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

Highland County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 133 counties in 2013, at 29.9%. Falls Church city had the lowest, at 8.1%. The median was 19.1% and the figure for Virginia was 17.1%. Source: the U.S. Census Bureau.

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Highest29.9Highland County
Median19.1133 counties
Virginia17.1History

Map of counties, 2013

Accomack County: 25 %Albemarle County: 15.2 %Alleghany County: 16.4 %Amelia County: 21 %Amherst County: 19.3 %Appomattox County: 19.9 %Arlington County: 11.9 %Augusta County: 17.3 %Bath County: 19.1 %Bedford County: 16.3 %Bland County: 16.1 %Botetourt County: 12.9 %Brunswick County: 21.1 %Buchanan County: 18.2 %Buckingham County: 22.8 %Campbell County: 18.2 %Caroline County: 19.3 %Carroll County: 23.1 %Charles City County: 23 %Charlotte County: 23.5 %Chesterfield County: 15.2 %Clarke County: 14.1 %Craig County: 19.2 %Culpeper County: 20 %Cumberland County: 21.7 %Dickenson County: 18.8 %Dinwiddie County: 17.4 %Essex County: 20.6 %Fairfax County: 14.9 %Fauquier County: 14.6 %Floyd County: 21.3 %Fluvanna County: 16.9 %Franklin County: 20.5 %Frederick County: 17.9 %Giles County: 18.2 %Gloucester County: 16.6 %Goochland County: 8.2 %Grayson County: 21.6 %Greene County: 20.6 %Greensville County: 17.7 %Halifax County: 20 %Hanover County: 12.2 %Henrico County: 17.2 %Henry County: 22.5 %Highland County: 29.9 %Isle of Wight County: 14.2 %James City County: 14.4 %King and Queen County: 21.9 %King George County: 13.1 %King William County: 17.2 %Lancaster County: 17.7 %Lee County: 19 %Loudoun County: 11.4 %Louisa County: 20.2 %Lunenburg County: 23.3 %Madison County: 20.4 %Mathews County: 17.8 %Mecklenburg County: 22.3 %Middlesex County: 18.5 %Montgomery County: 17.6 %Nelson County: 20.6 %New Kent County: 15 %Northampton County: 25.3 %Northumberland County: 22.1 %Nottoway County: 21.4 %Orange County: 19.6 %Page County: 20.5 %Patrick County: 21.5 %Pittsylvania County: 18.6 %Powhatan County: 15.5 %Prince Edward County: 20.2 %Prince George County: 15.3 %Prince William County: 18.3 %Pulaski County: 17.7 %Rappahannock County: 22.2 %Richmond County: 22.5 %Roanoke County: 14.1 %Rockbridge County: 19.1 %Rockingham County: 19.8 %Russell County: 19.1 %Scott County: 18.1 %Shenandoah County: 20.1 %Smyth County: 18.5 %Southampton County: 19.2 %Spotsylvania County: 16.5 %Stafford County: 12.8 %Surry County: 17 %Sussex County: 19.6 %Tazewell County: 20.4 %Warren County: 18.8 %Washington County: 18.4 %Westmoreland County: 22.1 %Wise County: 18.8 %Wythe County: 19.4 %York County: 12 %Alexandria city: 16.4 %Bristol city: 18.4 %Buena Vista city: 20 %Charlottesville city: 20.3 %Chesapeake city: 14.7 %Colonial Heights city: 17.2 %Covington city: 18.9 %Danville city: 19 %Emporia city: 19.8 %Fairfax city: 16.5 %Falls Church city: 8.1 %Franklin city: 19.3 %Fredericksburg city: 18.9 %Galax city: 23.4 %Hampton city: 17.7 %Harrisonburg city: 25.3 %Hopewell city: 20.6 %Lexington city: 20.3 %Lynchburg city: 19.6 %Manassas city: 25.1 %Manassas Park city: 27.9 %Martinsville city: 20.6 %Newport News city: 19.1 %Norfolk city: 21.3 %Norton city: 15 %Petersburg city: 20.5 %Poquoson city: 11.6 %Portsmouth city: 19.2 %Radford city: 19.4 %Richmond city: 24.3 %Roanoke city: 21.7 %Salem city: 16.3 %Staunton city: 17.3 %Suffolk city: 15.5 %Virginia Beach city: 16.4 %Waynesboro city: 20.7 %Williamsburg city: 18.7 %Winchester city: 23.7 %
  • Under 16
  • 16 to 18
  • 18 to 19
  • 19 to 20
  • 20 to 22
  • 22 and over
%, 2013. 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, 2013

Highland County: 29.9 %Highland County29.9Manassas Park city: 27.9 %Manassas Park city27.9Harrisonburg city: 25.3 %Harrisonburg city25.3Northampton County: 25.3 %Northampton County25.3Manassas city: 25.1 %Manassas city25.1Accomack County: 25 %Accomack County25Richmond city: 24.3 %Richmond city24.3Winchester city: 23.7 %Winchester city23.7Charlotte County: 23.5 %Charlotte County23.5Galax city: 23.4 %Galax city23.4Lunenburg County: 23.3 %Lunenburg County23.3Carroll County: 23.1 %Carroll County23.1Charles City County: 23 %Charles City County23Buckingham County: 22.8 %Buckingham County22.8Henry County: 22.5 %Henry County22.5Richmond County: 22.5 %Richmond County22.5Mecklenburg County: 22.3 %Mecklenburg County22.3Rappahannock County: 22.2 %Rappahannock County22.2Northumberland County: 22.1 %Northumberland County22.1Westmoreland County: 22.1 %Westmoreland County22.1King and Queen County: 21.9 %King and Queen County21.9Cumberland County: 21.7 %Cumberland County21.7Roanoke city: 21.7 %Roanoke city21.7Grayson County: 21.6 %Grayson County21.6Patrick County: 21.5 %Patrick County21.5Nottoway County: 21.4 %Nottoway County21.4Floyd County: 21.3 %Floyd County21.3Norfolk city: 21.3 %Norfolk city21.3Brunswick County: 21.1 %Brunswick County21.1Amelia County: 21 %Amelia County21Waynesboro city: 20.7 %Waynesboro city20.7Essex County: 20.6 %Essex County20.6Greene County: 20.6 %Greene County20.6Hopewell city: 20.6 %Hopewell city20.6Martinsville city: 20.6 %Martinsville city20.6Nelson County: 20.6 %Nelson County20.6Franklin County: 20.5 %Franklin County20.5Page County: 20.5 %Page County20.5Petersburg city: 20.5 %Petersburg city20.5Madison County: 20.4 %Madison County20.4Highland County: 29.9 %Highland County29.9Manassas Park city: 27.9 %Manassas Park city27.9Harrisonburg city: 25.3 %Harrisonburg city25.3Northampton County: 25.3 %Northampton County25.3Manassas city: 25.1 %Manassas city25.1Accomack County: 25 %Accomack County25Richmond city: 24.3 %Richmond city24.3Winchester city: 23.7 %Winchester city23.7Charlotte County: 23.5 %Charlotte County23.5Galax city: 23.4 %Galax city23.4Lunenburg County: 23.3 %Lunenburg County23.3Carroll County: 23.1 %Carroll County23.1Charles City County: 23 %Charles City County23Buckingham County: 22.8 %Buckingham County22.8Henry County: 22.5 %Henry County22.5Richmond County: 22.5 %Richmond County22.5Mecklenburg County: 22.3 %Mecklenburg County22.3Rappahannock County: 22.2 %Rappahannock County22.2Northumberland County: 22.1 %Northumberland County22.1Westmoreland County: 22.1 %Westmoreland County22.1King and Queen County: 21.9 %King and Queen County21.9Cumberland County: 21.7 %Cumberland County21.7Roanoke city: 21.7 %Roanoke city21.7Grayson County: 21.6 %Grayson County21.6Patrick County: 21.5 %Patrick County21.5Nottoway County: 21.4 %Nottoway County21.4Floyd County: 21.3 %Floyd County21.3Norfolk city: 21.3 %Norfolk city21.3Brunswick County: 21.1 %Brunswick County21.1Amelia County: 21 %Amelia County21Waynesboro city: 20.7 %Waynesboro city20.7Essex County: 20.6 %Essex County20.6Greene County: 20.6 %Greene County20.6Hopewell city: 20.6 %Hopewell city20.6Martinsville city: 20.6 %Martinsville city20.6Nelson County: 20.6 %Nelson County20.6Franklin County: 20.5 %Franklin County20.5Page County: 20.5 %Page County20.5Petersburg city: 20.5 %Petersburg city20.5Madison County: 20.4 %Madison County20.4
%. 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

RankCounties2013 (%)Change on 2012
1Highland County29.9+1.2 pts
2Manassas Park city27.9+0.8 pts
3Harrisonburg city25.3+3.3 pts
3Northampton County25.3+0.7 pts
5Manassas city25.1-1.2 pts
6Accomack County25+0.2 pts
7Richmond city24.3+1.6 pts
8Winchester city23.7-0.2 pts
9Charlotte County23.5-0.9 pts
10Galax city23.4-1.5 pts
11Lunenburg County23.3-1.1 pts
12Carroll County23.1-1.2 pts
13Charles City County23-0.8 pts
14Buckingham County22.8-0.9 pts
15Henry County22.5-1.8 pts
15Richmond County22.5-0.2 pts
17Mecklenburg County22.3-0.8 pts
18Rappahannock County22.2+3 pts
19Northumberland County22.10 pts
19Westmoreland County22.1-1.4 pts
21King and Queen County21.9+0.6 pts
22Cumberland County21.7-1.9 pts
22Roanoke city21.7-1.4 pts
24Grayson County21.6-2 pts
25Patrick County21.5-1.3 pts
26Nottoway County21.4-1.2 pts
27Floyd County21.3-1.6 pts
27Norfolk city21.3+0.4 pts
29Brunswick County21.1-0.7 pts
30Amelia County21-1.7 pts
31Waynesboro city20.7+0.9 pts
32Essex County20.6-0.3 pts
32Greene County20.6-0.2 pts
32Hopewell city20.6-1.2 pts
32Martinsville city20.60 pts
32Nelson County20.6-0.3 pts
37Franklin County20.5-1.6 pts
37Page County20.5-0.9 pts
37Petersburg city20.5-0.5 pts
40Madison County20.4-1 pts
40Tazewell County20.4-0.1 pts
42Charlottesville city20.3+0.4 pts
42Lexington city20.3-0.1 pts
44Louisa County20.2+0.6 pts
44Prince Edward County20.2-1.2 pts
46Shenandoah County20.1-0.6 pts
47Buena Vista city200 pts
47Culpeper County20-0.4 pts
47Halifax County20-1.4 pts
50Appomattox County19.9-0.8 pts
51Emporia city19.8-1.3 pts
51Rockingham County19.8-0.9 pts
53Lynchburg city19.6-0.4 pts
53Orange County19.60 pts
53Sussex County19.6-3 pts
56Radford city19.4-1.2 pts
56Wythe County19.4-0.9 pts
58Amherst County19.3-1.3 pts
58Caroline County19.30 pts
58Franklin city19.3-0.8 pts
61Craig County19.2-0.2 pts
61Portsmouth city19.2-0.6 pts
61Southampton County19.2-1.3 pts
64Bath County19.1-0.3 pts
64Newport News city19.1+0.2 pts
64Rockbridge County19.1-1.7 pts
64Russell County19.1-1.6 pts
68Danville city19-1.8 pts
68Lee County19-1.9 pts
70Covington city18.9-0.3 pts
70Fredericksburg city18.9-1 pts
72Dickenson County18.8-1.1 pts
72Warren County18.8-0.6 pts
72Wise County18.8-1.1 pts
75Williamsburg city18.7+1.6 pts
76Pittsylvania County18.6-1.4 pts
77Middlesex County18.5-0.9 pts
77Smyth County18.5-1.4 pts
79Bristol city18.4-0.8 pts
79Washington County18.4-1 pts
81Prince William County18.3+0.9 pts
82Buchanan County18.2-0.5 pts
82Campbell County18.2-0.8 pts
82Giles County18.2-1.3 pts
85Scott County18.1-1.3 pts
86Frederick County17.9-0.8 pts
87Mathews County17.8-0.9 pts
88Greensville County17.7-1.8 pts
88Hampton city17.7+0.9 pts
88Lancaster County17.7-1.4 pts
88Pulaski County17.7-0.8 pts
92Montgomery County17.6-0.6 pts
93Dinwiddie County17.4-2.1 pts
94Augusta County17.3-0.9 pts
94Staunton city17.3-3.4 pts
96Colonial Heights city17.2-0.4 pts
96Henrico County17.2-0.6 pts
96King William County17.2-0.2 pts
99Surry County17-1.4 pts
100Fluvanna County16.9+0.5 pts
101Gloucester County16.6-1 pts
102Fairfax city16.5+0.9 pts
102Spotsylvania County16.5-0.2 pts
104Alexandria city16.4+1.1 pts
104Alleghany County16.4-1.1 pts
104Virginia Beach city16.4+1.2 pts
107Bedford County16.3-1 pts
107Salem city16.3-0.3 pts
109Bland County16.1-0.8 pts
110Powhatan County15.5-0.9 pts
110Suffolk city15.50 pts
112Prince George County15.3-0.7 pts
113Albemarle County15.2+0.3 pts
113Chesterfield County15.2-0.2 pts
115New Kent County15-1.3 pts
115Norton city15-0.8 pts
117Fairfax County14.9-1.2 pts
118Chesapeake city14.7+0.1 pts
119Fauquier County14.6-0.2 pts
120James City County14.4+0.5 pts
121Isle of Wight County14.2-0.3 pts
122Clarke County14.1-1.2 pts
122Roanoke County14.1+0.4 pts
124King George County13.1+0.3 pts
125Botetourt County12.9-0.4 pts
126Stafford County12.8+0.3 pts
127Hanover County12.2+0.1 pts
128York County12+0.1 pts
129Arlington County11.9+0.1 pts
130Poquoson city11.6-0.2 pts
131Loudoun County11.4-0.1 pts
132Goochland County8.2-1.9 pts
133Falls Church city8.1-0.6 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-2013-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), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-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), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2013. 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), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2013.

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), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2013,
  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), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2013. 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-2013-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), 2013
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-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2013.
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-2013-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)?

Highland County, with 29.9% in 2013, according to the U.S. Census Bureau.

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

Falls Church city, with 8.1% in 2013.

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