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

Todd County had the highest uninsured rate, under 19 (US model-based estimate) of 120 counties in 2020, at 11.5%. Knox County had the lowest, at 2.9%. The median was 4.8% and the figure for Kentucky was 4.3%. Source: the U.S. Census Bureau.

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Highest11.5Todd County
Lowest2.9Knox County
Median4.8120 counties
Kentucky4.3History

Map of counties, 2020

Adair County: 4 %Allen County: 4.7 %Anderson County: 5.1 %Ballard County: 6.1 %Barren County: 5.6 %Bath County: 4.9 %Bell County: 3 %Boone County: 4.8 %Bourbon County: 5.8 %Boyd County: 3.5 %Boyle County: 3.9 %Bracken County: 5.7 %Breathitt County: 3.2 %Breckinridge County: 5.2 %Bullitt County: 3.8 %Butler County: 6.3 %Caldwell County: 4.7 %Calloway County: 5.3 %Campbell County: 3.6 %Carlisle County: 7.8 %Carroll County: 5.4 %Carter County: 5.9 %Casey County: 5.2 %Christian County: 5 %Clark County: 4.5 %Clay County: 3.3 %Clinton County: 5.3 %Crittenden County: 6 %Cumberland County: 5.8 %Daviess County: 4.6 %Edmonson County: 6.5 %Elliott County: 3.2 %Estill County: 4.1 %Fayette County: 3.2 %Fleming County: 5 %Floyd County: 3.5 %Franklin County: 4.8 %Fulton County: 4.4 %Gallatin County: 7.5 %Garrard County: 6.6 %Grant County: 5 %Graves County: 5.1 %Grayson County: 4.3 %Green County: 8.1 %Greenup County: 3.5 %Hancock County: 6 %Hardin County: 4.2 %Harlan County: 2.9 %Harrison County: 5 %Hart County: 5.1 %Henderson County: 4.3 %Henry County: 7 %Hickman County: 7.4 %Hopkins County: 4.5 %Jackson County: 4.7 %Jefferson County: 3.2 %Jessamine County: 5.6 %Johnson County: 3.9 %Kenton County: 3.3 %Knott County: 4.1 %Knox County: 2.9 %Larue County: 5.5 %Laurel County: 3.7 %Lawrence County: 4.4 %Lee County: 3.5 %Leslie County: 4.1 %Letcher County: 4.1 %Lewis County: 5.3 %Lincoln County: 5.1 %Livingston County: 5.4 %Logan County: 5.8 %Lyon County: 5.5 %McCracken County: 4.1 %McCreary County: 3.2 %McLean County: 6.3 %Madison County: 4.4 %Magoffin County: 4.8 %Marion County: 4.5 %Marshall County: 5.5 %Martin County: 3.4 %Mason County: 5.1 %Meade County: 5.3 %Menifee County: 4.6 %Mercer County: 5 %Metcalfe County: 4.8 %Monroe County: 5.9 %Montgomery County: 4.4 %Morgan County: 4.5 %Muhlenberg County: 4.8 %Nelson County: 4.7 %Nicholas County: 5.3 %Ohio County: 4.5 %Oldham County: 3.7 %Owen County: 7.1 %Owsley County: 3.3 %Pendleton County: 6.1 %Perry County: 3.4 %Pike County: 4.1 %Powell County: 3.7 %Pulaski County: 3.6 %Robertson County: 6.2 %Rockcastle County: 3.8 %Rowan County: 4.2 %Russell County: 5.6 %Scott County: 4.5 %Shelby County: 6.4 %Simpson County: 5 %Spencer County: 6.3 %Taylor County: 4.1 %Todd County: 11.5 %Trigg County: 5.7 %Trimble County: 5.7 %Union County: 5 %Warren County: 4.5 %Washington County: 8.4 %Wayne County: 4 %Webster County: 8.7 %Whitley County: 3.8 %Wolfe County: 4 %Woodford County: 5.8 %
  • Under 3.7
  • 3.7 to 4.3
  • 4.3 to 4.8
  • 4.8 to 5.3
  • 5.3 to 5.9
  • 5.9 and over
%, 2020. 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, 2020

Todd County: 11.5 %Todd County11.5Webster County: 8.7 %Webster County8.7Washington County: 8.4 %Washington County8.4Green County: 8.1 %Green County8.1Carlisle County: 7.8 %Carlisle County7.8Gallatin County: 7.5 %Gallatin County7.5Hickman County: 7.4 %Hickman County7.4Owen County: 7.1 %Owen County7.1Henry County: 7 %Henry County7Garrard County: 6.6 %Garrard County6.6Edmonson County: 6.5 %Edmonson County6.5Shelby County: 6.4 %Shelby County6.4Butler County: 6.3 %Butler County6.3McLean County: 6.3 %McLean County6.3Spencer County: 6.3 %Spencer County6.3Robertson County: 6.2 %Robertson County6.2Ballard County: 6.1 %Ballard County6.1Pendleton County: 6.1 %Pendleton County6.1Crittenden County: 6 %Crittenden County6Hancock County: 6 %Hancock County6Carter County: 5.9 %Carter County5.9Monroe County: 5.9 %Monroe County5.9Bourbon County: 5.8 %Bourbon County5.8Cumberland County: 5.8 %Cumberland County5.8Logan County: 5.8 %Logan County5.8Woodford County: 5.8 %Woodford County5.8Bracken County: 5.7 %Bracken County5.7Trigg County: 5.7 %Trigg County5.7Trimble County: 5.7 %Trimble County5.7Barren County: 5.6 %Barren County5.6Jessamine County: 5.6 %Jessamine County5.6Russell County: 5.6 %Russell County5.6Larue County: 5.5 %Larue County5.5Lyon County: 5.5 %Lyon County5.5Marshall County: 5.5 %Marshall County5.5Carroll County: 5.4 %Carroll County5.4Livingston County: 5.4 %Livingston County5.4Calloway County: 5.3 %Calloway County5.3Clinton County: 5.3 %Clinton County5.3Lewis County: 5.3 %Lewis County5.3Todd County: 11.5 %Todd County11.5Webster County: 8.7 %Webster County8.7Washington County: 8.4 %Washington County8.4Green County: 8.1 %Green County8.1Carlisle County: 7.8 %Carlisle County7.8Gallatin County: 7.5 %Gallatin County7.5Hickman County: 7.4 %Hickman County7.4Owen County: 7.1 %Owen County7.1Henry County: 7 %Henry County7Garrard County: 6.6 %Garrard County6.6Edmonson County: 6.5 %Edmonson County6.5Shelby County: 6.4 %Shelby County6.4Butler County: 6.3 %Butler County6.3McLean County: 6.3 %McLean County6.3Spencer County: 6.3 %Spencer County6.3Robertson County: 6.2 %Robertson County6.2Ballard County: 6.1 %Ballard County6.1Pendleton County: 6.1 %Pendleton County6.1Crittenden County: 6 %Crittenden County6Hancock County: 6 %Hancock County6Carter County: 5.9 %Carter County5.9Monroe County: 5.9 %Monroe County5.9Bourbon County: 5.8 %Bourbon County5.8Cumberland County: 5.8 %Cumberland County5.8Logan County: 5.8 %Logan County5.8Woodford County: 5.8 %Woodford County5.8Bracken County: 5.7 %Bracken County5.7Trigg County: 5.7 %Trigg County5.7Trimble County: 5.7 %Trimble County5.7Barren County: 5.6 %Barren County5.6Jessamine County: 5.6 %Jessamine County5.6Russell County: 5.6 %Russell County5.6Larue County: 5.5 %Larue County5.5Lyon County: 5.5 %Lyon County5.5Marshall County: 5.5 %Marshall County5.5Carroll County: 5.4 %Carroll County5.4Livingston County: 5.4 %Livingston County5.4Calloway County: 5.3 %Calloway County5.3Clinton County: 5.3 %Clinton County5.3Lewis County: 5.3 %Lewis County5.3
%. 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

RankCounties2020 (%)Change on 2019
1Todd County11.5+2.4 pts
2Webster County8.7+1.5 pts
3Washington County8.4+2 pts
4Green County8.1+1.6 pts
5Carlisle County7.8+1.1 pts
6Gallatin County7.5+1.8 pts
7Hickman County7.4+2.3 pts
8Owen County7.1+1.5 pts
9Henry County7+0.9 pts
10Garrard County6.6+1.5 pts
11Edmonson County6.5+1.2 pts
12Shelby County6.4+0.1 pts
13Butler County6.3+0.5 pts
13McLean County6.3+1.2 pts
13Spencer County6.3+1.8 pts
16Robertson County6.2+1.2 pts
17Ballard County6.1+1.2 pts
17Pendleton County6.1+0.7 pts
19Crittenden County6+1.2 pts
19Hancock County6+1.8 pts
21Carter County5.9+1.6 pts
21Monroe County5.9-0.3 pts
23Bourbon County5.8-0.3 pts
23Cumberland County5.8+1.1 pts
23Logan County5.8+0.7 pts
23Woodford County5.8+0.2 pts
27Bracken County5.7+0.7 pts
27Trigg County5.7-0.7 pts
27Trimble County5.7+1.1 pts
30Barren County5.6+1.1 pts
30Jessamine County5.6+1 pts
30Russell County5.6-0.3 pts
33Larue County5.5+0.4 pts
33Lyon County5.5-1.1 pts
33Marshall County5.5+0.9 pts
36Carroll County5.4+0.2 pts
36Livingston County5.4+0.5 pts
38Calloway County5.3-0.6 pts
38Clinton County5.3+0.5 pts
38Lewis County5.3+0.6 pts
38Meade County5.3+1.4 pts
38Nicholas County5.3-0.9 pts
43Breckinridge County5.20 pts
43Casey County5.2-1.2 pts
45Anderson County5.1+0.9 pts
45Graves County5.1+0.1 pts
45Hart County5.1-0.1 pts
45Lincoln County5.1+0.3 pts
45Mason County5.1-0.3 pts
50Christian County5+0.5 pts
50Fleming County5-1.4 pts
50Grant County5+1 pts
50Harrison County5+0.4 pts
50Mercer County5+0.2 pts
50Simpson County5+0.1 pts
50Union County50 pts
57Bath County4.9-0.4 pts
58Boone County4.8+1.1 pts
58Franklin County4.8+0.4 pts
58Magoffin County4.8-0.4 pts
58Metcalfe County4.8+0.5 pts
58Muhlenberg County4.8+0.4 pts
63Allen County4.70 pts
63Caldwell County4.7+0.1 pts
63Jackson County4.7+0.3 pts
63Nelson County4.7+0.8 pts
67Daviess County4.6+0.2 pts
67Menifee County4.6+0.1 pts
69Clark County4.5+0.6 pts
69Hopkins County4.5+0.6 pts
69Marion County4.5-0.4 pts
69Morgan County4.5-0.5 pts
69Ohio County4.5+0.7 pts
69Scott County4.5+0.6 pts
69Warren County4.5-0.2 pts
76Fulton County4.4+1.1 pts
76Lawrence County4.4-0.1 pts
76Madison County4.4+0.5 pts
76Montgomery County4.4+0.4 pts
80Grayson County4.3-0.2 pts
80Henderson County4.3+0.6 pts
82Hardin County4.2+0.4 pts
82Rowan County4.2-0.2 pts
84Estill County4.1-0.3 pts
84Knott County4.1-0.6 pts
84Leslie County4.1-0.2 pts
84Letcher County4.1-0.5 pts
84McCracken County4.10 pts
84Pike County4.1-0.7 pts
84Taylor County4.1-0.1 pts
91Adair County4-0.6 pts
91Wayne County4+0.2 pts
91Wolfe County40 pts
94Boyle County3.9-0.1 pts
94Johnson County3.9-0.2 pts
96Bullitt County3.8+0.4 pts
96Rockcastle County3.8-0.2 pts
96Whitley County3.80 pts
99Laurel County3.7-0.3 pts
99Oldham County3.7+0.3 pts
99Powell County3.7-0.5 pts
102Campbell County3.6+0.5 pts
102Pulaski County3.6-1.2 pts
104Boyd County3.5+0.1 pts
104Floyd County3.5-0.4 pts
104Greenup County3.5-0.3 pts
104Lee County3.5-0.4 pts
108Martin County3.4-0.8 pts
108Perry County3.4-0.9 pts
110Clay County3.3-0.7 pts
110Kenton County3.3-0.2 pts
110Owsley County3.3-0.7 pts
113Breathitt County3.2-0.5 pts
113Elliott County3.2-0.6 pts
113Fayette County3.2-1.2 pts
113Jefferson County3.2-0.6 pts
113McCreary County3.2-0.6 pts
118Bell County3-0.8 pts
119Harlan County2.9-0.6 pts
119Knox County2.9-0.5 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2020.
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-2020-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 11.5% in 2020, according to the U.S. Census Bureau.

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

Knox County, with 2.9% in 2020.

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