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

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

Swain County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 100 counties in 2024, at 27.7%. Camden County had the lowest, at 5.1%. The median was 13.6% and the figure for North Carolina was 12.9%. Source: the U.S. Census Bureau.

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Highest27.7Swain County
Lowest5.1Camden County
Median13.6100 counties
North Carolina12.9History

Map of counties, 2024

Alamance County: 13.4 %Alexander County: 13.1 %Alleghany County: 25.1 %Anson County: 16.9 %Ashe County: 14.5 %Avery County: 16 %Beaufort County: 12.8 %Bertie County: 15 %Bladen County: 14.6 %Brunswick County: 11.1 %Buncombe County: 13.7 %Burke County: 13.4 %Cabarrus County: 8.9 %Caldwell County: 12.3 %Camden County: 5.1 %Carteret County: 12.4 %Caswell County: 11.7 %Catawba County: 13.1 %Chatham County: 11.2 %Cherokee County: 20.9 %Chowan County: 12.1 %Clay County: 23 %Cleveland County: 12.9 %Columbus County: 17.2 %Craven County: 10.1 %Cumberland County: 13 %Currituck County: 10.1 %Dare County: 10.8 %Davidson County: 12.9 %Davie County: 9.3 %Duplin County: 18.5 %Durham County: 14.4 %Edgecombe County: 13.6 %Forsyth County: 13.7 %Franklin County: 13 %Gaston County: 13 %Gates County: 11.2 %Graham County: 16.9 %Granville County: 11.8 %Greene County: 22.1 %Guilford County: 11.2 %Halifax County: 11.4 %Harnett County: 13.4 %Haywood County: 15.7 %Henderson County: 17.5 %Hertford County: 14 %Hoke County: 12.3 %Hyde County: 22 %Iredell County: 11.4 %Jackson County: 24.4 %Johnston County: 13.1 %Jones County: 12.3 %Lee County: 15.5 %Lenoir County: 15.2 %Lincoln County: 10.8 %McDowell County: 15.9 %Macon County: 18.5 %Madison County: 11.9 %Martin County: 13 %Mecklenburg County: 13.6 %Mitchell County: 15.1 %Montgomery County: 19.7 %Moore County: 9.9 %Nash County: 15.9 %New Hanover County: 12.5 %Northampton County: 11.8 %Onslow County: 14 %Orange County: 9.8 %Pamlico County: 15.9 %Pasquotank County: 15 %Pender County: 12 %Perquimans County: 18 %Person County: 12.4 %Pitt County: 12 %Polk County: 16.5 %Randolph County: 14.1 %Richmond County: 17.7 %Robeson County: 20.5 %Rockingham County: 13.2 %Rowan County: 12.8 %Rutherford County: 15.5 %Sampson County: 21.7 %Scotland County: 15.3 %Stanly County: 12.3 %Stokes County: 12.1 %Surry County: 15.4 %Swain County: 27.7 %Transylvania County: 14.7 %Tyrrell County: 26.4 %Union County: 9.3 %Vance County: 18 %Wake County: 9.5 %Warren County: 15 %Washington County: 12.6 %Watauga County: 14.2 %Wayne County: 15.9 %Wilkes County: 14.6 %Wilson County: 18.1 %Yadkin County: 13.8 %Yancey County: 14.2 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 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

Swain County: 27.7 %Swain County27.7Tyrrell County: 26.4 %Tyrrell County26.4Alleghany County: 25.1 %Alleghany County25.1Jackson County: 24.4 %Jackson County24.4Clay County: 23 %Clay County23Greene County: 22.1 %Greene County22.1Hyde County: 22 %Hyde County22Sampson County: 21.7 %Sampson County21.7Cherokee County: 20.9 %Cherokee County20.9Robeson County: 20.5 %Robeson County20.5Montgomery County: 19.7 %Montgomery County19.7Duplin County: 18.5 %Duplin County18.5Macon County: 18.5 %Macon County18.5Wilson County: 18.1 %Wilson County18.1Vance County: 18 %Vance County18Perquimans County: 18 %Perquimans County18Richmond County: 17.7 %Richmond County17.7Henderson County: 17.5 %Henderson County17.5Columbus County: 17.2 %Columbus County17.2Anson County: 16.9 %Anson County16.9Graham County: 16.9 %Graham County16.9Polk County: 16.5 %Polk County16.5Avery County: 16 %Avery County16Wayne County: 15.9 %Wayne County15.9McDowell County: 15.9 %McDowell County15.9Pamlico County: 15.9 %Pamlico County15.9Nash County: 15.9 %Nash County15.9Haywood County: 15.7 %Haywood County15.7Lee County: 15.5 %Lee County15.5Rutherford County: 15.5 %Rutherford County15.5Surry County: 15.4 %Surry County15.4Scotland County: 15.3 %Scotland County15.3Lenoir County: 15.2 %Lenoir County15.2Mitchell County: 15.1 %Mitchell County15.1Bertie County: 15 %Bertie County15Pasquotank County: 15 %Pasquotank County15Warren County: 15 %Warren County15Transylvania County: 14.7 %Transylvania County14.7Bladen County: 14.6 %Bladen County14.6Wilkes County: 14.6 %Wilkes County14.6Swain County: 27.7 %Swain County27.7Tyrrell County: 26.4 %Tyrrell County26.4Alleghany County: 25.1 %Alleghany County25.1Jackson County: 24.4 %Jackson County24.4Clay County: 23 %Clay County23Greene County: 22.1 %Greene County22.1Hyde County: 22 %Hyde County22Sampson County: 21.7 %Sampson County21.7Cherokee County: 20.9 %Cherokee County20.9Robeson County: 20.5 %Robeson County20.5Montgomery County: 19.7 %Montgomery County19.7Duplin County: 18.5 %Duplin County18.5Macon County: 18.5 %Macon County18.5Wilson County: 18.1 %Wilson County18.1Vance County: 18 %Vance County18Perquimans County: 18 %Perquimans County18Richmond County: 17.7 %Richmond County17.7Henderson County: 17.5 %Henderson County17.5Columbus County: 17.2 %Columbus County17.2Anson County: 16.9 %Anson County16.9Graham County: 16.9 %Graham County16.9Polk County: 16.5 %Polk County16.5Avery County: 16 %Avery County16Wayne County: 15.9 %Wayne County15.9McDowell County: 15.9 %McDowell County15.9Pamlico County: 15.9 %Pamlico County15.9Nash County: 15.9 %Nash County15.9Haywood County: 15.7 %Haywood County15.7Lee County: 15.5 %Lee County15.5Rutherford County: 15.5 %Rutherford County15.5Surry County: 15.4 %Surry County15.4Scotland County: 15.3 %Scotland County15.3Lenoir County: 15.2 %Lenoir County15.2Mitchell County: 15.1 %Mitchell County15.1Bertie County: 15 %Bertie County15Pasquotank County: 15 %Pasquotank County15Warren County: 15 %Warren County15Transylvania County: 14.7 %Transylvania County14.7Bladen County: 14.6 %Bladen County14.6Wilkes County: 14.6 %Wilkes County14.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Swain County27.7-0.2 pts
2Tyrrell County26.4-1 pts
3Alleghany County25.1-0.6 pts
4Jackson County24.4+2.4 pts
5Clay County23-1 pts
6Greene County22.1+0.9 pts
7Hyde County22+2.2 pts
8Sampson County21.7-0.2 pts
9Cherokee County20.9-3.4 pts
10Robeson County20.5+0.5 pts
11Montgomery County19.7+0.8 pts
12Duplin County18.5+0.1 pts
13Macon County18.5-1.1 pts
14Wilson County18.1-0.2 pts
15Vance County18-0.9 pts
16Perquimans County18-0.6 pts
17Richmond County17.7+1.4 pts
18Henderson County17.50 pts
19Columbus County17.2-0.8 pts
20Anson County16.9+0.2 pts
21Graham County16.9-4.2 pts
22Polk County16.5-0.1 pts
23Avery County16-0.2 pts
24Wayne County15.9-0.3 pts
25McDowell County15.9+0.2 pts
26Pamlico County15.9+1.6 pts
27Nash County15.9-0.6 pts
28Haywood County15.7+0.4 pts
29Lee County15.5-0.3 pts
30Rutherford County15.5-1.8 pts
31Surry County15.4-0.8 pts
32Scotland County15.3-2.3 pts
33Lenoir County15.2-0.5 pts
34Mitchell County15.1+0.2 pts
35Bertie County15-1.2 pts
36Pasquotank County15+3.3 pts
37Warren County15-1.6 pts
38Transylvania County14.7-0.3 pts
39Bladen County14.6+1 pts
39Wilkes County14.6-1.3 pts
41Ashe County14.5-2 pts
42Durham County14.4-1.2 pts
43Watauga County14.2-2.1 pts
44Yancey County14.2-4.1 pts
45Randolph County14.1-1.8 pts
46Onslow County14-0.7 pts
47Hertford County14-1.3 pts
48Yadkin County13.8+1.1 pts
49Buncombe County13.7-2.2 pts
50Forsyth County13.7-0.8 pts
51Edgecombe County13.6+0.2 pts
52Mecklenburg County13.6-0.4 pts
53Harnett County13.4-1.5 pts
54Alamance County13.4+0.5 pts
55Burke County13.4-0.8 pts
56Rockingham County13.2-1.3 pts
57Johnston County13.1-1 pts
58Catawba County13.1-0.6 pts
59Alexander County13.1+0.9 pts
60Gaston County13-0.9 pts
61Cumberland County13-1.1 pts
62Franklin County13-0.4 pts
62Martin County13-0.8 pts
64Davidson County12.9-1.3 pts
65Cleveland County12.9-2 pts
66Rowan County12.8-1.2 pts
67Beaufort County12.8-1.9 pts
68Washington County12.6-0.5 pts
69New Hanover County12.5-1 pts
70Carteret County12.4-1.2 pts
71Person County12.4+0.7 pts
72Jones County12.3-1.7 pts
73Stanly County12.3-1.1 pts
74Caldwell County12.3-2 pts
75Hoke County12.3-2 pts
76Stokes County12.1-0.6 pts
77Chowan County12.1-1.6 pts
78Pender County12-0.8 pts
78Pitt County120 pts
80Madison County11.9+0.4 pts
81Granville County11.8-1.1 pts
82Northampton County11.8-1.6 pts
83Caswell County11.7-0.6 pts
84Iredell County11.4-0.6 pts
85Halifax County11.4-2.9 pts
86Chatham County11.2-0.4 pts
87Gates County11.2+0.6 pts
88Guilford County11.2-0.4 pts
89Brunswick County11.1-0.8 pts
90Lincoln County10.8-0.4 pts
91Dare County10.8+1.1 pts
92Craven County10.1-1.7 pts
93Currituck County10.1-0.6 pts
94Moore County9.9-0.6 pts
95Orange County9.8-0.4 pts
96Wake County9.5-1 pts
97Davie County9.3-1.2 pts
98Union County9.3-0.4 pts
99Cabarrus County8.9+0.3 pts
100Camden County5.1+0.8 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-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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Questions

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

Swain County, with 27.7% in 2024, according to the U.S. Census Bureau.

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

Camden County, with 5.1% 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 North Carolina: more rankings