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 2014, at 26.5%. Falls Church city had the lowest, at 5.4%. The median was 16.7% and the figure for Virginia was 14.8%. Source: the U.S. Census Bureau.

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Highest26.5Highland County
Median16.7133 counties
Virginia14.8History

Map of counties, 2014

Accomack County: 22.4 %Albemarle County: 13.8 %Alleghany County: 15 %Amelia County: 18.3 %Amherst County: 17.3 %Appomattox County: 16.8 %Arlington County: 9.9 %Augusta County: 15.8 %Bath County: 15 %Bedford County: 14.1 %Bland County: 14.2 %Botetourt County: 11.4 %Brunswick County: 19.2 %Buchanan County: 18 %Buckingham County: 19.9 %Campbell County: 16 %Caroline County: 15.6 %Carroll County: 20.8 %Charles City County: 19.8 %Charlotte County: 22 %Chesterfield County: 13.1 %Clarke County: 12.3 %Craig County: 14.7 %Culpeper County: 16.2 %Cumberland County: 20.9 %Dickenson County: 17 %Dinwiddie County: 15.7 %Essex County: 19.1 %Fairfax County: 13 %Fauquier County: 12.8 %Floyd County: 18.9 %Fluvanna County: 14.3 %Franklin County: 18.3 %Frederick County: 16.7 %Giles County: 16 %Gloucester County: 14.8 %Goochland County: 7.3 %Grayson County: 19.1 %Greene County: 18.9 %Greensville County: 16 %Halifax County: 17.3 %Hanover County: 10.1 %Henrico County: 14.3 %Henry County: 19.4 %Highland County: 26.5 %Isle of Wight County: 13.5 %James City County: 12 %King and Queen County: 19.1 %King George County: 11 %King William County: 14.5 %Lancaster County: 15.6 %Lee County: 19.3 %Loudoun County: 8.9 %Louisa County: 16.7 %Lunenburg County: 21.6 %Madison County: 18.9 %Mathews County: 15.2 %Mecklenburg County: 20 %Middlesex County: 14.7 %Montgomery County: 15.6 %Nelson County: 18.8 %New Kent County: 13.1 %Northampton County: 22.1 %Northumberland County: 19.8 %Nottoway County: 18.7 %Orange County: 16.7 %Page County: 18.3 %Patrick County: 19.5 %Pittsylvania County: 17.2 %Powhatan County: 13 %Prince Edward County: 19.2 %Prince George County: 13.3 %Prince William County: 15.1 %Pulaski County: 14.4 %Rappahannock County: 18.4 %Richmond County: 20 %Roanoke County: 11.6 %Rockbridge County: 17.1 %Rockingham County: 18.1 %Russell County: 17 %Scott County: 17.1 %Shenandoah County: 17.3 %Smyth County: 16.5 %Southampton County: 16.5 %Spotsylvania County: 14.4 %Stafford County: 11.2 %Surry County: 15.7 %Sussex County: 17.4 %Tazewell County: 18.5 %Warren County: 16.6 %Washington County: 16.2 %Westmoreland County: 20.1 %Wise County: 17.6 %Wythe County: 17 %York County: 10.6 %Alexandria city: 14.7 %Bristol city: 17.3 %Buena Vista city: 17.6 %Charlottesville city: 17.3 %Chesapeake city: 13.3 %Colonial Heights city: 15.1 %Covington city: 18.4 %Danville city: 17.9 %Emporia city: 19.9 %Fairfax city: 12.7 %Falls Church city: 5.4 %Franklin city: 18.7 %Fredericksburg city: 15.4 %Galax city: 21.4 %Hampton city: 16.1 %Harrisonburg city: 21.5 %Hopewell city: 18.9 %Lexington city: 17.9 %Lynchburg city: 16.1 %Manassas city: 24 %Manassas Park city: 24.6 %Martinsville city: 17.9 %Newport News city: 16.1 %Norfolk city: 18.4 %Norton city: 15.5 %Petersburg city: 18.6 %Poquoson city: 9.9 %Portsmouth city: 17.1 %Radford city: 13.8 %Richmond city: 21.7 %Roanoke city: 21.3 %Salem city: 14 %Staunton city: 16 %Suffolk city: 13 %Virginia Beach city: 13.4 %Waynesboro city: 16.8 %Williamsburg city: 15 %Winchester city: 22 %
  • Under 13
  • 13 to 15
  • 15 to 17
  • 17 to 18
  • 18 to 19
  • 19 and over
%, 2014. 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, 2014

Highland County: 26.5 %Highland County26.5Manassas Park city: 24.6 %Manassas Park city24.6Manassas city: 24 %Manassas city24Accomack County: 22.4 %Accomack County22.4Northampton County: 22.1 %Northampton County22.1Charlotte County: 22 %Charlotte County22Winchester city: 22 %Winchester city22Richmond city: 21.7 %Richmond city21.7Lunenburg County: 21.6 %Lunenburg County21.6Harrisonburg city: 21.5 %Harrisonburg city21.5Galax city: 21.4 %Galax city21.4Roanoke city: 21.3 %Roanoke city21.3Cumberland County: 20.9 %Cumberland County20.9Carroll County: 20.8 %Carroll County20.8Westmoreland County: 20.1 %Westmoreland County20.1Mecklenburg County: 20 %Mecklenburg County20Richmond County: 20 %Richmond County20Buckingham County: 19.9 %Buckingham County19.9Emporia city: 19.9 %Emporia city19.9Charles City County: 19.8 %Charles City County19.8Northumberland County: 19.8 %Northumberland County19.8Patrick County: 19.5 %Patrick County19.5Henry County: 19.4 %Henry County19.4Lee County: 19.3 %Lee County19.3Brunswick County: 19.2 %Brunswick County19.2Prince Edward County: 19.2 %Prince Edward County19.2Essex County: 19.1 %Essex County19.1Grayson County: 19.1 %Grayson County19.1King and Queen County: 19.1 %King and Queen County19.1Floyd County: 18.9 %Floyd County18.9Greene County: 18.9 %Greene County18.9Hopewell city: 18.9 %Hopewell city18.9Madison County: 18.9 %Madison County18.9Nelson County: 18.8 %Nelson County18.8Franklin city: 18.7 %Franklin city18.7Nottoway County: 18.7 %Nottoway County18.7Petersburg city: 18.6 %Petersburg city18.6Tazewell County: 18.5 %Tazewell County18.5Covington city: 18.4 %Covington city18.4Norfolk city: 18.4 %Norfolk city18.4Highland County: 26.5 %Highland County26.5Manassas Park city: 24.6 %Manassas Park city24.6Manassas city: 24 %Manassas city24Accomack County: 22.4 %Accomack County22.4Northampton County: 22.1 %Northampton County22.1Charlotte County: 22 %Charlotte County22Winchester city: 22 %Winchester city22Richmond city: 21.7 %Richmond city21.7Lunenburg County: 21.6 %Lunenburg County21.6Harrisonburg city: 21.5 %Harrisonburg city21.5Galax city: 21.4 %Galax city21.4Roanoke city: 21.3 %Roanoke city21.3Cumberland County: 20.9 %Cumberland County20.9Carroll County: 20.8 %Carroll County20.8Westmoreland County: 20.1 %Westmoreland County20.1Mecklenburg County: 20 %Mecklenburg County20Richmond County: 20 %Richmond County20Buckingham County: 19.9 %Buckingham County19.9Emporia city: 19.9 %Emporia city19.9Charles City County: 19.8 %Charles City County19.8Northumberland County: 19.8 %Northumberland County19.8Patrick County: 19.5 %Patrick County19.5Henry County: 19.4 %Henry County19.4Lee County: 19.3 %Lee County19.3Brunswick County: 19.2 %Brunswick County19.2Prince Edward County: 19.2 %Prince Edward County19.2Essex County: 19.1 %Essex County19.1Grayson County: 19.1 %Grayson County19.1King and Queen County: 19.1 %King and Queen County19.1Floyd County: 18.9 %Floyd County18.9Greene County: 18.9 %Greene County18.9Hopewell city: 18.9 %Hopewell city18.9Madison County: 18.9 %Madison County18.9Nelson County: 18.8 %Nelson County18.8Franklin city: 18.7 %Franklin city18.7Nottoway County: 18.7 %Nottoway County18.7Petersburg city: 18.6 %Petersburg city18.6Tazewell County: 18.5 %Tazewell County18.5Covington city: 18.4 %Covington city18.4Norfolk city: 18.4 %Norfolk city18.4
%. 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

RankCounties2014 (%)Change on 2013
1Highland County26.5-3.4 pts
2Manassas Park city24.6-3.3 pts
3Manassas city24-1.1 pts
4Accomack County22.4-2.6 pts
5Northampton County22.1-3.2 pts
6Charlotte County22-1.5 pts
6Winchester city22-1.7 pts
8Richmond city21.7-2.6 pts
9Lunenburg County21.6-1.7 pts
10Harrisonburg city21.5-3.8 pts
11Galax city21.4-2 pts
12Roanoke city21.3-0.4 pts
13Cumberland County20.9-0.8 pts
14Carroll County20.8-2.3 pts
15Westmoreland County20.1-2 pts
16Mecklenburg County20-2.3 pts
16Richmond County20-2.5 pts
18Buckingham County19.9-2.9 pts
18Emporia city19.9+0.1 pts
20Charles City County19.8-3.2 pts
20Northumberland County19.8-2.3 pts
22Patrick County19.5-2 pts
23Henry County19.4-3.1 pts
24Lee County19.3+0.3 pts
25Brunswick County19.2-1.9 pts
25Prince Edward County19.2-1 pts
27Essex County19.1-1.5 pts
27Grayson County19.1-2.5 pts
27King and Queen County19.1-2.8 pts
30Floyd County18.9-2.4 pts
30Greene County18.9-1.7 pts
30Hopewell city18.9-1.7 pts
30Madison County18.9-1.5 pts
34Nelson County18.8-1.8 pts
35Franklin city18.7-0.6 pts
35Nottoway County18.7-2.7 pts
37Petersburg city18.6-1.9 pts
38Tazewell County18.5-1.9 pts
39Covington city18.4-0.5 pts
39Norfolk city18.4-2.9 pts
39Rappahannock County18.4-3.8 pts
42Amelia County18.3-2.7 pts
42Franklin County18.3-2.2 pts
42Page County18.3-2.2 pts
45Rockingham County18.1-1.7 pts
46Buchanan County18-0.2 pts
47Danville city17.9-1.1 pts
47Lexington city17.9-2.4 pts
47Martinsville city17.9-2.7 pts
50Buena Vista city17.6-2.4 pts
50Wise County17.6-1.2 pts
52Sussex County17.4-2.2 pts
53Amherst County17.3-2 pts
53Bristol city17.3-1.1 pts
53Charlottesville city17.3-3 pts
53Halifax County17.3-2.7 pts
53Shenandoah County17.3-2.8 pts
58Pittsylvania County17.2-1.4 pts
59Portsmouth city17.1-2.1 pts
59Rockbridge County17.1-2 pts
59Scott County17.1-1 pts
62Dickenson County17-1.8 pts
62Russell County17-2.1 pts
62Wythe County17-2.4 pts
65Appomattox County16.8-3.1 pts
65Waynesboro city16.8-3.9 pts
67Frederick County16.7-1.2 pts
67Louisa County16.7-3.5 pts
67Orange County16.7-2.9 pts
70Warren County16.6-2.2 pts
71Smyth County16.5-2 pts
71Southampton County16.5-2.7 pts
73Culpeper County16.2-3.8 pts
73Washington County16.2-2.2 pts
75Hampton city16.1-1.6 pts
75Lynchburg city16.1-3.5 pts
75Newport News city16.1-3 pts
78Campbell County16-2.2 pts
78Giles County16-2.2 pts
78Greensville County16-1.7 pts
78Staunton city16-1.3 pts
82Augusta County15.8-1.5 pts
83Dinwiddie County15.7-1.7 pts
83Surry County15.7-1.3 pts
85Caroline County15.6-3.7 pts
85Lancaster County15.6-2.1 pts
85Montgomery County15.6-2 pts
88Norton city15.5+0.5 pts
89Fredericksburg city15.4-3.5 pts
90Mathews County15.2-2.6 pts
91Colonial Heights city15.1-2.1 pts
91Prince William County15.1-3.2 pts
93Alleghany County15-1.4 pts
93Bath County15-4.1 pts
93Williamsburg city15-3.7 pts
96Gloucester County14.8-1.8 pts
97Alexandria city14.7-1.7 pts
97Craig County14.7-4.5 pts
97Middlesex County14.7-3.8 pts
100King William County14.5-2.7 pts
101Pulaski County14.4-3.3 pts
101Spotsylvania County14.4-2.1 pts
103Fluvanna County14.3-2.6 pts
103Henrico County14.3-2.9 pts
105Bland County14.2-1.9 pts
106Bedford County14.1-2.2 pts
107Salem city14-2.3 pts
108Albemarle County13.8-1.4 pts
108Radford city13.8-5.6 pts
110Isle of Wight County13.5-0.7 pts
111Virginia Beach city13.4-3 pts
112Chesapeake city13.3-1.4 pts
112Prince George County13.3-2 pts
114Chesterfield County13.1-2.1 pts
114New Kent County13.1-1.9 pts
116Fairfax County13-1.9 pts
116Powhatan County13-2.5 pts
116Suffolk city13-2.5 pts
119Fauquier County12.8-1.8 pts
120Fairfax city12.7-3.8 pts
121Clarke County12.3-1.8 pts
122James City County12-2.4 pts
123Roanoke County11.6-2.5 pts
124Botetourt County11.4-1.5 pts
125Stafford County11.2-1.6 pts
126King George County11-2.1 pts
127York County10.6-1.4 pts
128Hanover County10.1-2.1 pts
129Arlington County9.9-2 pts
129Poquoson city9.9-1.7 pts
131Loudoun County8.9-2.5 pts
132Goochland County7.3-0.9 pts
133Falls Church city5.4-2.7 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-2014-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), 2014) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-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), 2014. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2014. 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), 2014. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2014.

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), 2014 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2014 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2014,
  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), 2014}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2014. 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-2014-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), 2014
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-2014-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2014
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2014.
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-2014-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 26.5% in 2014, 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 5.4% in 2014.

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