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 2022, at 17.5%. Falls Church city had the lowest, at 0%. The median was 4.3% and the figure for Virginia was 4.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest17.5Highland County
Median4.3133 counties
Virginia4.7History

Map of counties, 2022

Accomack County: 6.6 %Albemarle County: 3.3 %Alleghany County: 6 %Amelia County: 0.5 %Amherst County: 4.3 %Appomattox County: 4.8 %Arlington County: 2.7 %Augusta County: 5.3 %Bath County: 0 %Bedford County: 2.2 %Bland County: 3.6 %Botetourt County: 1.6 %Brunswick County: 1.1 %Buchanan County: 3.5 %Buckingham County: 10.1 %Campbell County: 4.4 %Caroline County: 5.2 %Carroll County: 3.7 %Charles City County: 5.8 %Charlotte County: 3.2 %Chesterfield County: 5.3 %Clarke County: 2.3 %Craig County: 0 %Culpeper County: 8.3 %Cumberland County: 12.8 %Dickenson County: 3 %Dinwiddie County: 3.5 %Essex County: 4.7 %Fairfax County: 5.2 %Fauquier County: 6.9 %Floyd County: 4.1 %Fluvanna County: 6.7 %Franklin County: 4.9 %Frederick County: 5.4 %Giles County: 3.1 %Gloucester County: 1.5 %Goochland County: 2.2 %Grayson County: 7.9 %Greene County: 6.2 %Greensville County: 1.9 %Halifax County: 4.7 %Hanover County: 3.2 %Henrico County: 2.8 %Henry County: 1.5 %Highland County: 17.5 %Isle of Wight County: 7.7 %James City County: 3.4 %King and Queen County: 9.8 %King George County: 1.4 %King William County: 4.9 %Lancaster County: 9.6 %Lee County: 3.5 %Loudoun County: 3.3 %Louisa County: 3.1 %Lunenburg County: 8.1 %Madison County: 2.2 %Mathews County: 4.3 %Mecklenburg County: 4.8 %Middlesex County: 6.7 %Montgomery County: 2.5 %Nelson County: 7.1 %New Kent County: 2.7 %Northampton County: 9 %Northumberland County: 1.2 %Nottoway County: 10.5 %Orange County: 2.7 %Page County: 5.2 %Patrick County: 1.9 %Pittsylvania County: 4.2 %Powhatan County: 3.4 %Prince Edward County: 3.2 %Prince George County: 2.7 %Prince William County: 6.4 %Pulaski County: 1.5 %Rappahannock County: 13.1 %Richmond County: 1.8 %Roanoke County: 3.1 %Rockbridge County: 2.3 %Rockingham County: 7.9 %Russell County: 6.2 %Scott County: 5.4 %Shenandoah County: 3 %Smyth County: 2.4 %Southampton County: 7 %Spotsylvania County: 4.3 %Stafford County: 4.5 %Surry County: 4.2 %Sussex County: 7.5 %Tazewell County: 3.3 %Warren County: 9.4 %Washington County: 4.3 %Westmoreland County: 4.7 %Wise County: 1.4 %Wythe County: 7.6 %York County: 2 %Alexandria city: 5.3 %Bristol city: 6.6 %Buena Vista city: 4.6 %Charlottesville city: 4 %Chesapeake city: 3.9 %Colonial Heights city: 11 %Covington city: 6.9 %Danville city: 2.9 %Emporia city: 2.4 %Fairfax city: 3.8 %Falls Church city: 0 %Franklin city: 1.5 %Fredericksburg city: 4.2 %Galax city: 10.4 %Hampton city: 2.5 %Harrisonburg city: 7.1 %Hopewell city: 4.1 %Lexington city: 1.2 %Lynchburg city: 3.2 %Manassas city: 16 %Manassas Park city: 15 %Martinsville city: 8.5 %Newport News city: 4.6 %Norfolk city: 5.3 %Norton city: 5.1 %Petersburg city: 7.4 %Poquoson city: 0.4 %Portsmouth city: 4 %Radford city: 1.3 %Richmond city: 6.3 %Roanoke city: 4.7 %Salem city: 5 %Staunton city: 4.6 %Suffolk city: 5 %Virginia Beach city: 4.3 %Waynesboro city: 7.6 %Williamsburg city: 4.7 %Winchester city: 9.3 %
  • Under 2.2
  • 2.2 to 3.3
  • 3.3 to 4.3
  • 4.3 to 5.3
  • 5.3 to 7.5
  • 7.5 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Highland County: 17.5 %Highland County17.5Manassas city: 16 %Manassas city16Manassas Park city: 15 %Manassas Park city15Rappahannock County: 13.1 %Rappahannock County13.1Cumberland County: 12.8 %Cumberland County12.8Colonial Heights city: 11 %Colonial Heights city11Nottoway County: 10.5 %Nottoway County10.5Galax city: 10.4 %Galax city10.4Buckingham County: 10.1 %Buckingham County10.1King and Queen County: 9.8 %King and Queen County9.8Lancaster County: 9.6 %Lancaster County9.6Warren County: 9.4 %Warren County9.4Winchester city: 9.3 %Winchester city9.3Northampton County: 9 %Northampton County9Martinsville city: 8.5 %Martinsville city8.5Culpeper County: 8.3 %Culpeper County8.3Lunenburg County: 8.1 %Lunenburg County8.1Grayson County: 7.9 %Grayson County7.9Rockingham County: 7.9 %Rockingham County7.9Isle of Wight County: 7.7 %Isle of Wight County7.7Waynesboro city: 7.6 %Waynesboro city7.6Wythe County: 7.6 %Wythe County7.6Sussex County: 7.5 %Sussex County7.5Petersburg city: 7.4 %Petersburg city7.4Nelson County: 7.1 %Nelson County7.1Harrisonburg city: 7.1 %Harrisonburg city7.1Southampton County: 7 %Southampton County7Covington city: 6.9 %Covington city6.9Fauquier County: 6.9 %Fauquier County6.9Fluvanna County: 6.7 %Fluvanna County6.7Middlesex County: 6.7 %Middlesex County6.7Accomack County: 6.6 %Accomack County6.6Bristol city: 6.6 %Bristol city6.6Prince William County: 6.4 %Prince William County6.4Richmond city: 6.3 %Richmond city6.3Greene County: 6.2 %Greene County6.2Russell County: 6.2 %Russell County6.2Alleghany County: 6 %Alleghany County6Charles City County: 5.8 %Charles City County5.8Scott County: 5.4 %Scott County5.4Highland County: 17.5 %Highland County17.5Manassas city: 16 %Manassas city16Manassas Park city: 15 %Manassas Park city15Rappahannock County: 13.1 %Rappahannock County13.1Cumberland County: 12.8 %Cumberland County12.8Colonial Heights city: 11 %Colonial Heights city11Nottoway County: 10.5 %Nottoway County10.5Galax city: 10.4 %Galax city10.4Buckingham County: 10.1 %Buckingham County10.1King and Queen County: 9.8 %King and Queen County9.8Lancaster County: 9.6 %Lancaster County9.6Warren County: 9.4 %Warren County9.4Winchester city: 9.3 %Winchester city9.3Northampton County: 9 %Northampton County9Martinsville city: 8.5 %Martinsville city8.5Culpeper County: 8.3 %Culpeper County8.3Lunenburg County: 8.1 %Lunenburg County8.1Grayson County: 7.9 %Grayson County7.9Rockingham County: 7.9 %Rockingham County7.9Isle of Wight County: 7.7 %Isle of Wight County7.7Waynesboro city: 7.6 %Waynesboro city7.6Wythe County: 7.6 %Wythe County7.6Sussex County: 7.5 %Sussex County7.5Petersburg city: 7.4 %Petersburg city7.4Nelson County: 7.1 %Nelson County7.1Harrisonburg city: 7.1 %Harrisonburg city7.1Southampton County: 7 %Southampton County7Covington city: 6.9 %Covington city6.9Fauquier County: 6.9 %Fauquier County6.9Fluvanna County: 6.7 %Fluvanna County6.7Middlesex County: 6.7 %Middlesex County6.7Accomack County: 6.6 %Accomack County6.6Bristol city: 6.6 %Bristol city6.6Prince William County: 6.4 %Prince William County6.4Richmond city: 6.3 %Richmond city6.3Greene County: 6.2 %Greene County6.2Russell County: 6.2 %Russell County6.2Alleghany County: 6 %Alleghany County6Charles City County: 5.8 %Charles City County5.8Scott County: 5.4 %Scott County5.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Highland County17.5-2.1 pts
2Manassas city16+4 pts
3Manassas Park city15+3.7 pts
4Rappahannock County13.1-1.3 pts
5Cumberland County12.8+0.9 pts
6Colonial Heights city11+2 pts
7Nottoway County10.5+1.8 pts
8Galax city10.4-7.4 pts
9Buckingham County10.1+0.7 pts
10King and Queen County9.8+1.7 pts
11Lancaster County9.6+0.4 pts
12Warren County9.4-0.5 pts
13Winchester city9.3+4.1 pts
14Northampton County9-4.1 pts
15Martinsville city8.5+3.5 pts
16Culpeper County8.3+2.4 pts
17Lunenburg County8.1+1.6 pts
18Grayson County7.9-6.8 pts
19Rockingham County7.9-0.8 pts
20Isle of Wight County7.7-0.1 pts
21Waynesboro city7.6+0.6 pts
22Wythe County7.6-2.2 pts
23Sussex County7.5+0.9 pts
24Petersburg city7.4+1.6 pts
25Nelson County7.1+1.9 pts
26Harrisonburg city7.1-0.2 pts
27Southampton County7+2.4 pts
28Covington city6.9+1.3 pts
29Fauquier County6.9+0.6 pts
30Fluvanna County6.7-0.6 pts
31Middlesex County6.7+5 pts
32Accomack County6.6-2.9 pts
33Bristol city6.6+0.6 pts
34Prince William County6.4-0.4 pts
35Richmond city6.3-0.6 pts
36Greene County6.2-0.1 pts
36Russell County6.2+0.7 pts
38Alleghany County6+0.4 pts
39Charles City County5.8+0.2 pts
40Scott County5.4-0.7 pts
41Frederick County5.4+0.4 pts
42Chesterfield County5.3+0.1 pts
43Augusta County5.3-1 pts
44Alexandria city5.3+0.1 pts
45Norfolk city5.3-0.2 pts
46Fairfax County5.2+0.1 pts
47Caroline County5.2-0.4 pts
48Page County5.2-2.2 pts
49Norton city5.1-1.8 pts
50Suffolk city5+0.4 pts
51Salem city5+1.3 pts
52King William County4.9-0 pts
53Franklin County4.9-2.1 pts
54Appomattox County4.8-0.7 pts
55Mecklenburg County4.8-0.5 pts
56Westmoreland County4.7+3.6 pts
56Williamsburg city4.7+0.2 pts
58Halifax County4.7+0.1 pts
59Roanoke city4.7-0.4 pts
60Essex County4.7+0.1 pts
61Staunton city4.6+0.8 pts
62Buena Vista city4.6-0.1 pts
62Newport News city4.6-1 pts
64Stafford County4.5-0.2 pts
65Campbell County4.4-1.4 pts
66Mathews County4.3-0.4 pts
67Virginia Beach city4.3+0.1 pts
68Amherst County4.3+0.1 pts
69Spotsylvania County4.3-0.1 pts
69Washington County4.3-2 pts
71Fredericksburg city4.2-4.8 pts
72Surry County4.2-3.7 pts
73Pittsylvania County4.2-0.3 pts
74Floyd County4.1-0.4 pts
74Hopewell city4.1+0.9 pts
76Portsmouth city4-0.9 pts
77Charlottesville city4+0.3 pts
78Chesapeake city3.9+0.1 pts
79Fairfax city3.8-1.6 pts
80Carroll County3.7-0.5 pts
81Bland County3.6-0.9 pts
82Buchanan County3.5+0.5 pts
83Dinwiddie County3.5-0.8 pts
84Lee County3.5-0.6 pts
85Powhatan County3.4-2.2 pts
86James City County3.4-0.1 pts
87Loudoun County3.3-0.1 pts
88Albemarle County3.3+0.1 pts
89Tazewell County3.3-0 pts
90Hanover County3.2-0.1 pts
91Lynchburg city3.2-1.1 pts
92Prince Edward County3.2-2.1 pts
93Charlotte County3.2+0.6 pts
94Giles County3.1-1.7 pts
94Roanoke County3.1-0.8 pts
96Louisa County3.1-1.8 pts
97Shenandoah County3-0.3 pts
98Dickenson County3+0.5 pts
99Danville city2.9-0.5 pts
100Henrico County2.8-0.9 pts
101Arlington County2.7-0.5 pts
102New Kent County2.7+1.3 pts
103Orange County2.7-1.4 pts
103Prince George County2.7+0.2 pts
105Hampton city2.50 pts
106Montgomery County2.5+0.3 pts
107Emporia city2.4-6.5 pts
108Smyth County2.4+0.2 pts
109Clarke County2.3-1.9 pts
110Rockbridge County2.3+0.9 pts
111Bedford County2.2-0.4 pts
111Madison County2.2+1.2 pts
113Goochland County2.2-0.3 pts
114York County2+0.3 pts
115Patrick County1.9-2.4 pts
116Greensville County1.9-3.4 pts
117Richmond County1.8+1.8 pts
118Botetourt County1.6-2 pts
119Pulaski County1.5-2.5 pts
120Henry County1.5-1 pts
121Gloucester County1.5-0.8 pts
122Franklin city1.5+0.1 pts
123King George County1.4-0.3 pts
124Wise County1.4-0.4 pts
125Radford city1.3-0.1 pts
126Lexington city1.2+0.1 pts
126Northumberland County1.2-10.3 pts
128Brunswick County1.1+0.2 pts
129Amelia County0.5-2.3 pts
130Poquoson city0.4-1.4 pts
131Bath County00 pts
131Craig County00 pts
131Falls Church city0-0.2 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/virginia-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/virginia-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/virginia-counties?period=2022. 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/virginia-counties?period=2022.
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/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

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

Highland County, with 17.5% in 2022, according to the U.S. Census Bureau.

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

Falls Church city, with 0% in 2022.

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