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

Skamania County had the highest uninsured rate, under 19 (US, ACS) of 39 counties in 2023, at 8.9%. Columbia County had the lowest, at 0%. The median was 3% and the figure for Washington was 3%. Source: the U.S. Census Bureau.

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Highest8.9Skamania County
Median339 counties
Washington3History

Map of counties, 2023

Adams County: 4.6 %Asotin County: 2.2 %Benton County: 2.3 %Chelan County: 4.7 %Clallam County: 3.2 %Clark County: 3.9 %Columbia County: 0 %Cowlitz County: 3.4 %Douglas County: 2.5 %Ferry County: 4.8 %Franklin County: 6.2 %Garfield County: 1 %Grant County: 3 %Grays Harbor County: 2.7 %Island County: 2.3 %Jefferson County: 1.2 %King County: 2.4 %Kitsap County: 3.2 %Kittitas County: 3.1 %Klickitat County: 2.7 %Lewis County: 2.3 %Lincoln County: 1 %Mason County: 4.2 %Okanogan County: 3.3 %Pacific County: 5.3 %Pend Oreille County: 7.3 %Pierce County: 2.9 %San Juan County: 5 %Skagit County: 2.6 %Skamania County: 8.9 %Snohomish County: 3 %Spokane County: 2.2 %Stevens County: 5.1 %Thurston County: 2.6 %Wahkiakum County: 1.1 %Walla Walla County: 3.5 %Whatcom County: 2.8 %Whitman County: 2.7 %Yakima County: 5.3 %
  • Under 2.3
  • 2.3 to 2.6
  • 2.6 to 3
  • 3 to 3.4
  • 3.4 to 5
  • 5 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2023

Skamania County: 8.9 %Skamania County8.9Pend Oreille County: 7.3 %Pend Oreille County7.3Franklin County: 6.2 %Franklin County6.2Pacific County: 5.3 %Pacific County5.3Yakima County: 5.3 %Yakima County5.3Stevens County: 5.1 %Stevens County5.1San Juan County: 5 %San Juan County5Ferry County: 4.8 %Ferry County4.8Chelan County: 4.7 %Chelan County4.7Adams County: 4.6 %Adams County4.6Mason County: 4.2 %Mason County4.2Clark County: 3.9 %Clark County3.9Walla Walla County: 3.5 %Walla Walla County3.5Cowlitz County: 3.4 %Cowlitz County3.4Okanogan County: 3.3 %Okanogan County3.3Kitsap County: 3.2 %Kitsap County3.2Clallam County: 3.2 %Clallam County3.2Kittitas County: 3.1 %Kittitas County3.1Grant County: 3 %Grant County3Snohomish County: 3 %Snohomish County3Pierce County: 2.9 %Pierce County2.9Whatcom County: 2.8 %Whatcom County2.8Grays Harbor County: 2.7 %Grays Harbor County2.7Klickitat County: 2.7 %Klickitat County2.7Whitman County: 2.7 %Whitman County2.7Skagit County: 2.6 %Skagit County2.6Thurston County: 2.6 %Thurston County2.6Douglas County: 2.5 %Douglas County2.5King County: 2.4 %King County2.4Benton County: 2.3 %Benton County2.3Lewis County: 2.3 %Lewis County2.3Island County: 2.3 %Island County2.3Asotin County: 2.2 %Asotin County2.2Spokane County: 2.2 %Spokane County2.2Jefferson County: 1.2 %Jefferson County1.2Wahkiakum County: 1.1 %Wahkiakum County1.1Lincoln County: 1 %Lincoln County1Garfield County: 1 %Garfield County1Columbia County: 0 %Columbia County0Skamania County: 8.9 %Skamania County8.9Pend Oreille County: 7.3 %Pend Oreille County7.3Franklin County: 6.2 %Franklin County6.2Pacific County: 5.3 %Pacific County5.3Yakima County: 5.3 %Yakima County5.3Stevens County: 5.1 %Stevens County5.1San Juan County: 5 %San Juan County5Ferry County: 4.8 %Ferry County4.8Chelan County: 4.7 %Chelan County4.7Adams County: 4.6 %Adams County4.6Mason County: 4.2 %Mason County4.2Clark County: 3.9 %Clark County3.9Walla Walla County: 3.5 %Walla Walla County3.5Cowlitz County: 3.4 %Cowlitz County3.4Okanogan County: 3.3 %Okanogan County3.3Kitsap County: 3.2 %Kitsap County3.2Clallam County: 3.2 %Clallam County3.2Kittitas County: 3.1 %Kittitas County3.1Grant County: 3 %Grant County3Snohomish County: 3 %Snohomish County3Pierce County: 2.9 %Pierce County2.9Whatcom County: 2.8 %Whatcom County2.8Grays Harbor County: 2.7 %Grays Harbor County2.7Klickitat County: 2.7 %Klickitat County2.7Whitman County: 2.7 %Whitman County2.7Skagit County: 2.6 %Skagit County2.6Thurston County: 2.6 %Thurston County2.6Douglas County: 2.5 %Douglas County2.5King County: 2.4 %King County2.4Benton County: 2.3 %Benton County2.3Lewis County: 2.3 %Lewis County2.3Island County: 2.3 %Island County2.3Asotin County: 2.2 %Asotin County2.2Spokane County: 2.2 %Spokane County2.2Jefferson County: 1.2 %Jefferson County1.2Wahkiakum County: 1.1 %Wahkiakum County1.1Lincoln County: 1 %Lincoln County1Garfield County: 1 %Garfield County1Columbia County: 0 %Columbia County0
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Skamania County8.9+3.7 pts
2Pend Oreille County7.3-1.3 pts
3Franklin County6.2+0.3 pts
4Pacific County5.3+0.6 pts
5Yakima County5.3-0 pts
6Stevens County5.1-1.8 pts
7San Juan County5-0.8 pts
8Ferry County4.8+0.4 pts
9Chelan County4.7+1.6 pts
10Adams County4.6+1.2 pts
11Mason County4.2+1.7 pts
12Clark County3.9+0.4 pts
13Walla Walla County3.5+0.8 pts
14Cowlitz County3.4+0.3 pts
15Okanogan County3.3+0.4 pts
16Kitsap County3.2-0.2 pts
17Clallam County3.2-1.8 pts
18Kittitas County3.1-0.1 pts
19Grant County3+1.1 pts
20Snohomish County3-0.2 pts
21Pierce County2.9-0.1 pts
22Whatcom County2.8-0.4 pts
23Grays Harbor County2.7+0.7 pts
24Klickitat County2.7-0.3 pts
25Whitman County2.7-0.1 pts
26Skagit County2.6-0.2 pts
27Thurston County2.6+0.2 pts
28Douglas County2.5-0.1 pts
29King County2.4-0 pts
30Benton County2.3-0.1 pts
30Lewis County2.3+0.6 pts
32Island County2.3+0.1 pts
33Asotin County2.2+1 pts
34Spokane County2.20 pts
35Jefferson County1.2-2.3 pts
36Wahkiakum County1.1-6.2 pts
37Lincoln County1-1 pts
38Garfield County1+0.1 pts
39Columbia County0-0.8 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_by_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 Washington 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/washington-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 Washington 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/washington-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/washington-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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Rank Counties in Washington 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":"Washington","limit":10}
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Questions

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

Skamania County, with 8.9% in 2023, according to the U.S. Census Bureau.

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

Columbia 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 Washington: more rankings