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

Swain County had the highest uninsured rate, under 19 (US, ACS) of 100 counties in 2024, at 24.8%. Stokes County had the lowest, at 0.4%. The median was 5% and the figure for North Carolina was 5.5%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest24.8Swain County
Lowest0.4Stokes County
Median5100 counties
North Carolina5.5History

Map of counties, 2024

Alamance County: 4.7 %Alexander County: 0.5 %Alleghany County: 3.5 %Anson County: 5.7 %Ashe County: 3.5 %Avery County: 5.2 %Beaufort County: 3 %Bertie County: 8.3 %Bladen County: 6.2 %Brunswick County: 5.3 %Buncombe County: 4.9 %Burke County: 5.3 %Cabarrus County: 4.4 %Caldwell County: 5.4 %Camden County: 1.6 %Carteret County: 5.2 %Caswell County: 4.8 %Catawba County: 7.3 %Chatham County: 8.1 %Cherokee County: 3.4 %Chowan County: 2.6 %Clay County: 12.9 %Cleveland County: 4.2 %Columbus County: 5.5 %Craven County: 4.3 %Cumberland County: 4.5 %Currituck County: 8.8 %Dare County: 7.2 %Davidson County: 4.1 %Davie County: 5.6 %Duplin County: 9.7 %Durham County: 7.5 %Edgecombe County: 6 %Forsyth County: 5 %Franklin County: 4.9 %Gaston County: 7.1 %Gates County: 3.7 %Graham County: 9.3 %Granville County: 3.7 %Greene County: 13.5 %Guilford County: 4 %Halifax County: 6.6 %Harnett County: 3.4 %Haywood County: 6.1 %Henderson County: 8.9 %Hertford County: 4.3 %Hoke County: 5.5 %Hyde County: 5.4 %Iredell County: 5.3 %Jackson County: 10.3 %Johnston County: 6.1 %Jones County: 2.3 %Lee County: 7.1 %Lenoir County: 3.3 %Lincoln County: 4.6 %McDowell County: 2.5 %Macon County: 10.3 %Madison County: 1.4 %Martin County: 2.1 %Mecklenburg County: 7.9 %Mitchell County: 2.6 %Montgomery County: 4.9 %Moore County: 4.9 %Nash County: 6.8 %New Hanover County: 6.2 %Northampton County: 4.1 %Onslow County: 5.3 %Orange County: 3.2 %Pamlico County: 3.1 %Pasquotank County: 8.1 %Pender County: 7.1 %Perquimans County: 4.1 %Person County: 6 %Pitt County: 5.1 %Polk County: 4.6 %Randolph County: 5 %Richmond County: 4.1 %Robeson County: 6.3 %Rockingham County: 2.7 %Rowan County: 4.2 %Rutherford County: 7.1 %Sampson County: 8.7 %Scotland County: 2.3 %Stanly County: 4.2 %Stokes County: 0.4 %Surry County: 4.6 %Swain County: 24.8 %Transylvania County: 11.5 %Tyrrell County: 3.8 %Union County: 4.3 %Vance County: 7.6 %Wake County: 4.4 %Warren County: 10 %Washington County: 1.7 %Watauga County: 5.1 %Wayne County: 5.2 %Wilkes County: 4.5 %Wilson County: 6.8 %Yadkin County: 6.2 %Yancey County: 0.9 %
  • Under 3.3
  • 3.3 to 4.3
  • 4.3 to 5
  • 5 to 6
  • 6 to 7.5
  • 7.5 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Swain County: 24.8 %Swain County24.8Greene County: 13.5 %Greene County13.5Clay County: 12.9 %Clay County12.9Transylvania County: 11.5 %Transylvania County11.5Macon County: 10.3 %Macon County10.3Jackson County: 10.3 %Jackson County10.3Warren County: 10 %Warren County10Duplin County: 9.7 %Duplin County9.7Graham County: 9.3 %Graham County9.3Henderson County: 8.9 %Henderson County8.9Currituck County: 8.8 %Currituck County8.8Sampson County: 8.7 %Sampson County8.7Bertie County: 8.3 %Bertie County8.3Pasquotank County: 8.1 %Pasquotank County8.1Chatham County: 8.1 %Chatham County8.1Mecklenburg County: 7.9 %Mecklenburg County7.9Vance County: 7.6 %Vance County7.6Durham County: 7.5 %Durham County7.5Catawba County: 7.3 %Catawba County7.3Dare County: 7.2 %Dare County7.2Rutherford County: 7.1 %Rutherford County7.1Lee County: 7.1 %Lee County7.1Gaston County: 7.1 %Gaston County7.1Pender County: 7.1 %Pender County7.1Nash County: 6.8 %Nash County6.8Wilson County: 6.8 %Wilson County6.8Halifax County: 6.6 %Halifax County6.6Robeson County: 6.3 %Robeson County6.3Bladen County: 6.2 %Bladen County6.2Yadkin County: 6.2 %Yadkin County6.2New Hanover County: 6.2 %New Hanover County6.2Johnston County: 6.1 %Johnston County6.1Haywood County: 6.1 %Haywood County6.1Edgecombe County: 6 %Edgecombe County6Person County: 6 %Person County6Anson County: 5.7 %Anson County5.7Davie County: 5.6 %Davie County5.6Columbus County: 5.5 %Columbus County5.5Hoke County: 5.5 %Hoke County5.5Caldwell County: 5.4 %Caldwell County5.4Swain County: 24.8 %Swain County24.8Greene County: 13.5 %Greene County13.5Clay County: 12.9 %Clay County12.9Transylvania County: 11.5 %Transylvania County11.5Macon County: 10.3 %Macon County10.3Jackson County: 10.3 %Jackson County10.3Warren County: 10 %Warren County10Duplin County: 9.7 %Duplin County9.7Graham County: 9.3 %Graham County9.3Henderson County: 8.9 %Henderson County8.9Currituck County: 8.8 %Currituck County8.8Sampson County: 8.7 %Sampson County8.7Bertie County: 8.3 %Bertie County8.3Pasquotank County: 8.1 %Pasquotank County8.1Chatham County: 8.1 %Chatham County8.1Mecklenburg County: 7.9 %Mecklenburg County7.9Vance County: 7.6 %Vance County7.6Durham County: 7.5 %Durham County7.5Catawba County: 7.3 %Catawba County7.3Dare County: 7.2 %Dare County7.2Rutherford County: 7.1 %Rutherford County7.1Lee County: 7.1 %Lee County7.1Gaston County: 7.1 %Gaston County7.1Pender County: 7.1 %Pender County7.1Nash County: 6.8 %Nash County6.8Wilson County: 6.8 %Wilson County6.8Halifax County: 6.6 %Halifax County6.6Robeson County: 6.3 %Robeson County6.3Bladen County: 6.2 %Bladen County6.2Yadkin County: 6.2 %Yadkin County6.2New Hanover County: 6.2 %New Hanover County6.2Johnston County: 6.1 %Johnston County6.1Haywood County: 6.1 %Haywood County6.1Edgecombe County: 6 %Edgecombe County6Person County: 6 %Person County6Anson County: 5.7 %Anson County5.7Davie County: 5.6 %Davie County5.6Columbus County: 5.5 %Columbus County5.5Hoke County: 5.5 %Hoke County5.5Caldwell County: 5.4 %Caldwell County5.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Swain County24.8+1.7 pts
2Greene County13.5+2.9 pts
3Clay County12.9+10.7 pts
4Transylvania County11.5-0.2 pts
5Macon County10.3-1.6 pts
6Jackson County10.3-0.1 pts
7Warren County10+4.8 pts
8Duplin County9.7+0.6 pts
9Graham County9.3+3.3 pts
10Henderson County8.9+1.6 pts
11Currituck County8.8-0.7 pts
12Sampson County8.7+1.3 pts
13Bertie County8.3+0.6 pts
14Pasquotank County8.1+1.4 pts
15Chatham County8.1+2.1 pts
16Mecklenburg County7.9+0.4 pts
17Vance County7.6+0.8 pts
18Durham County7.5-0.4 pts
19Catawba County7.3-2.1 pts
20Dare County7.2-0.5 pts
21Rutherford County7.1+2.7 pts
22Lee County7.1+1.3 pts
23Gaston County7.1+1.2 pts
24Pender County7.1-1.3 pts
25Nash County6.8+0.1 pts
26Wilson County6.8+0.8 pts
27Halifax County6.6+1.3 pts
28Robeson County6.3+0.4 pts
29Bladen County6.2+4.2 pts
30Yadkin County6.2-1.8 pts
31New Hanover County6.2-1.3 pts
32Johnston County6.1+0.4 pts
33Haywood County6.1-0.7 pts
34Edgecombe County6+1.3 pts
35Person County6+2.7 pts
36Anson County5.7+0.6 pts
37Davie County5.6-1.5 pts
38Columbus County5.5-0.7 pts
38Hoke County5.5-1.6 pts
40Caldwell County5.4+0.3 pts
40Hyde County5.4+2.7 pts
42Brunswick County5.3+0.7 pts
43Onslow County5.3+0.6 pts
44Iredell County5.3-0 pts
45Burke County5.3+0.5 pts
46Wayne County5.2+0.8 pts
47Avery County5.2-3.2 pts
48Carteret County5.2-1.8 pts
49Pitt County5.1+0.2 pts
50Watauga County5.1-2.4 pts
51Forsyth County5+0.3 pts
52Randolph County5+0.5 pts
53Buncombe County4.9-0.6 pts
54Franklin County4.9-0.1 pts
54Moore County4.9-0.3 pts
56Montgomery County4.9-0.4 pts
57Caswell County4.8-1.4 pts
58Alamance County4.7+0.7 pts
59Lincoln County4.6-1 pts
59Surry County4.6-0.8 pts
61Polk County4.6+0.6 pts
62Cumberland County4.5-0.2 pts
63Wilkes County4.5+0.2 pts
64Wake County4.4-0.5 pts
65Cabarrus County4.4-0.6 pts
66Craven County4.3-1.7 pts
66Union County4.30 pts
68Hertford County4.3-0.3 pts
69Stanly County4.2-1.6 pts
70Cleveland County4.2-0.1 pts
71Rowan County4.2-0.6 pts
72Davidson County4.1-0 pts
73Richmond County4.1+2 pts
74Northampton County4.1-0.5 pts
75Perquimans County4.1-2.2 pts
76Guilford County4-0.2 pts
77Tyrrell County3.8+1.5 pts
78Granville County3.7-0.6 pts
79Gates County3.7+1.7 pts
80Alleghany County3.5-0.1 pts
81Ashe County3.5-1.1 pts
82Harnett County3.4+0.2 pts
83Cherokee County3.4-2.8 pts
84Lenoir County3.3-1 pts
85Orange County3.2+0.1 pts
86Pamlico County3.1-0.7 pts
87Beaufort County3-1.4 pts
88Rockingham County2.7-1.2 pts
89Chowan County2.6+0.5 pts
90Mitchell County2.6+0.4 pts
91McDowell County2.5-1.2 pts
92Jones County2.3-0.2 pts
93Scotland County2.3-0.8 pts
94Martin County2.1-0.8 pts
95Washington County1.7+0.9 pts
96Camden County1.6+0.2 pts
97Madison County1.4+1.4 pts
98Yancey County0.9-0.4 pts
99Alexander County0.5-0.8 pts
100Stokes County0.4-0.4 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/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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/north-carolina-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)?

Swain County, with 24.8% in 2024, according to the U.S. Census Bureau.

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

Stokes County, with 0.4% 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 North Carolina: more rankings