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 2023, at 23.1%. Madison County had the lowest, at 0%. 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.
Highest23.1Swain County
Median5100 counties
North Carolina5.5History

Map of counties, 2023

Alamance County: 3.9 %Alexander County: 1.3 %Alleghany County: 3.6 %Anson County: 5.1 %Ashe County: 4.6 %Avery County: 8.4 %Beaufort County: 4.4 %Bertie County: 7.7 %Bladen County: 2 %Brunswick County: 4.6 %Buncombe County: 5.5 %Burke County: 4.7 %Cabarrus County: 5 %Caldwell County: 5.1 %Camden County: 1.4 %Carteret County: 6.9 %Caswell County: 6.2 %Catawba County: 9.4 %Chatham County: 5.9 %Cherokee County: 6.2 %Chowan County: 2.1 %Clay County: 2.2 %Cleveland County: 4.4 %Columbus County: 6.2 %Craven County: 6 %Cumberland County: 4.7 %Currituck County: 9.5 %Dare County: 7.7 %Davidson County: 4.1 %Davie County: 7.1 %Duplin County: 9.2 %Durham County: 7.9 %Edgecombe County: 4.7 %Forsyth County: 4.6 %Franklin County: 5 %Gaston County: 5.9 %Gates County: 2 %Graham County: 5.9 %Granville County: 4.3 %Greene County: 10.6 %Guilford County: 4.2 %Halifax County: 5.3 %Harnett County: 3.3 %Haywood County: 6.8 %Henderson County: 7.3 %Hertford County: 4.6 %Hoke County: 7.1 %Hyde County: 2.7 %Iredell County: 5.3 %Jackson County: 10.4 %Johnston County: 5.7 %Jones County: 2.5 %Lee County: 5.9 %Lenoir County: 4.3 %Lincoln County: 5.6 %McDowell County: 3.7 %Macon County: 11.9 %Madison County: 0 %Martin County: 2.9 %Mecklenburg County: 7.5 %Mitchell County: 2.2 %Montgomery County: 5.3 %Moore County: 5.2 %Nash County: 6.7 %New Hanover County: 7.4 %Northampton County: 4.6 %Onslow County: 4.7 %Orange County: 3.1 %Pamlico County: 3.8 %Pasquotank County: 6.8 %Pender County: 8.3 %Perquimans County: 6.3 %Person County: 3.3 %Pitt County: 5 %Polk County: 3.9 %Randolph County: 4.5 %Richmond County: 2 %Robeson County: 5.9 %Rockingham County: 3.9 %Rowan County: 4.8 %Rutherford County: 4.5 %Sampson County: 7.4 %Scotland County: 3.1 %Stanly County: 5.9 %Stokes County: 0.8 %Surry County: 5.4 %Swain County: 23.1 %Transylvania County: 11.8 %Tyrrell County: 2.3 %Union County: 4.3 %Vance County: 6.7 %Wake County: 4.9 %Warren County: 5.2 %Washington County: 0.8 %Watauga County: 7.5 %Wayne County: 4.4 %Wilkes County: 4.3 %Wilson County: 6 %Yadkin County: 8 %Yancey County: 1.3 %
  • Under 3.1
  • 3.1 to 4.4
  • 4.4 to 5
  • 5 to 5.9
  • 5.9 to 7.4
  • 7.4 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

Swain County: 23.1 %Swain County23.1Macon County: 11.9 %Macon County11.9Transylvania County: 11.8 %Transylvania County11.8Greene County: 10.6 %Greene County10.6Jackson County: 10.4 %Jackson County10.4Currituck County: 9.5 %Currituck County9.5Catawba County: 9.4 %Catawba County9.4Duplin County: 9.2 %Duplin County9.2Avery County: 8.4 %Avery County8.4Pender County: 8.3 %Pender County8.3Yadkin County: 8 %Yadkin County8Durham County: 7.9 %Durham County7.9Dare County: 7.7 %Dare County7.7Bertie County: 7.7 %Bertie County7.7Mecklenburg County: 7.5 %Mecklenburg County7.5Watauga County: 7.5 %Watauga County7.5New Hanover County: 7.4 %New Hanover County7.4Sampson County: 7.4 %Sampson County7.4Henderson County: 7.3 %Henderson County7.3Hoke County: 7.1 %Hoke County7.1Davie County: 7.1 %Davie County7.1Carteret County: 6.9 %Carteret County6.9Haywood County: 6.8 %Haywood County6.8Pasquotank County: 6.8 %Pasquotank County6.8Nash County: 6.7 %Nash County6.7Vance County: 6.7 %Vance County6.7Perquimans County: 6.3 %Perquimans County6.3Cherokee County: 6.2 %Cherokee County6.2Columbus County: 6.2 %Columbus County6.2Caswell County: 6.2 %Caswell County6.2Craven County: 6 %Craven County6Wilson County: 6 %Wilson County6Gaston County: 5.9 %Gaston County5.9Chatham County: 5.9 %Chatham County5.9Graham County: 5.9 %Graham County5.9Lee County: 5.9 %Lee County5.9Stanly County: 5.9 %Stanly County5.9Robeson County: 5.9 %Robeson County5.9Johnston County: 5.7 %Johnston County5.7Lincoln County: 5.6 %Lincoln County5.6Swain County: 23.1 %Swain County23.1Macon County: 11.9 %Macon County11.9Transylvania County: 11.8 %Transylvania County11.8Greene County: 10.6 %Greene County10.6Jackson County: 10.4 %Jackson County10.4Currituck County: 9.5 %Currituck County9.5Catawba County: 9.4 %Catawba County9.4Duplin County: 9.2 %Duplin County9.2Avery County: 8.4 %Avery County8.4Pender County: 8.3 %Pender County8.3Yadkin County: 8 %Yadkin County8Durham County: 7.9 %Durham County7.9Dare County: 7.7 %Dare County7.7Bertie County: 7.7 %Bertie County7.7Mecklenburg County: 7.5 %Mecklenburg County7.5Watauga County: 7.5 %Watauga County7.5New Hanover County: 7.4 %New Hanover County7.4Sampson County: 7.4 %Sampson County7.4Henderson County: 7.3 %Henderson County7.3Hoke County: 7.1 %Hoke County7.1Davie County: 7.1 %Davie County7.1Carteret County: 6.9 %Carteret County6.9Haywood County: 6.8 %Haywood County6.8Pasquotank County: 6.8 %Pasquotank County6.8Nash County: 6.7 %Nash County6.7Vance County: 6.7 %Vance County6.7Perquimans County: 6.3 %Perquimans County6.3Cherokee County: 6.2 %Cherokee County6.2Columbus County: 6.2 %Columbus County6.2Caswell County: 6.2 %Caswell County6.2Craven County: 6 %Craven County6Wilson County: 6 %Wilson County6Gaston County: 5.9 %Gaston County5.9Chatham County: 5.9 %Chatham County5.9Graham County: 5.9 %Graham County5.9Lee County: 5.9 %Lee County5.9Stanly County: 5.9 %Stanly County5.9Robeson County: 5.9 %Robeson County5.9Johnston County: 5.7 %Johnston County5.7Lincoln County: 5.6 %Lincoln County5.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Swain County23.1+0.8 pts
2Macon County11.9-0.4 pts
3Transylvania County11.8+1.2 pts
4Greene County10.6-2.2 pts
5Jackson County10.4+0.8 pts
6Currituck County9.5-2.7 pts
7Catawba County9.4+0.1 pts
8Duplin County9.2-1.3 pts
9Avery County8.4-1.5 pts
10Pender County8.3+0.2 pts
11Yadkin County8+1.5 pts
12Durham County7.9+0.9 pts
13Dare County7.7-3.3 pts
14Bertie County7.7+1.1 pts
15Mecklenburg County7.5+0.2 pts
16Watauga County7.5+2.7 pts
17New Hanover County7.4+0.2 pts
18Sampson County7.4+1.1 pts
19Henderson County7.3+0.3 pts
20Hoke County7.1+2 pts
21Davie County7.1+0.8 pts
22Carteret County6.9+0.2 pts
23Haywood County6.8+0.4 pts
24Pasquotank County6.8-0.7 pts
25Nash County6.7+0.1 pts
25Vance County6.7-0.7 pts
27Perquimans County6.3-4.7 pts
28Cherokee County6.2-0.9 pts
29Columbus County6.2-0.6 pts
30Caswell County6.2-0.9 pts
31Craven County6-1.1 pts
31Wilson County6+0.7 pts
33Gaston County5.9+0.9 pts
34Chatham County5.9+0.3 pts
35Graham County5.9-8.7 pts
36Lee County5.9+0.3 pts
37Stanly County5.9-0.6 pts
38Robeson County5.9+0.5 pts
39Johnston County5.7-0.2 pts
40Lincoln County5.6+0.4 pts
41Buncombe County5.50 pts
42Surry County5.4-2.2 pts
43Iredell County5.3+0.4 pts
44Halifax County5.3-1.2 pts
45Montgomery County5.3-1.5 pts
46Warren County5.2+0.5 pts
47Moore County5.2-0.7 pts
48Caldwell County5.1+0.8 pts
49Anson County5.1-0.4 pts
50Cabarrus County5+0.8 pts
51Franklin County5-0.2 pts
52Pitt County5+0.3 pts
53Wake County4.9-0 pts
54Rowan County4.8-0.9 pts
55Burke County4.7+1.2 pts
56Cumberland County4.7+0.3 pts
56Onslow County4.7+0.6 pts
58Edgecombe County4.7-0.4 pts
59Forsyth County4.6+0.6 pts
60Hertford County4.6-0.7 pts
61Brunswick County4.6-1.2 pts
61Northampton County4.6-2.2 pts
63Ashe County4.6+0.3 pts
64Randolph County4.5+0.1 pts
65Rutherford County4.5-0.8 pts
66Wayne County4.4+0.8 pts
67Beaufort County4.4-1.1 pts
68Cleveland County4.4-0.1 pts
69Granville County4.3-2 pts
69Wilkes County4.3+0.4 pts
71Lenoir County4.3+1.1 pts
71Union County4.3-1.2 pts
73Guilford County4.2+0.1 pts
74Davidson County4.1-0.2 pts
75Alamance County3.9-0.6 pts
75Polk County3.9-0.4 pts
75Rockingham County3.9+1.2 pts
78Pamlico County3.8+0.3 pts
79McDowell County3.7-0.5 pts
80Alleghany County3.6+0.4 pts
81Person County3.3+0.5 pts
82Harnett County3.3-0.3 pts
83Orange County3.1+0.5 pts
84Scotland County3.1-0.1 pts
85Martin County2.9-0.7 pts
86Hyde County2.7-0.6 pts
87Jones County2.5-3.2 pts
88Tyrrell County2.3-0.5 pts
89Clay County2.2-2 pts
90Mitchell County2.2-1.8 pts
91Chowan County2.1+2.1 pts
92Richmond County2+0.1 pts
93Bladen County2-1.8 pts
94Gates County2+0.8 pts
95Camden County1.4+1.2 pts
96Alexander County1.3-1.7 pts
97Yancey County1.3-0.6 pts
98Stokes County0.8-1 pts
99Washington County0.8-0.1 pts
100Madison County0-2.3 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/north-carolina-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)?

Swain County, with 23.1% in 2023, according to the U.S. Census Bureau.

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

Madison County, with 0% 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 North Carolina: more rankings