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 2021, at 12.2%. Loup County had the lowest, at 2.5%. The median was 5.4% and the figure for Nebraska was 4.8%. Source: the U.S. Census Bureau.

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Highest12.2Colfax County
Lowest2.5Loup County
Median5.493 counties
Nebraska4.8History

Map of counties, 2021

Adams County: 5.1 %Antelope County: 7 %Arthur County: 4.3 %Banner County: 3.6 %Blaine County: 4.2 %Boone County: 5.1 %Box Butte County: 7 %Boyd County: 4.9 %Brown County: 6 %Buffalo County: 5 %Burt County: 7.2 %Butler County: 5.1 %Cass County: 5.9 %Cedar County: 5.6 %Chase County: 9.7 %Cherry County: 4.4 %Cheyenne County: 4 %Clay County: 7.5 %Colfax County: 12.2 %Cuming County: 7.3 %Custer County: 5.3 %Dakota County: 7.5 %Dawes County: 5 %Dawson County: 8.2 %Deuel County: 5.3 %Dixon County: 8 %Dodge County: 5.8 %Douglas County: 4.6 %Dundy County: 9 %Fillmore County: 5.6 %Franklin County: 4.9 %Frontier County: 4.3 %Furnas County: 6.9 %Gage County: 5.2 %Garden County: 5.4 %Garfield County: 4 %Gosper County: 7.7 %Grant County: 5.6 %Greeley County: 6.7 %Hall County: 7.2 %Hamilton County: 3.8 %Harlan County: 6 %Hayes County: 8.7 %Hitchcock County: 5.6 %Holt County: 4.3 %Hooker County: 5.9 %Howard County: 4.8 %Jefferson County: 4.9 %Johnson County: 4.4 %Kearney County: 4.5 %Keith County: 6 %Keya Paha County: 6 %Kimball County: 8.7 %Knox County: 5.6 %Lancaster County: 4 %Lincoln County: 4.3 %Logan County: 5.6 %Loup County: 2.5 %McPherson County: 6.8 %Madison County: 5.9 %Merrick County: 5.1 %Morrill County: 6.6 %Nance County: 4.6 %Nemaha County: 5.6 %Nuckolls County: 7.5 %Otoe County: 4.9 %Pawnee County: 7.2 %Perkins County: 9.1 %Phelps County: 5.4 %Pierce County: 4.1 %Platte County: 5.7 %Polk County: 9 %Red Willow County: 4.7 %Richardson County: 5.2 %Rock County: 5.1 %Saline County: 8.1 %Sarpy County: 2.8 %Saunders County: 4.3 %Scotts Bluff County: 5.7 %Seward County: 4.1 %Sheridan County: 7.8 %Sherman County: 4.9 %Sioux County: 5.8 %Stanton County: 4.7 %Thayer County: 6.2 %Thomas County: 4.3 %Thurston County: 5 %Valley County: 6.7 %Washington County: 4.2 %Wayne County: 4.3 %Webster County: 4.8 %Wheeler County: 5.6 %York County: 3.6 %
  • Under 4.3
  • 4.3 to 4.9
  • 4.9 to 5.4
  • 5.4 to 5.9
  • 5.9 to 7.3
  • 7.3 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

Colfax County: 12.2 %Colfax County12.2Chase County: 9.7 %Chase County9.7Perkins County: 9.1 %Perkins County9.1Dundy County: 9 %Dundy County9Polk County: 9 %Polk County9Hayes County: 8.7 %Hayes County8.7Kimball County: 8.7 %Kimball County8.7Dawson County: 8.2 %Dawson County8.2Saline County: 8.1 %Saline County8.1Dixon County: 8 %Dixon County8Sheridan County: 7.8 %Sheridan County7.8Gosper County: 7.7 %Gosper County7.7Clay County: 7.5 %Clay County7.5Dakota County: 7.5 %Dakota County7.5Nuckolls County: 7.5 %Nuckolls County7.5Cuming County: 7.3 %Cuming County7.3Burt County: 7.2 %Burt County7.2Hall County: 7.2 %Hall County7.2Pawnee County: 7.2 %Pawnee County7.2Antelope County: 7 %Antelope County7Box Butte County: 7 %Box Butte County7Furnas County: 6.9 %Furnas County6.9McPherson County: 6.8 %McPherson County6.8Greeley County: 6.7 %Greeley County6.7Valley County: 6.7 %Valley County6.7Morrill County: 6.6 %Morrill County6.6Thayer County: 6.2 %Thayer County6.2Brown County: 6 %Brown County6Harlan County: 6 %Harlan County6Keith County: 6 %Keith County6Keya Paha County: 6 %Keya Paha County6Cass County: 5.9 %Cass County5.9Hooker County: 5.9 %Hooker County5.9Madison County: 5.9 %Madison County5.9Dodge County: 5.8 %Dodge County5.8Sioux County: 5.8 %Sioux County5.8Platte County: 5.7 %Platte County5.7Scotts Bluff County: 5.7 %Scotts Bluff County5.7Cedar County: 5.6 %Cedar County5.6Fillmore County: 5.6 %Fillmore County5.6Colfax County: 12.2 %Colfax County12.2Chase County: 9.7 %Chase County9.7Perkins County: 9.1 %Perkins County9.1Dundy County: 9 %Dundy County9Polk County: 9 %Polk County9Hayes County: 8.7 %Hayes County8.7Kimball County: 8.7 %Kimball County8.7Dawson County: 8.2 %Dawson County8.2Saline County: 8.1 %Saline County8.1Dixon County: 8 %Dixon County8Sheridan County: 7.8 %Sheridan County7.8Gosper County: 7.7 %Gosper County7.7Clay County: 7.5 %Clay County7.5Dakota County: 7.5 %Dakota County7.5Nuckolls County: 7.5 %Nuckolls County7.5Cuming County: 7.3 %Cuming County7.3Burt County: 7.2 %Burt County7.2Hall County: 7.2 %Hall County7.2Pawnee County: 7.2 %Pawnee County7.2Antelope County: 7 %Antelope County7Box Butte County: 7 %Box Butte County7Furnas County: 6.9 %Furnas County6.9McPherson County: 6.8 %McPherson County6.8Greeley County: 6.7 %Greeley County6.7Valley County: 6.7 %Valley County6.7Morrill County: 6.6 %Morrill County6.6Thayer County: 6.2 %Thayer County6.2Brown County: 6 %Brown County6Harlan County: 6 %Harlan County6Keith County: 6 %Keith County6Keya Paha County: 6 %Keya Paha County6Cass County: 5.9 %Cass County5.9Hooker County: 5.9 %Hooker County5.9Madison County: 5.9 %Madison County5.9Dodge County: 5.8 %Dodge County5.8Sioux County: 5.8 %Sioux County5.8Platte County: 5.7 %Platte County5.7Scotts Bluff County: 5.7 %Scotts Bluff County5.7Cedar County: 5.6 %Cedar County5.6Fillmore County: 5.6 %Fillmore County5.6
%. 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
1Colfax County12.2+0.6 pts
2Chase County9.7-1.6 pts
3Perkins County9.1-0.6 pts
4Dundy County9-1.9 pts
4Polk County9+0.6 pts
6Hayes County8.7+0.4 pts
6Kimball County8.7-0.1 pts
8Dawson County8.2-1.5 pts
9Saline County8.1-0.2 pts
10Dixon County8-3.6 pts
11Sheridan County7.8-0.2 pts
12Gosper County7.7-0.6 pts
13Clay County7.5-0.5 pts
13Dakota County7.5-0.8 pts
13Nuckolls County7.5+0.6 pts
16Cuming County7.3-0.1 pts
17Burt County7.2-1.2 pts
17Hall County7.2+0.1 pts
17Pawnee County7.2+0.1 pts
20Antelope County7-1 pts
20Box Butte County7-0.4 pts
22Furnas County6.9-0.7 pts
23McPherson County6.8+0.7 pts
24Greeley County6.7-0.4 pts
24Valley County6.7-0.2 pts
26Morrill County6.6-1.9 pts
27Thayer County6.2-0.7 pts
28Brown County6-1.3 pts
28Harlan County6-0.7 pts
28Keith County6+0.4 pts
28Keya Paha County6+1.4 pts
32Cass County5.9+1.3 pts
32Hooker County5.9-4.1 pts
32Madison County5.9-0.7 pts
35Dodge County5.8-0.2 pts
35Sioux County5.8+0.4 pts
37Platte County5.7-1.2 pts
37Scotts Bluff County5.7-0.7 pts
39Cedar County5.6-0.4 pts
39Fillmore County5.6-0.2 pts
39Grant County5.6-0.6 pts
39Hitchcock County5.6-1.4 pts
39Knox County5.6-1.6 pts
39Logan County5.6-1.8 pts
39Nemaha County5.6+0.5 pts
39Wheeler County5.6-0.3 pts
47Garden County5.4-0.9 pts
47Phelps County5.4-0.5 pts
49Custer County5.3-0.8 pts
49Deuel County5.3-2 pts
51Gage County5.2+0.2 pts
51Richardson County5.2-0.6 pts
53Adams County5.1-0.4 pts
53Boone County5.1-0.5 pts
53Butler County5.1-0.4 pts
53Merrick County5.1-0.2 pts
53Rock County5.1+0.4 pts
58Buffalo County5+0.1 pts
58Dawes County5-0.2 pts
58Thurston County5-2 pts
61Boyd County4.90 pts
61Franklin County4.9-0.4 pts
61Jefferson County4.9-1.3 pts
61Otoe County4.9-0.2 pts
61Sherman County4.9-1 pts
66Howard County4.8-0.5 pts
66Webster County4.8-0.5 pts
68Red Willow County4.7-1.2 pts
68Stanton County4.7-1.7 pts
70Douglas County4.6-0.3 pts
70Nance County4.6-1 pts
72Kearney County4.5-1.2 pts
73Cherry County4.4-1.5 pts
73Johnson County4.4-2.1 pts
75Arthur County4.3+0.8 pts
75Frontier County4.3-0.5 pts
75Holt County4.3-0.3 pts
75Lincoln County4.3-0.8 pts
75Saunders County4.3-0.2 pts
75Thomas County4.3-2.6 pts
75Wayne County4.3-0.9 pts
82Blaine County4.2-2.5 pts
82Washington County4.2-0.1 pts
84Pierce County4.1-0.6 pts
84Seward County4.1-1 pts
86Cheyenne County4-0.8 pts
86Garfield County4-1.3 pts
86Lancaster County4-0.1 pts
89Hamilton County3.8-1.1 pts
90Banner County3.6-1.2 pts
90York County3.6-1.2 pts
92Sarpy County2.8-0.7 pts
93Loup County2.5-3.6 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-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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/nebraska-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)?

Colfax County, with 12.2% in 2021, according to the U.S. Census Bureau.

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

Loup County, with 2.5% 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 Nebraska: more rankings