Data / Rankings / Uninsured rate, ages 35 to 64 (US, ACS) / US states

US states by uninsured rate, ages 35 to 64 (US, ACS)

Texas had the highest uninsured rate, ages 35 to 64 (US, ACS) of 51 states in 2022, at 20.7%. Massachusetts had the lowest, at 3.1%. The median was 9.3% and the figure for the United States was 10.7%. Source: the U.S. Census Bureau.

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Highest20.7Texas
Lowest3.1Massachusetts
Median9.351 states
United States10.7History

Map of states, 2022

Alabama: 12.6 %Alaska: 12.6 %Arizona: 13 %Arkansas: 10.9 %California: 9.3 %Colorado: 9.4 %Connecticut: 6.5 %Delaware: 7.5 %District of Columbia: 4 %Florida: 16 %Georgia: 15.8 %Hawaii: 4.6 %Idaho: 12.7 %Illinois: 9.1 %Indiana: 8.9 %Iowa: 5.9 %Kansas: 11.4 %Kentucky: 6.9 %Louisiana: 10.5 %Maine: 9.2 %Maryland: 7.1 %Massachusetts: 3.1 %Michigan: 6.3 %Minnesota: 5.5 %Mississippi: 15 %Missouri: 11.7 %Montana: 10.9 %Nebraska: 9.6 %Nevada: 14 %New Hampshire: 7.1 %New Jersey: 9.4 %New Mexico: 12.6 %New York: 6.7 %North Carolina: 13.7 %North Dakota: 7.6 %Ohio: 7.4 %Oklahoma: 17.4 %Oregon: 8.2 %Pennsylvania: 6.5 %Rhode Island: 4.9 %South Carolina: 13.5 %South Dakota: 11 %Tennessee: 13.1 %Texas: 20.7 %Utah: 10.1 %Vermont: 5.5 %Virginia: 9 %Washington: 8.1 %West Virginia: 8.5 %Wisconsin: 6.3 %Wyoming: 13.7 %
  • Under 6.4
  • 6.4 to 7.6
  • 7.6 to 9.3
  • 9.3 to 11
  • 11 to 13
  • 13 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2022

Texas: 20.7 %Texas20.7Oklahoma: 17.4 %Oklahoma17.4Florida: 16 %Florida16Georgia: 15.8 %Georgia15.8Mississippi: 15 %Mississippi15Nevada: 14 %Nevada14North Carolina: 13.7 %North Carolina13.7Wyoming: 13.7 %Wyoming13.7South Carolina: 13.5 %South Carolina13.5Tennessee: 13.1 %Tennessee13.1Arizona: 13 %Arizona13Idaho: 12.7 %Idaho12.7New Mexico: 12.6 %New Mexico12.6Alabama: 12.6 %Alabama12.6Alaska: 12.6 %Alaska12.6Missouri: 11.7 %Missouri11.7Kansas: 11.4 %Kansas11.4South Dakota: 11 %South Dakota11Arkansas: 10.9 %Arkansas10.9Montana: 10.9 %Montana10.9Louisiana: 10.5 %Louisiana10.5Utah: 10.1 %Utah10.1Nebraska: 9.6 %Nebraska9.6New Jersey: 9.4 %New Jersey9.4Colorado: 9.4 %Colorado9.4California: 9.3 %California9.3Maine: 9.2 %Maine9.2Illinois: 9.1 %Illinois9.1Virginia: 9 %Virginia9Indiana: 8.9 %Indiana8.9West Virginia: 8.5 %West Virginia8.5Oregon: 8.2 %Oregon8.2Washington: 8.1 %Washington8.1North Dakota: 7.6 %North Dakota7.6Delaware: 7.5 %Delaware7.5Ohio: 7.4 %Ohio7.4New Hampshire: 7.1 %New Hampshire7.1Maryland: 7.1 %Maryland7.1Kentucky: 6.9 %Kentucky6.9New York: 6.7 %New York6.7Connecticut: 6.5 %Connecticut6.5Pennsylvania: 6.5 %Pennsylvania6.5Michigan: 6.3 %Michigan6.3Wisconsin: 6.3 %Wisconsin6.3Iowa: 5.9 %Iowa5.9Minnesota: 5.5 %Minnesota5.5Vermont: 5.5 %Vermont5.5Rhode Island: 4.9 %Rhode Island4.9Hawaii: 4.6 %Hawaii4.6District of Columbia: 4 %District of Columbia4Massachusetts: 3.1 %Massachusetts3.1Texas: 20.7 %Texas20.7Oklahoma: 17.4 %Oklahoma17.4Florida: 16 %Florida16Georgia: 15.8 %Georgia15.8Mississippi: 15 %Mississippi15Nevada: 14 %Nevada14North Carolina: 13.7 %North Carolina13.7Wyoming: 13.7 %Wyoming13.7South Carolina: 13.5 %South Carolina13.5Tennessee: 13.1 %Tennessee13.1Arizona: 13 %Arizona13Idaho: 12.7 %Idaho12.7New Mexico: 12.6 %New Mexico12.6Alabama: 12.6 %Alabama12.6Alaska: 12.6 %Alaska12.6Missouri: 11.7 %Missouri11.7Kansas: 11.4 %Kansas11.4South Dakota: 11 %South Dakota11Arkansas: 10.9 %Arkansas10.9Montana: 10.9 %Montana10.9Louisiana: 10.5 %Louisiana10.5Utah: 10.1 %Utah10.1Nebraska: 9.6 %Nebraska9.6New Jersey: 9.4 %New Jersey9.4Colorado: 9.4 %Colorado9.4California: 9.3 %California9.3Maine: 9.2 %Maine9.2Illinois: 9.1 %Illinois9.1Virginia: 9 %Virginia9Indiana: 8.9 %Indiana8.9West Virginia: 8.5 %West Virginia8.5Oregon: 8.2 %Oregon8.2Washington: 8.1 %Washington8.1North Dakota: 7.6 %North Dakota7.6Delaware: 7.5 %Delaware7.5Ohio: 7.4 %Ohio7.4New Hampshire: 7.1 %New Hampshire7.1Maryland: 7.1 %Maryland7.1Kentucky: 6.9 %Kentucky6.9New York: 6.7 %New York6.7Connecticut: 6.5 %Connecticut6.5Pennsylvania: 6.5 %Pennsylvania6.5Michigan: 6.3 %Michigan6.3Wisconsin: 6.3 %Wisconsin6.3Iowa: 5.9 %Iowa5.9Minnesota: 5.5 %Minnesota5.5Vermont: 5.5 %Vermont5.5Rhode Island: 4.9 %Rhode Island4.9Hawaii: 4.6 %Hawaii4.6District of Columbia: 4 %District of Columbia4Massachusetts: 3.1 %Massachusetts3.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankStates2022 (%)Change on 2021
1Texas20.7-0 pts
2Oklahoma17.4-0.6 pts
3Florida16-0.4 pts
4Georgia15.8-0.2 pts
5Mississippi15-0.3 pts
6Nevada14+0.2 pts
7North Carolina13.7-0.3 pts
8Wyoming13.7+0.1 pts
9South Carolina13.5-0.4 pts
10Tennessee13.1-0.1 pts
11Arizona130 pts
12Idaho12.7-0.7 pts
13New Mexico12.6-0.1 pts
14Alabama12.6-0.1 pts
15Alaska12.6-0.7 pts
16Missouri11.7-0 pts
17Kansas11.40 pts
18South Dakota11-0.1 pts
19Arkansas10.9+0.1 pts
20Montana10.9-0.1 pts
21Louisiana10.5-0.3 pts
22Utah10.1-0.2 pts
23Nebraska9.6-0.2 pts
24New Jersey9.4-0.1 pts
25Colorado9.4-0 pts
26California9.3-0.2 pts
27Maine9.2-0.3 pts
28Illinois9.1+0.1 pts
29Virginia9-0.5 pts
30Indiana8.9-0.2 pts
31West Virginia8.5+0.1 pts
32Oregon8.2-0.2 pts
33Washington8.10 pts
34North Dakota7.6-0.2 pts
35Delaware7.5+0.3 pts
36Ohio7.4+0.1 pts
37New Hampshire7.1-0.2 pts
38Maryland7.10 pts
39Kentucky6.9+0.1 pts
40New York6.7-0.1 pts
41Connecticut6.5-0.1 pts
42Pennsylvania6.50 pts
43Michigan6.3-0.1 pts
44Wisconsin6.3-0 pts
45Iowa5.9-0.1 pts
46Minnesota5.50 pts
47Vermont5.50 pts
48Rhode Island4.9-0.2 pts
49Hawaii4.6-0.2 pts
50District of Columbia4-0 pts
51Massachusetts3.1-0.1 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 states 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 (US states 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, US states 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/us-states?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. US states 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/us-states?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, US states 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/us-states?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_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: US states 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/us-states?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: US states 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/us-states?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/us-states?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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Rank US states by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
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Questions

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

Texas, with 20.7% in 2022, according to the U.S. Census Bureau.

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

Massachusetts, with 3.1% 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

US states: more rankings