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

DeKalb County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 67 counties in 2022, at 21.4%. Coosa County had the lowest, at 7.5%. The median was 13.3% and the figure for Alabama was 12.6%. Source: the U.S. Census Bureau.

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Highest21.4DeKalb County
Lowest7.5Coosa County
Median13.367 counties
Alabama12.6History

Map of counties, 2022

Autauga County: 9.4 %Baldwin County: 11 %Barbour County: 13.3 %Bibb County: 9.5 %Blount County: 14.3 %Bullock County: 15.4 %Butler County: 14.3 %Calhoun County: 14.1 %Chambers County: 13.5 %Cherokee County: 13.3 %Chilton County: 14.6 %Choctaw County: 9.9 %Clarke County: 13.6 %Clay County: 11.7 %Cleburne County: 13.6 %Coffee County: 13 %Colbert County: 11.9 %Conecuh County: 12 %Coosa County: 7.5 %Covington County: 12.7 %Crenshaw County: 11.4 %Cullman County: 16.2 %Dale County: 13 %Dallas County: 14.7 %DeKalb County: 21.4 %Elmore County: 10.8 %Escambia County: 15.6 %Etowah County: 15.4 %Fayette County: 15.8 %Franklin County: 16.1 %Geneva County: 17.9 %Greene County: 16.5 %Hale County: 9.4 %Henry County: 12 %Houston County: 14.9 %Jackson County: 15.4 %Jefferson County: 12 %Lamar County: 10.5 %Lauderdale County: 12.8 %Lawrence County: 12.2 %Lee County: 11 %Limestone County: 10.5 %Lowndes County: 10.3 %Macon County: 14.7 %Madison County: 9.6 %Marengo County: 10 %Marion County: 15.3 %Marshall County: 17 %Mobile County: 15.5 %Monroe County: 16.1 %Montgomery County: 13.5 %Morgan County: 13.9 %Perry County: 14.5 %Pickens County: 10.6 %Pike County: 14.2 %Randolph County: 11.4 %Russell County: 14.4 %St. Clair County: 10.6 %Shelby County: 7.6 %Sumter County: 12.8 %Talladega County: 12.2 %Tallapoosa County: 13.2 %Tuscaloosa County: 9.7 %Walker County: 12.7 %Washington County: 14.3 %Wilcox County: 15.5 %Winston County: 15.7 %
  • Under 11
  • 11 to 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

DeKalb County: 21.4 %DeKalb County21.4Geneva County: 17.9 %Geneva County17.9Marshall County: 17 %Marshall County17Greene County: 16.5 %Greene County16.5Cullman County: 16.2 %Cullman County16.2Monroe County: 16.1 %Monroe County16.1Franklin County: 16.1 %Franklin County16.1Fayette County: 15.8 %Fayette County15.8Winston County: 15.7 %Winston County15.7Escambia County: 15.6 %Escambia County15.6Mobile County: 15.5 %Mobile County15.5Wilcox County: 15.5 %Wilcox County15.5Etowah County: 15.4 %Etowah County15.4Jackson County: 15.4 %Jackson County15.4Bullock County: 15.4 %Bullock County15.4Marion County: 15.3 %Marion County15.3Houston County: 14.9 %Houston County14.9Macon County: 14.7 %Macon County14.7Dallas County: 14.7 %Dallas County14.7Chilton County: 14.6 %Chilton County14.6Perry County: 14.5 %Perry County14.5Russell County: 14.4 %Russell County14.4Blount County: 14.3 %Blount County14.3Washington County: 14.3 %Washington County14.3Butler County: 14.3 %Butler County14.3Pike County: 14.2 %Pike County14.2Calhoun County: 14.1 %Calhoun County14.1Morgan County: 13.9 %Morgan County13.9Clarke County: 13.6 %Clarke County13.6Cleburne County: 13.6 %Cleburne County13.6Chambers County: 13.5 %Chambers County13.5Montgomery County: 13.5 %Montgomery County13.5Cherokee County: 13.3 %Cherokee County13.3Barbour County: 13.3 %Barbour County13.3Tallapoosa County: 13.2 %Tallapoosa County13.2Coffee County: 13 %Coffee County13Dale County: 13 %Dale County13Lauderdale County: 12.8 %Lauderdale County12.8Sumter County: 12.8 %Sumter County12.8Covington County: 12.7 %Covington County12.7DeKalb County: 21.4 %DeKalb County21.4Geneva County: 17.9 %Geneva County17.9Marshall County: 17 %Marshall County17Greene County: 16.5 %Greene County16.5Cullman County: 16.2 %Cullman County16.2Monroe County: 16.1 %Monroe County16.1Franklin County: 16.1 %Franklin County16.1Fayette County: 15.8 %Fayette County15.8Winston County: 15.7 %Winston County15.7Escambia County: 15.6 %Escambia County15.6Mobile County: 15.5 %Mobile County15.5Wilcox County: 15.5 %Wilcox County15.5Etowah County: 15.4 %Etowah County15.4Jackson County: 15.4 %Jackson County15.4Bullock County: 15.4 %Bullock County15.4Marion County: 15.3 %Marion County15.3Houston County: 14.9 %Houston County14.9Macon County: 14.7 %Macon County14.7Dallas County: 14.7 %Dallas County14.7Chilton County: 14.6 %Chilton County14.6Perry County: 14.5 %Perry County14.5Russell County: 14.4 %Russell County14.4Blount County: 14.3 %Blount County14.3Washington County: 14.3 %Washington County14.3Butler County: 14.3 %Butler County14.3Pike County: 14.2 %Pike County14.2Calhoun County: 14.1 %Calhoun County14.1Morgan County: 13.9 %Morgan County13.9Clarke County: 13.6 %Clarke County13.6Cleburne County: 13.6 %Cleburne County13.6Chambers County: 13.5 %Chambers County13.5Montgomery County: 13.5 %Montgomery County13.5Cherokee County: 13.3 %Cherokee County13.3Barbour County: 13.3 %Barbour County13.3Tallapoosa County: 13.2 %Tallapoosa County13.2Coffee County: 13 %Coffee County13Dale County: 13 %Dale County13Lauderdale County: 12.8 %Lauderdale County12.8Sumter County: 12.8 %Sumter County12.8Covington County: 12.7 %Covington County12.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1DeKalb County21.4+0.1 pts
2Geneva County17.9+0.1 pts
3Marshall County17-1 pts
4Greene County16.5-2.8 pts
5Cullman County16.2-0 pts
6Monroe County16.1-2.4 pts
7Franklin County16.1+0.8 pts
8Fayette County15.8+0.4 pts
9Winston County15.7+0.5 pts
10Escambia County15.6-0.1 pts
11Mobile County15.5+0.2 pts
12Wilcox County15.5+2 pts
13Etowah County15.4-0.6 pts
14Jackson County15.4+1.3 pts
15Bullock County15.4+4.8 pts
16Marion County15.3-0.3 pts
17Houston County14.9-0 pts
18Macon County14.7+2.4 pts
19Dallas County14.7-0.3 pts
20Chilton County14.6+0.2 pts
21Perry County14.5+0.4 pts
22Russell County14.4+0.9 pts
23Blount County14.3+0.3 pts
23Washington County14.3-3.3 pts
25Butler County14.3-2.8 pts
26Pike County14.2+0.6 pts
27Calhoun County14.1-0.4 pts
28Morgan County13.9+0.4 pts
29Clarke County13.6+0.3 pts
30Cleburne County13.6-1 pts
31Chambers County13.5+0.8 pts
32Montgomery County13.5+0.2 pts
33Cherokee County13.3+0.1 pts
34Barbour County13.3+0.1 pts
35Tallapoosa County13.2+0.7 pts
36Coffee County13+0.5 pts
37Dale County13-1 pts
38Lauderdale County12.8-0.1 pts
39Sumter County12.8-0.7 pts
40Covington County12.7-1.2 pts
41Walker County12.7-1.1 pts
42Talladega County12.2+0.5 pts
43Lawrence County12.2+0.4 pts
44Jefferson County12+0.1 pts
45Conecuh County12-1.6 pts
45Henry County12+0.3 pts
47Colbert County11.9+2.2 pts
48Clay County11.7+0.8 pts
49Crenshaw County11.4+1 pts
50Randolph County11.4-2.5 pts
51Baldwin County11-0.5 pts
52Lee County11+0.6 pts
53Elmore County10.8-0.6 pts
54Pickens County10.6+0.1 pts
55St. Clair County10.6-0.8 pts
56Limestone County10.5+0.2 pts
57Lamar County10.5+2.4 pts
58Lowndes County10.3-2.7 pts
59Marengo County10-1.4 pts
60Choctaw County9.9-3.4 pts
61Tuscaloosa County9.7-0 pts
62Madison County9.6-0.1 pts
63Bibb County9.5-3.4 pts
64Autauga County9.4-0.8 pts
64Hale County9.4-0.6 pts
66Shelby County7.6-0.6 pts
67Coosa County7.5-1.3 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties?period=2022. 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties?period=2022.
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/2022/table-based-SF/data/5YRData/acsdt5y2022-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 21.4% in 2022, according to the U.S. Census Bureau.

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

Coosa County, with 7.5% in 2022.

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