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

Counties in North Carolina by uninsured rate, under 19 (US model-based estimate), 2024

Greene County had the highest uninsured rate, under 19 (US model-based estimate) of 100 counties in 2024, at 9.3%. Wake County had the lowest, at 3.8%. The median was 5.7% and the figure for North Carolina was 5.4%. Source: the U.S. Census Bureau.

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Highest9.3Greene County
Lowest3.8Wake County
Median5.7100 counties
North Carolina5.4History

Map of counties, 2024

Alamance County: 6.3 %Alexander County: 5.7 %Alleghany County: 8.4 %Anson County: 6 %Ashe County: 6.5 %Avery County: 7.3 %Beaufort County: 5.9 %Bertie County: 5.7 %Bladen County: 5.6 %Brunswick County: 5.4 %Buncombe County: 6 %Burke County: 6 %Cabarrus County: 3.8 %Caldwell County: 5.6 %Camden County: 4.7 %Carteret County: 5.4 %Caswell County: 6.5 %Catawba County: 6.4 %Chatham County: 7.2 %Cherokee County: 4.8 %Chowan County: 6.8 %Clay County: 6.4 %Cleveland County: 5 %Columbus County: 4.8 %Craven County: 4.6 %Cumberland County: 4.1 %Currituck County: 4.8 %Dare County: 4.9 %Davidson County: 5.3 %Davie County: 5.2 %Duplin County: 8.2 %Durham County: 5.4 %Edgecombe County: 5.7 %Forsyth County: 5.6 %Franklin County: 5.8 %Gaston County: 6.8 %Gates County: 5 %Graham County: 5.7 %Granville County: 5.7 %Greene County: 9.3 %Guilford County: 4.8 %Halifax County: 5.7 %Harnett County: 4.7 %Haywood County: 4.6 %Henderson County: 7.2 %Hertford County: 5 %Hoke County: 4 %Hyde County: 6.6 %Iredell County: 5.2 %Jackson County: 5.1 %Johnston County: 5.1 %Jones County: 6.2 %Lee County: 6.6 %Lenoir County: 5.4 %Lincoln County: 4.8 %McDowell County: 5.9 %Macon County: 7.3 %Madison County: 5.4 %Martin County: 6.4 %Mecklenburg County: 6.9 %Mitchell County: 4.7 %Montgomery County: 6.8 %Moore County: 5.6 %Nash County: 5.7 %New Hanover County: 4.4 %Northampton County: 5.1 %Onslow County: 4.7 %Orange County: 4.6 %Pamlico County: 6 %Pasquotank County: 5.5 %Pender County: 5.8 %Perquimans County: 6.3 %Person County: 6.3 %Pitt County: 4.6 %Polk County: 7.4 %Randolph County: 6.8 %Richmond County: 4.9 %Robeson County: 4.9 %Rockingham County: 5.5 %Rowan County: 5.1 %Rutherford County: 6.9 %Sampson County: 6.7 %Scotland County: 4.1 %Stanly County: 5.7 %Stokes County: 4.6 %Surry County: 6.7 %Swain County: 5.3 %Transylvania County: 5.3 %Tyrrell County: 8.3 %Union County: 5.6 %Vance County: 5.4 %Wake County: 3.8 %Warren County: 6.4 %Washington County: 6 %Watauga County: 5.3 %Wayne County: 6.9 %Wilkes County: 6.4 %Wilson County: 6.1 %Yadkin County: 5.8 %Yancey County: 6.4 %
  • Under 4.8
  • 4.8 to 5.3
  • 5.3 to 5.7
  • 5.7 to 6
  • 6 to 6.7
  • 6.7 and over
%, 2024. 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, 2024

Greene County: 9.3 %Greene County9.3Alleghany County: 8.4 %Alleghany County8.4Tyrrell County: 8.3 %Tyrrell County8.3Duplin County: 8.2 %Duplin County8.2Polk County: 7.4 %Polk County7.4Avery County: 7.3 %Avery County7.3Macon County: 7.3 %Macon County7.3Chatham County: 7.2 %Chatham County7.2Henderson County: 7.2 %Henderson County7.2Mecklenburg County: 6.9 %Mecklenburg County6.9Rutherford County: 6.9 %Rutherford County6.9Wayne County: 6.9 %Wayne County6.9Chowan County: 6.8 %Chowan County6.8Gaston County: 6.8 %Gaston County6.8Montgomery County: 6.8 %Montgomery County6.8Randolph County: 6.8 %Randolph County6.8Sampson County: 6.7 %Sampson County6.7Surry County: 6.7 %Surry County6.7Hyde County: 6.6 %Hyde County6.6Lee County: 6.6 %Lee County6.6Ashe County: 6.5 %Ashe County6.5Caswell County: 6.5 %Caswell County6.5Catawba County: 6.4 %Catawba County6.4Clay County: 6.4 %Clay County6.4Martin County: 6.4 %Martin County6.4Warren County: 6.4 %Warren County6.4Wilkes County: 6.4 %Wilkes County6.4Yancey County: 6.4 %Yancey County6.4Alamance County: 6.3 %Alamance County6.3Perquimans County: 6.3 %Perquimans County6.3Person County: 6.3 %Person County6.3Jones County: 6.2 %Jones County6.2Wilson County: 6.1 %Wilson County6.1Anson County: 6 %Anson County6Buncombe County: 6 %Buncombe County6Burke County: 6 %Burke County6Pamlico County: 6 %Pamlico County6Washington County: 6 %Washington County6Beaufort County: 5.9 %Beaufort County5.9McDowell County: 5.9 %McDowell County5.9Greene County: 9.3 %Greene County9.3Alleghany County: 8.4 %Alleghany County8.4Tyrrell County: 8.3 %Tyrrell County8.3Duplin County: 8.2 %Duplin County8.2Polk County: 7.4 %Polk County7.4Avery County: 7.3 %Avery County7.3Macon County: 7.3 %Macon County7.3Chatham County: 7.2 %Chatham County7.2Henderson County: 7.2 %Henderson County7.2Mecklenburg County: 6.9 %Mecklenburg County6.9Rutherford County: 6.9 %Rutherford County6.9Wayne County: 6.9 %Wayne County6.9Chowan County: 6.8 %Chowan County6.8Gaston County: 6.8 %Gaston County6.8Montgomery County: 6.8 %Montgomery County6.8Randolph County: 6.8 %Randolph County6.8Sampson County: 6.7 %Sampson County6.7Surry County: 6.7 %Surry County6.7Hyde County: 6.6 %Hyde County6.6Lee County: 6.6 %Lee County6.6Ashe County: 6.5 %Ashe County6.5Caswell County: 6.5 %Caswell County6.5Catawba County: 6.4 %Catawba County6.4Clay County: 6.4 %Clay County6.4Martin County: 6.4 %Martin County6.4Warren County: 6.4 %Warren County6.4Wilkes County: 6.4 %Wilkes County6.4Yancey County: 6.4 %Yancey County6.4Alamance County: 6.3 %Alamance County6.3Perquimans County: 6.3 %Perquimans County6.3Person County: 6.3 %Person County6.3Jones County: 6.2 %Jones County6.2Wilson County: 6.1 %Wilson County6.1Anson County: 6 %Anson County6Buncombe County: 6 %Buncombe County6Burke County: 6 %Burke County6Pamlico County: 6 %Pamlico County6Washington County: 6 %Washington County6Beaufort County: 5.9 %Beaufort County5.9McDowell County: 5.9 %McDowell County5.9
%. 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

RankCounties2024 (%)Change on 2023
1Greene County9.3+0.9 pts
2Alleghany County8.4+0.5 pts
3Tyrrell County8.3-0.2 pts
4Duplin County8.2+1.2 pts
5Polk County7.4+1 pts
6Avery County7.3+0.3 pts
6Macon County7.3+0.4 pts
8Chatham County7.2+1.2 pts
8Henderson County7.2+0.8 pts
10Mecklenburg County6.9+0.5 pts
10Rutherford County6.9+1.3 pts
10Wayne County6.9+0.9 pts
13Chowan County6.8+0.4 pts
13Gaston County6.8+1 pts
13Montgomery County6.8+0.2 pts
13Randolph County6.8+0.9 pts
17Sampson County6.7+0.1 pts
17Surry County6.7+0.8 pts
19Hyde County6.6-1.7 pts
19Lee County6.60 pts
21Ashe County6.5+0.2 pts
21Caswell County6.5+0.2 pts
23Catawba County6.4+0.7 pts
23Clay County6.4-1 pts
23Martin County6.4+0.6 pts
23Warren County6.4-0.8 pts
23Wilkes County6.4+0.7 pts
23Yancey County6.4+0.2 pts
29Alamance County6.3+1 pts
29Perquimans County6.3-0.1 pts
29Person County6.3+1.4 pts
32Jones County6.2+0.1 pts
33Wilson County6.1+0.2 pts
34Anson County6+0.7 pts
34Buncombe County6+1.1 pts
34Burke County6+0.1 pts
34Pamlico County6-0.1 pts
34Washington County6+0.4 pts
39Beaufort County5.9+0.4 pts
39McDowell County5.9+0.1 pts
41Franklin County5.8+0.4 pts
41Pender County5.8+0.1 pts
41Yadkin County5.8-0.3 pts
44Alexander County5.7+0.3 pts
44Bertie County5.7-0.3 pts
44Edgecombe County5.7+0.9 pts
44Graham County5.7-0.2 pts
44Granville County5.7+0.7 pts
44Halifax County5.7+0.8 pts
44Nash County5.7-1 pts
44Stanly County5.7+0.2 pts
52Bladen County5.6+0.8 pts
52Caldwell County5.6-0.5 pts
52Forsyth County5.60 pts
52Moore County5.6+1.3 pts
52Union County5.6+1.2 pts
57Pasquotank County5.5-0.2 pts
57Rockingham County5.50 pts
59Brunswick County5.4+0.6 pts
59Carteret County5.4-0.5 pts
59Durham County5.4-0.8 pts
59Lenoir County5.4-1.2 pts
59Madison County5.40 pts
59Vance County5.4-0.9 pts
65Davidson County5.3+0.1 pts
65Swain County5.3-1.6 pts
65Transylvania County5.3-0.4 pts
65Watauga County5.3-1.4 pts
69Davie County5.2-0.3 pts
69Iredell County5.20 pts
71Jackson County5.1-1 pts
71Johnston County5.1-0.2 pts
71Northampton County5.1+0.2 pts
71Rowan County5.10 pts
75Cleveland County5-0.5 pts
75Gates County5-0.4 pts
75Hertford County5+0.1 pts
78Dare County4.9-0.4 pts
78Richmond County4.9+0.6 pts
78Robeson County4.9+0.3 pts
81Cherokee County4.8-0.8 pts
81Columbus County4.8-1 pts
81Currituck County4.8-0.5 pts
81Guilford County4.8-0.2 pts
81Lincoln County4.8-0.1 pts
86Camden County4.7-0.8 pts
86Harnett County4.7-0.1 pts
86Mitchell County4.7-0.4 pts
86Onslow County4.7-0.1 pts
90Craven County4.6-0.4 pts
90Haywood County4.6-1 pts
90Orange County4.6-0.2 pts
90Pitt County4.6-0.7 pts
90Stokes County4.6-0.4 pts
95New Hanover County4.4-0.1 pts
96Cumberland County4.1-0.4 pts
96Scotland County4.1-0.1 pts
98Hoke County4-0.6 pts
99Cabarrus County3.8-0.9 pts
99Wake County3.8-0.4 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-2024-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 North Carolina by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 North Carolina by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties. 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 North Carolina by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties.

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 North Carolina by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2024,
  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 North Carolina by uninsured rate, under 19 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties. 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-2024-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 North Carolina by uninsured rate, under 19 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties.
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-2024-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)?

Greene County, with 9.3% in 2024, according to the U.S. Census Bureau.

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

Wake County, with 3.8% in 2024.

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 North Carolina: more rankings