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

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

Texas had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 51 states in 2023, at 21.6%. Massachusetts had the lowest, at 3.5%. The median was 9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest21.6Texas
Lowest3.5Massachusetts
Median951 states

Map of states, 2023

Alabama: 12.7 %Alaska: 14.7 %Arizona: 13.8 %Arkansas: 12.3 %California: 9 %Colorado: 9.2 %Connecticut: 7.9 %Delaware: 9 %District of Columbia: 3.5 %Florida: 15.5 %Georgia: 16 %Hawaii: 4.4 %Idaho: 12.7 %Illinois: 8.8 %Indiana: 9.1 %Iowa: 7 %Kansas: 11.7 %Kentucky: 7.6 %Louisiana: 10 %Maine: 8.8 %Maryland: 8.2 %Massachusetts: 3.5 %Michigan: 6.4 %Minnesota: 5.8 %Mississippi: 15 %Missouri: 10.5 %Montana: 11.9 %Nebraska: 8.8 %Nevada: 14.6 %New Hampshire: 6.8 %New Jersey: 10.1 %New Mexico: 13.9 %New York: 6.8 %North Carolina: 13.2 %North Dakota: 6.3 %Ohio: 8.4 %Oklahoma: 16.6 %Oregon: 8.1 %Pennsylvania: 7.1 %Rhode Island: 5.9 %South Carolina: 13 %South Dakota: 11.2 %Tennessee: 13.1 %Texas: 21.6 %Utah: 10.3 %Vermont: 5.4 %Virginia: 8.6 %Washington: 8.9 %West Virginia: 9 %Wisconsin: 6.6 %Wyoming: 15.6 %
  • Under 6.7
  • 6.7 to 8.3
  • 8.3 to 9
  • 9 to 12
  • 12 to 14
  • 14 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.

All states, 2023

Texas: 21.6 %Texas21.6Oklahoma: 16.6 %Oklahoma16.6Georgia: 16 %Georgia16Wyoming: 15.6 %Wyoming15.6Florida: 15.5 %Florida15.5Mississippi: 15 %Mississippi15Alaska: 14.7 %Alaska14.7Nevada: 14.6 %Nevada14.6New Mexico: 13.9 %New Mexico13.9Arizona: 13.8 %Arizona13.8North Carolina: 13.2 %North Carolina13.2Tennessee: 13.1 %Tennessee13.1South Carolina: 13 %South Carolina13Alabama: 12.7 %Alabama12.7Idaho: 12.7 %Idaho12.7Arkansas: 12.3 %Arkansas12.3Montana: 11.9 %Montana11.9Kansas: 11.7 %Kansas11.7South Dakota: 11.2 %South Dakota11.2Missouri: 10.5 %Missouri10.5Utah: 10.3 %Utah10.3New Jersey: 10.1 %New Jersey10.1Louisiana: 10 %Louisiana10Colorado: 9.2 %Colorado9.2Indiana: 9.1 %Indiana9.1California: 9 %California9Delaware: 9 %Delaware9West Virginia: 9 %West Virginia9Washington: 8.9 %Washington8.9Illinois: 8.8 %Illinois8.8Maine: 8.8 %Maine8.8Nebraska: 8.8 %Nebraska8.8Virginia: 8.6 %Virginia8.6Ohio: 8.4 %Ohio8.4Maryland: 8.2 %Maryland8.2Oregon: 8.1 %Oregon8.1Connecticut: 7.9 %Connecticut7.9Kentucky: 7.6 %Kentucky7.6Pennsylvania: 7.1 %Pennsylvania7.1Iowa: 7 %Iowa7New Hampshire: 6.8 %New Hampshire6.8New York: 6.8 %New York6.8Wisconsin: 6.6 %Wisconsin6.6Michigan: 6.4 %Michigan6.4North Dakota: 6.3 %North Dakota6.3Rhode Island: 5.9 %Rhode Island5.9Minnesota: 5.8 %Minnesota5.8Vermont: 5.4 %Vermont5.4Hawaii: 4.4 %Hawaii4.4District of Columbia: 3.5 %District of Columbia3.5Massachusetts: 3.5 %Massachusetts3.5Texas: 21.6 %Texas21.6Oklahoma: 16.6 %Oklahoma16.6Georgia: 16 %Georgia16Wyoming: 15.6 %Wyoming15.6Florida: 15.5 %Florida15.5Mississippi: 15 %Mississippi15Alaska: 14.7 %Alaska14.7Nevada: 14.6 %Nevada14.6New Mexico: 13.9 %New Mexico13.9Arizona: 13.8 %Arizona13.8North Carolina: 13.2 %North Carolina13.2Tennessee: 13.1 %Tennessee13.1South Carolina: 13 %South Carolina13Alabama: 12.7 %Alabama12.7Idaho: 12.7 %Idaho12.7Arkansas: 12.3 %Arkansas12.3Montana: 11.9 %Montana11.9Kansas: 11.7 %Kansas11.7South Dakota: 11.2 %South Dakota11.2Missouri: 10.5 %Missouri10.5Utah: 10.3 %Utah10.3New Jersey: 10.1 %New Jersey10.1Louisiana: 10 %Louisiana10Colorado: 9.2 %Colorado9.2Indiana: 9.1 %Indiana9.1California: 9 %California9Delaware: 9 %Delaware9West Virginia: 9 %West Virginia9Washington: 8.9 %Washington8.9Illinois: 8.8 %Illinois8.8Maine: 8.8 %Maine8.8Nebraska: 8.8 %Nebraska8.8Virginia: 8.6 %Virginia8.6Ohio: 8.4 %Ohio8.4Maryland: 8.2 %Maryland8.2Oregon: 8.1 %Oregon8.1Connecticut: 7.9 %Connecticut7.9Kentucky: 7.6 %Kentucky7.6Pennsylvania: 7.1 %Pennsylvania7.1Iowa: 7 %Iowa7New Hampshire: 6.8 %New Hampshire6.8New York: 6.8 %New York6.8Wisconsin: 6.6 %Wisconsin6.6Michigan: 6.4 %Michigan6.4North Dakota: 6.3 %North Dakota6.3Rhode Island: 5.9 %Rhode Island5.9Minnesota: 5.8 %Minnesota5.8Vermont: 5.4 %Vermont5.4Hawaii: 4.4 %Hawaii4.4District of Columbia: 3.5 %District of Columbia3.5Massachusetts: 3.5 %Massachusetts3.5
%. 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

RankStates2023 (%)Change on 2022
1Texas21.6-0.7 pts
2Oklahoma16.6-0.5 pts
3Georgia16-0.5 pts
4Wyoming15.6-1 pts
5Florida15.5-0.7 pts
6Mississippi15-1.1 pts
7Alaska14.7-0.5 pts
8Nevada14.6-0.7 pts
9New Mexico13.9+0.9 pts
10Arizona13.8-0.6 pts
11North Carolina13.2-0.3 pts
12Tennessee13.1-0.1 pts
13South Carolina13-0.4 pts
14Alabama12.7-0.6 pts
14Idaho12.7+1.2 pts
16Arkansas12.3+0.4 pts
17Montana11.9+0.1 pts
18Kansas11.7-0.6 pts
19South Dakota11.2-0.3 pts
20Missouri10.5-1.5 pts
21Utah10.3-0.4 pts
22New Jersey10.1+0.6 pts
23Louisiana10-0.2 pts
24Colorado9.2-0.4 pts
25Indiana9.1-0.3 pts
26California9-0.1 pts
26Delaware9+0.8 pts
26West Virginia9-0.1 pts
29Washington8.9+0.1 pts
30Illinois8.8-0.6 pts
30Maine8.8-0.8 pts
30Nebraska8.8-0.4 pts
33Virginia8.6-0.1 pts
34Ohio8.4+0.3 pts
35Maryland8.2+0.3 pts
36Oregon8.1-0.7 pts
37Connecticut7.9+0.7 pts
38Kentucky7.60 pts
39Pennsylvania7.1+0.1 pts
40Iowa7+0.9 pts
41New Hampshire6.8-0.2 pts
41New York6.80 pts
43Wisconsin6.6-0.4 pts
44Michigan6.4-0.2 pts
45North Dakota6.3-1.7 pts
46Rhode Island5.9-0.2 pts
47Minnesota5.8-0.4 pts
48Vermont5.4-0.4 pts
49Hawaii4.4-0.4 pts
50District of Columbia3.5-0.1 pts
50Massachusetts3.5+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 states 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 (US states 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, US states 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/us-states?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. US states 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/us-states?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, US states 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/us-states?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_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: US states 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/us-states?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: US states 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/us-states?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/us-states?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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

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 US states 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":"region","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=region&within=United%20States&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Texas, with 21.6% in 2023, according to the U.S. Census Bureau.

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

Massachusetts, with 3.5% 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

US states: more rankings