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

Scotland County had the highest uninsured rate, under 19 (US, ACS) of 115 counties in 2024, at 57.2%. Chariton County had the lowest, at 1.1%. The median was 6.8% and the figure for Missouri was 6.2%. Source: the U.S. Census Bureau.

Highest57.2Scotland County
Median6.8115 counties
Missouri6.2History

Top 40 counties, 2024

Scotland County: 57.2 %Scotland County57.2Knox County: 39.3 %Knox County39.3Morgan County: 34.4 %Morgan County34.4Moniteau County: 26.3 %Moniteau County26.3Webster County: 26.2 %Webster County26.2Daviess County: 22.5 %Daviess County22.5Schuyler County: 20.8 %Schuyler County20.8Hickory County: 20.7 %Hickory County20.7Audrain County: 19.5 %Audrain County19.5Harrison County: 17.8 %Harrison County17.8Cedar County: 17.7 %Cedar County17.7Putnam County: 17.2 %Putnam County17.2Vernon County: 16.7 %Vernon County16.7Polk County: 15.7 %Polk County15.7Grundy County: 15.1 %Grundy County15.1Dallas County: 14.6 %Dallas County14.6Monroe County: 14.2 %Monroe County14.2Macon County: 13.8 %Macon County13.8Wright County: 13.5 %Wright County13.5Gentry County: 13.1 %Gentry County13.1Dent County: 12.8 %Dent County12.8Texas County: 12.4 %Texas County12.4Linn County: 12.4 %Linn County12.4Livingston County: 12.1 %Livingston County12.1Adair County: 11.8 %Adair County11.8McDonald County: 11.8 %McDonald County11.8Oregon County: 10.5 %Oregon County10.5Barry County: 10.4 %Barry County10.4Benton County: 9.9 %Benton County9.9Lawrence County: 9.8 %Lawrence County9.8Randolph County: 9.8 %Randolph County9.8Ozark County: 9.6 %Ozark County9.6Warren County: 9.1 %Warren County9.1Newton County: 8.9 %Newton County8.9Miller County: 8.9 %Miller County8.9Pettis County: 8.8 %Pettis County8.8Camden County: 8.8 %Camden County8.8Butler County: 8.6 %Butler County8.6Carter County: 8.4 %Carter County8.4Crawford County: 8.3 %Crawford County8.3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Scotland County57.2+11.8 pts
2Knox County39.3+0.8 pts
3Morgan County34.4+2.3 pts
4Moniteau County26.3+3.2 pts
5Webster County26.2+7.1 pts
6Daviess County22.5+3.6 pts
7Schuyler County20.8-0.4 pts
8Hickory County20.7+11.8 pts
9Audrain County19.5-0.9 pts
10Harrison County17.8+12.5 pts
11Cedar County17.7+5.1 pts
12Putnam County17.2+1.2 pts
13Vernon County16.7-3.2 pts
14Polk County15.7+0.8 pts
15Grundy County15.1-1.1 pts
16Dallas County14.6-1.5 pts
17Monroe County14.2-1.3 pts
18Macon County13.8-0.2 pts
19Wright County13.5-3.7 pts
20Gentry County13.1-1.3 pts
21Dent County12.8+4.8 pts
22Texas County12.4+1.6 pts
23Linn County12.4+1.2 pts
24Livingston County12.1+1.7 pts
25Adair County11.8+6.7 pts
26McDonald County11.8-1.5 pts
27Oregon County10.5-3.4 pts
28Barry County10.4+2.3 pts
29Benton County9.9+0.2 pts
30Lawrence County9.8+0.2 pts
31Randolph County9.8+0.8 pts
32Ozark County9.6-1 pts
33Warren County9.10 pts
34Newton County8.9+0.9 pts
35Miller County8.9+2.6 pts
36Pettis County8.80 pts
37Camden County8.8+1.1 pts
38Butler County8.6-0.4 pts
39Carter County8.4+1 pts
40Crawford County8.3+0.2 pts
41Douglas County8.3+1.4 pts
42Madison County8.2-2.9 pts
43Ray County8.1+0.3 pts
44Saline County7.9+1.5 pts
45Lincoln County7.7-0.5 pts
46Lafayette County7.7-1.2 pts
47Atchison County7.6-2.3 pts
48Taney County7.6+0.8 pts
49Caldwell County7.5+2.4 pts
50Wayne County7.2-2.8 pts
51St. Clair County7.2-4 pts
52Greene County7.1-1.3 pts
53Howard County7.1+1.7 pts
54Jasper County7-0.1 pts
55Shelby County6.9+1 pts
55Stoddard County6.9-0.8 pts
57Jackson County6.8-0.6 pts
58Carroll County6.8+1.3 pts
58Iron County6.8+1.1 pts
60Montgomery County6.8+1.7 pts
61Dunklin County6.6-2.4 pts
62Callaway County6.5+0.4 pts
63Howell County6.5-2 pts
63Mercer County6.5+1 pts
65Nodaway County6.4+0.6 pts
66Barton County6.2-1.8 pts
67Cooper County6.1-2.2 pts
68Clay County6.1+1.4 pts
69Ripley County6-2.4 pts
70Laclede County5.9+0.1 pts
71Cass County5.7+0.4 pts
72Clinton County5.7+1.8 pts
73Henry County5.6-0.6 pts
74Mississippi County5.5+1.4 pts
75Christian County5.5+0.2 pts
76Phelps County5.2+0.2 pts
77Stone County5.2-0.2 pts
78St. Francois County5-0 pts
79Gasconade County5-0 pts
80Platte County5+1.6 pts
81St. Louis city4.9+1.1 pts
82Pike County4.6-0.8 pts
83Buchanan County4.5-0.3 pts
84Lewis County4.5-0.2 pts
85Johnson County4.5-2.3 pts
86Bates County4.5-1.1 pts
87Andrew County4.3-0.5 pts
88DeKalb County4.2-3.8 pts
89New Madrid County4.2+0.7 pts
90Ralls County4.1-0.7 pts
91Jefferson County3.9-0 pts
92Reynolds County3.7-2 pts
93Dade County3.7-0.4 pts
94Perry County3.7-0.9 pts
95St. Louis County3.6-0.1 pts
96Cape Girardeau County3.5+0.2 pts
97Scott County3.5+0.1 pts
98Clark County3.5+0.3 pts
99Washington County3.5-0.5 pts
100Pulaski County3.4-0.6 pts
101Maries County3.2-6.4 pts
102Franklin County3.2-0.6 pts
103Boone County3.1-0.9 pts
104Pemiscot County3.1-0.1 pts
105Holt County3.1-0.9 pts
106Osage County3-0.2 pts
107Bollinger County2.9-2.3 pts
108Worth County2.7-2.8 pts
109St. Charles County2.6-0.3 pts
110Marion County2.5+1.1 pts
111Ste. Genevieve County2.3+0.6 pts
112Shannon County2.2-6.2 pts
113Cole County1.7-1.2 pts
114Sullivan County1.3+0.3 pts
115Chariton County1.1-5.4 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-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)?

Scotland County, with 57.2% in 2024, according to the U.S. Census Bureau.

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

Chariton County, with 1.1% 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 Missouri: more rankings