Data / Rankings / Uninsured rate, under 19 (US, ACS) / Counties in Virginia

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

Highland County had the highest uninsured rate, under 19 (US, ACS) of 133 counties in 2021, at 19.5%. Richmond County had the lowest, at 0%. The median was 4.7% and the figure for Virginia was 4.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest19.5Highland County
Lowest0Richmond County
Median4.7133 counties
Virginia4.9History

Map of counties, 2021

Accomack County: 9.5 %Albemarle County: 3.2 %Alleghany County: 5.6 %Amelia County: 2.9 %Amherst County: 4.2 %Appomattox County: 5.5 %Arlington County: 3.3 %Augusta County: 6.3 %Bath County: 0 %Bedford County: 2.5 %Bland County: 4.5 %Botetourt County: 3.6 %Brunswick County: 0.9 %Buchanan County: 3 %Buckingham County: 9.5 %Campbell County: 5.8 %Caroline County: 5.6 %Carroll County: 4.2 %Charles City County: 5.6 %Charlotte County: 2.6 %Chesterfield County: 5.2 %Clarke County: 4.2 %Craig County: 0 %Culpeper County: 6 %Cumberland County: 11.9 %Dickenson County: 2.5 %Dinwiddie County: 4.3 %Essex County: 4.6 %Fairfax County: 5.1 %Fauquier County: 6.3 %Floyd County: 4.5 %Fluvanna County: 7.3 %Franklin County: 7 %Frederick County: 4.9 %Giles County: 4.8 %Gloucester County: 2.2 %Goochland County: 2.4 %Grayson County: 14.7 %Greene County: 6.3 %Greensville County: 5.3 %Halifax County: 4.6 %Hanover County: 3.4 %Henrico County: 3.7 %Henry County: 2.5 %Highland County: 19.5 %Isle of Wight County: 7.7 %James City County: 3.5 %King and Queen County: 8 %King George County: 1.7 %King William County: 5 %Lancaster County: 9.2 %Lee County: 4.1 %Loudoun County: 3.4 %Louisa County: 4.9 %Lunenburg County: 6.5 %Madison County: 1 %Mathews County: 4.7 %Mecklenburg County: 5.3 %Middlesex County: 1.7 %Montgomery County: 2.2 %Nelson County: 5.2 %New Kent County: 1.4 %Northampton County: 13.1 %Northumberland County: 11.5 %Nottoway County: 8.7 %Orange County: 4.1 %Page County: 7.4 %Patrick County: 4.3 %Pittsylvania County: 4.4 %Powhatan County: 5.6 %Prince Edward County: 5.2 %Prince George County: 2.5 %Prince William County: 6.8 %Pulaski County: 4.1 %Rappahannock County: 14.4 %Richmond County: 0 %Roanoke County: 3.9 %Rockbridge County: 1.4 %Rockingham County: 8.8 %Russell County: 5.5 %Scott County: 6.1 %Shenandoah County: 3.3 %Smyth County: 2.1 %Southampton County: 4.6 %Spotsylvania County: 4.4 %Stafford County: 4.7 %Surry County: 7.9 %Sussex County: 6.7 %Tazewell County: 3.3 %Warren County: 9.9 %Washington County: 6.3 %Westmoreland County: 1.2 %Wise County: 1.8 %Wythe County: 9.7 %York County: 1.7 %Alexandria city: 5.2 %Bristol city: 6 %Buena Vista city: 4.7 %Charlottesville city: 3.6 %Chesapeake city: 3.8 %Colonial Heights city: 8.9 %Covington city: 5.6 %Danville city: 3.4 %Emporia city: 8.9 %Fairfax city: 5.4 %Falls Church city: 0.2 %Franklin city: 1.4 %Fredericksburg city: 9.1 %Galax city: 17.8 %Hampton city: 2.5 %Harrisonburg city: 7.2 %Hopewell city: 3.2 %Lexington city: 1.2 %Lynchburg city: 4.4 %Manassas city: 12.1 %Manassas Park city: 11.3 %Martinsville city: 5 %Newport News city: 5.6 %Norfolk city: 5.5 %Norton city: 6.9 %Petersburg city: 5.8 %Poquoson city: 1.9 %Portsmouth city: 4.9 %Radford city: 1.4 %Richmond city: 6.9 %Roanoke city: 5.1 %Salem city: 3.6 %Staunton city: 3.8 %Suffolk city: 4.6 %Virginia Beach city: 4.3 %Waynesboro city: 7 %Williamsburg city: 4.5 %Winchester city: 5.3 %
  • Under 2.5
  • 2.5 to 3.9
  • 3.9 to 4.7
  • 4.7 to 5.6
  • 5.6 to 7.4
  • 7.4 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

Highland County: 19.5 %Highland County19.5Galax city: 17.8 %Galax city17.8Grayson County: 14.7 %Grayson County14.7Rappahannock County: 14.4 %Rappahannock County14.4Northampton County: 13.1 %Northampton County13.1Manassas city: 12.1 %Manassas city12.1Cumberland County: 11.9 %Cumberland County11.9Northumberland County: 11.5 %Northumberland County11.5Manassas Park city: 11.3 %Manassas Park city11.3Warren County: 9.9 %Warren County9.9Wythe County: 9.7 %Wythe County9.7Accomack County: 9.5 %Accomack County9.5Buckingham County: 9.5 %Buckingham County9.5Lancaster County: 9.2 %Lancaster County9.2Fredericksburg city: 9.1 %Fredericksburg city9.1Colonial Heights city: 8.9 %Colonial Heights city8.9Emporia city: 8.9 %Emporia city8.9Rockingham County: 8.8 %Rockingham County8.8Nottoway County: 8.7 %Nottoway County8.7King and Queen County: 8 %King and Queen County8Surry County: 7.9 %Surry County7.9Isle of Wight County: 7.7 %Isle of Wight County7.7Page County: 7.4 %Page County7.4Fluvanna County: 7.3 %Fluvanna County7.3Harrisonburg city: 7.2 %Harrisonburg city7.2Franklin County: 7 %Franklin County7Waynesboro city: 7 %Waynesboro city7Richmond city: 6.9 %Richmond city6.9Norton city: 6.9 %Norton city6.9Prince William County: 6.8 %Prince William County6.8Sussex County: 6.7 %Sussex County6.7Lunenburg County: 6.5 %Lunenburg County6.5Augusta County: 6.3 %Augusta County6.3Fauquier County: 6.3 %Fauquier County6.3Washington County: 6.3 %Washington County6.3Greene County: 6.3 %Greene County6.3Scott County: 6.1 %Scott County6.1Bristol city: 6 %Bristol city6Culpeper County: 6 %Culpeper County6Campbell County: 5.8 %Campbell County5.8Highland County: 19.5 %Highland County19.5Galax city: 17.8 %Galax city17.8Grayson County: 14.7 %Grayson County14.7Rappahannock County: 14.4 %Rappahannock County14.4Northampton County: 13.1 %Northampton County13.1Manassas city: 12.1 %Manassas city12.1Cumberland County: 11.9 %Cumberland County11.9Northumberland County: 11.5 %Northumberland County11.5Manassas Park city: 11.3 %Manassas Park city11.3Warren County: 9.9 %Warren County9.9Wythe County: 9.7 %Wythe County9.7Accomack County: 9.5 %Accomack County9.5Buckingham County: 9.5 %Buckingham County9.5Lancaster County: 9.2 %Lancaster County9.2Fredericksburg city: 9.1 %Fredericksburg city9.1Colonial Heights city: 8.9 %Colonial Heights city8.9Emporia city: 8.9 %Emporia city8.9Rockingham County: 8.8 %Rockingham County8.8Nottoway County: 8.7 %Nottoway County8.7King and Queen County: 8 %King and Queen County8Surry County: 7.9 %Surry County7.9Isle of Wight County: 7.7 %Isle of Wight County7.7Page County: 7.4 %Page County7.4Fluvanna County: 7.3 %Fluvanna County7.3Harrisonburg city: 7.2 %Harrisonburg city7.2Franklin County: 7 %Franklin County7Waynesboro city: 7 %Waynesboro city7Richmond city: 6.9 %Richmond city6.9Norton city: 6.9 %Norton city6.9Prince William County: 6.8 %Prince William County6.8Sussex County: 6.7 %Sussex County6.7Lunenburg County: 6.5 %Lunenburg County6.5Augusta County: 6.3 %Augusta County6.3Fauquier County: 6.3 %Fauquier County6.3Washington County: 6.3 %Washington County6.3Greene County: 6.3 %Greene County6.3Scott County: 6.1 %Scott County6.1Bristol city: 6 %Bristol city6Culpeper County: 6 %Culpeper County6Campbell County: 5.8 %Campbell County5.8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Highland County19.5
2Galax city17.8
3Grayson County14.7
4Rappahannock County14.4
5Northampton County13.1
6Manassas city12.1
7Cumberland County11.9
8Northumberland County11.5
9Manassas Park city11.3
10Warren County9.9
11Wythe County9.7
12Accomack County9.5
13Buckingham County9.5
14Lancaster County9.2
15Fredericksburg city9.1
16Colonial Heights city8.9
17Emporia city8.9
18Rockingham County8.8
19Nottoway County8.7
20King and Queen County8
21Surry County7.9
22Isle of Wight County7.7
23Page County7.4
24Fluvanna County7.3
25Harrisonburg city7.2
26Franklin County7
27Waynesboro city7
28Richmond city6.9
29Norton city6.9
30Prince William County6.8
31Sussex County6.7
32Lunenburg County6.5
33Augusta County6.3
33Fauquier County6.3
35Washington County6.3
36Greene County6.3
37Scott County6.1
38Bristol city6
39Culpeper County6
40Campbell County5.8
41Petersburg city5.8
42Covington city5.6
43Caroline County5.6
44Alleghany County5.6
45Newport News city5.6
45Powhatan County5.6
47Charles City County5.6
48Appomattox County5.5
49Russell County5.5
50Norfolk city5.5
51Fairfax city5.4
52Mecklenburg County5.3
53Winchester city5.3
54Greensville County5.3
55Chesterfield County5.2
55Prince Edward County5.2
57Alexandria city5.2
58Nelson County5.2
59Fairfax County5.1
60Roanoke city5.1
61King William County5
61Martinsville city5
63Portsmouth city4.9
64Louisa County4.9
65Frederick County4.9
66Giles County4.8
67Mathews County4.7
68Stafford County4.7
69Buena Vista city4.7
70Suffolk city4.6
71Halifax County4.6
72Southampton County4.6
73Essex County4.6
74Williamsburg city4.5
75Bland County4.5
76Floyd County4.5
77Pittsylvania County4.4
78Spotsylvania County4.4
79Lynchburg city4.4
80Dinwiddie County4.3
81Patrick County4.3
81Virginia Beach city4.3
83Amherst County4.2
84Clarke County4.2
85Carroll County4.2
86Lee County4.1
86Orange County4.1
88Pulaski County4.1
89Roanoke County3.9
90Staunton city3.8
91Chesapeake city3.8
92Henrico County3.7
93Botetourt County3.6
93Charlottesville city3.6
93Salem city3.6
96James City County3.5
97Loudoun County3.4
98Danville city3.4
98Hanover County3.4
100Tazewell County3.3
101Shenandoah County3.3
102Arlington County3.3
103Hopewell city3.2
104Albemarle County3.2
105Buchanan County3
106Amelia County2.9
107Charlotte County2.6
108Bedford County2.5
109Hampton city2.5
110Prince George County2.5
111Dickenson County2.5
111Henry County2.5
113Goochland County2.4
114Gloucester County2.2
115Montgomery County2.2
116Smyth County2.1
117Poquoson city1.9
118Wise County1.8
119Middlesex County1.7
120King George County1.7
121York County1.7
122New Kent County1.4
122Radford city1.4
122Rockbridge County1.4
125Franklin city1.4
126Lexington city1.2
127Westmoreland County1.2
128Madison County1
129Brunswick County0.9
130Falls Church city0.2
131Bath County0
131Craig County0
131Richmond 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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/virginia-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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in Virginia by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_19_acs","level":"province","within":"Virginia","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_19_acs&level=province&within=Virginia&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Highland County, with 19.5% in 2021, according to the U.S. Census Bureau.

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

Richmond 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 Virginia: more rankings