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 2022, at 41.6%. Pinehurst, NC had the lowest, at 3.6%. The median was 12.2% and the figure for North Carolina was 13.7%. Source: the U.S. Census Bureau.

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Highest41.6Zebulon, NC
Lowest3.6Pinehurst, NC
Median12.293 cities
North Carolina13.7History

Top 40 cities, 2022

Zebulon, NC: 41.6 %Zebulon, NC41.6Asheboro, NC: 24.8 %Asheboro, NC24.8Monroe, NC: 24.2 %Monroe, NC24.2Lexington, NC: 23.7 %Lexington, NC23.7Thomasville, NC: 23 %Thomasville, NC23Sanford, NC: 22.5 %Sanford, NC22.5Lenoir, NC: 20 %Lenoir, NC20Wilson, NC: 19.4 %Wilson, NC19.4Pineville, NC: 19 %Pineville, NC19Laurinburg, NC: 18.5 %Laurinburg, NC18.5Morganton, NC: 18.4 %Morganton, NC18.4Henderson, NC: 18.2 %Henderson, NC18.2Hendersonville, NC: 18 %Hendersonville, NC18Winston-Salem, NC: 17.4 %Winston-Salem, NC17.4Kinston, NC: 17.4 %Kinston, NC17.4Shelby, NC: 17.3 %Shelby, NC17.3Statesville, NC: 17.1 %Statesville, NC17.1Spring Lake, NC: 16.6 %Spring Lake, NC16.6Elizabeth City, NC: 16.1 %Elizabeth City, NC16.1Salisbury, NC: 16 %Salisbury, NC16Lumberton, NC: 16 %Lumberton, NC16Mount Airy, NC: 15.8 %Mount Airy, NC15.8Charlotte, NC: 15.4 %Charlotte, NC15.4Durham, NC: 15.4 %Durham, NC15.4Waynesville, NC: 15.2 %Waynesville, NC15.2Jacksonville, NC: 15.1 %Jacksonville, NC15.1Reidsville, NC: 15.1 %Reidsville, NC15.1Wilmington, NC: 15.1 %Wilmington, NC15.1Hickory, NC: 15 %Hickory, NC15Asheville, NC: 14.8 %Asheville, NC14.8Lincolnton, NC: 14.5 %Lincolnton, NC14.5High Point, NC: 14.4 %High Point, NC14.4Fayetteville, NC: 14.4 %Fayetteville, NC14.4Albemarle, NC: 14.4 %Albemarle, NC14.4Graham, NC: 13.8 %Graham, NC13.8Raleigh, NC: 13.8 %Raleigh, NC13.8Burlington, NC: 13.8 %Burlington, NC13.8Newton, NC: 13.4 %Newton, NC13.4Goldsboro, NC: 13.3 %Goldsboro, NC13.3Kernersville, NC: 13 %Kernersville, NC13Zebulon, NC: 41.6 %Zebulon, NC41.6Asheboro, NC: 24.8 %Asheboro, NC24.8Monroe, NC: 24.2 %Monroe, NC24.2Lexington, NC: 23.7 %Lexington, NC23.7Thomasville, NC: 23 %Thomasville, NC23Sanford, NC: 22.5 %Sanford, NC22.5Lenoir, NC: 20 %Lenoir, NC20Wilson, NC: 19.4 %Wilson, NC19.4Pineville, NC: 19 %Pineville, NC19Laurinburg, NC: 18.5 %Laurinburg, NC18.5Morganton, NC: 18.4 %Morganton, NC18.4Henderson, NC: 18.2 %Henderson, NC18.2Hendersonville, NC: 18 %Hendersonville, NC18Winston-Salem, NC: 17.4 %Winston-Salem, NC17.4Kinston, NC: 17.4 %Kinston, NC17.4Shelby, NC: 17.3 %Shelby, NC17.3Statesville, NC: 17.1 %Statesville, NC17.1Spring Lake, NC: 16.6 %Spring Lake, NC16.6Elizabeth City, NC: 16.1 %Elizabeth City, NC16.1Salisbury, NC: 16 %Salisbury, NC16Lumberton, NC: 16 %Lumberton, NC16Mount Airy, NC: 15.8 %Mount Airy, NC15.8Charlotte, NC: 15.4 %Charlotte, NC15.4Durham, NC: 15.4 %Durham, NC15.4Waynesville, NC: 15.2 %Waynesville, NC15.2Jacksonville, NC: 15.1 %Jacksonville, NC15.1Reidsville, NC: 15.1 %Reidsville, NC15.1Wilmington, NC: 15.1 %Wilmington, NC15.1Hickory, NC: 15 %Hickory, NC15Asheville, NC: 14.8 %Asheville, NC14.8Lincolnton, NC: 14.5 %Lincolnton, NC14.5High Point, NC: 14.4 %High Point, NC14.4Fayetteville, NC: 14.4 %Fayetteville, NC14.4Albemarle, NC: 14.4 %Albemarle, NC14.4Graham, NC: 13.8 %Graham, NC13.8Raleigh, NC: 13.8 %Raleigh, NC13.8Burlington, NC: 13.8 %Burlington, NC13.8Newton, NC: 13.4 %Newton, NC13.4Goldsboro, NC: 13.3 %Goldsboro, NC13.3Kernersville, NC: 13 %Kernersville, NC13
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2022 (%)Change on 2021
1Zebulon, NC41.6+0.7 pts
2Asheboro, NC24.8+0.9 pts
3Monroe, NC24.2-1.2 pts
4Lexington, NC23.7+0.8 pts
5Thomasville, NC23-1.6 pts
6Sanford, NC22.5+1.4 pts
7Lenoir, NC20+2.7 pts
8Wilson, NC19.4+0.5 pts
9Pineville, NC19-0.2 pts
10Laurinburg, NC18.5-1.2 pts
11Morganton, NC18.4-0.2 pts
12Henderson, NC18.2+2 pts
13Hendersonville, NC18+1.3 pts
14Winston-Salem, NC17.4+0.1 pts
15Kinston, NC17.4+1.3 pts
16Shelby, NC17.3+2.7 pts
17Statesville, NC17.1-1.4 pts
18Spring Lake, NC16.6+0.9 pts
19Elizabeth City, NC16.1+1.3 pts
20Salisbury, NC16-0.5 pts
21Lumberton, NC16-0.7 pts
22Mount Airy, NC15.8-1.6 pts
23Charlotte, NC15.4-0.1 pts
24Durham, NC15.4-0.2 pts
25Waynesville, NC15.2-2.1 pts
26Jacksonville, NC15.1+0.8 pts
27Reidsville, NC15.1-1.1 pts
28Wilmington, NC15.1+0.3 pts
29Hickory, NC15+0.9 pts
30Asheville, NC14.8-0.4 pts
31Lincolnton, NC14.5-2.2 pts
32High Point, NC14.4+0.7 pts
33Fayetteville, NC14.4+0.3 pts
34Albemarle, NC14.4-1.3 pts
35Graham, NC13.8-3.5 pts
36Raleigh, NC13.8-0.2 pts
37Burlington, NC13.8-3.2 pts
38Newton, NC13.4-3.7 pts
39Goldsboro, NC13.3+0.4 pts
40Kernersville, NC13+1.7 pts
41Gastonia, NC12.9-0.6 pts
42Archdale, NC12.9-0.7 pts
43Smithfield, NC12.8-0.2 pts
44Morehead City, NC12.7+0.9 pts
45Garner, NC12.5+1.1 pts
46Greensboro, NC12.5-0.2 pts
47Rocky Mount, NC12.2-1 pts
48Tarboro, NC12.1+1.7 pts
49Greenville, NC11.9+1.3 pts
50Kannapolis, NC11.8-1.1 pts
51Clayton, NC11.7-0.2 pts
52Mount Holly, NC11.4-1.4 pts
53Eden, NC11.4+3 pts
54Roanoke Rapids, NC11.3-1.1 pts
55Kings Mountain, NC11.1-7.3 pts
56Havelock, NC11.1+0.2 pts
57Hope Mills, NC11-0.3 pts
58Mooresville, NC10.8-1.3 pts
59Mint Hill, NC10.6+0.8 pts
60New Bern, NC10.4-2.9 pts
61Aberdeen, NC10.1+0.7 pts
62Concord, NC9.7-0.9 pts
63Wendell, NC9.6-0.8 pts
64Lewisville, NC9.4+0.5 pts
65Matthews, NC9+1 pts
66Knightdale, NC8.7-1.7 pts
67Southern Pines, NC8.30 pts
68Indian Trail, NC8.3+0.7 pts
69Chapel Hill, NC8+1.6 pts
70Belmont, NC8-1.1 pts
71Leland, NC7.9-0.4 pts
72Harrisburg, NC7.9+0.9 pts
73Fuquay-Varina, NC7.7+0.7 pts
74Winterville, NC7.7-1.8 pts
75Elon, NC7.4-0.8 pts
76Carrboro, NC7.1-0.5 pts
77Clemmons, NC7-0.6 pts
78Wake Forest, NC6.3-0 pts
79Waxhaw, NC6.2+0.3 pts
80Cary, NC6.2-0.5 pts
81Summerfield, NC6.1+0.3 pts
82Boone, NC6.1-5.7 pts
83Cornelius, NC5.9-2 pts
84Holly Springs, NC5.8+0.5 pts
85Mebane, NC5.7-0.1 pts
86Morrisville, NC5.4-0.6 pts
87Huntersville, NC5.2-0.3 pts
88Davidson, NC4.9-1 pts
89Stallings, NC4.7+0.4 pts
90Weddington, NC4.4-0.9 pts
91Apex, NC4.3-0.6 pts
92Rolesville, NC3.8+1.1 pts
93Pinehurst, NC3.6+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 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/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, US cities (incorporated places of 10,000 or more) (Cities in North Carolina 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, US cities (incorporated places of 10,000 or more), Cities in North Carolina 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/north-carolina-cities?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, US cities (incorporated places of 10,000 or more). Cities in North Carolina 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/north-carolina-cities?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, US cities (incorporated places of 10,000 or more), Cities in North Carolina 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/north-carolina-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_north_carolina_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, US cities (incorporated places of 10,000 or more): Cities in North Carolina 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/north-carolina-cities?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, US cities (incorporated places of 10,000 or more). 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, US cities (incorporated places of 10,000 or more): Cities in North Carolina 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/north-carolina-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-cities?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, US cities (incorporated places of 10,000 or more). 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 Cities in North Carolina by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_35_64","level":"municipality","within":"North Carolina","limit":10}
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Questions

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

Zebulon, NC, with 41.6% in 2022, according to the U.S. Census Bureau.

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

Pinehurst, NC, with 3.6% 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, 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