Counties in Texas by uninsured rate, ages 35 to 64 (US, ACS)
Culberson County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 254 counties in 2023, at 43.8%. Loving County had the lowest, at 0%. The median was 21% and the figure for Texas was 20.5%. Source: the U.S. Census Bureau.
Map of counties, 2023
- Under 16
- 16 to 19
- 19 to 21
- 21 to 24
- 24 to 28
- 28 and over
Top 40 counties, 2023
Full ranking
| Rank | Counties | 2023 (%) | Change on 2022 |
|---|---|---|---|
| 1 | Culberson County | 43.8 | +19.8 pts |
| 2 | Starr County | 40.3 | -2.8 pts |
| 3 | Hidalgo County | 40.1 | -1.6 pts |
| 4 | Zapata County | 40.1 | +0.4 pts |
| 5 | La Salle County | 38.9 | +5.1 pts |
| 6 | Briscoe County | 37.7 | -4.7 pts |
| 7 | San Saba County | 37.4 | +8.4 pts |
| 8 | Coleman County | 37.3 | +3.2 pts |
| 9 | Jeff Davis County | 36.5 | +4.2 pts |
| 10 | Cameron County | 36.1 | -1.1 pts |
| 11 | Willacy County | 35.7 | -3.7 pts |
| 12 | Presidio County | 35.6 | -8 pts |
| 12 | Webb County | 35.6 | -0.3 pts |
| 14 | Jim Hogg County | 34.5 | +6.9 pts |
| 15 | Bailey County | 34.3 | +1.4 pts |
| 16 | Gaines County | 34.2 | +0.9 pts |
| 16 | Throckmorton County | 34.2 | -0.1 pts |
| 18 | Maverick County | 34.1 | -5 pts |
| 19 | Castro County | 33.8 | -5.4 pts |
| 20 | Crane County | 33.2 | -1.3 pts |
| 21 | Collingsworth County | 32.7 | -6.4 pts |
| 22 | Foard County | 32.5 | +4.4 pts |
| 23 | Liberty County | 32.5 | +1.2 pts |
| 24 | Hale County | 32.5 | +0.8 pts |
| 25 | Dimmit County | 32.4 | -2.2 pts |
| 26 | Floyd County | 31.6 | -4.6 pts |
| 27 | Newton County | 31.5 | -0.9 pts |
| 28 | Deaf Smith County | 31.2 | -1.2 pts |
| 29 | Lamb County | 30.7 | -2.4 pts |
| 30 | Caldwell County | 30.5 | +1.4 pts |
| 31 | Edwards County | 29.7 | -8 pts |
| 32 | Crosby County | 29.4 | +3.3 pts |
| 33 | Wheeler County | 29.1 | +4.4 pts |
| 34 | Hudspeth County | 29.1 | -6.7 pts |
| 35 | Duval County | 28.9 | -0.7 pts |
| 36 | Jim Wells County | 28.8 | +3.8 pts |
| 37 | Moore County | 28.6 | +0.4 pts |
| 38 | Dallam County | 28.6 | +1.7 pts |
| 39 | Swisher County | 28.5 | -5.1 pts |
| 40 | Young County | 28.5 | +1.7 pts |
| 41 | Jones County | 28.4 | -2 pts |
| 42 | Ochiltree County | 28.2 | -3.1 pts |
| 43 | Motley County | 28 | -2.1 pts |
| 44 | San Augustine County | 28 | -5.1 pts |
| 45 | Cherokee County | 27.9 | -1.1 pts |
| 46 | Crockett County | 27.8 | -7.3 pts |
| 47 | Palo Pinto County | 27.8 | +3.3 pts |
| 48 | Schleicher County | 27.6 | -7.2 pts |
| 49 | McCulloch County | 27.4 | -0.1 pts |
| 50 | Camp County | 27.1 | -1.1 pts |
| 51 | Real County | 26.8 | -9 pts |
| 52 | Cochran County | 26.6 | -1.8 pts |
| 53 | Dawson County | 26.6 | +0.6 pts |
| 54 | Titus County | 26.5 | +1.4 pts |
| 55 | Jefferson County | 26.4 | +0.4 pts |
| 56 | Hemphill County | 26.3 | -2 pts |
| 57 | Reeves County | 26.3 | +3.7 pts |
| 58 | San Jacinto County | 26.3 | +0.2 pts |
| 59 | Baylor County | 26.2 | +9.6 pts |
| 60 | Mitchell County | 26.2 | -2 pts |
| 61 | Hopkins County | 26.1 | -0.8 pts |
| 62 | Navarro County | 26.1 | +1.7 pts |
| 63 | El Paso County | 26 | -0.7 pts |
| 64 | Dallas County | 25.9 | +0.2 pts |
| 64 | Shelby County | 25.9 | -1.5 pts |
| 66 | Mason County | 25.3 | +6.4 pts |
| 67 | Hill County | 25.2 | +0.2 pts |
| 68 | Hardeman County | 25 | +2.5 pts |
| 69 | Hall County | 25 | -5.4 pts |
| 70 | Comanche County | 25 | +1.7 pts |
| 71 | Tyler County | 24.9 | +1.7 pts |
| 72 | Menard County | 24.8 | -6.8 pts |
| 73 | Uvalde County | 24.7 | -1.5 pts |
| 74 | Potter County | 24.7 | -1.8 pts |
| 75 | Kimble County | 24.6 | -2.2 pts |
| 76 | Harris County | 24.6 | 0 pts |
| 76 | Trinity County | 24.6 | -2.9 pts |
| 78 | Montague County | 24.5 | +2.3 pts |
| 79 | Grimes County | 24.3 | +2.8 pts |
| 80 | Van Zandt County | 24.2 | +0.6 pts |
| 81 | Kerr County | 24.2 | -1.2 pts |
| 82 | Andrews County | 24.2 | -3.2 pts |
| 83 | Hockley County | 24.1 | -2 pts |
| 84 | Ector County | 24 | -0.5 pts |
| 84 | Hansford County | 24 | +4 pts |
| 86 | Limestone County | 23.8 | -0.2 pts |
| 87 | Bastrop County | 23.8 | +2.1 pts |
| 88 | Henderson County | 23.7 | -0.5 pts |
| 89 | Waller County | 23.6 | +4.1 pts |
| 90 | Refugio County | 23.5 | +1.1 pts |
| 91 | San Patricio County | 23.5 | +0.6 pts |
| 92 | Angelina County | 23.5 | +0.5 pts |
| 93 | Jasper County | 23.5 | -1.8 pts |
| 94 | Bosque County | 23.4 | -1.8 pts |
| 95 | Terry County | 23.3 | +0.3 pts |
| 96 | Val Verde County | 23.2 | -1.9 pts |
| 97 | Live Oak County | 23.1 | +1.9 pts |
| 98 | Frio County | 22.9 | +4 pts |
| 99 | Atascosa County | 22.9 | -1.3 pts |
| 100 | Nacogdoches County | 22.8 | +1.3 pts |
| 101 | Nueces County | 22.7 | -0.6 pts |
| 102 | Gray County | 22.7 | -2.6 pts |
| 103 | Anderson County | 22.6 | +1.6 pts |
| 104 | Parmer County | 22.6 | +0.7 pts |
| 105 | Gonzales County | 22.6 | -0.3 pts |
| 106 | Bee County | 22.5 | +0.3 pts |
| 107 | Jack County | 22.3 | -2.4 pts |
| 108 | Nolan County | 22.3 | -1.6 pts |
| 109 | Marion County | 22.2 | +1 pts |
| 110 | Stephens County | 22.2 | 0 pts |
| 111 | Lamar County | 22.1 | -1.3 pts |
| 112 | Jackson County | 22.1 | -1.6 pts |
| 113 | Donley County | 22 | -4.6 pts |
| 114 | Llano County | 21.9 | +0.2 pts |
| 115 | Roberts County | 21.8 | +2.6 pts |
| 116 | Hunt County | 21.8 | -0.6 pts |
| 117 | Callahan County | 21.6 | +0.3 pts |
| 118 | Erath County | 21.6 | +2.2 pts |
| 119 | Wood County | 21.6 | +0.8 pts |
| 120 | Lynn County | 21.5 | +0.7 pts |
| 121 | Kinney County | 21.5 | +3.3 pts |
| 122 | Lipscomb County | 21.4 | -0.7 pts |
| 123 | Yoakum County | 21.3 | -4 pts |
| 124 | Rains County | 21.2 | -1 pts |
| 125 | Smith County | 21.1 | +0.5 pts |
| 126 | Victoria County | 21.1 | +0.7 pts |
| 127 | Sherman County | 21 | +0.8 pts |
| 128 | Panola County | 21 | -2.2 pts |
| 129 | Gregg County | 21 | +0.3 pts |
| 129 | Red River County | 21 | -3.9 pts |
| 131 | Martin County | 21 | -2.9 pts |
| 132 | Sutton County | 20.8 | -0.8 pts |
| 133 | Lee County | 20.6 | +2.7 pts |
| 134 | DeWitt County | 20.6 | -1.7 pts |
| 135 | Upton County | 20.5 | +8.2 pts |
| 136 | Blanco County | 20.4 | +2.6 pts |
| 137 | Brown County | 20.4 | -0.3 pts |
| 138 | Aransas County | 20.4 | -2 pts |
| 139 | Eastland County | 20.2 | +0.1 pts |
| 140 | Wharton County | 20.1 | -4 pts |
| 141 | Burnet County | 20 | -3 pts |
| 142 | Leon County | 20 | -3.9 pts |
| 143 | Milam County | 19.9 | -1.9 pts |
| 144 | Sterling County | 19.8 | +3.5 pts |
| 145 | Sabine County | 19.8 | 0 pts |
| 146 | Haskell County | 19.8 | -6.8 pts |
| 147 | Hutchinson County | 19.8 | -2.8 pts |
| 147 | Mills County | 19.8 | -3.6 pts |
| 149 | Orange County | 19.7 | +0.7 pts |
| 150 | Polk County | 19.6 | -1.9 pts |
| 151 | Fisher County | 19.6 | -0.9 pts |
| 152 | Chambers County | 19.5 | +0.9 pts |
| 153 | Taylor County | 19.5 | +0.1 pts |
| 153 | Ward County | 19.5 | +3.1 pts |
| 155 | Cottle County | 19.5 | -4.5 pts |
| 156 | Cooke County | 19.5 | -0.3 pts |
| 156 | Tarrant County | 19.5 | -0.2 pts |
| 158 | Matagorda County | 19.3 | +0.8 pts |
| 159 | Hamilton County | 19.3 | +0.2 pts |
| 160 | Winkler County | 19.3 | +0.6 pts |
| 161 | Houston County | 19.2 | -4.4 pts |
| 162 | Kleberg County | 19.2 | -0.7 pts |
| 162 | Scurry County | 19.2 | -0.9 pts |
| 164 | Johnson County | 19.2 | -0.2 pts |
| 165 | Archer County | 19.1 | -1.7 pts |
| 166 | Bexar County | 19 | -0.4 pts |
| 167 | Gillespie County | 18.9 | -3.8 pts |
| 168 | Bowie County | 18.9 | +0.5 pts |
| 169 | Fannin County | 18.9 | -1.5 pts |
| 170 | Grayson County | 18.7 | -1 pts |
| 171 | Wise County | 18.6 | -1.1 pts |
| 172 | Midland County | 18.6 | -0.3 pts |
| 173 | Garza County | 18.5 | +4 pts |
| 174 | Irion County | 18.5 | -0.7 pts |
| 175 | Upshur County | 18.4 | -2.9 pts |
| 176 | Karnes County | 18.4 | +3.8 pts |
| 177 | Walker County | 18.3 | -1.8 pts |
| 178 | Howard County | 18.2 | -1.5 pts |
| 179 | Carson County | 18.2 | +6.2 pts |
| 180 | Hardin County | 18.2 | -0.5 pts |
| 181 | Goliad County | 18 | +2.1 pts |
| 182 | Rusk County | 17.9 | -1.4 pts |
| 183 | Zavala County | 17.9 | +1.9 pts |
| 184 | McLennan County | 17.9 | -0.2 pts |
| 185 | Hood County | 17.8 | -0.2 pts |
| 186 | Burleson County | 17.7 | +0.1 pts |
| 187 | Pecos County | 17.7 | -6.1 pts |
| 187 | Reagan County | 17.7 | -3.8 pts |
| 189 | Ellis County | 17.7 | +0.6 pts |
| 189 | Harrison County | 17.7 | -2.5 pts |
| 191 | Wichita County | 17.6 | +0.9 pts |
| 192 | Washington County | 17.5 | +2.5 pts |
| 193 | Falls County | 17.5 | +0.5 pts |
| 194 | Montgomery County | 17.4 | +0.7 pts |
| 195 | Lampasas County | 17.2 | +0.1 pts |
| 196 | Bell County | 17.2 | -0.4 pts |
| 197 | Brazos County | 17.1 | -0.2 pts |
| 198 | Tom Green County | 17.1 | +1.3 pts |
| 199 | Clay County | 17.1 | +1.7 pts |
| 200 | Madison County | 16.9 | +1.7 pts |
| 201 | Colorado County | 16.9 | -0.3 pts |
| 202 | Morris County | 16.9 | -0.1 pts |
| 203 | Freestone County | 16.8 | +0.9 pts |
| 204 | Hartley County | 16.7 | -1.5 pts |
| 205 | Galveston County | 16.5 | +0.5 pts |
| 206 | Austin County | 16.5 | +0.3 pts |
| 207 | Brooks County | 16.4 | -6.5 pts |
| 207 | Franklin County | 16.4 | -0.4 pts |
| 209 | Bandera County | 16.3 | -2.4 pts |
| 210 | Lubbock County | 16.3 | +0.2 pts |
| 211 | Cass County | 15.9 | -2.4 pts |
| 212 | Coke County | 15.9 | -1.5 pts |
| 213 | Fayette County | 15.9 | +0.7 pts |
| 213 | Shackelford County | 15.9 | +0.9 pts |
| 215 | Lavaca County | 15.8 | +1.1 pts |
| 215 | Wilbarger County | 15.8 | -1.4 pts |
| 217 | Kaufman County | 15.7 | +0.6 pts |
| 218 | Parker County | 15.7 | -1 pts |
| 219 | Knox County | 15.4 | -0.2 pts |
| 220 | Medina County | 15.1 | -0.5 pts |
| 221 | Brazoria County | 15 | -0.6 pts |
| 221 | Robertson County | 15 | -1.8 pts |
| 223 | Runnels County | 14.9 | -3.5 pts |
| 224 | Concho County | 14.8 | -2.5 pts |
| 225 | Calhoun County | 14.7 | +3.2 pts |
| 226 | McMullen County | 14.6 | -5.3 pts |
| 227 | Coryell County | 14.5 | -0.2 pts |
| 228 | Dickens County | 14.1 | -2.9 pts |
| 229 | Wilson County | 13.5 | -0.6 pts |
| 230 | Kendall County | 13.3 | +0.2 pts |
| 231 | Brewster County | 13.3 | -2.6 pts |
| 232 | Hays County | 13.3 | -0.7 pts |
| 233 | Stonewall County | 13.1 | -3.8 pts |
| 234 | Guadalupe County | 12.9 | -0.3 pts |
| 235 | Travis County | 12.9 | -0.7 pts |
| 236 | Comal County | 12.8 | +0.1 pts |
| 237 | Fort Bend County | 12.6 | -0.2 pts |
| 238 | Terrell County | 12.5 | +1.1 pts |
| 239 | Randall County | 11.8 | +1.1 pts |
| 240 | Glasscock County | 11.7 | -0.5 pts |
| 241 | Somervell County | 11.5 | -1.7 pts |
| 242 | Denton County | 11.3 | -0.1 pts |
| 243 | Collin County | 10.6 | -0.1 pts |
| 244 | Oldham County | 10.5 | 0 pts |
| 245 | Williamson County | 10.5 | -0.2 pts |
| 246 | King County | 10.3 | -12.4 pts |
| 247 | Childress County | 10 | -7 pts |
| 248 | Rockwall County | 8.1 | -0.4 pts |
| 249 | Delta County | 8 | -0.7 pts |
| 250 | Kent County | 6.8 | -1.7 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
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), 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties?period=2023 (Accessed: 12 October 2026).
BibTeX
@misc{census_counties_in_texas_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 Texas 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/texas-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 Texas 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/texas-counties?period=2023
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/texas-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 -
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)?
Culberson County, with 43.8% in 2023, 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 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 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)