Counties in Kentucky by uninsured rate, under 19 (US, ACS), 2024

Todd County had the highest uninsured rate, under 19 (US, ACS) of 120 counties in 2024, at 24.4%. Owsley County had the lowest, at 0%. The median was 3.7% and the figure for Kentucky was 4.4%. Source: the U.S. Census Bureau.

Highest24.4Todd County
Median3.7120 counties
Kentucky4.4History

Top 40 counties, 2024

Todd County: 24.4 %Todd County24.4Trigg County: 22.9 %Trigg County22.9Bath County: 20.7 %Bath County20.7Crittenden County: 17.9 %Crittenden County17.9Washington County: 16.8 %Washington County16.8Cumberland County: 14.8 %Cumberland County14.8Butler County: 14.1 %Butler County14.1Breckinridge County: 13.5 %Breckinridge County13.5Casey County: 13.5 %Casey County13.5Barren County: 12 %Barren County12Carroll County: 10.8 %Carroll County10.8Christian County: 10.4 %Christian County10.4Hart County: 10.4 %Hart County10.4Allen County: 9.7 %Allen County9.7Morgan County: 9.5 %Morgan County9.5Garrard County: 9.3 %Garrard County9.3Grayson County: 9.1 %Grayson County9.1Carter County: 8.9 %Carter County8.9Logan County: 8.3 %Logan County8.3Marshall County: 8 %Marshall County8Green County: 7.8 %Green County7.8Fleming County: 7.8 %Fleming County7.8Knox County: 7.8 %Knox County7.8Metcalfe County: 7.7 %Metcalfe County7.7Edmonson County: 7.7 %Edmonson County7.7Rockcastle County: 7.6 %Rockcastle County7.6McCreary County: 7.6 %McCreary County7.6Lyon County: 7.5 %Lyon County7.5Jessamine County: 7.4 %Jessamine County7.4Caldwell County: 7.1 %Caldwell County7.1Elliott County: 6.6 %Elliott County6.6Lincoln County: 6.3 %Lincoln County6.3Boone County: 6.2 %Boone County6.2Graves County: 6.1 %Graves County6.1Lewis County: 5.9 %Lewis County5.9Laurel County: 5.8 %Laurel County5.8Gallatin County: 5.7 %Gallatin County5.7Pendleton County: 5.5 %Pendleton County5.5Owen County: 5.4 %Owen County5.4Russell County: 5.1 %Russell County5.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Todd County24.4+1.2 pts
2Trigg County22.9-3.1 pts
3Bath County20.7+8 pts
4Crittenden County17.9-0.4 pts
5Washington County16.8+2.8 pts
6Cumberland County14.8+11.6 pts
7Butler County14.1+7.4 pts
8Breckinridge County13.5+2.4 pts
9Casey County13.5+1.9 pts
10Barren County12+1.3 pts
11Carroll County10.8+0.8 pts
12Christian County10.4+0.8 pts
13Hart County10.4+1.8 pts
14Allen County9.7-1.3 pts
15Morgan County9.5-1 pts
16Garrard County9.3+0.8 pts
17Grayson County9.1+2.6 pts
18Carter County8.9-1.3 pts
19Logan County8.3+0.5 pts
20Marshall County8+1 pts
21Green County7.8-2.1 pts
22Fleming County7.8-3.8 pts
23Knox County7.8+5 pts
24Metcalfe County7.7-2.7 pts
25Edmonson County7.7+1.1 pts
26Rockcastle County7.6+5.9 pts
27McCreary County7.6-2.1 pts
28Lyon County7.5+4.1 pts
29Jessamine County7.4+1.7 pts
30Caldwell County7.1-0 pts
31Elliott County6.6+2.8 pts
32Lincoln County6.3+2.3 pts
33Boone County6.2-0.3 pts
34Graves County6.1-0.1 pts
35Lewis County5.9+2 pts
36Laurel County5.8-0.6 pts
37Gallatin County5.7-2.3 pts
38Pendleton County5.5+1.3 pts
39Owen County5.4-0.9 pts
40Russell County5.1-0.3 pts
41Webster County4.9-1 pts
42Monroe County4.8+1.6 pts
43Simpson County4.7-4.2 pts
44Muhlenberg County4.7+0.2 pts
45Henry County4.7-2.1 pts
45Woodford County4.7+0.1 pts
47Trimble County4.7-2.9 pts
48Wolfe County4.5+0.8 pts
49Daviess County4.5-0.4 pts
50Mason County4.4-3.2 pts
51Warren County4.3+1 pts
52Adair County4.1-1.4 pts
53Union County4.1-0.8 pts
54Franklin County4.1-0.2 pts
55Ohio County4-1.4 pts
56Larue County4+0.4 pts
57Johnson County3.9+0.7 pts
58Jefferson County3.8+0.1 pts
59Shelby County3.8+0.5 pts
60Powell County3.7+0.1 pts
61Hickman County3.7+1.7 pts
62Montgomery County3.7+0.4 pts
63McCracken County3.6+0.3 pts
64Calloway County3.5-1.1 pts
65Oldham County3.5+0.5 pts
66Boyle County3.4+1.4 pts
67Nelson County3.4-0.9 pts
68Hardin County3.3+0.4 pts
69Jackson County3.2+1.3 pts
70Ballard County3.1+0.1 pts
71Scott County3+0.3 pts
72Floyd County3+1.6 pts
73Fayette County3+0.1 pts
74Greenup County3-0.6 pts
75Rowan County2.9+0.2 pts
76Meade County2.8+0.8 pts
77Clinton County2.7+1.3 pts
78Clark County2.7+0.2 pts
79Kenton County2.7+0.5 pts
80Madison County2.6-0 pts
81Whitley County2.5-1.2 pts
82Harlan County2.4-0.3 pts
83Henderson County2.3+0.1 pts
84Hopkins County2.3+0.1 pts
85Clay County2.2+0.8 pts
86Bracken County2.2-0.7 pts
87Campbell County2.2+0.5 pts
88Pulaski County2.2-0.7 pts
89Hancock County2.1+0.9 pts
90Taylor County2+0.4 pts
91Wayne County1.9-1.1 pts
92Spencer County1.8-0.6 pts
93Carlisle County1.7-1.7 pts
94Magoffin County1.7-0.4 pts
95Menifee County1.7-0.8 pts
96Marion County1.6+0.2 pts
97Bell County1.6-1.5 pts
97Leslie County1.6+0.2 pts
97Mercer County1.6-0.7 pts
100Breathitt County1.6+0.9 pts
101Harrison County1.6-1.2 pts
102Letcher County1.5-1.2 pts
103Lee County1.5-0.7 pts
104Estill County1.5+0.2 pts
105Bourbon County1.4+0.3 pts
106Knott County1.4+0.5 pts
107Nicholas County1.3-1.5 pts
108Anderson County1.2-0.6 pts
109Pike County1.2-0.8 pts
110Livingston County1.2+0.9 pts
111Boyd County10 pts
111Grant County1+0.1 pts
113Bullitt County0.7+0.1 pts
114Lawrence County0.6-2.3 pts
115McLean County0.5+0.1 pts
116Robertson County0.2-2.2 pts
117Perry County0.1-0.7 pts
118Martin County0.1-0.2 pts
119Fulton County00 pts
119Owsley County00 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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 Kentucky by uninsured rate, under 19 (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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 Kentucky by uninsured rate, under 19 (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/kentucky-counties. 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 Kentucky by uninsured rate, under 19 (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/kentucky-counties.

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 Kentucky by uninsured rate, under 19 (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/kentucky-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2024,
  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 Kentucky by uninsured rate, under 19 (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/kentucky-counties. 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/2024/table-based-SF/data/5YRData/acsdt5y2024-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 Kentucky by uninsured rate, under 19 (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/kentucky-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/kentucky-counties.
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/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

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

Todd County, with 24.4% in 2024, according to the U.S. Census Bureau.

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

Owsley County, with 0% in 2024.

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 Kentucky: more rankings