Cities in Alabama by uninsured rate, ages 35 to 64 (US, ACS), 2024

Russellville, AL had the highest uninsured rate, ages 35 to 64 (US, ACS) of 66 cities in 2024, at 25.7%. Mountain Brook, AL had the lowest, at 0.7%. The median was 11.8% and the figure for Alabama was 12.2%. Source: the U.S. Census Bureau.

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Highest25.7Russellville, AL
Median11.866 cities
Alabama12.2History

Top 40 cities, 2024

Russellville, AL: 25.7 %Russellville, AL25.7Gadsden, AL: 25.6 %Gadsden, AL25.6Fort Payne, AL: 24.8 %Fort Payne, AL24.8Prichard, AL: 22.5 %Prichard, AL22.5Leeds, AL: 22.4 %Leeds, AL22.4Albertville, AL: 21.1 %Albertville, AL21.1Boaz, AL: 19 %Boaz, AL19Hueytown, AL: 18.1 %Hueytown, AL18.1Birmingham, AL: 17.7 %Birmingham, AL17.7Anniston, AL: 17.7 %Anniston, AL17.7Decatur, AL: 17.2 %Decatur, AL17.2Talladega, AL: 16.3 %Talladega, AL16.3Alexander City, AL: 15.8 %Alexander City, AL15.8Bessemer, AL: 15.4 %Bessemer, AL15.4Ozark, AL: 15.4 %Ozark, AL15.4Cullman, AL: 14.8 %Cullman, AL14.8Selma, AL: 14.8 %Selma, AL14.8Pell City, AL: 14.7 %Pell City, AL14.7Irondale, AL: 14.4 %Irondale, AL14.4Rainbow City, AL: 14 %Rainbow City, AL14Montgomery, AL: 14 %Montgomery, AL14Phenix City, AL: 14 %Phenix City, AL14Mobile, AL: 13.7 %Mobile, AL13.7Foley, AL: 13.5 %Foley, AL13.5Center Point, AL: 13.4 %Center Point, AL13.4Eufaula, AL: 13.4 %Eufaula, AL13.4Dothan, AL: 13.3 %Dothan, AL13.3Florence, AL: 13.1 %Florence, AL13.1Gulf Shores, AL: 13.1 %Gulf Shores, AL13.1Athens, AL: 12.9 %Athens, AL12.9Clay, AL: 11.9 %Clay, AL11.9Enterprise, AL: 11.8 %Enterprise, AL11.8Huntsville, AL: 11.8 %Huntsville, AL11.8Valley, AL: 11.7 %Valley, AL11.7Muscle Shoals, AL: 11.4 %Muscle Shoals, AL11.4Scottsboro, AL: 11.2 %Scottsboro, AL11.2Tuscaloosa, AL: 10.2 %Tuscaloosa, AL10.2Jasper, AL: 10 %Jasper, AL10Alabaster, AL: 9.8 %Alabaster, AL9.8Oxford, AL: 9.8 %Oxford, AL9.8Russellville, AL: 25.7 %Russellville, AL25.7Gadsden, AL: 25.6 %Gadsden, AL25.6Fort Payne, AL: 24.8 %Fort Payne, AL24.8Prichard, AL: 22.5 %Prichard, AL22.5Leeds, AL: 22.4 %Leeds, AL22.4Albertville, AL: 21.1 %Albertville, AL21.1Boaz, AL: 19 %Boaz, AL19Hueytown, AL: 18.1 %Hueytown, AL18.1Birmingham, AL: 17.7 %Birmingham, AL17.7Anniston, AL: 17.7 %Anniston, AL17.7Decatur, AL: 17.2 %Decatur, AL17.2Talladega, AL: 16.3 %Talladega, AL16.3Alexander City, AL: 15.8 %Alexander City, AL15.8Bessemer, AL: 15.4 %Bessemer, AL15.4Ozark, AL: 15.4 %Ozark, AL15.4Cullman, AL: 14.8 %Cullman, AL14.8Selma, AL: 14.8 %Selma, AL14.8Pell City, AL: 14.7 %Pell City, AL14.7Irondale, AL: 14.4 %Irondale, AL14.4Rainbow City, AL: 14 %Rainbow City, AL14Montgomery, AL: 14 %Montgomery, AL14Phenix City, AL: 14 %Phenix City, AL14Mobile, AL: 13.7 %Mobile, AL13.7Foley, AL: 13.5 %Foley, AL13.5Center Point, AL: 13.4 %Center Point, AL13.4Eufaula, AL: 13.4 %Eufaula, AL13.4Dothan, AL: 13.3 %Dothan, AL13.3Florence, AL: 13.1 %Florence, AL13.1Gulf Shores, AL: 13.1 %Gulf Shores, AL13.1Athens, AL: 12.9 %Athens, AL12.9Clay, AL: 11.9 %Clay, AL11.9Enterprise, AL: 11.8 %Enterprise, AL11.8Huntsville, AL: 11.8 %Huntsville, AL11.8Valley, AL: 11.7 %Valley, AL11.7Muscle Shoals, AL: 11.4 %Muscle Shoals, AL11.4Scottsboro, AL: 11.2 %Scottsboro, AL11.2Tuscaloosa, AL: 10.2 %Tuscaloosa, AL10.2Jasper, AL: 10 %Jasper, AL10Alabaster, AL: 9.8 %Alabaster, AL9.8Oxford, AL: 9.8 %Oxford, AL9.8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2024 (%)Change on 2023
1Russellville, AL25.7+5.1 pts
2Gadsden, AL25.6+1.6 pts
3Fort Payne, AL24.8+2.3 pts
4Prichard, AL22.5-1.3 pts
5Leeds, AL22.4+4.1 pts
6Albertville, AL21.1+0.4 pts
7Boaz, AL19+0.7 pts
8Hueytown, AL18.1-0.4 pts
9Birmingham, AL17.70 pts
10Anniston, AL17.7-0.1 pts
11Decatur, AL17.2+0.5 pts
12Talladega, AL16.3+0.7 pts
13Alexander City, AL15.8+2.7 pts
14Bessemer, AL15.40 pts
15Ozark, AL15.4+0.7 pts
16Cullman, AL14.8+0.8 pts
17Selma, AL14.80 pts
18Pell City, AL14.7-0.9 pts
19Irondale, AL14.4+1.7 pts
20Rainbow City, AL14+0.5 pts
21Montgomery, AL14-0.5 pts
21Phenix City, AL14-0 pts
23Mobile, AL13.7-0.1 pts
24Foley, AL13.5-2 pts
25Center Point, AL13.4+1.3 pts
26Eufaula, AL13.4-0.5 pts
27Dothan, AL13.3-1 pts
28Florence, AL13.1-0.6 pts
29Gulf Shores, AL13.1-2.3 pts
30Athens, AL12.9+0.6 pts
31Clay, AL11.9-0.9 pts
32Enterprise, AL11.8+2 pts
33Huntsville, AL11.8-0.1 pts
34Valley, AL11.7-1.8 pts
35Muscle Shoals, AL11.4+1.8 pts
36Scottsboro, AL11.2-3 pts
37Tuscaloosa, AL10.2-0.8 pts
38Jasper, AL10-0.3 pts
39Alabaster, AL9.80 pts
40Oxford, AL9.8-1.1 pts
41Gardendale, AL9.5+1.8 pts
42Jacksonville, AL9.2-3.7 pts
43Opelika, AL9.1-2 pts
44Calera, AL9.1+0.6 pts
45Saraland, AL8.9-0.2 pts
46Pelham, AL8.9+1.2 pts
47Hartselle, AL8.7+1.4 pts
48Daphne, AL8.6+2.8 pts
49Millbrook, AL8.6+0.9 pts
50Auburn, AL8.3+0.5 pts
51Moody, AL8+0.3 pts
52Troy, AL7.8-2.5 pts
53Fairhope, AL6.8+1 pts
54Northport, AL6.7+0.1 pts
55Chelsea, AL6.5-0 pts
56Sylacauga, AL5.7-4.3 pts
57Homewood, AL5.5+0.2 pts
58Hoover, AL5.1-0.9 pts
59Prattville, AL4.8-1 pts
60Madison, AL4.3-0.5 pts
61Vestavia Hills, AL4.1-0.7 pts
62Spanish Fort, AL4+0.8 pts
63Helena, AL3.9-1.9 pts
64Trussville, AL2.1-1.5 pts
65Pike Road, AL1.8-1.5 pts
66Mountain Brook, AL0.7-0.2 pts

Other periods

About this ranking

People aged 35 to 64 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 35 to 64. 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 cities 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more). 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (Cities in Alabama by uninsured rate, ages 35 to 64 (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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, ages 35 to 64 (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-35-64/alabama-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Cities in Alabama by uninsured rate, ages 35 to 64 (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-35-64/alabama-cities.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, ages 35 to 64 (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-35-64/alabama-cities (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, ages 35 to 64 (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-35-64/alabama-cities. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more). 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, ages 35 to 64 (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-35-64/alabama-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-cities.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more). 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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Rank Cities in Alabama by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_35_64","level":"municipality","within":"Alabama","limit":10}
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Questions

Which city has the highest uninsured rate, ages 35 to 64 (US, ACS)?

Russellville, AL, with 25.7% in 2024, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, ages 35 to 64 (US, ACS)?

Mountain Brook, AL, with 0.7% 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

Uninsured rate, ages 35 to 64 (US, ACS): other rankings

Cities in Alabama: more rankings