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)

Hyde County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 100 counties in 2021, at 33%. Chowan County had the lowest, at 8.3%. The median was 15.1% and the figure for North Carolina was 14%. Source: the U.S. Census Bureau.

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Highest33Hyde County
Lowest8.3Chowan County
Median15.1100 counties
North Carolina14History

Map of counties, 2021

Alamance County: 14.1 %Alexander County: 11.3 %Alleghany County: 19.4 %Anson County: 14.6 %Ashe County: 16.5 %Avery County: 20.2 %Beaufort County: 17.3 %Bertie County: 15.2 %Bladen County: 13.7 %Brunswick County: 13.1 %Buncombe County: 14.9 %Burke County: 15.4 %Cabarrus County: 10.4 %Caldwell County: 15.2 %Camden County: 8.4 %Carteret County: 14.8 %Caswell County: 12.4 %Catawba County: 13.5 %Chatham County: 12.9 %Cherokee County: 25.8 %Chowan County: 8.3 %Clay County: 22.8 %Cleveland County: 15.2 %Columbus County: 19.7 %Craven County: 12.1 %Cumberland County: 13.7 %Currituck County: 15.1 %Dare County: 12.9 %Davidson County: 14.6 %Davie County: 10.3 %Duplin County: 20.4 %Durham County: 15.6 %Edgecombe County: 13.2 %Forsyth County: 14.8 %Franklin County: 13.4 %Gaston County: 12.9 %Gates County: 10.6 %Graham County: 18.2 %Granville County: 12.4 %Greene County: 22.2 %Guilford County: 11.7 %Halifax County: 16.8 %Harnett County: 14.9 %Haywood County: 15.3 %Henderson County: 17.5 %Hertford County: 14.3 %Hoke County: 15.5 %Hyde County: 33 %Iredell County: 12.5 %Jackson County: 23.6 %Johnston County: 14 %Jones County: 20 %Lee County: 18.4 %Lenoir County: 17.5 %Lincoln County: 11.5 %McDowell County: 16.2 %Macon County: 19.8 %Madison County: 15.1 %Martin County: 12.6 %Mecklenburg County: 13.9 %Mitchell County: 16.2 %Montgomery County: 19.7 %Moore County: 10.8 %Nash County: 15.3 %New Hanover County: 13.3 %Northampton County: 15.7 %Onslow County: 15.5 %Orange County: 9.8 %Pamlico County: 14.3 %Pasquotank County: 12.2 %Pender County: 11.6 %Perquimans County: 14.9 %Person County: 13.4 %Pitt County: 11.2 %Polk County: 17.3 %Randolph County: 17.5 %Richmond County: 17.6 %Robeson County: 20.3 %Rockingham County: 12.9 %Rowan County: 14.3 %Rutherford County: 18 %Sampson County: 19.7 %Scotland County: 18.5 %Stanly County: 15.2 %Stokes County: 13.6 %Surry County: 15.8 %Swain County: 26.1 %Transylvania County: 21.4 %Tyrrell County: 25.2 %Union County: 10.7 %Vance County: 15.3 %Wake County: 11 %Warren County: 14.6 %Washington County: 18.5 %Watauga County: 14.9 %Wayne County: 16.8 %Wilkes County: 16.2 %Wilson County: 19 %Yadkin County: 15 %Yancey County: 20 %
  • Under 12
  • 12 to 14
  • 14 to 15
  • 15 to 16
  • 16 to 20
  • 20 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Hyde County: 33 %Hyde County33Swain County: 26.1 %Swain County26.1Cherokee County: 25.8 %Cherokee County25.8Tyrrell County: 25.2 %Tyrrell County25.2Jackson County: 23.6 %Jackson County23.6Clay County: 22.8 %Clay County22.8Greene County: 22.2 %Greene County22.2Transylvania County: 21.4 %Transylvania County21.4Duplin County: 20.4 %Duplin County20.4Robeson County: 20.3 %Robeson County20.3Avery County: 20.2 %Avery County20.2Yancey County: 20 %Yancey County20Jones County: 20 %Jones County20Macon County: 19.8 %Macon County19.8Montgomery County: 19.7 %Montgomery County19.7Sampson County: 19.7 %Sampson County19.7Columbus County: 19.7 %Columbus County19.7Alleghany County: 19.4 %Alleghany County19.4Wilson County: 19 %Wilson County19Scotland County: 18.5 %Scotland County18.5Washington County: 18.5 %Washington County18.5Lee County: 18.4 %Lee County18.4Graham County: 18.2 %Graham County18.2Rutherford County: 18 %Rutherford County18Richmond County: 17.6 %Richmond County17.6Henderson County: 17.5 %Henderson County17.5Lenoir County: 17.5 %Lenoir County17.5Randolph County: 17.5 %Randolph County17.5Polk County: 17.3 %Polk County17.3Beaufort County: 17.3 %Beaufort County17.3Halifax County: 16.8 %Halifax County16.8Wayne County: 16.8 %Wayne County16.8Ashe County: 16.5 %Ashe County16.5Wilkes County: 16.2 %Wilkes County16.2Mitchell County: 16.2 %Mitchell County16.2McDowell County: 16.2 %McDowell County16.2Surry County: 15.8 %Surry County15.8Northampton County: 15.7 %Northampton County15.7Durham County: 15.6 %Durham County15.6Hoke County: 15.5 %Hoke County15.5Hyde County: 33 %Hyde County33Swain County: 26.1 %Swain County26.1Cherokee County: 25.8 %Cherokee County25.8Tyrrell County: 25.2 %Tyrrell County25.2Jackson County: 23.6 %Jackson County23.6Clay County: 22.8 %Clay County22.8Greene County: 22.2 %Greene County22.2Transylvania County: 21.4 %Transylvania County21.4Duplin County: 20.4 %Duplin County20.4Robeson County: 20.3 %Robeson County20.3Avery County: 20.2 %Avery County20.2Yancey County: 20 %Yancey County20Jones County: 20 %Jones County20Macon County: 19.8 %Macon County19.8Montgomery County: 19.7 %Montgomery County19.7Sampson County: 19.7 %Sampson County19.7Columbus County: 19.7 %Columbus County19.7Alleghany County: 19.4 %Alleghany County19.4Wilson County: 19 %Wilson County19Scotland County: 18.5 %Scotland County18.5Washington County: 18.5 %Washington County18.5Lee County: 18.4 %Lee County18.4Graham County: 18.2 %Graham County18.2Rutherford County: 18 %Rutherford County18Richmond County: 17.6 %Richmond County17.6Henderson County: 17.5 %Henderson County17.5Lenoir County: 17.5 %Lenoir County17.5Randolph County: 17.5 %Randolph County17.5Polk County: 17.3 %Polk County17.3Beaufort County: 17.3 %Beaufort County17.3Halifax County: 16.8 %Halifax County16.8Wayne County: 16.8 %Wayne County16.8Ashe County: 16.5 %Ashe County16.5Wilkes County: 16.2 %Wilkes County16.2Mitchell County: 16.2 %Mitchell County16.2McDowell County: 16.2 %McDowell County16.2Surry County: 15.8 %Surry County15.8Northampton County: 15.7 %Northampton County15.7Durham County: 15.6 %Durham County15.6Hoke County: 15.5 %Hoke County15.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Hyde County33
2Swain County26.1
3Cherokee County25.8
4Tyrrell County25.2
5Jackson County23.6
6Clay County22.8
7Greene County22.2
8Transylvania County21.4
9Duplin County20.4
10Robeson County20.3
11Avery County20.2
12Yancey County20
13Jones County20
14Macon County19.8
15Montgomery County19.7
15Sampson County19.7
17Columbus County19.7
18Alleghany County19.4
19Wilson County19
20Scotland County18.5
20Washington County18.5
22Lee County18.4
23Graham County18.2
24Rutherford County18
25Richmond County17.6
26Henderson County17.5
26Lenoir County17.5
28Randolph County17.5
29Polk County17.3
30Beaufort County17.3
31Halifax County16.8
32Wayne County16.8
33Ashe County16.5
34Wilkes County16.2
35Mitchell County16.2
36McDowell County16.2
37Surry County15.8
38Northampton County15.7
39Durham County15.6
40Hoke County15.5
41Onslow County15.5
42Burke County15.4
43Haywood County15.3
44Vance County15.3
45Nash County15.3
46Bertie County15.2
47Caldwell County15.2
48Cleveland County15.2
49Stanly County15.2
50Currituck County15.1
51Madison County15.1
52Yadkin County15
53Buncombe County14.9
53Perquimans County14.9
55Watauga County14.9
56Harnett County14.9
57Forsyth County14.8
58Carteret County14.8
59Davidson County14.6
60Anson County14.6
61Warren County14.6
62Pamlico County14.3
62Rowan County14.3
64Hertford County14.3
65Alamance County14.1
66Johnston County14
67Mecklenburg County13.9
68Bladen County13.7
69Cumberland County13.7
70Stokes County13.6
71Catawba County13.5
72Franklin County13.4
73Person County13.4
74New Hanover County13.3
75Edgecombe County13.2
76Brunswick County13.1
77Dare County12.9
78Chatham County12.9
79Rockingham County12.9
80Gaston County12.9
81Martin County12.6
82Iredell County12.5
83Caswell County12.4
84Granville County12.4
85Pasquotank County12.2
86Craven County12.1
87Guilford County11.7
88Pender County11.6
89Lincoln County11.5
90Alexander County11.3
91Pitt County11.2
92Wake County11
93Moore County10.8
94Union County10.7
95Gates County10.6
96Cabarrus County10.4
97Davie County10.3
98Orange County9.8
99Camden County8.4
100Chowan County8.3

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/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 (Counties 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, Counties 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-counties?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. Counties 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-counties?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, Counties 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-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_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: Counties 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-counties?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. 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: Counties 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-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?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. 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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Questions

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

Hyde County, with 33% in 2021, according to the U.S. Census Bureau.

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

Chowan County, with 8.3% 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. Retrieved 2026-10-12.

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

Counties in North Carolina: more rankings