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 2023, at 20.5%. Massachusetts had the lowest, at 3%. The median was 9.1% and the figure for the United States was 10.6%. Source: the U.S. Census Bureau.

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Highest20.5Texas
Lowest3Massachusetts
Median9.151 states
United States10.6History

Map of states, 2023

Alabama: 12.5 %Alaska: 11.9 %Arizona: 12.8 %Arkansas: 11.2 %California: 9.1 %Colorado: 9.3 %Connecticut: 6.7 %Delaware: 7.7 %District of Columbia: 4 %Florida: 15.5 %Georgia: 15.5 %Hawaii: 4.2 %Idaho: 11.9 %Illinois: 9.1 %Indiana: 8.8 %Iowa: 5.9 %Kansas: 11.3 %Kentucky: 7 %Louisiana: 10.4 %Maine: 8.6 %Maryland: 7.4 %Massachusetts: 3 %Michigan: 6.2 %Minnesota: 5.5 %Mississippi: 14.7 %Missouri: 11.2 %Montana: 10.9 %Nebraska: 9 %Nevada: 14 %New Hampshire: 6.7 %New Jersey: 9.5 %New Mexico: 12.7 %New York: 6.5 %North Carolina: 13.6 %North Dakota: 7.4 %Ohio: 7.4 %Oklahoma: 16.7 %Oregon: 8.1 %Pennsylvania: 6.4 %Rhode Island: 5.1 %South Carolina: 13.1 %South Dakota: 10.7 %Tennessee: 13.1 %Texas: 20.5 %Utah: 10 %Vermont: 5.3 %Virginia: 8.6 %Washington: 8.1 %West Virginia: 8.3 %Wisconsin: 6.1 %Wyoming: 13.7 %
  • Under 6.2
  • 6.2 to 7.6
  • 7.6 to 9.1
  • 9.1 to 11
  • 11 to 13
  • 13 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2023

Texas: 20.5 %Texas20.5Oklahoma: 16.7 %Oklahoma16.7Florida: 15.5 %Florida15.5Georgia: 15.5 %Georgia15.5Mississippi: 14.7 %Mississippi14.7Nevada: 14 %Nevada14Wyoming: 13.7 %Wyoming13.7North Carolina: 13.6 %North Carolina13.6Tennessee: 13.1 %Tennessee13.1South Carolina: 13.1 %South Carolina13.1Arizona: 12.8 %Arizona12.8New Mexico: 12.7 %New Mexico12.7Alabama: 12.5 %Alabama12.5Alaska: 11.9 %Alaska11.9Idaho: 11.9 %Idaho11.9Kansas: 11.3 %Kansas11.3Missouri: 11.2 %Missouri11.2Arkansas: 11.2 %Arkansas11.2Montana: 10.9 %Montana10.9South Dakota: 10.7 %South Dakota10.7Louisiana: 10.4 %Louisiana10.4Utah: 10 %Utah10New Jersey: 9.5 %New Jersey9.5Colorado: 9.3 %Colorado9.3Illinois: 9.1 %Illinois9.1California: 9.1 %California9.1Nebraska: 9 %Nebraska9Indiana: 8.8 %Indiana8.8Virginia: 8.6 %Virginia8.6Maine: 8.6 %Maine8.6West Virginia: 8.3 %West Virginia8.3Washington: 8.1 %Washington8.1Oregon: 8.1 %Oregon8.1Delaware: 7.7 %Delaware7.7Ohio: 7.4 %Ohio7.4Maryland: 7.4 %Maryland7.4North Dakota: 7.4 %North Dakota7.4Kentucky: 7 %Kentucky7New Hampshire: 6.7 %New Hampshire6.7Connecticut: 6.7 %Connecticut6.7New York: 6.5 %New York6.5Pennsylvania: 6.4 %Pennsylvania6.4Michigan: 6.2 %Michigan6.2Wisconsin: 6.1 %Wisconsin6.1Iowa: 5.9 %Iowa5.9Minnesota: 5.5 %Minnesota5.5Vermont: 5.3 %Vermont5.3Rhode Island: 5.1 %Rhode Island5.1Hawaii: 4.2 %Hawaii4.2District of Columbia: 4 %District of Columbia4Massachusetts: 3 %Massachusetts3Texas: 20.5 %Texas20.5Oklahoma: 16.7 %Oklahoma16.7Florida: 15.5 %Florida15.5Georgia: 15.5 %Georgia15.5Mississippi: 14.7 %Mississippi14.7Nevada: 14 %Nevada14Wyoming: 13.7 %Wyoming13.7North Carolina: 13.6 %North Carolina13.6Tennessee: 13.1 %Tennessee13.1South Carolina: 13.1 %South Carolina13.1Arizona: 12.8 %Arizona12.8New Mexico: 12.7 %New Mexico12.7Alabama: 12.5 %Alabama12.5Alaska: 11.9 %Alaska11.9Idaho: 11.9 %Idaho11.9Kansas: 11.3 %Kansas11.3Missouri: 11.2 %Missouri11.2Arkansas: 11.2 %Arkansas11.2Montana: 10.9 %Montana10.9South Dakota: 10.7 %South Dakota10.7Louisiana: 10.4 %Louisiana10.4Utah: 10 %Utah10New Jersey: 9.5 %New Jersey9.5Colorado: 9.3 %Colorado9.3Illinois: 9.1 %Illinois9.1California: 9.1 %California9.1Nebraska: 9 %Nebraska9Indiana: 8.8 %Indiana8.8Virginia: 8.6 %Virginia8.6Maine: 8.6 %Maine8.6West Virginia: 8.3 %West Virginia8.3Washington: 8.1 %Washington8.1Oregon: 8.1 %Oregon8.1Delaware: 7.7 %Delaware7.7Ohio: 7.4 %Ohio7.4Maryland: 7.4 %Maryland7.4North Dakota: 7.4 %North Dakota7.4Kentucky: 7 %Kentucky7New Hampshire: 6.7 %New Hampshire6.7Connecticut: 6.7 %Connecticut6.7New York: 6.5 %New York6.5Pennsylvania: 6.4 %Pennsylvania6.4Michigan: 6.2 %Michigan6.2Wisconsin: 6.1 %Wisconsin6.1Iowa: 5.9 %Iowa5.9Minnesota: 5.5 %Minnesota5.5Vermont: 5.3 %Vermont5.3Rhode Island: 5.1 %Rhode Island5.1Hawaii: 4.2 %Hawaii4.2District of Columbia: 4 %District of Columbia4Massachusetts: 3 %Massachusetts3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankStates2023 (%)Change on 2022
1Texas20.5-0.2 pts
2Oklahoma16.7-0.7 pts
3Florida15.5-0.6 pts
3Georgia15.5-0.3 pts
5Mississippi14.7-0.3 pts
6Nevada140 pts
7Wyoming13.7+0.1 pts
8North Carolina13.6-0.1 pts
9Tennessee13.1-0 pts
10South Carolina13.1-0.4 pts
11Arizona12.8-0.2 pts
12New Mexico12.7+0.1 pts
13Alabama12.5-0.1 pts
14Alaska11.9-0.6 pts
15Idaho11.9-0.8 pts
16Kansas11.3-0.1 pts
17Missouri11.2-0.4 pts
18Arkansas11.2+0.3 pts
19Montana10.9+0.1 pts
20South Dakota10.7-0.3 pts
21Louisiana10.4-0.2 pts
22Utah10-0.2 pts
23New Jersey9.5+0.1 pts
24Colorado9.3-0 pts
25Illinois9.10 pts
26California9.1-0.2 pts
27Nebraska9-0.6 pts
28Indiana8.8-0.2 pts
29Virginia8.6-0.4 pts
30Maine8.6-0.6 pts
31West Virginia8.3-0.2 pts
32Washington8.1+0.1 pts
33Oregon8.1-0.2 pts
34Delaware7.7+0.3 pts
35Ohio7.40 pts
36Maryland7.4+0.3 pts
37North Dakota7.4-0.2 pts
38Kentucky7+0.1 pts
39New Hampshire6.7-0.4 pts
40Connecticut6.7+0.2 pts
41New York6.5-0.1 pts
42Pennsylvania6.4-0.1 pts
43Michigan6.2-0.2 pts
44Wisconsin6.1-0.1 pts
45Iowa5.9-0 pts
46Minnesota5.5-0 pts
47Vermont5.3-0.2 pts
48Rhode Island5.1+0.2 pts
49Hawaii4.2-0.3 pts
50District of Columbia4-0 pts
51Massachusetts3-0.1 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/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 (US states 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, US states 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/us-states?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. US states 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/us-states?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, US states 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/us-states?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_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: US states 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/us-states?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: US states 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/us-states?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/us-states?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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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 20.5% in 2023, according to the U.S. Census Bureau.

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

Massachusetts, with 3% 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

US states: more rankings