Counties in Kentucky by uninsured rate, under 19 (US model-based estimate), 2024

Todd County had the highest uninsured rate, under 19 (US model-based estimate) of 120 counties in 2024, at 11.8%. Oldham County had the lowest, at 3.1%. The median was 5.3% and the figure for Kentucky was 4.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest11.8Todd County
Lowest3.1Oldham County
Median5.3120 counties
Kentucky4.8History

Map of counties, 2024

Adair County: 5 %Allen County: 5.8 %Anderson County: 4.2 %Ballard County: 3.7 %Barren County: 6.9 %Bath County: 8 %Bell County: 4.8 %Boone County: 3.1 %Bourbon County: 5.8 %Boyd County: 4.2 %Boyle County: 4.9 %Bracken County: 5.5 %Breathitt County: 5.5 %Breckinridge County: 6.8 %Bullitt County: 3.4 %Butler County: 7.5 %Caldwell County: 5.4 %Calloway County: 5.3 %Campbell County: 3.2 %Carlisle County: 5.5 %Carroll County: 5.9 %Carter County: 4.8 %Casey County: 9.5 %Christian County: 8.5 %Clark County: 3.9 %Clay County: 6.4 %Clinton County: 5.1 %Crittenden County: 7.4 %Cumberland County: 6.9 %Daviess County: 4 %Edmonson County: 5.3 %Elliott County: 6.5 %Estill County: 5.9 %Fayette County: 4.7 %Fleming County: 7.7 %Floyd County: 5.2 %Franklin County: 4.7 %Fulton County: 4.7 %Gallatin County: 5 %Garrard County: 6.2 %Grant County: 4.6 %Graves County: 4.9 %Grayson County: 5.4 %Green County: 5.6 %Greenup County: 4.2 %Hancock County: 4.4 %Hardin County: 4.2 %Harlan County: 4.9 %Harrison County: 4.9 %Hart County: 7.3 %Henderson County: 4.9 %Henry County: 6.2 %Hickman County: 5 %Hopkins County: 4.5 %Jackson County: 6.8 %Jefferson County: 4.2 %Jessamine County: 5.3 %Johnson County: 6 %Kenton County: 4.1 %Knott County: 6.4 %Knox County: 6.5 %Larue County: 6.2 %Laurel County: 5.7 %Lawrence County: 5.5 %Lee County: 5.6 %Leslie County: 4.5 %Letcher County: 5.1 %Lewis County: 6.8 %Lincoln County: 6.6 %Livingston County: 4.1 %Logan County: 5.4 %Lyon County: 6.8 %McCracken County: 4.3 %McCreary County: 5.5 %McLean County: 4.3 %Madison County: 3.9 %Magoffin County: 6.3 %Marion County: 5.9 %Marshall County: 4.5 %Martin County: 5.4 %Mason County: 5.9 %Meade County: 4.3 %Menifee County: 5.6 %Mercer County: 5.1 %Metcalfe County: 5.3 %Monroe County: 8.2 %Montgomery County: 4.9 %Morgan County: 5.9 %Muhlenberg County: 4.4 %Nelson County: 4 %Nicholas County: 7.7 %Ohio County: 4.8 %Oldham County: 3.1 %Owen County: 6 %Owsley County: 4.9 %Pendleton County: 6 %Perry County: 4.7 %Pike County: 4.8 %Powell County: 5.4 %Pulaski County: 5 %Robertson County: 5.3 %Rockcastle County: 6.1 %Rowan County: 4.3 %Russell County: 6.2 %Scott County: 3.2 %Shelby County: 5.5 %Simpson County: 4.7 %Spencer County: 3.8 %Taylor County: 4.8 %Todd County: 11.8 %Trigg County: 6.5 %Trimble County: 4.9 %Union County: 5.5 %Warren County: 4.9 %Washington County: 5.6 %Wayne County: 4.8 %Webster County: 5.9 %Whitley County: 4.4 %Wolfe County: 7.5 %Woodford County: 5.1 %
  • Under 4.3
  • 4.3 to 4.9
  • 4.9 to 5.3
  • 5.3 to 5.7
  • 5.7 to 6.5
  • 6.5 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Todd County: 11.8 %Todd County11.8Casey County: 9.5 %Casey County9.5Christian County: 8.5 %Christian County8.5Monroe County: 8.2 %Monroe County8.2Bath County: 8 %Bath County8Fleming County: 7.7 %Fleming County7.7Nicholas County: 7.7 %Nicholas County7.7Butler County: 7.5 %Butler County7.5Wolfe County: 7.5 %Wolfe County7.5Crittenden County: 7.4 %Crittenden County7.4Hart County: 7.3 %Hart County7.3Barren County: 6.9 %Barren County6.9Cumberland County: 6.9 %Cumberland County6.9Breckinridge County: 6.8 %Breckinridge County6.8Jackson County: 6.8 %Jackson County6.8Lewis County: 6.8 %Lewis County6.8Lyon County: 6.8 %Lyon County6.8Lincoln County: 6.6 %Lincoln County6.6Elliott County: 6.5 %Elliott County6.5Knox County: 6.5 %Knox County6.5Trigg County: 6.5 %Trigg County6.5Clay County: 6.4 %Clay County6.4Knott County: 6.4 %Knott County6.4Magoffin County: 6.3 %Magoffin County6.3Garrard County: 6.2 %Garrard County6.2Henry County: 6.2 %Henry County6.2Larue County: 6.2 %Larue County6.2Russell County: 6.2 %Russell County6.2Rockcastle County: 6.1 %Rockcastle County6.1Johnson County: 6 %Johnson County6Owen County: 6 %Owen County6Pendleton County: 6 %Pendleton County6Carroll County: 5.9 %Carroll County5.9Estill County: 5.9 %Estill County5.9Marion County: 5.9 %Marion County5.9Mason County: 5.9 %Mason County5.9Morgan County: 5.9 %Morgan County5.9Webster County: 5.9 %Webster County5.9Allen County: 5.8 %Allen County5.8Bourbon County: 5.8 %Bourbon County5.8Todd County: 11.8 %Todd County11.8Casey County: 9.5 %Casey County9.5Christian County: 8.5 %Christian County8.5Monroe County: 8.2 %Monroe County8.2Bath County: 8 %Bath County8Fleming County: 7.7 %Fleming County7.7Nicholas County: 7.7 %Nicholas County7.7Butler County: 7.5 %Butler County7.5Wolfe County: 7.5 %Wolfe County7.5Crittenden County: 7.4 %Crittenden County7.4Hart County: 7.3 %Hart County7.3Barren County: 6.9 %Barren County6.9Cumberland County: 6.9 %Cumberland County6.9Breckinridge County: 6.8 %Breckinridge County6.8Jackson County: 6.8 %Jackson County6.8Lewis County: 6.8 %Lewis County6.8Lyon County: 6.8 %Lyon County6.8Lincoln County: 6.6 %Lincoln County6.6Elliott County: 6.5 %Elliott County6.5Knox County: 6.5 %Knox County6.5Trigg County: 6.5 %Trigg County6.5Clay County: 6.4 %Clay County6.4Knott County: 6.4 %Knott County6.4Magoffin County: 6.3 %Magoffin County6.3Garrard County: 6.2 %Garrard County6.2Henry County: 6.2 %Henry County6.2Larue County: 6.2 %Larue County6.2Russell County: 6.2 %Russell County6.2Rockcastle County: 6.1 %Rockcastle County6.1Johnson County: 6 %Johnson County6Owen County: 6 %Owen County6Pendleton County: 6 %Pendleton County6Carroll County: 5.9 %Carroll County5.9Estill County: 5.9 %Estill County5.9Marion County: 5.9 %Marion County5.9Mason County: 5.9 %Mason County5.9Morgan County: 5.9 %Morgan County5.9Webster County: 5.9 %Webster County5.9Allen County: 5.8 %Allen County5.8Bourbon County: 5.8 %Bourbon County5.8
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Todd County11.8+5.3 pts
2Casey County9.5+4.5 pts
3Christian County8.5+3.9 pts
4Monroe County8.2+3.9 pts
5Bath County8+3.7 pts
6Fleming County7.7+2.8 pts
6Nicholas County7.7+3.2 pts
8Butler County7.5+3.1 pts
8Wolfe County7.5+2.3 pts
10Crittenden County7.4+3.1 pts
11Hart County7.3+3 pts
12Barren County6.9+2.4 pts
12Cumberland County6.9+3 pts
14Breckinridge County6.8+2.5 pts
14Jackson County6.8+2.4 pts
14Lewis County6.8+1.5 pts
14Lyon County6.8+2.3 pts
18Lincoln County6.6+1.9 pts
19Elliott County6.5+2.8 pts
19Knox County6.5+3.1 pts
19Trigg County6.5+1.4 pts
22Clay County6.4+1.5 pts
22Knott County6.4+1.7 pts
24Magoffin County6.3+1.9 pts
25Garrard County6.20 pts
25Henry County6.2+1.6 pts
25Larue County6.2+1.8 pts
25Russell County6.2+2.3 pts
29Rockcastle County6.1+2.4 pts
30Johnson County6+2.3 pts
30Owen County6+1.6 pts
30Pendleton County6+2.2 pts
33Carroll County5.9+1.8 pts
33Estill County5.9+1.3 pts
33Marion County5.9+2.2 pts
33Mason County5.9+2.2 pts
33Morgan County5.9+1.6 pts
33Webster County5.9+1.2 pts
39Allen County5.8+2.2 pts
39Bourbon County5.8+1.4 pts
41Laurel County5.7+2.4 pts
42Green County5.6+1.5 pts
42Lee County5.6+0.9 pts
42Menifee County5.6+1.9 pts
42Washington County5.6+2.1 pts
46Bracken County5.5+1.8 pts
46Breathitt County5.5+1.8 pts
46Carlisle County5.5+1.4 pts
46Lawrence County5.5+1.4 pts
46McCreary County5.5+1.3 pts
46Shelby County5.5+2.3 pts
46Union County5.5+1.9 pts
53Caldwell County5.4+1.6 pts
53Grayson County5.4+0.7 pts
53Logan County5.4+1.6 pts
53Martin County5.4+1.6 pts
53Powell County5.4+1.3 pts
58Calloway County5.3+1.8 pts
58Edmonson County5.3+1.3 pts
58Jessamine County5.3+1.4 pts
58Metcalfe County5.3+1.5 pts
58Robertson County5.3+1.4 pts
63Floyd County5.2+1.4 pts
64Clinton County5.1+1.7 pts
64Letcher County5.1+1.2 pts
64Mercer County5.1+1.7 pts
64Woodford County5.1+1.4 pts
68Adair County5+1.5 pts
68Gallatin County5+1.3 pts
68Hickman County5+0.7 pts
68Pulaski County5+1.5 pts
72Boyle County4.9+1.6 pts
72Graves County4.9+0.7 pts
72Harlan County4.9+1.1 pts
72Harrison County4.9+1.4 pts
72Henderson County4.9+1.4 pts
72Montgomery County4.9+1.3 pts
72Owsley County4.9+1 pts
72Trimble County4.9+1.3 pts
72Warren County4.9+1.2 pts
81Bell County4.8+1.1 pts
81Carter County4.8+0.8 pts
81Ohio County4.8+0.8 pts
81Pike County4.8+0.7 pts
81Taylor County4.8+1.6 pts
81Wayne County4.8+1 pts
87Fayette County4.7+1.7 pts
87Franklin County4.7+1.2 pts
87Fulton County4.7+1.4 pts
87Perry County4.7+1.5 pts
87Simpson County4.7+1.2 pts
92Grant County4.6+1 pts
93Hopkins County4.5+1.2 pts
93Leslie County4.5+1.5 pts
93Marshall County4.5+1.3 pts
96Hancock County4.4+1.3 pts
96Muhlenberg County4.4+0.8 pts
96Whitley County4.4+0.9 pts
99McCracken County4.3+1.2 pts
99McLean County4.3+0.3 pts
99Meade County4.3+1 pts
99Rowan County4.3+0.8 pts
103Anderson County4.2+1.1 pts
103Boyd County4.2+1.4 pts
103Greenup County4.2+1.1 pts
103Hardin County4.2+1 pts
103Jefferson County4.2+1.5 pts
108Kenton County4.1+1.4 pts
108Livingston County4.1+1 pts
110Daviess County4+1.1 pts
110Nelson County4+0.9 pts
112Clark County3.9+0.8 pts
112Madison County3.9+1.1 pts
114Spencer County3.8+0.8 pts
115Ballard County3.7+0.9 pts
116Bullitt County3.4+1 pts
117Campbell County3.2+1.1 pts
117Scott County3.2+0.8 pts
119Boone County3.1+0.7 pts
119Oldham County3.1+1.3 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of all people under 19. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Under 19 matches the age limit for children in Medicaid and the Children's Health Insurance Program (CHIP).

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. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. 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). Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties (Counties in Kentucky by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Kentucky by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Counties in Kentucky by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Kentucky by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Kentucky by uninsured rate, under 19 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Kentucky by uninsured rate, under 19 (US model-based estimate), 2024
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, under 19 (US model-based estimate)?

Todd County, with 11.8% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US model-based estimate)?

Oldham County, with 3.1% in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 19 (US model-based estimate): other rankings

Counties in Kentucky: more rankings