Counties in Iowa by uninsured rate, under 19 (US, ACS)

Davis County had the highest uninsured rate, under 19 (US, ACS) of 99 counties in 2023, at 43.4%. Audubon County had the lowest, at 0.2%. The median was 2.9% and the figure for Iowa was 3.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest43.4Davis County
Median2.999 counties
Iowa3.2History

Map of counties, 2023

Adair County: 5.3 %Adams County: 4.8 %Allamakee County: 6.2 %Appanoose County: 14.8 %Audubon County: 0.2 %Benton County: 1.6 %Black Hawk County: 2.9 %Boone County: 1.5 %Bremer County: 1.2 %Buchanan County: 8.2 %Buena Vista County: 3 %Butler County: 2.8 %Calhoun County: 1.7 %Carroll County: 0.8 %Cass County: 1.4 %Cedar County: 5.4 %Cerro Gordo County: 2.2 %Cherokee County: 5.9 %Chickasaw County: 9.2 %Clarke County: 5.4 %Clay County: 0.6 %Clayton County: 8.5 %Clinton County: 1.7 %Crawford County: 4.9 %Dallas County: 3 %Davis County: 43.4 %Decatur County: 10.5 %Delaware County: 3.4 %Des Moines County: 1 %Dickinson County: 2.8 %Dubuque County: 1.9 %Emmet County: 3.4 %Fayette County: 2.9 %Floyd County: 3.5 %Franklin County: 8.4 %Fremont County: 1.1 %Greene County: 3.1 %Grundy County: 1.1 %Guthrie County: 2.9 %Hamilton County: 4.7 %Hancock County: 4 %Hardin County: 5.5 %Harrison County: 2.9 %Henry County: 3.8 %Howard County: 14.6 %Humboldt County: 6.2 %Ida County: 3.1 %Iowa County: 0.6 %Jackson County: 4.9 %Jasper County: 2.1 %Jefferson County: 0.2 %Johnson County: 3.6 %Jones County: 0.5 %Keokuk County: 1.8 %Kossuth County: 2.3 %Lee County: 1.4 %Linn County: 1.4 %Louisa County: 1.2 %Lucas County: 8.7 %Lyon County: 2.9 %Madison County: 6 %Mahaska County: 1.7 %Marion County: 2.1 %Marshall County: 2 %Mills County: 1.7 %Mitchell County: 5.6 %Monona County: 2.3 %Monroe County: 0.9 %Montgomery County: 0.7 %Muscatine County: 1.9 %O'Brien County: 4.8 %Osceola County: 8.8 %Page County: 3.1 %Palo Alto County: 3.2 %Plymouth County: 5.9 %Pocahontas County: 4 %Polk County: 2.1 %Pottawattamie County: 2.2 %Poweshiek County: 1.7 %Ringgold County: 4.7 %Sac County: 2.9 %Scott County: 3.4 %Shelby County: 0.9 %Sioux County: 5.8 %Story County: 2.2 %Tama County: 3.2 %Taylor County: 0.8 %Union County: 8 %Van Buren County: 13.8 %Wapello County: 5.2 %Warren County: 1.2 %Washington County: 6.8 %Wayne County: 22 %Webster County: 7 %Winnebago County: 2.9 %Winneshiek County: 2.2 %Woodbury County: 2.8 %Worth County: 6.9 %Wright County: 2.8 %
  • Under 1.4
  • 1.4 to 2.1
  • 2.1 to 2.9
  • 2.9 to 4.7
  • 4.7 to 6.2
  • 6.2 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Davis County: 43.4 %Davis County43.4Wayne County: 22 %Wayne County22Appanoose County: 14.8 %Appanoose County14.8Howard County: 14.6 %Howard County14.6Van Buren County: 13.8 %Van Buren County13.8Decatur County: 10.5 %Decatur County10.5Chickasaw County: 9.2 %Chickasaw County9.2Osceola County: 8.8 %Osceola County8.8Lucas County: 8.7 %Lucas County8.7Clayton County: 8.5 %Clayton County8.5Franklin County: 8.4 %Franklin County8.4Buchanan County: 8.2 %Buchanan County8.2Union County: 8 %Union County8Webster County: 7 %Webster County7Worth County: 6.9 %Worth County6.9Washington County: 6.8 %Washington County6.8Allamakee County: 6.2 %Allamakee County6.2Humboldt County: 6.2 %Humboldt County6.2Madison County: 6 %Madison County6Plymouth County: 5.9 %Plymouth County5.9Cherokee County: 5.9 %Cherokee County5.9Sioux County: 5.8 %Sioux County5.8Mitchell County: 5.6 %Mitchell County5.6Hardin County: 5.5 %Hardin County5.5Cedar County: 5.4 %Cedar County5.4Clarke County: 5.4 %Clarke County5.4Adair County: 5.3 %Adair County5.3Wapello County: 5.2 %Wapello County5.2Jackson County: 4.9 %Jackson County4.9Crawford County: 4.9 %Crawford County4.9O'Brien County: 4.8 %O'Brien County4.8Adams County: 4.8 %Adams County4.8Hamilton County: 4.7 %Hamilton County4.7Ringgold County: 4.7 %Ringgold County4.7Pocahontas County: 4 %Pocahontas County4Hancock County: 4 %Hancock County4Henry County: 3.8 %Henry County3.8Johnson County: 3.6 %Johnson County3.6Floyd County: 3.5 %Floyd County3.5Emmet County: 3.4 %Emmet County3.4Davis County: 43.4 %Davis County43.4Wayne County: 22 %Wayne County22Appanoose County: 14.8 %Appanoose County14.8Howard County: 14.6 %Howard County14.6Van Buren County: 13.8 %Van Buren County13.8Decatur County: 10.5 %Decatur County10.5Chickasaw County: 9.2 %Chickasaw County9.2Osceola County: 8.8 %Osceola County8.8Lucas County: 8.7 %Lucas County8.7Clayton County: 8.5 %Clayton County8.5Franklin County: 8.4 %Franklin County8.4Buchanan County: 8.2 %Buchanan County8.2Union County: 8 %Union County8Webster County: 7 %Webster County7Worth County: 6.9 %Worth County6.9Washington County: 6.8 %Washington County6.8Allamakee County: 6.2 %Allamakee County6.2Humboldt County: 6.2 %Humboldt County6.2Madison County: 6 %Madison County6Plymouth County: 5.9 %Plymouth County5.9Cherokee County: 5.9 %Cherokee County5.9Sioux County: 5.8 %Sioux County5.8Mitchell County: 5.6 %Mitchell County5.6Hardin County: 5.5 %Hardin County5.5Cedar County: 5.4 %Cedar County5.4Clarke County: 5.4 %Clarke County5.4Adair County: 5.3 %Adair County5.3Wapello County: 5.2 %Wapello County5.2Jackson County: 4.9 %Jackson County4.9Crawford County: 4.9 %Crawford County4.9O'Brien County: 4.8 %O'Brien County4.8Adams County: 4.8 %Adams County4.8Hamilton County: 4.7 %Hamilton County4.7Ringgold County: 4.7 %Ringgold County4.7Pocahontas County: 4 %Pocahontas County4Hancock County: 4 %Hancock County4Henry County: 3.8 %Henry County3.8Johnson County: 3.6 %Johnson County3.6Floyd County: 3.5 %Floyd County3.5Emmet County: 3.4 %Emmet County3.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Davis County43.4+1.1 pts
2Wayne County22+3.5 pts
3Appanoose County14.8+4.6 pts
4Howard County14.6-0.3 pts
5Van Buren County13.8-1.8 pts
6Decatur County10.5-0.2 pts
7Chickasaw County9.2-0.7 pts
8Osceola County8.8+6.1 pts
9Lucas County8.7-1.2 pts
10Clayton County8.5+1.5 pts
11Franklin County8.4-0.7 pts
12Buchanan County8.2-1.3 pts
13Union County8+3.2 pts
14Webster County7+1.9 pts
15Worth County6.9+1 pts
16Washington County6.8+3.3 pts
17Allamakee County6.2+0.3 pts
18Humboldt County6.2+2.4 pts
19Madison County6+3.3 pts
20Plymouth County5.9+1.2 pts
21Cherokee County5.9+2.8 pts
22Sioux County5.8+0.4 pts
23Mitchell County5.6-0.3 pts
24Hardin County5.5+1.4 pts
25Cedar County5.4+2.1 pts
26Clarke County5.4-0.5 pts
27Adair County5.3-0.8 pts
28Wapello County5.2+0.9 pts
29Jackson County4.9+2 pts
30Crawford County4.9+0.6 pts
31O'Brien County4.8+0.7 pts
32Adams County4.80 pts
33Hamilton County4.7+3.9 pts
33Ringgold County4.7+0.2 pts
35Pocahontas County4+0.4 pts
36Hancock County4-0.1 pts
37Henry County3.8+1.5 pts
38Johnson County3.6+0.5 pts
39Floyd County3.5-0.8 pts
40Emmet County3.4+0.8 pts
41Scott County3.4-0.5 pts
42Delaware County3.4+0.3 pts
43Palo Alto County3.2-0.7 pts
44Tama County3.2-1.1 pts
45Ida County3.1-0.4 pts
46Page County3.1+1.7 pts
47Greene County3.1-0.5 pts
48Dallas County3-0.7 pts
49Buena Vista County3-0 pts
50Black Hawk County2.9+1.2 pts
50Winnebago County2.9+0.8 pts
52Fayette County2.9-1 pts
52Lyon County2.9+0.2 pts
54Guthrie County2.9+1 pts
54Sac County2.9+0.6 pts
56Harrison County2.9-1.2 pts
57Woodbury County2.8+0.4 pts
58Dickinson County2.8-0 pts
59Butler County2.8+0.2 pts
60Wright County2.8+0.7 pts
61Kossuth County2.3-1 pts
62Monona County2.3+1.2 pts
63Cerro Gordo County2.2+0.6 pts
63Pottawattamie County2.2-0.3 pts
65Story County2.2+0.5 pts
65Winneshiek County2.2+0.4 pts
67Jasper County2.1+0.9 pts
67Polk County2.1-0.1 pts
69Marion County2.1-1.5 pts
70Marshall County2-0.2 pts
71Dubuque County1.9+0.5 pts
72Muscatine County1.9+0.4 pts
73Keokuk County1.8+0.9 pts
74Calhoun County1.7-0.3 pts
75Mills County1.7-0.3 pts
76Mahaska County1.7-0.2 pts
77Clinton County1.70 pts
77Poweshiek County1.7+0.1 pts
79Benton County1.6+0.3 pts
80Boone County1.50 pts
81Cass County1.4+0.9 pts
82Lee County1.4+0.6 pts
82Linn County1.4-0.3 pts
84Louisa County1.2+0.2 pts
85Bremer County1.2+0.7 pts
86Warren County1.2+0.1 pts
87Fremont County1.1-1.7 pts
88Grundy County1.1-0.3 pts
89Des Moines County1+0.1 pts
90Shelby County0.9-0.4 pts
91Monroe County0.9-2.4 pts
92Taylor County0.80 pts
93Carroll County0.80 pts
94Montgomery County0.7-0.2 pts
95Iowa County0.6-1.4 pts
96Clay County0.6-0.9 pts
97Jones County0.50 pts
98Jefferson County0.2+0.1 pts
99Audubon County0.2-0.2 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population under 19. 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs (Counties in Iowa by uninsured rate, under 19 (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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in Iowa by uninsured rate, under 19 (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-under-19-acs/iowa-counties?period=2023. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Counties in Iowa by uninsured rate, under 19 (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-under-19-acs/iowa-counties?period=2023.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in Iowa by uninsured rate, under 19 (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-under-19-acs/iowa-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_by_2023,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in Iowa by uninsured rate, under 19 (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-under-19-acs/iowa-counties?period=2023. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in Iowa by uninsured rate, under 19 (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-under-19-acs/iowa-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/iowa-counties?period=2023.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, 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 Counties in Iowa by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
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Questions

Which county has the highest uninsured rate, under 19 (US, ACS)?

Davis County, with 43.4% in 2023, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US, ACS)?

Audubon County, with 0.2% 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, under 19 (US, ACS): other rankings

Counties in Iowa: more rankings