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

Roane County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 55 counties in 2023, at 12.4%. Mineral County had the lowest, at 7%. The median was 9.5% and the figure for West Virginia was 9%. Source: the U.S. Census Bureau.

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Highest12.4Roane County
Median9.555 counties
West Virginia9History

Map of counties, 2023

Barbour County: 10.4 %Berkeley County: 8.3 %Boone County: 8.3 %Braxton County: 10.3 %Brooke County: 7.6 %Cabell County: 9.4 %Calhoun County: 9.3 %Clay County: 9.3 %Doddridge County: 9.4 %Fayette County: 10.3 %Gilmer County: 9.9 %Grant County: 10.1 %Greenbrier County: 9.5 %Hampshire County: 10 %Hancock County: 8.1 %Hardy County: 10.6 %Harrison County: 9.9 %Jackson County: 8.8 %Jefferson County: 8 %Kanawha County: 8.2 %Lewis County: 8.7 %Lincoln County: 10.3 %Logan County: 10.9 %McDowell County: 11.9 %Marion County: 7.6 %Marshall County: 7.2 %Mason County: 9.1 %Mercer County: 9.3 %Mineral County: 7 %Mingo County: 12.1 %Monongalia County: 7.3 %Monroe County: 11 %Morgan County: 9.5 %Nicholas County: 10.2 %Ohio County: 8.5 %Pendleton County: 10.5 %Pleasants County: 8.1 %Pocahontas County: 11.6 %Preston County: 10.5 %Putnam County: 7.8 %Raleigh County: 9.7 %Randolph County: 9.9 %Ritchie County: 10.2 %Roane County: 12.4 %Summers County: 11 %Taylor County: 10.1 %Tucker County: 9.3 %Tyler County: 7.8 %Upshur County: 9.6 %Wayne County: 10 %Webster County: 9.4 %Wetzel County: 7.7 %Wirt County: 9 %Wood County: 9.7 %Wyoming County: 12 %
  • Under 8.1
  • 8.1 to 9.1
  • 9.1 to 9.5
  • 9.5 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.

All counties, 2023

Roane County: 12.4 %Roane County12.4Mingo County: 12.1 %Mingo County12.1Wyoming County: 12 %Wyoming County12McDowell County: 11.9 %McDowell County11.9Pocahontas County: 11.6 %Pocahontas County11.6Monroe County: 11 %Monroe County11Summers County: 11 %Summers County11Logan County: 10.9 %Logan County10.9Hardy County: 10.6 %Hardy County10.6Pendleton County: 10.5 %Pendleton County10.5Preston County: 10.5 %Preston County10.5Barbour County: 10.4 %Barbour County10.4Braxton County: 10.3 %Braxton County10.3Fayette County: 10.3 %Fayette County10.3Lincoln County: 10.3 %Lincoln County10.3Nicholas County: 10.2 %Nicholas County10.2Ritchie County: 10.2 %Ritchie County10.2Grant County: 10.1 %Grant County10.1Taylor County: 10.1 %Taylor County10.1Hampshire County: 10 %Hampshire County10Wayne County: 10 %Wayne County10Gilmer County: 9.9 %Gilmer County9.9Harrison County: 9.9 %Harrison County9.9Randolph County: 9.9 %Randolph County9.9Raleigh County: 9.7 %Raleigh County9.7Wood County: 9.7 %Wood County9.7Upshur County: 9.6 %Upshur County9.6Greenbrier County: 9.5 %Greenbrier County9.5Morgan County: 9.5 %Morgan County9.5Cabell County: 9.4 %Cabell County9.4Doddridge County: 9.4 %Doddridge County9.4Webster County: 9.4 %Webster County9.4Calhoun County: 9.3 %Calhoun County9.3Clay County: 9.3 %Clay County9.3Mercer County: 9.3 %Mercer County9.3Tucker County: 9.3 %Tucker County9.3Mason County: 9.1 %Mason County9.1Wirt County: 9 %Wirt County9Jackson County: 8.8 %Jackson County8.8Lewis County: 8.7 %Lewis County8.7Ohio County: 8.5 %Ohio County8.5Berkeley County: 8.3 %Berkeley County8.3Boone County: 8.3 %Boone County8.3Kanawha County: 8.2 %Kanawha County8.2Hancock County: 8.1 %Hancock County8.1Pleasants County: 8.1 %Pleasants County8.1Jefferson County: 8 %Jefferson County8Putnam County: 7.8 %Putnam County7.8Tyler County: 7.8 %Tyler County7.8Wetzel County: 7.7 %Wetzel County7.7Brooke County: 7.6 %Brooke County7.6Marion County: 7.6 %Marion County7.6Monongalia County: 7.3 %Monongalia County7.3Marshall County: 7.2 %Marshall County7.2Mineral County: 7 %Mineral County7Roane County: 12.4 %Roane County12.4Mingo County: 12.1 %Mingo County12.1Wyoming County: 12 %Wyoming County12McDowell County: 11.9 %McDowell County11.9Pocahontas County: 11.6 %Pocahontas County11.6Monroe County: 11 %Monroe County11Summers County: 11 %Summers County11Logan County: 10.9 %Logan County10.9Hardy County: 10.6 %Hardy County10.6Pendleton County: 10.5 %Pendleton County10.5Preston County: 10.5 %Preston County10.5Barbour County: 10.4 %Barbour County10.4Braxton County: 10.3 %Braxton County10.3Fayette County: 10.3 %Fayette County10.3Lincoln County: 10.3 %Lincoln County10.3Nicholas County: 10.2 %Nicholas County10.2Ritchie County: 10.2 %Ritchie County10.2Grant County: 10.1 %Grant County10.1Taylor County: 10.1 %Taylor County10.1Hampshire County: 10 %Hampshire County10Wayne County: 10 %Wayne County10Gilmer County: 9.9 %Gilmer County9.9Harrison County: 9.9 %Harrison County9.9Randolph County: 9.9 %Randolph County9.9Raleigh County: 9.7 %Raleigh County9.7Wood County: 9.7 %Wood County9.7Upshur County: 9.6 %Upshur County9.6Greenbrier County: 9.5 %Greenbrier County9.5Morgan County: 9.5 %Morgan County9.5Cabell County: 9.4 %Cabell County9.4Doddridge County: 9.4 %Doddridge County9.4Webster County: 9.4 %Webster County9.4Calhoun County: 9.3 %Calhoun County9.3Clay County: 9.3 %Clay County9.3Mercer County: 9.3 %Mercer County9.3Tucker County: 9.3 %Tucker County9.3Mason County: 9.1 %Mason County9.1Wirt County: 9 %Wirt County9Jackson County: 8.8 %Jackson County8.8Lewis County: 8.7 %Lewis County8.7Ohio County: 8.5 %Ohio County8.5Berkeley County: 8.3 %Berkeley County8.3Boone County: 8.3 %Boone County8.3Kanawha County: 8.2 %Kanawha County8.2Hancock County: 8.1 %Hancock County8.1Pleasants County: 8.1 %Pleasants County8.1Jefferson County: 8 %Jefferson County8Putnam County: 7.8 %Putnam County7.8Tyler County: 7.8 %Tyler County7.8Wetzel County: 7.7 %Wetzel County7.7Brooke County: 7.6 %Brooke County7.6Marion County: 7.6 %Marion County7.6Monongalia County: 7.3 %Monongalia County7.3Marshall County: 7.2 %Marshall County7.2Mineral County: 7 %Mineral 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

RankCounties2023 (%)Change on 2022
1Roane County12.4+1.4 pts
2Mingo County12.1+0.1 pts
3Wyoming County12+0.6 pts
4McDowell County11.9-1.1 pts
5Pocahontas County11.6-0.4 pts
6Monroe County11+1.2 pts
6Summers County11+1.2 pts
8Logan County10.9+0.4 pts
9Hardy County10.6+0.8 pts
10Pendleton County10.5-0.7 pts
10Preston County10.5+0.3 pts
12Barbour County10.4+1 pts
13Braxton County10.3+0.4 pts
13Fayette County10.3+0.4 pts
13Lincoln County10.3+1.4 pts
16Nicholas County10.2+0.5 pts
16Ritchie County10.2-0.1 pts
18Grant County10.1-0.3 pts
18Taylor County10.1+1.1 pts
20Hampshire County10+0.2 pts
20Wayne County10+0.3 pts
22Gilmer County9.9-1.1 pts
22Harrison County9.9+0.4 pts
22Randolph County9.9+0.8 pts
25Raleigh County9.7-0.3 pts
25Wood County9.7-0.1 pts
27Upshur County9.6+0.4 pts
28Greenbrier County9.5-0.9 pts
28Morgan County9.5+0.6 pts
30Cabell County9.40 pts
30Doddridge County9.4+0.3 pts
30Webster County9.4+0.3 pts
33Calhoun County9.3+0.1 pts
33Clay County9.3+0.2 pts
33Mercer County9.3-0.7 pts
33Tucker County9.3-1.3 pts
37Mason County9.1+1.1 pts
38Wirt County9+0.1 pts
39Jackson County8.8+0.1 pts
40Lewis County8.7-0.1 pts
41Ohio County8.5+0.5 pts
42Berkeley County8.3-0.5 pts
42Boone County8.3-0.1 pts
44Kanawha County8.2-1.1 pts
45Hancock County8.1-0.4 pts
45Pleasants County8.1+1.1 pts
47Jefferson County8+0.2 pts
48Putnam County7.8+0.5 pts
48Tyler County7.8+1.1 pts
50Wetzel County7.7-0.1 pts
51Brooke County7.6+0.9 pts
51Marion County7.6-0.9 pts
53Monongalia County7.30 pts
54Marshall County7.2-0.6 pts
55Mineral 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-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 West 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 West 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/west-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 West 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/west-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 West 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/west-virginia-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_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 West 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/west-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 West 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/west-virginia-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-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)?

Roane County, with 12.4% in 2023, according to the U.S. Census Bureau.

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

Mineral County, with 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 West Virginia: more rankings