Counties in Texas by uninsured rate, ages 35 to 64 (US, ACS), 2024
Presidio County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 254 counties in 2024, at 42.4%. Loving County had the lowest, at 0%. The median was 21.2% and the figure for Texas was 20%. Source: the U.S. Census Bureau.
Map of counties, 2024
- Under 16
- 16 to 18
- 18 to 21
- 21 to 24
- 24 to 28
- 28 and over
Top 40 counties, 2024
Full ranking
| Rank | Counties | 2024 (%) | Change on 2023 |
|---|---|---|---|
| 1 | Presidio County | 42.4 | +6.8 pts |
| 2 | Foard County | 39.2 | +6.7 pts |
| 3 | Gaines County | 39 | +4.9 pts |
| 4 | Hudspeth County | 38.3 | +9.2 pts |
| 5 | San Saba County | 38.1 | +0.7 pts |
| 6 | Starr County | 37.9 | -2.4 pts |
| 7 | Zapata County | 37.8 | -2.2 pts |
| 8 | Hidalgo County | 37.7 | -2.5 pts |
| 9 | Cochran County | 35.9 | +9.3 pts |
| 10 | Coleman County | 35.4 | -1.9 pts |
| 11 | Webb County | 35.3 | -0.3 pts |
| 12 | Cameron County | 35 | -1.2 pts |
| 13 | Jim Hogg County | 34.4 | -0 pts |
| 14 | Bailey County | 34.1 | -0.2 pts |
| 15 | Briscoe County | 33.7 | -4 pts |
| 16 | Kenedy County | 33.3 | +33.3 pts |
| 17 | Edwards County | 33.1 | +3.4 pts |
| 18 | Deaf Smith County | 32.9 | +1.6 pts |
| 19 | Castro County | 32.9 | -0.9 pts |
| 20 | Wheeler County | 32.9 | +3.7 pts |
| 21 | Liberty County | 32.4 | -0.1 pts |
| 22 | Willacy County | 32.4 | -3.3 pts |
| 23 | Maverick County | 32.4 | -1.7 pts |
| 24 | San Augustine County | 31.6 | +3.6 pts |
| 25 | Moore County | 31.4 | +2.8 pts |
| 26 | Duval County | 30.8 | +1.9 pts |
| 27 | Culberson County | 30.6 | -13.2 pts |
| 28 | Crane County | 30.5 | -2.7 pts |
| 29 | Jeff Davis County | 30.3 | -6.2 pts |
| 30 | Collingsworth County | 30.2 | -2.5 pts |
| 31 | Ochiltree County | 30.2 | +2 pts |
| 32 | Newton County | 29.7 | -1.7 pts |
| 33 | Lamb County | 29.7 | -1 pts |
| 34 | Baylor County | 29.2 | +3 pts |
| 35 | Menard County | 29.1 | +4.3 pts |
| 36 | Swisher County | 28.6 | +0.2 pts |
| 37 | Hale County | 28.6 | -3.8 pts |
| 38 | Throckmorton County | 28.1 | -6.1 pts |
| 39 | Donley County | 28.1 | +6.1 pts |
| 39 | Floyd County | 28.1 | -3.6 pts |
| 41 | Camp County | 27.9 | +0.9 pts |
| 42 | Upton County | 27.8 | +7.3 pts |
| 43 | Jim Wells County | 27.8 | -1.1 pts |
| 44 | Dallam County | 27.7 | -0.9 pts |
| 45 | Titus County | 27.6 | +1.1 pts |
| 46 | Dawson County | 27.4 | +0.8 pts |
| 47 | Terrell County | 27.3 | +14.8 pts |
| 48 | Comanche County | 27.2 | +2.2 pts |
| 49 | Terry County | 27.1 | +3.9 pts |
| 50 | Jones County | 27 | -1.4 pts |
| 51 | Hansford County | 26.9 | +2.9 pts |
| 52 | Shelby County | 26.9 | +0.9 pts |
| 53 | Cherokee County | 26.8 | -1.1 pts |
| 54 | Cottle County | 26.7 | +7.2 pts |
| 55 | Caldwell County | 26.4 | -4.1 pts |
| 56 | Young County | 26.1 | -2.4 pts |
| 57 | El Paso County | 26 | -0.1 pts |
| 58 | Hall County | 25.8 | +0.8 pts |
| 59 | Parmer County | 25.8 | +3.2 pts |
| 60 | Brooks County | 25.7 | +9.3 pts |
| 61 | Andrews County | 25.7 | +1.6 pts |
| 62 | Concho County | 25.6 | +10.9 pts |
| 63 | Jefferson County | 25.6 | -0.8 pts |
| 64 | Dallas County | 25.5 | -0.4 pts |
| 65 | Dimmit County | 25.5 | -6.9 pts |
| 66 | Schleicher County | 25.4 | -2.2 pts |
| 67 | Motley County | 25.3 | -2.7 pts |
| 68 | Hill County | 25.3 | +0.2 pts |
| 69 | Potter County | 25.2 | +0.6 pts |
| 69 | Rains County | 25.2 | +4 pts |
| 71 | Palo Pinto County | 25.2 | -2.6 pts |
| 72 | Crosby County | 25 | -4.4 pts |
| 73 | Gonzales County | 24.8 | +2.3 pts |
| 73 | Trinity County | 24.8 | +0.2 pts |
| 75 | Ector County | 24.8 | +0.7 pts |
| 76 | Hemphill County | 24.7 | -1.6 pts |
| 77 | Kinney County | 24.6 | +3.1 pts |
| 78 | Hopkins County | 24.6 | -1.5 pts |
| 79 | Reeves County | 24.5 | -1.8 pts |
| 80 | Hockley County | 24.5 | +0.3 pts |
| 81 | Nacogdoches County | 24.4 | +1.6 pts |
| 82 | Navarro County | 24.3 | -1.7 pts |
| 83 | Lipscomb County | 24.3 | +2.9 pts |
| 84 | Zavala County | 24.2 | +6.3 pts |
| 85 | Kerr County | 24.2 | 0 pts |
| 86 | Bosque County | 24.2 | +0.8 pts |
| 87 | Jack County | 24.1 | +1.9 pts |
| 88 | San Patricio County | 24.1 | +0.5 pts |
| 89 | San Jacinto County | 23.9 | -2.3 pts |
| 90 | Harris County | 23.9 | -0.7 pts |
| 91 | Tyler County | 23.8 | -1.1 pts |
| 92 | Van Zandt County | 23.8 | -0.4 pts |
| 93 | Llano County | 23.7 | +1.7 pts |
| 94 | Uvalde County | 23.6 | -1.1 pts |
| 95 | Winkler County | 23.5 | +4.3 pts |
| 96 | Sherman County | 23.5 | +2.5 pts |
| 97 | McCulloch County | 23.4 | -4 pts |
| 98 | Bee County | 23.4 | +0.9 pts |
| 99 | Anderson County | 23.3 | +0.7 pts |
| 100 | King County | 23.2 | +12.9 pts |
| 101 | Angelina County | 23.1 | -0.4 pts |
| 102 | La Salle County | 22.9 | -16.1 pts |
| 102 | Limestone County | 22.9 | -0.9 pts |
| 104 | Sterling County | 22.8 | +3 pts |
| 105 | Frio County | 22.8 | -0.1 pts |
| 106 | Jackson County | 22.8 | +0.7 pts |
| 107 | Henderson County | 22.8 | -0.9 pts |
| 108 | Nueces County | 22.7 | -0 pts |
| 109 | Leon County | 22.6 | +2.7 pts |
| 110 | Yoakum County | 22.5 | +1.2 pts |
| 111 | Waller County | 22.4 | -1.1 pts |
| 112 | Jasper County | 22.3 | -1.2 pts |
| 112 | Ward County | 22.3 | +2.7 pts |
| 114 | Marion County | 22.2 | -0 pts |
| 115 | Hunt County | 22.2 | +0.4 pts |
| 115 | Red River County | 22.2 | +1.2 pts |
| 117 | Wood County | 22 | +0.4 pts |
| 118 | Atascosa County | 22 | -0.9 pts |
| 119 | Gray County | 22 | -0.7 pts |
| 120 | Bastrop County | 21.9 | -1.8 pts |
| 121 | Live Oak County | 21.9 | -1.1 pts |
| 122 | Victoria County | 21.9 | +0.8 pts |
| 123 | Stephens County | 21.7 | -0.5 pts |
| 124 | Lee County | 21.7 | +1.1 pts |
| 125 | Smith County | 21.5 | +0.4 pts |
| 126 | Burnet County | 21.3 | +1.3 pts |
| 127 | Montague County | 21.3 | -3.2 pts |
| 128 | Grimes County | 21 | -3.3 pts |
| 128 | Lamar County | 21 | -1.1 pts |
| 130 | Pecos County | 21 | +3.3 pts |
| 131 | Real County | 21 | -5.8 pts |
| 131 | Refugio County | 21 | -2.5 pts |
| 133 | Hardeman County | 21 | -4.1 pts |
| 134 | Mitchell County | 20.9 | -5.3 pts |
| 135 | Mason County | 20.8 | -4.4 pts |
| 136 | Gregg County | 20.5 | -0.5 pts |
| 137 | Haskell County | 20.4 | +0.6 pts |
| 138 | Scurry County | 20.3 | +1.1 pts |
| 139 | Lynn County | 20.2 | -1.3 pts |
| 140 | Cooke County | 20.1 | +0.6 pts |
| 141 | Erath County | 20 | -1.6 pts |
| 142 | Goliad County | 19.9 | +1.8 pts |
| 143 | Garza County | 19.7 | +1.2 pts |
| 144 | Johnson County | 19.6 | +0.4 pts |
| 145 | Eastland County | 19.5 | -0.7 pts |
| 146 | Hamilton County | 19.5 | +0.2 pts |
| 147 | Blanco County | 19.5 | -0.9 pts |
| 148 | Glasscock County | 19.4 | +7.7 pts |
| 149 | Knox County | 19.3 | +3.9 pts |
| 150 | Roberts County | 19.3 | -2.5 pts |
| 151 | Kimble County | 19.3 | -5.4 pts |
| 152 | Callahan County | 19.2 | -2.4 pts |
| 153 | Tarrant County | 19.2 | -0.3 pts |
| 154 | Rusk County | 19.2 | +1.3 pts |
| 155 | Panola County | 19.2 | -1.8 pts |
| 156 | Walker County | 19.1 | +0.8 pts |
| 157 | Matagorda County | 19.1 | -0.3 pts |
| 158 | Val Verde County | 19 | -4.1 pts |
| 159 | Irion County | 19 | +0.5 pts |
| 160 | Milam County | 18.9 | -1 pts |
| 161 | Bexar County | 18.8 | -0.1 pts |
| 162 | Lampasas County | 18.7 | +1.5 pts |
| 163 | Austin County | 18.7 | +2.2 pts |
| 164 | Sutton County | 18.6 | -2.1 pts |
| 165 | Taylor County | 18.6 | -0.9 pts |
| 166 | Karnes County | 18.5 | +0.2 pts |
| 167 | Brazos County | 18.5 | +1.4 pts |
| 168 | Tom Green County | 18.5 | +1.4 pts |
| 169 | Upshur County | 18.4 | +0.1 pts |
| 170 | Carson County | 18.4 | +0.2 pts |
| 170 | Howard County | 18.4 | +0.2 pts |
| 172 | Grayson County | 18.3 | -0.4 pts |
| 173 | Houston County | 18.2 | -1 pts |
| 173 | McLennan County | 18.2 | +0.3 pts |
| 175 | Aransas County | 18.1 | -2.2 pts |
| 175 | DeWitt County | 18.1 | -2.4 pts |
| 177 | Wichita County | 18.1 | +0.5 pts |
| 178 | Brown County | 17.9 | -2.5 pts |
| 179 | Kleberg County | 17.9 | -1.3 pts |
| 180 | Sabine County | 17.8 | -2 pts |
| 181 | Orange County | 17.7 | -2 pts |
| 182 | Burleson County | 17.6 | -0.1 pts |
| 183 | Fannin County | 17.6 | -1.3 pts |
| 184 | Franklin County | 17.6 | +1.1 pts |
| 185 | Wise County | 17.5 | -1.1 pts |
| 186 | Chambers County | 17.5 | -2.1 pts |
| 187 | Hood County | 17.4 | -0.3 pts |
| 188 | Midland County | 17.3 | -1.3 pts |
| 188 | Runnels County | 17.3 | +2.4 pts |
| 190 | Fisher County | 17.3 | -2.3 pts |
| 191 | Cass County | 17.3 | +1.4 pts |
| 192 | Brewster County | 17.3 | +4 pts |
| 193 | Montgomery County | 17.3 | -0.2 pts |
| 193 | Polk County | 17.3 | -2.4 pts |
| 195 | Harrison County | 17.2 | -0.5 pts |
| 196 | Hardin County | 16.9 | -1.3 pts |
| 196 | Hutchinson County | 16.9 | -2.8 pts |
| 198 | Nolan County | 16.9 | -5.3 pts |
| 199 | Coke County | 16.9 | +1 pts |
| 200 | Dickens County | 16.9 | +2.7 pts |
| 201 | Bell County | 16.8 | -0.4 pts |
| 202 | Washington County | 16.8 | -0.8 pts |
| 203 | Gillespie County | 16.7 | -2.2 pts |
| 204 | Wharton County | 16.4 | -3.7 pts |
| 205 | Kaufman County | 16.3 | +0.6 pts |
| 206 | Freestone County | 16.2 | -0.6 pts |
| 206 | Galveston County | 16.2 | -0.3 pts |
| 208 | Bowie County | 16.1 | -2.8 pts |
| 209 | Mills County | 16.1 | -3.7 pts |
| 210 | Martin County | 16 | -4.9 pts |
| 211 | Lubbock County | 16 | -0.3 pts |
| 212 | Falls County | 16 | -1.5 pts |
| 213 | Fayette County | 16 | +0.1 pts |
| 214 | McMullen County | 15.9 | +1.3 pts |
| 215 | Ellis County | 15.7 | -2 pts |
| 215 | Madison County | 15.7 | -1.2 pts |
| 217 | Lavaca County | 15.7 | -0.1 pts |
| 218 | Parker County | 15.5 | -0.2 pts |
| 219 | Bandera County | 15.3 | -0.9 pts |
| 220 | Brazoria County | 15.1 | +0.1 pts |
| 221 | Archer County | 14.7 | -4.5 pts |
| 221 | Clay County | 14.7 | -2.4 pts |
| 223 | Wilson County | 14.2 | +0.7 pts |
| 224 | Morris County | 14.1 | -2.7 pts |
| 225 | Hartley County | 13.9 | -2.8 pts |
| 226 | Shackelford County | 13.8 | -2.1 pts |
| 227 | Robertson County | 13.6 | -1.4 pts |
| 228 | Hays County | 13.4 | +0.1 pts |
| 229 | Kendall County | 13.3 | -0 pts |
| 230 | Guadalupe County | 13.1 | +0.2 pts |
| 231 | Delta County | 13.1 | +5.1 pts |
| 232 | Somervell County | 13.1 | +1.6 pts |
| 233 | Coryell County | 12.9 | -1.6 pts |
| 234 | Medina County | 12.9 | -2.3 pts |
| 235 | Fort Bend County | 12.6 | -0 pts |
| 236 | Travis County | 12.5 | -0.3 pts |
| 237 | Randall County | 12.4 | +0.6 pts |
| 238 | Wilbarger County | 12.3 | -3.6 pts |
| 239 | Comal County | 12.2 | -0.6 pts |
| 240 | Colorado County | 12.1 | -4.8 pts |
| 241 | Denton County | 11 | -0.2 pts |
| 242 | Stonewall County | 10.8 | -2.3 pts |
| 243 | Reagan County | 10.8 | -6.9 pts |
| 244 | Calhoun County | 10.8 | -4 pts |
| 245 | Williamson County | 10.8 | +0.3 pts |
| 246 | Oldham County | 10.6 | 0 pts |
| 247 | Collin County | 9.8 | -0.8 pts |
| 248 | Borden County | 9.2 | +5.1 pts |
| 249 | Kent County | 8.9 | +2.1 pts |
| 250 | Childress County | 8.8 | -1.1 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/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
Citation styles
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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_by_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 Texas 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/texas-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 Texas 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/texas-counties
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-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 -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Texas by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_35_64","level":"province","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_35_64&level=province&within=Texas&limit=10
Questions
Which county has the highest uninsured rate, ages 35 to 64 (US, ACS)?
Presidio County, with 42.4% in 2024, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, ages 35 to 64 (US, ACS)?
Loving County, with 0% 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 Montana
- Counties in South Dakota
- Counties in North Carolina
- Cities in Missouri
- Cities in New Jersey
- Cities in Nebraska
Counties in Texas: more rankings
- Uninsured rate, under 19 (US model-based estimate)
- Current asthma in adults, local model estimate
- Uninsured rate, under 65 (US model-based estimate)
- Diagnosed diabetes in adults, local model estimate
- Median household income (US single-year estimate)
- Gini index
- Wages and salaries paid
- Poverty rate (US official measure)