Counties in North Carolina by uninsured rate, under 19 (US model-based estimate)

Tyrrell County had the highest uninsured rate, under 19 (US model-based estimate) of 100 counties in 2023, at 8.5%. Wake County had the lowest, at 4.2%. The median was 5.6% and the figure for North Carolina was 5.3%. Source: the U.S. Census Bureau.

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Highest8.5Tyrrell County
Lowest4.2Wake County
Median5.6100 counties
North Carolina5.3History

Map of counties, 2023

Alamance County: 5.3 %Alexander County: 5.4 %Alleghany County: 7.9 %Anson County: 5.3 %Ashe County: 6.3 %Avery County: 7 %Beaufort County: 5.5 %Bertie County: 6 %Bladen County: 4.8 %Brunswick County: 4.8 %Buncombe County: 4.9 %Burke County: 5.9 %Cabarrus County: 4.7 %Caldwell County: 6.1 %Camden County: 5.5 %Carteret County: 5.9 %Caswell County: 6.3 %Catawba County: 5.7 %Chatham County: 6 %Cherokee County: 5.6 %Chowan County: 6.4 %Clay County: 7.4 %Cleveland County: 5.5 %Columbus County: 5.8 %Craven County: 5 %Cumberland County: 4.5 %Currituck County: 5.3 %Dare County: 5.3 %Davidson County: 5.2 %Davie County: 5.5 %Duplin County: 7 %Durham County: 6.2 %Edgecombe County: 4.8 %Forsyth County: 5.6 %Franklin County: 5.4 %Gaston County: 5.8 %Gates County: 5.4 %Graham County: 5.9 %Granville County: 5 %Greene County: 8.4 %Guilford County: 5 %Halifax County: 4.9 %Harnett County: 4.8 %Haywood County: 5.6 %Henderson County: 6.4 %Hertford County: 4.9 %Hoke County: 4.6 %Hyde County: 8.3 %Iredell County: 5.2 %Jackson County: 6.1 %Johnston County: 5.3 %Jones County: 6.1 %Lee County: 6.6 %Lenoir County: 6.6 %Lincoln County: 4.9 %McDowell County: 5.8 %Macon County: 6.9 %Madison County: 5.4 %Martin County: 5.8 %Mecklenburg County: 6.4 %Mitchell County: 5.1 %Montgomery County: 6.6 %Moore County: 4.3 %Nash County: 6.7 %New Hanover County: 4.5 %Northampton County: 4.9 %Onslow County: 4.8 %Orange County: 4.8 %Pamlico County: 6.1 %Pasquotank County: 5.7 %Pender County: 5.7 %Perquimans County: 6.4 %Person County: 4.9 %Pitt County: 5.3 %Polk County: 6.4 %Randolph County: 5.9 %Richmond County: 4.3 %Robeson County: 4.6 %Rockingham County: 5.5 %Rowan County: 5.1 %Rutherford County: 5.6 %Sampson County: 6.6 %Scotland County: 4.2 %Stanly County: 5.5 %Stokes County: 5 %Surry County: 5.9 %Swain County: 6.9 %Transylvania County: 5.7 %Tyrrell County: 8.5 %Union County: 4.4 %Vance County: 6.3 %Wake County: 4.2 %Warren County: 7.2 %Washington County: 5.6 %Watauga County: 6.7 %Wayne County: 6 %Wilkes County: 5.7 %Wilson County: 5.9 %Yadkin County: 6.1 %Yancey County: 6.2 %
  • Under 4.9
  • 4.9 to 5.3
  • 5.3 to 5.6
  • 5.6 to 6
  • 6 to 6.4
  • 6.4 and over
%, 2023. 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, 2023

Tyrrell County: 8.5 %Tyrrell County8.5Greene County: 8.4 %Greene County8.4Hyde County: 8.3 %Hyde County8.3Alleghany County: 7.9 %Alleghany County7.9Clay County: 7.4 %Clay County7.4Warren County: 7.2 %Warren County7.2Avery County: 7 %Avery County7Duplin County: 7 %Duplin County7Macon County: 6.9 %Macon County6.9Swain County: 6.9 %Swain County6.9Nash County: 6.7 %Nash County6.7Watauga County: 6.7 %Watauga County6.7Lee County: 6.6 %Lee County6.6Lenoir County: 6.6 %Lenoir County6.6Montgomery County: 6.6 %Montgomery County6.6Sampson County: 6.6 %Sampson County6.6Chowan County: 6.4 %Chowan County6.4Henderson County: 6.4 %Henderson County6.4Mecklenburg County: 6.4 %Mecklenburg County6.4Perquimans County: 6.4 %Perquimans County6.4Polk County: 6.4 %Polk County6.4Ashe County: 6.3 %Ashe County6.3Caswell County: 6.3 %Caswell County6.3Vance County: 6.3 %Vance County6.3Durham County: 6.2 %Durham County6.2Yancey County: 6.2 %Yancey County6.2Caldwell County: 6.1 %Caldwell County6.1Jackson County: 6.1 %Jackson County6.1Jones County: 6.1 %Jones County6.1Pamlico County: 6.1 %Pamlico County6.1Yadkin County: 6.1 %Yadkin County6.1Bertie County: 6 %Bertie County6Chatham County: 6 %Chatham County6Wayne County: 6 %Wayne County6Burke County: 5.9 %Burke County5.9Carteret County: 5.9 %Carteret County5.9Graham County: 5.9 %Graham County5.9Randolph County: 5.9 %Randolph County5.9Surry County: 5.9 %Surry County5.9Wilson County: 5.9 %Wilson County5.9Tyrrell County: 8.5 %Tyrrell County8.5Greene County: 8.4 %Greene County8.4Hyde County: 8.3 %Hyde County8.3Alleghany County: 7.9 %Alleghany County7.9Clay County: 7.4 %Clay County7.4Warren County: 7.2 %Warren County7.2Avery County: 7 %Avery County7Duplin County: 7 %Duplin County7Macon County: 6.9 %Macon County6.9Swain County: 6.9 %Swain County6.9Nash County: 6.7 %Nash County6.7Watauga County: 6.7 %Watauga County6.7Lee County: 6.6 %Lee County6.6Lenoir County: 6.6 %Lenoir County6.6Montgomery County: 6.6 %Montgomery County6.6Sampson County: 6.6 %Sampson County6.6Chowan County: 6.4 %Chowan County6.4Henderson County: 6.4 %Henderson County6.4Mecklenburg County: 6.4 %Mecklenburg County6.4Perquimans County: 6.4 %Perquimans County6.4Polk County: 6.4 %Polk County6.4Ashe County: 6.3 %Ashe County6.3Caswell County: 6.3 %Caswell County6.3Vance County: 6.3 %Vance County6.3Durham County: 6.2 %Durham County6.2Yancey County: 6.2 %Yancey County6.2Caldwell County: 6.1 %Caldwell County6.1Jackson County: 6.1 %Jackson County6.1Jones County: 6.1 %Jones County6.1Pamlico County: 6.1 %Pamlico County6.1Yadkin County: 6.1 %Yadkin County6.1Bertie County: 6 %Bertie County6Chatham County: 6 %Chatham County6Wayne County: 6 %Wayne County6Burke County: 5.9 %Burke County5.9Carteret County: 5.9 %Carteret County5.9Graham County: 5.9 %Graham County5.9Randolph County: 5.9 %Randolph County5.9Surry County: 5.9 %Surry County5.9Wilson County: 5.9 %Wilson County5.9
%. 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

RankCounties2023 (%)Change on 2022
1Tyrrell County8.5+1.1 pts
2Greene County8.4+1 pts
3Hyde County8.3+0.4 pts
4Alleghany County7.9+1 pts
5Clay County7.4+1 pts
6Warren County7.2+1 pts
7Avery County7+0.3 pts
7Duplin County7-0.4 pts
9Macon County6.9+0.1 pts
9Swain County6.9-1.5 pts
11Nash County6.7+0.5 pts
11Watauga County6.7+1.2 pts
13Lee County6.6-0.4 pts
13Lenoir County6.6+1.2 pts
13Montgomery County6.6+0.1 pts
13Sampson County6.6+0.5 pts
17Chowan County6.4+0.4 pts
17Henderson County6.4+0.7 pts
17Mecklenburg County6.4+0.8 pts
17Perquimans County6.4-0.6 pts
17Polk County6.4+0.7 pts
22Ashe County6.3-0.2 pts
22Caswell County6.30 pts
22Vance County6.3+0.3 pts
25Durham County6.2+1.2 pts
25Yancey County6.2+0.8 pts
27Caldwell County6.1+0.7 pts
27Jackson County6.1-1.2 pts
27Jones County6.1+0.1 pts
27Pamlico County6.1+0.1 pts
27Yadkin County6.1-0.7 pts
32Bertie County6+0.6 pts
32Chatham County60 pts
32Wayne County6+1.3 pts
35Burke County5.9+0.1 pts
35Carteret County5.9+0.5 pts
35Graham County5.9-1.1 pts
35Randolph County5.9+0.6 pts
35Surry County5.9+0.7 pts
35Wilson County5.9-0.2 pts
41Columbus County5.8+0.4 pts
41Gaston County5.8+0.7 pts
41Martin County5.8+0.3 pts
41McDowell County5.8+1.1 pts
45Catawba County5.7+0.1 pts
45Pasquotank County5.7+0.7 pts
45Pender County5.7-0.3 pts
45Transylvania County5.7-1.4 pts
45Wilkes County5.7+0.4 pts
50Cherokee County5.6+0.8 pts
50Forsyth County5.6+1.3 pts
50Haywood County5.6+0.8 pts
50Rutherford County5.6-0.6 pts
50Washington County5.6-0.2 pts
55Beaufort County5.5+0.5 pts
55Camden County5.50 pts
55Cleveland County5.5+0.5 pts
55Davie County5.5+0.6 pts
55Rockingham County5.5+0.6 pts
55Stanly County5.5-0.1 pts
61Alexander County5.4+0.5 pts
61Franklin County5.4-1 pts
61Gates County5.4+0.6 pts
61Madison County5.4+0.5 pts
65Alamance County5.3+0.1 pts
65Anson County5.3+0.9 pts
65Currituck County5.3-0.6 pts
65Dare County5.3-0.4 pts
65Johnston County5.30 pts
65Pitt County5.3+0.8 pts
71Davidson County5.2+0.5 pts
71Iredell County5.2+0.2 pts
73Mitchell County5.1+0.3 pts
73Rowan County5.1+0.5 pts
75Craven County5-0.5 pts
75Granville County50 pts
75Guilford County5+1.1 pts
75Stokes County50 pts
79Buncombe County4.9-0.4 pts
79Halifax County4.90 pts
79Hertford County4.9-0.2 pts
79Lincoln County4.9-0.5 pts
79Northampton County4.9+0.4 pts
79Person County4.9-0.8 pts
85Bladen County4.8-0.2 pts
85Brunswick County4.8+0.2 pts
85Edgecombe County4.8+0.1 pts
85Harnett County4.8-0.3 pts
85Onslow County4.8+0.2 pts
85Orange County4.8+0.5 pts
91Cabarrus County4.7+0.6 pts
92Hoke County4.6+0.4 pts
92Robeson County4.6-0.1 pts
94Cumberland County4.5+0.2 pts
94New Hanover County4.5-0.3 pts
96Union County4.4-0.7 pts
97Moore County4.30 pts
97Richmond County4.3+0.2 pts
99Scotland County4.2+0.2 pts
99Wake County4.2-0.2 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-carolina-counties?period=2023.
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-2023-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)?

Tyrrell County, with 8.5% in 2023, according to the U.S. Census Bureau.

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

Wake County, with 4.2% in 2023.

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