Data / Rankings / Uninsured rate, ages 19 to 34 (US, ACS) / Counties in North Carolina

Counties in North Carolina by uninsured rate, ages 19 to 34 (US, ACS), 2024

Clay County had the highest uninsured rate, ages 19 to 34 (US, ACS) of 100 counties in 2024, at 39%. Gates County had the lowest, at 5.1%. The median was 19.4% and the figure for North Carolina was 16.7%. Source: the U.S. Census Bureau.

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Highest39Clay County
Lowest5.1Gates County
Median19.4100 counties
North Carolina16.7History

Map of counties, 2024

Alamance County: 18.1 %Alexander County: 15 %Alleghany County: 25.4 %Anson County: 28.3 %Ashe County: 21.9 %Avery County: 28.1 %Beaufort County: 21.8 %Bertie County: 15.6 %Bladen County: 20 %Brunswick County: 17.7 %Buncombe County: 22.1 %Burke County: 22.5 %Cabarrus County: 15.6 %Caldwell County: 24.1 %Camden County: 8.5 %Carteret County: 15.3 %Caswell County: 24.3 %Catawba County: 18.8 %Chatham County: 21.5 %Cherokee County: 28.7 %Chowan County: 19.5 %Clay County: 39 %Cleveland County: 17.5 %Columbus County: 24.9 %Craven County: 16.3 %Cumberland County: 16.7 %Currituck County: 15.9 %Dare County: 19.8 %Davidson County: 17.6 %Davie County: 23.7 %Duplin County: 29.7 %Durham County: 13.7 %Edgecombe County: 25 %Forsyth County: 15.5 %Franklin County: 15 %Gaston County: 18.6 %Gates County: 5.1 %Graham County: 23.9 %Granville County: 20 %Greene County: 23.9 %Guilford County: 13.9 %Halifax County: 18.6 %Harnett County: 17.4 %Haywood County: 24 %Henderson County: 24.1 %Hertford County: 13.1 %Hoke County: 19 %Hyde County: 35 %Iredell County: 15.9 %Jackson County: 20 %Johnston County: 17.1 %Jones County: 21 %Lee County: 21.2 %Lenoir County: 20.5 %Lincoln County: 17.9 %McDowell County: 25.1 %Macon County: 30 %Madison County: 16.7 %Martin County: 10.8 %Mecklenburg County: 16.6 %Mitchell County: 17.8 %Montgomery County: 20.7 %Moore County: 17.7 %Nash County: 19.5 %New Hanover County: 15.4 %Northampton County: 21.8 %Onslow County: 13.7 %Orange County: 8.1 %Pamlico County: 13.9 %Pasquotank County: 17.3 %Pender County: 13.2 %Perquimans County: 16.1 %Person County: 18.4 %Pitt County: 15.8 %Polk County: 20 %Randolph County: 22.1 %Richmond County: 20.6 %Robeson County: 23.6 %Rockingham County: 17.6 %Rowan County: 16.3 %Rutherford County: 25.1 %Sampson County: 26.1 %Scotland County: 19 %Stanly County: 16.3 %Stokes County: 15.2 %Surry County: 19.7 %Swain County: 37.8 %Transylvania County: 24.9 %Tyrrell County: 30.2 %Union County: 14.5 %Vance County: 23.3 %Wake County: 11.1 %Warren County: 20.3 %Washington County: 28 %Watauga County: 11.7 %Wayne County: 24.1 %Wilkes County: 20.1 %Wilson County: 19.3 %Yadkin County: 26.8 %Yancey County: 9.5 %
  • Under 15
  • 15 to 17
  • 17 to 19
  • 19 to 22
  • 22 to 25
  • 25 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Clay County: 39 %Clay County39Swain County: 37.8 %Swain County37.8Hyde County: 35 %Hyde County35Tyrrell County: 30.2 %Tyrrell County30.2Macon County: 30 %Macon County30Duplin County: 29.7 %Duplin County29.7Cherokee County: 28.7 %Cherokee County28.7Anson County: 28.3 %Anson County28.3Avery County: 28.1 %Avery County28.1Washington County: 28 %Washington County28Yadkin County: 26.8 %Yadkin County26.8Sampson County: 26.1 %Sampson County26.1Alleghany County: 25.4 %Alleghany County25.4Rutherford County: 25.1 %Rutherford County25.1McDowell County: 25.1 %McDowell County25.1Edgecombe County: 25 %Edgecombe County25Columbus County: 24.9 %Columbus County24.9Transylvania County: 24.9 %Transylvania County24.9Caswell County: 24.3 %Caswell County24.3Henderson County: 24.1 %Henderson County24.1Wayne County: 24.1 %Wayne County24.1Caldwell County: 24.1 %Caldwell County24.1Haywood County: 24 %Haywood County24Greene County: 23.9 %Greene County23.9Graham County: 23.9 %Graham County23.9Davie County: 23.7 %Davie County23.7Robeson County: 23.6 %Robeson County23.6Vance County: 23.3 %Vance County23.3Burke County: 22.5 %Burke County22.5Randolph County: 22.1 %Randolph County22.1Buncombe County: 22.1 %Buncombe County22.1Ashe County: 21.9 %Ashe County21.9Northampton County: 21.8 %Northampton County21.8Beaufort County: 21.8 %Beaufort County21.8Chatham County: 21.5 %Chatham County21.5Lee County: 21.2 %Lee County21.2Jones County: 21 %Jones County21Montgomery County: 20.7 %Montgomery County20.7Richmond County: 20.6 %Richmond County20.6Lenoir County: 20.5 %Lenoir County20.5Clay County: 39 %Clay County39Swain County: 37.8 %Swain County37.8Hyde County: 35 %Hyde County35Tyrrell County: 30.2 %Tyrrell County30.2Macon County: 30 %Macon County30Duplin County: 29.7 %Duplin County29.7Cherokee County: 28.7 %Cherokee County28.7Anson County: 28.3 %Anson County28.3Avery County: 28.1 %Avery County28.1Washington County: 28 %Washington County28Yadkin County: 26.8 %Yadkin County26.8Sampson County: 26.1 %Sampson County26.1Alleghany County: 25.4 %Alleghany County25.4Rutherford County: 25.1 %Rutherford County25.1McDowell County: 25.1 %McDowell County25.1Edgecombe County: 25 %Edgecombe County25Columbus County: 24.9 %Columbus County24.9Transylvania County: 24.9 %Transylvania County24.9Caswell County: 24.3 %Caswell County24.3Henderson County: 24.1 %Henderson County24.1Wayne County: 24.1 %Wayne County24.1Caldwell County: 24.1 %Caldwell County24.1Haywood County: 24 %Haywood County24Greene County: 23.9 %Greene County23.9Graham County: 23.9 %Graham County23.9Davie County: 23.7 %Davie County23.7Robeson County: 23.6 %Robeson County23.6Vance County: 23.3 %Vance County23.3Burke County: 22.5 %Burke County22.5Randolph County: 22.1 %Randolph County22.1Buncombe County: 22.1 %Buncombe County22.1Ashe County: 21.9 %Ashe County21.9Northampton County: 21.8 %Northampton County21.8Beaufort County: 21.8 %Beaufort County21.8Chatham County: 21.5 %Chatham County21.5Lee County: 21.2 %Lee County21.2Jones County: 21 %Jones County21Montgomery County: 20.7 %Montgomery County20.7Richmond County: 20.6 %Richmond County20.6Lenoir County: 20.5 %Lenoir County20.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Clay County39-7.5 pts
2Swain County37.8+1.9 pts
3Hyde County35+12.4 pts
4Tyrrell County30.2+15.1 pts
5Macon County30-0.4 pts
6Duplin County29.7-1.6 pts
7Cherokee County28.7-4.1 pts
8Anson County28.3-2.1 pts
9Avery County28.1-6.5 pts
10Washington County28+6.3 pts
11Yadkin County26.8+0.5 pts
12Sampson County26.1-4 pts
13Alleghany County25.4-2.8 pts
14Rutherford County25.1+2.3 pts
15McDowell County25.1-0.5 pts
16Edgecombe County25-0.7 pts
17Columbus County24.9-2 pts
18Transylvania County24.9-1.5 pts
19Caswell County24.3+7.4 pts
20Henderson County24.1-0.5 pts
21Wayne County24.1-0.4 pts
22Caldwell County24.1-1.1 pts
23Haywood County24+1 pts
24Greene County23.9-0.6 pts
25Graham County23.9-0.9 pts
26Davie County23.7-1.9 pts
27Robeson County23.6-1.6 pts
28Vance County23.3+2.1 pts
29Burke County22.5-1.5 pts
30Randolph County22.1-3.3 pts
31Buncombe County22.10 pts
32Ashe County21.9-8.6 pts
33Northampton County21.8-3.4 pts
34Beaufort County21.8-2.8 pts
35Chatham County21.5+4.1 pts
36Lee County21.2-2.3 pts
37Jones County21-4.2 pts
38Montgomery County20.7-4.6 pts
39Richmond County20.6+6 pts
40Lenoir County20.5+1.8 pts
41Warren County20.3-1.9 pts
42Wilkes County20.1-2.8 pts
43Bladen County20+1.2 pts
43Granville County20-0.8 pts
43Polk County20-0.3 pts
46Jackson County20-1.3 pts
47Dare County19.8-3.9 pts
48Surry County19.7-2.8 pts
49Chowan County19.5-2.6 pts
50Nash County19.5-0.8 pts
51Wilson County19.3-3.5 pts
52Hoke County19-0.1 pts
52Scotland County19-2.9 pts
54Catawba County18.8-2.9 pts
55Gaston County18.6-0.3 pts
56Halifax County18.6-0.5 pts
57Person County18.4+2.7 pts
58Alamance County18.1-0.9 pts
59Lincoln County17.9-0.7 pts
60Mitchell County17.8-4.8 pts
61Brunswick County17.7-1.6 pts
62Moore County17.7+0.7 pts
63Rockingham County17.6-1 pts
64Davidson County17.6-2.6 pts
65Cleveland County17.5-1 pts
66Harnett County17.4-2.2 pts
67Pasquotank County17.3-0.6 pts
68Johnston County17.1-2.3 pts
69Madison County16.7-4.1 pts
70Cumberland County16.7-1.8 pts
71Mecklenburg County16.6-0.1 pts
72Rowan County16.3-1.4 pts
73Stanly County16.3-3.3 pts
74Craven County16.3-0.3 pts
75Perquimans County16.1+1.5 pts
76Iredell County15.9-1 pts
77Currituck County15.9-1 pts
78Pitt County15.8-0.4 pts
79Bertie County15.6-4.4 pts
80Cabarrus County15.6+0.4 pts
81Forsyth County15.5-2.4 pts
82New Hanover County15.4-1.1 pts
83Carteret County15.3-1.8 pts
84Stokes County15.2-3.4 pts
85Alexander County15-4.9 pts
86Franklin County15-1.8 pts
87Union County14.5-0.8 pts
88Guilford County13.9-1.7 pts
88Pamlico County13.9-5.3 pts
90Durham County13.7-0.7 pts
91Onslow County13.7-1.7 pts
92Pender County13.2-1.3 pts
93Hertford County13.1-2 pts
94Watauga County11.7-0.7 pts
95Wake County11.1-0.4 pts
96Martin County10.8-0.7 pts
97Yancey County9.5-3.5 pts
98Camden County8.5+2.9 pts
99Orange County8.1+0.4 pts
100Gates County5.1-6.4 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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 North Carolina by uninsured rate, ages 19 to 34 (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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 North Carolina by uninsured rate, ages 19 to 34 (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/north-carolina-counties. 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 North Carolina by uninsured rate, ages 19 to 34 (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/north-carolina-counties.

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 North Carolina by uninsured rate, ages 19 to 34 (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-19-34/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2024,
  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 North Carolina by uninsured rate, ages 19 to 34 (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/north-carolina-counties. 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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 North Carolina by uninsured rate, ages 19 to 34 (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-19-34/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/north-carolina-counties.
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/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  -
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Questions

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

Clay County, with 39% in 2024, according to the U.S. Census Bureau.

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

Gates County, with 5.1% in 2024.

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 North Carolina: more rankings