Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in Kentucky

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 2021, at 8.4%. Elliott County had the lowest, at 2.4%. The median was 4.2% and the figure for Kentucky was 3.9%. Source: the U.S. Census Bureau.

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Highest8.4Todd County
Lowest2.4Elliott County
Median4.2120 counties
Kentucky3.9History

Map of counties, 2021

Adair County: 4.6 %Allen County: 4.9 %Anderson County: 4.3 %Ballard County: 5.1 %Barren County: 4.1 %Bath County: 4.6 %Bell County: 3.5 %Boone County: 3.1 %Bourbon County: 4.9 %Boyd County: 3.7 %Boyle County: 3.7 %Bracken County: 5 %Breathitt County: 3.3 %Breckinridge County: 4.7 %Bullitt County: 3.2 %Butler County: 6.4 %Caldwell County: 4.2 %Calloway County: 4.9 %Campbell County: 2.9 %Carlisle County: 5.9 %Carroll County: 5.1 %Carter County: 4.1 %Casey County: 4.5 %Christian County: 4 %Clark County: 3.7 %Clay County: 3.9 %Clinton County: 4.7 %Crittenden County: 4.8 %Cumberland County: 4.2 %Daviess County: 4 %Edmonson County: 5.4 %Elliott County: 2.4 %Estill County: 4.9 %Fayette County: 3.9 %Fleming County: 5.3 %Floyd County: 3.8 %Franklin County: 4.6 %Fulton County: 3.9 %Gallatin County: 6.1 %Garrard County: 5.7 %Grant County: 4.3 %Graves County: 4.6 %Grayson County: 3.9 %Green County: 5.5 %Greenup County: 3.9 %Hancock County: 4.4 %Hardin County: 3.7 %Harlan County: 2.9 %Harrison County: 4.4 %Hart County: 4.3 %Henderson County: 4 %Henry County: 6.6 %Hickman County: 6.7 %Hopkins County: 4.1 %Jackson County: 4.7 %Jefferson County: 3.3 %Jessamine County: 5.1 %Johnson County: 3.9 %Kenton County: 3.3 %Knott County: 4.6 %Knox County: 3.4 %Larue County: 5.5 %Laurel County: 4.1 %Lawrence County: 4.2 %Lee County: 2.8 %Leslie County: 3.6 %Letcher County: 4.1 %Lewis County: 4.5 %Lincoln County: 4.4 %Livingston County: 4.4 %Logan County: 5.6 %Lyon County: 4.8 %McCracken County: 3.5 %McCreary County: 3.6 %McLean County: 5.5 %Madison County: 3.9 %Magoffin County: 4.4 %Marion County: 4.2 %Marshall County: 4.1 %Martin County: 3.4 %Mason County: 4.3 %Meade County: 4.2 %Menifee County: 4.1 %Mercer County: 4.4 %Metcalfe County: 3.8 %Monroe County: 4.9 %Montgomery County: 3.8 %Morgan County: 3.4 %Muhlenberg County: 4 %Nelson County: 3.3 %Nicholas County: 4.7 %Ohio County: 4.1 %Oldham County: 2.7 %Owen County: 5.8 %Owsley County: 4 %Pendleton County: 5.5 %Perry County: 3.4 %Pike County: 3.7 %Powell County: 3.5 %Pulaski County: 3.8 %Robertson County: 5.8 %Rockcastle County: 3.9 %Rowan County: 3.9 %Russell County: 4.6 %Scott County: 3.5 %Shelby County: 5.4 %Simpson County: 3.7 %Spencer County: 4.4 %Taylor County: 3.5 %Todd County: 8.4 %Trigg County: 4.5 %Trimble County: 4.8 %Union County: 3.9 %Warren County: 4.3 %Washington County: 5.6 %Wayne County: 3.6 %Webster County: 6.5 %Whitley County: 3.4 %Wolfe County: 4.7 %Woodford County: 4.6 %
  • Under 3.5
  • 3.5 to 3.9
  • 3.9 to 4.2
  • 4.2 to 4.6
  • 4.6 to 5.1
  • 5.1 and over
%, 2021. 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, 2021

Todd County: 8.4 %Todd County8.4Hickman County: 6.7 %Hickman County6.7Henry County: 6.6 %Henry County6.6Webster County: 6.5 %Webster County6.5Butler County: 6.4 %Butler County6.4Gallatin County: 6.1 %Gallatin County6.1Carlisle County: 5.9 %Carlisle County5.9Owen County: 5.8 %Owen County5.8Robertson County: 5.8 %Robertson County5.8Garrard County: 5.7 %Garrard County5.7Logan County: 5.6 %Logan County5.6Washington County: 5.6 %Washington County5.6Green County: 5.5 %Green County5.5Larue County: 5.5 %Larue County5.5McLean County: 5.5 %McLean County5.5Pendleton County: 5.5 %Pendleton County5.5Edmonson County: 5.4 %Edmonson County5.4Shelby County: 5.4 %Shelby County5.4Fleming County: 5.3 %Fleming County5.3Ballard County: 5.1 %Ballard County5.1Carroll County: 5.1 %Carroll County5.1Jessamine County: 5.1 %Jessamine County5.1Bracken County: 5 %Bracken County5Allen County: 4.9 %Allen County4.9Bourbon County: 4.9 %Bourbon County4.9Calloway County: 4.9 %Calloway County4.9Estill County: 4.9 %Estill County4.9Monroe County: 4.9 %Monroe County4.9Crittenden County: 4.8 %Crittenden County4.8Lyon County: 4.8 %Lyon County4.8Trimble County: 4.8 %Trimble County4.8Breckinridge County: 4.7 %Breckinridge County4.7Clinton County: 4.7 %Clinton County4.7Jackson County: 4.7 %Jackson County4.7Nicholas County: 4.7 %Nicholas County4.7Wolfe County: 4.7 %Wolfe County4.7Adair County: 4.6 %Adair County4.6Bath County: 4.6 %Bath County4.6Franklin County: 4.6 %Franklin County4.6Graves County: 4.6 %Graves County4.6Todd County: 8.4 %Todd County8.4Hickman County: 6.7 %Hickman County6.7Henry County: 6.6 %Henry County6.6Webster County: 6.5 %Webster County6.5Butler County: 6.4 %Butler County6.4Gallatin County: 6.1 %Gallatin County6.1Carlisle County: 5.9 %Carlisle County5.9Owen County: 5.8 %Owen County5.8Robertson County: 5.8 %Robertson County5.8Garrard County: 5.7 %Garrard County5.7Logan County: 5.6 %Logan County5.6Washington County: 5.6 %Washington County5.6Green County: 5.5 %Green County5.5Larue County: 5.5 %Larue County5.5McLean County: 5.5 %McLean County5.5Pendleton County: 5.5 %Pendleton County5.5Edmonson County: 5.4 %Edmonson County5.4Shelby County: 5.4 %Shelby County5.4Fleming County: 5.3 %Fleming County5.3Ballard County: 5.1 %Ballard County5.1Carroll County: 5.1 %Carroll County5.1Jessamine County: 5.1 %Jessamine County5.1Bracken County: 5 %Bracken County5Allen County: 4.9 %Allen County4.9Bourbon County: 4.9 %Bourbon County4.9Calloway County: 4.9 %Calloway County4.9Estill County: 4.9 %Estill County4.9Monroe County: 4.9 %Monroe County4.9Crittenden County: 4.8 %Crittenden County4.8Lyon County: 4.8 %Lyon County4.8Trimble County: 4.8 %Trimble County4.8Breckinridge County: 4.7 %Breckinridge County4.7Clinton County: 4.7 %Clinton County4.7Jackson County: 4.7 %Jackson County4.7Nicholas County: 4.7 %Nicholas County4.7Wolfe County: 4.7 %Wolfe County4.7Adair County: 4.6 %Adair County4.6Bath County: 4.6 %Bath County4.6Franklin County: 4.6 %Franklin County4.6Graves County: 4.6 %Graves County4.6
%. 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

RankCounties2021 (%)Change on 2020
1Todd County8.4-3.1 pts
2Hickman County6.7-0.7 pts
3Henry County6.6-0.4 pts
4Webster County6.5-2.2 pts
5Butler County6.4+0.1 pts
6Gallatin County6.1-1.4 pts
7Carlisle County5.9-1.9 pts
8Owen County5.8-1.3 pts
8Robertson County5.8-0.4 pts
10Garrard County5.7-0.9 pts
11Logan County5.6-0.2 pts
11Washington County5.6-2.8 pts
13Green County5.5-2.6 pts
13Larue County5.50 pts
13McLean County5.5-0.8 pts
13Pendleton County5.5-0.6 pts
17Edmonson County5.4-1.1 pts
17Shelby County5.4-1 pts
19Fleming County5.3+0.3 pts
20Ballard County5.1-1 pts
20Carroll County5.1-0.3 pts
20Jessamine County5.1-0.5 pts
23Bracken County5-0.7 pts
24Allen County4.9+0.2 pts
24Bourbon County4.9-0.9 pts
24Calloway County4.9-0.4 pts
24Estill County4.9+0.8 pts
24Monroe County4.9-1 pts
29Crittenden County4.8-1.2 pts
29Lyon County4.8-0.7 pts
29Trimble County4.8-0.9 pts
32Breckinridge County4.7-0.5 pts
32Clinton County4.7-0.6 pts
32Jackson County4.70 pts
32Nicholas County4.7-0.6 pts
32Wolfe County4.7+0.7 pts
37Adair County4.6+0.6 pts
37Bath County4.6-0.3 pts
37Franklin County4.6-0.2 pts
37Graves County4.6-0.5 pts
37Knott County4.6+0.5 pts
37Russell County4.6-1 pts
37Woodford County4.6-1.2 pts
44Casey County4.5-0.7 pts
44Lewis County4.5-0.8 pts
44Trigg County4.5-1.2 pts
47Hancock County4.4-1.6 pts
47Harrison County4.4-0.6 pts
47Lincoln County4.4-0.7 pts
47Livingston County4.4-1 pts
47Magoffin County4.4-0.4 pts
47Mercer County4.4-0.6 pts
47Spencer County4.4-1.9 pts
54Anderson County4.3-0.8 pts
54Grant County4.3-0.7 pts
54Hart County4.3-0.8 pts
54Mason County4.3-0.8 pts
54Warren County4.3-0.2 pts
59Caldwell County4.2-0.5 pts
59Cumberland County4.2-1.6 pts
59Lawrence County4.2-0.2 pts
59Marion County4.2-0.3 pts
59Meade County4.2-1.1 pts
64Barren County4.1-1.5 pts
64Carter County4.1-1.8 pts
64Hopkins County4.1-0.4 pts
64Laurel County4.1+0.4 pts
64Letcher County4.10 pts
64Marshall County4.1-1.4 pts
64Menifee County4.1-0.5 pts
64Ohio County4.1-0.4 pts
72Christian County4-1 pts
72Daviess County4-0.6 pts
72Henderson County4-0.3 pts
72Muhlenberg County4-0.8 pts
72Owsley County4+0.7 pts
77Clay County3.9+0.6 pts
77Fayette County3.9+0.7 pts
77Fulton County3.9-0.5 pts
77Grayson County3.9-0.4 pts
77Greenup County3.9+0.4 pts
77Johnson County3.90 pts
77Madison County3.9-0.5 pts
77Rockcastle County3.9+0.1 pts
77Rowan County3.9-0.3 pts
77Union County3.9-1.1 pts
87Floyd County3.8+0.3 pts
87Metcalfe County3.8-1 pts
87Montgomery County3.8-0.6 pts
87Pulaski County3.8+0.2 pts
91Boyd County3.7+0.2 pts
91Boyle County3.7-0.2 pts
91Clark County3.7-0.8 pts
91Hardin County3.7-0.5 pts
91Pike County3.7-0.4 pts
91Simpson County3.7-1.3 pts
97Leslie County3.6-0.5 pts
97McCreary County3.6+0.4 pts
97Wayne County3.6-0.4 pts
100Bell County3.5+0.5 pts
100McCracken County3.5-0.6 pts
100Powell County3.5-0.2 pts
100Scott County3.5-1 pts
100Taylor County3.5-0.6 pts
105Knox County3.4+0.5 pts
105Martin County3.40 pts
105Morgan County3.4-1.1 pts
105Perry County3.40 pts
105Whitley County3.4-0.4 pts
110Breathitt County3.3+0.1 pts
110Jefferson County3.3+0.1 pts
110Kenton County3.30 pts
110Nelson County3.3-1.4 pts
114Bullitt County3.2-0.6 pts
115Boone County3.1-1.7 pts
116Campbell County2.9-0.7 pts
116Harlan County2.90 pts
118Lee County2.8-0.7 pts
119Oldham County2.7-1 pts
120Elliott County2.4-0.8 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2021.
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-2021-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 8.4% in 2021, according to the U.S. Census Bureau.

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

Elliott County, with 2.4% 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, 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