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 2023, at 17.2%. Goochland County had the lowest, at 4.7%. The median was 8.9% and the figure for Virginia was 8.6%. Source: the U.S. Census Bureau.

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Median8.9133 counties
Virginia8.6History

Map of counties, 2023

Accomack County: 14 %Albemarle County: 7.9 %Alleghany County: 8.5 %Amelia County: 10.6 %Amherst County: 8.5 %Appomattox County: 10 %Arlington County: 5.2 %Augusta County: 7.9 %Bath County: 7.1 %Bedford County: 8.7 %Bland County: 6.4 %Botetourt County: 6.4 %Brunswick County: 11.2 %Buchanan County: 11.1 %Buckingham County: 10.8 %Campbell County: 8.7 %Caroline County: 8.8 %Carroll County: 11.6 %Charles City County: 10.4 %Charlotte County: 10.7 %Chesterfield County: 8.2 %Clarke County: 7.7 %Craig County: 8.7 %Culpeper County: 11.2 %Cumberland County: 8.2 %Dickenson County: 10 %Dinwiddie County: 8.2 %Essex County: 11.2 %Fairfax County: 8.1 %Fauquier County: 8.9 %Floyd County: 8.7 %Fluvanna County: 6.4 %Franklin County: 8.9 %Frederick County: 9.3 %Giles County: 9.1 %Gloucester County: 8 %Goochland County: 4.7 %Grayson County: 10.6 %Greene County: 10.1 %Greensville County: 8 %Halifax County: 9.8 %Hanover County: 6.3 %Henrico County: 8.7 %Henry County: 9.5 %Highland County: 8.3 %Isle of Wight County: 7.1 %James City County: 6.5 %King and Queen County: 10.6 %King George County: 7.1 %King William County: 7.5 %Lancaster County: 10.9 %Lee County: 10.1 %Loudoun County: 6.2 %Louisa County: 9.4 %Lunenburg County: 12.3 %Madison County: 12.1 %Mathews County: 7.6 %Mecklenburg County: 10.9 %Middlesex County: 11 %Montgomery County: 7.5 %Nelson County: 11.4 %New Kent County: 7.4 %Northampton County: 11 %Northumberland County: 10.1 %Nottoway County: 10.3 %Orange County: 8.9 %Page County: 10.5 %Patrick County: 9.3 %Pittsylvania County: 9.5 %Powhatan County: 7.1 %Prince Edward County: 9 %Prince George County: 7.4 %Prince William County: 10.8 %Pulaski County: 7.2 %Rappahannock County: 11 %Richmond County: 12.2 %Roanoke County: 6.5 %Rockbridge County: 8.3 %Rockingham County: 10.6 %Russell County: 9.9 %Scott County: 8.7 %Shenandoah County: 10.8 %Smyth County: 9.4 %Southampton County: 7.2 %Spotsylvania County: 8.9 %Stafford County: 7.4 %Surry County: 7.5 %Sussex County: 8.5 %Tazewell County: 10 %Warren County: 9.9 %Washington County: 8.5 %Westmoreland County: 11.8 %Wise County: 9.9 %Wythe County: 8.6 %York County: 5.6 %Alexandria city: 8.9 %Bristol city: 9.8 %Buena Vista city: 8.2 %Charlottesville city: 8.3 %Chesapeake city: 7.1 %Colonial Heights city: 8.4 %Covington city: 8.1 %Danville city: 9.7 %Emporia city: 9.4 %Fairfax city: 10.6 %Falls Church city: 4.7 %Franklin city: 8.2 %Fredericksburg city: 10 %Galax city: 12.1 %Hampton city: 8.1 %Harrisonburg city: 14.9 %Hopewell city: 9.3 %Lexington city: 5.8 %Lynchburg city: 8.9 %Manassas city: 13.9 %Manassas Park city: 17.2 %Martinsville city: 10.2 %Newport News city: 9.9 %Norfolk city: 10.7 %Norton city: 6.5 %Petersburg city: 9.8 %Poquoson city: 5.4 %Portsmouth city: 8 %Radford city: 6.7 %Richmond city: 10.4 %Roanoke city: 11.4 %Salem city: 6.3 %Staunton city: 8 %Suffolk city: 8.2 %Virginia Beach city: 8.2 %Waynesboro city: 10.3 %Williamsburg city: 9.2 %Winchester city: 12.4 %
  • Under 7.2
  • 7.2 to 8.2
  • 8.2 to 8.9
  • 8.9 to 10
  • 10 to 11
  • 11 and over
%, 2023. 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, 2023

Manassas Park city: 17.2 %Manassas Park city17.2Harrisonburg city: 14.9 %Harrisonburg city14.9Accomack County: 14 %Accomack County14Manassas city: 13.9 %Manassas city13.9Winchester city: 12.4 %Winchester city12.4Lunenburg County: 12.3 %Lunenburg County12.3Richmond County: 12.2 %Richmond County12.2Galax city: 12.1 %Galax city12.1Madison County: 12.1 %Madison County12.1Westmoreland County: 11.8 %Westmoreland County11.8Carroll County: 11.6 %Carroll County11.6Nelson County: 11.4 %Nelson County11.4Roanoke city: 11.4 %Roanoke city11.4Brunswick County: 11.2 %Brunswick County11.2Culpeper County: 11.2 %Culpeper County11.2Essex County: 11.2 %Essex County11.2Buchanan County: 11.1 %Buchanan County11.1Middlesex County: 11 %Middlesex County11Northampton County: 11 %Northampton County11Rappahannock County: 11 %Rappahannock County11Lancaster County: 10.9 %Lancaster County10.9Mecklenburg County: 10.9 %Mecklenburg County10.9Buckingham County: 10.8 %Buckingham County10.8Prince William County: 10.8 %Prince William County10.8Shenandoah County: 10.8 %Shenandoah County10.8Charlotte County: 10.7 %Charlotte County10.7Norfolk city: 10.7 %Norfolk city10.7Amelia County: 10.6 %Amelia County10.6Fairfax city: 10.6 %Fairfax city10.6Grayson County: 10.6 %Grayson County10.6King and Queen County: 10.6 %King and Queen County10.6Rockingham County: 10.6 %Rockingham County10.6Page County: 10.5 %Page County10.5Charles City County: 10.4 %Charles City County10.4Richmond city: 10.4 %Richmond city10.4Nottoway County: 10.3 %Nottoway County10.3Waynesboro city: 10.3 %Waynesboro city10.3Martinsville city: 10.2 %Martinsville city10.2Greene County: 10.1 %Greene County10.1Lee County: 10.1 %Lee County10.1Manassas Park city: 17.2 %Manassas Park city17.2Harrisonburg city: 14.9 %Harrisonburg city14.9Accomack County: 14 %Accomack County14Manassas city: 13.9 %Manassas city13.9Winchester city: 12.4 %Winchester city12.4Lunenburg County: 12.3 %Lunenburg County12.3Richmond County: 12.2 %Richmond County12.2Galax city: 12.1 %Galax city12.1Madison County: 12.1 %Madison County12.1Westmoreland County: 11.8 %Westmoreland County11.8Carroll County: 11.6 %Carroll County11.6Nelson County: 11.4 %Nelson County11.4Roanoke city: 11.4 %Roanoke city11.4Brunswick County: 11.2 %Brunswick County11.2Culpeper County: 11.2 %Culpeper County11.2Essex County: 11.2 %Essex County11.2Buchanan County: 11.1 %Buchanan County11.1Middlesex County: 11 %Middlesex County11Northampton County: 11 %Northampton County11Rappahannock County: 11 %Rappahannock County11Lancaster County: 10.9 %Lancaster County10.9Mecklenburg County: 10.9 %Mecklenburg County10.9Buckingham County: 10.8 %Buckingham County10.8Prince William County: 10.8 %Prince William County10.8Shenandoah County: 10.8 %Shenandoah County10.8Charlotte County: 10.7 %Charlotte County10.7Norfolk city: 10.7 %Norfolk city10.7Amelia County: 10.6 %Amelia County10.6Fairfax city: 10.6 %Fairfax city10.6Grayson County: 10.6 %Grayson County10.6King and Queen County: 10.6 %King and Queen County10.6Rockingham County: 10.6 %Rockingham County10.6Page County: 10.5 %Page County10.5Charles City County: 10.4 %Charles City County10.4Richmond city: 10.4 %Richmond city10.4Nottoway County: 10.3 %Nottoway County10.3Waynesboro city: 10.3 %Waynesboro city10.3Martinsville city: 10.2 %Martinsville city10.2Greene County: 10.1 %Greene County10.1Lee County: 10.1 %Lee County10.1
%. 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

RankCounties2023 (%)Change on 2022
1Manassas Park city17.2+0.8 pts
2Harrisonburg city14.9-0.2 pts
3Accomack County14+1 pts
4Manassas city13.9-2.5 pts
5Winchester city12.40 pts
6Lunenburg County12.3-0.4 pts
7Richmond County12.2+1.2 pts
8Galax city12.1-0.2 pts
8Madison County12.1+1.8 pts
10Westmoreland County11.8+0.8 pts
11Carroll County11.6+0.4 pts
12Nelson County11.4-1.8 pts
12Roanoke city11.4+1.3 pts
14Brunswick County11.2+0.5 pts
14Culpeper County11.2+0.8 pts
14Essex County11.2+0.2 pts
17Buchanan County11.10 pts
18Middlesex County11-1.4 pts
18Northampton County11-0.1 pts
18Rappahannock County11+0.6 pts
21Lancaster County10.9-0.3 pts
21Mecklenburg County10.9-0.1 pts
23Buckingham County10.8-0.8 pts
23Prince William County10.8-1.2 pts
23Shenandoah County10.8+0.7 pts
26Charlotte County10.7+0.8 pts
26Norfolk city10.7+1.2 pts
28Amelia County10.6-1 pts
28Fairfax city10.6+0.3 pts
28Grayson County10.6+2.4 pts
28King and Queen County10.6-0.1 pts
28Rockingham County10.6+0.2 pts
33Page County10.5+0.3 pts
34Charles City County10.4-2.1 pts
34Richmond city10.4+0.7 pts
36Nottoway County10.3-0.4 pts
36Waynesboro city10.3+0.2 pts
38Martinsville city10.2+0.6 pts
39Greene County10.1+0.3 pts
39Lee County10.1+0.5 pts
39Northumberland County10.1-0.6 pts
42Appomattox County10-0.1 pts
42Dickenson County10+0.3 pts
42Fredericksburg city100 pts
42Tazewell County10+0.9 pts
46Newport News city9.9+1.5 pts
46Russell County9.9+0.6 pts
46Warren County9.90 pts
46Wise County9.9+0.3 pts
50Bristol city9.8+0.4 pts
50Halifax County9.8-0.4 pts
50Petersburg city9.8+0.9 pts
53Danville city9.7-0.2 pts
54Henry County9.5-0.3 pts
54Pittsylvania County9.5-0.3 pts
56Emporia city9.4-0.9 pts
56Louisa County9.40 pts
56Smyth County9.4+0.3 pts
59Frederick County9.3-0.4 pts
59Hopewell city9.3+0.5 pts
59Patrick County9.3-0.1 pts
62Williamsburg city9.2+0.5 pts
63Giles County9.1+1.1 pts
64Prince Edward County9-0.5 pts
65Alexandria city8.9-0.2 pts
65Fauquier County8.9+1 pts
65Franklin County8.9+0.1 pts
65Lynchburg city8.9+0.6 pts
65Orange County8.9-0.2 pts
65Spotsylvania County8.9-0.6 pts
71Caroline County8.8-0.4 pts
72Bedford County8.70 pts
72Campbell County8.7+0.2 pts
72Craig County8.7+0.1 pts
72Floyd County8.70 pts
72Henrico County8.7+0.8 pts
72Scott County8.7+0.5 pts
78Wythe County8.6+0.2 pts
79Alleghany County8.5+1.1 pts
79Amherst County8.5-0.4 pts
79Sussex County8.5-0.3 pts
79Washington County8.5+0.1 pts
83Colonial Heights city8.4+0.1 pts
84Charlottesville city8.3-0.5 pts
84Highland County8.3-1.2 pts
84Rockbridge County8.3+0.2 pts
87Buena Vista city8.2-0.5 pts
87Chesterfield County8.2-0.2 pts
87Cumberland County8.2-0.4 pts
87Dinwiddie County8.2+0.1 pts
87Franklin city8.2-0.3 pts
87Suffolk city8.2+1 pts
87Virginia Beach city8.2-0.2 pts
94Covington city8.1-0.2 pts
94Fairfax County8.1-0.9 pts
94Hampton city8.1+1 pts
97Gloucester County8-0.8 pts
97Greensville County8+1.1 pts
97Portsmouth city8-0.3 pts
97Staunton city8-0.3 pts
101Albemarle County7.9+0.5 pts
101Augusta County7.9-0.4 pts
103Clarke County7.7-1 pts
104Mathews County7.6-0.3 pts
105King William County7.5-0.7 pts
105Montgomery County7.5+0.7 pts
105Surry County7.5+0.3 pts
108New Kent County7.4-0.7 pts
108Prince George County7.4+0.2 pts
108Stafford County7.4+0.2 pts
111Pulaski County7.2-0.2 pts
111Southampton County7.2-0.4 pts
113Bath County7.1-0.6 pts
113Chesapeake city7.1-0.8 pts
113Isle of Wight County7.10 pts
113King George County7.10 pts
113Powhatan County7.1+0.2 pts
118Radford city6.7+0.3 pts
119James City County6.5-0.4 pts
119Norton city6.5-0.6 pts
119Roanoke County6.5-1.1 pts
122Bland County6.4-1.2 pts
122Botetourt County6.4+0.5 pts
122Fluvanna County6.4-0.4 pts
125Hanover County6.3+0.1 pts
125Salem city6.3-0.1 pts
127Loudoun County6.2-0.3 pts
128Lexington city5.8+1.1 pts
129York County5.6-1.4 pts
130Poquoson city5.4-0.3 pts
131Arlington County5.2-0.2 pts
132Falls Church city4.7+0.2 pts
132Goochland County4.7+0.5 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/virginia-counties?period=2023.
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-2023-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 17.2% in 2023, 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 4.7% in 2023.

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