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 2023, at 26%. Williamson County had the lowest, at 5.6%. The median was 13.6% and the figure for Tennessee was 13.1%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest26Perry County
Median13.695 counties
Tennessee13.1History

Map of counties, 2023

Anderson County: 11.4 %Bedford County: 17.5 %Benton County: 13.4 %Bledsoe County: 16.5 %Blount County: 12.5 %Bradley County: 13.5 %Campbell County: 13.5 %Cannon County: 12.8 %Carroll County: 18.6 %Carter County: 16.3 %Cheatham County: 11.8 %Chester County: 14.3 %Claiborne County: 14.6 %Clay County: 13.9 %Cocke County: 18.3 %Coffee County: 12.7 %Crockett County: 18 %Cumberland County: 12.7 %Davidson County: 15 %Decatur County: 15.1 %DeKalb County: 12.8 %Dickson County: 11.9 %Dyer County: 14.3 %Fayette County: 9 %Fentress County: 12.6 %Franklin County: 11.7 %Gibson County: 11.7 %Giles County: 13.9 %Grainger County: 15.3 %Greene County: 13.3 %Grundy County: 18.7 %Hamblen County: 18.5 %Hamilton County: 13.2 %Hancock County: 17.8 %Hardeman County: 12.6 %Hardin County: 18.2 %Hawkins County: 16.1 %Haywood County: 17.1 %Henderson County: 15.6 %Henry County: 17.4 %Hickman County: 10.2 %Houston County: 20 %Humphreys County: 16.6 %Jackson County: 15.3 %Jefferson County: 10.6 %Johnson County: 14.1 %Knox County: 11.2 %Lake County: 21.6 %Lauderdale County: 13.2 %Lawrence County: 19.1 %Lewis County: 18.4 %Lincoln County: 12.1 %Loudon County: 13.6 %McMinn County: 15 %McNairy County: 13.5 %Macon County: 16.3 %Madison County: 12.4 %Marion County: 14.4 %Marshall County: 11.1 %Maury County: 11 %Meigs County: 15.9 %Monroe County: 17.6 %Montgomery County: 11.6 %Moore County: 9.1 %Morgan County: 12.9 %Obion County: 11.2 %Overton County: 10.9 %Perry County: 26 %Pickett County: 13.9 %Polk County: 22.5 %Putnam County: 11.8 %Rhea County: 16.6 %Roane County: 10.8 %Robertson County: 11.5 %Rutherford County: 11.3 %Scott County: 12.8 %Sequatchie County: 17.4 %Sevier County: 19 %Shelby County: 14.5 %Smith County: 10.5 %Stewart County: 10.2 %Sullivan County: 13.7 %Sumner County: 9.3 %Tipton County: 12.5 %Trousdale County: 8.4 %Unicoi County: 13.5 %Union County: 11.6 %Van Buren County: 16.1 %Warren County: 17.3 %Washington County: 13.7 %Wayne County: 15.3 %Weakley County: 13.5 %White County: 16 %Williamson County: 5.6 %Wilson County: 8.5 %
  • Under 11
  • 11 to 13
  • 13 to 14
  • 14 to 15
  • 15 to 17
  • 17 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

Perry County: 26 %Perry County26Polk County: 22.5 %Polk County22.5Lake County: 21.6 %Lake County21.6Houston County: 20 %Houston County20Lawrence County: 19.1 %Lawrence County19.1Sevier County: 19 %Sevier County19Grundy County: 18.7 %Grundy County18.7Carroll County: 18.6 %Carroll County18.6Hamblen County: 18.5 %Hamblen County18.5Lewis County: 18.4 %Lewis County18.4Cocke County: 18.3 %Cocke County18.3Hardin County: 18.2 %Hardin County18.2Crockett County: 18 %Crockett County18Hancock County: 17.8 %Hancock County17.8Monroe County: 17.6 %Monroe County17.6Bedford County: 17.5 %Bedford County17.5Henry County: 17.4 %Henry County17.4Sequatchie County: 17.4 %Sequatchie County17.4Warren County: 17.3 %Warren County17.3Haywood County: 17.1 %Haywood County17.1Humphreys County: 16.6 %Humphreys County16.6Rhea County: 16.6 %Rhea County16.6Bledsoe County: 16.5 %Bledsoe County16.5Carter County: 16.3 %Carter County16.3Macon County: 16.3 %Macon County16.3Hawkins County: 16.1 %Hawkins County16.1Van Buren County: 16.1 %Van Buren County16.1White County: 16 %White County16Meigs County: 15.9 %Meigs County15.9Henderson County: 15.6 %Henderson County15.6Grainger County: 15.3 %Grainger County15.3Jackson County: 15.3 %Jackson County15.3Wayne County: 15.3 %Wayne County15.3Decatur County: 15.1 %Decatur County15.1McMinn County: 15 %McMinn County15Davidson County: 15 %Davidson County15Claiborne County: 14.6 %Claiborne County14.6Shelby County: 14.5 %Shelby County14.5Marion County: 14.4 %Marion County14.4Dyer County: 14.3 %Dyer County14.3Perry County: 26 %Perry County26Polk County: 22.5 %Polk County22.5Lake County: 21.6 %Lake County21.6Houston County: 20 %Houston County20Lawrence County: 19.1 %Lawrence County19.1Sevier County: 19 %Sevier County19Grundy County: 18.7 %Grundy County18.7Carroll County: 18.6 %Carroll County18.6Hamblen County: 18.5 %Hamblen County18.5Lewis County: 18.4 %Lewis County18.4Cocke County: 18.3 %Cocke County18.3Hardin County: 18.2 %Hardin County18.2Crockett County: 18 %Crockett County18Hancock County: 17.8 %Hancock County17.8Monroe County: 17.6 %Monroe County17.6Bedford County: 17.5 %Bedford County17.5Henry County: 17.4 %Henry County17.4Sequatchie County: 17.4 %Sequatchie County17.4Warren County: 17.3 %Warren County17.3Haywood County: 17.1 %Haywood County17.1Humphreys County: 16.6 %Humphreys County16.6Rhea County: 16.6 %Rhea County16.6Bledsoe County: 16.5 %Bledsoe County16.5Carter County: 16.3 %Carter County16.3Macon County: 16.3 %Macon County16.3Hawkins County: 16.1 %Hawkins County16.1Van Buren County: 16.1 %Van Buren County16.1White County: 16 %White County16Meigs County: 15.9 %Meigs County15.9Henderson County: 15.6 %Henderson County15.6Grainger County: 15.3 %Grainger County15.3Jackson County: 15.3 %Jackson County15.3Wayne County: 15.3 %Wayne County15.3Decatur County: 15.1 %Decatur County15.1McMinn County: 15 %McMinn County15Davidson County: 15 %Davidson County15Claiborne County: 14.6 %Claiborne County14.6Shelby County: 14.5 %Shelby County14.5Marion County: 14.4 %Marion County14.4Dyer County: 14.3 %Dyer County14.3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Perry County26+0.1 pts
2Polk County22.5-0 pts
3Lake County21.6-1.3 pts
4Houston County20+1.4 pts
5Lawrence County19.1+1.4 pts
6Sevier County19+0.1 pts
7Grundy County18.7-1.5 pts
8Carroll County18.6+0.7 pts
9Hamblen County18.5+0.8 pts
10Lewis County18.4-3.2 pts
11Cocke County18.3+0.2 pts
12Hardin County18.2+0.1 pts
13Crockett County18+0.2 pts
14Hancock County17.8-0.7 pts
15Monroe County17.6+0.9 pts
16Bedford County17.5+0.3 pts
17Henry County17.4-0.6 pts
17Sequatchie County17.4+4.4 pts
19Warren County17.3-2 pts
20Haywood County17.1-1 pts
21Humphreys County16.6+1.5 pts
22Rhea County16.6+1 pts
23Bledsoe County16.5-0.6 pts
24Carter County16.3-0.4 pts
24Macon County16.3+1.6 pts
26Hawkins County16.1+1.7 pts
27Van Buren County16.1-3.5 pts
28White County16-1.1 pts
29Meigs County15.9+0.3 pts
30Henderson County15.6-1.6 pts
31Grainger County15.3-2.1 pts
31Jackson County15.3-1.5 pts
33Wayne County15.3-1.6 pts
34Decatur County15.1+0.7 pts
35McMinn County15-0.5 pts
36Davidson County15+0.4 pts
37Claiborne County14.6+0.9 pts
38Shelby County14.5-0 pts
39Marion County14.4+1.5 pts
40Dyer County14.3+1.9 pts
41Chester County14.3-2.5 pts
42Johnson County14.1-1.3 pts
43Giles County13.9+0.8 pts
43Pickett County13.9-3.5 pts
45Clay County13.9+4 pts
46Sullivan County13.7-0.3 pts
47Washington County13.7+0.3 pts
48Loudon County13.6-1.4 pts
49Campbell County13.5-0.8 pts
50Weakley County13.5-3.3 pts
51McNairy County13.5-1 pts
51Unicoi County13.5+0.8 pts
53Bradley County13.5-1.2 pts
54Benton County13.4-1.8 pts
55Greene County13.3+0.6 pts
56Lauderdale County13.2-1.4 pts
57Hamilton County13.2-0.1 pts
58Morgan County12.9-2.2 pts
59DeKalb County12.8-1.6 pts
60Cannon County12.8-1.5 pts
61Scott County12.8-1.8 pts
62Coffee County12.7+0.5 pts
63Cumberland County12.7-0.2 pts
64Hardeman County12.6+1.4 pts
65Fentress County12.6+1.3 pts
66Blount County12.5-0.5 pts
67Tipton County12.5+0.3 pts
68Madison County12.4-0.7 pts
69Lincoln County12.1-0.1 pts
70Dickson County11.9-0.8 pts
71Cheatham County11.8+0.3 pts
71Putnam County11.8+0.9 pts
73Gibson County11.7-0.3 pts
74Franklin County11.7-1.3 pts
75Montgomery County11.6+0.6 pts
76Union County11.6-1.4 pts
77Robertson County11.5-0.9 pts
78Anderson County11.4-1.7 pts
79Rutherford County11.3+0.3 pts
80Obion County11.2-0.2 pts
81Knox County11.2+0.5 pts
82Marshall County11.1+1.5 pts
83Maury County11-0.4 pts
84Overton County10.9+1.6 pts
85Roane County10.8+0.2 pts
86Jefferson County10.6-0.8 pts
87Smith County10.5-2.4 pts
88Hickman County10.2+0.4 pts
89Stewart County10.2-2.4 pts
90Sumner County9.3-0.1 pts
91Moore County9.1+0.5 pts
92Fayette County9-0.4 pts
93Wilson County8.5-0.2 pts
94Trousdale County8.4+2.5 pts
95Williamson County5.6+0.5 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/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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_by_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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/tennessee-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)?

Perry County, with 26% in 2023, according to the U.S. Census Bureau.

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

Williamson County, with 5.6% 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 Tennessee: more rankings