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)

Swain County had the highest uninsured rate, under 19 (US model-based estimate) of 100 counties in 2019, at 11.3%. Edgecombe County had the lowest, at 4.1%. The median was 6.2% and the figure for North Carolina was 5.8%. Source: the U.S. Census Bureau.

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Highest11.3Swain County
Lowest4.1Edgecombe County
Median6.2100 counties
North Carolina5.8History

Map of counties, 2019

Alamance County: 5.8 %Alexander County: 6.3 %Alleghany County: 8.9 %Anson County: 4.8 %Ashe County: 7 %Avery County: 9 %Beaufort County: 6 %Bertie County: 4.8 %Bladen County: 7.2 %Brunswick County: 5.6 %Buncombe County: 6.5 %Burke County: 5.5 %Cabarrus County: 5.6 %Caldwell County: 5.7 %Camden County: 6.2 %Carteret County: 6.4 %Caswell County: 6.6 %Catawba County: 7.9 %Chatham County: 7.4 %Cherokee County: 7.1 %Chowan County: 5.6 %Clay County: 8.5 %Cleveland County: 4.9 %Columbus County: 6.2 %Craven County: 6.1 %Cumberland County: 4.6 %Currituck County: 7.1 %Dare County: 7.2 %Davidson County: 6 %Davie County: 7.1 %Duplin County: 8.4 %Durham County: 6.6 %Edgecombe County: 4.1 %Forsyth County: 5.2 %Franklin County: 6.6 %Gaston County: 5.4 %Gates County: 6.1 %Graham County: 8.4 %Granville County: 5.8 %Greene County: 8.3 %Guilford County: 5 %Halifax County: 6.2 %Harnett County: 5.9 %Haywood County: 5.6 %Henderson County: 6.5 %Hertford County: 5 %Hoke County: 6.6 %Hyde County: 8.2 %Iredell County: 6.3 %Jackson County: 8.5 %Johnston County: 6.1 %Jones County: 7.5 %Lee County: 6.5 %Lenoir County: 5.2 %Lincoln County: 6.3 %McDowell County: 6.1 %Macon County: 9 %Madison County: 5.6 %Martin County: 5.2 %Mecklenburg County: 6 %Mitchell County: 6.3 %Montgomery County: 7.4 %Moore County: 6.4 %Nash County: 5.4 %New Hanover County: 4.8 %Northampton County: 5.2 %Onslow County: 4.2 %Orange County: 5.7 %Pamlico County: 8.3 %Pasquotank County: 5 %Pender County: 6.8 %Perquimans County: 6.7 %Person County: 5.9 %Pitt County: 4.9 %Polk County: 7.8 %Randolph County: 6.4 %Richmond County: 5.3 %Robeson County: 6.1 %Rockingham County: 5.6 %Rowan County: 5.6 %Rutherford County: 5.3 %Sampson County: 8.6 %Scotland County: 5.1 %Stanly County: 6.5 %Stokes County: 5.4 %Surry County: 6.4 %Swain County: 11.3 %Transylvania County: 7.4 %Tyrrell County: 7.6 %Union County: 5.8 %Vance County: 5.1 %Wake County: 5.2 %Warren County: 7.6 %Washington County: 5.7 %Watauga County: 6.3 %Wayne County: 6.1 %Wilkes County: 6.6 %Wilson County: 5.6 %Yadkin County: 7.5 %Yancey County: 7.5 %
  • Under 5.2
  • 5.2 to 5.7
  • 5.7 to 6.2
  • 6.2 to 6.6
  • 6.6 to 7.5
  • 7.5 and over
%, 2019. 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, 2019

Swain County: 11.3 %Swain County11.3Avery County: 9 %Avery County9Macon County: 9 %Macon County9Alleghany County: 8.9 %Alleghany County8.9Sampson County: 8.6 %Sampson County8.6Clay County: 8.5 %Clay County8.5Jackson County: 8.5 %Jackson County8.5Duplin County: 8.4 %Duplin County8.4Graham County: 8.4 %Graham County8.4Greene County: 8.3 %Greene County8.3Pamlico County: 8.3 %Pamlico County8.3Hyde County: 8.2 %Hyde County8.2Catawba County: 7.9 %Catawba County7.9Polk County: 7.8 %Polk County7.8Tyrrell County: 7.6 %Tyrrell County7.6Warren County: 7.6 %Warren County7.6Jones County: 7.5 %Jones County7.5Yadkin County: 7.5 %Yadkin County7.5Yancey County: 7.5 %Yancey County7.5Chatham County: 7.4 %Chatham County7.4Montgomery County: 7.4 %Montgomery County7.4Transylvania County: 7.4 %Transylvania County7.4Bladen County: 7.2 %Bladen County7.2Dare County: 7.2 %Dare County7.2Cherokee County: 7.1 %Cherokee County7.1Currituck County: 7.1 %Currituck County7.1Davie County: 7.1 %Davie County7.1Ashe County: 7 %Ashe County7Pender County: 6.8 %Pender County6.8Perquimans County: 6.7 %Perquimans County6.7Caswell County: 6.6 %Caswell County6.6Durham County: 6.6 %Durham County6.6Franklin County: 6.6 %Franklin County6.6Hoke County: 6.6 %Hoke County6.6Wilkes County: 6.6 %Wilkes County6.6Buncombe County: 6.5 %Buncombe County6.5Henderson County: 6.5 %Henderson County6.5Lee County: 6.5 %Lee County6.5Stanly County: 6.5 %Stanly County6.5Carteret County: 6.4 %Carteret County6.4Swain County: 11.3 %Swain County11.3Avery County: 9 %Avery County9Macon County: 9 %Macon County9Alleghany County: 8.9 %Alleghany County8.9Sampson County: 8.6 %Sampson County8.6Clay County: 8.5 %Clay County8.5Jackson County: 8.5 %Jackson County8.5Duplin County: 8.4 %Duplin County8.4Graham County: 8.4 %Graham County8.4Greene County: 8.3 %Greene County8.3Pamlico County: 8.3 %Pamlico County8.3Hyde County: 8.2 %Hyde County8.2Catawba County: 7.9 %Catawba County7.9Polk County: 7.8 %Polk County7.8Tyrrell County: 7.6 %Tyrrell County7.6Warren County: 7.6 %Warren County7.6Jones County: 7.5 %Jones County7.5Yadkin County: 7.5 %Yadkin County7.5Yancey County: 7.5 %Yancey County7.5Chatham County: 7.4 %Chatham County7.4Montgomery County: 7.4 %Montgomery County7.4Transylvania County: 7.4 %Transylvania County7.4Bladen County: 7.2 %Bladen County7.2Dare County: 7.2 %Dare County7.2Cherokee County: 7.1 %Cherokee County7.1Currituck County: 7.1 %Currituck County7.1Davie County: 7.1 %Davie County7.1Ashe County: 7 %Ashe County7Pender County: 6.8 %Pender County6.8Perquimans County: 6.7 %Perquimans County6.7Caswell County: 6.6 %Caswell County6.6Durham County: 6.6 %Durham County6.6Franklin County: 6.6 %Franklin County6.6Hoke County: 6.6 %Hoke County6.6Wilkes County: 6.6 %Wilkes County6.6Buncombe County: 6.5 %Buncombe County6.5Henderson County: 6.5 %Henderson County6.5Lee County: 6.5 %Lee County6.5Stanly County: 6.5 %Stanly County6.5Carteret County: 6.4 %Carteret 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

RankCounties2019 (%)Change on 2018
1Swain County11.3+3.1 pts
2Avery County9+1.2 pts
2Macon County9+1.1 pts
4Alleghany County8.9+0.3 pts
5Sampson County8.6+1.9 pts
6Clay County8.5+0.6 pts
6Jackson County8.5+1.9 pts
8Duplin County8.4-0.1 pts
8Graham County8.4+0.5 pts
10Greene County8.3-0.2 pts
10Pamlico County8.3+1.5 pts
12Hyde County8.2+0.9 pts
13Catawba County7.9+1.2 pts
14Polk County7.8+1.4 pts
15Tyrrell County7.6+0.5 pts
15Warren County7.6+0.5 pts
17Jones County7.5+0.7 pts
17Yadkin County7.5+1 pts
17Yancey County7.5+0.8 pts
20Chatham County7.4+0.6 pts
20Montgomery County7.4+0.9 pts
20Transylvania County7.4+1.3 pts
23Bladen County7.2+0.3 pts
23Dare County7.2+0.3 pts
25Cherokee County7.1+0.5 pts
25Currituck County7.1-0.1 pts
25Davie County7.1+0.4 pts
28Ashe County7+0.5 pts
29Pender County6.8+1.4 pts
30Perquimans County6.7-0.4 pts
31Caswell County6.6+0.3 pts
31Durham County6.6+1.5 pts
31Franklin County6.6+0.9 pts
31Hoke County6.6+1.6 pts
31Wilkes County6.6+1 pts
36Buncombe County6.5+1.3 pts
36Henderson County6.5+0.2 pts
36Lee County6.5-0.1 pts
36Stanly County6.5+1.1 pts
40Carteret County6.4+0.3 pts
40Moore County6.4+0.4 pts
40Randolph County6.4+1 pts
40Surry County6.4+0.1 pts
44Alexander County6.3+0.3 pts
44Iredell County6.3+0.3 pts
44Lincoln County6.3+1 pts
44Mitchell County6.3-0.1 pts
44Watauga County6.3+1 pts
49Camden County6.2+0.1 pts
49Columbus County6.2+0.6 pts
49Halifax County6.2+1 pts
52Craven County6.1+0.3 pts
52Gates County6.1+0.8 pts
52Johnston County6.10 pts
52McDowell County6.1+1.2 pts
52Robeson County6.1-0.2 pts
52Wayne County6.1+1.2 pts
58Beaufort County6+0.2 pts
58Davidson County6-0.2 pts
58Mecklenburg County6+0.5 pts
61Harnett County5.9+0.8 pts
61Person County5.9+0.7 pts
63Alamance County5.8-0.2 pts
63Granville County5.8+0.2 pts
63Union County5.8-0.2 pts
66Caldwell County5.7+1.1 pts
66Orange County5.7+0.5 pts
66Washington County5.7+0.5 pts
69Brunswick County5.6-1 pts
69Cabarrus County5.6+1.3 pts
69Chowan County5.6-0.2 pts
69Haywood County5.6+0.2 pts
69Madison County5.6-0.1 pts
69Rockingham County5.6+0.8 pts
69Rowan County5.6+0.4 pts
69Wilson County5.6+0.2 pts
77Burke County5.5+0.4 pts
78Gaston County5.4+0.4 pts
78Nash County5.4+0.2 pts
78Stokes County5.4+0.1 pts
81Richmond County5.3+0.7 pts
81Rutherford County5.3-0.1 pts
83Forsyth County5.2+0.9 pts
83Lenoir County5.2+0.1 pts
83Martin County5.2-0.2 pts
83Northampton County5.2+0.1 pts
83Wake County5.2-0.2 pts
88Scotland County5.1+0.4 pts
88Vance County5.1+0.3 pts
90Guilford County5+0.3 pts
90Hertford County5+0.5 pts
90Pasquotank County5+0.1 pts
93Cleveland County4.9-0.3 pts
93Pitt County4.9+0.4 pts
95Anson County4.8+0.1 pts
95Bertie County4.8+0.1 pts
95New Hanover County4.8-0.4 pts
98Cumberland County4.6+1.1 pts
99Onslow County4.2+0.7 pts
100Edgecombe County4.1-0.1 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2019.
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-2019-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)?

Swain County, with 11.3% in 2019, according to the U.S. Census Bureau.

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

Edgecombe County, with 4.1% in 2019.

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