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 2020, at 12.2%. Edgecombe County had the lowest, at 4%. The median was 5.8% and the figure for North Carolina was 5.3%. Source: the U.S. Census Bureau.

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Highest12.2Swain County
Lowest4Edgecombe County
Median5.8100 counties
North Carolina5.3History

Map of counties, 2020

Alamance County: 5.6 %Alexander County: 5.5 %Alleghany County: 8 %Anson County: 5 %Ashe County: 5.7 %Avery County: 6.6 %Beaufort County: 5.7 %Bertie County: 4.6 %Bladen County: 6.1 %Brunswick County: 5.5 %Buncombe County: 5.3 %Burke County: 4.7 %Cabarrus County: 5.8 %Caldwell County: 5.8 %Camden County: 9.3 %Carteret County: 5.2 %Caswell County: 7.1 %Catawba County: 6.3 %Chatham County: 7.1 %Cherokee County: 6 %Chowan County: 5.1 %Clay County: 7 %Cleveland County: 4.9 %Columbus County: 5.6 %Craven County: 5.3 %Cumberland County: 4.2 %Currituck County: 7.1 %Dare County: 6.2 %Davidson County: 5.4 %Davie County: 6.5 %Duplin County: 9.2 %Durham County: 5.9 %Edgecombe County: 4 %Forsyth County: 4.4 %Franklin County: 6.9 %Gaston County: 5.3 %Gates County: 6.1 %Graham County: 8.7 %Granville County: 6.1 %Greene County: 10.3 %Guilford County: 4.4 %Halifax County: 5.7 %Harnett County: 5.3 %Haywood County: 5.8 %Henderson County: 6.2 %Hertford County: 5.3 %Hoke County: 7.3 %Hyde County: 8.7 %Iredell County: 5.7 %Jackson County: 7.9 %Johnston County: 6 %Jones County: 7.9 %Lee County: 6.1 %Lenoir County: 5 %Lincoln County: 6.1 %McDowell County: 5 %Macon County: 6.8 %Madison County: 5.2 %Martin County: 5.2 %Mecklenburg County: 4.7 %Mitchell County: 5.8 %Montgomery County: 7.5 %Moore County: 5.5 %Nash County: 5.8 %New Hanover County: 4.8 %Northampton County: 4.9 %Onslow County: 4.6 %Orange County: 4.9 %Pamlico County: 7.6 %Pasquotank County: 5.4 %Pender County: 6.2 %Perquimans County: 6.4 %Person County: 6 %Pitt County: 4.9 %Polk County: 7 %Randolph County: 6.3 %Richmond County: 5 %Robeson County: 5.8 %Rockingham County: 5.1 %Rowan County: 6.2 %Rutherford County: 5.1 %Sampson County: 7.5 %Scotland County: 4.9 %Stanly County: 5.6 %Stokes County: 5.5 %Surry County: 6.5 %Swain County: 12.2 %Transylvania County: 6.3 %Tyrrell County: 10.4 %Union County: 5.2 %Vance County: 5.3 %Wake County: 4.6 %Warren County: 8.3 %Washington County: 5 %Watauga County: 5.8 %Wayne County: 5.5 %Wilkes County: 5.9 %Wilson County: 5.9 %Yadkin County: 7 %Yancey County: 7.2 %
  • Under 5
  • 5 to 5.4
  • 5.4 to 5.8
  • 5.8 to 6.2
  • 6.2 to 7.1
  • 7.1 and over
%, 2020. 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, 2020

Swain County: 12.2 %Swain County12.2Tyrrell County: 10.4 %Tyrrell County10.4Greene County: 10.3 %Greene County10.3Camden County: 9.3 %Camden County9.3Duplin County: 9.2 %Duplin County9.2Graham County: 8.7 %Graham County8.7Hyde County: 8.7 %Hyde County8.7Warren County: 8.3 %Warren County8.3Alleghany County: 8 %Alleghany County8Jackson County: 7.9 %Jackson County7.9Jones County: 7.9 %Jones County7.9Pamlico County: 7.6 %Pamlico County7.6Montgomery County: 7.5 %Montgomery County7.5Sampson County: 7.5 %Sampson County7.5Hoke County: 7.3 %Hoke County7.3Yancey County: 7.2 %Yancey County7.2Caswell County: 7.1 %Caswell County7.1Chatham County: 7.1 %Chatham County7.1Currituck County: 7.1 %Currituck County7.1Clay County: 7 %Clay County7Polk County: 7 %Polk County7Yadkin County: 7 %Yadkin County7Franklin County: 6.9 %Franklin County6.9Macon County: 6.8 %Macon County6.8Avery County: 6.6 %Avery County6.6Davie County: 6.5 %Davie County6.5Surry County: 6.5 %Surry County6.5Perquimans County: 6.4 %Perquimans County6.4Catawba County: 6.3 %Catawba County6.3Randolph County: 6.3 %Randolph County6.3Transylvania County: 6.3 %Transylvania County6.3Dare County: 6.2 %Dare County6.2Henderson County: 6.2 %Henderson County6.2Pender County: 6.2 %Pender County6.2Rowan County: 6.2 %Rowan County6.2Bladen County: 6.1 %Bladen County6.1Gates County: 6.1 %Gates County6.1Granville County: 6.1 %Granville County6.1Lee County: 6.1 %Lee County6.1Lincoln County: 6.1 %Lincoln County6.1Swain County: 12.2 %Swain County12.2Tyrrell County: 10.4 %Tyrrell County10.4Greene County: 10.3 %Greene County10.3Camden County: 9.3 %Camden County9.3Duplin County: 9.2 %Duplin County9.2Graham County: 8.7 %Graham County8.7Hyde County: 8.7 %Hyde County8.7Warren County: 8.3 %Warren County8.3Alleghany County: 8 %Alleghany County8Jackson County: 7.9 %Jackson County7.9Jones County: 7.9 %Jones County7.9Pamlico County: 7.6 %Pamlico County7.6Montgomery County: 7.5 %Montgomery County7.5Sampson County: 7.5 %Sampson County7.5Hoke County: 7.3 %Hoke County7.3Yancey County: 7.2 %Yancey County7.2Caswell County: 7.1 %Caswell County7.1Chatham County: 7.1 %Chatham County7.1Currituck County: 7.1 %Currituck County7.1Clay County: 7 %Clay County7Polk County: 7 %Polk County7Yadkin County: 7 %Yadkin County7Franklin County: 6.9 %Franklin County6.9Macon County: 6.8 %Macon County6.8Avery County: 6.6 %Avery County6.6Davie County: 6.5 %Davie County6.5Surry County: 6.5 %Surry County6.5Perquimans County: 6.4 %Perquimans County6.4Catawba County: 6.3 %Catawba County6.3Randolph County: 6.3 %Randolph County6.3Transylvania County: 6.3 %Transylvania County6.3Dare County: 6.2 %Dare County6.2Henderson County: 6.2 %Henderson County6.2Pender County: 6.2 %Pender County6.2Rowan County: 6.2 %Rowan County6.2Bladen County: 6.1 %Bladen County6.1Gates County: 6.1 %Gates County6.1Granville County: 6.1 %Granville County6.1Lee County: 6.1 %Lee County6.1Lincoln County: 6.1 %Lincoln 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

RankCounties2020 (%)Change on 2019
1Swain County12.2+0.9 pts
2Tyrrell County10.4+2.8 pts
3Greene County10.3+2 pts
4Camden County9.3+3.1 pts
5Duplin County9.2+0.8 pts
6Graham County8.7+0.3 pts
6Hyde County8.7+0.5 pts
8Warren County8.3+0.7 pts
9Alleghany County8-0.9 pts
10Jackson County7.9-0.6 pts
10Jones County7.9+0.4 pts
12Pamlico County7.6-0.7 pts
13Montgomery County7.5+0.1 pts
13Sampson County7.5-1.1 pts
15Hoke County7.3+0.7 pts
16Yancey County7.2-0.3 pts
17Caswell County7.1+0.5 pts
17Chatham County7.1-0.3 pts
17Currituck County7.10 pts
20Clay County7-1.5 pts
20Polk County7-0.8 pts
20Yadkin County7-0.5 pts
23Franklin County6.9+0.3 pts
24Macon County6.8-2.2 pts
25Avery County6.6-2.4 pts
26Davie County6.5-0.6 pts
26Surry County6.5+0.1 pts
28Perquimans County6.4-0.3 pts
29Catawba County6.3-1.6 pts
29Randolph County6.3-0.1 pts
29Transylvania County6.3-1.1 pts
32Dare County6.2-1 pts
32Henderson County6.2-0.3 pts
32Pender County6.2-0.6 pts
32Rowan County6.2+0.6 pts
36Bladen County6.1-1.1 pts
36Gates County6.10 pts
36Granville County6.1+0.3 pts
36Lee County6.1-0.4 pts
36Lincoln County6.1-0.2 pts
41Cherokee County6-1.1 pts
41Johnston County6-0.1 pts
41Person County6+0.1 pts
44Durham County5.9-0.7 pts
44Wilkes County5.9-0.7 pts
44Wilson County5.9+0.3 pts
47Cabarrus County5.8+0.2 pts
47Caldwell County5.8+0.1 pts
47Haywood County5.8+0.2 pts
47Mitchell County5.8-0.5 pts
47Nash County5.8+0.4 pts
47Robeson County5.8-0.3 pts
47Watauga County5.8-0.5 pts
54Ashe County5.7-1.3 pts
54Beaufort County5.7-0.3 pts
54Halifax County5.7-0.5 pts
54Iredell County5.7-0.6 pts
58Alamance County5.6-0.2 pts
58Columbus County5.6-0.6 pts
58Stanly County5.6-0.9 pts
61Alexander County5.5-0.8 pts
61Brunswick County5.5-0.1 pts
61Moore County5.5-0.9 pts
61Stokes County5.5+0.1 pts
61Wayne County5.5-0.6 pts
66Davidson County5.4-0.6 pts
66Pasquotank County5.4+0.4 pts
68Buncombe County5.3-1.2 pts
68Craven County5.3-0.8 pts
68Gaston County5.3-0.1 pts
68Harnett County5.3-0.6 pts
68Hertford County5.3+0.3 pts
68Vance County5.3+0.2 pts
74Carteret County5.2-1.2 pts
74Madison County5.2-0.4 pts
74Martin County5.20 pts
74Union County5.2-0.6 pts
78Chowan County5.1-0.5 pts
78Rockingham County5.1-0.5 pts
78Rutherford County5.1-0.2 pts
81Anson County5+0.2 pts
81Lenoir County5-0.2 pts
81McDowell County5-1.1 pts
81Richmond County5-0.3 pts
81Washington County5-0.7 pts
86Cleveland County4.90 pts
86Northampton County4.9-0.3 pts
86Orange County4.9-0.8 pts
86Pitt County4.90 pts
86Scotland County4.9-0.2 pts
91New Hanover County4.80 pts
92Burke County4.7-0.8 pts
92Mecklenburg County4.7-1.3 pts
94Bertie County4.6-0.2 pts
94Onslow County4.6+0.4 pts
94Wake County4.6-0.6 pts
97Forsyth County4.4-0.8 pts
97Guilford County4.4-0.6 pts
99Cumberland County4.2-0.4 pts
100Edgecombe County4-0.1 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2020.
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-2020-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 12.2% in 2020, according to the U.S. Census Bureau.

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

Edgecombe County, with 4% in 2020.

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