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

Manassas Park city had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 133 counties in 2021, at 17.5%. Falls Church city had the lowest, at 5%. The median was 10.1% and the figure for Virginia was 9.3%. Source: the U.S. Census Bureau.

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Median10.1133 counties
Virginia9.3History

Map of counties, 2021

Accomack County: 15.5 %Albemarle County: 8.7 %Alleghany County: 9.3 %Amelia County: 12.3 %Amherst County: 10.3 %Appomattox County: 11.8 %Arlington County: 5.6 %Augusta County: 10 %Bath County: 9.3 %Bedford County: 8.7 %Bland County: 8.6 %Botetourt County: 7.1 %Brunswick County: 11.5 %Buchanan County: 12.5 %Buckingham County: 11.9 %Campbell County: 9.7 %Caroline County: 10.5 %Carroll County: 13.4 %Charles City County: 15.4 %Charlotte County: 11.9 %Chesterfield County: 9 %Clarke County: 8.1 %Craig County: 8.9 %Culpeper County: 11.5 %Cumberland County: 10.9 %Dickenson County: 11 %Dinwiddie County: 10.4 %Essex County: 11.7 %Fairfax County: 8.7 %Fauquier County: 9.2 %Floyd County: 10.2 %Fluvanna County: 8.7 %Franklin County: 10.1 %Frederick County: 10.5 %Giles County: 10 %Gloucester County: 10.2 %Goochland County: 5.3 %Grayson County: 11 %Greene County: 10.7 %Greensville County: 8.5 %Halifax County: 11.1 %Hanover County: 6.7 %Henrico County: 9 %Henry County: 11.8 %Highland County: 12 %Isle of Wight County: 7.9 %James City County: 7 %King and Queen County: 10.6 %King George County: 7 %King William County: 8.1 %Lancaster County: 12.3 %Lee County: 11.4 %Loudoun County: 7 %Louisa County: 10.6 %Lunenburg County: 13.6 %Madison County: 10.9 %Mathews County: 9.3 %Mecklenburg County: 12 %Middlesex County: 12.3 %Montgomery County: 8.5 %Nelson County: 12.6 %New Kent County: 8.9 %Northampton County: 13.1 %Northumberland County: 11.6 %Nottoway County: 11.5 %Orange County: 10.1 %Page County: 11.7 %Patrick County: 10.3 %Pittsylvania County: 11.2 %Powhatan County: 8.4 %Prince Edward County: 10.5 %Prince George County: 7.9 %Prince William County: 11.5 %Pulaski County: 9 %Rappahannock County: 11.5 %Richmond County: 11.9 %Roanoke County: 7.6 %Rockbridge County: 10.1 %Rockingham County: 13.4 %Russell County: 9.9 %Scott County: 10.1 %Shenandoah County: 11.2 %Smyth County: 10.7 %Southampton County: 9.1 %Spotsylvania County: 9.7 %Stafford County: 7 %Surry County: 10 %Sussex County: 10.1 %Tazewell County: 10.9 %Warren County: 10.7 %Washington County: 9.8 %Westmoreland County: 11.4 %Wise County: 11.4 %Wythe County: 9.8 %York County: 6.3 %Alexandria city: 10.1 %Bristol city: 10 %Buena Vista city: 10.8 %Charlottesville city: 9.2 %Chesapeake city: 8.5 %Colonial Heights city: 9 %Covington city: 9.1 %Danville city: 10.9 %Emporia city: 11.7 %Fairfax city: 10 %Falls Church city: 5 %Franklin city: 9.2 %Fredericksburg city: 11.5 %Galax city: 15.8 %Hampton city: 8.4 %Harrisonburg city: 14.1 %Hopewell city: 10.6 %Lexington city: 7.8 %Lynchburg city: 8.9 %Manassas city: 16.8 %Manassas Park city: 17.5 %Martinsville city: 10.9 %Newport News city: 9.5 %Norfolk city: 11 %Norton city: 9.2 %Petersburg city: 11.1 %Poquoson city: 6.2 %Portsmouth city: 8.3 %Radford city: 7.1 %Richmond city: 10.4 %Roanoke city: 11.7 %Salem city: 8.4 %Staunton city: 9.2 %Suffolk city: 7.9 %Virginia Beach city: 8.3 %Waynesboro city: 12.1 %Williamsburg city: 9.3 %Winchester city: 13 %
  • Under 8.4
  • 8.4 to 9.2
  • 9.2 to 10
  • 10 to 11
  • 11 to 12
  • 12 and over
%, 2021. 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, 2021

Manassas Park city: 17.5 %Manassas Park city17.5Manassas city: 16.8 %Manassas city16.8Galax city: 15.8 %Galax city15.8Accomack County: 15.5 %Accomack County15.5Charles City County: 15.4 %Charles City County15.4Harrisonburg city: 14.1 %Harrisonburg city14.1Lunenburg County: 13.6 %Lunenburg County13.6Carroll County: 13.4 %Carroll County13.4Rockingham County: 13.4 %Rockingham County13.4Northampton County: 13.1 %Northampton County13.1Winchester city: 13 %Winchester city13Nelson County: 12.6 %Nelson County12.6Buchanan County: 12.5 %Buchanan County12.5Amelia County: 12.3 %Amelia County12.3Lancaster County: 12.3 %Lancaster County12.3Middlesex County: 12.3 %Middlesex County12.3Waynesboro city: 12.1 %Waynesboro city12.1Highland County: 12 %Highland County12Mecklenburg County: 12 %Mecklenburg County12Buckingham County: 11.9 %Buckingham County11.9Charlotte County: 11.9 %Charlotte County11.9Richmond County: 11.9 %Richmond County11.9Appomattox County: 11.8 %Appomattox County11.8Henry County: 11.8 %Henry County11.8Emporia city: 11.7 %Emporia city11.7Essex County: 11.7 %Essex County11.7Page County: 11.7 %Page County11.7Roanoke city: 11.7 %Roanoke city11.7Northumberland County: 11.6 %Northumberland County11.6Brunswick County: 11.5 %Brunswick County11.5Culpeper County: 11.5 %Culpeper County11.5Fredericksburg city: 11.5 %Fredericksburg city11.5Nottoway County: 11.5 %Nottoway County11.5Prince William County: 11.5 %Prince William County11.5Rappahannock County: 11.5 %Rappahannock County11.5Lee County: 11.4 %Lee County11.4Westmoreland County: 11.4 %Westmoreland County11.4Wise County: 11.4 %Wise County11.4Pittsylvania County: 11.2 %Pittsylvania County11.2Shenandoah County: 11.2 %Shenandoah County11.2Manassas Park city: 17.5 %Manassas Park city17.5Manassas city: 16.8 %Manassas city16.8Galax city: 15.8 %Galax city15.8Accomack County: 15.5 %Accomack County15.5Charles City County: 15.4 %Charles City County15.4Harrisonburg city: 14.1 %Harrisonburg city14.1Lunenburg County: 13.6 %Lunenburg County13.6Carroll County: 13.4 %Carroll County13.4Rockingham County: 13.4 %Rockingham County13.4Northampton County: 13.1 %Northampton County13.1Winchester city: 13 %Winchester city13Nelson County: 12.6 %Nelson County12.6Buchanan County: 12.5 %Buchanan County12.5Amelia County: 12.3 %Amelia County12.3Lancaster County: 12.3 %Lancaster County12.3Middlesex County: 12.3 %Middlesex County12.3Waynesboro city: 12.1 %Waynesboro city12.1Highland County: 12 %Highland County12Mecklenburg County: 12 %Mecklenburg County12Buckingham County: 11.9 %Buckingham County11.9Charlotte County: 11.9 %Charlotte County11.9Richmond County: 11.9 %Richmond County11.9Appomattox County: 11.8 %Appomattox County11.8Henry County: 11.8 %Henry County11.8Emporia city: 11.7 %Emporia city11.7Essex County: 11.7 %Essex County11.7Page County: 11.7 %Page County11.7Roanoke city: 11.7 %Roanoke city11.7Northumberland County: 11.6 %Northumberland County11.6Brunswick County: 11.5 %Brunswick County11.5Culpeper County: 11.5 %Culpeper County11.5Fredericksburg city: 11.5 %Fredericksburg city11.5Nottoway County: 11.5 %Nottoway County11.5Prince William County: 11.5 %Prince William County11.5Rappahannock County: 11.5 %Rappahannock County11.5Lee County: 11.4 %Lee County11.4Westmoreland County: 11.4 %Westmoreland County11.4Wise County: 11.4 %Wise County11.4Pittsylvania County: 11.2 %Pittsylvania County11.2Shenandoah County: 11.2 %Shenandoah County11.2
%. 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

RankCounties2021 (%)Change on 2020
1Manassas Park city17.5-2.1 pts
2Manassas city16.8-4.3 pts
3Galax city15.8+1.9 pts
4Accomack County15.5-0.4 pts
5Charles City County15.4-0.6 pts
6Harrisonburg city14.1-0.8 pts
7Lunenburg County13.6-2 pts
8Carroll County13.4+0.1 pts
8Rockingham County13.4-0.5 pts
10Northampton County13.1+0.5 pts
11Winchester city13-1.8 pts
12Nelson County12.6-0.4 pts
13Buchanan County12.5+1.5 pts
14Amelia County12.3-0.7 pts
14Lancaster County12.3+0.3 pts
14Middlesex County12.3-0.9 pts
17Waynesboro city12.1-1.2 pts
18Highland County12-0.2 pts
18Mecklenburg County12-0.7 pts
20Buckingham County11.9-1.5 pts
20Charlotte County11.9-1.4 pts
20Richmond County11.9+0.2 pts
23Appomattox County11.8-0.7 pts
23Henry County11.8-0.3 pts
25Emporia city11.7+0.6 pts
25Essex County11.7-1.2 pts
25Page County11.7-0.7 pts
25Roanoke city11.7-0.8 pts
29Northumberland County11.6-0.6 pts
30Brunswick County11.5-0.4 pts
30Culpeper County11.5-1.3 pts
30Fredericksburg city11.5-2.4 pts
30Nottoway County11.5-1.2 pts
30Prince William County11.5+0.1 pts
30Rappahannock County11.5-2.9 pts
36Lee County11.4-0.5 pts
36Westmoreland County11.4-1.2 pts
36Wise County11.4-0.1 pts
39Pittsylvania County11.2-0.4 pts
39Shenandoah County11.2-1.2 pts
41Halifax County11.1+0.2 pts
41Petersburg city11.1-0.2 pts
43Dickenson County11+0.8 pts
43Grayson County11-0.8 pts
43Norfolk city11-2 pts
46Cumberland County10.9-0.3 pts
46Danville city10.9-0.8 pts
46Madison County10.9-2.4 pts
46Martinsville city10.9-0.4 pts
46Tazewell County10.90 pts
51Buena Vista city10.8-0.9 pts
52Greene County10.7-2 pts
52Smyth County10.7+0.7 pts
52Warren County10.7-0.4 pts
55Hopewell city10.6-0.9 pts
55King and Queen County10.6-2.8 pts
55Louisa County10.6-0.5 pts
58Caroline County10.5+0.4 pts
58Frederick County10.5+0.2 pts
58Prince Edward County10.5-0.5 pts
61Dinwiddie County10.4+0.3 pts
61Richmond city10.4-2.5 pts
63Amherst County10.3-2.2 pts
63Patrick County10.3-1.2 pts
65Floyd County10.2-2.8 pts
65Gloucester County10.2-0.2 pts
67Alexandria city10.1+1 pts
67Franklin County10.1-0.7 pts
67Orange County10.1-1.5 pts
67Rockbridge County10.1-1.5 pts
67Scott County10.1+0.1 pts
67Sussex County10.1+0.2 pts
73Augusta County10-0.6 pts
73Bristol city10-0.7 pts
73Fairfax city10-0.4 pts
73Giles County10-0.3 pts
73Surry County10+0.6 pts
78Russell County9.9-0.7 pts
79Washington County9.8-0.5 pts
79Wythe County9.8-1.5 pts
81Campbell County9.7-1.5 pts
81Spotsylvania County9.7-0.5 pts
83Newport News city9.5-0.2 pts
84Alleghany County9.3-1.6 pts
84Bath County9.3-1.7 pts
84Mathews County9.3-0.9 pts
84Williamsburg city9.3+0.1 pts
88Charlottesville city9.2-1.3 pts
88Fauquier County9.2-0.5 pts
88Franklin city9.2-0.9 pts
88Norton city9.2+0.2 pts
88Staunton city9.2-2.1 pts
93Covington city9.1-0.3 pts
93Southampton County9.1-0.8 pts
95Chesterfield County9-0.5 pts
95Colonial Heights city9-1.5 pts
95Henrico County9-1.1 pts
95Pulaski County9+0.2 pts
99Craig County8.9-0.4 pts
99Lynchburg city8.9-0.9 pts
99New Kent County8.9-1.2 pts
102Albemarle County8.7-2.3 pts
102Bedford County8.7-0.6 pts
102Fairfax County8.7-0.4 pts
102Fluvanna County8.7-1.9 pts
106Bland County8.6-0.2 pts
107Chesapeake city8.5-0.9 pts
107Greensville County8.5-0.4 pts
107Montgomery County8.5-1 pts
110Hampton city8.4-1.3 pts
110Powhatan County8.4-1 pts
110Salem city8.4-1 pts
113Portsmouth city8.3-1.8 pts
113Virginia Beach city8.3-1.3 pts
115Clarke County8.1-1.7 pts
115King William County8.1-2 pts
117Isle of Wight County7.9-0.9 pts
117Prince George County7.9-0.8 pts
117Suffolk city7.9-1.2 pts
120Lexington city7.8-0.7 pts
121Roanoke County7.6-0.5 pts
122Botetourt County7.1-0.9 pts
122Radford city7.1-1.2 pts
124James City County7-0.8 pts
124King George County7-0.3 pts
124Loudoun County7-0.1 pts
124Stafford County7-2.4 pts
128Hanover County6.7-0.7 pts
129York County6.3-0.9 pts
130Poquoson city6.2-1.7 pts
131Arlington County5.6-1.4 pts
132Goochland County5.3-0.5 pts
133Falls Church city5-0.1 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2021.
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-2021-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 Park city, with 17.5% in 2021, 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% in 2021.

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