Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS)

Greene County had the highest uninsured rate, ages 19 to 34 (US, ACS) of 67 counties in 2023, at 32.8%. Tuscaloosa County had the lowest, at 9.6%. The median was 20.7% and the figure for Alabama was 18%. Source: the U.S. Census Bureau.

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Highest32.8Greene County
Median20.767 counties
Alabama18History

Map of counties, 2023

Autauga County: 17.7 %Baldwin County: 18.1 %Barbour County: 27 %Bibb County: 18.1 %Blount County: 21.1 %Bullock County: 31 %Butler County: 26.3 %Calhoun County: 21.9 %Chambers County: 25.7 %Cherokee County: 25.5 %Chilton County: 21.2 %Choctaw County: 23.6 %Clarke County: 16.8 %Clay County: 21.4 %Cleburne County: 15.6 %Coffee County: 23.3 %Colbert County: 12.4 %Conecuh County: 21.3 %Coosa County: 11.2 %Covington County: 19.3 %Crenshaw County: 17.3 %Cullman County: 18.1 %Dale County: 25.7 %Dallas County: 19.8 %DeKalb County: 26.4 %Elmore County: 14.6 %Escambia County: 24.1 %Etowah County: 24.7 %Fayette County: 18.4 %Franklin County: 19 %Geneva County: 25 %Greene County: 32.8 %Hale County: 11.2 %Henry County: 20.7 %Houston County: 26.2 %Jackson County: 21.8 %Jefferson County: 16 %Lamar County: 23.1 %Lauderdale County: 18 %Lawrence County: 23 %Lee County: 14 %Limestone County: 15.6 %Lowndes County: 24.1 %Macon County: 14.3 %Madison County: 14.6 %Marengo County: 27.8 %Marion County: 22.2 %Marshall County: 20.7 %Mobile County: 20.9 %Monroe County: 23.3 %Montgomery County: 21.5 %Morgan County: 22.3 %Perry County: 13.2 %Pickens County: 20.7 %Pike County: 10.9 %Randolph County: 15.6 %Russell County: 25.9 %St. Clair County: 14.5 %Shelby County: 13.8 %Sumter County: 17 %Talladega County: 15 %Tallapoosa County: 20 %Tuscaloosa County: 9.6 %Walker County: 23.2 %Washington County: 14.1 %Wilcox County: 23.2 %Winston County: 19.3 %
  • Under 15
  • 15 to 18
  • 18 to 21
  • 21 to 22
  • 22 to 25
  • 25 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Greene County: 32.8 %Greene County32.8Bullock County: 31 %Bullock County31Marengo County: 27.8 %Marengo County27.8Barbour County: 27 %Barbour County27DeKalb County: 26.4 %DeKalb County26.4Butler County: 26.3 %Butler County26.3Houston County: 26.2 %Houston County26.2Russell County: 25.9 %Russell County25.9Dale County: 25.7 %Dale County25.7Chambers County: 25.7 %Chambers County25.7Cherokee County: 25.5 %Cherokee County25.5Geneva County: 25 %Geneva County25Etowah County: 24.7 %Etowah County24.7Lowndes County: 24.1 %Lowndes County24.1Escambia County: 24.1 %Escambia County24.1Choctaw County: 23.6 %Choctaw County23.6Coffee County: 23.3 %Coffee County23.3Monroe County: 23.3 %Monroe County23.3Walker County: 23.2 %Walker County23.2Wilcox County: 23.2 %Wilcox County23.2Lamar County: 23.1 %Lamar County23.1Lawrence County: 23 %Lawrence County23Morgan County: 22.3 %Morgan County22.3Marion County: 22.2 %Marion County22.2Calhoun County: 21.9 %Calhoun County21.9Jackson County: 21.8 %Jackson County21.8Montgomery County: 21.5 %Montgomery County21.5Clay County: 21.4 %Clay County21.4Conecuh County: 21.3 %Conecuh County21.3Chilton County: 21.2 %Chilton County21.2Blount County: 21.1 %Blount County21.1Mobile County: 20.9 %Mobile County20.9Marshall County: 20.7 %Marshall County20.7Henry County: 20.7 %Henry County20.7Pickens County: 20.7 %Pickens County20.7Tallapoosa County: 20 %Tallapoosa County20Dallas County: 19.8 %Dallas County19.8Winston County: 19.3 %Winston County19.3Covington County: 19.3 %Covington County19.3Franklin County: 19 %Franklin County19Greene County: 32.8 %Greene County32.8Bullock County: 31 %Bullock County31Marengo County: 27.8 %Marengo County27.8Barbour County: 27 %Barbour County27DeKalb County: 26.4 %DeKalb County26.4Butler County: 26.3 %Butler County26.3Houston County: 26.2 %Houston County26.2Russell County: 25.9 %Russell County25.9Dale County: 25.7 %Dale County25.7Chambers County: 25.7 %Chambers County25.7Cherokee County: 25.5 %Cherokee County25.5Geneva County: 25 %Geneva County25Etowah County: 24.7 %Etowah County24.7Lowndes County: 24.1 %Lowndes County24.1Escambia County: 24.1 %Escambia County24.1Choctaw County: 23.6 %Choctaw County23.6Coffee County: 23.3 %Coffee County23.3Monroe County: 23.3 %Monroe County23.3Walker County: 23.2 %Walker County23.2Wilcox County: 23.2 %Wilcox County23.2Lamar County: 23.1 %Lamar County23.1Lawrence County: 23 %Lawrence County23Morgan County: 22.3 %Morgan County22.3Marion County: 22.2 %Marion County22.2Calhoun County: 21.9 %Calhoun County21.9Jackson County: 21.8 %Jackson County21.8Montgomery County: 21.5 %Montgomery County21.5Clay County: 21.4 %Clay County21.4Conecuh County: 21.3 %Conecuh County21.3Chilton County: 21.2 %Chilton County21.2Blount County: 21.1 %Blount County21.1Mobile County: 20.9 %Mobile County20.9Marshall County: 20.7 %Marshall County20.7Henry County: 20.7 %Henry County20.7Pickens County: 20.7 %Pickens County20.7Tallapoosa County: 20 %Tallapoosa County20Dallas County: 19.8 %Dallas County19.8Winston County: 19.3 %Winston County19.3Covington County: 19.3 %Covington County19.3Franklin County: 19 %Franklin County19
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Greene County32.8+2.4 pts
2Bullock County31-0.8 pts
3Marengo County27.8-1.2 pts
4Barbour County27-0.6 pts
5DeKalb County26.4-1.1 pts
6Butler County26.3+1.7 pts
7Houston County26.2-1.1 pts
8Russell County25.9-1.3 pts
9Dale County25.7+2.2 pts
10Chambers County25.7+2.6 pts
11Cherokee County25.5-1.2 pts
12Geneva County25+1.4 pts
13Etowah County24.7+0.5 pts
14Lowndes County24.1+2.2 pts
15Escambia County24.1-2.9 pts
16Choctaw County23.6-1.2 pts
17Coffee County23.3-2 pts
18Monroe County23.3-1.2 pts
19Walker County23.2-4.2 pts
20Wilcox County23.2+1.3 pts
21Lamar County23.1+1.7 pts
22Lawrence County23+2.2 pts
23Morgan County22.3-1.2 pts
24Marion County22.2-1.7 pts
25Calhoun County21.9+0.8 pts
26Jackson County21.8-2 pts
27Montgomery County21.50 pts
28Clay County21.4+2.1 pts
29Conecuh County21.3+3.3 pts
30Chilton County21.2-5.7 pts
31Blount County21.1+0.2 pts
32Mobile County20.9-0.8 pts
33Marshall County20.7-0.3 pts
34Henry County20.7-4.4 pts
34Pickens County20.7+0.9 pts
36Tallapoosa County20-1.2 pts
37Dallas County19.8+0.7 pts
38Winston County19.3-1.2 pts
39Covington County19.3-2.6 pts
40Franklin County19+1.2 pts
41Fayette County18.4-1.1 pts
42Bibb County18.1-2.7 pts
43Baldwin County18.1-2.7 pts
44Cullman County18.1-0.3 pts
45Lauderdale County18+0.9 pts
46Autauga County17.7+1.5 pts
47Crenshaw County17.3+3 pts
48Sumter County17-2.9 pts
49Clarke County16.8-4.9 pts
50Jefferson County16-0 pts
51Cleburne County15.6-6 pts
52Limestone County15.6-0.3 pts
53Randolph County15.6-2.6 pts
54Talladega County15-4.9 pts
55Madison County14.6-0.6 pts
56Elmore County14.6-0.6 pts
57St. Clair County14.5-2.5 pts
58Macon County14.3-4.9 pts
59Washington County14.1-2.2 pts
60Lee County14+0.4 pts
61Shelby County13.8-0.1 pts
62Perry County13.2+5.5 pts
63Colbert County12.4-2.3 pts
64Hale County11.2-0.7 pts
65Coosa County11.2-2.4 pts
66Pike County10.9-0.6 pts
67Tuscaloosa County9.6-0.3 pts

Other periods

About this ranking

People aged 19 to 34 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 19 to 34. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

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. American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. 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). American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs (Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/alabama-counties?period=2023. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs. Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/alabama-counties?period=2023.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs, Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-19-34/alabama-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2023,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs: Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/alabama-counties?period=2023. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs: Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-19-34/alabama-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/alabama-counties?period=2023.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Alabama by uninsured rate, ages 19 to 34 (US, ACS) using official data, and cite the source.
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Questions

Which county has the highest uninsured rate, ages 19 to 34 (US, ACS)?

Greene County, with 32.8% in 2023, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 19 to 34 (US, ACS)?

Tuscaloosa County, with 9.6% 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, American Community Survey 5-year estimates, table B27010: people aged 19 to 34 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 19 to 34, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, ages 19 to 34 (US, ACS): other rankings

Counties in Alabama: more rankings