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

Van Buren County had the highest uninsured rate, under 19 (US, ACS) of 95 counties in 2021, at 16.9%. Trousdale County had the lowest, at 0.4%. The median was 4.5% and the figure for Tennessee was 5.2%. Source: the U.S. Census Bureau.

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Highest16.9Van Buren County
Median4.595 counties
Tennessee5.2History

Map of counties, 2021

Anderson County: 3.8 %Bedford County: 7.1 %Benton County: 3.8 %Bledsoe County: 8.6 %Blount County: 7.9 %Bradley County: 5.4 %Campbell County: 4 %Cannon County: 9.3 %Carroll County: 4.6 %Carter County: 5.5 %Cheatham County: 5 %Chester County: 5.3 %Claiborne County: 2.8 %Clay County: 2.8 %Cocke County: 4.7 %Coffee County: 4.9 %Crockett County: 7.1 %Cumberland County: 5.2 %Davidson County: 8 %Decatur County: 3.1 %DeKalb County: 2.8 %Dickson County: 3.2 %Dyer County: 3.1 %Fayette County: 3.5 %Fentress County: 2.6 %Franklin County: 5.1 %Gibson County: 3.4 %Giles County: 2.6 %Grainger County: 3.4 %Greene County: 4.3 %Grundy County: 6.2 %Hamblen County: 3.5 %Hamilton County: 4.3 %Hancock County: 1.6 %Hardeman County: 5.3 %Hardin County: 8.4 %Hawkins County: 3.6 %Haywood County: 5.2 %Henderson County: 4.8 %Henry County: 5.3 %Hickman County: 5.7 %Houston County: 2.6 %Humphreys County: 4.5 %Jackson County: 2.8 %Jefferson County: 3 %Johnson County: 9.4 %Knox County: 3.1 %Lake County: 3.3 %Lauderdale County: 1.7 %Lawrence County: 9.5 %Lewis County: 8.7 %Lincoln County: 6.1 %Loudon County: 3.9 %McMinn County: 4.2 %McNairy County: 5.3 %Macon County: 0.9 %Madison County: 5.4 %Marion County: 1.7 %Marshall County: 3.7 %Maury County: 6.6 %Meigs County: 7.2 %Monroe County: 2.3 %Montgomery County: 3.7 %Moore County: 7.8 %Morgan County: 2.9 %Obion County: 5.2 %Overton County: 3.5 %Perry County: 9.1 %Pickett County: 0.6 %Polk County: 6.8 %Putnam County: 4.1 %Rhea County: 5.4 %Roane County: 1.3 %Robertson County: 4.3 %Rutherford County: 5.6 %Scott County: 8.2 %Sequatchie County: 10.1 %Sevier County: 5.4 %Shelby County: 6.7 %Smith County: 3.4 %Stewart County: 7.3 %Sullivan County: 1.7 %Sumner County: 4.3 %Tipton County: 4 %Trousdale County: 0.4 %Unicoi County: 1.4 %Union County: 3.1 %Van Buren County: 16.9 %Warren County: 10.7 %Washington County: 4.4 %Wayne County: 5.2 %Weakley County: 6 %White County: 8.5 %Williamson County: 2.8 %Wilson County: 5.7 %
  • Under 2.8
  • 2.8 to 3.5
  • 3.5 to 4.5
  • 4.5 to 5.4
  • 5.4 to 7.3
  • 7.3 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

Van Buren County: 16.9 %Van Buren County16.9Warren County: 10.7 %Warren County10.7Sequatchie County: 10.1 %Sequatchie County10.1Lawrence County: 9.5 %Lawrence County9.5Johnson County: 9.4 %Johnson County9.4Cannon County: 9.3 %Cannon County9.3Perry County: 9.1 %Perry County9.1Lewis County: 8.7 %Lewis County8.7Bledsoe County: 8.6 %Bledsoe County8.6White County: 8.5 %White County8.5Hardin County: 8.4 %Hardin County8.4Scott County: 8.2 %Scott County8.2Davidson County: 8 %Davidson County8Blount County: 7.9 %Blount County7.9Moore County: 7.8 %Moore County7.8Stewart County: 7.3 %Stewart County7.3Meigs County: 7.2 %Meigs County7.2Bedford County: 7.1 %Bedford County7.1Crockett County: 7.1 %Crockett County7.1Polk County: 6.8 %Polk County6.8Shelby County: 6.7 %Shelby County6.7Maury County: 6.6 %Maury County6.6Grundy County: 6.2 %Grundy County6.2Lincoln County: 6.1 %Lincoln County6.1Weakley County: 6 %Weakley County6Wilson County: 5.7 %Wilson County5.7Hickman County: 5.7 %Hickman County5.7Rutherford County: 5.6 %Rutherford County5.6Carter County: 5.5 %Carter County5.5Bradley County: 5.4 %Bradley County5.4Madison County: 5.4 %Madison County5.4Rhea County: 5.4 %Rhea County5.4Sevier County: 5.4 %Sevier County5.4Hardeman County: 5.3 %Hardeman County5.3McNairy County: 5.3 %McNairy County5.3Henry County: 5.3 %Henry County5.3Chester County: 5.3 %Chester County5.3Cumberland County: 5.2 %Cumberland County5.2Obion County: 5.2 %Obion County5.2Wayne County: 5.2 %Wayne County5.2Van Buren County: 16.9 %Van Buren County16.9Warren County: 10.7 %Warren County10.7Sequatchie County: 10.1 %Sequatchie County10.1Lawrence County: 9.5 %Lawrence County9.5Johnson County: 9.4 %Johnson County9.4Cannon County: 9.3 %Cannon County9.3Perry County: 9.1 %Perry County9.1Lewis County: 8.7 %Lewis County8.7Bledsoe County: 8.6 %Bledsoe County8.6White County: 8.5 %White County8.5Hardin County: 8.4 %Hardin County8.4Scott County: 8.2 %Scott County8.2Davidson County: 8 %Davidson County8Blount County: 7.9 %Blount County7.9Moore County: 7.8 %Moore County7.8Stewart County: 7.3 %Stewart County7.3Meigs County: 7.2 %Meigs County7.2Bedford County: 7.1 %Bedford County7.1Crockett County: 7.1 %Crockett County7.1Polk County: 6.8 %Polk County6.8Shelby County: 6.7 %Shelby County6.7Maury County: 6.6 %Maury County6.6Grundy County: 6.2 %Grundy County6.2Lincoln County: 6.1 %Lincoln County6.1Weakley County: 6 %Weakley County6Wilson County: 5.7 %Wilson County5.7Hickman County: 5.7 %Hickman County5.7Rutherford County: 5.6 %Rutherford County5.6Carter County: 5.5 %Carter County5.5Bradley County: 5.4 %Bradley County5.4Madison County: 5.4 %Madison County5.4Rhea County: 5.4 %Rhea County5.4Sevier County: 5.4 %Sevier County5.4Hardeman County: 5.3 %Hardeman County5.3McNairy County: 5.3 %McNairy County5.3Henry County: 5.3 %Henry County5.3Chester County: 5.3 %Chester County5.3Cumberland County: 5.2 %Cumberland County5.2Obion County: 5.2 %Obion County5.2Wayne County: 5.2 %Wayne County5.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Van Buren County16.9
2Warren County10.7
3Sequatchie County10.1
4Lawrence County9.5
5Johnson County9.4
6Cannon County9.3
7Perry County9.1
8Lewis County8.7
9Bledsoe County8.6
10White County8.5
11Hardin County8.4
12Scott County8.2
13Davidson County8
14Blount County7.9
15Moore County7.8
16Stewart County7.3
17Meigs County7.2
18Bedford County7.1
19Crockett County7.1
20Polk County6.8
21Shelby County6.7
22Maury County6.6
23Grundy County6.2
24Lincoln County6.1
25Weakley County6
26Wilson County5.7
27Hickman County5.7
28Rutherford County5.6
29Carter County5.5
30Bradley County5.4
31Madison County5.4
31Rhea County5.4
33Sevier County5.4
34Hardeman County5.3
34McNairy County5.3
36Henry County5.3
37Chester County5.3
38Cumberland County5.2
38Obion County5.2
40Wayne County5.2
41Haywood County5.2
42Franklin County5.1
43Cheatham County5
44Coffee County4.9
45Henderson County4.8
46Cocke County4.7
47Carroll County4.6
48Humphreys County4.5
49Washington County4.4
50Greene County4.3
51Hamilton County4.3
52Robertson County4.3
52Sumner County4.3
54McMinn County4.2
55Putnam County4.1
56Campbell County4
57Tipton County4
58Loudon County3.9
59Anderson County3.8
60Benton County3.8
61Marshall County3.7
61Montgomery County3.7
63Hawkins County3.6
64Overton County3.5
65Hamblen County3.5
66Fayette County3.5
67Gibson County3.4
67Smith County3.4
69Grainger County3.4
70Lake County3.3
71Dickson County3.2
72Dyer County3.1
73Union County3.1
74Knox County3.1
75Decatur County3.1
76Jefferson County3
77Morgan County2.9
78Clay County2.8
78Williamson County2.8
80Jackson County2.8
81Claiborne County2.8
82DeKalb County2.8
83Houston County2.6
84Fentress County2.6
84Giles County2.6
86Monroe County2.3
87Marion County1.7
87Sullivan County1.7
89Lauderdale County1.7
90Hancock County1.6
91Unicoi County1.4
92Roane County1.3
93Macon County0.9
94Pickett County0.6
95Trousdale County0.4

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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2021 (Accessed: 12 October 2026).

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

Van Buren County, with 16.9% in 2021, according to the U.S. Census Bureau.

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

Trousdale County, with 0.4% 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 Tennessee: more rankings