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

Scotland County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 115 counties in 2024, at 36.1%. Osage County had the lowest, at 5%. The median was 13.4% and the figure for Missouri was 10.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest36.1Scotland County
Median13.4115 counties
Missouri10.7History

Map of counties, 2024

Adair County: 10.7 %Andrew County: 7 %Atchison County: 13.4 %Audrain County: 13.2 %Barry County: 15.6 %Barton County: 13.8 %Bates County: 17.9 %Benton County: 13.9 %Bollinger County: 10.2 %Boone County: 7.4 %Buchanan County: 13.8 %Butler County: 17.6 %Caldwell County: 12.4 %Callaway County: 13.2 %Camden County: 14.8 %Cape Girardeau County: 8.7 %Carroll County: 10.5 %Carter County: 23.7 %Cass County: 8.7 %Cedar County: 15.8 %Chariton County: 8.5 %Christian County: 9.7 %Clark County: 20.1 %Clay County: 9.1 %Clinton County: 10.6 %Cole County: 7.3 %Cooper County: 8.3 %Crawford County: 14.5 %Dade County: 13.4 %Dallas County: 20 %Daviess County: 17.6 %DeKalb County: 9.5 %Dent County: 20.1 %Douglas County: 16.4 %Dunklin County: 19.8 %Franklin County: 9.7 %Gasconade County: 7.2 %Gentry County: 16.2 %Greene County: 11.5 %Grundy County: 21.2 %Harrison County: 16.7 %Henry County: 14 %Hickory County: 19.5 %Holt County: 14.5 %Howard County: 9 %Howell County: 14.1 %Iron County: 15.2 %Jackson County: 13.1 %Jasper County: 15.7 %Jefferson County: 8.4 %Johnson County: 12.1 %Knox County: 24.3 %Laclede County: 17.7 %Lafayette County: 9.4 %Lawrence County: 18.9 %Lewis County: 17.7 %Lincoln County: 7.9 %Linn County: 9.8 %Livingston County: 11 %McDonald County: 26.3 %Macon County: 12.8 %Madison County: 10.2 %Maries County: 5.6 %Marion County: 11.5 %Mercer County: 8 %Miller County: 14 %Mississippi County: 14.5 %Moniteau County: 17.5 %Monroe County: 12.1 %Montgomery County: 13.9 %Morgan County: 25.2 %New Madrid County: 18 %Newton County: 16.1 %Nodaway County: 7.2 %Oregon County: 21.2 %Osage County: 5 %Ozark County: 19.6 %Pemiscot County: 18.5 %Perry County: 7.2 %Pettis County: 16 %Phelps County: 11.5 %Pike County: 14.4 %Platte County: 6.2 %Polk County: 14.4 %Pulaski County: 10.8 %Putnam County: 7.4 %Ralls County: 7 %Randolph County: 9.7 %Ray County: 9.9 %Reynolds County: 19.5 %Ripley County: 27.2 %St. Charles County: 5.2 %St. Clair County: 17.8 %Ste. Genevieve County: 5.8 %St. Francois County: 12.9 %St. Louis County: 6.7 %Saline County: 9.1 %Schuyler County: 14.8 %Scotland County: 36.1 %Scott County: 12.7 %Shannon County: 13.4 %Shelby County: 15.7 %Stoddard County: 16.2 %Stone County: 12.6 %Sullivan County: 13.8 %Taney County: 21.4 %Texas County: 15.4 %Vernon County: 16.5 %Warren County: 7.6 %Washington County: 17 %Wayne County: 21 %Webster County: 12.1 %Worth County: 12.3 %Wright County: 14.2 %St. Louis city: 11.8 %
  • Under 8.5
  • 8.5 to 11
  • 11 to 13
  • 13 to 16
  • 16 to 18
  • 18 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

Scotland County: 36.1 %Scotland County36.1Ripley County: 27.2 %Ripley County27.2McDonald County: 26.3 %McDonald County26.3Morgan County: 25.2 %Morgan County25.2Knox County: 24.3 %Knox County24.3Carter County: 23.7 %Carter County23.7Taney County: 21.4 %Taney County21.4Oregon County: 21.2 %Oregon County21.2Grundy County: 21.2 %Grundy County21.2Wayne County: 21 %Wayne County21Dent County: 20.1 %Dent County20.1Clark County: 20.1 %Clark County20.1Dallas County: 20 %Dallas County20Dunklin County: 19.8 %Dunklin County19.8Ozark County: 19.6 %Ozark County19.6Reynolds County: 19.5 %Reynolds County19.5Hickory County: 19.5 %Hickory County19.5Lawrence County: 18.9 %Lawrence County18.9Pemiscot County: 18.5 %Pemiscot County18.5New Madrid County: 18 %New Madrid County18Bates County: 17.9 %Bates County17.9St. Clair County: 17.8 %St. Clair County17.8Laclede County: 17.7 %Laclede County17.7Lewis County: 17.7 %Lewis County17.7Butler County: 17.6 %Butler County17.6Daviess County: 17.6 %Daviess County17.6Moniteau County: 17.5 %Moniteau County17.5Washington County: 17 %Washington County17Harrison County: 16.7 %Harrison County16.7Vernon County: 16.5 %Vernon County16.5Douglas County: 16.4 %Douglas County16.4Stoddard County: 16.2 %Stoddard County16.2Gentry County: 16.2 %Gentry County16.2Newton County: 16.1 %Newton County16.1Pettis County: 16 %Pettis County16Cedar County: 15.8 %Cedar County15.8Shelby County: 15.7 %Shelby County15.7Jasper County: 15.7 %Jasper County15.7Barry County: 15.6 %Barry County15.6Texas County: 15.4 %Texas County15.4Scotland County: 36.1 %Scotland County36.1Ripley County: 27.2 %Ripley County27.2McDonald County: 26.3 %McDonald County26.3Morgan County: 25.2 %Morgan County25.2Knox County: 24.3 %Knox County24.3Carter County: 23.7 %Carter County23.7Taney County: 21.4 %Taney County21.4Oregon County: 21.2 %Oregon County21.2Grundy County: 21.2 %Grundy County21.2Wayne County: 21 %Wayne County21Dent County: 20.1 %Dent County20.1Clark County: 20.1 %Clark County20.1Dallas County: 20 %Dallas County20Dunklin County: 19.8 %Dunklin County19.8Ozark County: 19.6 %Ozark County19.6Reynolds County: 19.5 %Reynolds County19.5Hickory County: 19.5 %Hickory County19.5Lawrence County: 18.9 %Lawrence County18.9Pemiscot County: 18.5 %Pemiscot County18.5New Madrid County: 18 %New Madrid County18Bates County: 17.9 %Bates County17.9St. Clair County: 17.8 %St. Clair County17.8Laclede County: 17.7 %Laclede County17.7Lewis County: 17.7 %Lewis County17.7Butler County: 17.6 %Butler County17.6Daviess County: 17.6 %Daviess County17.6Moniteau County: 17.5 %Moniteau County17.5Washington County: 17 %Washington County17Harrison County: 16.7 %Harrison County16.7Vernon County: 16.5 %Vernon County16.5Douglas County: 16.4 %Douglas County16.4Stoddard County: 16.2 %Stoddard County16.2Gentry County: 16.2 %Gentry County16.2Newton County: 16.1 %Newton County16.1Pettis County: 16 %Pettis County16Cedar County: 15.8 %Cedar County15.8Shelby County: 15.7 %Shelby County15.7Jasper County: 15.7 %Jasper County15.7Barry County: 15.6 %Barry County15.6Texas County: 15.4 %Texas County15.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Scotland County36.1-1.7 pts
2Ripley County27.2-1.1 pts
3McDonald County26.3-1.2 pts
4Morgan County25.2-1.4 pts
5Knox County24.3+8.5 pts
6Carter County23.7+0.3 pts
7Taney County21.4-1.3 pts
8Oregon County21.2-3.4 pts
9Grundy County21.2-0 pts
10Wayne County210 pts
11Dent County20.1+2.1 pts
12Clark County20.1-0 pts
13Dallas County20+0.8 pts
14Dunklin County19.8-0.4 pts
15Ozark County19.6-3.2 pts
16Reynolds County19.50 pts
17Hickory County19.5+3.3 pts
18Lawrence County18.9-1.5 pts
19Pemiscot County18.5+0.3 pts
20New Madrid County18-2.2 pts
21Bates County17.9+2.6 pts
22St. Clair County17.8-3.3 pts
23Laclede County17.7+1.5 pts
24Lewis County17.7+1.6 pts
25Butler County17.6+0.1 pts
26Daviess County17.6-0.1 pts
27Moniteau County17.5+5.2 pts
28Washington County17+0.2 pts
29Harrison County16.7+4.6 pts
30Vernon County16.5-2.2 pts
31Douglas County16.4+0.9 pts
32Stoddard County16.2-0.2 pts
33Gentry County16.2+1.4 pts
34Newton County16.1-1.8 pts
35Pettis County16+1.5 pts
36Cedar County15.8-4 pts
37Shelby County15.7+0.1 pts
38Jasper County15.7-1.1 pts
39Barry County15.6-2 pts
40Texas County15.4-4.7 pts
41Iron County15.2-1 pts
42Camden County14.8-2.6 pts
43Schuyler County14.8+0.7 pts
44Crawford County14.5-1.9 pts
45Mississippi County14.5+0.6 pts
46Holt County14.5-0.8 pts
47Polk County14.4-1.4 pts
48Pike County14.4+0.7 pts
49Wright County14.2-2 pts
50Howell County14.1-4.6 pts
51Henry County14-1 pts
52Miller County140 pts
53Montgomery County13.9-0.6 pts
54Benton County13.9+0.1 pts
55Buchanan County13.8-1.6 pts
56Sullivan County13.8+0.3 pts
57Barton County13.8-1.3 pts
58Dade County13.4+1.2 pts
59Atchison County13.4-1.2 pts
59Shannon County13.4-2.5 pts
61Audrain County13.2-0.2 pts
62Callaway County13.2+0.2 pts
63Jackson County13.1-0.6 pts
64St. Francois County12.9-1.1 pts
65Macon County12.8-1 pts
66Scott County12.7-0.4 pts
67Stone County12.6+0.1 pts
68Caldwell County12.4-2.3 pts
69Worth County12.3-3.3 pts
70Webster County12.1-2 pts
71Monroe County12.1-0.1 pts
72Johnson County12.1-0.4 pts
73St. Louis city11.8-0.8 pts
74Greene County11.5-0.6 pts
75Marion County11.5+0.2 pts
76Phelps County11.5-0.2 pts
77Livingston County11+1 pts
78Pulaski County10.8-2.5 pts
79Adair County10.7+1.7 pts
80Clinton County10.6-1.1 pts
81Carroll County10.5+2.3 pts
82Bollinger County10.2+0.8 pts
83Madison County10.2-5.5 pts
84Ray County9.9-0.2 pts
85Linn County9.8-1.2 pts
86Franklin County9.7-0.6 pts
87Randolph County9.7-0.3 pts
88Christian County9.7-0.3 pts
89DeKalb County9.5+0.2 pts
90Lafayette County9.40 pts
91Saline County9.1+0.3 pts
92Clay County9.1+0.2 pts
93Howard County9+2.5 pts
94Cass County8.70 pts
95Cape Girardeau County8.7+1.4 pts
96Chariton County8.5-2.3 pts
97Jefferson County8.4-1.2 pts
98Cooper County8.3+0.7 pts
99Mercer County8-2.9 pts
100Lincoln County7.9-1.5 pts
101Warren County7.6-0.5 pts
102Boone County7.4-0.5 pts
103Putnam County7.4-2.1 pts
104Cole County7.3-1.4 pts
105Perry County7.2-0.8 pts
106Nodaway County7.2-1.6 pts
107Gasconade County7.2-2.4 pts
108Ralls County7+0.3 pts
109Andrew County7+0.2 pts
110St. Louis County6.7-0 pts
111Platte County6.2-0.8 pts
112Ste. Genevieve County5.8-0.3 pts
113Maries County5.6-2.7 pts
114St. Charles County5.20 pts
115Osage County5-0.3 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/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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

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

Scotland County, with 36.1% in 2024, according to the U.S. Census Bureau.

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

Osage County, with 5% 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 Missouri: more rankings