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 2023, at 6.5%. Oldham County had the lowest, at 1.8%. The median was 3.7% and the figure for Kentucky was 3.3%. Source: the U.S. Census Bureau.

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Highest6.5Todd County
Lowest1.8Oldham County
Median3.7120 counties
Kentucky3.3History

Map of counties, 2023

Adair County: 3.5 %Allen County: 3.6 %Anderson County: 3.1 %Ballard County: 2.8 %Barren County: 4.5 %Bath County: 4.3 %Bell County: 3.7 %Boone County: 2.4 %Bourbon County: 4.4 %Boyd County: 2.8 %Boyle County: 3.3 %Bracken County: 3.7 %Breathitt County: 3.7 %Breckinridge County: 4.3 %Bullitt County: 2.4 %Butler County: 4.4 %Caldwell County: 3.8 %Calloway County: 3.5 %Campbell County: 2.1 %Carlisle County: 4.1 %Carroll County: 4.1 %Carter County: 4 %Casey County: 5 %Christian County: 4.6 %Clark County: 3.1 %Clay County: 4.9 %Clinton County: 3.4 %Crittenden County: 4.3 %Cumberland County: 3.9 %Daviess County: 2.9 %Edmonson County: 4 %Elliott County: 3.7 %Estill County: 4.6 %Fayette County: 3 %Fleming County: 4.9 %Floyd County: 3.8 %Franklin County: 3.5 %Fulton County: 3.3 %Gallatin County: 3.7 %Garrard County: 6.2 %Grant County: 3.6 %Graves County: 4.2 %Grayson County: 4.7 %Green County: 4.1 %Greenup County: 3.1 %Hancock County: 3.1 %Hardin County: 3.2 %Harlan County: 3.8 %Harrison County: 3.5 %Hart County: 4.3 %Henderson County: 3.5 %Henry County: 4.6 %Hickman County: 4.3 %Hopkins County: 3.3 %Jackson County: 4.4 %Jefferson County: 2.7 %Jessamine County: 3.9 %Johnson County: 3.7 %Kenton County: 2.7 %Knott County: 4.7 %Knox County: 3.4 %Larue County: 4.4 %Laurel County: 3.3 %Lawrence County: 4.1 %Lee County: 4.7 %Leslie County: 3 %Letcher County: 3.9 %Lewis County: 5.3 %Lincoln County: 4.7 %Livingston County: 3.1 %Logan County: 3.8 %Lyon County: 4.5 %McCracken County: 3.1 %McCreary County: 4.2 %McLean County: 4 %Madison County: 2.8 %Magoffin County: 4.4 %Marion County: 3.7 %Marshall County: 3.2 %Martin County: 3.8 %Mason County: 3.7 %Meade County: 3.3 %Menifee County: 3.7 %Mercer County: 3.4 %Metcalfe County: 3.8 %Monroe County: 4.3 %Montgomery County: 3.6 %Morgan County: 4.3 %Muhlenberg County: 3.6 %Nelson County: 3.1 %Nicholas County: 4.5 %Ohio County: 4 %Oldham County: 1.8 %Owen County: 4.4 %Owsley County: 3.9 %Pendleton County: 3.8 %Perry County: 3.2 %Pike County: 4.1 %Powell County: 4.1 %Pulaski County: 3.5 %Robertson County: 3.9 %Rockcastle County: 3.7 %Rowan County: 3.5 %Russell County: 3.9 %Scott County: 2.4 %Shelby County: 3.2 %Simpson County: 3.5 %Spencer County: 3 %Taylor County: 3.2 %Todd County: 6.5 %Trigg County: 5.1 %Trimble County: 3.6 %Union County: 3.6 %Warren County: 3.7 %Washington County: 3.5 %Wayne County: 3.8 %Webster County: 4.7 %Whitley County: 3.5 %Wolfe County: 5.2 %Woodford County: 3.7 %
  • Under 3.1
  • 3.1 to 3.5
  • 3.5 to 3.7
  • 3.7 to 4
  • 4 to 4.4
  • 4.4 and over
%, 2023. 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, 2023

Todd County: 6.5 %Todd County6.5Garrard County: 6.2 %Garrard County6.2Lewis County: 5.3 %Lewis County5.3Wolfe County: 5.2 %Wolfe County5.2Trigg County: 5.1 %Trigg County5.1Casey County: 5 %Casey County5Clay County: 4.9 %Clay County4.9Fleming County: 4.9 %Fleming County4.9Grayson County: 4.7 %Grayson County4.7Knott County: 4.7 %Knott County4.7Lee County: 4.7 %Lee County4.7Lincoln County: 4.7 %Lincoln County4.7Webster County: 4.7 %Webster County4.7Christian County: 4.6 %Christian County4.6Estill County: 4.6 %Estill County4.6Henry County: 4.6 %Henry County4.6Barren County: 4.5 %Barren County4.5Lyon County: 4.5 %Lyon County4.5Nicholas County: 4.5 %Nicholas County4.5Bourbon County: 4.4 %Bourbon County4.4Butler County: 4.4 %Butler County4.4Jackson County: 4.4 %Jackson County4.4Larue County: 4.4 %Larue County4.4Magoffin County: 4.4 %Magoffin County4.4Owen County: 4.4 %Owen County4.4Bath County: 4.3 %Bath County4.3Breckinridge County: 4.3 %Breckinridge County4.3Crittenden County: 4.3 %Crittenden County4.3Hart County: 4.3 %Hart County4.3Hickman County: 4.3 %Hickman County4.3Monroe County: 4.3 %Monroe County4.3Morgan County: 4.3 %Morgan County4.3Graves County: 4.2 %Graves County4.2McCreary County: 4.2 %McCreary County4.2Carlisle County: 4.1 %Carlisle County4.1Carroll County: 4.1 %Carroll County4.1Green County: 4.1 %Green County4.1Lawrence County: 4.1 %Lawrence County4.1Pike County: 4.1 %Pike County4.1Powell County: 4.1 %Powell County4.1Todd County: 6.5 %Todd County6.5Garrard County: 6.2 %Garrard County6.2Lewis County: 5.3 %Lewis County5.3Wolfe County: 5.2 %Wolfe County5.2Trigg County: 5.1 %Trigg County5.1Casey County: 5 %Casey County5Clay County: 4.9 %Clay County4.9Fleming County: 4.9 %Fleming County4.9Grayson County: 4.7 %Grayson County4.7Knott County: 4.7 %Knott County4.7Lee County: 4.7 %Lee County4.7Lincoln County: 4.7 %Lincoln County4.7Webster County: 4.7 %Webster County4.7Christian County: 4.6 %Christian County4.6Estill County: 4.6 %Estill County4.6Henry County: 4.6 %Henry County4.6Barren County: 4.5 %Barren County4.5Lyon County: 4.5 %Lyon County4.5Nicholas County: 4.5 %Nicholas County4.5Bourbon County: 4.4 %Bourbon County4.4Butler County: 4.4 %Butler County4.4Jackson County: 4.4 %Jackson County4.4Larue County: 4.4 %Larue County4.4Magoffin County: 4.4 %Magoffin County4.4Owen County: 4.4 %Owen County4.4Bath County: 4.3 %Bath County4.3Breckinridge County: 4.3 %Breckinridge County4.3Crittenden County: 4.3 %Crittenden County4.3Hart County: 4.3 %Hart County4.3Hickman County: 4.3 %Hickman County4.3Monroe County: 4.3 %Monroe County4.3Morgan County: 4.3 %Morgan County4.3Graves County: 4.2 %Graves County4.2McCreary County: 4.2 %McCreary County4.2Carlisle County: 4.1 %Carlisle County4.1Carroll County: 4.1 %Carroll County4.1Green County: 4.1 %Green County4.1Lawrence County: 4.1 %Lawrence County4.1Pike County: 4.1 %Pike County4.1Powell County: 4.1 %Powell County4.1
%. 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

RankCounties2023 (%)Change on 2022
1Todd County6.5-4.6 pts
2Garrard County6.2-0.3 pts
3Lewis County5.3+0.5 pts
4Wolfe County5.2+0.6 pts
5Trigg County5.1-2.1 pts
6Casey County5-1 pts
7Clay County4.9+0.4 pts
7Fleming County4.9-0.6 pts
9Grayson County4.7-0.4 pts
9Knott County4.70 pts
9Lee County4.7+1.3 pts
9Lincoln County4.70 pts
9Webster County4.7-1.8 pts
14Christian County4.6-0.4 pts
14Estill County4.6-0.5 pts
14Henry County4.6-0.9 pts
17Barren County4.5-1.6 pts
17Lyon County4.5-1.5 pts
17Nicholas County4.5-0.3 pts
20Bourbon County4.4-0.8 pts
20Butler County4.4-1.7 pts
20Jackson County4.4-0.5 pts
20Larue County4.4-1.3 pts
20Magoffin County4.4-0.1 pts
20Owen County4.4-1.7 pts
26Bath County4.3-0.3 pts
26Breckinridge County4.3-3.5 pts
26Crittenden County4.3-1.9 pts
26Hart County4.3-0.7 pts
26Hickman County4.3-1 pts
26Monroe County4.3-1.3 pts
26Morgan County4.3-0.8 pts
33Graves County4.2-1.1 pts
33McCreary County4.2-0.8 pts
35Carlisle County4.1-1.7 pts
35Carroll County4.1-0.8 pts
35Green County4.1-1.3 pts
35Lawrence County4.1-0.8 pts
35Pike County4.1-0.4 pts
35Powell County4.1-0.4 pts
41Carter County4-0.4 pts
41Edmonson County4-1.1 pts
41McLean County4-1.2 pts
41Ohio County4-0.9 pts
45Cumberland County3.9-0.7 pts
45Jessamine County3.9-0.9 pts
45Letcher County3.9-0.4 pts
45Owsley County3.9-0.1 pts
45Robertson County3.9-1.3 pts
45Russell County3.9-0.8 pts
51Caldwell County3.8-1 pts
51Floyd County3.8-0.5 pts
51Harlan County3.8+0.1 pts
51Logan County3.8-0.3 pts
51Martin County3.8-0.1 pts
51Metcalfe County3.8-0.6 pts
51Pendleton County3.8-1.7 pts
51Wayne County3.8-0.2 pts
59Bell County3.7-0.1 pts
59Bracken County3.7-0.9 pts
59Breathitt County3.7-0.2 pts
59Elliott County3.7+1 pts
59Gallatin County3.7-1.4 pts
59Johnson County3.7-0.6 pts
59Marion County3.7-0.4 pts
59Mason County3.7-1.7 pts
59Menifee County3.70 pts
59Rockcastle County3.7-0.7 pts
59Warren County3.7-1.8 pts
59Woodford County3.7-0.1 pts
71Allen County3.6-0.5 pts
71Grant County3.6-1.5 pts
71Montgomery County3.6-1 pts
71Muhlenberg County3.6-0.6 pts
71Trimble County3.6-1.4 pts
71Union County3.6-1.5 pts
77Adair County3.5-0.8 pts
77Calloway County3.5-0.9 pts
77Franklin County3.5-1 pts
77Harrison County3.5-0.8 pts
77Henderson County3.5-1.3 pts
77Pulaski County3.5-0.5 pts
77Rowan County3.5-0.7 pts
77Simpson County3.5-0.7 pts
77Washington County3.5-1.6 pts
77Whitley County3.5-0.3 pts
87Clinton County3.4-1.7 pts
87Knox County3.4-1 pts
87Mercer County3.4-0.8 pts
90Boyle County3.3-0.7 pts
90Fulton County3.3-1.1 pts
90Hopkins County3.3-1.1 pts
90Laurel County3.3-1.4 pts
90Meade County3.3-1.5 pts
95Hardin County3.2-0.8 pts
95Marshall County3.2-0.9 pts
95Perry County3.2-0.7 pts
95Shelby County3.2-1.2 pts
95Taylor County3.2-1.1 pts
100Anderson County3.1-1.2 pts
100Clark County3.1-1.2 pts
100Greenup County3.1-0.7 pts
100Hancock County3.1-1.1 pts
100Livingston County3.1-0.7 pts
100McCracken County3.1-1.3 pts
100Nelson County3.1-0.7 pts
107Fayette County3-1 pts
107Leslie County3-0.2 pts
107Spencer County3-1.2 pts
110Daviess County2.9-1.4 pts
111Ballard County2.8-2.3 pts
111Boyd County2.8-1.2 pts
111Madison County2.8-1 pts
114Jefferson County2.7-0.7 pts
114Kenton County2.7-0.6 pts
116Boone County2.4-1.1 pts
116Bullitt County2.4-1 pts
116Scott County2.4-0.7 pts
119Campbell County2.1-1.2 pts
120Oldham County1.8-0.9 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-counties?period=2023.
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-2023-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 6.5% in 2023, according to the U.S. Census Bureau.

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

Oldham County, with 1.8% 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, 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