Data / Rankings / Uninsured rate, under 19 (US, ACS) / Counties in Missouri

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 2023, at 45.4%. Sullivan County had the lowest, at 1.1%. The median was 6.8% and the figure for Missouri was 6.1%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest45.4Scotland County
Lowest1.1Sullivan County
Median6.8115 counties
Missouri6.1History

Map of counties, 2023

Adair County: 5.1 %Andrew County: 4.8 %Atchison County: 9.9 %Audrain County: 20.4 %Barry County: 8.1 %Barton County: 8 %Bates County: 5.6 %Benton County: 9.7 %Bollinger County: 5.2 %Boone County: 4 %Buchanan County: 4.9 %Butler County: 9 %Caldwell County: 5.1 %Callaway County: 6.1 %Camden County: 7.7 %Cape Girardeau County: 3.4 %Carroll County: 5.5 %Carter County: 7.4 %Cass County: 5.3 %Cedar County: 12.6 %Chariton County: 6.4 %Christian County: 5.2 %Clark County: 3.2 %Clay County: 4.7 %Clinton County: 3.9 %Cole County: 3 %Cooper County: 8.4 %Crawford County: 8.1 %Dade County: 4 %Dallas County: 16 %Daviess County: 18.9 %DeKalb County: 8 %Dent County: 8 %Douglas County: 6.9 %Dunklin County: 9 %Franklin County: 3.8 %Gasconade County: 5 %Gentry County: 14.4 %Greene County: 8.3 %Grundy County: 16.3 %Harrison County: 5.3 %Henry County: 6.2 %Hickory County: 8.9 %Holt County: 3.9 %Howard County: 5.4 %Howell County: 8.5 %Iron County: 5.7 %Jackson County: 7.4 %Jasper County: 7.1 %Jefferson County: 3.9 %Johnson County: 6.8 %Knox County: 38.5 %Laclede County: 5.8 %Lafayette County: 8.9 %Lawrence County: 9.6 %Lewis County: 4.7 %Lincoln County: 8.2 %Linn County: 11.2 %Livingston County: 10.4 %McDonald County: 13.2 %Macon County: 14 %Madison County: 11.2 %Maries County: 9.7 %Marion County: 1.4 %Mercer County: 5.5 %Miller County: 6.3 %Mississippi County: 4.1 %Moniteau County: 23.1 %Monroe County: 15.4 %Montgomery County: 5.1 %Morgan County: 32.2 %New Madrid County: 3.5 %Newton County: 8 %Nodaway County: 5.7 %Oregon County: 13.8 %Osage County: 3.1 %Ozark County: 10.6 %Pemiscot County: 3.3 %Perry County: 4.5 %Pettis County: 8.8 %Phelps County: 5 %Pike County: 5.4 %Platte County: 3.4 %Polk County: 14.9 %Pulaski County: 4 %Putnam County: 16 %Ralls County: 4.8 %Randolph County: 8.9 %Ray County: 7.8 %Reynolds County: 5.7 %Ripley County: 8.4 %St. Charles County: 3 %St. Clair County: 11.1 %Ste. Genevieve County: 1.7 %St. Francois County: 5 %St. Louis County: 3.6 %Saline County: 6.3 %Schuyler County: 21.3 %Scotland County: 45.4 %Scott County: 3.4 %Shannon County: 8.4 %Shelby County: 5.9 %Stoddard County: 7.7 %Stone County: 5.4 %Sullivan County: 1.1 %Taney County: 6.7 %Texas County: 10.8 %Vernon County: 19.9 %Warren County: 9.1 %Washington County: 4 %Wayne County: 10.1 %Webster County: 19.1 %Worth County: 5.4 %Wright County: 17.2 %St. Louis city: 3.7 %
  • Under 4
  • 4 to 5.3
  • 5.3 to 6.8
  • 6.8 to 8.5
  • 8.5 to 13
  • 13 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

Scotland County: 45.4 %Scotland County45.4Knox County: 38.5 %Knox County38.5Morgan County: 32.2 %Morgan County32.2Moniteau County: 23.1 %Moniteau County23.1Schuyler County: 21.3 %Schuyler County21.3Audrain County: 20.4 %Audrain County20.4Vernon County: 19.9 %Vernon County19.9Webster County: 19.1 %Webster County19.1Daviess County: 18.9 %Daviess County18.9Wright County: 17.2 %Wright County17.2Grundy County: 16.3 %Grundy County16.3Dallas County: 16 %Dallas County16Putnam County: 16 %Putnam County16Monroe County: 15.4 %Monroe County15.4Polk County: 14.9 %Polk County14.9Gentry County: 14.4 %Gentry County14.4Macon County: 14 %Macon County14Oregon County: 13.8 %Oregon County13.8McDonald County: 13.2 %McDonald County13.2Cedar County: 12.6 %Cedar County12.6Linn County: 11.2 %Linn County11.2Madison County: 11.2 %Madison County11.2St. Clair County: 11.1 %St. Clair County11.1Texas County: 10.8 %Texas County10.8Ozark County: 10.6 %Ozark County10.6Livingston County: 10.4 %Livingston County10.4Wayne County: 10.1 %Wayne County10.1Atchison County: 9.9 %Atchison County9.9Benton County: 9.7 %Benton County9.7Maries County: 9.7 %Maries County9.7Lawrence County: 9.6 %Lawrence County9.6Warren County: 9.1 %Warren County9.1Butler County: 9 %Butler County9Dunklin County: 9 %Dunklin County9Randolph County: 8.9 %Randolph County8.9Lafayette County: 8.9 %Lafayette County8.9Hickory County: 8.9 %Hickory County8.9Pettis County: 8.8 %Pettis County8.8Howell County: 8.5 %Howell County8.5Shannon County: 8.4 %Shannon County8.4Scotland County: 45.4 %Scotland County45.4Knox County: 38.5 %Knox County38.5Morgan County: 32.2 %Morgan County32.2Moniteau County: 23.1 %Moniteau County23.1Schuyler County: 21.3 %Schuyler County21.3Audrain County: 20.4 %Audrain County20.4Vernon County: 19.9 %Vernon County19.9Webster County: 19.1 %Webster County19.1Daviess County: 18.9 %Daviess County18.9Wright County: 17.2 %Wright County17.2Grundy County: 16.3 %Grundy County16.3Dallas County: 16 %Dallas County16Putnam County: 16 %Putnam County16Monroe County: 15.4 %Monroe County15.4Polk County: 14.9 %Polk County14.9Gentry County: 14.4 %Gentry County14.4Macon County: 14 %Macon County14Oregon County: 13.8 %Oregon County13.8McDonald County: 13.2 %McDonald County13.2Cedar County: 12.6 %Cedar County12.6Linn County: 11.2 %Linn County11.2Madison County: 11.2 %Madison County11.2St. Clair County: 11.1 %St. Clair County11.1Texas County: 10.8 %Texas County10.8Ozark County: 10.6 %Ozark County10.6Livingston County: 10.4 %Livingston County10.4Wayne County: 10.1 %Wayne County10.1Atchison County: 9.9 %Atchison County9.9Benton County: 9.7 %Benton County9.7Maries County: 9.7 %Maries County9.7Lawrence County: 9.6 %Lawrence County9.6Warren County: 9.1 %Warren County9.1Butler County: 9 %Butler County9Dunklin County: 9 %Dunklin County9Randolph County: 8.9 %Randolph County8.9Lafayette County: 8.9 %Lafayette County8.9Hickory County: 8.9 %Hickory County8.9Pettis County: 8.8 %Pettis County8.8Howell County: 8.5 %Howell County8.5Shannon County: 8.4 %Shannon County8.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Scotland County45.4-2.8 pts
2Knox County38.5+0.4 pts
3Morgan County32.2-0.1 pts
4Moniteau County23.1+0.9 pts
5Schuyler County21.3-0.2 pts
6Audrain County20.4-0.7 pts
7Vernon County19.9+1.3 pts
8Webster County19.1+1.8 pts
9Daviess County18.9+1 pts
10Wright County17.2-0.4 pts
11Grundy County16.3-3.5 pts
12Dallas County16+0.4 pts
13Putnam County16-0.3 pts
14Monroe County15.4+2 pts
15Polk County14.9+0.7 pts
16Gentry County14.4+6.3 pts
17Macon County14+3.4 pts
18Oregon County13.8+0.2 pts
19McDonald County13.2-1.6 pts
20Cedar County12.6+2.5 pts
21Linn County11.2+2.1 pts
21Madison County11.2-4 pts
23St. Clair County11.1-1.7 pts
24Texas County10.8-1.3 pts
25Ozark County10.6-1 pts
26Livingston County10.4+1.1 pts
27Wayne County10.1+4.1 pts
28Atchison County9.9+3.2 pts
29Benton County9.7-2.9 pts
30Maries County9.7-2.2 pts
31Lawrence County9.6+0.9 pts
32Warren County9.1+1.8 pts
33Butler County9+1.6 pts
34Dunklin County9-0.4 pts
35Randolph County8.9+1.5 pts
36Lafayette County8.9+3.4 pts
37Hickory County8.9-14.3 pts
38Pettis County8.8-1.6 pts
39Howell County8.5-1.8 pts
40Shannon County8.4-1.4 pts
41Ripley County8.4-0.4 pts
42Cooper County8.4-2.7 pts
43Greene County8.3-0.7 pts
44Lincoln County8.2+1.1 pts
45Crawford County8.1-1.5 pts
46Barry County8.1+0.3 pts
47DeKalb County8-1.8 pts
48Dent County8-2.7 pts
49Newton County8-0.3 pts
50Barton County8+0.3 pts
51Ray County7.8+2.7 pts
52Stoddard County7.7-1 pts
53Camden County7.7-0.6 pts
54Jackson County7.4-0.3 pts
55Carter County7.4-0.3 pts
56Jasper County7.1-0.3 pts
57Douglas County6.9+2.2 pts
58Johnson County6.8+0.1 pts
59Taney County6.7-2.6 pts
60Chariton County6.4-1.6 pts
61Saline County6.3+2.9 pts
62Miller County6.3+0.3 pts
63Henry County6.2-1 pts
64Callaway County6.1-1.9 pts
65Shelby County5.9+0.8 pts
66Laclede County5.8-0.1 pts
67Nodaway County5.7-1.8 pts
68Reynolds County5.7+1.1 pts
69Iron County5.7+0.7 pts
70Bates County5.6+0.6 pts
71Mercer County5.5-4.8 pts
72Carroll County5.5+2 pts
73Worth County5.4+2.5 pts
74Howard County5.4-1.2 pts
75Pike County5.4+1.5 pts
76Stone County5.4+0.8 pts
77Harrison County5.3+0.9 pts
78Cass County5.3-0.4 pts
79Christian County5.2+0.3 pts
80Bollinger County5.2+0.9 pts
81Adair County5.1+0.5 pts
82Caldwell County5.1+0.2 pts
82Montgomery County5.1+0.2 pts
84St. Francois County5-0.5 pts
85Gasconade County5-0.3 pts
85Phelps County5+0.5 pts
87Buchanan County4.9-0.8 pts
88Ralls County4.8-3.4 pts
89Andrew County4.8+0.7 pts
90Lewis County4.7+2.6 pts
91Clay County4.7-0.6 pts
92Perry County4.5-0.3 pts
93Mississippi County4.1-0.5 pts
94Dade County4-0.4 pts
95Pulaski County4-0.3 pts
96Boone County4+0.1 pts
96Washington County4-1.5 pts
98Holt County3.9-1.8 pts
99Jefferson County3.90 pts
100Clinton County3.9-1.1 pts
101Franklin County3.8+0.1 pts
102St. Louis city3.7-0.1 pts
103St. Louis County3.6+0.5 pts
104New Madrid County3.50 pts
105Platte County3.4-1.6 pts
106Cape Girardeau County3.4+0.3 pts
106Scott County3.4-0.8 pts
108Pemiscot County3.3+0.2 pts
109Clark County3.2-6.1 pts
110Osage County3.1-0.2 pts
111Cole County3-1.2 pts
112St. Charles County3+0.1 pts
113Ste. Genevieve County1.7-0.2 pts
114Marion County1.40 pts
115Sullivan County1.1-0.8 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/missouri-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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Questions

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

Scotland County, with 45.4% in 2023, according to the U.S. Census Bureau.

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

Sullivan County, with 1.1% 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 Missouri: more rankings