US counties by uninsured rate, under 19 (US, ACS)

LaGrange County had the highest uninsured rate, under 19 (US, ACS) of 3142 counties in 2023, at 59.6%. Warren County had the lowest, at 0%. The median was 4.8% and the figure for the United States was 5.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest59.6LaGrange County
Median4.83142 counties
United States5.4History

Map of counties, 2023

%, 2023. Hatched areas have no value for this period. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

LaGrange County: 59.6 %LaGrange County59.6Holmes County: 54.3 %Holmes County54.3Bailey County: 45.5 %Bailey County45.5Scotland County: 45.4 %Scotland County45.4Davis County: 43.4 %Davis County43.4Glasscock County: 43 %Glasscock County43Dallam County: 42 %Dallam County42Adams County: 38.9 %Adams County38.9Hudspeth County: 38.9 %Hudspeth County38.9Knox County: 38.5 %Knox County38.5Menard County: 37.7 %Menard County37.7Yates County: 35.6 %Yates County35.6Sterling County: 34.6 %Sterling County34.6Buffalo County: 33 %Buffalo County33Daviess County: 33 %Daviess County33Morgan County: 32.2 %Morgan County32.2Clark County: 31.8 %Clark County31.8Dunn County: 31.3 %Dunn County31.3Gaines County: 29.9 %Gaines County29.9Aleutians East Borough: 29.9 %Aleutians East Borough29.9Roosevelt County: 29.4 %Roosevelt County29.4Glacier County: 29.1 %Glacier County29.1Oglala Lakota County: 28.8 %Oglala Lakota County28.8Collingsworth County: 28.7 %Collingsworth County28.7Douglas County: 27.9 %Douglas County27.9Juniata County: 27.2 %Juniata County27.2Vernon County: 26.9 %Vernon County26.9Lipscomb County: 26.8 %Lipscomb County26.8Wilkes County: 26.7 %Wilkes County26.7Beaver County: 26.3 %Beaver County26.3San Saba County: 26 %San Saba County26Trigg County: 26 %Trigg County26Clay County: 25.8 %Clay County25.8Coleman County: 25.2 %Coleman County25.2Parmer County: 25.2 %Parmer County25.2Wheatland County: 25.1 %Wheatland County25.1Bennett County: 24.9 %Bennett County24.9Stonewall County: 24.9 %Stonewall County24.9Douglas County: 24.6 %Douglas County24.6Schleicher County: 24.1 %Schleicher County24.1LaGrange County: 59.6 %LaGrange County59.6Holmes County: 54.3 %Holmes County54.3Bailey County: 45.5 %Bailey County45.5Scotland County: 45.4 %Scotland County45.4Davis County: 43.4 %Davis County43.4Glasscock County: 43 %Glasscock County43Dallam County: 42 %Dallam County42Adams County: 38.9 %Adams County38.9Hudspeth County: 38.9 %Hudspeth County38.9Knox County: 38.5 %Knox County38.5Menard County: 37.7 %Menard County37.7Yates County: 35.6 %Yates County35.6Sterling County: 34.6 %Sterling County34.6Buffalo County: 33 %Buffalo County33Daviess County: 33 %Daviess County33Morgan County: 32.2 %Morgan County32.2Clark County: 31.8 %Clark County31.8Dunn County: 31.3 %Dunn County31.3Gaines County: 29.9 %Gaines County29.9Aleutians East Borough: 29.9 %Aleutians East Borough29.9Roosevelt County: 29.4 %Roosevelt County29.4Glacier County: 29.1 %Glacier County29.1Oglala Lakota County: 28.8 %Oglala Lakota County28.8Collingsworth County: 28.7 %Collingsworth County28.7Douglas County: 27.9 %Douglas County27.9Juniata County: 27.2 %Juniata County27.2Vernon County: 26.9 %Vernon County26.9Lipscomb County: 26.8 %Lipscomb County26.8Wilkes County: 26.7 %Wilkes County26.7Beaver County: 26.3 %Beaver County26.3San Saba County: 26 %San Saba County26Trigg County: 26 %Trigg County26Clay County: 25.8 %Clay County25.8Coleman County: 25.2 %Coleman County25.2Parmer County: 25.2 %Parmer County25.2Wheatland County: 25.1 %Wheatland County25.1Bennett County: 24.9 %Bennett County24.9Stonewall County: 24.9 %Stonewall County24.9Douglas County: 24.6 %Douglas County24.6Schleicher County: 24.1 %Schleicher County24.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1LaGrange County59.6-0.7 pts
2Holmes County54.3-0.9 pts
3Bailey County45.5+1.1 pts
4Scotland County45.4-2.8 pts
5Davis County43.4+1.1 pts
6Glasscock County43+0.7 pts
7Dallam County42+24.8 pts
8Adams County38.9+5.8 pts
9Hudspeth County38.9+4.6 pts
10Knox County38.5+0.4 pts
11Menard County37.7-11.6 pts
12Yates County35.6+3.3 pts
13Sterling County34.6+4.2 pts
14Buffalo County33+9.3 pts
14Daviess County33-0.3 pts
16Morgan County32.2-0.1 pts
17Clark County31.8+0.4 pts
18Dunn County31.3-4 pts
19Gaines County29.9+5.5 pts
20Aleutians East Borough29.9+1.1 pts
21Roosevelt County29.4-2.2 pts
22Glacier County29.1+0.8 pts
23Oglala Lakota County28.8+1.8 pts
24Collingsworth County28.7-4.5 pts
25Douglas County27.9-3.3 pts
26Juniata County27.2+3.3 pts
27Vernon County26.9+1.5 pts
28Lipscomb County26.8+0.2 pts
29Wilkes County26.7-2.2 pts
30Beaver County26.3+17.7 pts
31San Saba County26+6.8 pts
32Trigg County26+8.2 pts
33Clay County25.8+4.1 pts
34Coleman County25.2+2.6 pts
35Parmer County25.2-2.6 pts
36Wheatland County25.1-6 pts
37Bennett County24.9-0.5 pts
38Stonewall County24.9-6.8 pts
39Douglas County24.6-0.9 pts
40Schleicher County24.1-3 pts
41Parke County24.1+4.3 pts
42Lyman County23.8+2.5 pts
43Glades County23.6-2.4 pts
44Todd County23.2-3.1 pts
45Moniteau County23.1+0.9 pts
45Swain County23.1+0.8 pts
47Menominee County22.8+2.5 pts
48Mifflin County22.6+0.3 pts
49Swisher County22.4+3.8 pts
50Idaho County22.3-3.2 pts
51Presidio County22.3-13.2 pts
52Caldwell County22.2+4 pts
53Sioux County22.1-5.4 pts
54Grimes County22.1+2 pts
55Van Buren County22+3.1 pts
56Wayne County22+3.5 pts
57Owyhee County21.9+5.6 pts
58La Paz County21.8+0.1 pts
59Kerr County21.8+2.1 pts
60Grand County21.4+7.4 pts
61Schuyler County21.3-0.2 pts
62Issaquena County21.2+15.6 pts
63Baylor County21+3.8 pts
64Platte County20.9+3.8 pts
65Ector County20.8-0.8 pts
66Scurry County20.7+0.9 pts
67Wayne County20.7+0.1 pts
68Roberts County20.6+4.4 pts
69Audrain County20.4-0.7 pts
70Garden County20.2-14.3 pts
70Hardin County20.2-1 pts
72Yoakum County20.1+5 pts
73McMullen County20-5.5 pts
74Hamilton County19.9+10.4 pts
75Vernon County19.9+1.3 pts
76Rosebud County19.8-2.6 pts
77Clinch County19.7+6.7 pts
78Floyd County19.7+5.5 pts
79Andrews County19.7-1 pts
80Lake and Peninsula Borough19.7+0.9 pts
81Uvalde County19.6+6.3 pts
82Fulton County19.6+2.6 pts
83Ochiltree County19.5-2.3 pts
83Sioux County19.5-3.6 pts
85Oscoda County19.3-2.5 pts
86Liberty County19.2+0.7 pts
87Custer County19.1+1 pts
87Webster County19.1+1.8 pts
89Gillespie County19-3.1 pts
90Starr County18.9-2.4 pts
91Daviess County18.9+1 pts
92Duval County18.9+13 pts
93Garfield County18.8-2.2 pts
94Franklin County18.8+2.7 pts
95McKenzie County18.7-3 pts
96Dawson County18.7+4.1 pts
97Terry County18.5+2.4 pts
98Reeves County18.4+8.6 pts
99Atoka County18.4-0.3 pts
100Washington County18.3+3.1 pts
101Crittenden County18.3-2.5 pts
102Franklin County18.3+0.2 pts
103Charles Mix County18.3+1.1 pts
104Jack County18.2+4.7 pts
105Waller County18.2+1.1 pts
106Kinney County18.1+18.1 pts
107Custer County18.1-9.1 pts
108Snyder County18+1.8 pts
109Wayne County18-1 pts
110Camp County18-0.8 pts
111Winkler County17.9-4.1 pts
112Calhoun County17.8+8.7 pts
113Apache County17.7-5 pts
114Clare County17.7+2.3 pts
115Montezuma County17.5+2.9 pts
116Jim Hogg County17.4+4 pts
117San Juan County17.4+2.9 pts
118Hoonah-Angoon Census Area17.3-3.5 pts
119Wright County17.2-0.4 pts
120Manassas city17.2+1.1 pts
121Noxubee County17.1+2.4 pts
122Greeley County17.1+5 pts
123Butte County17+3.1 pts
123Coal County17-3 pts
125Musselshell County17+11.5 pts
126Brooks County17-3.4 pts
127Irwin County17-0.5 pts
128Lane County16.9-0.2 pts
129Macon County16.9+4.6 pts
130Fallon County16.8+5.1 pts
131Archer County16.7+3.1 pts
132Golden Valley County16.7-1.3 pts
133Pontotoc County16.6+0.5 pts
134Pushmataha County16.6-1 pts
135Falls County16.6-2 pts
136San Augustine County16.5-0.4 pts
137Cherokee County16.5+0.8 pts
138Titus County16.5+2.5 pts
139Thomas County16.4+1.2 pts
140Blaine County16.4+0.1 pts
141McIntosh County16.3-2.1 pts
142Fremont County16.3-0.9 pts
143Lamb County16.3+1.5 pts
144Bastrop County16.3+1 pts
145Grundy County16.3-3.5 pts
146Rolette County16.2-3.8 pts
147Wayne County16.2-0.9 pts
148Navajo County16.2+1.2 pts
149Carroll County16.1-1.1 pts
150Boundary County16.1+3 pts
150Northwest Arctic Borough16.1+0.6 pts
152Bryan County16.1+1.2 pts
153Kemper County16.1+2 pts
154Dallas County16+0.4 pts
155Putnam County16-0.3 pts
156Manassas Park city15.9+1 pts
157Knox County15.9+0.6 pts
158Nuckolls County15.9+3 pts
159Watonwan County15.9+4.7 pts
160Webb County15.9+0.7 pts
161Hartley County15.8-12.1 pts
162Mountrail County15.8+1.6 pts
163Sanders County15.8-0.5 pts
163Young County15.8+3.5 pts
165Hidalgo County15.7-0.7 pts
166Hood County15.7+2.9 pts
167Yukon-Koyukuk Census Area15.7+1.5 pts
168Dooly County15.7-1.7 pts
169Wrangell City and Borough15.6-3.4 pts
170Cameron County15.5-0.4 pts
170Fergus County15.5+3.1 pts
172Dixie County15.5+6.5 pts
173Clearwater County15.5+0.9 pts
174Hanson County15.4+9.3 pts
175Monroe County15.4+2 pts
176Milam County15.4+2.5 pts
177Crosby County15.4-0.1 pts
178Lancaster County15.4-0.4 pts
179Perry County15.4-0.4 pts
180McCulloch County15.3+1.6 pts
181Coffey County15.3+7.5 pts
182North Slope Borough15.3-3.2 pts
183Atascosa County15.3+3.5 pts
184Austin County15.2+3 pts
184Lincoln County15.2+2.9 pts
186Panola County15.2-1.6 pts
187Llano County15.2+4.4 pts
188Dallas County15.2+0.3 pts
189Leon County15.2-7.1 pts
190Sabine County15.2+3.2 pts
191Highland County15.1-2.3 pts
192Lamar County15.1+1.3 pts
193Runnels County15.1+4.2 pts
194Lee County15.1+6.4 pts
195Clearwater County15.1+0.6 pts
195Knox County15.1+8 pts
195Stanton County15.1+4.5 pts
198Dewey County15.1+2.3 pts
198Trinity County15.1+1.8 pts
200Erath County15+3.1 pts
201Polk County14.9+0.7 pts
202Appanoose County14.8+4.6 pts
202Yuma County14.8-0.9 pts
204Copper River Census Area14.7-5.9 pts
204Willacy County14.7+0.3 pts
206Yakutat City and Borough14.7-6.8 pts
207Todd County14.7-0.5 pts
208Hansford County14.7-0.3 pts
209Dickens County14.7-3.1 pts
210Branch County14.7-2.1 pts
211Prince of Wales-Hyder Census Area14.6-1.4 pts
212Harmon County14.6+1.1 pts
212Walton County14.6+2.6 pts
214Hardeman County14.6+5.1 pts
215Lincoln County14.6+0.3 pts
215Union County14.6-0.8 pts
217Howard County14.6-0.3 pts
217Throckmorton County14.6-9.1 pts
219Bosque County14.6+2.5 pts
219Williams County14.6+0.7 pts
221Garfield County14.5+1.7 pts
222Palo Pinto County14.5-2.4 pts
223Cochran County14.4+6.6 pts
223Echols County14.4-9.2 pts
225Sheridan County14.4-3.8 pts
226Gentry County14.4+6.3 pts
226Noble County14.4+0.4 pts
228Elkhart County14.4-0.3 pts
228Hemphill County14.4-1.3 pts
230Blanco County14.3+0.2 pts
231Jones County14.3-0 pts
232Switzerland County14.3+0.7 pts
233Matagorda County14.3-1.5 pts
234Teton County14.3-4.1 pts
235Newton County14.3+1.4 pts
236Potter County14.2+1.7 pts
237Harris County14.2+0.4 pts
238Ashland County14.2+1.9 pts
239Marshall County14.1-1.1 pts
240Trinity County14.1+5.9 pts
241Jackson County14.1+5.8 pts
241Live Oak County14.1+2.7 pts
243Union County14.1+2.3 pts
243Washington County14.1-2.1 pts
245Lake County14-0.3 pts
246Power County14+0.4 pts
247Macon County14+3.4 pts
248Harper County14+4.3 pts
249Moore County14-1.3 pts
250Moultrie County13.9-4.1 pts

Showing the top 250 of 3142. The Excel download has every row.

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. 2 counties with data in other periods have no value for 2023 and are left out rather than filled from another source. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2023 (Accessed: 12 October 2026).

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

LaGrange County, with 59.6% in 2023, according to the U.S. Census Bureau.

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

Warren 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. 2 counties have no value for 2023 and are not ranked.

Uninsured rate, under 19 (US, ACS): other rankings

US counties: more rankings