Starr County: 33 %Starr County33Cameron County: 32.8 %Cameron County32.8Swisher County: 32.8 %Swisher County32.8Ochiltree County: 32.3 %Ochiltree County32.3San Saba County: 32.1 %San Saba County32.1Zapata County: 31.8 %Zapata County31.8Hansford County: 31.4 %Hansford County31.4Sherman County: 31.4 %Sherman County31.4Hudspeth County: 31.2 %Hudspeth County31.2Yoakum County: 31.2 %Yoakum County31.2Crockett County: 31.1 %Crockett County31.1Holmes County: 31.1 %Holmes County31.1Moore County: 30.7 %Moore County30.7Castro County: 30.6 %Castro County30.6Collingsworth County: 30.6 %Collingsworth County30.6Hendry County: 30.5 %Hendry County30.5Hall County: 30.4 %Hall County30.4Wheeler County: 30.4 %Wheeler County30.4Cochran County: 30.3 %Cochran County30.3Menard County: 30.3 %Menard County30.3Floyd County: 30 %Floyd County30Terry County: 29.1 %Terry County29.1El Paso County: 29 %El Paso County29Madison County: 28.9 %Madison County28.9Parmer County: 28.6 %Parmer County28.6Potter County: 28.6 %Potter County28.6Glades County: 28.5 %Glades County28.5LaGrange County: 28.4 %LaGrange County28.4Liberty County: 28.4 %Liberty County28.4Titus County: 28.4 %Titus County28.4Uvalde County: 28.4 %Uvalde County28.4Presidio County: 40.7 %Presidio County40.7Hidalgo County: 39.8 %Hidalgo County39.8Kenedy County: 39.1 %Kenedy County39.1Gaines County: 38.1 %Gaines County38.1Edwards County: 35.9 %Edwards County35.9Webb County: 35.7 %Webb County35.7Dallam County: 35 %Dallam County35Maverick County: 34.4 %Maverick County34.4Bailey County: 33.1 %Bailey County33.1Starr County: 33 %Starr County33Cameron County: 32.8 %Cameron County32.8Swisher County: 32.8 %Swisher County32.8Ochiltree County: 32.3 %Ochiltree County32.3San Saba County: 32.1 %San Saba County32.1Zapata County: 31.8 %Zapata County31.8Hansford County: 31.4 %Hansford County31.4Sherman County: 31.4 %Sherman County31.4Hudspeth County: 31.2 %Hudspeth County31.2Yoakum County: 31.2 %Yoakum County31.2Crockett County: 31.1 %Crockett County31.1Holmes County: 31.1 %Holmes County31.1Moore County: 30.7 %Moore County30.7Castro County: 30.6 %Castro County30.6Collingsworth County: 30.6 %Collingsworth County30.6Hendry County: 30.5 %Hendry County30.5Hall County: 30.4 %Hall County30.4Wheeler County: 30.4 %Wheeler County30.4Cochran County: 30.3 %Cochran County30.3Menard County: 30.3 %Menard County30.3Floyd County: 30 %Floyd County30Terry County: 29.1 %Terry County29.1El Paso County: 29 %El Paso County29Madison County: 28.9 %Madison County28.9Parmer County: 28.6 %Parmer County28.6Potter County: 28.6 %Potter County28.6Glades County: 28.5 %Glades County28.5LaGrange County: 28.4 %LaGrange County28.4Liberty County: 28.4 %Liberty County28.4Titus County: 28.4 %Titus County28.4Uvalde County: 28.4 %Uvalde County28.4
%. 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
1Presidio County40.7-5.7 pts
2Hidalgo County39.8-3 pts
3Kenedy County39.1-8 pts
4Gaines County38.1-0.6 pts
5Edwards County35.9+2.3 pts
6Webb County35.7-3.6 pts
7Dallam County35-1.6 pts
8Maverick County34.4-2 pts
9Bailey County33.10 pts
10Starr County33-5.4 pts
11Cameron County32.8-5.8 pts
11Swisher County32.8-1.4 pts
13Ochiltree County32.3-4.4 pts
14San Saba County32.1-0.1 pts
15Zapata County31.8-3.9 pts
16Hansford County31.4-1.3 pts
16Sherman County31.4-2.2 pts
18Hudspeth County31.2-2.8 pts
18Yoakum County31.2-2.3 pts
20Crockett County31.1+0.6 pts
20Holmes County31.1+3.8 pts
22Moore County30.7-5.9 pts
23Castro County30.6-0.8 pts
23Collingsworth County30.6-4.3 pts
25Hendry County30.5-0.4 pts
26Hall County30.4-3.5 pts
26Wheeler County30.4-1.4 pts
28Cochran County30.3-3.4 pts
28Menard County30.3-2.3 pts
30Floyd County30-0.6 pts
31Terry County29.1-5.2 pts
32El Paso County29-0.6 pts
33Madison County28.9-0.4 pts
34Parmer County28.6-3 pts
34Potter County28.6-1.4 pts
36Glades County28.5-0.8 pts
37LaGrange County28.4+4.1 pts
37Liberty County28.4-0.6 pts
37Titus County28.4-2.9 pts
37Uvalde County28.4-0.6 pts
41Lamb County28-3.2 pts
42Gillespie County27.9+2 pts
43Shelby County27.7-4.1 pts
43Willacy County27.7-2.1 pts
45Ward County27.6+0.8 pts
46Culberson County27.5-7.3 pts
47Dallas County27.4-0.7 pts
47Dawson County27.4-1.4 pts
47Gonzales County27.4-4.3 pts
47Hale County27.4-2.1 pts
51Andrews County27.3-1 pts
51Crane County27.3-2 pts
51Deaf Smith County27.3-5.7 pts
54DeSoto County27-1.9 pts
54Mason County27-4.2 pts
56Frio County26.9-2.5 pts
56Haskell County26.9-1.2 pts
56Jim Hogg County26.9-0.5 pts
59Caldwell County26.8-2.7 pts
59Pecos County26.8-3 pts
59Val Verde County26.8-3.7 pts
62Hockley County26.7-2.7 pts
63Crosby County26.5-2.4 pts
63Harris County26.5-1.6 pts
63La Salle County26.5+0.2 pts
66Whitfield County26.4-2.7 pts
67Atkinson County26.2-6 pts
67Ector County26.2-2.8 pts
67Gray County26.2-4.6 pts
67Henderson County26.2+0.7 pts
67Schleicher County26.2-5.6 pts
72Coleman County26.1-0.4 pts
72Reeves County26.1-1.5 pts
74McCulloch County26-2.5 pts
75Clark County25.9-3.8 pts
75Jack County25.9-3.2 pts
77Colorado County25.8-0.6 pts
77Comanche County25.8-1.1 pts
77Garza County25.8-1.2 pts
80Matagorda County25.7-2.3 pts
81Brewster County25.6-1.7 pts
81Knox County25.6-4.4 pts
83Leon County25.4-1 pts
84Briscoe County25.3-4.2 pts
84Hamilton County25.3-0.9 pts
86Candler County25.2-0.5 pts
86Dimmit County25.2-2.1 pts
88Stephens County24.9-3.5 pts
88Wharton County24.9-3.2 pts
90Donley County24.8-0.9 pts
90Rains County24.8-2.4 pts
90Young County24.8-0.6 pts
93Colquitt County24.7-4.5 pts
93Hamilton County24.7-3.9 pts
93Haskell County24.7-1.8 pts
93Jefferson County24.7-2.9 pts
93Kimble County24.7-3.1 pts
98Bastrop County24.6-1.9 pts
99Lipscomb County24.5-6.1 pts
99Live Oak County24.5-2.3 pts
99Montague County24.5-0.8 pts
99Scurry County24.5-1.6 pts
103Atascosa County24.4-2.3 pts
103Burleson County24.4-0.6 pts
103Gordon County24.4-2.1 pts
103Mills County24.4-6.6 pts
103Palo Pinto County24.4-1.3 pts
108Coffee County24.3-3.2 pts
108Hemphill County24.3-4 pts
108Reagan County24.3-2 pts
111Camp County24.2-0.4 pts
111Wilbarger County24.2-3.6 pts
113Issaquena County24.1+3.2 pts
113Jasper County24.1+0.8 pts
113Lake and Peninsula Borough24.1-1.2 pts
113Martin County24.1-1.7 pts
113Real County24.1-4.1 pts
113San Jacinto County24.1-2.7 pts
113Sutton County24.1-3.1 pts
113Webster County24.1+2.6 pts
121Cherokee County24-5.6 pts
121Hopkins County24-2.5 pts
121Scotland County24+0.1 pts
124Angelina County23.9-3 pts
124Dewey County23.9-0.7 pts
124Echols County23.9-3.5 pts
124Morgan County23.9-0.8 pts
124Treutlen County23.9-0.5 pts
129Le Flore County23.8-2.5 pts
129Newton County23.8-2.3 pts
129Nueces County23.8-2.1 pts
132Appling County23.7-1.2 pts
133Eastland County23.6-3.6 pts
133Gregg County23.6-2.9 pts
133Seward County23.6-2.6 pts
133Swain County23.6-0.7 pts
137Aransas County23.5-2.5 pts
137Houston County23.5-1.3 pts
137Howard County23.5-0.7 pts
137Jim Wells County23.5-3 pts
137Limestone County23.5-2.4 pts
137Runnels County23.5-1.5 pts
137Wrangell City and Borough23.5+1.2 pts
144Bosque County23.4-1.1 pts
144Jackson County23.4-1.2 pts
144Lee County23.4-2.8 pts
144Shackelford County23.4-3.5 pts
144Winkler County23.4-4 pts
149Brooks County23.3-4.3 pts
149Erath County23.3-1.4 pts
149Hall County23.3-1.9 pts
149Hardeman County23.3-7.6 pts
149Yukon-Koyukuk Census Area23.3-3.8 pts
154Upton County23.2-2.3 pts
155Fremont County23.1-2 pts
155Grimes County23.1-2.9 pts
155San Patricio County23.1-1.9 pts
158Hill County23-1.9 pts
158Hunt County23-1.8 pts
158Jeff Davis County23-1.9 pts
158Macon County23-0.9 pts
158San Augustine County23-6.4 pts
163Habersham County22.9-2.5 pts
163Lincoln County22.9-2.6 pts
163Navarro County22.9-7.4 pts
163Victoria County22.9-1.9 pts
167Hardee County22.8-4.2 pts
167Nacogdoches County22.8-3.7 pts
167Rabun County22.8-2.7 pts
167Santa Cruz County22.8+1.5 pts
171Beaver County22.7-3.9 pts
171Milam County22.7-1.2 pts
171Stevens County22.7+1.2 pts
174Big Horn County22.6-0.7 pts
174Clinch County22.6-0.8 pts
174Hyde County22.6-0.2 pts
174Tyler County22.6-3.6 pts
178Elbert County22.5+0.5 pts
178Freestone County22.5-2.3 pts
178Irion County22.5+2.8 pts
178Jefferson County22.5-0.8 pts
178Wayne County22.5-0.5 pts
178Wheeler County22.5-1.4 pts
184Coal County22.4-5.5 pts
184Grady County22.4-1.5 pts
184Highlands County22.4-0.5 pts
184Kleberg County22.4-3.1 pts
184Rusk County22.4-2.1 pts
184Texas County22.4-8 pts
184Wood County22.4-4 pts
191Childress County22.3-4 pts
191Dickens County22.3-6.3 pts
191Evans County22.3-0.6 pts
191Grant County22.3-0.1 pts
191McDonald County22.3-2.9 pts
191Prince of Wales-Hyder Census Area22.3+0.5 pts
191Smith County22.3-3.1 pts
191Van Zandt County22.3-1.6 pts
199Austin County22.2-2.3 pts
199Duval County22.2-7.1 pts
199Jeff Davis County22.2-2.3 pts
199Marshall County22.2-6 pts
199Murray County22.2-2.3 pts
204Bandera County22.1-0.9 pts
204Nolan County22.1-3.4 pts
204Polk County22.1-1.4 pts
207Burnet County22-2.5 pts
207DeWitt County22-3 pts
207Finney County22-1.2 pts
207King County22-6.2 pts
207Marion County22+0.8 pts
212Bexar County21.9-1.1 pts
212Gooding County21.9+1.5 pts
212Greene County21.9-3 pts
212Johnson County21.9-0.4 pts
212Llano County21.9-3.2 pts
212Throckmorton County21.9-4.3 pts
212Zavala County21.9-4.7 pts
219Cook County21.8-1.2 pts
219Franklin County21.8+1.2 pts
221Anderson County21.7-2.6 pts
221Bacon County21.7-2.1 pts
221Benton County21.7+0.7 pts
221Brantley County21.7-5.2 pts
221McLennan County21.7-1.7 pts
221Taylor County21.7-0.6 pts
221Yakutat City and Borough21.7-2.3 pts
228Lafayette County21.6-2.7 pts
228Lamar County21.6-3.5 pts
228Midland County21.6-0.1 pts
228Waller County21.6-5.9 pts
232Falls County21.5-2.8 pts
232Fayette County21.5-0.9 pts
232Harmon County21.5-4.5 pts
232Karnes County21.5-2.1 pts
232Sabine County21.5-2.8 pts
237Grayson County21.4-1.3 pts
237Harper County21.4-6.9 pts
237Kerr County21.4-4.1 pts
237Refugio County21.4-1.8 pts
241Cooke County21.3-4.1 pts
241Seminole County21.3-2.8 pts
241Tarrant County21.3-2.1 pts
244Collier County21.2+1.6 pts
244Okeechobee County21.2-3.5 pts
244Red River County21.2-0.1 pts
247Atoka County21.1-5.4 pts
247Jackson County21.1-3.2 pts
247Jones County21.1-2.5 pts
247Sampson County21.1-1.4 pts

Showing the top 250 of 3143. The Excel download has every row.

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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_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: US counties 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/us-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: US counties 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/us-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/us-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)?

Presidio County, with 40.7% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

Los Alamos County, with 2.5% 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

US counties: more rankings