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)

Clay County had the highest uninsured rate, ages 19 to 34 (US, ACS) of 100 counties in 2023, at 46.5%. Camden County had the lowest, at 5.6%. The median was 20.1% and the figure for North Carolina was 17.7%. Source: the U.S. Census Bureau.

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Highest46.5Clay County
Lowest5.6Camden County
Median20.1100 counties
North Carolina17.7History

Map of counties, 2023

Alamance County: 19 %Alexander County: 19.9 %Alleghany County: 28.2 %Anson County: 30.4 %Ashe County: 30.6 %Avery County: 34.6 %Beaufort County: 24.6 %Bertie County: 20 %Bladen County: 18.8 %Brunswick County: 19.3 %Buncombe County: 22 %Burke County: 23.9 %Cabarrus County: 15.2 %Caldwell County: 25.2 %Camden County: 5.6 %Carteret County: 17.2 %Caswell County: 17 %Catawba County: 21.8 %Chatham County: 17.4 %Cherokee County: 32.8 %Chowan County: 22.2 %Clay County: 46.5 %Cleveland County: 18.5 %Columbus County: 26.9 %Craven County: 16.5 %Cumberland County: 18.6 %Currituck County: 16.9 %Dare County: 23.7 %Davidson County: 20.3 %Davie County: 25.6 %Duplin County: 31.3 %Durham County: 14.5 %Edgecombe County: 25.7 %Forsyth County: 17.9 %Franklin County: 16.8 %Gaston County: 19 %Gates County: 11.5 %Graham County: 24.7 %Granville County: 20.8 %Greene County: 24.5 %Guilford County: 15.6 %Halifax County: 19 %Harnett County: 19.6 %Haywood County: 23 %Henderson County: 24.6 %Hertford County: 15 %Hoke County: 19.1 %Hyde County: 22.6 %Iredell County: 17 %Jackson County: 21.2 %Johnston County: 19.4 %Jones County: 25.2 %Lee County: 23.5 %Lenoir County: 18.7 %Lincoln County: 18.6 %McDowell County: 25.6 %Macon County: 30.4 %Madison County: 20.8 %Martin County: 11.5 %Mecklenburg County: 16.6 %Mitchell County: 22.6 %Montgomery County: 25.3 %Moore County: 17 %Nash County: 20.3 %New Hanover County: 16.5 %Northampton County: 25.3 %Onslow County: 15.4 %Orange County: 7.7 %Pamlico County: 19.2 %Pasquotank County: 17.8 %Pender County: 14.5 %Perquimans County: 14.6 %Person County: 15.7 %Pitt County: 16.2 %Polk County: 20.3 %Randolph County: 25.4 %Richmond County: 14.6 %Robeson County: 25.2 %Rockingham County: 18.6 %Rowan County: 17.8 %Rutherford County: 22.8 %Sampson County: 30.1 %Scotland County: 22 %Stanly County: 19.7 %Stokes County: 18.6 %Surry County: 22.5 %Swain County: 35.9 %Transylvania County: 26.4 %Tyrrell County: 15 %Union County: 15.3 %Vance County: 21.2 %Wake County: 11.5 %Warren County: 22.2 %Washington County: 21.7 %Watauga County: 12.4 %Wayne County: 24.5 %Wilkes County: 22.9 %Wilson County: 22.8 %Yadkin County: 26.3 %Yancey County: 13 %
  • Under 16
  • 16 to 19
  • 19 to 20
  • 20 to 23
  • 23 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

Clay County: 46.5 %Clay County46.5Swain County: 35.9 %Swain County35.9Avery County: 34.6 %Avery County34.6Cherokee County: 32.8 %Cherokee County32.8Duplin County: 31.3 %Duplin County31.3Ashe County: 30.6 %Ashe County30.6Macon County: 30.4 %Macon County30.4Anson County: 30.4 %Anson County30.4Sampson County: 30.1 %Sampson County30.1Alleghany County: 28.2 %Alleghany County28.2Columbus County: 26.9 %Columbus County26.9Transylvania County: 26.4 %Transylvania County26.4Yadkin County: 26.3 %Yadkin County26.3Edgecombe County: 25.7 %Edgecombe County25.7Davie County: 25.6 %Davie County25.6McDowell County: 25.6 %McDowell County25.6Randolph County: 25.4 %Randolph County25.4Montgomery County: 25.3 %Montgomery County25.3Northampton County: 25.3 %Northampton County25.3Jones County: 25.2 %Jones County25.2Robeson County: 25.2 %Robeson County25.2Caldwell County: 25.2 %Caldwell County25.2Graham County: 24.7 %Graham County24.7Henderson County: 24.6 %Henderson County24.6Beaufort County: 24.6 %Beaufort County24.6Wayne County: 24.5 %Wayne County24.5Greene County: 24.5 %Greene County24.5Burke County: 23.9 %Burke County23.9Dare County: 23.7 %Dare County23.7Lee County: 23.5 %Lee County23.5Haywood County: 23 %Haywood County23Wilkes County: 22.9 %Wilkes County22.9Wilson County: 22.8 %Wilson County22.8Rutherford County: 22.8 %Rutherford County22.8Hyde County: 22.6 %Hyde County22.6Mitchell County: 22.6 %Mitchell County22.6Surry County: 22.5 %Surry County22.5Warren County: 22.2 %Warren County22.2Chowan County: 22.2 %Chowan County22.2Buncombe County: 22 %Buncombe County22Clay County: 46.5 %Clay County46.5Swain County: 35.9 %Swain County35.9Avery County: 34.6 %Avery County34.6Cherokee County: 32.8 %Cherokee County32.8Duplin County: 31.3 %Duplin County31.3Ashe County: 30.6 %Ashe County30.6Macon County: 30.4 %Macon County30.4Anson County: 30.4 %Anson County30.4Sampson County: 30.1 %Sampson County30.1Alleghany County: 28.2 %Alleghany County28.2Columbus County: 26.9 %Columbus County26.9Transylvania County: 26.4 %Transylvania County26.4Yadkin County: 26.3 %Yadkin County26.3Edgecombe County: 25.7 %Edgecombe County25.7Davie County: 25.6 %Davie County25.6McDowell County: 25.6 %McDowell County25.6Randolph County: 25.4 %Randolph County25.4Montgomery County: 25.3 %Montgomery County25.3Northampton County: 25.3 %Northampton County25.3Jones County: 25.2 %Jones County25.2Robeson County: 25.2 %Robeson County25.2Caldwell County: 25.2 %Caldwell County25.2Graham County: 24.7 %Graham County24.7Henderson County: 24.6 %Henderson County24.6Beaufort County: 24.6 %Beaufort County24.6Wayne County: 24.5 %Wayne County24.5Greene County: 24.5 %Greene County24.5Burke County: 23.9 %Burke County23.9Dare County: 23.7 %Dare County23.7Lee County: 23.5 %Lee County23.5Haywood County: 23 %Haywood County23Wilkes County: 22.9 %Wilkes County22.9Wilson County: 22.8 %Wilson County22.8Rutherford County: 22.8 %Rutherford County22.8Hyde County: 22.6 %Hyde County22.6Mitchell County: 22.6 %Mitchell County22.6Surry County: 22.5 %Surry County22.5Warren County: 22.2 %Warren County22.2Chowan County: 22.2 %Chowan County22.2Buncombe County: 22 %Buncombe County22
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Clay County46.5+1.7 pts
2Swain County35.9+1.5 pts
3Avery County34.6+0.5 pts
4Cherokee County32.8-2.1 pts
5Duplin County31.3+3.7 pts
6Ashe County30.6+4.7 pts
7Macon County30.4-1.2 pts
8Anson County30.4+1.2 pts
9Sampson County30.1-4.2 pts
10Alleghany County28.2+1.5 pts
11Columbus County26.9-0.4 pts
12Transylvania County26.4-4.4 pts
13Yadkin County26.3-2.3 pts
14Edgecombe County25.7-0.9 pts
15Davie County25.6-2.3 pts
16McDowell County25.6-1.2 pts
17Randolph County25.4-0.4 pts
18Montgomery County25.3-1.2 pts
19Northampton County25.3-5.4 pts
20Jones County25.2-0.3 pts
21Robeson County25.2-0.9 pts
22Caldwell County25.2+1.9 pts
23Graham County24.7-13 pts
24Henderson County24.6-1.9 pts
25Beaufort County24.6-0.6 pts
26Wayne County24.5-0.3 pts
27Greene County24.5-3.3 pts
28Burke County23.9+0.3 pts
29Dare County23.7-4.7 pts
30Lee County23.5-3.6 pts
31Haywood County23-1.4 pts
32Wilkes County22.9-3.4 pts
33Wilson County22.8+2.4 pts
34Rutherford County22.8-0.2 pts
35Hyde County22.6+2.7 pts
36Mitchell County22.6-0.3 pts
37Surry County22.5-2.2 pts
38Warren County22.2-1.1 pts
39Chowan County22.2+2.7 pts
40Buncombe County22+1.4 pts
41Scotland County22-1.9 pts
42Catawba County21.8-0 pts
43Washington County21.7+0.3 pts
44Jackson County21.2-0.8 pts
45Vance County21.2-0.7 pts
46Madison County20.8+3.2 pts
47Granville County20.8+0.4 pts
48Polk County20.3-1.2 pts
49Davidson County20.3-1.1 pts
50Nash County20.3-1.6 pts
51Bertie County20-3.5 pts
52Alexander County19.9-1.9 pts
53Stanly County19.7-1.6 pts
54Harnett County19.6+0.6 pts
55Johnston County19.4-1.7 pts
56Brunswick County19.3-3.1 pts
57Pamlico County19.2-2.4 pts
58Hoke County19.1+0.4 pts
59Halifax County19-0.2 pts
60Alamance County19+1.1 pts
61Gaston County19-0.3 pts
62Bladen County18.8-4.7 pts
63Lenoir County18.7-2.3 pts
64Stokes County18.6-1.9 pts
65Rockingham County18.6-2.6 pts
66Lincoln County18.6+0.3 pts
67Cumberland County18.6-1.5 pts
68Cleveland County18.5-1.6 pts
69Forsyth County17.9+0.2 pts
70Pasquotank County17.8-1.3 pts
71Rowan County17.8-2.8 pts
72Chatham County17.4-1.4 pts
73Carteret County17.2-2.9 pts
74Moore County17-1.6 pts
75Caswell County17+2.2 pts
75Iredell County17+0.8 pts
77Currituck County16.9+2 pts
78Franklin County16.8+0.9 pts
79Mecklenburg County16.6-0.1 pts
80New Hanover County16.5+0.2 pts
81Craven County16.5-0.6 pts
82Pitt County16.2-0.8 pts
83Person County15.7-1.1 pts
84Guilford County15.6-0.2 pts
85Onslow County15.4-1.5 pts
86Union County15.3-0.9 pts
87Cabarrus County15.2-0.6 pts
88Tyrrell County15-1.9 pts
89Hertford County15-1.2 pts
90Perquimans County14.6+2.4 pts
91Richmond County14.6-3.6 pts
92Pender County14.5-1.4 pts
93Durham County14.5-0.3 pts
94Yancey County13-3.8 pts
95Watauga County12.4+1.7 pts
96Wake County11.5-0.1 pts
97Martin County11.5-4.5 pts
98Gates County11.5-1 pts
99Orange County7.7+0.2 pts
100Camden County5.6+1.4 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/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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-19-34/north-carolina-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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Questions

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

Clay County, with 46.5% in 2023, according to the U.S. Census Bureau.

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

Camden County, with 5.6% 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 North Carolina: more rankings