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

Blaine County had the highest uninsured rate, under 19 (US model-based estimate) of 93 counties in 2023, at 9.4%. Sarpy County had the lowest, at 2.3%. The median was 4.5% and the figure for Nebraska was 3.6%. Source: the U.S. Census Bureau.

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Highest9.4Blaine County
Lowest2.3Sarpy County
Median4.593 counties
Nebraska3.6History

Map of counties, 2023

Adams County: 3.8 %Antelope County: 4.7 %Arthur County: 5 %Banner County: 5.2 %Blaine County: 9.4 %Boone County: 4.4 %Box Butte County: 4.9 %Boyd County: 4.6 %Brown County: 5.1 %Buffalo County: 4.3 %Burt County: 4.5 %Butler County: 4 %Cass County: 3 %Cedar County: 4 %Chase County: 5.6 %Cherry County: 4.1 %Cheyenne County: 3.6 %Clay County: 4.1 %Colfax County: 7 %Cuming County: 5.6 %Custer County: 4.7 %Dakota County: 4.8 %Dawes County: 3.5 %Dawson County: 4.9 %Deuel County: 4.1 %Dixon County: 5.7 %Dodge County: 4 %Douglas County: 3.7 %Dundy County: 5.1 %Fillmore County: 3.4 %Franklin County: 3.7 %Frontier County: 5 %Furnas County: 4.5 %Gage County: 3.6 %Garden County: 5.9 %Garfield County: 6.2 %Gosper County: 4.9 %Grant County: 3.5 %Greeley County: 5.3 %Hall County: 5.5 %Hamilton County: 3.3 %Harlan County: 6.3 %Hayes County: 6.7 %Hitchcock County: 4.6 %Holt County: 4.5 %Hooker County: 5.2 %Howard County: 3.4 %Jefferson County: 3.6 %Johnson County: 4.6 %Kearney County: 3.6 %Keith County: 4.9 %Keya Paha County: 6.5 %Kimball County: 6.4 %Knox County: 4.1 %Lancaster County: 2.7 %Lincoln County: 3.7 %Logan County: 5.2 %Loup County: 4.5 %McPherson County: 7 %Madison County: 3.4 %Merrick County: 3.7 %Morrill County: 4.4 %Nance County: 4.1 %Nemaha County: 5.3 %Nuckolls County: 5.1 %Otoe County: 3.5 %Pawnee County: 5.4 %Perkins County: 6 %Phelps County: 4 %Pierce County: 3.4 %Platte County: 3.8 %Polk County: 4.8 %Red Willow County: 4.6 %Richardson County: 3.9 %Rock County: 5.4 %Saline County: 6.2 %Sarpy County: 2.3 %Saunders County: 2.7 %Scotts Bluff County: 3.9 %Seward County: 3.5 %Sheridan County: 4.8 %Sherman County: 4.9 %Sioux County: 5.2 %Stanton County: 2.8 %Thayer County: 3.6 %Thomas County: 6.8 %Thurston County: 2.6 %Valley County: 5.9 %Washington County: 3 %Wayne County: 3.2 %Webster County: 3.8 %Wheeler County: 4 %York County: 2.7 %
  • Under 3.5
  • 3.5 to 3.9
  • 3.9 to 4.5
  • 4.5 to 4.9
  • 4.9 to 5.6
  • 5.6 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

Blaine County: 9.4 %Blaine County9.4Colfax County: 7 %Colfax County7McPherson County: 7 %McPherson County7Thomas County: 6.8 %Thomas County6.8Hayes County: 6.7 %Hayes County6.7Keya Paha County: 6.5 %Keya Paha County6.5Kimball County: 6.4 %Kimball County6.4Harlan County: 6.3 %Harlan County6.3Garfield County: 6.2 %Garfield County6.2Saline County: 6.2 %Saline County6.2Perkins County: 6 %Perkins County6Garden County: 5.9 %Garden County5.9Valley County: 5.9 %Valley County5.9Dixon County: 5.7 %Dixon County5.7Chase County: 5.6 %Chase County5.6Cuming County: 5.6 %Cuming County5.6Hall County: 5.5 %Hall County5.5Pawnee County: 5.4 %Pawnee County5.4Rock County: 5.4 %Rock County5.4Greeley County: 5.3 %Greeley County5.3Nemaha County: 5.3 %Nemaha County5.3Banner County: 5.2 %Banner County5.2Hooker County: 5.2 %Hooker County5.2Logan County: 5.2 %Logan County5.2Sioux County: 5.2 %Sioux County5.2Brown County: 5.1 %Brown County5.1Dundy County: 5.1 %Dundy County5.1Nuckolls County: 5.1 %Nuckolls County5.1Arthur County: 5 %Arthur County5Frontier County: 5 %Frontier County5Box Butte County: 4.9 %Box Butte County4.9Dawson County: 4.9 %Dawson County4.9Gosper County: 4.9 %Gosper County4.9Keith County: 4.9 %Keith County4.9Sherman County: 4.9 %Sherman County4.9Dakota County: 4.8 %Dakota County4.8Polk County: 4.8 %Polk County4.8Sheridan County: 4.8 %Sheridan County4.8Antelope County: 4.7 %Antelope County4.7Custer County: 4.7 %Custer County4.7Blaine County: 9.4 %Blaine County9.4Colfax County: 7 %Colfax County7McPherson County: 7 %McPherson County7Thomas County: 6.8 %Thomas County6.8Hayes County: 6.7 %Hayes County6.7Keya Paha County: 6.5 %Keya Paha County6.5Kimball County: 6.4 %Kimball County6.4Harlan County: 6.3 %Harlan County6.3Garfield County: 6.2 %Garfield County6.2Saline County: 6.2 %Saline County6.2Perkins County: 6 %Perkins County6Garden County: 5.9 %Garden County5.9Valley County: 5.9 %Valley County5.9Dixon County: 5.7 %Dixon County5.7Chase County: 5.6 %Chase County5.6Cuming County: 5.6 %Cuming County5.6Hall County: 5.5 %Hall County5.5Pawnee County: 5.4 %Pawnee County5.4Rock County: 5.4 %Rock County5.4Greeley County: 5.3 %Greeley County5.3Nemaha County: 5.3 %Nemaha County5.3Banner County: 5.2 %Banner County5.2Hooker County: 5.2 %Hooker County5.2Logan County: 5.2 %Logan County5.2Sioux County: 5.2 %Sioux County5.2Brown County: 5.1 %Brown County5.1Dundy County: 5.1 %Dundy County5.1Nuckolls County: 5.1 %Nuckolls County5.1Arthur County: 5 %Arthur County5Frontier County: 5 %Frontier County5Box Butte County: 4.9 %Box Butte County4.9Dawson County: 4.9 %Dawson County4.9Gosper County: 4.9 %Gosper County4.9Keith County: 4.9 %Keith County4.9Sherman County: 4.9 %Sherman County4.9Dakota County: 4.8 %Dakota County4.8Polk County: 4.8 %Polk County4.8Sheridan County: 4.8 %Sheridan County4.8Antelope County: 4.7 %Antelope County4.7Custer County: 4.7 %Custer County4.7
%. 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
1Blaine County9.4+4.1 pts
2Colfax County7-0.1 pts
2McPherson County7+2.7 pts
4Thomas County6.8+1 pts
5Hayes County6.7+2.9 pts
6Keya Paha County6.5+3.9 pts
7Kimball County6.40 pts
8Harlan County6.3+1.3 pts
9Garfield County6.2+2.6 pts
9Saline County6.2-0.3 pts
11Perkins County6-1.1 pts
12Garden County5.9+1.3 pts
12Valley County5.9+0.1 pts
14Dixon County5.7+0.1 pts
15Chase County5.6-0.8 pts
15Cuming County5.6-1.2 pts
17Hall County5.5+0.3 pts
18Pawnee County5.4+0.4 pts
18Rock County5.4+1.5 pts
20Greeley County5.3+0.7 pts
20Nemaha County5.3-0.9 pts
22Banner County5.2+1.3 pts
22Hooker County5.20 pts
22Logan County5.2+0.9 pts
22Sioux County5.2+0.1 pts
26Brown County5.1+0.1 pts
26Dundy County5.1-0.2 pts
26Nuckolls County5.1+0.1 pts
29Arthur County5+3 pts
29Frontier County5+0.3 pts
31Box Butte County4.9-0.6 pts
31Dawson County4.9-1.3 pts
31Gosper County4.9-0.8 pts
31Keith County4.9+0.1 pts
31Sherman County4.9+0.9 pts
36Dakota County4.80 pts
36Polk County4.8-0.9 pts
36Sheridan County4.8-0.3 pts
39Antelope County4.7-0.3 pts
39Custer County4.7+0.4 pts
41Boyd County4.6+1 pts
41Hitchcock County4.6+1.3 pts
41Johnson County4.6+0.9 pts
41Red Willow County4.60 pts
45Burt County4.5-0.4 pts
45Furnas County4.5-0.6 pts
45Holt County4.5-0.6 pts
45Loup County4.5+1.9 pts
49Boone County4.4+0.5 pts
49Morrill County4.4+0.2 pts
51Buffalo County4.3-0.4 pts
52Cherry County4.1-0.2 pts
52Clay County4.1-1.3 pts
52Deuel County4.10 pts
52Knox County4.1-0.5 pts
52Nance County4.1-0.1 pts
57Butler County4-0.3 pts
57Cedar County4-1.2 pts
57Dodge County4-0.5 pts
57Phelps County4-0.5 pts
57Wheeler County4+1.8 pts
62Richardson County3.9-0.4 pts
62Scotts Bluff County3.9-0.7 pts
64Adams County3.8-0.5 pts
64Platte County3.8-1.1 pts
64Webster County3.8-0.5 pts
67Douglas County3.7-0.7 pts
67Franklin County3.70 pts
67Lincoln County3.7-0.2 pts
67Merrick County3.7-0.2 pts
71Cheyenne County3.6-0.4 pts
71Gage County3.6-1.2 pts
71Jefferson County3.6-0.6 pts
71Kearney County3.6-0.2 pts
71Thayer County3.6-0.7 pts
76Dawes County3.5-0.4 pts
76Grant County3.5-2.5 pts
76Otoe County3.5-0.5 pts
76Seward County3.5-1.3 pts
80Fillmore County3.4-0.8 pts
80Howard County3.40 pts
80Madison County3.4-2.2 pts
80Pierce County3.4-0.3 pts
84Hamilton County3.3-0.9 pts
85Wayne County3.2-1.4 pts
86Cass County3-0.7 pts
86Washington County3-0.9 pts
88Stanton County2.8-0.4 pts
89Lancaster County2.7-1.2 pts
89Saunders County2.7-0.6 pts
89York County2.7-0.7 pts
92Thurston County2.6-0.2 pts
93Sarpy County2.3-0.2 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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/nebraska-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)?

Blaine County, with 9.4% in 2023, according to the U.S. Census Bureau.

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

Sarpy County, with 2.3% 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 Nebraska: more rankings