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 2021, at 10.4%. Edgecombe County had the lowest, at 3.8%. The median was 5.7% and the figure for North Carolina was 5.5%. Source: the U.S. Census Bureau.

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Highest10.4Swain County
Lowest3.8Edgecombe County
Median5.7100 counties
North Carolina5.5History

Map of counties, 2021

Alamance County: 5.6 %Alexander County: 5.2 %Alleghany County: 8.4 %Anson County: 4.9 %Ashe County: 5.7 %Avery County: 6.6 %Beaufort County: 6 %Bertie County: 4.6 %Bladen County: 6.1 %Brunswick County: 5.4 %Buncombe County: 5.1 %Burke County: 5.1 %Cabarrus County: 4.4 %Caldwell County: 5.1 %Camden County: 8 %Carteret County: 6.6 %Caswell County: 6 %Catawba County: 5.3 %Chatham County: 7.3 %Cherokee County: 6.3 %Chowan County: 6.4 %Clay County: 8.7 %Cleveland County: 5.2 %Columbus County: 5.5 %Craven County: 5.7 %Cumberland County: 4.3 %Currituck County: 7.5 %Dare County: 6.6 %Davidson County: 5.5 %Davie County: 6.2 %Duplin County: 8.4 %Durham County: 5.9 %Edgecombe County: 3.8 %Forsyth County: 5 %Franklin County: 6.2 %Gaston County: 5.3 %Gates County: 5.5 %Graham County: 8.5 %Granville County: 5.7 %Greene County: 9.1 %Guilford County: 4.7 %Halifax County: 5.1 %Harnett County: 5.1 %Haywood County: 6.1 %Henderson County: 5.4 %Hertford County: 4.9 %Hoke County: 4.4 %Hyde County: 8.8 %Iredell County: 5 %Jackson County: 7.9 %Johnston County: 6 %Jones County: 8 %Lee County: 6.4 %Lenoir County: 5.4 %Lincoln County: 6.2 %McDowell County: 5.5 %Macon County: 7.3 %Madison County: 5.3 %Martin County: 5.8 %Mecklenburg County: 6.5 %Mitchell County: 5.7 %Montgomery County: 7.4 %Moore County: 5.7 %Nash County: 5.1 %New Hanover County: 4.7 %Northampton County: 4.4 %Onslow County: 3.9 %Orange County: 5 %Pamlico County: 7.2 %Pasquotank County: 4.7 %Pender County: 8 %Perquimans County: 7 %Person County: 5.4 %Pitt County: 5.1 %Polk County: 7 %Randolph County: 5.8 %Richmond County: 4.5 %Robeson County: 5.4 %Rockingham County: 5.5 %Rowan County: 6.1 %Rutherford County: 5.5 %Sampson County: 6.8 %Scotland County: 4.1 %Stanly County: 6.4 %Stokes County: 6 %Surry County: 6.3 %Swain County: 10.4 %Transylvania County: 6.3 %Tyrrell County: 8.1 %Union County: 5.7 %Vance County: 5.2 %Wake County: 4.9 %Warren County: 6.7 %Washington County: 5.1 %Watauga County: 6.3 %Wayne County: 5.8 %Wilkes County: 5.6 %Wilson County: 6.7 %Yadkin County: 6.4 %Yancey County: 6.2 %
  • Under 5
  • 5 to 5.4
  • 5.4 to 5.7
  • 5.7 to 6.3
  • 6.3 to 7.1
  • 7.1 and over
%, 2021. 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, 2021

Swain County: 10.4 %Swain County10.4Greene County: 9.1 %Greene County9.1Hyde County: 8.8 %Hyde County8.8Clay County: 8.7 %Clay County8.7Graham County: 8.5 %Graham County8.5Alleghany County: 8.4 %Alleghany County8.4Duplin County: 8.4 %Duplin County8.4Tyrrell County: 8.1 %Tyrrell County8.1Camden County: 8 %Camden County8Jones County: 8 %Jones County8Pender County: 8 %Pender County8Jackson County: 7.9 %Jackson County7.9Currituck County: 7.5 %Currituck County7.5Montgomery County: 7.4 %Montgomery County7.4Chatham County: 7.3 %Chatham County7.3Macon County: 7.3 %Macon County7.3Pamlico County: 7.2 %Pamlico County7.2Perquimans County: 7 %Perquimans County7Polk County: 7 %Polk County7Sampson County: 6.8 %Sampson County6.8Warren County: 6.7 %Warren County6.7Wilson County: 6.7 %Wilson County6.7Avery County: 6.6 %Avery County6.6Carteret County: 6.6 %Carteret County6.6Dare County: 6.6 %Dare County6.6Mecklenburg County: 6.5 %Mecklenburg County6.5Chowan County: 6.4 %Chowan County6.4Lee County: 6.4 %Lee County6.4Stanly County: 6.4 %Stanly County6.4Yadkin County: 6.4 %Yadkin County6.4Cherokee County: 6.3 %Cherokee County6.3Surry County: 6.3 %Surry County6.3Transylvania County: 6.3 %Transylvania County6.3Watauga County: 6.3 %Watauga County6.3Davie County: 6.2 %Davie County6.2Franklin County: 6.2 %Franklin County6.2Lincoln County: 6.2 %Lincoln County6.2Yancey County: 6.2 %Yancey County6.2Bladen County: 6.1 %Bladen County6.1Haywood County: 6.1 %Haywood County6.1Swain County: 10.4 %Swain County10.4Greene County: 9.1 %Greene County9.1Hyde County: 8.8 %Hyde County8.8Clay County: 8.7 %Clay County8.7Graham County: 8.5 %Graham County8.5Alleghany County: 8.4 %Alleghany County8.4Duplin County: 8.4 %Duplin County8.4Tyrrell County: 8.1 %Tyrrell County8.1Camden County: 8 %Camden County8Jones County: 8 %Jones County8Pender County: 8 %Pender County8Jackson County: 7.9 %Jackson County7.9Currituck County: 7.5 %Currituck County7.5Montgomery County: 7.4 %Montgomery County7.4Chatham County: 7.3 %Chatham County7.3Macon County: 7.3 %Macon County7.3Pamlico County: 7.2 %Pamlico County7.2Perquimans County: 7 %Perquimans County7Polk County: 7 %Polk County7Sampson County: 6.8 %Sampson County6.8Warren County: 6.7 %Warren County6.7Wilson County: 6.7 %Wilson County6.7Avery County: 6.6 %Avery County6.6Carteret County: 6.6 %Carteret County6.6Dare County: 6.6 %Dare County6.6Mecklenburg County: 6.5 %Mecklenburg County6.5Chowan County: 6.4 %Chowan County6.4Lee County: 6.4 %Lee County6.4Stanly County: 6.4 %Stanly County6.4Yadkin County: 6.4 %Yadkin County6.4Cherokee County: 6.3 %Cherokee County6.3Surry County: 6.3 %Surry County6.3Transylvania County: 6.3 %Transylvania County6.3Watauga County: 6.3 %Watauga County6.3Davie County: 6.2 %Davie County6.2Franklin County: 6.2 %Franklin County6.2Lincoln County: 6.2 %Lincoln County6.2Yancey County: 6.2 %Yancey County6.2Bladen County: 6.1 %Bladen County6.1Haywood County: 6.1 %Haywood 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

RankCounties2021 (%)Change on 2020
1Swain County10.4-1.8 pts
2Greene County9.1-1.2 pts
3Hyde County8.8+0.1 pts
4Clay County8.7+1.7 pts
5Graham County8.5-0.2 pts
6Alleghany County8.4+0.4 pts
6Duplin County8.4-0.8 pts
8Tyrrell County8.1-2.3 pts
9Camden County8-1.3 pts
9Jones County8+0.1 pts
9Pender County8+1.8 pts
12Jackson County7.90 pts
13Currituck County7.5+0.4 pts
14Montgomery County7.4-0.1 pts
15Chatham County7.3+0.2 pts
15Macon County7.3+0.5 pts
17Pamlico County7.2-0.4 pts
18Perquimans County7+0.6 pts
18Polk County70 pts
20Sampson County6.8-0.7 pts
21Warren County6.7-1.6 pts
21Wilson County6.7+0.8 pts
23Avery County6.60 pts
23Carteret County6.6+1.4 pts
23Dare County6.6+0.4 pts
26Mecklenburg County6.5+1.8 pts
27Chowan County6.4+1.3 pts
27Lee County6.4+0.3 pts
27Stanly County6.4+0.8 pts
27Yadkin County6.4-0.6 pts
31Cherokee County6.3+0.3 pts
31Surry County6.3-0.2 pts
31Transylvania County6.30 pts
31Watauga County6.3+0.5 pts
35Davie County6.2-0.3 pts
35Franklin County6.2-0.7 pts
35Lincoln County6.2+0.1 pts
35Yancey County6.2-1 pts
39Bladen County6.10 pts
39Haywood County6.1+0.3 pts
39Rowan County6.1-0.1 pts
42Beaufort County6+0.3 pts
42Caswell County6-1.1 pts
42Johnston County60 pts
42Stokes County6+0.5 pts
46Durham County5.90 pts
47Martin County5.8+0.6 pts
47Randolph County5.8-0.5 pts
47Wayne County5.8+0.3 pts
50Ashe County5.70 pts
50Craven County5.7+0.4 pts
50Granville County5.7-0.4 pts
50Mitchell County5.7-0.1 pts
50Moore County5.7+0.2 pts
50Union County5.7+0.5 pts
56Alamance County5.60 pts
56Wilkes County5.6-0.3 pts
58Columbus County5.5-0.1 pts
58Davidson County5.5+0.1 pts
58Gates County5.5-0.6 pts
58McDowell County5.5+0.5 pts
58Rockingham County5.5+0.4 pts
58Rutherford County5.5+0.4 pts
64Brunswick County5.4-0.1 pts
64Henderson County5.4-0.8 pts
64Lenoir County5.4+0.4 pts
64Person County5.4-0.6 pts
64Robeson County5.4-0.4 pts
69Catawba County5.3-1 pts
69Gaston County5.30 pts
69Madison County5.3+0.1 pts
72Alexander County5.2-0.3 pts
72Cleveland County5.2+0.3 pts
72Vance County5.2-0.1 pts
75Buncombe County5.1-0.2 pts
75Burke County5.1+0.4 pts
75Caldwell County5.1-0.7 pts
75Halifax County5.1-0.6 pts
75Harnett County5.1-0.2 pts
75Nash County5.1-0.7 pts
75Pitt County5.1+0.2 pts
75Washington County5.1+0.1 pts
83Forsyth County5+0.6 pts
83Iredell County5-0.7 pts
83Orange County5+0.1 pts
86Anson County4.9-0.1 pts
86Hertford County4.9-0.4 pts
86Wake County4.9+0.3 pts
89Guilford County4.7+0.3 pts
89New Hanover County4.7-0.1 pts
89Pasquotank County4.7-0.7 pts
92Bertie County4.60 pts
93Richmond County4.5-0.5 pts
94Cabarrus County4.4-1.4 pts
94Hoke County4.4-2.9 pts
94Northampton County4.4-0.5 pts
97Cumberland County4.3+0.1 pts
98Scotland County4.1-0.8 pts
99Onslow County3.9-0.7 pts
100Edgecombe County3.8-0.2 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2021.
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-2021-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 10.4% in 2021, according to the U.S. Census Bureau.

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

Edgecombe County, with 3.8% in 2021.

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