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

Swain County had the highest uninsured rate, under 19 (US, ACS) of 100 counties in 2021, at 21%. Tyrrell County had the lowest, at 0%. The median was 5.1% and the figure for North Carolina was 5.5%. Source: the U.S. Census Bureau.

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Highest21Swain County
Median5.1100 counties
North Carolina5.5History

Map of counties, 2021

Alamance County: 4.9 %Alexander County: 4.2 %Alleghany County: 1.9 %Anson County: 3.6 %Ashe County: 3.1 %Avery County: 8.4 %Beaufort County: 5.1 %Bertie County: 5.5 %Bladen County: 3.5 %Brunswick County: 5.6 %Buncombe County: 5.3 %Burke County: 2.5 %Cabarrus County: 3.8 %Caldwell County: 4.3 %Camden County: 1 %Carteret County: 7.3 %Caswell County: 6.9 %Catawba County: 8 %Chatham County: 5.8 %Cherokee County: 8.3 %Chowan County: 1.1 %Clay County: 2.7 %Cleveland County: 4.8 %Columbus County: 6.5 %Craven County: 8.5 %Cumberland County: 4.5 %Currituck County: 14.1 %Dare County: 8.3 %Davidson County: 5.1 %Davie County: 7.4 %Duplin County: 11.6 %Durham County: 7.2 %Edgecombe County: 3.1 %Forsyth County: 4.4 %Franklin County: 5.4 %Gaston County: 4.8 %Gates County: 4.8 %Graham County: 7.9 %Granville County: 6.3 %Greene County: 9.9 %Guilford County: 4.4 %Halifax County: 7.4 %Harnett County: 4.3 %Haywood County: 8 %Henderson County: 7.5 %Hertford County: 4.9 %Hoke County: 5.2 %Hyde County: 10.4 %Iredell County: 4.6 %Jackson County: 7.3 %Johnston County: 5.9 %Jones County: 5.5 %Lee County: 4.7 %Lenoir County: 3.3 %Lincoln County: 5.6 %McDowell County: 3.9 %Macon County: 11.7 %Madison County: 3.8 %Martin County: 3.5 %Mecklenburg County: 7.1 %Mitchell County: 6.2 %Montgomery County: 5.4 %Moore County: 6.7 %Nash County: 6.6 %New Hanover County: 7.4 %Northampton County: 6.2 %Onslow County: 4.5 %Orange County: 3 %Pamlico County: 4.5 %Pasquotank County: 8.2 %Pender County: 6.5 %Perquimans County: 11 %Person County: 2.4 %Pitt County: 4.7 %Polk County: 5.2 %Randolph County: 5.4 %Richmond County: 2.8 %Robeson County: 4.7 %Rockingham County: 3.6 %Rowan County: 6 %Rutherford County: 6.2 %Sampson County: 4.4 %Scotland County: 4.9 %Stanly County: 7.6 %Stokes County: 3.5 %Surry County: 6.3 %Swain County: 21 %Transylvania County: 7.9 %Tyrrell County: 0 %Union County: 5.2 %Vance County: 3.7 %Wake County: 5 %Warren County: 3.8 %Washington County: 1 %Watauga County: 3.5 %Wayne County: 3.9 %Wilkes County: 4.7 %Wilson County: 5 %Yadkin County: 6.2 %Yancey County: 1.7 %
  • Under 3.5
  • 3.5 to 4.5
  • 4.5 to 5.1
  • 5.1 to 6.2
  • 6.2 to 7.5
  • 7.5 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

Swain County: 21 %Swain County21Currituck County: 14.1 %Currituck County14.1Macon County: 11.7 %Macon County11.7Duplin County: 11.6 %Duplin County11.6Perquimans County: 11 %Perquimans County11Hyde County: 10.4 %Hyde County10.4Greene County: 9.9 %Greene County9.9Craven County: 8.5 %Craven County8.5Avery County: 8.4 %Avery County8.4Cherokee County: 8.3 %Cherokee County8.3Dare County: 8.3 %Dare County8.3Pasquotank County: 8.2 %Pasquotank County8.2Catawba County: 8 %Catawba County8Haywood County: 8 %Haywood County8Transylvania County: 7.9 %Transylvania County7.9Graham County: 7.9 %Graham County7.9Stanly County: 7.6 %Stanly County7.6Henderson County: 7.5 %Henderson County7.5New Hanover County: 7.4 %New Hanover County7.4Halifax County: 7.4 %Halifax County7.4Davie County: 7.4 %Davie County7.4Jackson County: 7.3 %Jackson County7.3Carteret County: 7.3 %Carteret County7.3Durham County: 7.2 %Durham County7.2Mecklenburg County: 7.1 %Mecklenburg County7.1Caswell County: 6.9 %Caswell County6.9Moore County: 6.7 %Moore County6.7Nash County: 6.6 %Nash County6.6Columbus County: 6.5 %Columbus County6.5Pender County: 6.5 %Pender County6.5Surry County: 6.3 %Surry County6.3Granville County: 6.3 %Granville County6.3Mitchell County: 6.2 %Mitchell County6.2Northampton County: 6.2 %Northampton County6.2Yadkin County: 6.2 %Yadkin County6.2Rutherford County: 6.2 %Rutherford County6.2Rowan County: 6 %Rowan County6Johnston County: 5.9 %Johnston County5.9Chatham County: 5.8 %Chatham County5.8Lincoln County: 5.6 %Lincoln County5.6Swain County: 21 %Swain County21Currituck County: 14.1 %Currituck County14.1Macon County: 11.7 %Macon County11.7Duplin County: 11.6 %Duplin County11.6Perquimans County: 11 %Perquimans County11Hyde County: 10.4 %Hyde County10.4Greene County: 9.9 %Greene County9.9Craven County: 8.5 %Craven County8.5Avery County: 8.4 %Avery County8.4Cherokee County: 8.3 %Cherokee County8.3Dare County: 8.3 %Dare County8.3Pasquotank County: 8.2 %Pasquotank County8.2Catawba County: 8 %Catawba County8Haywood County: 8 %Haywood County8Transylvania County: 7.9 %Transylvania County7.9Graham County: 7.9 %Graham County7.9Stanly County: 7.6 %Stanly County7.6Henderson County: 7.5 %Henderson County7.5New Hanover County: 7.4 %New Hanover County7.4Halifax County: 7.4 %Halifax County7.4Davie County: 7.4 %Davie County7.4Jackson County: 7.3 %Jackson County7.3Carteret County: 7.3 %Carteret County7.3Durham County: 7.2 %Durham County7.2Mecklenburg County: 7.1 %Mecklenburg County7.1Caswell County: 6.9 %Caswell County6.9Moore County: 6.7 %Moore County6.7Nash County: 6.6 %Nash County6.6Columbus County: 6.5 %Columbus County6.5Pender County: 6.5 %Pender County6.5Surry County: 6.3 %Surry County6.3Granville County: 6.3 %Granville County6.3Mitchell County: 6.2 %Mitchell County6.2Northampton County: 6.2 %Northampton County6.2Yadkin County: 6.2 %Yadkin County6.2Rutherford County: 6.2 %Rutherford County6.2Rowan County: 6 %Rowan County6Johnston County: 5.9 %Johnston County5.9Chatham County: 5.8 %Chatham County5.8Lincoln County: 5.6 %Lincoln County5.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Swain County21
2Currituck County14.1
3Macon County11.7
4Duplin County11.6
5Perquimans County11
6Hyde County10.4
7Greene County9.9
8Craven County8.5
9Avery County8.4
10Cherokee County8.3
11Dare County8.3
12Pasquotank County8.2
13Catawba County8
14Haywood County8
15Transylvania County7.9
16Graham County7.9
17Stanly County7.6
18Henderson County7.5
19New Hanover County7.4
20Halifax County7.4
21Davie County7.4
22Jackson County7.3
23Carteret County7.3
24Durham County7.2
25Mecklenburg County7.1
26Caswell County6.9
27Moore County6.7
28Nash County6.6
29Columbus County6.5
30Pender County6.5
31Surry County6.3
32Granville County6.3
33Mitchell County6.2
34Northampton County6.2
35Yadkin County6.2
36Rutherford County6.2
37Rowan County6
38Johnston County5.9
39Chatham County5.8
40Lincoln County5.6
41Brunswick County5.6
42Jones County5.5
43Bertie County5.5
44Franklin County5.4
45Randolph County5.4
46Montgomery County5.4
47Buncombe County5.3
48Hoke County5.2
49Union County5.2
50Polk County5.2
51Davidson County5.1
52Beaufort County5.1
53Wilson County5
54Wake County5
55Alamance County4.9
55Hertford County4.9
57Scotland County4.9
58Gates County4.8
59Gaston County4.8
60Cleveland County4.8
61Pitt County4.7
62Robeson County4.7
63Lee County4.7
64Wilkes County4.7
65Iredell County4.6
66Onslow County4.5
67Cumberland County4.5
68Pamlico County4.5
69Sampson County4.4
70Forsyth County4.4
71Guilford County4.4
72Harnett County4.3
73Caldwell County4.3
74Alexander County4.2
75Wayne County3.9
76McDowell County3.9
77Warren County3.8
78Cabarrus County3.8
79Madison County3.8
80Vance County3.7
81Anson County3.6
82Rockingham County3.6
83Stokes County3.5
84Bladen County3.5
85Watauga County3.5
86Martin County3.5
87Lenoir County3.3
88Edgecombe County3.1
89Ashe County3.1
90Orange County3
91Richmond County2.8
92Clay County2.7
93Burke County2.5
94Person County2.4
95Alleghany County1.9
96Yancey County1.7
97Chowan County1.1
98Camden County1
99Washington County1
100Tyrrell 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/north-carolina-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)?

Swain County, with 21% in 2021, according to the U.S. Census Bureau.

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

Tyrrell 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 North Carolina: more rankings