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

Swain County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 100 counties in 2023, at 27.9%. Camden County had the lowest, at 4.3%. The median was 14.4% and the figure for North Carolina was 13.6%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest27.9Swain County
Lowest4.3Camden County
Median14.4100 counties
North Carolina13.6History

Map of counties, 2023

Alamance County: 12.9 %Alexander County: 12.2 %Alleghany County: 25.7 %Anson County: 16.8 %Ashe County: 16.5 %Avery County: 16.2 %Beaufort County: 14.6 %Bertie County: 16.2 %Bladen County: 13.6 %Brunswick County: 11.9 %Buncombe County: 16 %Burke County: 14.1 %Cabarrus County: 8.6 %Caldwell County: 14.3 %Camden County: 4.3 %Carteret County: 13.6 %Caswell County: 12.3 %Catawba County: 13.6 %Chatham County: 11.7 %Cherokee County: 24.3 %Chowan County: 13.7 %Clay County: 24 %Cleveland County: 14.8 %Columbus County: 18 %Craven County: 11.8 %Cumberland County: 14.1 %Currituck County: 10.7 %Dare County: 9.7 %Davidson County: 14.2 %Davie County: 10.5 %Duplin County: 18.4 %Durham County: 15.6 %Edgecombe County: 13.3 %Forsyth County: 14.5 %Franklin County: 13.3 %Gaston County: 13.9 %Gates County: 10.6 %Graham County: 21 %Granville County: 12.9 %Greene County: 21.2 %Guilford County: 11.6 %Halifax County: 14.3 %Harnett County: 14.9 %Haywood County: 15.4 %Henderson County: 17.5 %Hertford County: 15.4 %Hoke County: 14.2 %Hyde County: 19.7 %Iredell County: 12 %Jackson County: 22.1 %Johnston County: 14.1 %Jones County: 14 %Lee County: 15.8 %Lenoir County: 15.7 %Lincoln County: 11.2 %McDowell County: 15.7 %Macon County: 19.6 %Madison County: 11.5 %Martin County: 13.8 %Mecklenburg County: 14 %Mitchell County: 14.9 %Montgomery County: 18.9 %Moore County: 10.5 %Nash County: 16.4 %New Hanover County: 13.5 %Northampton County: 13.5 %Onslow County: 14.7 %Orange County: 10.2 %Pamlico County: 14.3 %Pasquotank County: 11.7 %Pender County: 12.7 %Perquimans County: 18.6 %Person County: 11.7 %Pitt County: 11.9 %Polk County: 16.6 %Randolph County: 15.9 %Richmond County: 16.3 %Robeson County: 20 %Rockingham County: 14.5 %Rowan County: 14 %Rutherford County: 17.3 %Sampson County: 21.8 %Scotland County: 17.5 %Stanly County: 13.4 %Stokes County: 12.8 %Surry County: 16.2 %Swain County: 27.9 %Transylvania County: 15 %Tyrrell County: 27.4 %Union County: 9.7 %Vance County: 19 %Wake County: 10.5 %Warren County: 16.6 %Washington County: 13.1 %Watauga County: 16.3 %Wayne County: 16.2 %Wilkes County: 15.9 %Wilson County: 18.3 %Yadkin County: 12.7 %Yancey County: 18.3 %
  • Under 12
  • 12 to 14
  • 14 to 16
  • 16 to 18
  • 18 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Swain County: 27.9 %Swain County27.9Tyrrell County: 27.4 %Tyrrell County27.4Alleghany County: 25.7 %Alleghany County25.7Cherokee County: 24.3 %Cherokee County24.3Clay County: 24 %Clay County24Jackson County: 22.1 %Jackson County22.1Sampson County: 21.8 %Sampson County21.8Greene County: 21.2 %Greene County21.2Graham County: 21 %Graham County21Robeson County: 20 %Robeson County20Hyde County: 19.7 %Hyde County19.7Macon County: 19.6 %Macon County19.6Vance County: 19 %Vance County19Montgomery County: 18.9 %Montgomery County18.9Perquimans County: 18.6 %Perquimans County18.6Duplin County: 18.4 %Duplin County18.4Yancey County: 18.3 %Yancey County18.3Wilson County: 18.3 %Wilson County18.3Columbus County: 18 %Columbus County18Scotland County: 17.5 %Scotland County17.5Henderson County: 17.5 %Henderson County17.5Rutherford County: 17.3 %Rutherford County17.3Anson County: 16.8 %Anson County16.8Polk County: 16.6 %Polk County16.6Warren County: 16.6 %Warren County16.6Ashe County: 16.5 %Ashe County16.5Nash County: 16.4 %Nash County16.4Richmond County: 16.3 %Richmond County16.3Watauga County: 16.3 %Watauga County16.3Bertie County: 16.2 %Bertie County16.2Wayne County: 16.2 %Wayne County16.2Avery County: 16.2 %Avery County16.2Surry County: 16.2 %Surry County16.2Buncombe County: 16 %Buncombe County16Randolph County: 15.9 %Randolph County15.9Wilkes County: 15.9 %Wilkes County15.9Lee County: 15.8 %Lee County15.8McDowell County: 15.7 %McDowell County15.7Lenoir County: 15.7 %Lenoir County15.7Durham County: 15.6 %Durham County15.6Swain County: 27.9 %Swain County27.9Tyrrell County: 27.4 %Tyrrell County27.4Alleghany County: 25.7 %Alleghany County25.7Cherokee County: 24.3 %Cherokee County24.3Clay County: 24 %Clay County24Jackson County: 22.1 %Jackson County22.1Sampson County: 21.8 %Sampson County21.8Greene County: 21.2 %Greene County21.2Graham County: 21 %Graham County21Robeson County: 20 %Robeson County20Hyde County: 19.7 %Hyde County19.7Macon County: 19.6 %Macon County19.6Vance County: 19 %Vance County19Montgomery County: 18.9 %Montgomery County18.9Perquimans County: 18.6 %Perquimans County18.6Duplin County: 18.4 %Duplin County18.4Yancey County: 18.3 %Yancey County18.3Wilson County: 18.3 %Wilson County18.3Columbus County: 18 %Columbus County18Scotland County: 17.5 %Scotland County17.5Henderson County: 17.5 %Henderson County17.5Rutherford County: 17.3 %Rutherford County17.3Anson County: 16.8 %Anson County16.8Polk County: 16.6 %Polk County16.6Warren County: 16.6 %Warren County16.6Ashe County: 16.5 %Ashe County16.5Nash County: 16.4 %Nash County16.4Richmond County: 16.3 %Richmond County16.3Watauga County: 16.3 %Watauga County16.3Bertie County: 16.2 %Bertie County16.2Wayne County: 16.2 %Wayne County16.2Avery County: 16.2 %Avery County16.2Surry County: 16.2 %Surry County16.2Buncombe County: 16 %Buncombe County16Randolph County: 15.9 %Randolph County15.9Wilkes County: 15.9 %Wilkes County15.9Lee County: 15.8 %Lee County15.8McDowell County: 15.7 %McDowell County15.7Lenoir County: 15.7 %Lenoir County15.7Durham County: 15.6 %Durham County15.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Swain County27.9-3.7 pts
2Tyrrell County27.4+2.4 pts
3Alleghany County25.7+3.9 pts
4Cherokee County24.3-2.2 pts
5Clay County24-0.6 pts
6Jackson County22.1+0.7 pts
7Sampson County21.8+1.9 pts
8Greene County21.2+0.1 pts
9Graham County21+0.9 pts
10Robeson County20-0.1 pts
11Hyde County19.7-6.6 pts
12Macon County19.6-2.4 pts
13Vance County19+1.9 pts
14Montgomery County18.9-0.8 pts
15Perquimans County18.6+1 pts
16Duplin County18.4+0.3 pts
17Yancey County18.3+0.1 pts
18Wilson County18.3+0.5 pts
19Columbus County18-1.3 pts
20Scotland County17.5-0.3 pts
21Henderson County17.5+0.3 pts
22Rutherford County17.3+0.6 pts
23Anson County16.8+0.3 pts
24Polk County16.6+0.2 pts
25Warren County16.6-1.3 pts
26Ashe County16.5+1 pts
27Nash County16.4+1.4 pts
28Richmond County16.3-0.4 pts
29Watauga County16.3+1 pts
30Bertie County16.2-0.8 pts
31Wayne County16.2-0.4 pts
32Avery County16.2-0.6 pts
33Surry County16.2+0.4 pts
34Buncombe County16+1 pts
35Randolph County15.9-1.6 pts
36Wilkes County15.9+0.5 pts
37Lee County15.8-1.7 pts
38McDowell County15.7-1.3 pts
39Lenoir County15.7-1.1 pts
40Durham County15.6+0.4 pts
41Haywood County15.4+0.8 pts
42Hertford County15.4-1.5 pts
43Transylvania County15-3.5 pts
44Harnett County14.9-0.6 pts
45Mitchell County14.9-0.2 pts
46Cleveland County14.8-0.9 pts
47Onslow County14.7+0.1 pts
48Beaufort County14.6-1 pts
49Rockingham County14.5+0.8 pts
50Forsyth County14.5-0.4 pts
51Pamlico County14.3-1.2 pts
52Caldwell County14.3-1 pts
53Halifax County14.3+0.1 pts
54Hoke County14.2-0.5 pts
55Davidson County14.2-0.6 pts
56Johnston County14.1+0.6 pts
57Burke County14.1+0.3 pts
57Cumberland County14.1-0.2 pts
59Rowan County14+0.5 pts
60Jones County14-3.1 pts
61Mecklenburg County14+0.2 pts
62Gaston County13.9+1.3 pts
63Martin County13.8+1 pts
64Chowan County13.7+4.2 pts
65Carteret County13.6-0.9 pts
65Catawba County13.6-0.1 pts
67Bladen County13.6+0.5 pts
68New Hanover County13.50 pts
69Northampton County13.50 pts
70Stanly County13.4-0.6 pts
71Edgecombe County13.3-1 pts
71Franklin County13.3-0.2 pts
73Washington County13.1-1 pts
74Granville County12.9-0.1 pts
75Alamance County12.9+0.3 pts
76Stokes County12.8+1.2 pts
77Pender County12.7+1.5 pts
78Yadkin County12.7-0.6 pts
79Caswell County12.3-2.3 pts
80Alexander County12.2+1.1 pts
81Iredell County12-0 pts
82Pitt County11.9+0.4 pts
83Brunswick County11.9-0.5 pts
84Craven County11.8+0.5 pts
85Pasquotank County11.7-1.4 pts
86Person County11.7-0.1 pts
87Chatham County11.7-0.3 pts
88Guilford County11.6-0.3 pts
89Madison County11.5-1.6 pts
90Lincoln County11.2+1.3 pts
91Currituck County10.7-2.9 pts
92Gates County10.6-1.8 pts
93Davie County10.50 pts
94Moore County10.5-0.5 pts
94Wake County10.5-0.2 pts
96Orange County10.2+0.3 pts
97Union County9.7-1 pts
98Dare County9.7-2.8 pts
99Cabarrus County8.6-0.7 pts
100Camden County4.3-2.7 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2023. 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-carolina-counties?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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 27.9% in 2023, according to the U.S. Census Bureau.

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

Camden County, with 4.3% in 2023.

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