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)

Alleghany County had the highest uninsured rate, under 19 (US model-based estimate) of 100 counties in 2018, at 8.6%. Onslow County had the lowest, at 3.5%. The median was 5.7% and the figure for North Carolina was 5.4%. Source: the U.S. Census Bureau.

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Highest8.6Alleghany County
Lowest3.5Onslow County
Median5.7100 counties
North Carolina5.4History

Map of counties, 2018

Alamance County: 6 %Alexander County: 6 %Alleghany County: 8.6 %Anson County: 4.7 %Ashe County: 6.5 %Avery County: 7.8 %Beaufort County: 5.8 %Bertie County: 4.7 %Bladen County: 6.9 %Brunswick County: 6.6 %Buncombe County: 5.2 %Burke County: 5.1 %Cabarrus County: 4.3 %Caldwell County: 4.6 %Camden County: 6.1 %Carteret County: 6.1 %Caswell County: 6.3 %Catawba County: 6.7 %Chatham County: 6.8 %Cherokee County: 6.6 %Chowan County: 5.8 %Clay County: 7.9 %Cleveland County: 5.2 %Columbus County: 5.6 %Craven County: 5.8 %Cumberland County: 3.5 %Currituck County: 7.2 %Dare County: 6.9 %Davidson County: 6.2 %Davie County: 6.7 %Duplin County: 8.5 %Durham County: 5.1 %Edgecombe County: 4.2 %Forsyth County: 4.3 %Franklin County: 5.7 %Gaston County: 5 %Gates County: 5.3 %Graham County: 7.9 %Granville County: 5.6 %Greene County: 8.5 %Guilford County: 4.7 %Halifax County: 5.2 %Harnett County: 5.1 %Haywood County: 5.4 %Henderson County: 6.3 %Hertford County: 4.5 %Hoke County: 5 %Hyde County: 7.3 %Iredell County: 6 %Jackson County: 6.6 %Johnston County: 6.1 %Jones County: 6.8 %Lee County: 6.6 %Lenoir County: 5.1 %Lincoln County: 5.3 %McDowell County: 4.9 %Macon County: 7.9 %Madison County: 5.7 %Martin County: 5.4 %Mecklenburg County: 5.5 %Mitchell County: 6.4 %Montgomery County: 6.5 %Moore County: 6 %Nash County: 5.2 %New Hanover County: 5.2 %Northampton County: 5.1 %Onslow County: 3.5 %Orange County: 5.2 %Pamlico County: 6.8 %Pasquotank County: 4.9 %Pender County: 5.4 %Perquimans County: 7.1 %Person County: 5.2 %Pitt County: 4.5 %Polk County: 6.4 %Randolph County: 5.4 %Richmond County: 4.6 %Robeson County: 6.3 %Rockingham County: 4.8 %Rowan County: 5.2 %Rutherford County: 5.4 %Sampson County: 6.7 %Scotland County: 4.7 %Stanly County: 5.4 %Stokes County: 5.3 %Surry County: 6.3 %Swain County: 8.2 %Transylvania County: 6.1 %Tyrrell County: 7.1 %Union County: 6 %Vance County: 4.8 %Wake County: 5.4 %Warren County: 7.1 %Washington County: 5.2 %Watauga County: 5.3 %Wayne County: 4.9 %Wilkes County: 5.6 %Wilson County: 5.4 %Yadkin County: 6.5 %Yancey County: 6.7 %
  • Under 4.9
  • 4.9 to 5.2
  • 5.2 to 5.7
  • 5.7 to 6.3
  • 6.3 to 6.8
  • 6.8 and over
%, 2018. 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, 2018

Alleghany County: 8.6 %Alleghany County8.6Duplin County: 8.5 %Duplin County8.5Greene County: 8.5 %Greene County8.5Swain County: 8.2 %Swain County8.2Clay County: 7.9 %Clay County7.9Graham County: 7.9 %Graham County7.9Macon County: 7.9 %Macon County7.9Avery County: 7.8 %Avery County7.8Hyde County: 7.3 %Hyde County7.3Currituck County: 7.2 %Currituck County7.2Perquimans County: 7.1 %Perquimans County7.1Tyrrell County: 7.1 %Tyrrell County7.1Warren County: 7.1 %Warren County7.1Bladen County: 6.9 %Bladen County6.9Dare County: 6.9 %Dare County6.9Chatham County: 6.8 %Chatham County6.8Jones County: 6.8 %Jones County6.8Pamlico County: 6.8 %Pamlico County6.8Catawba County: 6.7 %Catawba County6.7Davie County: 6.7 %Davie County6.7Sampson County: 6.7 %Sampson County6.7Yancey County: 6.7 %Yancey County6.7Brunswick County: 6.6 %Brunswick County6.6Cherokee County: 6.6 %Cherokee County6.6Jackson County: 6.6 %Jackson County6.6Lee County: 6.6 %Lee County6.6Ashe County: 6.5 %Ashe County6.5Montgomery County: 6.5 %Montgomery County6.5Yadkin County: 6.5 %Yadkin County6.5Mitchell County: 6.4 %Mitchell County6.4Polk County: 6.4 %Polk County6.4Caswell County: 6.3 %Caswell County6.3Henderson County: 6.3 %Henderson County6.3Robeson County: 6.3 %Robeson County6.3Surry County: 6.3 %Surry County6.3Davidson County: 6.2 %Davidson County6.2Camden County: 6.1 %Camden County6.1Carteret County: 6.1 %Carteret County6.1Johnston County: 6.1 %Johnston County6.1Transylvania County: 6.1 %Transylvania County6.1Alleghany County: 8.6 %Alleghany County8.6Duplin County: 8.5 %Duplin County8.5Greene County: 8.5 %Greene County8.5Swain County: 8.2 %Swain County8.2Clay County: 7.9 %Clay County7.9Graham County: 7.9 %Graham County7.9Macon County: 7.9 %Macon County7.9Avery County: 7.8 %Avery County7.8Hyde County: 7.3 %Hyde County7.3Currituck County: 7.2 %Currituck County7.2Perquimans County: 7.1 %Perquimans County7.1Tyrrell County: 7.1 %Tyrrell County7.1Warren County: 7.1 %Warren County7.1Bladen County: 6.9 %Bladen County6.9Dare County: 6.9 %Dare County6.9Chatham County: 6.8 %Chatham County6.8Jones County: 6.8 %Jones County6.8Pamlico County: 6.8 %Pamlico County6.8Catawba County: 6.7 %Catawba County6.7Davie County: 6.7 %Davie County6.7Sampson County: 6.7 %Sampson County6.7Yancey County: 6.7 %Yancey County6.7Brunswick County: 6.6 %Brunswick County6.6Cherokee County: 6.6 %Cherokee County6.6Jackson County: 6.6 %Jackson County6.6Lee County: 6.6 %Lee County6.6Ashe County: 6.5 %Ashe County6.5Montgomery County: 6.5 %Montgomery County6.5Yadkin County: 6.5 %Yadkin County6.5Mitchell County: 6.4 %Mitchell County6.4Polk County: 6.4 %Polk County6.4Caswell County: 6.3 %Caswell County6.3Henderson County: 6.3 %Henderson County6.3Robeson County: 6.3 %Robeson County6.3Surry County: 6.3 %Surry County6.3Davidson County: 6.2 %Davidson County6.2Camden County: 6.1 %Camden County6.1Carteret County: 6.1 %Carteret County6.1Johnston County: 6.1 %Johnston County6.1Transylvania County: 6.1 %Transylvania County6.1
%. 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

RankCounties2018 (%)Change on 2017
1Alleghany County8.6+0.6 pts
2Duplin County8.5+0.8 pts
2Greene County8.5+1 pts
4Swain County8.2+0.6 pts
5Clay County7.9+0.4 pts
5Graham County7.9+0.7 pts
5Macon County7.9+1.2 pts
8Avery County7.8+0.4 pts
9Hyde County7.3+0.4 pts
10Currituck County7.2+0.5 pts
11Perquimans County7.1+0.7 pts
11Tyrrell County7.1+0.3 pts
11Warren County7.1+0.2 pts
14Bladen County6.9+0.2 pts
14Dare County6.9+1.1 pts
16Chatham County6.8-0.4 pts
16Jones County6.8+0.8 pts
16Pamlico County6.8+0.5 pts
19Catawba County6.7+1.9 pts
19Davie County6.7+0.7 pts
19Sampson County6.7-0.7 pts
19Yancey County6.7+0.7 pts
23Brunswick County6.6+1 pts
23Cherokee County6.6+1.2 pts
23Jackson County6.6-1.1 pts
23Lee County6.6+1.1 pts
27Ashe County6.5+0.6 pts
27Montgomery County6.5+0.9 pts
27Yadkin County6.5+1.2 pts
30Mitchell County6.4+0.6 pts
30Polk County6.4-1 pts
32Caswell County6.3+0.3 pts
32Henderson County6.3+0.4 pts
32Robeson County6.3+0.5 pts
32Surry County6.3+0.7 pts
36Davidson County6.2+1.2 pts
37Camden County6.1+0.2 pts
37Carteret County6.1+1 pts
37Johnston County6.1+0.2 pts
37Transylvania County6.1-0.3 pts
41Alamance County6+0.6 pts
41Alexander County6+1.1 pts
41Iredell County6+1.5 pts
41Moore County6+0.4 pts
41Union County6+1.4 pts
46Beaufort County5.8+1.1 pts
46Chowan County5.8+0.3 pts
46Craven County5.8+0.3 pts
49Franklin County5.7-0.7 pts
49Madison County5.7+0.4 pts
51Columbus County5.60 pts
51Granville County5.6+0.7 pts
51Wilkes County5.6+0.3 pts
54Mecklenburg County5.5+0.5 pts
55Haywood County5.4+1.1 pts
55Martin County5.4+1.4 pts
55Pender County5.4-0.3 pts
55Randolph County5.4-0.8 pts
55Rutherford County5.4+0.4 pts
55Stanly County5.4+0.5 pts
55Wake County5.4+0.9 pts
55Wilson County5.4+0.9 pts
63Gates County5.3-0.7 pts
63Lincoln County5.3-0.2 pts
63Stokes County5.3+0.3 pts
63Watauga County5.3+0.3 pts
67Buncombe County5.2+0.8 pts
67Cleveland County5.2+1.4 pts
67Halifax County5.2+0.2 pts
67Nash County5.2+0.8 pts
67New Hanover County5.2+0.2 pts
67Orange County5.2+0.2 pts
67Person County5.2+0.5 pts
67Rowan County5.2+0.7 pts
67Washington County5.2+0.8 pts
76Burke County5.1+0.8 pts
76Durham County5.1-0.3 pts
76Harnett County5.10 pts
76Lenoir County5.1+0.7 pts
76Northampton County5.1+0.9 pts
81Gaston County5+0.6 pts
81Hoke County5-0.6 pts
83McDowell County4.9+0.7 pts
83Pasquotank County4.9+0.5 pts
83Wayne County4.9-0.2 pts
86Rockingham County4.8-0.4 pts
86Vance County4.8+0.8 pts
88Anson County4.7+0.6 pts
88Bertie County4.70 pts
88Guilford County4.7+0.3 pts
88Scotland County4.70 pts
92Caldwell County4.6+0.2 pts
92Richmond County4.6-0.2 pts
94Hertford County4.5+0.6 pts
94Pitt County4.5+0.5 pts
96Cabarrus County4.3+0.4 pts
96Forsyth County4.3-0.1 pts
98Edgecombe County4.2+0.9 pts
99Cumberland County3.5-0.3 pts
99Onslow County3.5+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-2018-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), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2018. 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), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2018.

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), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2018,
  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), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2018. 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-2018-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), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2018.
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-2018-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)?

Alleghany County, with 8.6% in 2018, according to the U.S. Census Bureau.

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

Onslow County, with 3.5% in 2018.

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