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 2022, at 8.4%. Guilford County had the lowest, at 3.9%. The median was 5.4% and the figure for North Carolina was 5%. Source: the U.S. Census Bureau.

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Highest8.4Swain County
Lowest3.9Guilford County
Median5.4100 counties
North Carolina5History

Map of counties, 2022

Alamance County: 5.2 %Alexander County: 4.9 %Alleghany County: 6.9 %Anson County: 4.4 %Ashe County: 6.5 %Avery County: 6.7 %Beaufort County: 5 %Bertie County: 5.4 %Bladen County: 5 %Brunswick County: 4.6 %Buncombe County: 5.3 %Burke County: 5.8 %Cabarrus County: 4.1 %Caldwell County: 5.4 %Camden County: 5.5 %Carteret County: 5.4 %Caswell County: 6.3 %Catawba County: 5.6 %Chatham County: 6 %Cherokee County: 4.8 %Chowan County: 6 %Clay County: 6.4 %Cleveland County: 5 %Columbus County: 5.4 %Craven County: 5.5 %Cumberland County: 4.3 %Currituck County: 5.9 %Dare County: 5.7 %Davidson County: 4.7 %Davie County: 4.9 %Duplin County: 7.4 %Durham County: 5 %Edgecombe County: 4.7 %Forsyth County: 4.3 %Franklin County: 6.4 %Gaston County: 5.1 %Gates County: 4.8 %Graham County: 7 %Granville County: 5 %Greene County: 7.4 %Guilford County: 3.9 %Halifax County: 4.9 %Harnett County: 5.1 %Haywood County: 4.8 %Henderson County: 5.7 %Hertford County: 5.1 %Hoke County: 4.2 %Hyde County: 7.9 %Iredell County: 5 %Jackson County: 7.3 %Johnston County: 5.3 %Jones County: 6 %Lee County: 7 %Lenoir County: 5.4 %Lincoln County: 5.4 %McDowell County: 4.7 %Macon County: 6.8 %Madison County: 4.9 %Martin County: 5.5 %Mecklenburg County: 5.6 %Mitchell County: 4.8 %Montgomery County: 6.5 %Moore County: 4.3 %Nash County: 6.2 %New Hanover County: 4.8 %Northampton County: 4.5 %Onslow County: 4.6 %Orange County: 4.3 %Pamlico County: 6 %Pasquotank County: 5 %Pender County: 6 %Perquimans County: 7 %Person County: 5.7 %Pitt County: 4.5 %Polk County: 5.7 %Randolph County: 5.3 %Richmond County: 4.1 %Robeson County: 4.7 %Rockingham County: 4.9 %Rowan County: 4.6 %Rutherford County: 6.2 %Sampson County: 6.1 %Scotland County: 4 %Stanly County: 5.6 %Stokes County: 5 %Surry County: 5.2 %Swain County: 8.4 %Transylvania County: 7.1 %Tyrrell County: 7.4 %Union County: 5.1 %Vance County: 6 %Wake County: 4.4 %Warren County: 6.2 %Washington County: 5.8 %Watauga County: 5.5 %Wayne County: 4.7 %Wilkes County: 5.3 %Wilson County: 6.1 %Yadkin County: 6.8 %Yancey County: 5.4 %
  • Under 4.7
  • 4.7 to 5
  • 5 to 5.4
  • 5.4 to 5.7
  • 5.7 to 6.4
  • 6.4 and over
%, 2022. 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, 2022

Swain County: 8.4 %Swain County8.4Hyde County: 7.9 %Hyde County7.9Duplin County: 7.4 %Duplin County7.4Greene County: 7.4 %Greene County7.4Tyrrell County: 7.4 %Tyrrell County7.4Jackson County: 7.3 %Jackson County7.3Transylvania County: 7.1 %Transylvania County7.1Graham County: 7 %Graham County7Lee County: 7 %Lee County7Perquimans County: 7 %Perquimans County7Alleghany County: 6.9 %Alleghany County6.9Macon County: 6.8 %Macon County6.8Yadkin County: 6.8 %Yadkin County6.8Avery County: 6.7 %Avery County6.7Ashe County: 6.5 %Ashe County6.5Montgomery County: 6.5 %Montgomery County6.5Clay County: 6.4 %Clay County6.4Franklin County: 6.4 %Franklin County6.4Caswell County: 6.3 %Caswell County6.3Nash County: 6.2 %Nash County6.2Rutherford County: 6.2 %Rutherford County6.2Warren County: 6.2 %Warren County6.2Sampson County: 6.1 %Sampson County6.1Wilson County: 6.1 %Wilson County6.1Chatham County: 6 %Chatham County6Chowan County: 6 %Chowan County6Jones County: 6 %Jones County6Pamlico County: 6 %Pamlico County6Pender County: 6 %Pender County6Vance County: 6 %Vance County6Currituck County: 5.9 %Currituck County5.9Burke County: 5.8 %Burke County5.8Washington County: 5.8 %Washington County5.8Dare County: 5.7 %Dare County5.7Henderson County: 5.7 %Henderson County5.7Person County: 5.7 %Person County5.7Polk County: 5.7 %Polk County5.7Catawba County: 5.6 %Catawba County5.6Mecklenburg County: 5.6 %Mecklenburg County5.6Stanly County: 5.6 %Stanly County5.6Swain County: 8.4 %Swain County8.4Hyde County: 7.9 %Hyde County7.9Duplin County: 7.4 %Duplin County7.4Greene County: 7.4 %Greene County7.4Tyrrell County: 7.4 %Tyrrell County7.4Jackson County: 7.3 %Jackson County7.3Transylvania County: 7.1 %Transylvania County7.1Graham County: 7 %Graham County7Lee County: 7 %Lee County7Perquimans County: 7 %Perquimans County7Alleghany County: 6.9 %Alleghany County6.9Macon County: 6.8 %Macon County6.8Yadkin County: 6.8 %Yadkin County6.8Avery County: 6.7 %Avery County6.7Ashe County: 6.5 %Ashe County6.5Montgomery County: 6.5 %Montgomery County6.5Clay County: 6.4 %Clay County6.4Franklin County: 6.4 %Franklin County6.4Caswell County: 6.3 %Caswell County6.3Nash County: 6.2 %Nash County6.2Rutherford County: 6.2 %Rutherford County6.2Warren County: 6.2 %Warren County6.2Sampson County: 6.1 %Sampson County6.1Wilson County: 6.1 %Wilson County6.1Chatham County: 6 %Chatham County6Chowan County: 6 %Chowan County6Jones County: 6 %Jones County6Pamlico County: 6 %Pamlico County6Pender County: 6 %Pender County6Vance County: 6 %Vance County6Currituck County: 5.9 %Currituck County5.9Burke County: 5.8 %Burke County5.8Washington County: 5.8 %Washington County5.8Dare County: 5.7 %Dare County5.7Henderson County: 5.7 %Henderson County5.7Person County: 5.7 %Person County5.7Polk County: 5.7 %Polk County5.7Catawba County: 5.6 %Catawba County5.6Mecklenburg County: 5.6 %Mecklenburg County5.6Stanly County: 5.6 %Stanly County5.6
%. 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

RankCounties2022 (%)Change on 2021
1Swain County8.4-2 pts
2Hyde County7.9-0.9 pts
3Duplin County7.4-1 pts
3Greene County7.4-1.7 pts
3Tyrrell County7.4-0.7 pts
6Jackson County7.3-0.6 pts
7Transylvania County7.1+0.8 pts
8Graham County7-1.5 pts
8Lee County7+0.6 pts
8Perquimans County70 pts
11Alleghany County6.9-1.5 pts
12Macon County6.8-0.5 pts
12Yadkin County6.8+0.4 pts
14Avery County6.7+0.1 pts
15Ashe County6.5+0.8 pts
15Montgomery County6.5-0.9 pts
17Clay County6.4-2.3 pts
17Franklin County6.4+0.2 pts
19Caswell County6.3+0.3 pts
20Nash County6.2+1.1 pts
20Rutherford County6.2+0.7 pts
20Warren County6.2-0.5 pts
23Sampson County6.1-0.7 pts
23Wilson County6.1-0.6 pts
25Chatham County6-1.3 pts
25Chowan County6-0.4 pts
25Jones County6-2 pts
25Pamlico County6-1.2 pts
25Pender County6-2 pts
25Vance County6+0.8 pts
31Currituck County5.9-1.6 pts
32Burke County5.8+0.7 pts
32Washington County5.8+0.7 pts
34Dare County5.7-0.9 pts
34Henderson County5.7+0.3 pts
34Person County5.7+0.3 pts
34Polk County5.7-1.3 pts
38Catawba County5.6+0.3 pts
38Mecklenburg County5.6-0.9 pts
38Stanly County5.6-0.8 pts
41Camden County5.5-2.5 pts
41Craven County5.5-0.2 pts
41Martin County5.5-0.3 pts
41Watauga County5.5-0.8 pts
45Bertie County5.4+0.8 pts
45Caldwell County5.4+0.3 pts
45Carteret County5.4-1.2 pts
45Columbus County5.4-0.1 pts
45Lenoir County5.40 pts
45Lincoln County5.4-0.8 pts
45Yancey County5.4-0.8 pts
52Buncombe County5.3+0.2 pts
52Johnston County5.3-0.7 pts
52Randolph County5.3-0.5 pts
52Wilkes County5.3-0.3 pts
56Alamance County5.2-0.4 pts
56Surry County5.2-1.1 pts
58Gaston County5.1-0.2 pts
58Harnett County5.10 pts
58Hertford County5.1+0.2 pts
58Union County5.1-0.6 pts
62Beaufort County5-1 pts
62Bladen County5-1.1 pts
62Cleveland County5-0.2 pts
62Durham County5-0.9 pts
62Granville County5-0.7 pts
62Iredell County50 pts
62Pasquotank County5+0.3 pts
62Stokes County5-1 pts
70Alexander County4.9-0.3 pts
70Davie County4.9-1.3 pts
70Halifax County4.9-0.2 pts
70Madison County4.9-0.4 pts
70Rockingham County4.9-0.6 pts
75Cherokee County4.8-1.5 pts
75Gates County4.8-0.7 pts
75Haywood County4.8-1.3 pts
75Mitchell County4.8-0.9 pts
75New Hanover County4.8+0.1 pts
80Davidson County4.7-0.8 pts
80Edgecombe County4.7+0.9 pts
80McDowell County4.7-0.8 pts
80Robeson County4.7-0.7 pts
80Wayne County4.7-1.1 pts
85Brunswick County4.6-0.8 pts
85Onslow County4.6+0.7 pts
85Rowan County4.6-1.5 pts
88Northampton County4.5+0.1 pts
88Pitt County4.5-0.6 pts
90Anson County4.4-0.5 pts
90Wake County4.4-0.5 pts
92Cumberland County4.30 pts
92Forsyth County4.3-0.7 pts
92Moore County4.3-1.4 pts
92Orange County4.3-0.7 pts
96Hoke County4.2-0.2 pts
97Cabarrus County4.1-0.3 pts
97Richmond County4.1-0.4 pts
99Scotland County4-0.1 pts
100Guilford County3.9-0.8 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2022.
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-2022-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 8.4% in 2022, according to the U.S. Census Bureau.

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

Guilford County, with 3.9% in 2022.

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