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

Sioux County had the highest uninsured rate, under 19 (US, ACS) of 93 counties in 2021, at 27.8%. McPherson County had the lowest, at 0%. The median was 4.7% and the figure for Nebraska was 5.4%. Source: the U.S. Census Bureau.

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Highest27.8Sioux County
Median4.793 counties
Nebraska5.4History

Map of counties, 2021

Adams County: 2.5 %Antelope County: 4.7 %Arthur County: 9.9 %Banner County: 0 %Blaine County: 0 %Boone County: 4.6 %Box Butte County: 7.5 %Boyd County: 2.9 %Brown County: 24.6 %Buffalo County: 5.8 %Burt County: 3.6 %Butler County: 4.1 %Cass County: 9.4 %Cedar County: 3.7 %Chase County: 4.6 %Cherry County: 8.1 %Cheyenne County: 3.9 %Clay County: 5.7 %Colfax County: 4.7 %Cuming County: 3.7 %Custer County: 8.6 %Dakota County: 4.4 %Dawes County: 5.2 %Dawson County: 6.5 %Deuel County: 1.6 %Dixon County: 6.6 %Dodge County: 3.1 %Douglas County: 6.1 %Dundy County: 14.1 %Fillmore County: 2 %Franklin County: 3.9 %Frontier County: 6.3 %Furnas County: 3.4 %Gage County: 4.1 %Garden County: 27.3 %Garfield County: 4.3 %Gosper County: 4.4 %Grant County: 13.1 %Greeley County: 4.7 %Hall County: 5.4 %Hamilton County: 1.4 %Harlan County: 1.6 %Hayes County: 0.9 %Hitchcock County: 6.2 %Holt County: 3 %Hooker County: 1.8 %Howard County: 6.7 %Jefferson County: 4.8 %Johnson County: 1.2 %Kearney County: 4.6 %Keith County: 5.5 %Keya Paha County: 3.8 %Kimball County: 12.6 %Knox County: 4.8 %Lancaster County: 4.6 %Lincoln County: 7 %Logan County: 11.8 %Loup County: 0 %McPherson County: 0 %Madison County: 6.5 %Merrick County: 5.5 %Morrill County: 2.4 %Nance County: 1.9 %Nemaha County: 3.1 %Nuckolls County: 15.4 %Otoe County: 0.6 %Pawnee County: 15.2 %Perkins County: 4 %Phelps County: 5.6 %Pierce County: 1.3 %Platte County: 9 %Polk County: 13.8 %Red Willow County: 10.3 %Richardson County: 4.7 %Rock County: 11.8 %Saline County: 12.3 %Sarpy County: 3.2 %Saunders County: 2.7 %Scotts Bluff County: 6.7 %Seward County: 6.6 %Sheridan County: 10.9 %Sherman County: 5.7 %Sioux County: 27.8 %Stanton County: 3.3 %Thayer County: 3.8 %Thomas County: 10.1 %Thurston County: 12.2 %Valley County: 12.7 %Washington County: 2.2 %Wayne County: 0.9 %Webster County: 0.8 %Wheeler County: 17.1 %York County: 5.9 %
  • Under 2.1
  • 2.1 to 3.8
  • 3.8 to 4.7
  • 4.7 to 6.4
  • 6.4 to 11
  • 11 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Sioux County: 27.8 %Sioux County27.8Garden County: 27.3 %Garden County27.3Brown County: 24.6 %Brown County24.6Wheeler County: 17.1 %Wheeler County17.1Nuckolls County: 15.4 %Nuckolls County15.4Pawnee County: 15.2 %Pawnee County15.2Dundy County: 14.1 %Dundy County14.1Polk County: 13.8 %Polk County13.8Grant County: 13.1 %Grant County13.1Valley County: 12.7 %Valley County12.7Kimball County: 12.6 %Kimball County12.6Saline County: 12.3 %Saline County12.3Thurston County: 12.2 %Thurston County12.2Rock County: 11.8 %Rock County11.8Logan County: 11.8 %Logan County11.8Sheridan County: 10.9 %Sheridan County10.9Red Willow County: 10.3 %Red Willow County10.3Thomas County: 10.1 %Thomas County10.1Arthur County: 9.9 %Arthur County9.9Cass County: 9.4 %Cass County9.4Platte County: 9 %Platte County9Custer County: 8.6 %Custer County8.6Cherry County: 8.1 %Cherry County8.1Box Butte County: 7.5 %Box Butte County7.5Lincoln County: 7 %Lincoln County7Scotts Bluff County: 6.7 %Scotts Bluff County6.7Howard County: 6.7 %Howard County6.7Seward County: 6.6 %Seward County6.6Dixon County: 6.6 %Dixon County6.6Dawson County: 6.5 %Dawson County6.5Madison County: 6.5 %Madison County6.5Frontier County: 6.3 %Frontier County6.3Hitchcock County: 6.2 %Hitchcock County6.2Douglas County: 6.1 %Douglas County6.1York County: 5.9 %York County5.9Buffalo County: 5.8 %Buffalo County5.8Clay County: 5.7 %Clay County5.7Sherman County: 5.7 %Sherman County5.7Phelps County: 5.6 %Phelps County5.6Keith County: 5.5 %Keith County5.5Sioux County: 27.8 %Sioux County27.8Garden County: 27.3 %Garden County27.3Brown County: 24.6 %Brown County24.6Wheeler County: 17.1 %Wheeler County17.1Nuckolls County: 15.4 %Nuckolls County15.4Pawnee County: 15.2 %Pawnee County15.2Dundy County: 14.1 %Dundy County14.1Polk County: 13.8 %Polk County13.8Grant County: 13.1 %Grant County13.1Valley County: 12.7 %Valley County12.7Kimball County: 12.6 %Kimball County12.6Saline County: 12.3 %Saline County12.3Thurston County: 12.2 %Thurston County12.2Rock County: 11.8 %Rock County11.8Logan County: 11.8 %Logan County11.8Sheridan County: 10.9 %Sheridan County10.9Red Willow County: 10.3 %Red Willow County10.3Thomas County: 10.1 %Thomas County10.1Arthur County: 9.9 %Arthur County9.9Cass County: 9.4 %Cass County9.4Platte County: 9 %Platte County9Custer County: 8.6 %Custer County8.6Cherry County: 8.1 %Cherry County8.1Box Butte County: 7.5 %Box Butte County7.5Lincoln County: 7 %Lincoln County7Scotts Bluff County: 6.7 %Scotts Bluff County6.7Howard County: 6.7 %Howard County6.7Seward County: 6.6 %Seward County6.6Dixon County: 6.6 %Dixon County6.6Dawson County: 6.5 %Dawson County6.5Madison County: 6.5 %Madison County6.5Frontier County: 6.3 %Frontier County6.3Hitchcock County: 6.2 %Hitchcock County6.2Douglas County: 6.1 %Douglas County6.1York County: 5.9 %York County5.9Buffalo County: 5.8 %Buffalo County5.8Clay County: 5.7 %Clay County5.7Sherman County: 5.7 %Sherman County5.7Phelps County: 5.6 %Phelps County5.6Keith County: 5.5 %Keith County5.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Sioux County27.8
2Garden County27.3
3Brown County24.6
4Wheeler County17.1
5Nuckolls County15.4
6Pawnee County15.2
7Dundy County14.1
8Polk County13.8
9Grant County13.1
10Valley County12.7
11Kimball County12.6
12Saline County12.3
13Thurston County12.2
14Rock County11.8
15Logan County11.8
16Sheridan County10.9
17Red Willow County10.3
18Thomas County10.1
19Arthur County9.9
20Cass County9.4
21Platte County9
22Custer County8.6
23Cherry County8.1
24Box Butte County7.5
25Lincoln County7
26Scotts Bluff County6.7
27Howard County6.7
28Seward County6.6
29Dixon County6.6
30Dawson County6.5
31Madison County6.5
32Frontier County6.3
33Hitchcock County6.2
34Douglas County6.1
35York County5.9
36Buffalo County5.8
37Clay County5.7
38Sherman County5.7
39Phelps County5.6
40Keith County5.5
40Merrick County5.5
42Hall County5.4
43Dawes County5.2
44Jefferson County4.8
45Knox County4.8
46Colfax County4.7
47Richardson County4.7
48Greeley County4.7
49Antelope County4.7
50Lancaster County4.6
51Boone County4.6
52Kearney County4.6
53Chase County4.6
54Dakota County4.4
55Gosper County4.4
56Garfield County4.3
57Butler County4.1
57Gage County4.1
59Perkins County4
60Franklin County3.9
61Cheyenne County3.9
62Thayer County3.8
63Keya Paha County3.8
64Cuming County3.7
65Cedar County3.7
66Burt County3.6
67Furnas County3.4
68Stanton County3.3
69Sarpy County3.2
70Nemaha County3.1
71Dodge County3.1
72Holt County3
73Boyd County2.9
74Saunders County2.7
75Adams County2.5
76Morrill County2.4
77Washington County2.2
78Fillmore County2
79Nance County1.9
80Hooker County1.8
81Deuel County1.6
82Harlan County1.6
83Hamilton County1.4
84Pierce County1.3
85Johnson County1.2
86Hayes County0.9
86Wayne County0.9
88Webster County0.8
89Otoe County0.6
90Banner County0
90Blaine County0
90Loup County0
90McPherson County0

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/2021/table-based-SF/data/5YRData/acsdt5y2021-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 Nebraska by uninsured rate, under 19 (US, ACS), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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 Nebraska by uninsured rate, under 19 (US, ACS), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/nebraska-counties?period=2021. 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 Nebraska by uninsured rate, under 19 (US, ACS), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/nebraska-counties?period=2021.

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 Nebraska by uninsured rate, under 19 (US, ACS), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/nebraska-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2021,
  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 Nebraska by uninsured rate, under 19 (US, ACS), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/nebraska-counties?period=2021. 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/2021/table-based-SF/data/5YRData/acsdt5y2021-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 Nebraska by uninsured rate, under 19 (US, ACS), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/nebraska-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/nebraska-counties?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

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

Sioux County, with 27.8% in 2021, according to the U.S. Census Bureau.

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

McPherson County, with 0% in 2021.

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 Nebraska: more rankings