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

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

Perry County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 95 counties in 2021, at 25.9%. Trousdale County had the lowest, at 4.8%. The median was 14.1% and the figure for Tennessee was 13.2%. Source: the U.S. Census Bureau.

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Highest25.9Perry County
Lowest4.8Trousdale County
Median14.195 counties
Tennessee13.2History

Map of counties, 2021

Anderson County: 13.2 %Bedford County: 16.1 %Benton County: 16.6 %Bledsoe County: 18.4 %Blount County: 13.4 %Bradley County: 14.7 %Campbell County: 16.8 %Cannon County: 14.2 %Carroll County: 17.5 %Carter County: 16.7 %Cheatham County: 12.6 %Chester County: 20.4 %Claiborne County: 12.9 %Clay County: 14.4 %Cocke County: 16.5 %Coffee County: 13.3 %Crockett County: 17.8 %Cumberland County: 12.7 %Davidson County: 14.9 %Decatur County: 13.3 %DeKalb County: 16.8 %Dickson County: 12.8 %Dyer County: 11.3 %Fayette County: 10.5 %Fentress County: 12 %Franklin County: 14 %Gibson County: 11.4 %Giles County: 14.5 %Grainger County: 17.5 %Greene County: 12.4 %Grundy County: 21.8 %Hamblen County: 16.5 %Hamilton County: 12.8 %Hancock County: 14.7 %Hardeman County: 12.4 %Hardin County: 18.3 %Hawkins County: 12.8 %Haywood County: 17.1 %Henderson County: 17 %Henry County: 18.2 %Hickman County: 9.7 %Houston County: 16.6 %Humphreys County: 13 %Jackson County: 16.8 %Jefferson County: 13.6 %Johnson County: 14.1 %Knox County: 10.8 %Lake County: 22.3 %Lauderdale County: 14.9 %Lawrence County: 17.9 %Lewis County: 23.2 %Lincoln County: 12.1 %Loudon County: 15 %McMinn County: 15.2 %McNairy County: 13.4 %Macon County: 14.4 %Madison County: 13.1 %Marion County: 12.1 %Marshall County: 10.6 %Maury County: 12.1 %Meigs County: 16.3 %Monroe County: 15.7 %Montgomery County: 9.8 %Moore County: 11 %Morgan County: 16.3 %Obion County: 12.3 %Overton County: 11.2 %Perry County: 25.9 %Pickett County: 14.4 %Polk County: 23 %Putnam County: 10.9 %Rhea County: 16 %Roane County: 11.1 %Robertson County: 12.3 %Rutherford County: 11 %Scott County: 16.1 %Sequatchie County: 12.7 %Sevier County: 20.7 %Shelby County: 14.5 %Smith County: 10.4 %Stewart County: 12.2 %Sullivan County: 13.4 %Sumner County: 9.9 %Tipton County: 11 %Trousdale County: 4.8 %Unicoi County: 12.2 %Union County: 12.5 %Van Buren County: 20.2 %Warren County: 19.6 %Washington County: 12.9 %Wayne County: 16.2 %Weakley County: 17.7 %White County: 15.2 %Williamson County: 5.2 %Wilson County: 9.3 %
  • Under 11
  • 11 to 13
  • 13 to 14
  • 14 to 16
  • 16 to 17
  • 17 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

Perry County: 25.9 %Perry County25.9Lewis County: 23.2 %Lewis County23.2Polk County: 23 %Polk County23Lake County: 22.3 %Lake County22.3Grundy County: 21.8 %Grundy County21.8Sevier County: 20.7 %Sevier County20.7Chester County: 20.4 %Chester County20.4Van Buren County: 20.2 %Van Buren County20.2Warren County: 19.6 %Warren County19.6Bledsoe County: 18.4 %Bledsoe County18.4Hardin County: 18.3 %Hardin County18.3Henry County: 18.2 %Henry County18.2Lawrence County: 17.9 %Lawrence County17.9Crockett County: 17.8 %Crockett County17.8Weakley County: 17.7 %Weakley County17.7Carroll County: 17.5 %Carroll County17.5Grainger County: 17.5 %Grainger County17.5Haywood County: 17.1 %Haywood County17.1Henderson County: 17 %Henderson County17Campbell County: 16.8 %Campbell County16.8Jackson County: 16.8 %Jackson County16.8DeKalb County: 16.8 %DeKalb County16.8Carter County: 16.7 %Carter County16.7Benton County: 16.6 %Benton County16.6Houston County: 16.6 %Houston County16.6Cocke County: 16.5 %Cocke County16.5Hamblen County: 16.5 %Hamblen County16.5Meigs County: 16.3 %Meigs County16.3Morgan County: 16.3 %Morgan County16.3Wayne County: 16.2 %Wayne County16.2Bedford County: 16.1 %Bedford County16.1Scott County: 16.1 %Scott County16.1Rhea County: 16 %Rhea County16Monroe County: 15.7 %Monroe County15.7McMinn County: 15.2 %McMinn County15.2White County: 15.2 %White County15.2Loudon County: 15 %Loudon County15Lauderdale County: 14.9 %Lauderdale County14.9Davidson County: 14.9 %Davidson County14.9Bradley County: 14.7 %Bradley County14.7Perry County: 25.9 %Perry County25.9Lewis County: 23.2 %Lewis County23.2Polk County: 23 %Polk County23Lake County: 22.3 %Lake County22.3Grundy County: 21.8 %Grundy County21.8Sevier County: 20.7 %Sevier County20.7Chester County: 20.4 %Chester County20.4Van Buren County: 20.2 %Van Buren County20.2Warren County: 19.6 %Warren County19.6Bledsoe County: 18.4 %Bledsoe County18.4Hardin County: 18.3 %Hardin County18.3Henry County: 18.2 %Henry County18.2Lawrence County: 17.9 %Lawrence County17.9Crockett County: 17.8 %Crockett County17.8Weakley County: 17.7 %Weakley County17.7Carroll County: 17.5 %Carroll County17.5Grainger County: 17.5 %Grainger County17.5Haywood County: 17.1 %Haywood County17.1Henderson County: 17 %Henderson County17Campbell County: 16.8 %Campbell County16.8Jackson County: 16.8 %Jackson County16.8DeKalb County: 16.8 %DeKalb County16.8Carter County: 16.7 %Carter County16.7Benton County: 16.6 %Benton County16.6Houston County: 16.6 %Houston County16.6Cocke County: 16.5 %Cocke County16.5Hamblen County: 16.5 %Hamblen County16.5Meigs County: 16.3 %Meigs County16.3Morgan County: 16.3 %Morgan County16.3Wayne County: 16.2 %Wayne County16.2Bedford County: 16.1 %Bedford County16.1Scott County: 16.1 %Scott County16.1Rhea County: 16 %Rhea County16Monroe County: 15.7 %Monroe County15.7McMinn County: 15.2 %McMinn County15.2White County: 15.2 %White County15.2Loudon County: 15 %Loudon County15Lauderdale County: 14.9 %Lauderdale County14.9Davidson County: 14.9 %Davidson County14.9Bradley County: 14.7 %Bradley County14.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Perry County25.9
2Lewis County23.2
3Polk County23
4Lake County22.3
5Grundy County21.8
6Sevier County20.7
7Chester County20.4
8Van Buren County20.2
9Warren County19.6
10Bledsoe County18.4
11Hardin County18.3
12Henry County18.2
13Lawrence County17.9
14Crockett County17.8
15Weakley County17.7
16Carroll County17.5
17Grainger County17.5
18Haywood County17.1
19Henderson County17
20Campbell County16.8
20Jackson County16.8
22DeKalb County16.8
23Carter County16.7
24Benton County16.6
25Houston County16.6
26Cocke County16.5
27Hamblen County16.5
28Meigs County16.3
29Morgan County16.3
30Wayne County16.2
31Bedford County16.1
32Scott County16.1
33Rhea County16
34Monroe County15.7
35McMinn County15.2
36White County15.2
37Loudon County15
38Lauderdale County14.9
39Davidson County14.9
40Bradley County14.7
41Hancock County14.7
42Shelby County14.5
43Giles County14.5
44Clay County14.4
45Pickett County14.4
46Macon County14.4
47Cannon County14.2
48Johnson County14.1
49Franklin County14
50Jefferson County13.6
51Sullivan County13.4
52McNairy County13.4
53Blount County13.4
54Coffee County13.3
55Decatur County13.3
56Anderson County13.2
57Madison County13.1
58Humphreys County13
59Washington County12.9
60Claiborne County12.9
61Hawkins County12.8
62Dickson County12.8
63Hamilton County12.8
64Sequatchie County12.7
65Cumberland County12.7
66Cheatham County12.6
67Union County12.5
68Hardeman County12.4
69Greene County12.4
70Robertson County12.3
71Obion County12.3
72Unicoi County12.2
73Stewart County12.2
74Maury County12.1
75Lincoln County12.1
76Marion County12.1
77Fentress County12
78Gibson County11.4
79Dyer County11.3
80Overton County11.2
81Roane County11.1
82Moore County11
82Rutherford County11
84Tipton County11
85Putnam County10.9
86Knox County10.8
87Marshall County10.6
88Fayette County10.5
89Smith County10.4
90Sumner County9.9
91Montgomery County9.8
92Hickman County9.7
93Wilson County9.3
94Williamson County5.2
95Trousdale County4.8

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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_by_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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/tennessee-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)?

Perry County, with 25.9% in 2021, according to the U.S. Census Bureau.

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

Trousdale County, with 4.8% 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 Tennessee: more rankings