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

Santa Barbara County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 58 counties in 2024, at 12.9%. Alpine County had the lowest, at 3%. The median was 8% and the figure for California was 8.6%. Source: the U.S. Census Bureau.

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Median858 counties
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Map of counties, 2024

Alameda County: 4.5 %Alpine County: 3 %Amador County: 7.6 %Butte County: 8.1 %Calaveras County: 7.6 %Colusa County: 9.5 %Contra Costa County: 5.4 %Del Norte County: 7.4 %El Dorado County: 5.2 %Fresno County: 8.8 %Glenn County: 10.5 %Humboldt County: 6.3 %Imperial County: 10.1 %Inyo County: 8.3 %Kern County: 11.2 %Kings County: 9.8 %Lake County: 8.6 %Lassen County: 7.6 %Los Angeles County: 10.8 %Madera County: 10.8 %Marin County: 5.1 %Mariposa County: 7.3 %Mendocino County: 11.1 %Merced County: 11.4 %Modoc County: 7.7 %Mono County: 11.8 %Monterey County: 12.6 %Napa County: 7.6 %Nevada County: 8.1 %Orange County: 8.5 %Placer County: 3.5 %Plumas County: 10.9 %Riverside County: 10.4 %Sacramento County: 5.9 %San Benito County: 8.6 %San Bernardino County: 10.9 %San Diego County: 8.1 %San Francisco County: 4.1 %San Joaquin County: 7.8 %San Luis Obispo County: 8 %San Mateo County: 4.3 %Santa Barbara County: 12.9 %Santa Clara County: 4.8 %Santa Cruz County: 6.7 %Shasta County: 7.6 %Sierra County: 7.7 %Siskiyou County: 8.6 %Solano County: 5.5 %Sonoma County: 7.3 %Stanislaus County: 7.9 %Sutter County: 8.7 %Tehama County: 9.5 %Trinity County: 11.9 %Tulare County: 12.2 %Tuolumne County: 7.4 %Ventura County: 10 %Yolo County: 5.9 %Yuba County: 7.7 %
  • Under 5.7
  • 5.7 to 7.6
  • 7.6 to 8
  • 8 to 8.8
  • 8.8 to 11
  • 11 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2024

Santa Barbara County: 12.9 %Santa Barbara County12.9Monterey County: 12.6 %Monterey County12.6Tulare County: 12.2 %Tulare County12.2Trinity County: 11.9 %Trinity County11.9Mono County: 11.8 %Mono County11.8Merced County: 11.4 %Merced County11.4Kern County: 11.2 %Kern County11.2Mendocino County: 11.1 %Mendocino County11.1San Bernardino County: 10.9 %San Bernardino County10.9Plumas County: 10.9 %Plumas County10.9Los Angeles County: 10.8 %Los Angeles County10.8Madera County: 10.8 %Madera County10.8Glenn County: 10.5 %Glenn County10.5Riverside County: 10.4 %Riverside County10.4Imperial County: 10.1 %Imperial County10.1Ventura County: 10 %Ventura County10Kings County: 9.8 %Kings County9.8Tehama County: 9.5 %Tehama County9.5Colusa County: 9.5 %Colusa County9.5Fresno County: 8.8 %Fresno County8.8Sutter County: 8.7 %Sutter County8.7San Benito County: 8.6 %San Benito County8.6Siskiyou County: 8.6 %Siskiyou County8.6Lake County: 8.6 %Lake County8.6Orange County: 8.5 %Orange County8.5Inyo County: 8.3 %Inyo County8.3San Diego County: 8.1 %San Diego County8.1Butte County: 8.1 %Butte County8.1Nevada County: 8.1 %Nevada County8.1San Luis Obispo County: 8 %San Luis Obispo County8Stanislaus County: 7.9 %Stanislaus County7.9San Joaquin County: 7.8 %San Joaquin County7.8Modoc County: 7.7 %Modoc County7.7Sierra County: 7.7 %Sierra County7.7Yuba County: 7.7 %Yuba County7.7Shasta County: 7.6 %Shasta County7.6Lassen County: 7.6 %Lassen County7.6Napa County: 7.6 %Napa County7.6Amador County: 7.6 %Amador County7.6Calaveras County: 7.6 %Calaveras County7.6Del Norte County: 7.4 %Del Norte County7.4Tuolumne County: 7.4 %Tuolumne County7.4Sonoma County: 7.3 %Sonoma County7.3Mariposa County: 7.3 %Mariposa County7.3Santa Cruz County: 6.7 %Santa Cruz County6.7Humboldt County: 6.3 %Humboldt County6.3Sacramento County: 5.9 %Sacramento County5.9Yolo County: 5.9 %Yolo County5.9Solano County: 5.5 %Solano County5.5Contra Costa County: 5.4 %Contra Costa County5.4El Dorado County: 5.2 %El Dorado County5.2Marin County: 5.1 %Marin County5.1Santa Clara County: 4.8 %Santa Clara County4.8Alameda County: 4.5 %Alameda County4.5San Mateo County: 4.3 %San Mateo County4.3San Francisco County: 4.1 %San Francisco County4.1Placer County: 3.5 %Placer County3.5Alpine County: 3 %Alpine County3Santa Barbara County: 12.9 %Santa Barbara County12.9Monterey County: 12.6 %Monterey County12.6Tulare County: 12.2 %Tulare County12.2Trinity County: 11.9 %Trinity County11.9Mono County: 11.8 %Mono County11.8Merced County: 11.4 %Merced County11.4Kern County: 11.2 %Kern County11.2Mendocino County: 11.1 %Mendocino County11.1San Bernardino County: 10.9 %San Bernardino County10.9Plumas County: 10.9 %Plumas County10.9Los Angeles County: 10.8 %Los Angeles County10.8Madera County: 10.8 %Madera County10.8Glenn County: 10.5 %Glenn County10.5Riverside County: 10.4 %Riverside County10.4Imperial County: 10.1 %Imperial County10.1Ventura County: 10 %Ventura County10Kings County: 9.8 %Kings County9.8Tehama County: 9.5 %Tehama County9.5Colusa County: 9.5 %Colusa County9.5Fresno County: 8.8 %Fresno County8.8Sutter County: 8.7 %Sutter County8.7San Benito County: 8.6 %San Benito County8.6Siskiyou County: 8.6 %Siskiyou County8.6Lake County: 8.6 %Lake County8.6Orange County: 8.5 %Orange County8.5Inyo County: 8.3 %Inyo County8.3San Diego County: 8.1 %San Diego County8.1Butte County: 8.1 %Butte County8.1Nevada County: 8.1 %Nevada County8.1San Luis Obispo County: 8 %San Luis Obispo County8Stanislaus County: 7.9 %Stanislaus County7.9San Joaquin County: 7.8 %San Joaquin County7.8Modoc County: 7.7 %Modoc County7.7Sierra County: 7.7 %Sierra County7.7Yuba County: 7.7 %Yuba County7.7Shasta County: 7.6 %Shasta County7.6Lassen County: 7.6 %Lassen County7.6Napa County: 7.6 %Napa County7.6Amador County: 7.6 %Amador County7.6Calaveras County: 7.6 %Calaveras County7.6Del Norte County: 7.4 %Del Norte County7.4Tuolumne County: 7.4 %Tuolumne County7.4Sonoma County: 7.3 %Sonoma County7.3Mariposa County: 7.3 %Mariposa County7.3Santa Cruz County: 6.7 %Santa Cruz County6.7Humboldt County: 6.3 %Humboldt County6.3Sacramento County: 5.9 %Sacramento County5.9Yolo County: 5.9 %Yolo County5.9Solano County: 5.5 %Solano County5.5Contra Costa County: 5.4 %Contra Costa County5.4El Dorado County: 5.2 %El Dorado County5.2Marin County: 5.1 %Marin County5.1Santa Clara County: 4.8 %Santa Clara County4.8Alameda County: 4.5 %Alameda County4.5San Mateo County: 4.3 %San Mateo County4.3San Francisco County: 4.1 %San Francisco County4.1Placer County: 3.5 %Placer County3.5Alpine County: 3 %Alpine County3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Santa Barbara County12.9-1.3 pts
2Monterey County12.6-1.3 pts
3Tulare County12.20 pts
4Trinity County11.9-5 pts
5Mono County11.8-2.8 pts
6Merced County11.4-0.9 pts
7Kern County11.2-0.1 pts
8Mendocino County11.1-0.8 pts
9San Bernardino County10.9-0.5 pts
10Plumas County10.9+1.2 pts
11Los Angeles County10.8-0.7 pts
12Madera County10.8-0 pts
13Glenn County10.5+0.9 pts
14Riverside County10.4-0.5 pts
15Imperial County10.1-1.1 pts
16Ventura County10-1 pts
17Kings County9.8+0.1 pts
18Tehama County9.5+0.9 pts
19Colusa County9.5-3.3 pts
20Fresno County8.8-0.7 pts
21Sutter County8.7+0.4 pts
22San Benito County8.6-0.4 pts
23Siskiyou County8.6-0.3 pts
24Lake County8.6+0.5 pts
25Orange County8.5-0.5 pts
26Inyo County8.3-0.5 pts
27San Diego County8.1-0.5 pts
28Butte County8.1+0.3 pts
28Nevada County8.1+0.4 pts
30San Luis Obispo County8-0.1 pts
31Stanislaus County7.9-0.6 pts
32San Joaquin County7.8-0.6 pts
33Modoc County7.7-3.4 pts
34Sierra County7.7+0.7 pts
35Yuba County7.7-0.4 pts
36Shasta County7.6-0.1 pts
37Lassen County7.60 pts
37Napa County7.6+0.3 pts
39Amador County7.6-0.7 pts
39Calaveras County7.6-0.9 pts
41Del Norte County7.4-0.2 pts
42Tuolumne County7.4-0.6 pts
43Sonoma County7.3-0.3 pts
44Mariposa County7.3-3.6 pts
45Santa Cruz County6.7-0.5 pts
46Humboldt County6.3-1.3 pts
47Sacramento County5.9-0.3 pts
48Yolo County5.9-0 pts
49Solano County5.5-0.2 pts
50Contra Costa County5.4-0.2 pts
51El Dorado County5.2+0.3 pts
52Marin County5.1+0.2 pts
53Santa Clara County4.8-0.1 pts
54Alameda County4.5-0.2 pts
55San Mateo County4.3-0.2 pts
56San Francisco County4.1-0 pts
57Placer County3.5-0.1 pts
58Alpine County3-3.1 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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_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 California 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/california-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 California 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/california-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/california-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 California 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)?

Santa Barbara County, with 12.9% in 2024, according to the U.S. Census Bureau.

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

Alpine County, with 3% 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 California: more rankings