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 2020, at 21.1%. Falls Church city had the lowest, at 5.1%. The median was 10.9% and the figure for Virginia was 10.1%. Source: the U.S. Census Bureau.

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Highest21.1Manassas city
Median10.9133 counties
Virginia10.1History

Map of counties, 2020

Accomack County: 15.9 %Albemarle County: 11 %Alleghany County: 10.9 %Amelia County: 13 %Amherst County: 12.5 %Appomattox County: 12.5 %Arlington County: 7 %Augusta County: 10.6 %Bath County: 11 %Bedford County: 9.3 %Bland County: 8.8 %Botetourt County: 8 %Brunswick County: 11.9 %Buchanan County: 11 %Buckingham County: 13.4 %Campbell County: 11.2 %Caroline County: 10.1 %Carroll County: 13.3 %Charles City County: 16 %Charlotte County: 13.3 %Chesterfield County: 9.5 %Clarke County: 9.8 %Craig County: 9.3 %Culpeper County: 12.8 %Cumberland County: 11.2 %Dickenson County: 10.2 %Dinwiddie County: 10.1 %Essex County: 12.9 %Fairfax County: 9.1 %Fauquier County: 9.7 %Floyd County: 13 %Fluvanna County: 10.6 %Franklin County: 10.8 %Frederick County: 10.3 %Giles County: 10.3 %Gloucester County: 10.4 %Goochland County: 5.8 %Grayson County: 11.8 %Greene County: 12.7 %Greensville County: 8.9 %Halifax County: 10.9 %Hanover County: 7.4 %Henrico County: 10.1 %Henry County: 12.1 %Highland County: 12.2 %Isle of Wight County: 8.8 %James City County: 7.8 %King and Queen County: 13.4 %King George County: 7.3 %King William County: 10.1 %Lancaster County: 12 %Lee County: 11.9 %Loudoun County: 7.1 %Louisa County: 11.1 %Lunenburg County: 15.6 %Madison County: 13.3 %Mathews County: 10.2 %Mecklenburg County: 12.7 %Middlesex County: 13.2 %Montgomery County: 9.5 %Nelson County: 13 %New Kent County: 10.1 %Northampton County: 12.6 %Northumberland County: 12.2 %Nottoway County: 12.7 %Orange County: 11.6 %Page County: 12.4 %Patrick County: 11.5 %Pittsylvania County: 11.6 %Powhatan County: 9.4 %Prince Edward County: 11 %Prince George County: 8.7 %Prince William County: 11.4 %Pulaski County: 8.8 %Rappahannock County: 14.4 %Richmond County: 11.7 %Roanoke County: 8.1 %Rockbridge County: 11.6 %Rockingham County: 13.9 %Russell County: 10.6 %Scott County: 10 %Shenandoah County: 12.4 %Smyth County: 10 %Southampton County: 9.9 %Spotsylvania County: 10.2 %Stafford County: 9.4 %Surry County: 9.4 %Sussex County: 9.9 %Tazewell County: 10.9 %Warren County: 11.1 %Washington County: 10.3 %Westmoreland County: 12.6 %Wise County: 11.5 %Wythe County: 11.3 %York County: 7.2 %Alexandria city: 9.1 %Bristol city: 10.7 %Buena Vista city: 11.7 %Charlottesville city: 10.5 %Chesapeake city: 9.4 %Colonial Heights city: 10.5 %Covington city: 9.4 %Danville city: 11.7 %Emporia city: 11.1 %Fairfax city: 10.4 %Falls Church city: 5.1 %Franklin city: 10.1 %Fredericksburg city: 13.9 %Galax city: 13.9 %Hampton city: 9.7 %Harrisonburg city: 14.9 %Hopewell city: 11.5 %Lexington city: 8.5 %Lynchburg city: 9.8 %Manassas city: 21.1 %Manassas Park city: 19.6 %Martinsville city: 11.3 %Newport News city: 9.7 %Norfolk city: 13 %Norton city: 9 %Petersburg city: 11.3 %Poquoson city: 7.9 %Portsmouth city: 10.1 %Radford city: 8.3 %Richmond city: 12.9 %Roanoke city: 12.5 %Salem city: 9.4 %Staunton city: 11.3 %Suffolk city: 9.1 %Virginia Beach city: 9.6 %Waynesboro city: 13.3 %Williamsburg city: 9.2 %Winchester city: 14.8 %
  • Under 9.2
  • 9.2 to 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2020. 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, 2020

Manassas city: 21.1 %Manassas city21.1Manassas Park city: 19.6 %Manassas Park city19.6Charles City County: 16 %Charles City County16Accomack County: 15.9 %Accomack County15.9Lunenburg County: 15.6 %Lunenburg County15.6Harrisonburg city: 14.9 %Harrisonburg city14.9Winchester city: 14.8 %Winchester city14.8Rappahannock County: 14.4 %Rappahannock County14.4Fredericksburg city: 13.9 %Fredericksburg city13.9Galax city: 13.9 %Galax city13.9Rockingham County: 13.9 %Rockingham County13.9Buckingham County: 13.4 %Buckingham County13.4King and Queen County: 13.4 %King and Queen County13.4Carroll County: 13.3 %Carroll County13.3Charlotte County: 13.3 %Charlotte County13.3Madison County: 13.3 %Madison County13.3Waynesboro city: 13.3 %Waynesboro city13.3Middlesex County: 13.2 %Middlesex County13.2Amelia County: 13 %Amelia County13Floyd County: 13 %Floyd County13Nelson County: 13 %Nelson County13Norfolk city: 13 %Norfolk city13Essex County: 12.9 %Essex County12.9Richmond city: 12.9 %Richmond city12.9Culpeper County: 12.8 %Culpeper County12.8Greene County: 12.7 %Greene County12.7Mecklenburg County: 12.7 %Mecklenburg County12.7Nottoway County: 12.7 %Nottoway County12.7Northampton County: 12.6 %Northampton County12.6Westmoreland County: 12.6 %Westmoreland County12.6Amherst County: 12.5 %Amherst County12.5Appomattox County: 12.5 %Appomattox County12.5Roanoke city: 12.5 %Roanoke city12.5Page County: 12.4 %Page County12.4Shenandoah County: 12.4 %Shenandoah County12.4Highland County: 12.2 %Highland County12.2Northumberland County: 12.2 %Northumberland County12.2Henry County: 12.1 %Henry County12.1Lancaster County: 12 %Lancaster County12Brunswick County: 11.9 %Brunswick County11.9Manassas city: 21.1 %Manassas city21.1Manassas Park city: 19.6 %Manassas Park city19.6Charles City County: 16 %Charles City County16Accomack County: 15.9 %Accomack County15.9Lunenburg County: 15.6 %Lunenburg County15.6Harrisonburg city: 14.9 %Harrisonburg city14.9Winchester city: 14.8 %Winchester city14.8Rappahannock County: 14.4 %Rappahannock County14.4Fredericksburg city: 13.9 %Fredericksburg city13.9Galax city: 13.9 %Galax city13.9Rockingham County: 13.9 %Rockingham County13.9Buckingham County: 13.4 %Buckingham County13.4King and Queen County: 13.4 %King and Queen County13.4Carroll County: 13.3 %Carroll County13.3Charlotte County: 13.3 %Charlotte County13.3Madison County: 13.3 %Madison County13.3Waynesboro city: 13.3 %Waynesboro city13.3Middlesex County: 13.2 %Middlesex County13.2Amelia County: 13 %Amelia County13Floyd County: 13 %Floyd County13Nelson County: 13 %Nelson County13Norfolk city: 13 %Norfolk city13Essex County: 12.9 %Essex County12.9Richmond city: 12.9 %Richmond city12.9Culpeper County: 12.8 %Culpeper County12.8Greene County: 12.7 %Greene County12.7Mecklenburg County: 12.7 %Mecklenburg County12.7Nottoway County: 12.7 %Nottoway County12.7Northampton County: 12.6 %Northampton County12.6Westmoreland County: 12.6 %Westmoreland County12.6Amherst County: 12.5 %Amherst County12.5Appomattox County: 12.5 %Appomattox County12.5Roanoke city: 12.5 %Roanoke city12.5Page County: 12.4 %Page County12.4Shenandoah County: 12.4 %Shenandoah County12.4Highland County: 12.2 %Highland County12.2Northumberland County: 12.2 %Northumberland County12.2Henry County: 12.1 %Henry County12.1Lancaster County: 12 %Lancaster County12Brunswick County: 11.9 %Brunswick County11.9
%. 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

RankCounties2020 (%)Change on 2019
1Manassas city21.1+1.2 pts
2Manassas Park city19.6+1.4 pts
3Charles City County16+0.9 pts
4Accomack County15.9-2 pts
5Lunenburg County15.6-0.4 pts
6Harrisonburg city14.9-0.2 pts
7Winchester city14.8-0.4 pts
8Rappahannock County14.4+1.1 pts
9Fredericksburg city13.9+1.6 pts
9Galax city13.9-3.4 pts
9Rockingham County13.9+0.6 pts
12Buckingham County13.4-0.6 pts
12King and Queen County13.4-0.3 pts
14Carroll County13.3-0.9 pts
14Charlotte County13.3-1.3 pts
14Madison County13.3+0.6 pts
14Waynesboro city13.3+0.9 pts
18Middlesex County13.2+0.6 pts
19Amelia County13-0.1 pts
19Floyd County13-0.8 pts
19Nelson County13-1.1 pts
19Norfolk city13+0.3 pts
23Essex County12.9-0.2 pts
23Richmond city12.9-0.8 pts
25Culpeper County12.8-0.1 pts
26Greene County12.7-0.1 pts
26Mecklenburg County12.7-1.4 pts
26Nottoway County12.7-3 pts
29Northampton County12.6-1.9 pts
29Westmoreland County12.6+0.2 pts
31Amherst County12.5+0.6 pts
31Appomattox County12.5-1.3 pts
31Roanoke city12.5-1.3 pts
34Page County12.4-0.9 pts
34Shenandoah County12.4+0.4 pts
36Highland County12.2-3.6 pts
36Northumberland County12.2-0.1 pts
38Henry County12.1-1.6 pts
39Lancaster County12-0.9 pts
40Brunswick County11.9-2.8 pts
40Lee County11.9-0.8 pts
42Grayson County11.8-1.7 pts
43Buena Vista city11.7+2 pts
43Danville city11.7-0.4 pts
43Richmond County11.7+0.5 pts
46Orange County11.6-0.3 pts
46Pittsylvania County11.6-1.6 pts
46Rockbridge County11.6+0.1 pts
49Hopewell city11.50 pts
49Patrick County11.5-2 pts
49Wise County11.5-2 pts
52Prince William County11.4-2.1 pts
53Martinsville city11.3+0.9 pts
53Petersburg city11.3-1.8 pts
53Staunton city11.3+0.3 pts
53Wythe County11.3+0.2 pts
57Campbell County11.2-1 pts
57Cumberland County11.2-1 pts
59Emporia city11.1+0.5 pts
59Louisa County11.1-2.6 pts
59Warren County11.1-0.7 pts
62Albemarle County11+1.1 pts
62Bath County11-0.5 pts
62Buchanan County11-2.8 pts
62Prince Edward County11-0.4 pts
66Alleghany County10.9-0.2 pts
66Halifax County10.9-1.7 pts
66Tazewell County10.9-1.4 pts
69Franklin County10.8-1 pts
70Bristol city10.7-0.8 pts
71Augusta County10.6-0.9 pts
71Fluvanna County10.6+0.1 pts
71Russell County10.6-0.6 pts
74Charlottesville city10.5-1.4 pts
74Colonial Heights city10.5-0.4 pts
76Fairfax city10.4-0.6 pts
76Gloucester County10.4-0.4 pts
78Frederick County10.3-0.9 pts
78Giles County10.3-0.6 pts
78Washington County10.3-1.7 pts
81Dickenson County10.2-1.9 pts
81Mathews County10.2+0.4 pts
81Spotsylvania County10.2-0.3 pts
84Caroline County10.1-1.2 pts
84Dinwiddie County10.1-1.4 pts
84Franklin city10.1+0.8 pts
84Henrico County10.1-0.4 pts
84King William County10.1+0.4 pts
84New Kent County10.1+0.8 pts
84Portsmouth city10.1-0.7 pts
91Scott County10-1.8 pts
91Smyth County10-1 pts
93Southampton County9.9-0.3 pts
93Sussex County9.9-1.7 pts
95Clarke County9.8-0.6 pts
95Lynchburg city9.8-1.2 pts
97Fauquier County9.7-0.8 pts
97Hampton city9.7+0.3 pts
97Newport News city9.7-2 pts
100Virginia Beach city9.6-0.1 pts
101Chesterfield County9.5-1.3 pts
101Montgomery County9.5-0.5 pts
103Chesapeake city9.40 pts
103Covington city9.4-0.3 pts
103Powhatan County9.4-0.5 pts
103Salem city9.4+1 pts
103Stafford County9.4+1.1 pts
103Surry County9.4-0.2 pts
109Bedford County9.3-1.3 pts
109Craig County9.3+2.2 pts
111Williamsburg city9.2+0.3 pts
112Alexandria city9.1-1.1 pts
112Fairfax County9.1-1.6 pts
112Suffolk city9.1-0.2 pts
115Norton city9-0.9 pts
116Greensville County8.9-1.4 pts
117Bland County8.8+0.2 pts
117Isle of Wight County8.8-0.5 pts
117Pulaski County8.8-0.7 pts
120Prince George County8.7-0.2 pts
121Lexington city8.5+1.5 pts
122Radford city8.3-0.1 pts
123Roanoke County8.1-0.5 pts
124Botetourt County8-0.1 pts
125Poquoson city7.9+1.3 pts
126James City County7.8-0.2 pts
127Hanover County7.4-0.2 pts
128King George County7.3-0.5 pts
129York County7.2-0.9 pts
130Loudoun County7.1-0.2 pts
131Arlington County7+0.1 pts
132Goochland County5.8-0.7 pts
133Falls Church city5.1+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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2020.
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-2020-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 21.1% in 2020, 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 5.1% in 2020.

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