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 2022, at 16.4%. Goochland County had the lowest, at 4.2%. The median was 8.8% and the figure for Virginia was 8.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest16.4Manassas city
Median8.8133 counties
Virginia8.7History

Map of counties, 2022

Accomack County: 13 %Albemarle County: 7.4 %Alleghany County: 7.4 %Amelia County: 11.6 %Amherst County: 8.9 %Appomattox County: 10.1 %Arlington County: 5.4 %Augusta County: 8.3 %Bath County: 7.7 %Bedford County: 8.7 %Bland County: 7.6 %Botetourt County: 5.9 %Brunswick County: 10.7 %Buchanan County: 11.1 %Buckingham County: 11.6 %Campbell County: 8.5 %Caroline County: 9.2 %Carroll County: 11.2 %Charles City County: 12.5 %Charlotte County: 9.9 %Chesterfield County: 8.4 %Clarke County: 8.7 %Craig County: 8.6 %Culpeper County: 10.4 %Cumberland County: 8.6 %Dickenson County: 9.7 %Dinwiddie County: 8.1 %Essex County: 11 %Fairfax County: 9 %Fauquier County: 7.9 %Floyd County: 8.7 %Fluvanna County: 6.8 %Franklin County: 8.8 %Frederick County: 9.7 %Giles County: 8 %Gloucester County: 8.8 %Goochland County: 4.2 %Grayson County: 8.2 %Greene County: 9.8 %Greensville County: 6.9 %Halifax County: 10.2 %Hanover County: 6.2 %Henrico County: 7.9 %Henry County: 9.8 %Highland County: 9.5 %Isle of Wight County: 7.1 %James City County: 6.9 %King and Queen County: 10.7 %King George County: 7.1 %King William County: 8.2 %Lancaster County: 11.2 %Lee County: 9.6 %Loudoun County: 6.5 %Louisa County: 9.4 %Lunenburg County: 12.7 %Madison County: 10.3 %Mathews County: 7.9 %Mecklenburg County: 11 %Middlesex County: 12.4 %Montgomery County: 6.8 %Nelson County: 13.2 %New Kent County: 8.1 %Northampton County: 11.1 %Northumberland County: 10.7 %Nottoway County: 10.7 %Orange County: 9.1 %Page County: 10.2 %Patrick County: 9.4 %Pittsylvania County: 9.8 %Powhatan County: 6.9 %Prince Edward County: 9.5 %Prince George County: 7.2 %Prince William County: 12 %Pulaski County: 7.4 %Rappahannock County: 10.4 %Richmond County: 11 %Roanoke County: 7.6 %Rockbridge County: 8.1 %Rockingham County: 10.4 %Russell County: 9.3 %Scott County: 8.2 %Shenandoah County: 10.1 %Smyth County: 9.1 %Southampton County: 7.6 %Spotsylvania County: 9.5 %Stafford County: 7.2 %Surry County: 7.2 %Sussex County: 8.8 %Tazewell County: 9.1 %Warren County: 9.9 %Washington County: 8.4 %Westmoreland County: 11 %Wise County: 9.6 %Wythe County: 8.4 %York County: 7 %Alexandria city: 9.1 %Bristol city: 9.4 %Buena Vista city: 8.7 %Charlottesville city: 8.8 %Chesapeake city: 7.9 %Colonial Heights city: 8.3 %Covington city: 8.3 %Danville city: 9.9 %Emporia city: 10.3 %Fairfax city: 10.3 %Falls Church city: 4.5 %Franklin city: 8.5 %Fredericksburg city: 10 %Galax city: 12.3 %Hampton city: 7.1 %Harrisonburg city: 15.1 %Hopewell city: 8.8 %Lexington city: 4.7 %Lynchburg city: 8.3 %Manassas city: 16.4 %Manassas Park city: 16.4 %Martinsville city: 9.6 %Newport News city: 8.4 %Norfolk city: 9.5 %Norton city: 7.1 %Petersburg city: 8.9 %Poquoson city: 5.7 %Portsmouth city: 8.3 %Radford city: 6.4 %Richmond city: 9.7 %Roanoke city: 10.1 %Salem city: 6.4 %Staunton city: 8.3 %Suffolk city: 7.2 %Virginia Beach city: 8.4 %Waynesboro city: 10.1 %Williamsburg city: 8.7 %Winchester city: 12.4 %
  • Under 7.2
  • 7.2 to 8.3
  • 8.3 to 8.8
  • 8.8 to 9.7
  • 9.7 to 11
  • 11 and over
%, 2022. 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, 2022

Manassas city: 16.4 %Manassas city16.4Manassas Park city: 16.4 %Manassas Park city16.4Harrisonburg city: 15.1 %Harrisonburg city15.1Nelson County: 13.2 %Nelson County13.2Accomack County: 13 %Accomack County13Lunenburg County: 12.7 %Lunenburg County12.7Charles City County: 12.5 %Charles City County12.5Middlesex County: 12.4 %Middlesex County12.4Winchester city: 12.4 %Winchester city12.4Galax city: 12.3 %Galax city12.3Prince William County: 12 %Prince William County12Amelia County: 11.6 %Amelia County11.6Buckingham County: 11.6 %Buckingham County11.6Carroll County: 11.2 %Carroll County11.2Lancaster County: 11.2 %Lancaster County11.2Buchanan County: 11.1 %Buchanan County11.1Northampton County: 11.1 %Northampton County11.1Essex County: 11 %Essex County11Mecklenburg County: 11 %Mecklenburg County11Richmond County: 11 %Richmond County11Westmoreland County: 11 %Westmoreland County11Brunswick County: 10.7 %Brunswick County10.7King and Queen County: 10.7 %King and Queen County10.7Northumberland County: 10.7 %Northumberland County10.7Nottoway County: 10.7 %Nottoway County10.7Culpeper County: 10.4 %Culpeper County10.4Rappahannock County: 10.4 %Rappahannock County10.4Rockingham County: 10.4 %Rockingham County10.4Emporia city: 10.3 %Emporia city10.3Fairfax city: 10.3 %Fairfax city10.3Madison County: 10.3 %Madison County10.3Halifax County: 10.2 %Halifax County10.2Page County: 10.2 %Page County10.2Appomattox County: 10.1 %Appomattox County10.1Roanoke city: 10.1 %Roanoke city10.1Shenandoah County: 10.1 %Shenandoah County10.1Waynesboro city: 10.1 %Waynesboro city10.1Fredericksburg city: 10 %Fredericksburg city10Charlotte County: 9.9 %Charlotte County9.9Danville city: 9.9 %Danville city9.9Manassas city: 16.4 %Manassas city16.4Manassas Park city: 16.4 %Manassas Park city16.4Harrisonburg city: 15.1 %Harrisonburg city15.1Nelson County: 13.2 %Nelson County13.2Accomack County: 13 %Accomack County13Lunenburg County: 12.7 %Lunenburg County12.7Charles City County: 12.5 %Charles City County12.5Middlesex County: 12.4 %Middlesex County12.4Winchester city: 12.4 %Winchester city12.4Galax city: 12.3 %Galax city12.3Prince William County: 12 %Prince William County12Amelia County: 11.6 %Amelia County11.6Buckingham County: 11.6 %Buckingham County11.6Carroll County: 11.2 %Carroll County11.2Lancaster County: 11.2 %Lancaster County11.2Buchanan County: 11.1 %Buchanan County11.1Northampton County: 11.1 %Northampton County11.1Essex County: 11 %Essex County11Mecklenburg County: 11 %Mecklenburg County11Richmond County: 11 %Richmond County11Westmoreland County: 11 %Westmoreland County11Brunswick County: 10.7 %Brunswick County10.7King and Queen County: 10.7 %King and Queen County10.7Northumberland County: 10.7 %Northumberland County10.7Nottoway County: 10.7 %Nottoway County10.7Culpeper County: 10.4 %Culpeper County10.4Rappahannock County: 10.4 %Rappahannock County10.4Rockingham County: 10.4 %Rockingham County10.4Emporia city: 10.3 %Emporia city10.3Fairfax city: 10.3 %Fairfax city10.3Madison County: 10.3 %Madison County10.3Halifax County: 10.2 %Halifax County10.2Page County: 10.2 %Page County10.2Appomattox County: 10.1 %Appomattox County10.1Roanoke city: 10.1 %Roanoke city10.1Shenandoah County: 10.1 %Shenandoah County10.1Waynesboro city: 10.1 %Waynesboro city10.1Fredericksburg city: 10 %Fredericksburg city10Charlotte County: 9.9 %Charlotte County9.9Danville city: 9.9 %Danville city9.9
%. 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

RankCounties2022 (%)Change on 2021
1Manassas city16.4-0.4 pts
1Manassas Park city16.4-1.1 pts
3Harrisonburg city15.1+1 pts
4Nelson County13.2+0.6 pts
5Accomack County13-2.5 pts
6Lunenburg County12.7-0.9 pts
7Charles City County12.5-2.9 pts
8Middlesex County12.4+0.1 pts
8Winchester city12.4-0.6 pts
10Galax city12.3-3.5 pts
11Prince William County12+0.5 pts
12Amelia County11.6-0.7 pts
12Buckingham County11.6-0.3 pts
14Carroll County11.2-2.2 pts
14Lancaster County11.2-1.1 pts
16Buchanan County11.1-1.4 pts
16Northampton County11.1-2 pts
18Essex County11-0.7 pts
18Mecklenburg County11-1 pts
18Richmond County11-0.9 pts
18Westmoreland County11-0.4 pts
22Brunswick County10.7-0.8 pts
22King and Queen County10.7+0.1 pts
22Northumberland County10.7-0.9 pts
22Nottoway County10.7-0.8 pts
26Culpeper County10.4-1.1 pts
26Rappahannock County10.4-1.1 pts
26Rockingham County10.4-3 pts
29Emporia city10.3-1.4 pts
29Fairfax city10.3+0.3 pts
29Madison County10.3-0.6 pts
32Halifax County10.2-0.9 pts
32Page County10.2-1.5 pts
34Appomattox County10.1-1.7 pts
34Roanoke city10.1-1.6 pts
34Shenandoah County10.1-1.1 pts
34Waynesboro city10.1-2 pts
38Fredericksburg city10-1.5 pts
39Charlotte County9.9-2 pts
39Danville city9.9-1 pts
39Warren County9.9-0.8 pts
42Greene County9.8-0.9 pts
42Henry County9.8-2 pts
42Pittsylvania County9.8-1.4 pts
45Dickenson County9.7-1.3 pts
45Frederick County9.7-0.8 pts
45Richmond city9.7-0.7 pts
48Lee County9.6-1.8 pts
48Martinsville city9.6-1.3 pts
48Wise County9.6-1.8 pts
51Highland County9.5-2.5 pts
51Norfolk city9.5-1.5 pts
51Prince Edward County9.5-1 pts
51Spotsylvania County9.5-0.2 pts
55Bristol city9.4-0.6 pts
55Louisa County9.4-1.2 pts
55Patrick County9.4-0.9 pts
58Russell County9.3-0.6 pts
59Caroline County9.2-1.3 pts
60Alexandria city9.1-1 pts
60Orange County9.1-1 pts
60Smyth County9.1-1.6 pts
60Tazewell County9.1-1.8 pts
64Fairfax County9+0.3 pts
65Amherst County8.9-1.4 pts
65Petersburg city8.9-2.2 pts
67Charlottesville city8.8-0.4 pts
67Franklin County8.8-1.3 pts
67Gloucester County8.8-1.4 pts
67Hopewell city8.8-1.8 pts
67Sussex County8.8-1.3 pts
72Bedford County8.70 pts
72Buena Vista city8.7-2.1 pts
72Clarke County8.7+0.6 pts
72Floyd County8.7-1.5 pts
72Williamsburg city8.7-0.6 pts
77Craig County8.6-0.3 pts
77Cumberland County8.6-2.3 pts
79Campbell County8.5-1.2 pts
79Franklin city8.5-0.7 pts
81Chesterfield County8.4-0.6 pts
81Newport News city8.4-1.1 pts
81Virginia Beach city8.4+0.1 pts
81Washington County8.4-1.4 pts
81Wythe County8.4-1.4 pts
86Augusta County8.3-1.7 pts
86Colonial Heights city8.3-0.7 pts
86Covington city8.3-0.8 pts
86Lynchburg city8.3-0.6 pts
86Portsmouth city8.30 pts
86Staunton city8.3-0.9 pts
92Grayson County8.2-2.8 pts
92King William County8.2+0.1 pts
92Scott County8.2-1.9 pts
95Dinwiddie County8.1-2.3 pts
95New Kent County8.1-0.8 pts
95Rockbridge County8.1-2 pts
98Giles County8-2 pts
99Chesapeake city7.9-0.6 pts
99Fauquier County7.9-1.3 pts
99Henrico County7.9-1.1 pts
99Mathews County7.9-1.4 pts
103Bath County7.7-1.6 pts
104Bland County7.6-1 pts
104Roanoke County7.60 pts
104Southampton County7.6-1.5 pts
107Albemarle County7.4-1.3 pts
107Alleghany County7.4-1.9 pts
107Pulaski County7.4-1.6 pts
110Prince George County7.2-0.7 pts
110Stafford County7.2+0.2 pts
110Suffolk city7.2-0.7 pts
110Surry County7.2-2.8 pts
114Hampton city7.1-1.3 pts
114Isle of Wight County7.1-0.8 pts
114King George County7.1+0.1 pts
114Norton city7.1-2.1 pts
118York County7+0.7 pts
119Greensville County6.9-1.6 pts
119James City County6.9-0.1 pts
119Powhatan County6.9-1.5 pts
122Fluvanna County6.8-1.9 pts
122Montgomery County6.8-1.7 pts
124Loudoun County6.5-0.5 pts
125Radford city6.4-0.7 pts
125Salem city6.4-2 pts
127Hanover County6.2-0.5 pts
128Botetourt County5.9-1.2 pts
129Poquoson city5.7-0.5 pts
130Arlington County5.4-0.2 pts
131Lexington city4.7-3.1 pts
132Falls Church city4.5-0.5 pts
133Goochland County4.2-1.1 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2022.
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-2022-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 16.4% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

Goochland County, with 4.2% in 2022.

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