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

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

Colfax County had the highest uninsured rate, under 19 (US model-based estimate) of 93 counties in 2020, at 11.6%. Sarpy County had the lowest, at 3.5%. The median was 6.1% and the figure for Nebraska was 5.3%. Source: the U.S. Census Bureau.

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Highest11.6Colfax County
Lowest3.5Sarpy County
Median6.193 counties
Nebraska5.3History

Map of counties, 2020

Adams County: 5.5 %Antelope County: 8 %Arthur County: 3.5 %Banner County: 4.8 %Blaine County: 6.7 %Boone County: 5.6 %Box Butte County: 7.4 %Boyd County: 4.9 %Brown County: 7.3 %Buffalo County: 4.9 %Burt County: 8.4 %Butler County: 5.5 %Cass County: 4.6 %Cedar County: 6 %Chase County: 11.3 %Cherry County: 5.9 %Cheyenne County: 4.8 %Clay County: 8 %Colfax County: 11.6 %Cuming County: 7.4 %Custer County: 6.1 %Dakota County: 8.3 %Dawes County: 5.2 %Dawson County: 9.7 %Deuel County: 7.3 %Dixon County: 11.6 %Dodge County: 6 %Douglas County: 4.9 %Dundy County: 10.9 %Fillmore County: 5.8 %Franklin County: 5.3 %Frontier County: 4.8 %Furnas County: 7.6 %Gage County: 5 %Garden County: 6.3 %Garfield County: 5.3 %Gosper County: 8.3 %Grant County: 6.2 %Greeley County: 7.1 %Hall County: 7.1 %Hamilton County: 4.9 %Harlan County: 6.7 %Hayes County: 8.3 %Hitchcock County: 7 %Holt County: 4.6 %Hooker County: 10 %Howard County: 5.3 %Jefferson County: 6.2 %Johnson County: 6.5 %Kearney County: 5.7 %Keith County: 5.6 %Keya Paha County: 4.6 %Kimball County: 8.8 %Knox County: 7.2 %Lancaster County: 4.1 %Lincoln County: 5.1 %Logan County: 7.4 %Loup County: 6.1 %McPherson County: 6.1 %Madison County: 6.6 %Merrick County: 5.3 %Morrill County: 8.5 %Nance County: 5.6 %Nemaha County: 5.1 %Nuckolls County: 6.9 %Otoe County: 5.1 %Pawnee County: 7.1 %Perkins County: 9.7 %Phelps County: 5.9 %Pierce County: 4.7 %Platte County: 6.9 %Polk County: 8.4 %Red Willow County: 5.9 %Richardson County: 5.8 %Rock County: 4.7 %Saline County: 8.3 %Sarpy County: 3.5 %Saunders County: 4.5 %Scotts Bluff County: 6.4 %Seward County: 5.1 %Sheridan County: 8 %Sherman County: 5.9 %Sioux County: 5.4 %Stanton County: 6.4 %Thayer County: 6.9 %Thomas County: 6.9 %Thurston County: 7 %Valley County: 6.9 %Washington County: 4.3 %Wayne County: 5.2 %Webster County: 5.3 %Wheeler County: 5.9 %York County: 4.8 %
  • Under 4.9
  • 4.9 to 5.5
  • 5.5 to 6.1
  • 6.1 to 6.9
  • 6.9 to 8
  • 8 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

Colfax County: 11.6 %Colfax County11.6Dixon County: 11.6 %Dixon County11.6Chase County: 11.3 %Chase County11.3Dundy County: 10.9 %Dundy County10.9Hooker County: 10 %Hooker County10Dawson County: 9.7 %Dawson County9.7Perkins County: 9.7 %Perkins County9.7Kimball County: 8.8 %Kimball County8.8Morrill County: 8.5 %Morrill County8.5Burt County: 8.4 %Burt County8.4Polk County: 8.4 %Polk County8.4Dakota County: 8.3 %Dakota County8.3Gosper County: 8.3 %Gosper County8.3Hayes County: 8.3 %Hayes County8.3Saline County: 8.3 %Saline County8.3Antelope County: 8 %Antelope County8Clay County: 8 %Clay County8Sheridan County: 8 %Sheridan County8Furnas County: 7.6 %Furnas County7.6Box Butte County: 7.4 %Box Butte County7.4Cuming County: 7.4 %Cuming County7.4Logan County: 7.4 %Logan County7.4Brown County: 7.3 %Brown County7.3Deuel County: 7.3 %Deuel County7.3Knox County: 7.2 %Knox County7.2Greeley County: 7.1 %Greeley County7.1Hall County: 7.1 %Hall County7.1Pawnee County: 7.1 %Pawnee County7.1Hitchcock County: 7 %Hitchcock County7Thurston County: 7 %Thurston County7Nuckolls County: 6.9 %Nuckolls County6.9Platte County: 6.9 %Platte County6.9Thayer County: 6.9 %Thayer County6.9Thomas County: 6.9 %Thomas County6.9Valley County: 6.9 %Valley County6.9Blaine County: 6.7 %Blaine County6.7Harlan County: 6.7 %Harlan County6.7Madison County: 6.6 %Madison County6.6Johnson County: 6.5 %Johnson County6.5Scotts Bluff County: 6.4 %Scotts Bluff County6.4Colfax County: 11.6 %Colfax County11.6Dixon County: 11.6 %Dixon County11.6Chase County: 11.3 %Chase County11.3Dundy County: 10.9 %Dundy County10.9Hooker County: 10 %Hooker County10Dawson County: 9.7 %Dawson County9.7Perkins County: 9.7 %Perkins County9.7Kimball County: 8.8 %Kimball County8.8Morrill County: 8.5 %Morrill County8.5Burt County: 8.4 %Burt County8.4Polk County: 8.4 %Polk County8.4Dakota County: 8.3 %Dakota County8.3Gosper County: 8.3 %Gosper County8.3Hayes County: 8.3 %Hayes County8.3Saline County: 8.3 %Saline County8.3Antelope County: 8 %Antelope County8Clay County: 8 %Clay County8Sheridan County: 8 %Sheridan County8Furnas County: 7.6 %Furnas County7.6Box Butte County: 7.4 %Box Butte County7.4Cuming County: 7.4 %Cuming County7.4Logan County: 7.4 %Logan County7.4Brown County: 7.3 %Brown County7.3Deuel County: 7.3 %Deuel County7.3Knox County: 7.2 %Knox County7.2Greeley County: 7.1 %Greeley County7.1Hall County: 7.1 %Hall County7.1Pawnee County: 7.1 %Pawnee County7.1Hitchcock County: 7 %Hitchcock County7Thurston County: 7 %Thurston County7Nuckolls County: 6.9 %Nuckolls County6.9Platte County: 6.9 %Platte County6.9Thayer County: 6.9 %Thayer County6.9Thomas County: 6.9 %Thomas County6.9Valley County: 6.9 %Valley County6.9Blaine County: 6.7 %Blaine County6.7Harlan County: 6.7 %Harlan County6.7Madison County: 6.6 %Madison County6.6Johnson County: 6.5 %Johnson County6.5Scotts Bluff County: 6.4 %Scotts Bluff County6.4
%. 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
1Colfax County11.6+1.5 pts
1Dixon County11.6+3.6 pts
3Chase County11.3+0.9 pts
4Dundy County10.9-3.3 pts
5Hooker County10+2.6 pts
6Dawson County9.7+2.6 pts
6Perkins County9.7+1.1 pts
8Kimball County8.8+1.2 pts
9Morrill County8.5+0.6 pts
10Burt County8.4+1.4 pts
10Polk County8.4+1.1 pts
12Dakota County8.3+0.5 pts
12Gosper County8.3+2.2 pts
12Hayes County8.3-7.7 pts
12Saline County8.3+0.7 pts
16Antelope County8+0.5 pts
16Clay County8+0.8 pts
16Sheridan County8-1.4 pts
19Furnas County7.6+0.5 pts
20Box Butte County7.4+1.3 pts
20Cuming County7.4+0.3 pts
20Logan County7.4-0.8 pts
23Brown County7.3-4 pts
23Deuel County7.3+0.9 pts
25Knox County7.2-0.9 pts
26Greeley County7.1-2.2 pts
26Hall County7.1+0.7 pts
26Pawnee County7.1-0.8 pts
29Hitchcock County7-1 pts
29Thurston County7-0.4 pts
31Nuckolls County6.9-1.3 pts
31Platte County6.9+0.6 pts
31Thayer County6.9+0.3 pts
31Thomas County6.9-3.6 pts
31Valley County6.9-0.7 pts
36Blaine County6.7-12.1 pts
36Harlan County6.7-0.2 pts
38Madison County6.6-0.1 pts
39Johnson County6.5-0.2 pts
40Scotts Bluff County6.4+0.5 pts
40Stanton County6.4+1.2 pts
42Garden County6.3-3.2 pts
43Grant County6.2-3.4 pts
43Jefferson County6.2+1.3 pts
45Custer County6.1-0.5 pts
45Loup County6.1-5.2 pts
45McPherson County6.1-3.3 pts
48Cedar County6-1.2 pts
48Dodge County6+0.7 pts
50Cherry County5.9-4 pts
50Phelps County5.9+0.7 pts
50Red Willow County5.9-0.1 pts
50Sherman County5.9-3.3 pts
50Wheeler County5.9-5.7 pts
55Fillmore County5.8+0.4 pts
55Richardson County5.8+0.4 pts
57Kearney County5.7+0.9 pts
58Boone County5.6-2.1 pts
58Keith County5.6-0.1 pts
58Nance County5.6-0.8 pts
61Adams County5.5+0.3 pts
61Butler County5.5+0.8 pts
63Sioux County5.4-7.9 pts
64Franklin County5.3-1.7 pts
64Garfield County5.3-4.8 pts
64Howard County5.3-1.5 pts
64Merrick County5.3-0.1 pts
64Webster County5.3-0.4 pts
69Dawes County5.2-0.1 pts
69Wayne County5.2+0.7 pts
71Lincoln County5.1+0.3 pts
71Nemaha County5.1+0.6 pts
71Otoe County5.1-0.3 pts
71Seward County5.1+0.3 pts
75Gage County5+0.5 pts
76Boyd County4.9-4.6 pts
76Buffalo County4.9-0.5 pts
76Douglas County4.90 pts
76Hamilton County4.9+0.5 pts
80Banner County4.8-2.5 pts
80Cheyenne County4.8+0.4 pts
80Frontier County4.8-2.6 pts
80York County4.8-0.1 pts
84Pierce County4.7-1.4 pts
84Rock County4.7-5.3 pts
86Cass County4.6+0.8 pts
86Holt County4.6-1.6 pts
86Keya Paha County4.6-12.7 pts
89Saunders County4.5-0.3 pts
90Washington County4.3-0.5 pts
91Lancaster County4.1-0.5 pts
92Arthur County3.5-9.4 pts
92Sarpy County3.5+0.6 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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/nebraska-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)?

Colfax County, with 11.6% in 2020, according to the U.S. Census Bureau.

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

Sarpy County, with 3.5% 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 Nebraska: more rankings