Data / Rankings / Uninsured rate, ages 35 to 64 (US, ACS) / Counties in Alabama

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 2023, at 23.1%. Lowndes County had the lowest, at 7.8%. The median was 12.7% and the figure for Alabama was 12.5%. Source: the U.S. Census Bureau.

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Highest23.1DeKalb County
Lowest7.8Lowndes County
Median12.767 counties
Alabama12.5History

Map of counties, 2023

Autauga County: 8.2 %Baldwin County: 9.6 %Barbour County: 12.7 %Bibb County: 10.6 %Blount County: 14.8 %Bullock County: 17.6 %Butler County: 15.9 %Calhoun County: 14.8 %Chambers County: 15.2 %Cherokee County: 10.8 %Chilton County: 13.8 %Choctaw County: 8.8 %Clarke County: 12.5 %Clay County: 11.6 %Cleburne County: 14.5 %Coffee County: 12.7 %Colbert County: 11.5 %Conecuh County: 10 %Coosa County: 11.1 %Covington County: 14.7 %Crenshaw County: 10.5 %Cullman County: 16.4 %Dale County: 14.8 %Dallas County: 13.8 %DeKalb County: 23.1 %Elmore County: 10.2 %Escambia County: 15 %Etowah County: 15.8 %Fayette County: 12.1 %Franklin County: 15 %Geneva County: 19.5 %Greene County: 14.5 %Hale County: 8 %Henry County: 8.9 %Houston County: 15 %Jackson County: 15 %Jefferson County: 12.3 %Lamar County: 13.6 %Lauderdale County: 12.7 %Lawrence County: 11.3 %Lee County: 11.3 %Limestone County: 10.6 %Lowndes County: 7.8 %Macon County: 13.2 %Madison County: 9.6 %Marengo County: 9.2 %Marion County: 14.9 %Marshall County: 17.2 %Mobile County: 15 %Monroe County: 16.9 %Montgomery County: 13.4 %Morgan County: 15.1 %Perry County: 14.1 %Pickens County: 11.5 %Pike County: 12.1 %Randolph County: 13.7 %Russell County: 13.7 %St. Clair County: 10 %Shelby County: 7.9 %Sumter County: 12.4 %Talladega County: 11.8 %Tallapoosa County: 12.4 %Tuscaloosa County: 9.9 %Walker County: 13.6 %Washington County: 12.4 %Wilcox County: 14 %Winston County: 13.6 %
  • Under 10
  • 10 to 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 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

DeKalb County: 23.1 %DeKalb County23.1Geneva County: 19.5 %Geneva County19.5Bullock County: 17.6 %Bullock County17.6Marshall County: 17.2 %Marshall County17.2Monroe County: 16.9 %Monroe County16.9Cullman County: 16.4 %Cullman County16.4Butler County: 15.9 %Butler County15.9Etowah County: 15.8 %Etowah County15.8Chambers County: 15.2 %Chambers County15.2Morgan County: 15.1 %Morgan County15.1Mobile County: 15 %Mobile County15Jackson County: 15 %Jackson County15Houston County: 15 %Houston County15Escambia County: 15 %Escambia County15Franklin County: 15 %Franklin County15Marion County: 14.9 %Marion County14.9Calhoun County: 14.8 %Calhoun County14.8Dale County: 14.8 %Dale County14.8Blount County: 14.8 %Blount County14.8Covington County: 14.7 %Covington County14.7Greene County: 14.5 %Greene County14.5Cleburne County: 14.5 %Cleburne County14.5Perry County: 14.1 %Perry County14.1Wilcox County: 14 %Wilcox County14Chilton County: 13.8 %Chilton County13.8Dallas County: 13.8 %Dallas County13.8Randolph County: 13.7 %Randolph County13.7Russell County: 13.7 %Russell County13.7Lamar County: 13.6 %Lamar County13.6Winston County: 13.6 %Winston County13.6Walker County: 13.6 %Walker County13.6Montgomery County: 13.4 %Montgomery County13.4Macon County: 13.2 %Macon County13.2Barbour County: 12.7 %Barbour County12.7Lauderdale County: 12.7 %Lauderdale County12.7Coffee County: 12.7 %Coffee County12.7Clarke County: 12.5 %Clarke County12.5Sumter County: 12.4 %Sumter County12.4Tallapoosa County: 12.4 %Tallapoosa County12.4Washington County: 12.4 %Washington County12.4DeKalb County: 23.1 %DeKalb County23.1Geneva County: 19.5 %Geneva County19.5Bullock County: 17.6 %Bullock County17.6Marshall County: 17.2 %Marshall County17.2Monroe County: 16.9 %Monroe County16.9Cullman County: 16.4 %Cullman County16.4Butler County: 15.9 %Butler County15.9Etowah County: 15.8 %Etowah County15.8Chambers County: 15.2 %Chambers County15.2Morgan County: 15.1 %Morgan County15.1Mobile County: 15 %Mobile County15Jackson County: 15 %Jackson County15Houston County: 15 %Houston County15Escambia County: 15 %Escambia County15Franklin County: 15 %Franklin County15Marion County: 14.9 %Marion County14.9Calhoun County: 14.8 %Calhoun County14.8Dale County: 14.8 %Dale County14.8Blount County: 14.8 %Blount County14.8Covington County: 14.7 %Covington County14.7Greene County: 14.5 %Greene County14.5Cleburne County: 14.5 %Cleburne County14.5Perry County: 14.1 %Perry County14.1Wilcox County: 14 %Wilcox County14Chilton County: 13.8 %Chilton County13.8Dallas County: 13.8 %Dallas County13.8Randolph County: 13.7 %Randolph County13.7Russell County: 13.7 %Russell County13.7Lamar County: 13.6 %Lamar County13.6Winston County: 13.6 %Winston County13.6Walker County: 13.6 %Walker County13.6Montgomery County: 13.4 %Montgomery County13.4Macon County: 13.2 %Macon County13.2Barbour County: 12.7 %Barbour County12.7Lauderdale County: 12.7 %Lauderdale County12.7Coffee County: 12.7 %Coffee County12.7Clarke County: 12.5 %Clarke County12.5Sumter County: 12.4 %Sumter County12.4Tallapoosa County: 12.4 %Tallapoosa County12.4Washington County: 12.4 %Washington County12.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1DeKalb County23.1+1.7 pts
2Geneva County19.5+1.5 pts
3Bullock County17.6+2.2 pts
4Marshall County17.2+0.2 pts
5Monroe County16.9+0.8 pts
6Cullman County16.4+0.2 pts
7Butler County15.9+1.6 pts
8Etowah County15.8+0.3 pts
9Chambers County15.2+1.7 pts
10Morgan County15.1+1.2 pts
11Mobile County15-0.5 pts
12Jackson County15-0.4 pts
13Houston County15+0.1 pts
14Escambia County15-0.6 pts
15Franklin County15-1.1 pts
16Marion County14.9-0.4 pts
17Calhoun County14.8+0.7 pts
18Dale County14.8+1.8 pts
19Blount County14.8+0.4 pts
20Covington County14.7+1.9 pts
21Greene County14.5-2 pts
22Cleburne County14.5+0.9 pts
23Perry County14.1-0.4 pts
24Wilcox County14-1.5 pts
25Chilton County13.8-0.8 pts
26Dallas County13.8-0.9 pts
27Randolph County13.7+2.3 pts
28Russell County13.7-0.8 pts
29Lamar County13.6+3.1 pts
30Winston County13.6-2.1 pts
31Walker County13.6+0.9 pts
32Montgomery County13.4-0.1 pts
33Macon County13.2-1.6 pts
34Barbour County12.7-0.5 pts
34Lauderdale County12.7-0.1 pts
36Coffee County12.7-0.3 pts
37Clarke County12.5-1.1 pts
38Sumter County12.4-0.4 pts
39Tallapoosa County12.4-0.8 pts
40Washington County12.4-2 pts
41Jefferson County12.3+0.3 pts
42Pike County12.1-2 pts
43Fayette County12.1-3.6 pts
44Talladega County11.8-0.4 pts
45Clay County11.6-0.1 pts
46Colbert County11.5-0.4 pts
46Pickens County11.5+0.9 pts
48Lee County11.3+0.3 pts
49Lawrence County11.3-0.9 pts
50Coosa County11.1+3.5 pts
51Cherokee County10.8-2.5 pts
52Bibb County10.6+1.1 pts
52Limestone County10.60 pts
54Crenshaw County10.5-0.9 pts
55Elmore County10.2-0.7 pts
56Conecuh County10-1.9 pts
56St. Clair County10-0.6 pts
58Tuscaloosa County9.9+0.2 pts
59Baldwin County9.6-1.4 pts
59Madison County9.6+0.1 pts
61Marengo County9.2-0.8 pts
62Henry County8.9-3.1 pts
63Choctaw County8.8-1.1 pts
64Autauga County8.2-1.2 pts
65Hale County8-1.4 pts
66Shelby County7.9+0.3 pts
67Lowndes County7.8-2.5 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/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 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), 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 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), 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-35-64/alabama-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 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), 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-35-64/alabama-counties?period=2023.

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), 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-35-64/alabama-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2023,
  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), 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-35-64/alabama-counties?period=2023. 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/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 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), 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-35-64/alabama-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/alabama-counties?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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 23.1% in 2023, according to the U.S. Census Bureau.

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

Lowndes County, with 7.8% 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 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