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

Manassas city had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 133 counties in 2017, at 20.4%. Falls Church city had the lowest, at 4.4%. The median was 13.4% and the figure for Virginia was 12.1%. Source: the U.S. Census Bureau.

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Highest20.4Manassas city
Median13.4133 counties
Virginia12.1History

Map of counties, 2017

Accomack County: 19.4 %Albemarle County: 11.6 %Alleghany County: 11.6 %Amelia County: 15.5 %Amherst County: 14.5 %Appomattox County: 13.7 %Arlington County: 8.6 %Augusta County: 13.1 %Bath County: 12.2 %Bedford County: 11.6 %Bland County: 10.1 %Botetourt County: 9.6 %Brunswick County: 14.9 %Buchanan County: 14.4 %Buckingham County: 15.8 %Campbell County: 13.4 %Caroline County: 13.6 %Carroll County: 14.7 %Charles City County: 18 %Charlotte County: 17.4 %Chesterfield County: 10.9 %Clarke County: 12.7 %Craig County: 12.1 %Culpeper County: 16.2 %Cumberland County: 14.6 %Dickenson County: 13.8 %Dinwiddie County: 13.8 %Essex County: 14.8 %Fairfax County: 10.8 %Fauquier County: 11.3 %Floyd County: 15.4 %Fluvanna County: 12.4 %Franklin County: 14.9 %Frederick County: 12.7 %Giles County: 13.4 %Gloucester County: 11.2 %Goochland County: 7.8 %Grayson County: 15.6 %Greene County: 16.1 %Greensville County: 12.5 %Halifax County: 13.3 %Hanover County: 9.1 %Henrico County: 11.5 %Henry County: 15.4 %Highland County: 19 %Isle of Wight County: 10.6 %James City County: 10.5 %King and Queen County: 16.2 %King George County: 8.7 %King William County: 11.5 %Lancaster County: 13.6 %Lee County: 14.5 %Loudoun County: 7.7 %Louisa County: 14.3 %Lunenburg County: 18.1 %Madison County: 14.8 %Mathews County: 10.9 %Mecklenburg County: 14.1 %Middlesex County: 12.9 %Montgomery County: 12.4 %Nelson County: 14.8 %New Kent County: 10.6 %Northampton County: 17.1 %Northumberland County: 13.9 %Nottoway County: 16.2 %Orange County: 13.8 %Page County: 15.4 %Patrick County: 15.9 %Pittsylvania County: 15.3 %Powhatan County: 10.4 %Prince Edward County: 14.1 %Prince George County: 10.7 %Prince William County: 13.9 %Pulaski County: 11.3 %Rappahannock County: 15.5 %Richmond County: 14.8 %Roanoke County: 9.7 %Rockbridge County: 13.7 %Rockingham County: 17.5 %Russell County: 13 %Scott County: 13 %Shenandoah County: 14.7 %Smyth County: 12.7 %Southampton County: 12.8 %Spotsylvania County: 11.7 %Stafford County: 9.2 %Surry County: 11.1 %Sussex County: 15.3 %Tazewell County: 13.8 %Warren County: 13.4 %Washington County: 12.8 %Westmoreland County: 15.6 %Wise County: 14.1 %Wythe County: 14.1 %York County: 9.2 %Alexandria city: 12.4 %Bristol city: 11.4 %Buena Vista city: 12.6 %Charlottesville city: 13.2 %Chesapeake city: 9.5 %Colonial Heights city: 12.8 %Covington city: 12.5 %Danville city: 13.2 %Emporia city: 14.7 %Fairfax city: 11.2 %Falls Church city: 4.4 %Franklin city: 12.2 %Fredericksburg city: 13 %Galax city: 18.5 %Hampton city: 11.8 %Harrisonburg city: 18.4 %Hopewell city: 15.1 %Lexington city: 10 %Lynchburg city: 12.2 %Manassas city: 20.4 %Manassas Park city: 19.8 %Martinsville city: 13 %Newport News city: 13.5 %Norfolk city: 14.2 %Norton city: 13.8 %Petersburg city: 13.6 %Poquoson city: 7.3 %Portsmouth city: 14 %Radford city: 10.2 %Richmond city: 16.4 %Roanoke city: 15.5 %Salem city: 10.3 %Staunton city: 12 %Suffolk city: 10.6 %Virginia Beach city: 10.9 %Waynesboro city: 14.6 %Williamsburg city: 13.1 %Winchester city: 18.5 %
  • Under 11
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%, 2017. 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, 2017

Manassas city: 20.4 %Manassas city20.4Manassas Park city: 19.8 %Manassas Park city19.8Accomack County: 19.4 %Accomack County19.4Highland County: 19 %Highland County19Galax city: 18.5 %Galax city18.5Winchester city: 18.5 %Winchester city18.5Harrisonburg city: 18.4 %Harrisonburg city18.4Lunenburg County: 18.1 %Lunenburg County18.1Charles City County: 18 %Charles City County18Rockingham County: 17.5 %Rockingham County17.5Charlotte County: 17.4 %Charlotte County17.4Northampton County: 17.1 %Northampton County17.1Richmond city: 16.4 %Richmond city16.4Culpeper County: 16.2 %Culpeper County16.2King and Queen County: 16.2 %King and Queen County16.2Nottoway County: 16.2 %Nottoway County16.2Greene County: 16.1 %Greene County16.1Patrick County: 15.9 %Patrick County15.9Buckingham County: 15.8 %Buckingham County15.8Grayson County: 15.6 %Grayson County15.6Westmoreland County: 15.6 %Westmoreland County15.6Amelia County: 15.5 %Amelia County15.5Rappahannock County: 15.5 %Rappahannock County15.5Roanoke city: 15.5 %Roanoke city15.5Floyd County: 15.4 %Floyd County15.4Henry County: 15.4 %Henry County15.4Page County: 15.4 %Page County15.4Pittsylvania County: 15.3 %Pittsylvania County15.3Sussex County: 15.3 %Sussex County15.3Hopewell city: 15.1 %Hopewell city15.1Brunswick County: 14.9 %Brunswick County14.9Franklin County: 14.9 %Franklin County14.9Essex County: 14.8 %Essex County14.8Madison County: 14.8 %Madison County14.8Nelson County: 14.8 %Nelson County14.8Richmond County: 14.8 %Richmond County14.8Carroll County: 14.7 %Carroll County14.7Emporia city: 14.7 %Emporia city14.7Shenandoah County: 14.7 %Shenandoah County14.7Cumberland County: 14.6 %Cumberland County14.6Manassas city: 20.4 %Manassas city20.4Manassas Park city: 19.8 %Manassas Park city19.8Accomack County: 19.4 %Accomack County19.4Highland County: 19 %Highland County19Galax city: 18.5 %Galax city18.5Winchester city: 18.5 %Winchester city18.5Harrisonburg city: 18.4 %Harrisonburg city18.4Lunenburg County: 18.1 %Lunenburg County18.1Charles City County: 18 %Charles City County18Rockingham County: 17.5 %Rockingham County17.5Charlotte County: 17.4 %Charlotte County17.4Northampton County: 17.1 %Northampton County17.1Richmond city: 16.4 %Richmond city16.4Culpeper County: 16.2 %Culpeper County16.2King and Queen County: 16.2 %King and Queen County16.2Nottoway County: 16.2 %Nottoway County16.2Greene County: 16.1 %Greene County16.1Patrick County: 15.9 %Patrick County15.9Buckingham County: 15.8 %Buckingham County15.8Grayson County: 15.6 %Grayson County15.6Westmoreland County: 15.6 %Westmoreland County15.6Amelia County: 15.5 %Amelia County15.5Rappahannock County: 15.5 %Rappahannock County15.5Roanoke city: 15.5 %Roanoke city15.5Floyd County: 15.4 %Floyd County15.4Henry County: 15.4 %Henry County15.4Page County: 15.4 %Page County15.4Pittsylvania County: 15.3 %Pittsylvania County15.3Sussex County: 15.3 %Sussex County15.3Hopewell city: 15.1 %Hopewell city15.1Brunswick County: 14.9 %Brunswick County14.9Franklin County: 14.9 %Franklin County14.9Essex County: 14.8 %Essex County14.8Madison County: 14.8 %Madison County14.8Nelson County: 14.8 %Nelson County14.8Richmond County: 14.8 %Richmond County14.8Carroll County: 14.7 %Carroll County14.7Emporia city: 14.7 %Emporia city14.7Shenandoah County: 14.7 %Shenandoah County14.7Cumberland 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

RankCounties2017 (%)Change on 2016
1Manassas city20.4+2.1 pts
2Manassas Park city19.8+0.7 pts
3Accomack County19.4-1.8 pts
4Highland County19+0.2 pts
5Galax city18.5-1.2 pts
5Winchester city18.5+1 pts
7Harrisonburg city18.4+1.9 pts
8Lunenburg County18.1+1.3 pts
9Charles City County18-0.2 pts
10Rockingham County17.5+1.6 pts
11Charlotte County17.4+0.1 pts
12Northampton County17.1+0.3 pts
13Richmond city16.4+2.2 pts
14Culpeper County16.2+0.6 pts
14King and Queen County16.2-0.1 pts
14Nottoway County16.2+1.2 pts
17Greene County16.1+0.7 pts
18Patrick County15.9-0.7 pts
19Buckingham County15.8-0.1 pts
20Grayson County15.6+0.7 pts
20Westmoreland County15.6+0.2 pts
22Amelia County15.5+0.8 pts
22Rappahannock County15.5+0.5 pts
22Roanoke city15.5-0.7 pts
25Floyd County15.4+0.5 pts
25Henry County15.4-0.5 pts
25Page County15.4-0.8 pts
28Pittsylvania County15.3+1 pts
28Sussex County15.3+1.2 pts
30Hopewell city15.1+0.2 pts
31Brunswick County14.9-0.7 pts
31Franklin County14.9+0.8 pts
33Essex County14.8+1.2 pts
33Madison County14.8-0.8 pts
33Nelson County14.8-0.1 pts
33Richmond County14.8-0.2 pts
37Carroll County14.7-0.9 pts
37Emporia city14.7-0.5 pts
37Shenandoah County14.7+1.1 pts
40Cumberland County14.60 pts
40Waynesboro city14.6-0.2 pts
42Amherst County14.5+1.4 pts
42Lee County14.5-1.3 pts
44Buchanan County14.4-0.2 pts
45Louisa County14.3-0.3 pts
46Norfolk city14.2-0.1 pts
47Mecklenburg County14.1-0.9 pts
47Prince Edward County14.1-0.7 pts
47Wise County14.1-0.4 pts
47Wythe County14.1+0.9 pts
51Portsmouth city14+1.4 pts
52Northumberland County13.9-0.3 pts
52Prince William County13.9+1.5 pts
54Dickenson County13.8+0.2 pts
54Dinwiddie County13.8+0.6 pts
54Norton city13.8+1.6 pts
54Orange County13.8+0.2 pts
54Tazewell County13.8-0.2 pts
59Appomattox County13.7-0.2 pts
59Rockbridge County13.7+0.2 pts
61Caroline County13.6+0.4 pts
61Lancaster County13.6+1.1 pts
61Petersburg city13.6-1.2 pts
64Newport News city13.5-0.3 pts
65Campbell County13.4+0.8 pts
65Giles County13.4+0.1 pts
65Warren County13.4+1.1 pts
68Halifax County13.3-1 pts
69Charlottesville city13.2+0.1 pts
69Danville city13.2-0.2 pts
71Augusta County13.1+0.6 pts
71Williamsburg city13.1-0.4 pts
73Fredericksburg city13-0.2 pts
73Martinsville city13-0.3 pts
73Russell County13-0.3 pts
73Scott County13-0.7 pts
77Middlesex County12.9+0.4 pts
78Colonial Heights city12.8+0.2 pts
78Southampton County12.8-0.5 pts
78Washington County12.8+0.3 pts
81Clarke County12.7+1.3 pts
81Frederick County12.7+0.4 pts
81Smyth County12.7-0.5 pts
84Buena Vista city12.6+0.7 pts
85Covington city12.5+0.5 pts
85Greensville County12.5+0.5 pts
87Alexandria city12.4-0.5 pts
87Fluvanna County12.4-0.8 pts
87Montgomery County12.4+1.2 pts
90Bath County12.2+0.1 pts
90Franklin city12.2-0.7 pts
90Lynchburg city12.2-0.7 pts
93Craig County12.1+1.1 pts
94Staunton city12+0.8 pts
95Hampton city11.8+0.7 pts
96Spotsylvania County11.70 pts
97Albemarle County11.6-0.6 pts
97Alleghany County11.60 pts
97Bedford County11.6+1 pts
100Henrico County11.50 pts
100King William County11.5+0.1 pts
102Bristol city11.4-0.8 pts
103Fauquier County11.3+0.3 pts
103Pulaski County11.3+0.5 pts
105Fairfax city11.2+0.6 pts
105Gloucester County11.2+0.2 pts
107Surry County11.1-1.1 pts
108Chesterfield County10.9+0.9 pts
108Mathews County10.9+0.9 pts
108Virginia Beach city10.9+0.5 pts
111Fairfax County10.8-0.4 pts
112Prince George County10.7+1.1 pts
113Isle of Wight County10.6+0.4 pts
113New Kent County10.6+0.6 pts
113Suffolk city10.6+0.1 pts
116James City County10.5+1.2 pts
117Powhatan County10.4+0.2 pts
118Salem city10.3+0.5 pts
119Radford city10.2+0.2 pts
120Bland County10.1-0.8 pts
121Lexington city10-1.6 pts
122Roanoke County9.7+0.6 pts
123Botetourt County9.6+0.2 pts
124Chesapeake city9.5-1.1 pts
125Stafford County9.20 pts
125York County9.2+0.9 pts
127Hanover County9.1+0.8 pts
128King George County8.7+0.3 pts
129Arlington County8.6+0.4 pts
130Goochland County7.8+1.1 pts
131Loudoun County7.7-0.4 pts
132Poquoson city7.3-0.1 pts
133Falls Church city4.40 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2017.
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-2017-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 20.4% in 2017, 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 2017.

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