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

Rolette County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 53 counties in 2022, at 34.4%. Slope County had the lowest, at 1.7%. The median was 8.2% and the figure for North Dakota was 7.6%. Source: the U.S. Census Bureau.

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Highest34.4Rolette County
Lowest1.7Slope County
Median8.253 counties
North Dakota7.6History

Map of counties, 2022

Adams County: 9.1 %Barnes County: 8.2 %Benson County: 10.9 %Billings County: 6.7 %Bottineau County: 9.8 %Bowman County: 8.3 %Burke County: 4.3 %Burleigh County: 4.3 %Cass County: 6 %Cavalier County: 11.4 %Dickey County: 8.6 %Divide County: 14.1 %Dunn County: 12.3 %Eddy County: 10.5 %Emmons County: 8.8 %Foster County: 2.9 %Golden Valley County: 4.1 %Grand Forks County: 4.9 %Grant County: 6.3 %Griggs County: 8.7 %Hettinger County: 6.4 %Kidder County: 5.1 %LaMoure County: 9.5 %Logan County: 5.2 %McHenry County: 7.4 %McIntosh County: 4.7 %McKenzie County: 13.2 %McLean County: 4.2 %Mercer County: 12.7 %Morton County: 6.7 %Mountrail County: 20.1 %Nelson County: 10.9 %Oliver County: 9.5 %Pembina County: 7.9 %Pierce County: 6.6 %Ramsey County: 8.9 %Ransom County: 4.3 %Renville County: 3.4 %Richland County: 8.2 %Rolette County: 34.4 %Sargent County: 3.3 %Sheridan County: 8.3 %Sioux County: 28.2 %Slope County: 1.7 %Stark County: 9.2 %Steele County: 9 %Stutsman County: 7.7 %Towner County: 7.2 %Traill County: 5.4 %Walsh County: 10 %Ward County: 6.4 %Wells County: 9.6 %Williams County: 11.8 %
  • Under 4.5
  • 4.5 to 6.5
  • 6.5 to 8.2
  • 8.2 to 9.2
  • 9.2 to 11
  • 11 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2022

Rolette County: 34.4 %Rolette County34.4Sioux County: 28.2 %Sioux County28.2Mountrail County: 20.1 %Mountrail County20.1Divide County: 14.1 %Divide County14.1McKenzie County: 13.2 %McKenzie County13.2Mercer County: 12.7 %Mercer County12.7Dunn County: 12.3 %Dunn County12.3Williams County: 11.8 %Williams County11.8Cavalier County: 11.4 %Cavalier County11.4Nelson County: 10.9 %Nelson County10.9Benson County: 10.9 %Benson County10.9Eddy County: 10.5 %Eddy County10.5Walsh County: 10 %Walsh County10Bottineau County: 9.8 %Bottineau County9.8Wells County: 9.6 %Wells County9.6Oliver County: 9.5 %Oliver County9.5LaMoure County: 9.5 %LaMoure County9.5Stark County: 9.2 %Stark County9.2Adams County: 9.1 %Adams County9.1Steele County: 9 %Steele County9Ramsey County: 8.9 %Ramsey County8.9Emmons County: 8.8 %Emmons County8.8Griggs County: 8.7 %Griggs County8.7Dickey County: 8.6 %Dickey County8.6Bowman County: 8.3 %Bowman County8.3Sheridan County: 8.3 %Sheridan County8.3Barnes County: 8.2 %Barnes County8.2Richland County: 8.2 %Richland County8.2Pembina County: 7.9 %Pembina County7.9Stutsman County: 7.7 %Stutsman County7.7McHenry County: 7.4 %McHenry County7.4Towner County: 7.2 %Towner County7.2Billings County: 6.7 %Billings County6.7Morton County: 6.7 %Morton County6.7Pierce County: 6.6 %Pierce County6.6Ward County: 6.4 %Ward County6.4Hettinger County: 6.4 %Hettinger County6.4Grant County: 6.3 %Grant County6.3Cass County: 6 %Cass County6Traill County: 5.4 %Traill County5.4Logan County: 5.2 %Logan County5.2Kidder County: 5.1 %Kidder County5.1Grand Forks County: 4.9 %Grand Forks County4.9McIntosh County: 4.7 %McIntosh County4.7Burke County: 4.3 %Burke County4.3Burleigh County: 4.3 %Burleigh County4.3Ransom County: 4.3 %Ransom County4.3McLean County: 4.2 %McLean County4.2Golden Valley County: 4.1 %Golden Valley County4.1Renville County: 3.4 %Renville County3.4Sargent County: 3.3 %Sargent County3.3Foster County: 2.9 %Foster County2.9Slope County: 1.7 %Slope County1.7Rolette County: 34.4 %Rolette County34.4Sioux County: 28.2 %Sioux County28.2Mountrail County: 20.1 %Mountrail County20.1Divide County: 14.1 %Divide County14.1McKenzie County: 13.2 %McKenzie County13.2Mercer County: 12.7 %Mercer County12.7Dunn County: 12.3 %Dunn County12.3Williams County: 11.8 %Williams County11.8Cavalier County: 11.4 %Cavalier County11.4Nelson County: 10.9 %Nelson County10.9Benson County: 10.9 %Benson County10.9Eddy County: 10.5 %Eddy County10.5Walsh County: 10 %Walsh County10Bottineau County: 9.8 %Bottineau County9.8Wells County: 9.6 %Wells County9.6Oliver County: 9.5 %Oliver County9.5LaMoure County: 9.5 %LaMoure County9.5Stark County: 9.2 %Stark County9.2Adams County: 9.1 %Adams County9.1Steele County: 9 %Steele County9Ramsey County: 8.9 %Ramsey County8.9Emmons County: 8.8 %Emmons County8.8Griggs County: 8.7 %Griggs County8.7Dickey County: 8.6 %Dickey County8.6Bowman County: 8.3 %Bowman County8.3Sheridan County: 8.3 %Sheridan County8.3Barnes County: 8.2 %Barnes County8.2Richland County: 8.2 %Richland County8.2Pembina County: 7.9 %Pembina County7.9Stutsman County: 7.7 %Stutsman County7.7McHenry County: 7.4 %McHenry County7.4Towner County: 7.2 %Towner County7.2Billings County: 6.7 %Billings County6.7Morton County: 6.7 %Morton County6.7Pierce County: 6.6 %Pierce County6.6Ward County: 6.4 %Ward County6.4Hettinger County: 6.4 %Hettinger County6.4Grant County: 6.3 %Grant County6.3Cass County: 6 %Cass County6Traill County: 5.4 %Traill County5.4Logan County: 5.2 %Logan County5.2Kidder County: 5.1 %Kidder County5.1Grand Forks County: 4.9 %Grand Forks County4.9McIntosh County: 4.7 %McIntosh County4.7Burke County: 4.3 %Burke County4.3Burleigh County: 4.3 %Burleigh County4.3Ransom County: 4.3 %Ransom County4.3McLean County: 4.2 %McLean County4.2Golden Valley County: 4.1 %Golden Valley County4.1Renville County: 3.4 %Renville County3.4Sargent County: 3.3 %Sargent County3.3Foster County: 2.9 %Foster County2.9Slope County: 1.7 %Slope County1.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Rolette County34.4-0.2 pts
2Sioux County28.2-5.9 pts
3Mountrail County20.1-0.1 pts
4Divide County14.1+0.2 pts
5McKenzie County13.2-0.7 pts
6Mercer County12.7-0.3 pts
7Dunn County12.3+1.1 pts
8Williams County11.8-1.5 pts
9Cavalier County11.4-0.1 pts
10Nelson County10.9+0.9 pts
11Benson County10.9+0.7 pts
12Eddy County10.5+2.9 pts
13Walsh County10+1.5 pts
14Bottineau County9.8+1.5 pts
15Wells County9.6-0.5 pts
16Oliver County9.5-1 pts
17LaMoure County9.5+1.4 pts
18Stark County9.2-0.6 pts
19Adams County9.1+0.3 pts
20Steele County9+0.4 pts
21Ramsey County8.9+0.7 pts
22Emmons County8.8-0.9 pts
23Griggs County8.7-1 pts
24Dickey County8.6+2.9 pts
25Bowman County8.3+0.2 pts
26Sheridan County8.3-3.8 pts
27Barnes County8.2+0.5 pts
28Richland County8.2+1.4 pts
29Pembina County7.9+0.6 pts
30Stutsman County7.7-1.2 pts
31McHenry County7.4+2.6 pts
32Towner County7.2-0.6 pts
33Billings County6.7-0.1 pts
33Morton County6.7-0 pts
35Pierce County6.6+2.3 pts
36Ward County6.4-0.3 pts
37Hettinger County6.4-0.2 pts
38Grant County6.3-0.4 pts
39Cass County6-0.1 pts
40Traill County5.4-1.7 pts
41Logan County5.2+1.5 pts
42Kidder County5.1-3.3 pts
43Grand Forks County4.9-0 pts
44McIntosh County4.7-0.4 pts
45Burke County4.3-1.5 pts
45Burleigh County4.3-0.8 pts
47Ransom County4.3+0.3 pts
48McLean County4.2+0.1 pts
49Golden Valley County4.1-0 pts
50Renville County3.4+0.7 pts
51Sargent County3.3+0.7 pts
52Foster County2.9-0.2 pts
53Slope County1.7-0.1 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/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 (Counties in North Dakota 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, Counties in North Dakota 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-dakota-counties?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. Counties in North Dakota 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-dakota-counties?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, Counties in North Dakota 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-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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: Counties in North Dakota 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-dakota-counties?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. 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: Counties in North Dakota 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-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/north-dakota-counties?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. 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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Questions

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

Rolette County, with 34.4% in 2022, according to the U.S. Census Bureau.

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

Slope County, with 1.7% 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. Retrieved 2026-10-12.

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

Counties in North Dakota: more rankings