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

DeKalb County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 67 counties in 2024, at 24%. Lowndes County had the lowest, at 6.8%. The median was 11.8% and the figure for Alabama was 12.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest24DeKalb County
Median11.867 counties
Alabama12.2History

Map of counties, 2024

Autauga County: 7.8 %Baldwin County: 9.8 %Barbour County: 11.6 %Bibb County: 10.2 %Blount County: 13.6 %Bullock County: 20.1 %Butler County: 17.3 %Calhoun County: 13.3 %Chambers County: 12.4 %Cherokee County: 9.5 %Chilton County: 15.3 %Choctaw County: 8.9 %Clarke County: 11.6 %Clay County: 9.6 %Cleburne County: 11.8 %Coffee County: 13.5 %Colbert County: 11 %Conecuh County: 10.1 %Coosa County: 10 %Covington County: 13.9 %Crenshaw County: 10.1 %Cullman County: 15.8 %Dale County: 14.4 %Dallas County: 14.1 %DeKalb County: 24 %Elmore County: 10.2 %Escambia County: 14 %Etowah County: 15.6 %Fayette County: 14.1 %Franklin County: 16.9 %Geneva County: 18.6 %Greene County: 12.3 %Hale County: 8.6 %Henry County: 8 %Houston County: 14.1 %Jackson County: 14.2 %Jefferson County: 12.3 %Lamar County: 10.1 %Lauderdale County: 10.9 %Lawrence County: 9.5 %Lee County: 11.1 %Limestone County: 10.5 %Lowndes County: 6.8 %Macon County: 15 %Madison County: 9.9 %Marengo County: 10.3 %Marion County: 16.6 %Marshall County: 17.9 %Mobile County: 14.6 %Monroe County: 13.7 %Montgomery County: 13 %Morgan County: 14.3 %Perry County: 9.7 %Pickens County: 11.5 %Pike County: 10.5 %Randolph County: 14.3 %Russell County: 13.2 %St. Clair County: 10.2 %Shelby County: 7.7 %Sumter County: 9.7 %Talladega County: 11.3 %Tallapoosa County: 12.5 %Tuscaloosa County: 9.2 %Walker County: 11.7 %Washington County: 11.1 %Wilcox County: 12.2 %Winston County: 13 %
  • Under 9.7
  • 9.7 to 11
  • 11 to 12
  • 12 to 14
  • 14 to 15
  • 15 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

DeKalb County: 24 %DeKalb County24Bullock County: 20.1 %Bullock County20.1Geneva County: 18.6 %Geneva County18.6Marshall County: 17.9 %Marshall County17.9Butler County: 17.3 %Butler County17.3Franklin County: 16.9 %Franklin County16.9Marion County: 16.6 %Marion County16.6Cullman County: 15.8 %Cullman County15.8Etowah County: 15.6 %Etowah County15.6Chilton County: 15.3 %Chilton County15.3Macon County: 15 %Macon County15Mobile County: 14.6 %Mobile County14.6Dale County: 14.4 %Dale County14.4Morgan County: 14.3 %Morgan County14.3Randolph County: 14.3 %Randolph County14.3Jackson County: 14.2 %Jackson County14.2Dallas County: 14.1 %Dallas County14.1Fayette County: 14.1 %Fayette County14.1Houston County: 14.1 %Houston County14.1Escambia County: 14 %Escambia County14Covington County: 13.9 %Covington County13.9Monroe County: 13.7 %Monroe County13.7Blount County: 13.6 %Blount County13.6Coffee County: 13.5 %Coffee County13.5Calhoun County: 13.3 %Calhoun County13.3Russell County: 13.2 %Russell County13.2Winston County: 13 %Winston County13Montgomery County: 13 %Montgomery County13Tallapoosa County: 12.5 %Tallapoosa County12.5Chambers County: 12.4 %Chambers County12.4Greene County: 12.3 %Greene County12.3Jefferson County: 12.3 %Jefferson County12.3Wilcox County: 12.2 %Wilcox County12.2Cleburne County: 11.8 %Cleburne County11.8Walker County: 11.7 %Walker County11.7Barbour County: 11.6 %Barbour County11.6Clarke County: 11.6 %Clarke County11.6Pickens County: 11.5 %Pickens County11.5Talladega County: 11.3 %Talladega County11.3Washington County: 11.1 %Washington County11.1DeKalb County: 24 %DeKalb County24Bullock County: 20.1 %Bullock County20.1Geneva County: 18.6 %Geneva County18.6Marshall County: 17.9 %Marshall County17.9Butler County: 17.3 %Butler County17.3Franklin County: 16.9 %Franklin County16.9Marion County: 16.6 %Marion County16.6Cullman County: 15.8 %Cullman County15.8Etowah County: 15.6 %Etowah County15.6Chilton County: 15.3 %Chilton County15.3Macon County: 15 %Macon County15Mobile County: 14.6 %Mobile County14.6Dale County: 14.4 %Dale County14.4Morgan County: 14.3 %Morgan County14.3Randolph County: 14.3 %Randolph County14.3Jackson County: 14.2 %Jackson County14.2Dallas County: 14.1 %Dallas County14.1Fayette County: 14.1 %Fayette County14.1Houston County: 14.1 %Houston County14.1Escambia County: 14 %Escambia County14Covington County: 13.9 %Covington County13.9Monroe County: 13.7 %Monroe County13.7Blount County: 13.6 %Blount County13.6Coffee County: 13.5 %Coffee County13.5Calhoun County: 13.3 %Calhoun County13.3Russell County: 13.2 %Russell County13.2Winston County: 13 %Winston County13Montgomery County: 13 %Montgomery County13Tallapoosa County: 12.5 %Tallapoosa County12.5Chambers County: 12.4 %Chambers County12.4Greene County: 12.3 %Greene County12.3Jefferson County: 12.3 %Jefferson County12.3Wilcox County: 12.2 %Wilcox County12.2Cleburne County: 11.8 %Cleburne County11.8Walker County: 11.7 %Walker County11.7Barbour County: 11.6 %Barbour County11.6Clarke County: 11.6 %Clarke County11.6Pickens County: 11.5 %Pickens County11.5Talladega County: 11.3 %Talladega County11.3Washington County: 11.1 %Washington County11.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1DeKalb County24+0.9 pts
2Bullock County20.1+2.5 pts
3Geneva County18.6-0.9 pts
4Marshall County17.9+0.7 pts
5Butler County17.3+1.4 pts
6Franklin County16.9+2 pts
7Marion County16.6+1.7 pts
8Cullman County15.8-0.6 pts
9Etowah County15.6-0.2 pts
10Chilton County15.3+1.5 pts
11Macon County15+1.8 pts
12Mobile County14.6-0.4 pts
13Dale County14.4-0.4 pts
14Morgan County14.3-0.8 pts
15Randolph County14.3+0.6 pts
16Jackson County14.2-0.8 pts
17Dallas County14.1+0.4 pts
18Fayette County14.1+1.9 pts
18Houston County14.1-1 pts
20Escambia County14-1 pts
21Covington County13.9-0.8 pts
22Monroe County13.7-3.2 pts
23Blount County13.6-1.2 pts
24Coffee County13.5+0.8 pts
25Calhoun County13.3-1.5 pts
26Russell County13.2-0.4 pts
27Winston County13-0.6 pts
28Montgomery County13-0.4 pts
29Tallapoosa County12.5+0.1 pts
30Chambers County12.4-2.8 pts
31Greene County12.3-2.2 pts
32Jefferson County12.3-0.1 pts
33Wilcox County12.2-1.8 pts
34Cleburne County11.8-2.7 pts
35Walker County11.7-1.8 pts
36Barbour County11.6-1.1 pts
36Clarke County11.6-0.9 pts
38Pickens County11.5-0 pts
39Talladega County11.3-0.5 pts
40Washington County11.1-1.2 pts
41Lee County11.1-0.1 pts
42Colbert County11-0.5 pts
43Lauderdale County10.9-1.8 pts
44Limestone County10.5-0.1 pts
45Pike County10.5-1.6 pts
46Marengo County10.3+1.1 pts
47Elmore County10.2+0.1 pts
48St. Clair County10.2+0.2 pts
49Bibb County10.2-0.4 pts
50Lamar County10.1-3.4 pts
51Conecuh County10.10 pts
52Crenshaw County10.1-0.4 pts
53Coosa County10-1.1 pts
54Madison County9.9+0.3 pts
55Baldwin County9.8+0.2 pts
56Perry County9.7-4.4 pts
57Sumter County9.7-2.8 pts
58Clay County9.6-2 pts
59Cherokee County9.5-1.3 pts
60Lawrence County9.5-1.8 pts
61Tuscaloosa County9.2-0.7 pts
62Choctaw County8.9+0.1 pts
63Hale County8.6+0.6 pts
64Henry County8-0.9 pts
65Autauga County7.8-0.4 pts
66Shelby County7.7-0.2 pts
67Lowndes County6.8-1.1 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 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, 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 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs (Counties 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, Counties 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-counties. 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. Counties 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-counties.

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, Counties 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-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_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: Counties 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-counties. 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. 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: Counties 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-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties.
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. 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 Counties in Alabama by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
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Questions

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

DeKalb County, with 24% in 2024, according to the U.S. Census Bureau.

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

Lowndes County, with 6.8% 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. Retrieved 2026-10-12.

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

Counties in Alabama: more rankings