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 2019, at 19.9%. Falls Church city had the lowest, at 4.5%. The median was 11.5% and the figure for Virginia was 10.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest19.9Manassas city
Median11.5133 counties
Virginia10.8History

Map of counties, 2019

Accomack County: 17.9 %Albemarle County: 9.9 %Alleghany County: 11.1 %Amelia County: 13.1 %Amherst County: 11.9 %Appomattox County: 13.8 %Arlington County: 6.9 %Augusta County: 11.5 %Bath County: 11.5 %Bedford County: 10.6 %Bland County: 8.6 %Botetourt County: 8.1 %Brunswick County: 14.7 %Buchanan County: 13.8 %Buckingham County: 14 %Campbell County: 12.2 %Caroline County: 11.3 %Carroll County: 14.2 %Charles City County: 15.1 %Charlotte County: 14.6 %Chesterfield County: 10.8 %Clarke County: 10.4 %Craig County: 7.1 %Culpeper County: 12.9 %Cumberland County: 12.2 %Dickenson County: 12.1 %Dinwiddie County: 11.5 %Essex County: 13.1 %Fairfax County: 10.7 %Fauquier County: 10.5 %Floyd County: 13.8 %Fluvanna County: 10.5 %Franklin County: 11.8 %Frederick County: 11.2 %Giles County: 10.9 %Gloucester County: 10.8 %Goochland County: 6.5 %Grayson County: 13.5 %Greene County: 12.8 %Greensville County: 10.3 %Halifax County: 12.6 %Hanover County: 7.6 %Henrico County: 10.5 %Henry County: 13.7 %Highland County: 15.8 %Isle of Wight County: 9.3 %James City County: 8 %King and Queen County: 13.7 %King George County: 7.8 %King William County: 9.7 %Lancaster County: 12.9 %Lee County: 12.7 %Loudoun County: 7.3 %Louisa County: 13.7 %Lunenburg County: 16 %Madison County: 12.7 %Mathews County: 9.8 %Mecklenburg County: 14.1 %Middlesex County: 12.6 %Montgomery County: 10 %Nelson County: 14.1 %New Kent County: 9.3 %Northampton County: 14.5 %Northumberland County: 12.3 %Nottoway County: 15.7 %Orange County: 11.9 %Page County: 13.3 %Patrick County: 13.5 %Pittsylvania County: 13.2 %Powhatan County: 9.9 %Prince Edward County: 11.4 %Prince George County: 8.9 %Prince William County: 13.5 %Pulaski County: 9.5 %Rappahannock County: 13.3 %Richmond County: 11.2 %Roanoke County: 8.6 %Rockbridge County: 11.5 %Rockingham County: 13.3 %Russell County: 11.2 %Scott County: 11.8 %Shenandoah County: 12 %Smyth County: 11 %Southampton County: 10.2 %Spotsylvania County: 10.5 %Stafford County: 8.3 %Surry County: 9.6 %Sussex County: 11.6 %Tazewell County: 12.3 %Warren County: 11.8 %Washington County: 12 %Westmoreland County: 12.4 %Wise County: 13.5 %Wythe County: 11.1 %York County: 8.1 %Alexandria city: 10.2 %Bristol city: 11.5 %Buena Vista city: 9.7 %Charlottesville city: 11.9 %Chesapeake city: 9.4 %Colonial Heights city: 10.9 %Covington city: 9.7 %Danville city: 12.1 %Emporia city: 10.6 %Fairfax city: 11 %Falls Church city: 4.5 %Franklin city: 9.3 %Fredericksburg city: 12.3 %Galax city: 17.3 %Hampton city: 9.4 %Harrisonburg city: 15.1 %Hopewell city: 11.5 %Lexington city: 7 %Lynchburg city: 11 %Manassas city: 19.9 %Manassas Park city: 18.2 %Martinsville city: 10.4 %Newport News city: 11.7 %Norfolk city: 12.7 %Norton city: 9.9 %Petersburg city: 13.1 %Poquoson city: 6.6 %Portsmouth city: 10.8 %Radford city: 8.4 %Richmond city: 13.7 %Roanoke city: 13.8 %Salem city: 8.4 %Staunton city: 11 %Suffolk city: 9.3 %Virginia Beach city: 9.7 %Waynesboro city: 12.4 %Williamsburg city: 8.9 %Winchester city: 15.2 %
  • Under 9.3
  • 9.3 to 11
  • 11 to 12
  • 12 to 14
  • 14 and over
%, 2019. 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, 2019

Manassas city: 19.9 %Manassas city19.9Manassas Park city: 18.2 %Manassas Park city18.2Accomack County: 17.9 %Accomack County17.9Galax city: 17.3 %Galax city17.3Lunenburg County: 16 %Lunenburg County16Highland County: 15.8 %Highland County15.8Nottoway County: 15.7 %Nottoway County15.7Winchester city: 15.2 %Winchester city15.2Charles City County: 15.1 %Charles City County15.1Harrisonburg city: 15.1 %Harrisonburg city15.1Brunswick County: 14.7 %Brunswick County14.7Charlotte County: 14.6 %Charlotte County14.6Northampton County: 14.5 %Northampton County14.5Carroll County: 14.2 %Carroll County14.2Mecklenburg County: 14.1 %Mecklenburg County14.1Nelson County: 14.1 %Nelson County14.1Buckingham County: 14 %Buckingham County14Appomattox County: 13.8 %Appomattox County13.8Buchanan County: 13.8 %Buchanan County13.8Floyd County: 13.8 %Floyd County13.8Roanoke city: 13.8 %Roanoke city13.8Henry County: 13.7 %Henry County13.7King and Queen County: 13.7 %King and Queen County13.7Louisa County: 13.7 %Louisa County13.7Richmond city: 13.7 %Richmond city13.7Grayson County: 13.5 %Grayson County13.5Patrick County: 13.5 %Patrick County13.5Prince William County: 13.5 %Prince William County13.5Wise County: 13.5 %Wise County13.5Page County: 13.3 %Page County13.3Rappahannock County: 13.3 %Rappahannock County13.3Rockingham County: 13.3 %Rockingham County13.3Pittsylvania County: 13.2 %Pittsylvania County13.2Amelia County: 13.1 %Amelia County13.1Essex County: 13.1 %Essex County13.1Petersburg city: 13.1 %Petersburg city13.1Culpeper County: 12.9 %Culpeper County12.9Lancaster County: 12.9 %Lancaster County12.9Greene County: 12.8 %Greene County12.8Lee County: 12.7 %Lee County12.7Manassas city: 19.9 %Manassas city19.9Manassas Park city: 18.2 %Manassas Park city18.2Accomack County: 17.9 %Accomack County17.9Galax city: 17.3 %Galax city17.3Lunenburg County: 16 %Lunenburg County16Highland County: 15.8 %Highland County15.8Nottoway County: 15.7 %Nottoway County15.7Winchester city: 15.2 %Winchester city15.2Charles City County: 15.1 %Charles City County15.1Harrisonburg city: 15.1 %Harrisonburg city15.1Brunswick County: 14.7 %Brunswick County14.7Charlotte County: 14.6 %Charlotte County14.6Northampton County: 14.5 %Northampton County14.5Carroll County: 14.2 %Carroll County14.2Mecklenburg County: 14.1 %Mecklenburg County14.1Nelson County: 14.1 %Nelson County14.1Buckingham County: 14 %Buckingham County14Appomattox County: 13.8 %Appomattox County13.8Buchanan County: 13.8 %Buchanan County13.8Floyd County: 13.8 %Floyd County13.8Roanoke city: 13.8 %Roanoke city13.8Henry County: 13.7 %Henry County13.7King and Queen County: 13.7 %King and Queen County13.7Louisa County: 13.7 %Louisa County13.7Richmond city: 13.7 %Richmond city13.7Grayson County: 13.5 %Grayson County13.5Patrick County: 13.5 %Patrick County13.5Prince William County: 13.5 %Prince William County13.5Wise County: 13.5 %Wise County13.5Page County: 13.3 %Page County13.3Rappahannock County: 13.3 %Rappahannock County13.3Rockingham County: 13.3 %Rockingham County13.3Pittsylvania County: 13.2 %Pittsylvania County13.2Amelia County: 13.1 %Amelia County13.1Essex County: 13.1 %Essex County13.1Petersburg city: 13.1 %Petersburg city13.1Culpeper County: 12.9 %Culpeper County12.9Lancaster County: 12.9 %Lancaster County12.9Greene County: 12.8 %Greene County12.8Lee County: 12.7 %Lee County12.7
%. 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

RankCounties2019 (%)Change on 2018
1Manassas city19.9+0.4 pts
2Manassas Park city18.2-0.9 pts
3Accomack County17.9-2.2 pts
4Galax city17.3-1 pts
5Lunenburg County16-2.4 pts
6Highland County15.8-2.7 pts
7Nottoway County15.7-1.4 pts
8Winchester city15.2-2.2 pts
9Charles City County15.1-1.8 pts
9Harrisonburg city15.1-2 pts
11Brunswick County14.7-0.2 pts
12Charlotte County14.6-2.9 pts
13Northampton County14.5-2.4 pts
14Carroll County14.2-1.1 pts
15Mecklenburg County14.1+0.5 pts
15Nelson County14.1-0.7 pts
17Buckingham County14-2.4 pts
18Appomattox County13.80 pts
18Buchanan County13.8-1 pts
18Floyd County13.8-2 pts
18Roanoke city13.8-2.2 pts
22Henry County13.7-3.5 pts
22King and Queen County13.7-2.5 pts
22Louisa County13.7-1.1 pts
22Richmond city13.7-1.6 pts
26Grayson County13.5-1.4 pts
26Patrick County13.5-1.9 pts
26Prince William County13.5-1 pts
26Wise County13.5-1 pts
30Page County13.3-1.4 pts
30Rappahannock County13.3-1.6 pts
30Rockingham County13.3-1.2 pts
33Pittsylvania County13.2-1.6 pts
34Amelia County13.1-2.4 pts
34Essex County13.1-0.8 pts
34Petersburg city13.1-1.3 pts
37Culpeper County12.9-2.2 pts
37Lancaster County12.9-1.8 pts
39Greene County12.8-2.2 pts
40Lee County12.7-1.7 pts
40Madison County12.7-1.6 pts
40Norfolk city12.7-2.3 pts
43Halifax County12.6-1 pts
43Middlesex County12.6+0.1 pts
45Waynesboro city12.4-2.5 pts
45Westmoreland County12.4-2.3 pts
47Fredericksburg city12.3-1.3 pts
47Northumberland County12.3-1.8 pts
47Tazewell County12.3-1.4 pts
50Campbell County12.2-1.5 pts
50Cumberland County12.2-2.3 pts
52Danville city12.1-1.8 pts
52Dickenson County12.1-1.6 pts
54Shenandoah County12-2.2 pts
54Washington County12-1.6 pts
56Amherst County11.9-2.4 pts
56Charlottesville city11.9+0.5 pts
56Orange County11.9-1.3 pts
59Franklin County11.8-1.9 pts
59Scott County11.8-0.9 pts
59Warren County11.8-2 pts
62Newport News city11.7-1.5 pts
63Sussex County11.6-3.9 pts
64Augusta County11.5-0.7 pts
64Bath County11.5-2.7 pts
64Bristol city11.5-1.1 pts
64Dinwiddie County11.5-1.5 pts
64Hopewell city11.5-3.6 pts
64Rockbridge County11.5-1.7 pts
70Prince Edward County11.4-3.5 pts
71Caroline County11.3-2.2 pts
72Frederick County11.2-1.2 pts
72Richmond County11.2-3.8 pts
72Russell County11.2-1.1 pts
75Alleghany County11.1-1.1 pts
75Wythe County11.1-2.5 pts
77Fairfax city11-0.2 pts
77Lynchburg city11-2 pts
77Smyth County11-2.5 pts
77Staunton city11-0.5 pts
81Colonial Heights city10.9-1.6 pts
81Giles County10.9-0.9 pts
83Chesterfield County10.8-1 pts
83Gloucester County10.8-1.3 pts
83Portsmouth city10.8-2 pts
86Fairfax County10.7+0.2 pts
87Bedford County10.6-1.4 pts
87Emporia city10.6-2 pts
89Fauquier County10.5-1.4 pts
89Fluvanna County10.5-1.9 pts
89Henrico County10.5-1.6 pts
89Spotsylvania County10.5-1.8 pts
93Clarke County10.4-1.5 pts
93Martinsville city10.4-2.8 pts
95Greensville County10.3-2.9 pts
96Alexandria city10.2-2.6 pts
96Southampton County10.2-2 pts
98Montgomery County10-1.8 pts
99Albemarle County9.9-1.4 pts
99Norton city9.9-1.6 pts
99Powhatan County9.9-0.8 pts
102Mathews County9.8-1 pts
103Buena Vista city9.7-2.1 pts
103Covington city9.7-3 pts
103King William County9.7-1.7 pts
103Virginia Beach city9.7-1.4 pts
107Surry County9.6-1.8 pts
108Pulaski County9.5-1.6 pts
109Chesapeake city9.4-0.3 pts
109Hampton city9.4-1.5 pts
111Franklin city9.3-1.8 pts
111Isle of Wight County9.3-0.9 pts
111New Kent County9.3-0.7 pts
111Suffolk city9.3-1 pts
115Prince George County8.9-1.4 pts
115Williamsburg city8.9-2.5 pts
117Bland County8.6-1.9 pts
117Roanoke County8.6-1.2 pts
119Radford city8.4-1.1 pts
119Salem city8.4-0.8 pts
121Stafford County8.3-0.8 pts
122Botetourt County8.1-1.1 pts
122York County8.1-0.8 pts
124James City County8-1.2 pts
125King George County7.8-1 pts
126Hanover County7.6-1 pts
127Loudoun County7.3-1.3 pts
128Craig County7.1-3.1 pts
129Lexington city7-2.6 pts
130Arlington County6.9-0.6 pts
131Poquoson city6.6-0.2 pts
132Goochland County6.5-1.6 pts
133Falls Church city4.5-0.4 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2019.
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-2019-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 19.9% in 2019, 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 4.5% in 2019.

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