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

Accomack County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 133 counties in 2016, at 21.2%. Falls Church city had the lowest, at 4.4%. The median was 13.2% and the figure for Virginia was 11.8%. Source: the U.S. Census Bureau.

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Highest21.2Accomack County
Median13.2133 counties
Virginia11.8History

Map of counties, 2016

Accomack County: 21.2 %Albemarle County: 12.2 %Alleghany County: 11.6 %Amelia County: 14.7 %Amherst County: 13.1 %Appomattox County: 13.9 %Arlington County: 8.2 %Augusta County: 12.5 %Bath County: 12.1 %Bedford County: 10.6 %Bland County: 10.9 %Botetourt County: 9.4 %Brunswick County: 15.6 %Buchanan County: 14.6 %Buckingham County: 15.9 %Campbell County: 12.6 %Caroline County: 13.2 %Carroll County: 15.6 %Charles City County: 18.2 %Charlotte County: 17.3 %Chesterfield County: 10 %Clarke County: 11.4 %Craig County: 11 %Culpeper County: 15.6 %Cumberland County: 14.6 %Dickenson County: 13.6 %Dinwiddie County: 13.2 %Essex County: 13.6 %Fairfax County: 11.2 %Fauquier County: 11 %Floyd County: 14.9 %Fluvanna County: 13.2 %Franklin County: 14.1 %Frederick County: 12.3 %Giles County: 13.3 %Gloucester County: 11 %Goochland County: 6.7 %Grayson County: 14.9 %Greene County: 15.4 %Greensville County: 12 %Halifax County: 14.3 %Hanover County: 8.3 %Henrico County: 11.5 %Henry County: 15.9 %Highland County: 18.8 %Isle of Wight County: 10.2 %James City County: 9.3 %King and Queen County: 16.3 %King George County: 8.4 %King William County: 11.4 %Lancaster County: 12.5 %Lee County: 15.8 %Loudoun County: 8.1 %Louisa County: 14.6 %Lunenburg County: 16.8 %Madison County: 15.6 %Mathews County: 10 %Mecklenburg County: 15 %Middlesex County: 12.5 %Montgomery County: 11.2 %Nelson County: 14.9 %New Kent County: 10 %Northampton County: 16.8 %Northumberland County: 14.2 %Nottoway County: 15 %Orange County: 13.6 %Page County: 16.2 %Patrick County: 16.6 %Pittsylvania County: 14.3 %Powhatan County: 10.2 %Prince Edward County: 14.8 %Prince George County: 9.6 %Prince William County: 12.4 %Pulaski County: 10.8 %Rappahannock County: 15 %Richmond County: 15 %Roanoke County: 9.1 %Rockbridge County: 13.5 %Rockingham County: 15.9 %Russell County: 13.3 %Scott County: 13.7 %Shenandoah County: 13.6 %Smyth County: 13.2 %Southampton County: 13.3 %Spotsylvania County: 11.7 %Stafford County: 9.2 %Surry County: 12.2 %Sussex County: 14.1 %Tazewell County: 14 %Warren County: 12.3 %Washington County: 12.5 %Westmoreland County: 15.4 %Wise County: 14.5 %Wythe County: 13.2 %York County: 8.3 %Alexandria city: 12.9 %Bristol city: 12.2 %Buena Vista city: 11.9 %Charlottesville city: 13.1 %Chesapeake city: 10.6 %Colonial Heights city: 12.6 %Covington city: 12 %Danville city: 13.4 %Emporia city: 15.2 %Fairfax city: 10.6 %Falls Church city: 4.4 %Franklin city: 12.9 %Fredericksburg city: 13.2 %Galax city: 19.7 %Hampton city: 11.1 %Harrisonburg city: 16.5 %Hopewell city: 14.9 %Lexington city: 11.6 %Lynchburg city: 12.9 %Manassas city: 18.3 %Manassas Park city: 19.1 %Martinsville city: 13.3 %Newport News city: 13.8 %Norfolk city: 14.3 %Norton city: 12.2 %Petersburg city: 14.8 %Poquoson city: 7.4 %Portsmouth city: 12.6 %Radford city: 10 %Richmond city: 14.2 %Roanoke city: 16.2 %Salem city: 9.8 %Staunton city: 11.2 %Suffolk city: 10.5 %Virginia Beach city: 10.4 %Waynesboro city: 14.8 %Williamsburg city: 13.5 %Winchester city: 17.5 %
  • Under 11
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%, 2016. 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, 2016

Accomack County: 21.2 %Accomack County21.2Galax city: 19.7 %Galax city19.7Manassas Park city: 19.1 %Manassas Park city19.1Highland County: 18.8 %Highland County18.8Manassas city: 18.3 %Manassas city18.3Charles City County: 18.2 %Charles City County18.2Winchester city: 17.5 %Winchester city17.5Charlotte County: 17.3 %Charlotte County17.3Lunenburg County: 16.8 %Lunenburg County16.8Northampton County: 16.8 %Northampton County16.8Patrick County: 16.6 %Patrick County16.6Harrisonburg city: 16.5 %Harrisonburg city16.5King and Queen County: 16.3 %King and Queen County16.3Page County: 16.2 %Page County16.2Roanoke city: 16.2 %Roanoke city16.2Buckingham County: 15.9 %Buckingham County15.9Henry County: 15.9 %Henry County15.9Rockingham County: 15.9 %Rockingham County15.9Lee County: 15.8 %Lee County15.8Brunswick County: 15.6 %Brunswick County15.6Carroll County: 15.6 %Carroll County15.6Culpeper County: 15.6 %Culpeper County15.6Madison County: 15.6 %Madison County15.6Greene County: 15.4 %Greene County15.4Westmoreland County: 15.4 %Westmoreland County15.4Emporia city: 15.2 %Emporia city15.2Mecklenburg County: 15 %Mecklenburg County15Nottoway County: 15 %Nottoway County15Rappahannock County: 15 %Rappahannock County15Richmond County: 15 %Richmond County15Floyd County: 14.9 %Floyd County14.9Grayson County: 14.9 %Grayson County14.9Hopewell city: 14.9 %Hopewell city14.9Nelson County: 14.9 %Nelson County14.9Petersburg city: 14.8 %Petersburg city14.8Prince Edward County: 14.8 %Prince Edward County14.8Waynesboro city: 14.8 %Waynesboro city14.8Amelia County: 14.7 %Amelia County14.7Buchanan County: 14.6 %Buchanan County14.6Cumberland County: 14.6 %Cumberland County14.6Accomack County: 21.2 %Accomack County21.2Galax city: 19.7 %Galax city19.7Manassas Park city: 19.1 %Manassas Park city19.1Highland County: 18.8 %Highland County18.8Manassas city: 18.3 %Manassas city18.3Charles City County: 18.2 %Charles City County18.2Winchester city: 17.5 %Winchester city17.5Charlotte County: 17.3 %Charlotte County17.3Lunenburg County: 16.8 %Lunenburg County16.8Northampton County: 16.8 %Northampton County16.8Patrick County: 16.6 %Patrick County16.6Harrisonburg city: 16.5 %Harrisonburg city16.5King and Queen County: 16.3 %King and Queen County16.3Page County: 16.2 %Page County16.2Roanoke city: 16.2 %Roanoke city16.2Buckingham County: 15.9 %Buckingham County15.9Henry County: 15.9 %Henry County15.9Rockingham County: 15.9 %Rockingham County15.9Lee County: 15.8 %Lee County15.8Brunswick County: 15.6 %Brunswick County15.6Carroll County: 15.6 %Carroll County15.6Culpeper County: 15.6 %Culpeper County15.6Madison County: 15.6 %Madison County15.6Greene County: 15.4 %Greene County15.4Westmoreland County: 15.4 %Westmoreland County15.4Emporia city: 15.2 %Emporia city15.2Mecklenburg County: 15 %Mecklenburg County15Nottoway County: 15 %Nottoway County15Rappahannock County: 15 %Rappahannock County15Richmond County: 15 %Richmond County15Floyd County: 14.9 %Floyd County14.9Grayson County: 14.9 %Grayson County14.9Hopewell city: 14.9 %Hopewell city14.9Nelson County: 14.9 %Nelson County14.9Petersburg city: 14.8 %Petersburg city14.8Prince Edward County: 14.8 %Prince Edward County14.8Waynesboro city: 14.8 %Waynesboro city14.8Amelia County: 14.7 %Amelia County14.7Buchanan County: 14.6 %Buchanan County14.6Cumberland County: 14.6 %Cumberland County14.6
%. 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

RankCounties2016 (%)Change on 2015
1Accomack County21.2-0.7 pts
2Galax city19.7-0.6 pts
3Manassas Park city19.1-3.6 pts
4Highland County18.8-3 pts
5Manassas city18.3-0.9 pts
6Charles City County18.2-1.3 pts
7Winchester city17.5-2.1 pts
8Charlotte County17.3-1 pts
9Lunenburg County16.8-1 pts
9Northampton County16.8-1.2 pts
11Patrick County16.6+0.3 pts
12Harrisonburg city16.5-1 pts
13King and Queen County16.3+0.6 pts
14Page County16.2-0.4 pts
14Roanoke city16.2-0.2 pts
16Buckingham County15.9-1.1 pts
16Henry County15.9-1 pts
16Rockingham County15.9+0.7 pts
19Lee County15.80 pts
20Brunswick County15.6+0.2 pts
20Carroll County15.6-0.8 pts
20Culpeper County15.6+0.5 pts
20Madison County15.6-0.4 pts
24Greene County15.4-1.1 pts
24Westmoreland County15.4-1.4 pts
26Emporia city15.2-0.3 pts
27Mecklenburg County15-2.3 pts
27Nottoway County15-1.5 pts
27Rappahannock County15-1.7 pts
27Richmond County15-1.1 pts
31Floyd County14.9+0.9 pts
31Grayson County14.9-0.2 pts
31Hopewell city14.9-1.3 pts
31Nelson County14.9-0.3 pts
35Petersburg city14.8-0.3 pts
35Prince Edward County14.8-1.2 pts
35Waynesboro city14.8-0.6 pts
38Amelia County14.7-0.7 pts
39Buchanan County14.6-0.3 pts
39Cumberland County14.6-1.1 pts
39Louisa County14.6-0.1 pts
42Wise County14.5+0.2 pts
43Halifax County14.3-0.9 pts
43Norfolk city14.3-1.6 pts
43Pittsylvania County14.3-0.4 pts
46Northumberland County14.2-1.3 pts
46Richmond city14.2-2.9 pts
48Franklin County14.1-0.4 pts
48Sussex County14.1-2.2 pts
50Tazewell County14-1.1 pts
51Appomattox County13.9-0.6 pts
52Newport News city13.8+0.5 pts
53Scott County13.7+0.9 pts
54Dickenson County13.6-1.6 pts
54Essex County13.6-2.5 pts
54Orange County13.6-0.4 pts
54Shenandoah County13.6-2.2 pts
58Rockbridge County13.5-0.8 pts
58Williamsburg city13.5-1.1 pts
60Danville city13.4-1.2 pts
61Giles County13.30 pts
61Martinsville city13.3-2 pts
61Russell County13.3-1.6 pts
61Southampton County13.3-0.9 pts
65Caroline County13.2-1.5 pts
65Dinwiddie County13.2+0.1 pts
65Fluvanna County13.2+1 pts
65Fredericksburg city13.2+0.6 pts
65Smyth County13.2+0.1 pts
65Wythe County13.2-1.5 pts
71Amherst County13.1-1.5 pts
71Charlottesville city13.1-2.7 pts
73Alexandria city12.9-0.7 pts
73Franklin city12.9-3.1 pts
73Lynchburg city12.9-1.1 pts
76Campbell County12.6-1.8 pts
76Colonial Heights city12.6-0.1 pts
76Portsmouth city12.6-2 pts
79Augusta County12.5-1.2 pts
79Lancaster County12.5-0.7 pts
79Middlesex County12.5+0.6 pts
79Washington County12.5-0.6 pts
83Prince William County12.4-1.1 pts
84Frederick County12.3-0.9 pts
84Warren County12.3-1.1 pts
86Albemarle County12.2+0.6 pts
86Bristol city12.2-1.7 pts
86Norton city12.2-1.7 pts
86Surry County12.2-0.5 pts
90Bath County12.1+0.4 pts
91Covington city12-2.4 pts
91Greensville County12-0.9 pts
93Buena Vista city11.9-1.4 pts
94Spotsylvania County11.7-0.9 pts
95Alleghany County11.6-0.6 pts
95Lexington city11.6-0.3 pts
97Henrico County11.5-0.9 pts
98Clarke County11.4-1.1 pts
98King William County11.4-0.2 pts
100Fairfax County11.2+0.7 pts
100Montgomery County11.2-1.3 pts
100Staunton city11.2-2.4 pts
103Hampton city11.1-1.4 pts
104Craig County110 pts
104Fauquier County110 pts
104Gloucester County11-0.5 pts
107Bland County10.9-0.3 pts
108Pulaski County10.8-0.7 pts
109Bedford County10.6-1.4 pts
109Chesapeake city10.6+0.4 pts
109Fairfax city10.6-1.2 pts
112Suffolk city10.5-0.4 pts
113Virginia Beach city10.4-0.7 pts
114Isle of Wight County10.2-0.3 pts
114Powhatan County10.2-0.2 pts
116Chesterfield County10-0.7 pts
116Mathews County10-1.4 pts
116New Kent County10-0.8 pts
116Radford city10-0.4 pts
120Salem city9.8-2.2 pts
121Prince George County9.6-1.4 pts
122Botetourt County9.4+0.6 pts
123James City County9.3-1 pts
124Stafford County9.2+0.1 pts
125Roanoke County9.1-0.5 pts
126King George County8.4+0.2 pts
127Hanover County8.3-0.2 pts
127York County8.3-1 pts
129Arlington County8.2+0.6 pts
130Loudoun County8.1-0.3 pts
131Poquoson city7.4-1.1 pts
132Goochland County6.7+0.9 pts
133Falls Church city4.4-1.2 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 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2016.

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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2016,
  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), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2016.
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-2016-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)?

Accomack County, with 21.2% in 2016, 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 4.4% in 2016.

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