Counties in Virginia by uninsured rate, ages 35 to 64 (US, ACS)

Manassas Park city had the highest uninsured rate, ages 35 to 64 (US, ACS) of 133 counties in 2021, at 22.4%. Falls Church city had the lowest, at 1.5%. The median was 10.4% and the figure for Virginia was 9.5%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Median10.4133 counties
Virginia9.5History

Map of counties, 2021

Accomack County: 15.3 %Albemarle County: 8.5 %Alleghany County: 6.1 %Amelia County: 8 %Amherst County: 14.5 %Appomattox County: 14.6 %Arlington County: 7.7 %Augusta County: 9 %Bath County: 8.9 %Bedford County: 9 %Bland County: 10.8 %Botetourt County: 7.3 %Brunswick County: 10.6 %Buchanan County: 11.1 %Buckingham County: 14.8 %Campbell County: 9.3 %Caroline County: 8.6 %Carroll County: 12.8 %Charles City County: 10.1 %Charlotte County: 16.7 %Chesterfield County: 8.5 %Clarke County: 12 %Craig County: 8.1 %Culpeper County: 12.6 %Cumberland County: 9.4 %Dickenson County: 11.3 %Dinwiddie County: 8 %Essex County: 11.7 %Fairfax County: 8.1 %Fauquier County: 8.7 %Floyd County: 10.2 %Fluvanna County: 7.6 %Franklin County: 12.6 %Frederick County: 11.5 %Giles County: 11.6 %Gloucester County: 7.5 %Goochland County: 6.2 %Grayson County: 15.8 %Greene County: 10.2 %Greensville County: 11.5 %Halifax County: 10.6 %Hanover County: 5.9 %Henrico County: 8.7 %Henry County: 13.7 %Highland County: 10.2 %Isle of Wight County: 5.2 %James City County: 7.1 %King and Queen County: 5.1 %King George County: 7 %King William County: 6.8 %Lancaster County: 13.4 %Lee County: 15.3 %Loudoun County: 5.8 %Louisa County: 10 %Lunenburg County: 12.4 %Madison County: 9 %Mathews County: 19.7 %Mecklenburg County: 11 %Middlesex County: 10.4 %Montgomery County: 8.2 %Nelson County: 13.5 %New Kent County: 4.9 %Northampton County: 11.9 %Northumberland County: 10.4 %Nottoway County: 15.7 %Orange County: 8.8 %Page County: 17.7 %Patrick County: 12.5 %Pittsylvania County: 9.9 %Powhatan County: 5.3 %Prince Edward County: 13.2 %Prince George County: 6.7 %Prince William County: 12.1 %Pulaski County: 8.8 %Rappahannock County: 15.9 %Richmond County: 13.1 %Roanoke County: 5.9 %Rockbridge County: 11.2 %Rockingham County: 12.7 %Russell County: 9.1 %Scott County: 11.9 %Shenandoah County: 9.6 %Smyth County: 10.4 %Southampton County: 7 %Spotsylvania County: 8.6 %Stafford County: 7.6 %Surry County: 14.8 %Sussex County: 8.9 %Tazewell County: 11.8 %Warren County: 13.5 %Washington County: 12.2 %Westmoreland County: 18.1 %Wise County: 13.4 %Wythe County: 8.6 %York County: 5.2 %Alexandria city: 10.2 %Bristol city: 17.8 %Buena Vista city: 7.5 %Charlottesville city: 10.7 %Chesapeake city: 8.2 %Colonial Heights city: 6.6 %Covington city: 11.7 %Danville city: 13.5 %Emporia city: 5.6 %Fairfax city: 8.5 %Falls Church city: 1.5 %Franklin city: 10 %Fredericksburg city: 12.8 %Galax city: 12.6 %Hampton city: 9.6 %Harrisonburg city: 18.9 %Hopewell city: 9.9 %Lexington city: 3.2 %Lynchburg city: 10.5 %Manassas city: 21.5 %Manassas Park city: 22.4 %Martinsville city: 10.6 %Newport News city: 11.6 %Norfolk city: 12.5 %Norton city: 8.2 %Petersburg city: 13 %Poquoson city: 3.6 %Portsmouth city: 12.2 %Radford city: 9.8 %Richmond city: 12.9 %Roanoke city: 14.5 %Salem city: 7.3 %Staunton city: 12.3 %Suffolk city: 6.2 %Virginia Beach city: 7.8 %Waynesboro city: 11.2 %Williamsburg city: 14.4 %Winchester city: 19.1 %
  • Under 7.3
  • 7.3 to 8.8
  • 8.8 to 10
  • 10 to 12
  • 12 to 14
  • 14 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Manassas Park city: 22.4 %Manassas Park city22.4Manassas city: 21.5 %Manassas city21.5Mathews County: 19.7 %Mathews County19.7Winchester city: 19.1 %Winchester city19.1Harrisonburg city: 18.9 %Harrisonburg city18.9Westmoreland County: 18.1 %Westmoreland County18.1Bristol city: 17.8 %Bristol city17.8Page County: 17.7 %Page County17.7Charlotte County: 16.7 %Charlotte County16.7Rappahannock County: 15.9 %Rappahannock County15.9Grayson County: 15.8 %Grayson County15.8Nottoway County: 15.7 %Nottoway County15.7Accomack County: 15.3 %Accomack County15.3Lee County: 15.3 %Lee County15.3Buckingham County: 14.8 %Buckingham County14.8Surry County: 14.8 %Surry County14.8Appomattox County: 14.6 %Appomattox County14.6Roanoke city: 14.5 %Roanoke city14.5Amherst County: 14.5 %Amherst County14.5Williamsburg city: 14.4 %Williamsburg city14.4Henry County: 13.7 %Henry County13.7Nelson County: 13.5 %Nelson County13.5Danville city: 13.5 %Danville city13.5Warren County: 13.5 %Warren County13.5Lancaster County: 13.4 %Lancaster County13.4Wise County: 13.4 %Wise County13.4Prince Edward County: 13.2 %Prince Edward County13.2Richmond County: 13.1 %Richmond County13.1Petersburg city: 13 %Petersburg city13Richmond city: 12.9 %Richmond city12.9Fredericksburg city: 12.8 %Fredericksburg city12.8Carroll County: 12.8 %Carroll County12.8Rockingham County: 12.7 %Rockingham County12.7Franklin County: 12.6 %Franklin County12.6Culpeper County: 12.6 %Culpeper County12.6Galax city: 12.6 %Galax city12.6Patrick County: 12.5 %Patrick County12.5Norfolk city: 12.5 %Norfolk city12.5Lunenburg County: 12.4 %Lunenburg County12.4Staunton city: 12.3 %Staunton city12.3Manassas Park city: 22.4 %Manassas Park city22.4Manassas city: 21.5 %Manassas city21.5Mathews County: 19.7 %Mathews County19.7Winchester city: 19.1 %Winchester city19.1Harrisonburg city: 18.9 %Harrisonburg city18.9Westmoreland County: 18.1 %Westmoreland County18.1Bristol city: 17.8 %Bristol city17.8Page County: 17.7 %Page County17.7Charlotte County: 16.7 %Charlotte County16.7Rappahannock County: 15.9 %Rappahannock County15.9Grayson County: 15.8 %Grayson County15.8Nottoway County: 15.7 %Nottoway County15.7Accomack County: 15.3 %Accomack County15.3Lee County: 15.3 %Lee County15.3Buckingham County: 14.8 %Buckingham County14.8Surry County: 14.8 %Surry County14.8Appomattox County: 14.6 %Appomattox County14.6Roanoke city: 14.5 %Roanoke city14.5Amherst County: 14.5 %Amherst County14.5Williamsburg city: 14.4 %Williamsburg city14.4Henry County: 13.7 %Henry County13.7Nelson County: 13.5 %Nelson County13.5Danville city: 13.5 %Danville city13.5Warren County: 13.5 %Warren County13.5Lancaster County: 13.4 %Lancaster County13.4Wise County: 13.4 %Wise County13.4Prince Edward County: 13.2 %Prince Edward County13.2Richmond County: 13.1 %Richmond County13.1Petersburg city: 13 %Petersburg city13Richmond city: 12.9 %Richmond city12.9Fredericksburg city: 12.8 %Fredericksburg city12.8Carroll County: 12.8 %Carroll County12.8Rockingham County: 12.7 %Rockingham County12.7Franklin County: 12.6 %Franklin County12.6Culpeper County: 12.6 %Culpeper County12.6Galax city: 12.6 %Galax city12.6Patrick County: 12.5 %Patrick County12.5Norfolk city: 12.5 %Norfolk city12.5Lunenburg County: 12.4 %Lunenburg County12.4Staunton city: 12.3 %Staunton city12.3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Manassas Park city22.4
2Manassas city21.5
3Mathews County19.7
4Winchester city19.1
5Harrisonburg city18.9
6Westmoreland County18.1
7Bristol city17.8
8Page County17.7
9Charlotte County16.7
10Rappahannock County15.9
11Grayson County15.8
12Nottoway County15.7
13Accomack County15.3
13Lee County15.3
15Buckingham County14.8
16Surry County14.8
17Appomattox County14.6
18Roanoke city14.5
19Amherst County14.5
20Williamsburg city14.4
21Henry County13.7
22Nelson County13.5
23Danville city13.5
24Warren County13.5
25Lancaster County13.4
26Wise County13.4
27Prince Edward County13.2
28Richmond County13.1
29Petersburg city13
30Richmond city12.9
31Fredericksburg city12.8
32Carroll County12.8
33Rockingham County12.7
34Franklin County12.6
35Culpeper County12.6
36Galax city12.6
37Patrick County12.5
38Norfolk city12.5
39Lunenburg County12.4
40Staunton city12.3
41Washington County12.2
42Portsmouth city12.2
43Prince William County12.1
44Clarke County12
45Northampton County11.9
46Scott County11.9
47Tazewell County11.8
48Essex County11.7
49Covington city11.7
50Giles County11.6
51Newport News city11.6
52Frederick County11.5
53Greensville County11.5
54Dickenson County11.3
55Rockbridge County11.2
56Waynesboro city11.2
57Buchanan County11.1
58Mecklenburg County11
59Bland County10.8
60Charlottesville city10.7
61Brunswick County10.6
61Halifax County10.6
63Martinsville city10.6
64Lynchburg city10.5
65Smyth County10.4
66Northumberland County10.4
67Middlesex County10.4
68Greene County10.2
69Alexandria city10.2
69Floyd County10.2
71Highland County10.2
72Charles City County10.1
73Louisa County10
74Franklin city10
75Hopewell city9.9
76Pittsylvania County9.9
77Radford city9.8
78Shenandoah County9.6
79Hampton city9.6
80Cumberland County9.4
81Campbell County9.3
82Russell County9.1
83Bedford County9
84Madison County9
85Augusta County9
86Sussex County8.9
87Bath County8.9
88Orange County8.8
89Pulaski County8.8
90Fauquier County8.7
90Henrico County8.7
92Wythe County8.6
93Spotsylvania County8.6
94Caroline County8.6
95Albemarle County8.5
96Chesterfield County8.5
97Fairfax city8.5
98Chesapeake city8.2
99Montgomery County8.2
100Norton city8.2
101Fairfax County8.1
102Craig County8.1
103Amelia County8
104Dinwiddie County8
105Virginia Beach city7.8
106Arlington County7.7
107Fluvanna County7.6
108Stafford County7.6
109Buena Vista city7.5
110Gloucester County7.5
111Botetourt County7.3
112Salem city7.3
113James City County7.1
114Southampton County7
115King George County7
116King William County6.8
117Prince George County6.7
118Colonial Heights city6.6
119Goochland County6.2
120Suffolk city6.2
121Alleghany County6.1
122Roanoke County5.9
123Hanover County5.9
124Loudoun County5.8
125Emporia city5.6
126Powhatan County5.3
127York County5.2
128Isle of Wight County5.2
129King and Queen County5.1
130New Kent County4.9
131Poquoson city3.6
132Lexington city3.2
133Falls Church city1.5

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/2021/table-based-SF/data/5YRData/acsdt5y2021-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 Virginia by uninsured rate, ages 35 to 64 (US, ACS), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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 Virginia by uninsured rate, ages 35 to 64 (US, ACS), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/virginia-counties?period=2021. 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 Virginia by uninsured rate, ages 35 to 64 (US, ACS), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/virginia-counties?period=2021.

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 Virginia by uninsured rate, ages 35 to 64 (US, ACS), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2021,
  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 Virginia by uninsured rate, ages 35 to 64 (US, ACS), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/virginia-counties?period=2021. 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/2021/table-based-SF/data/5YRData/acsdt5y2021-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 Virginia by uninsured rate, ages 35 to 64 (US, ACS), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/virginia-counties?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-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)?

Manassas Park city, with 22.4% in 2021, according to the U.S. Census Bureau.

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

Falls Church city, with 1.5% in 2021.

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 Virginia: more rankings