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

Adams County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 39 counties in 2020, at 20%. King County had the lowest, at 7%. The median was 10.2% and the figure for Washington was 9%. Source: the U.S. Census Bureau.

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Highest20Adams County
Median10.239 counties
Washington9History

Map of counties, 2020

Adams County: 20 %Asotin County: 9.7 %Benton County: 10.2 %Chelan County: 13.8 %Clallam County: 11.2 %Clark County: 9.2 %Columbia County: 8.1 %Cowlitz County: 9.2 %Douglas County: 17.5 %Ferry County: 11.6 %Franklin County: 17.9 %Garfield County: 7.2 %Grant County: 17.1 %Grays Harbor County: 11 %Island County: 8.4 %Jefferson County: 10.3 %King County: 7 %Kitsap County: 7.2 %Kittitas County: 9.2 %Klickitat County: 12.8 %Lewis County: 11.3 %Lincoln County: 8.5 %Mason County: 12.7 %Okanogan County: 17.9 %Pacific County: 12.6 %Pend Oreille County: 10 %Pierce County: 8.3 %San Juan County: 11.6 %Skagit County: 10.9 %Skamania County: 8.9 %Snohomish County: 8.7 %Spokane County: 7.7 %Stevens County: 9.8 %Thurston County: 8.2 %Wahkiakum County: 10 %Walla Walla County: 11.7 %Whatcom County: 10.2 %Whitman County: 8.5 %Yakima County: 19.6 %
  • Under 8.3
  • 8.3 to 9.2
  • 9.2 to 10
  • 10 to 11
  • 11 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.

All counties, 2020

Adams County: 20 %Adams County20Yakima County: 19.6 %Yakima County19.6Franklin County: 17.9 %Franklin County17.9Okanogan County: 17.9 %Okanogan County17.9Douglas County: 17.5 %Douglas County17.5Grant County: 17.1 %Grant County17.1Chelan County: 13.8 %Chelan County13.8Klickitat County: 12.8 %Klickitat County12.8Mason County: 12.7 %Mason County12.7Pacific County: 12.6 %Pacific County12.6Walla Walla County: 11.7 %Walla Walla County11.7Ferry County: 11.6 %Ferry County11.6San Juan County: 11.6 %San Juan County11.6Lewis County: 11.3 %Lewis County11.3Clallam County: 11.2 %Clallam County11.2Grays Harbor County: 11 %Grays Harbor County11Skagit County: 10.9 %Skagit County10.9Jefferson County: 10.3 %Jefferson County10.3Benton County: 10.2 %Benton County10.2Whatcom County: 10.2 %Whatcom County10.2Pend Oreille County: 10 %Pend Oreille County10Wahkiakum County: 10 %Wahkiakum County10Stevens County: 9.8 %Stevens County9.8Asotin County: 9.7 %Asotin County9.7Clark County: 9.2 %Clark County9.2Cowlitz County: 9.2 %Cowlitz County9.2Kittitas County: 9.2 %Kittitas County9.2Skamania County: 8.9 %Skamania County8.9Snohomish County: 8.7 %Snohomish County8.7Lincoln County: 8.5 %Lincoln County8.5Whitman County: 8.5 %Whitman County8.5Island County: 8.4 %Island County8.4Pierce County: 8.3 %Pierce County8.3Thurston County: 8.2 %Thurston County8.2Columbia County: 8.1 %Columbia County8.1Spokane County: 7.7 %Spokane County7.7Garfield County: 7.2 %Garfield County7.2Kitsap County: 7.2 %Kitsap County7.2King County: 7 %King County7Adams County: 20 %Adams County20Yakima County: 19.6 %Yakima County19.6Franklin County: 17.9 %Franklin County17.9Okanogan County: 17.9 %Okanogan County17.9Douglas County: 17.5 %Douglas County17.5Grant County: 17.1 %Grant County17.1Chelan County: 13.8 %Chelan County13.8Klickitat County: 12.8 %Klickitat County12.8Mason County: 12.7 %Mason County12.7Pacific County: 12.6 %Pacific County12.6Walla Walla County: 11.7 %Walla Walla County11.7Ferry County: 11.6 %Ferry County11.6San Juan County: 11.6 %San Juan County11.6Lewis County: 11.3 %Lewis County11.3Clallam County: 11.2 %Clallam County11.2Grays Harbor County: 11 %Grays Harbor County11Skagit County: 10.9 %Skagit County10.9Jefferson County: 10.3 %Jefferson County10.3Benton County: 10.2 %Benton County10.2Whatcom County: 10.2 %Whatcom County10.2Pend Oreille County: 10 %Pend Oreille County10Wahkiakum County: 10 %Wahkiakum County10Stevens County: 9.8 %Stevens County9.8Asotin County: 9.7 %Asotin County9.7Clark County: 9.2 %Clark County9.2Cowlitz County: 9.2 %Cowlitz County9.2Kittitas County: 9.2 %Kittitas County9.2Skamania County: 8.9 %Skamania County8.9Snohomish County: 8.7 %Snohomish County8.7Lincoln County: 8.5 %Lincoln County8.5Whitman County: 8.5 %Whitman County8.5Island County: 8.4 %Island County8.4Pierce County: 8.3 %Pierce County8.3Thurston County: 8.2 %Thurston County8.2Columbia County: 8.1 %Columbia County8.1Spokane County: 7.7 %Spokane County7.7Garfield County: 7.2 %Garfield County7.2Kitsap County: 7.2 %Kitsap County7.2King County: 7 %King County7
%. 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
1Adams County20+1.1 pts
2Yakima County19.6-0.8 pts
3Franklin County17.9-0.6 pts
3Okanogan County17.9-0.6 pts
5Douglas County17.5+2.6 pts
6Grant County17.1-1.1 pts
7Chelan County13.8-1.1 pts
8Klickitat County12.8-0.2 pts
9Mason County12.7-0.1 pts
10Pacific County12.6+0.1 pts
11Walla Walla County11.7-0.2 pts
12Ferry County11.6-1.7 pts
12San Juan County11.6-0.1 pts
14Lewis County11.3-0.4 pts
15Clallam County11.2-0.4 pts
16Grays Harbor County11-1 pts
17Skagit County10.9-0.9 pts
18Jefferson County10.3+0.7 pts
19Benton County10.2-0.5 pts
19Whatcom County10.2-0.7 pts
21Pend Oreille County10-0.8 pts
21Wahkiakum County10+0.3 pts
23Stevens County9.8-1 pts
24Asotin County9.7+0.6 pts
25Clark County9.2+0.1 pts
25Cowlitz County9.2+0.1 pts
25Kittitas County9.2-1 pts
28Skamania County8.9+0.4 pts
29Snohomish County8.70 pts
30Lincoln County8.5-0.1 pts
30Whitman County8.5+0.6 pts
32Island County8.4+0.6 pts
33Pierce County8.3-1.2 pts
34Thurston County8.2-0.2 pts
35Columbia County8.1+0.4 pts
36Spokane County7.7-0.9 pts
37Garfield County7.2+0.6 pts
37Kitsap County7.2-0.4 pts
39King County7-0.4 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-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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/washington-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)?

Adams County, with 20% in 2020, according to the U.S. Census Bureau.

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

King County, with 7% 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 Washington: more rankings