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

Scotland County had the highest uninsured rate, under 19 (US, ACS) of 115 counties in 2022, at 48.2%. Marion County had the lowest, at 1.4%. The median was 7.3% and the figure for Missouri was 6.2%. Source: the U.S. Census Bureau.

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Highest48.2Scotland County
Lowest1.4Marion County
Median7.3115 counties
Missouri6.2History

Map of counties, 2022

Adair County: 4.6 %Andrew County: 4.2 %Atchison County: 6.7 %Audrain County: 21.1 %Barry County: 7.9 %Barton County: 7.6 %Bates County: 5 %Benton County: 12.6 %Bollinger County: 4.3 %Boone County: 3.9 %Buchanan County: 5.7 %Butler County: 7.4 %Caldwell County: 4.8 %Callaway County: 8 %Camden County: 8.2 %Cape Girardeau County: 3 %Carroll County: 3.4 %Carter County: 7.7 %Cass County: 5.7 %Cedar County: 10.1 %Chariton County: 8 %Christian County: 4.9 %Clark County: 9.3 %Clay County: 5.3 %Clinton County: 5 %Cole County: 4.1 %Cooper County: 11 %Crawford County: 9.7 %Dade County: 4.4 %Dallas County: 15.6 %Daviess County: 18 %DeKalb County: 9.8 %Dent County: 10.7 %Douglas County: 4.8 %Dunklin County: 9.4 %Franklin County: 3.7 %Gasconade County: 5.3 %Gentry County: 8.1 %Greene County: 9 %Grundy County: 19.8 %Harrison County: 4.4 %Henry County: 7.2 %Hickory County: 23.1 %Holt County: 5.7 %Howard County: 6.6 %Howell County: 10.3 %Iron County: 5 %Jackson County: 7.7 %Jasper County: 7.4 %Jefferson County: 3.9 %Johnson County: 6.7 %Knox County: 38.1 %Laclede County: 5.9 %Lafayette County: 5.5 %Lawrence County: 8.7 %Lewis County: 2.1 %Lincoln County: 7.2 %Linn County: 9.1 %Livingston County: 9.3 %McDonald County: 14.9 %Macon County: 10.6 %Madison County: 15.2 %Maries County: 11.8 %Marion County: 1.4 %Mercer County: 10.3 %Miller County: 6 %Mississippi County: 4.7 %Moniteau County: 22.2 %Monroe County: 13.4 %Montgomery County: 4.8 %Morgan County: 32.3 %New Madrid County: 3.5 %Newton County: 8.3 %Nodaway County: 7.5 %Oregon County: 13.7 %Osage County: 3.3 %Ozark County: 11.6 %Pemiscot County: 3 %Perry County: 4.8 %Pettis County: 10.4 %Phelps County: 4.5 %Pike County: 3.9 %Platte County: 4.9 %Polk County: 14.3 %Pulaski County: 4.3 %Putnam County: 16.2 %Ralls County: 8.3 %Randolph County: 7.4 %Ray County: 5.1 %Reynolds County: 4.6 %Ripley County: 8.8 %St. Charles County: 2.8 %St. Clair County: 12.8 %Ste. Genevieve County: 1.8 %St. Francois County: 5.5 %St. Louis County: 3.2 %Saline County: 3.4 %Schuyler County: 21.5 %Scotland County: 48.2 %Scott County: 4.1 %Shannon County: 9.9 %Shelby County: 5.1 %Stoddard County: 8.7 %Stone County: 4.5 %Sullivan County: 1.9 %Taney County: 9.3 %Texas County: 12.1 %Vernon County: 18.6 %Warren County: 7.3 %Washington County: 5.5 %Wayne County: 6 %Webster County: 17.2 %Worth County: 2.9 %Wright County: 17.6 %St. Louis city: 3.9 %
  • Under 4.1
  • 4.1 to 5
  • 5 to 7.3
  • 7.3 to 9.1
  • 9.1 to 13
  • 13 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Scotland County: 48.2 %Scotland County48.2Knox County: 38.1 %Knox County38.1Morgan County: 32.3 %Morgan County32.3Hickory County: 23.1 %Hickory County23.1Moniteau County: 22.2 %Moniteau County22.2Schuyler County: 21.5 %Schuyler County21.5Audrain County: 21.1 %Audrain County21.1Grundy County: 19.8 %Grundy County19.8Vernon County: 18.6 %Vernon County18.6Daviess County: 18 %Daviess County18Wright County: 17.6 %Wright County17.6Webster County: 17.2 %Webster County17.2Putnam County: 16.2 %Putnam County16.2Dallas County: 15.6 %Dallas County15.6Madison County: 15.2 %Madison County15.2McDonald County: 14.9 %McDonald County14.9Polk County: 14.3 %Polk County14.3Oregon County: 13.7 %Oregon County13.7Monroe County: 13.4 %Monroe County13.4St. Clair County: 12.8 %St. Clair County12.8Benton County: 12.6 %Benton County12.6Texas County: 12.1 %Texas County12.1Maries County: 11.8 %Maries County11.8Ozark County: 11.6 %Ozark County11.6Cooper County: 11 %Cooper County11Dent County: 10.7 %Dent County10.7Macon County: 10.6 %Macon County10.6Pettis County: 10.4 %Pettis County10.4Mercer County: 10.3 %Mercer County10.3Howell County: 10.3 %Howell County10.3Cedar County: 10.1 %Cedar County10.1Shannon County: 9.9 %Shannon County9.9DeKalb County: 9.8 %DeKalb County9.8Crawford County: 9.7 %Crawford County9.7Dunklin County: 9.4 %Dunklin County9.4Taney County: 9.3 %Taney County9.3Clark County: 9.3 %Clark County9.3Livingston County: 9.3 %Livingston County9.3Linn County: 9.1 %Linn County9.1Greene County: 9 %Greene County9Scotland County: 48.2 %Scotland County48.2Knox County: 38.1 %Knox County38.1Morgan County: 32.3 %Morgan County32.3Hickory County: 23.1 %Hickory County23.1Moniteau County: 22.2 %Moniteau County22.2Schuyler County: 21.5 %Schuyler County21.5Audrain County: 21.1 %Audrain County21.1Grundy County: 19.8 %Grundy County19.8Vernon County: 18.6 %Vernon County18.6Daviess County: 18 %Daviess County18Wright County: 17.6 %Wright County17.6Webster County: 17.2 %Webster County17.2Putnam County: 16.2 %Putnam County16.2Dallas County: 15.6 %Dallas County15.6Madison County: 15.2 %Madison County15.2McDonald County: 14.9 %McDonald County14.9Polk County: 14.3 %Polk County14.3Oregon County: 13.7 %Oregon County13.7Monroe County: 13.4 %Monroe County13.4St. Clair County: 12.8 %St. Clair County12.8Benton County: 12.6 %Benton County12.6Texas County: 12.1 %Texas County12.1Maries County: 11.8 %Maries County11.8Ozark County: 11.6 %Ozark County11.6Cooper County: 11 %Cooper County11Dent County: 10.7 %Dent County10.7Macon County: 10.6 %Macon County10.6Pettis County: 10.4 %Pettis County10.4Mercer County: 10.3 %Mercer County10.3Howell County: 10.3 %Howell County10.3Cedar County: 10.1 %Cedar County10.1Shannon County: 9.9 %Shannon County9.9DeKalb County: 9.8 %DeKalb County9.8Crawford County: 9.7 %Crawford County9.7Dunklin County: 9.4 %Dunklin County9.4Taney County: 9.3 %Taney County9.3Clark County: 9.3 %Clark County9.3Livingston County: 9.3 %Livingston County9.3Linn County: 9.1 %Linn County9.1Greene County: 9 %Greene County9
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Scotland County48.2-3.5 pts
2Knox County38.1+0.1 pts
3Morgan County32.3+2.6 pts
4Hickory County23.1-2.3 pts
5Moniteau County22.2+2.4 pts
6Schuyler County21.5+8.1 pts
7Audrain County21.1+9.6 pts
8Grundy County19.8-1.4 pts
9Vernon County18.6+0.8 pts
10Daviess County18-1.1 pts
11Wright County17.6-1.8 pts
12Webster County17.2-1.6 pts
13Putnam County16.2+5.4 pts
14Dallas County15.6-4.4 pts
15Madison County15.2-0.5 pts
16McDonald County14.9-0.8 pts
17Polk County14.3+5.3 pts
18Oregon County13.7+0.9 pts
19Monroe County13.4+4.6 pts
20St. Clair County12.8-1.9 pts
21Benton County12.6+1.6 pts
22Texas County12.1-2.7 pts
23Maries County11.8+1.8 pts
24Ozark County11.6+5.5 pts
25Cooper County11+0.6 pts
26Dent County10.7-0.6 pts
27Macon County10.6+0.7 pts
28Pettis County10.4-0.3 pts
29Mercer County10.3+0.8 pts
30Howell County10.3+1.5 pts
31Cedar County10.1+0.5 pts
32Shannon County9.9-6 pts
33DeKalb County9.8+2.4 pts
34Crawford County9.7+0.2 pts
35Dunklin County9.4+1.1 pts
36Taney County9.3+0.1 pts
37Clark County9.3-4.5 pts
37Livingston County9.3-0.8 pts
39Linn County9.1+0.1 pts
40Greene County9+0.5 pts
41Ripley County8.8+2.4 pts
42Lawrence County8.7+1 pts
43Stoddard County8.7-2.5 pts
44Newton County8.3-1.3 pts
45Ralls County8.3-0.3 pts
46Camden County8.2+1.1 pts
47Gentry County8.1+0.4 pts
48Chariton County8-0.6 pts
49Callaway County80 pts
50Barry County7.9+0.5 pts
51Jackson County7.7+0.4 pts
52Carter County7.7-1.4 pts
53Barton County7.6-1.1 pts
54Nodaway County7.5+2 pts
55Butler County7.4+0.8 pts
55Jasper County7.4-0.3 pts
57Randolph County7.4+0.9 pts
58Warren County7.3-0 pts
59Henry County7.2+0.4 pts
60Lincoln County7.2+0.7 pts
61Atchison County6.7-0.5 pts
61Johnson County6.7+0.1 pts
63Howard County6.6+0.1 pts
64Miller County6-1 pts
65Wayne County6-1.8 pts
66Laclede County5.9+0.1 pts
67Cass County5.7+0.4 pts
68Holt County5.7-0.4 pts
69Buchanan County5.7-0.3 pts
70St. Francois County5.5+2.2 pts
71Washington County5.5+0.4 pts
72Lafayette County5.5+1.4 pts
73Clay County5.3+0.7 pts
74Gasconade County5.3+0.4 pts
75Ray County5.1+0.1 pts
76Shelby County5.1-0.7 pts
77Bates County5+0.7 pts
78Iron County5+1 pts
79Clinton County5+0.2 pts
80Platte County4.9+1.3 pts
81Christian County4.9+0.4 pts
82Caldwell County4.8-1.5 pts
82Montgomery County4.8+0.3 pts
84Douglas County4.8-1.2 pts
84Perry County4.8+0.5 pts
86Mississippi County4.7+0.4 pts
87Adair County4.60 pts
88Reynolds County4.6+2.5 pts
89Phelps County4.5+1.2 pts
90Stone County4.5-1.2 pts
91Dade County4.4-0.7 pts
92Harrison County4.4+0.3 pts
93Pulaski County4.3-0.1 pts
94Bollinger County4.3+0.8 pts
95Andrew County4.2+2.9 pts
96Cole County4.1-0.3 pts
97Scott County4.1+0.5 pts
98Pike County3.9+0.2 pts
99Jefferson County3.9-0.7 pts
100Boone County3.9-0.1 pts
100St. Louis city3.9-0.5 pts
102Franklin County3.7-1 pts
103New Madrid County3.5-1 pts
104Saline County3.4+0.3 pts
105Carroll County3.4+0.1 pts
106Osage County3.30 pts
107St. Louis County3.2+0.2 pts
108Pemiscot County3+0.6 pts
109Cape Girardeau County3+0.1 pts
110Worth County2.9-0.2 pts
111St. Charles County2.8+0.1 pts
112Lewis County2.1-2.6 pts
113Sullivan County1.9-2.8 pts
114Ste. Genevieve County1.8+0.3 pts
115Marion County1.4-0.4 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-counties?period=2022. 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-counties?period=2022.
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/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Missouri 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)?

Scotland County, with 48.2% in 2022, according to the U.S. Census Bureau.

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

Marion County, with 1.4% in 2022.

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