Counties in Virginia by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Manassas city had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 133 counties in 2024, at 18%. Poquoson city had the lowest, at 4.5%. The median was 9.7% and the figure for Virginia was 9.3%. Source: the U.S. Census Bureau.

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Highest18Manassas city
Lowest4.5Poquoson city
Median9.7133 counties
Virginia9.3History

Map of counties, 2024

Accomack County: 16.9 %Albemarle County: 8.7 %Alleghany County: 8 %Amelia County: 12.1 %Amherst County: 9.7 %Appomattox County: 9.8 %Arlington County: 6.1 %Augusta County: 8.7 %Bath County: 7.2 %Bedford County: 8.7 %Bland County: 7.1 %Botetourt County: 6.8 %Brunswick County: 11.7 %Buchanan County: 11.4 %Buckingham County: 12.2 %Campbell County: 10.2 %Caroline County: 10.6 %Carroll County: 12.3 %Charles City County: 9.5 %Charlotte County: 14.4 %Chesterfield County: 9.2 %Clarke County: 9.2 %Craig County: 9.7 %Culpeper County: 11.6 %Cumberland County: 8.3 %Dickenson County: 10.9 %Dinwiddie County: 8.5 %Essex County: 11.5 %Fairfax County: 9.1 %Fauquier County: 8.7 %Floyd County: 10 %Fluvanna County: 6.7 %Franklin County: 9.5 %Frederick County: 10.7 %Giles County: 9 %Gloucester County: 9.6 %Goochland County: 5.2 %Grayson County: 11.5 %Greene County: 12.1 %Greensville County: 9.1 %Halifax County: 11.3 %Hanover County: 7.1 %Henrico County: 9.1 %Henry County: 11 %Highland County: 10.7 %Isle of Wight County: 7.2 %James City County: 7.3 %King and Queen County: 10.4 %King George County: 8.1 %King William County: 8.1 %Lancaster County: 11.2 %Lee County: 10.9 %Loudoun County: 6.8 %Louisa County: 10.1 %Lunenburg County: 13.8 %Madison County: 11.1 %Mathews County: 9.3 %Mecklenburg County: 11.6 %Middlesex County: 10.9 %Montgomery County: 7.4 %Nelson County: 12.1 %New Kent County: 8.3 %Northampton County: 13.3 %Northumberland County: 11 %Nottoway County: 10.7 %Orange County: 8.9 %Page County: 11.3 %Patrick County: 10.8 %Pittsylvania County: 10.5 %Powhatan County: 7.6 %Prince Edward County: 9.3 %Prince George County: 8 %Prince William County: 12 %Pulaski County: 7.8 %Rappahannock County: 11.2 %Richmond County: 12.5 %Roanoke County: 7.5 %Rockbridge County: 9.2 %Rockingham County: 13 %Russell County: 10.9 %Scott County: 10.4 %Shenandoah County: 11.9 %Smyth County: 10.4 %Southampton County: 8.4 %Spotsylvania County: 9.6 %Stafford County: 7.4 %Surry County: 7.8 %Sussex County: 9.1 %Tazewell County: 11 %Warren County: 10.7 %Washington County: 9.2 %Westmoreland County: 11.9 %Wise County: 11.7 %Wythe County: 9.7 %York County: 6.5 %Alexandria city: 9 %Bristol city: 9.3 %Buena Vista city: 8.7 %Charlottesville city: 9.3 %Chesapeake city: 7.4 %Colonial Heights city: 9.8 %Covington city: 9.3 %Danville city: 10.6 %Emporia city: 11 %Fairfax city: 11.2 %Falls Church city: 4.9 %Franklin city: 8.8 %Fredericksburg city: 10.3 %Galax city: 12 %Hampton city: 8.3 %Harrisonburg city: 15.7 %Hopewell city: 10.8 %Lexington city: 7.7 %Lynchburg city: 10.4 %Manassas city: 18 %Manassas Park city: 17.3 %Martinsville city: 11.2 %Newport News city: 9.8 %Norfolk city: 10.6 %Norton city: 6.2 %Petersburg city: 9.7 %Poquoson city: 4.5 %Portsmouth city: 9.3 %Radford city: 7.5 %Richmond city: 10.7 %Roanoke city: 11.9 %Salem city: 6.8 %Staunton city: 8.2 %Suffolk city: 8.2 %Virginia Beach city: 8 %Waynesboro city: 10.6 %Williamsburg city: 10.7 %Winchester city: 13.7 %
  • Under 7.8
  • 7.8 to 9
  • 9 to 9.7
  • 9.7 to 11
  • 11 to 12
  • 12 and over
%, 2024. 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, 2024

Manassas city: 18 %Manassas city18Manassas Park city: 17.3 %Manassas Park city17.3Accomack County: 16.9 %Accomack County16.9Harrisonburg city: 15.7 %Harrisonburg city15.7Charlotte County: 14.4 %Charlotte County14.4Lunenburg County: 13.8 %Lunenburg County13.8Winchester city: 13.7 %Winchester city13.7Northampton County: 13.3 %Northampton County13.3Rockingham County: 13 %Rockingham County13Richmond County: 12.5 %Richmond County12.5Carroll County: 12.3 %Carroll County12.3Buckingham County: 12.2 %Buckingham County12.2Amelia County: 12.1 %Amelia County12.1Greene County: 12.1 %Greene County12.1Nelson County: 12.1 %Nelson County12.1Galax city: 12 %Galax city12Prince William County: 12 %Prince William County12Roanoke city: 11.9 %Roanoke city11.9Shenandoah County: 11.9 %Shenandoah County11.9Westmoreland County: 11.9 %Westmoreland County11.9Brunswick County: 11.7 %Brunswick County11.7Wise County: 11.7 %Wise County11.7Culpeper County: 11.6 %Culpeper County11.6Mecklenburg County: 11.6 %Mecklenburg County11.6Essex County: 11.5 %Essex County11.5Grayson County: 11.5 %Grayson County11.5Buchanan County: 11.4 %Buchanan County11.4Halifax County: 11.3 %Halifax County11.3Page County: 11.3 %Page County11.3Fairfax city: 11.2 %Fairfax city11.2Lancaster County: 11.2 %Lancaster County11.2Martinsville city: 11.2 %Martinsville city11.2Rappahannock County: 11.2 %Rappahannock County11.2Madison County: 11.1 %Madison County11.1Emporia city: 11 %Emporia city11Henry County: 11 %Henry County11Northumberland County: 11 %Northumberland County11Tazewell County: 11 %Tazewell County11Dickenson County: 10.9 %Dickenson County10.9Lee County: 10.9 %Lee County10.9Manassas city: 18 %Manassas city18Manassas Park city: 17.3 %Manassas Park city17.3Accomack County: 16.9 %Accomack County16.9Harrisonburg city: 15.7 %Harrisonburg city15.7Charlotte County: 14.4 %Charlotte County14.4Lunenburg County: 13.8 %Lunenburg County13.8Winchester city: 13.7 %Winchester city13.7Northampton County: 13.3 %Northampton County13.3Rockingham County: 13 %Rockingham County13Richmond County: 12.5 %Richmond County12.5Carroll County: 12.3 %Carroll County12.3Buckingham County: 12.2 %Buckingham County12.2Amelia County: 12.1 %Amelia County12.1Greene County: 12.1 %Greene County12.1Nelson County: 12.1 %Nelson County12.1Galax city: 12 %Galax city12Prince William County: 12 %Prince William County12Roanoke city: 11.9 %Roanoke city11.9Shenandoah County: 11.9 %Shenandoah County11.9Westmoreland County: 11.9 %Westmoreland County11.9Brunswick County: 11.7 %Brunswick County11.7Wise County: 11.7 %Wise County11.7Culpeper County: 11.6 %Culpeper County11.6Mecklenburg County: 11.6 %Mecklenburg County11.6Essex County: 11.5 %Essex County11.5Grayson County: 11.5 %Grayson County11.5Buchanan County: 11.4 %Buchanan County11.4Halifax County: 11.3 %Halifax County11.3Page County: 11.3 %Page County11.3Fairfax city: 11.2 %Fairfax city11.2Lancaster County: 11.2 %Lancaster County11.2Martinsville city: 11.2 %Martinsville city11.2Rappahannock County: 11.2 %Rappahannock County11.2Madison County: 11.1 %Madison County11.1Emporia city: 11 %Emporia city11Henry County: 11 %Henry County11Northumberland County: 11 %Northumberland County11Tazewell County: 11 %Tazewell County11Dickenson County: 10.9 %Dickenson County10.9Lee County: 10.9 %Lee County10.9
%. 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

RankCounties2024 (%)Change on 2023
1Manassas city18+4.1 pts
2Manassas Park city17.3+0.1 pts
3Accomack County16.9+2.9 pts
4Harrisonburg city15.7+0.8 pts
5Charlotte County14.4+3.7 pts
6Lunenburg County13.8+1.5 pts
7Winchester city13.7+1.3 pts
8Northampton County13.3+2.3 pts
9Rockingham County13+2.4 pts
10Richmond County12.5+0.3 pts
11Carroll County12.3+0.7 pts
12Buckingham County12.2+1.4 pts
13Amelia County12.1+1.5 pts
13Greene County12.1+2 pts
13Nelson County12.1+0.7 pts
16Galax city12-0.1 pts
16Prince William County12+1.2 pts
18Roanoke city11.9+0.5 pts
18Shenandoah County11.9+1.1 pts
18Westmoreland County11.9+0.1 pts
21Brunswick County11.7+0.5 pts
21Wise County11.7+1.8 pts
23Culpeper County11.6+0.4 pts
23Mecklenburg County11.6+0.7 pts
25Essex County11.5+0.3 pts
25Grayson County11.5+0.9 pts
27Buchanan County11.4+0.3 pts
28Halifax County11.3+1.5 pts
28Page County11.3+0.8 pts
30Fairfax city11.2+0.6 pts
30Lancaster County11.2+0.3 pts
30Martinsville city11.2+1 pts
30Rappahannock County11.2+0.2 pts
34Madison County11.1-1 pts
35Emporia city11+1.6 pts
35Henry County11+1.5 pts
35Northumberland County11+0.9 pts
35Tazewell County11+1 pts
39Dickenson County10.9+0.9 pts
39Lee County10.9+0.8 pts
39Middlesex County10.9-0.1 pts
39Russell County10.9+1 pts
43Hopewell city10.8+1.5 pts
43Patrick County10.8+1.5 pts
45Frederick County10.7+1.4 pts
45Highland County10.7+2.4 pts
45Nottoway County10.7+0.4 pts
45Richmond city10.7+0.3 pts
45Warren County10.7+0.8 pts
45Williamsburg city10.7+1.5 pts
51Caroline County10.6+1.8 pts
51Danville city10.6+0.9 pts
51Norfolk city10.6-0.1 pts
51Waynesboro city10.6+0.3 pts
55Pittsylvania County10.5+1 pts
56King and Queen County10.4-0.2 pts
56Lynchburg city10.4+1.5 pts
56Scott County10.4+1.7 pts
56Smyth County10.4+1 pts
60Fredericksburg city10.3+0.3 pts
61Campbell County10.2+1.5 pts
62Louisa County10.1+0.7 pts
63Floyd County10+1.3 pts
64Appomattox County9.8-0.2 pts
64Colonial Heights city9.8+1.4 pts
64Newport News city9.8-0.1 pts
67Amherst County9.7+1.2 pts
67Craig County9.7+1 pts
67Petersburg city9.7-0.1 pts
67Wythe County9.7+1.1 pts
71Gloucester County9.6+1.6 pts
71Spotsylvania County9.6+0.7 pts
73Charles City County9.5-0.9 pts
73Franklin County9.5+0.6 pts
75Bristol city9.3-0.5 pts
75Charlottesville city9.3+1 pts
75Covington city9.3+1.2 pts
75Mathews County9.3+1.7 pts
75Portsmouth city9.3+1.3 pts
75Prince Edward County9.3+0.3 pts
81Chesterfield County9.2+1 pts
81Clarke County9.2+1.5 pts
81Rockbridge County9.2+0.9 pts
81Washington County9.2+0.7 pts
85Fairfax County9.1+1 pts
85Greensville County9.1+1.1 pts
85Henrico County9.1+0.4 pts
85Sussex County9.1+0.6 pts
89Alexandria city9+0.1 pts
89Giles County9-0.1 pts
91Orange County8.90 pts
92Franklin city8.8+0.6 pts
93Albemarle County8.7+0.8 pts
93Augusta County8.7+0.8 pts
93Bedford County8.70 pts
93Buena Vista city8.7+0.5 pts
93Fauquier County8.7-0.2 pts
98Dinwiddie County8.5+0.3 pts
99Southampton County8.4+1.2 pts
100Cumberland County8.3+0.1 pts
100Hampton city8.3+0.2 pts
100New Kent County8.3+0.9 pts
103Staunton city8.2+0.2 pts
103Suffolk city8.20 pts
105King George County8.1+1 pts
105King William County8.1+0.6 pts
107Alleghany County8-0.5 pts
107Prince George County8+0.6 pts
107Virginia Beach city8-0.2 pts
110Pulaski County7.8+0.6 pts
110Surry County7.8+0.3 pts
112Lexington city7.7+1.9 pts
113Powhatan County7.6+0.5 pts
114Radford city7.5+0.8 pts
114Roanoke County7.5+1 pts
116Chesapeake city7.4+0.3 pts
116Montgomery County7.4-0.1 pts
116Stafford County7.40 pts
119James City County7.3+0.8 pts
120Bath County7.2+0.1 pts
120Isle of Wight County7.2+0.1 pts
122Bland County7.1+0.7 pts
122Hanover County7.1+0.8 pts
124Botetourt County6.8+0.4 pts
124Loudoun County6.8+0.6 pts
124Salem city6.8+0.5 pts
127Fluvanna County6.7+0.3 pts
128York County6.5+0.9 pts
129Norton city6.2-0.3 pts
130Arlington County6.1+0.9 pts
131Goochland County5.2+0.5 pts
132Falls Church city4.9+0.2 pts
133Poquoson city4.5-0.9 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-2024-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 Virginia by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Virginia by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties. 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 Virginia by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties.

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 Virginia by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2024,
  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 Virginia by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties. 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-2024-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 Virginia by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties.
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-2024-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)?

Manassas city, with 18% in 2024, according to the U.S. Census Bureau.

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

Poquoson city, with 4.5% in 2024.

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 Virginia: more rankings