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

Rolette County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 53 counties in 2024, at 29.8%. Golden Valley County had the lowest, at 2.5%. The median was 6.6% and the figure for North Dakota was 6.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest29.8Rolette County
Median6.653 counties
North Dakota6.9History

Map of counties, 2024

Adams County: 5.2 %Barnes County: 5.9 %Benson County: 10.9 %Billings County: 7.6 %Bottineau County: 8.2 %Bowman County: 5.3 %Burke County: 2.9 %Burleigh County: 4.3 %Cass County: 5.4 %Cavalier County: 6.2 %Dickey County: 10.1 %Divide County: 14.2 %Dunn County: 11.6 %Eddy County: 6.2 %Emmons County: 13.9 %Foster County: 3.6 %Golden Valley County: 2.5 %Grand Forks County: 3.7 %Grant County: 7.2 %Griggs County: 4.8 %Hettinger County: 4.6 %Kidder County: 3.4 %LaMoure County: 5.6 %Logan County: 5.1 %McHenry County: 10.9 %McIntosh County: 3.1 %McKenzie County: 8.6 %McLean County: 4.8 %Mercer County: 8.4 %Morton County: 6.3 %Mountrail County: 17.7 %Nelson County: 8.8 %Oliver County: 4.1 %Pembina County: 8.4 %Pierce County: 8.7 %Ramsey County: 9 %Ransom County: 2.8 %Renville County: 4.7 %Richland County: 9.3 %Rolette County: 29.8 %Sargent County: 4 %Sheridan County: 8.7 %Sioux County: 22.7 %Slope County: 4.2 %Stark County: 8.5 %Steele County: 8.4 %Stutsman County: 7 %Towner County: 5.2 %Traill County: 4.4 %Walsh County: 8.6 %Ward County: 6.6 %Wells County: 6.9 %Williams County: 11.6 %
  • Under 4.1
  • 4.1 to 5.2
  • 5.2 to 6.6
  • 6.6 to 8.5
  • 8.5 to 10
  • 10 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2024

Rolette County: 29.8 %Rolette County29.8Sioux County: 22.7 %Sioux County22.7Mountrail County: 17.7 %Mountrail County17.7Divide County: 14.2 %Divide County14.2Emmons County: 13.9 %Emmons County13.9Dunn County: 11.6 %Dunn County11.6Williams County: 11.6 %Williams County11.6McHenry County: 10.9 %McHenry County10.9Benson County: 10.9 %Benson County10.9Dickey County: 10.1 %Dickey County10.1Richland County: 9.3 %Richland County9.3Ramsey County: 9 %Ramsey County9Nelson County: 8.8 %Nelson County8.8Sheridan County: 8.7 %Sheridan County8.7Pierce County: 8.7 %Pierce County8.7McKenzie County: 8.6 %McKenzie County8.6Walsh County: 8.6 %Walsh County8.6Stark County: 8.5 %Stark County8.5Pembina County: 8.4 %Pembina County8.4Steele County: 8.4 %Steele County8.4Mercer County: 8.4 %Mercer County8.4Bottineau County: 8.2 %Bottineau County8.2Billings County: 7.6 %Billings County7.6Grant County: 7.2 %Grant County7.2Stutsman County: 7 %Stutsman County7Wells County: 6.9 %Wells County6.9Ward County: 6.6 %Ward County6.6Morton County: 6.3 %Morton County6.3Cavalier County: 6.2 %Cavalier County6.2Eddy County: 6.2 %Eddy County6.2Barnes County: 5.9 %Barnes County5.9LaMoure County: 5.6 %LaMoure County5.6Cass County: 5.4 %Cass County5.4Bowman County: 5.3 %Bowman County5.3Adams County: 5.2 %Adams County5.2Towner County: 5.2 %Towner County5.2Logan County: 5.1 %Logan County5.1McLean County: 4.8 %McLean County4.8Griggs County: 4.8 %Griggs County4.8Renville County: 4.7 %Renville County4.7Hettinger County: 4.6 %Hettinger County4.6Traill County: 4.4 %Traill County4.4Burleigh County: 4.3 %Burleigh County4.3Slope County: 4.2 %Slope County4.2Oliver County: 4.1 %Oliver County4.1Sargent County: 4 %Sargent County4Grand Forks County: 3.7 %Grand Forks County3.7Foster County: 3.6 %Foster County3.6Kidder County: 3.4 %Kidder County3.4McIntosh County: 3.1 %McIntosh County3.1Burke County: 2.9 %Burke County2.9Ransom County: 2.8 %Ransom County2.8Golden Valley County: 2.5 %Golden Valley County2.5Rolette County: 29.8 %Rolette County29.8Sioux County: 22.7 %Sioux County22.7Mountrail County: 17.7 %Mountrail County17.7Divide County: 14.2 %Divide County14.2Emmons County: 13.9 %Emmons County13.9Dunn County: 11.6 %Dunn County11.6Williams County: 11.6 %Williams County11.6McHenry County: 10.9 %McHenry County10.9Benson County: 10.9 %Benson County10.9Dickey County: 10.1 %Dickey County10.1Richland County: 9.3 %Richland County9.3Ramsey County: 9 %Ramsey County9Nelson County: 8.8 %Nelson County8.8Sheridan County: 8.7 %Sheridan County8.7Pierce County: 8.7 %Pierce County8.7McKenzie County: 8.6 %McKenzie County8.6Walsh County: 8.6 %Walsh County8.6Stark County: 8.5 %Stark County8.5Pembina County: 8.4 %Pembina County8.4Steele County: 8.4 %Steele County8.4Mercer County: 8.4 %Mercer County8.4Bottineau County: 8.2 %Bottineau County8.2Billings County: 7.6 %Billings County7.6Grant County: 7.2 %Grant County7.2Stutsman County: 7 %Stutsman County7Wells County: 6.9 %Wells County6.9Ward County: 6.6 %Ward County6.6Morton County: 6.3 %Morton County6.3Cavalier County: 6.2 %Cavalier County6.2Eddy County: 6.2 %Eddy County6.2Barnes County: 5.9 %Barnes County5.9LaMoure County: 5.6 %LaMoure County5.6Cass County: 5.4 %Cass County5.4Bowman County: 5.3 %Bowman County5.3Adams County: 5.2 %Adams County5.2Towner County: 5.2 %Towner County5.2Logan County: 5.1 %Logan County5.1McLean County: 4.8 %McLean County4.8Griggs County: 4.8 %Griggs County4.8Renville County: 4.7 %Renville County4.7Hettinger County: 4.6 %Hettinger County4.6Traill County: 4.4 %Traill County4.4Burleigh County: 4.3 %Burleigh County4.3Slope County: 4.2 %Slope County4.2Oliver County: 4.1 %Oliver County4.1Sargent County: 4 %Sargent County4Grand Forks County: 3.7 %Grand Forks County3.7Foster County: 3.6 %Foster County3.6Kidder County: 3.4 %Kidder County3.4McIntosh County: 3.1 %McIntosh County3.1Burke County: 2.9 %Burke County2.9Ransom County: 2.8 %Ransom County2.8Golden Valley County: 2.5 %Golden Valley County2.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Rolette County29.8-4.8 pts
2Sioux County22.7-1.9 pts
3Mountrail County17.7-1 pts
4Divide County14.2-0 pts
5Emmons County13.9+2.9 pts
6Dunn County11.6-0.8 pts
7Williams County11.6-1.3 pts
8McHenry County10.9+1.9 pts
9Benson County10.9+0.6 pts
10Dickey County10.1+0.7 pts
11Richland County9.3+0.7 pts
12Ramsey County9+0.6 pts
13Nelson County8.8-0.8 pts
14Sheridan County8.7-0.5 pts
15Pierce County8.7+0.4 pts
16McKenzie County8.6-3.6 pts
17Walsh County8.6-0.9 pts
18Stark County8.5+1 pts
19Pembina County8.4+0.7 pts
20Steele County8.4+3.9 pts
21Mercer County8.4-1.5 pts
22Bottineau County8.2+0.6 pts
23Billings County7.6+2.8 pts
24Grant County7.2-0.2 pts
25Stutsman County7+0.8 pts
26Wells County6.9-2.5 pts
27Ward County6.6-0.3 pts
28Morton County6.3-0.2 pts
29Cavalier County6.2-0.7 pts
30Eddy County6.2-2.7 pts
31Barnes County5.9-1.8 pts
32LaMoure County5.6-1.9 pts
33Cass County5.4-0.6 pts
34Bowman County5.3-0.3 pts
35Adams County5.2-1 pts
35Towner County5.2+0.2 pts
37Logan County5.1+0.8 pts
38McLean County4.8-1.4 pts
39Griggs County4.8-0.3 pts
40Renville County4.7+0.2 pts
41Hettinger County4.6+0.5 pts
42Traill County4.4-0.7 pts
43Burleigh County4.3-0.2 pts
44Slope County4.2+0.8 pts
45Oliver County4.1-2.5 pts
46Sargent County4+1.4 pts
47Grand Forks County3.7-0.2 pts
48Foster County3.6-0.8 pts
49Kidder County3.4-0.6 pts
50McIntosh County3.1-0.2 pts
51Burke County2.9-0.9 pts
52Ransom County2.8-0.5 pts
53Golden Valley County2.5-1.5 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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-dakota-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)?

Rolette County, with 29.8% in 2024, according to the U.S. Census Bureau.

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

Golden Valley County, with 2.5% 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 Dakota: more rankings