Data / Rankings / Uninsured rate, ages 35 to 64 (US, ACS) / Cities in North Carolina

Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS)

Zebulon, NC had the highest uninsured rate, ages 35 to 64 (US, ACS) of 93 cities in 2021, at 40.9%. Rolesville, NC had the lowest, at 2.7%. The median was 12.9% and the figure for North Carolina was 14%. Source: the U.S. Census Bureau.

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Highest40.9Zebulon, NC
Lowest2.7Rolesville, NC
Median12.993 cities
North Carolina14History

Top 40 cities, 2021

Zebulon, NC: 40.9 %Zebulon, NC40.9Monroe, NC: 25.4 %Monroe, NC25.4Thomasville, NC: 24.6 %Thomasville, NC24.6Asheboro, NC: 23.9 %Asheboro, NC23.9Lexington, NC: 22.8 %Lexington, NC22.8Sanford, NC: 21.1 %Sanford, NC21.1Laurinburg, NC: 19.7 %Laurinburg, NC19.7Pineville, NC: 19.2 %Pineville, NC19.2Wilson, NC: 18.9 %Wilson, NC18.9Morganton, NC: 18.7 %Morganton, NC18.7Statesville, NC: 18.5 %Statesville, NC18.5Kings Mountain, NC: 18.4 %Kings Mountain, NC18.4Mount Airy, NC: 17.4 %Mount Airy, NC17.4Winston-Salem, NC: 17.4 %Winston-Salem, NC17.4Waynesville, NC: 17.3 %Waynesville, NC17.3Graham, NC: 17.3 %Graham, NC17.3Lenoir, NC: 17.3 %Lenoir, NC17.3Newton, NC: 17.1 %Newton, NC17.1Burlington, NC: 17.1 %Burlington, NC17.1Lumberton, NC: 16.7 %Lumberton, NC16.7Hendersonville, NC: 16.6 %Hendersonville, NC16.6Lincolnton, NC: 16.6 %Lincolnton, NC16.6Salisbury, NC: 16.5 %Salisbury, NC16.5Henderson, NC: 16.2 %Henderson, NC16.2Reidsville, NC: 16.2 %Reidsville, NC16.2Kinston, NC: 16.1 %Kinston, NC16.1Spring Lake, NC: 15.7 %Spring Lake, NC15.7Albemarle, NC: 15.6 %Albemarle, NC15.6Durham, NC: 15.6 %Durham, NC15.6Charlotte, NC: 15.5 %Charlotte, NC15.5Asheville, NC: 15.2 %Asheville, NC15.2Wilmington, NC: 14.8 %Wilmington, NC14.8Elizabeth City, NC: 14.7 %Elizabeth City, NC14.7Shelby, NC: 14.7 %Shelby, NC14.7Jacksonville, NC: 14.3 %Jacksonville, NC14.3Fayetteville, NC: 14.1 %Fayetteville, NC14.1Raleigh, NC: 14.1 %Raleigh, NC14.1Hickory, NC: 14 %Hickory, NC14High Point, NC: 13.7 %High Point, NC13.7Archdale, NC: 13.6 %Archdale, NC13.6Zebulon, NC: 40.9 %Zebulon, NC40.9Monroe, NC: 25.4 %Monroe, NC25.4Thomasville, NC: 24.6 %Thomasville, NC24.6Asheboro, NC: 23.9 %Asheboro, NC23.9Lexington, NC: 22.8 %Lexington, NC22.8Sanford, NC: 21.1 %Sanford, NC21.1Laurinburg, NC: 19.7 %Laurinburg, NC19.7Pineville, NC: 19.2 %Pineville, NC19.2Wilson, NC: 18.9 %Wilson, NC18.9Morganton, NC: 18.7 %Morganton, NC18.7Statesville, NC: 18.5 %Statesville, NC18.5Kings Mountain, NC: 18.4 %Kings Mountain, NC18.4Mount Airy, NC: 17.4 %Mount Airy, NC17.4Winston-Salem, NC: 17.4 %Winston-Salem, NC17.4Waynesville, NC: 17.3 %Waynesville, NC17.3Graham, NC: 17.3 %Graham, NC17.3Lenoir, NC: 17.3 %Lenoir, NC17.3Newton, NC: 17.1 %Newton, NC17.1Burlington, NC: 17.1 %Burlington, NC17.1Lumberton, NC: 16.7 %Lumberton, NC16.7Hendersonville, NC: 16.6 %Hendersonville, NC16.6Lincolnton, NC: 16.6 %Lincolnton, NC16.6Salisbury, NC: 16.5 %Salisbury, NC16.5Henderson, NC: 16.2 %Henderson, NC16.2Reidsville, NC: 16.2 %Reidsville, NC16.2Kinston, NC: 16.1 %Kinston, NC16.1Spring Lake, NC: 15.7 %Spring Lake, NC15.7Albemarle, NC: 15.6 %Albemarle, NC15.6Durham, NC: 15.6 %Durham, NC15.6Charlotte, NC: 15.5 %Charlotte, NC15.5Asheville, NC: 15.2 %Asheville, NC15.2Wilmington, NC: 14.8 %Wilmington, NC14.8Elizabeth City, NC: 14.7 %Elizabeth City, NC14.7Shelby, NC: 14.7 %Shelby, NC14.7Jacksonville, NC: 14.3 %Jacksonville, NC14.3Fayetteville, NC: 14.1 %Fayetteville, NC14.1Raleigh, NC: 14.1 %Raleigh, NC14.1Hickory, NC: 14 %Hickory, NC14High Point, NC: 13.7 %High Point, NC13.7Archdale, NC: 13.6 %Archdale, NC13.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1Zebulon, NC40.9
2Monroe, NC25.4
3Thomasville, NC24.6
4Asheboro, NC23.9
5Lexington, NC22.8
6Sanford, NC21.1
7Laurinburg, NC19.7
8Pineville, NC19.2
9Wilson, NC18.9
10Morganton, NC18.7
11Statesville, NC18.5
12Kings Mountain, NC18.4
13Mount Airy, NC17.4
13Winston-Salem, NC17.4
15Waynesville, NC17.3
16Graham, NC17.3
17Lenoir, NC17.3
18Newton, NC17.1
19Burlington, NC17.1
20Lumberton, NC16.7
21Hendersonville, NC16.6
21Lincolnton, NC16.6
23Salisbury, NC16.5
24Henderson, NC16.2
24Reidsville, NC16.2
26Kinston, NC16.1
27Spring Lake, NC15.7
28Albemarle, NC15.6
29Durham, NC15.6
30Charlotte, NC15.5
31Asheville, NC15.2
32Wilmington, NC14.8
33Elizabeth City, NC14.7
34Shelby, NC14.7
35Jacksonville, NC14.3
36Fayetteville, NC14.1
37Raleigh, NC14.1
38Hickory, NC14
39High Point, NC13.7
40Archdale, NC13.6
41Gastonia, NC13.5
42New Bern, NC13.4
43Rocky Mount, NC13.1
44Smithfield, NC13
45Kannapolis, NC13
46Goldsboro, NC12.9
47Mount Holly, NC12.9
48Greensboro, NC12.7
49Roanoke Rapids, NC12.4
50Mooresville, NC12.1
51Morehead City, NC11.9
52Clayton, NC11.9
53Boone, NC11.8
54Garner, NC11.4
55Hope Mills, NC11.3
56Kernersville, NC11.3
57Havelock, NC10.9
58Concord, NC10.6
59Greenville, NC10.6
60Tarboro, NC10.4
61Wendell, NC10.4
62Knightdale, NC10.4
63Mint Hill, NC9.8
64Winterville, NC9.5
65Aberdeen, NC9.4
66Belmont, NC9.1
67Lewisville, NC8.9
68Eden, NC8.4
69Leland, NC8.3
70Southern Pines, NC8.3
71Elon, NC8.2
72Matthews, NC7.9
73Cornelius, NC7.9
74Carrboro, NC7.6
75Clemmons, NC7.6
76Indian Trail, NC7.5
77Fuquay-Varina, NC7
78Harrisburg, NC7
79Cary, NC6.7
80Chapel Hill, NC6.4
81Wake Forest, NC6.4
82Morrisville, NC6
83Davidson, NC5.9
84Waxhaw, NC5.9
85Summerfield, NC5.8
86Mebane, NC5.8
87Huntersville, NC5.5
88Weddington, NC5.3
89Holly Springs, NC5.3
90Apex, NC4.9
91Stallings, NC4.3
92Pinehurst, NC3.4
93Rolesville, NC2.7

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 cities 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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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, US cities (incorporated places of 10,000 or more) (Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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, US cities (incorporated places of 10,000 or more), Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-cities?period=2021. 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, US cities (incorporated places of 10,000 or more). Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-cities?period=2021.

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, US cities (incorporated places of 10,000 or more), Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_north_carolina_2021,
  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, US cities (incorporated places of 10,000 or more): Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-cities?period=2021. 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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary\_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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, US cities (incorporated places of 10,000 or more): Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-cities?period=2021.
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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  -
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Rank Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
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Questions

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

Zebulon, NC, with 40.9% in 2021, according to the U.S. Census Bureau.

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

Rolesville, NC, with 2.7% in 2021.

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, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

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

Cities in North Carolina: more rankings