Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in North Dakota

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

Mountrail County had the highest uninsured rate, under 19 (US model-based estimate) of 53 counties in 2020, at 12.4%. Burleigh County had the lowest, at 4.4%. The median was 7.9% and the figure for North Dakota was 6.3%. Source: the U.S. Census Bureau.

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Highest12.4Mountrail County
Lowest4.4Burleigh County
Median7.953 counties
North Dakota6.3History

Map of counties, 2020

Adams County: 7.7 %Barnes County: 6.6 %Benson County: 5.4 %Billings County: 8.6 %Bottineau County: 8.1 %Bowman County: 11.9 %Burke County: 9.2 %Burleigh County: 4.4 %Cass County: 4.7 %Cavalier County: 6.8 %Dickey County: 7.9 %Divide County: 7.8 %Dunn County: 8.9 %Eddy County: 8.4 %Emmons County: 7.5 %Foster County: 10.5 %Golden Valley County: 8.7 %Grand Forks County: 4.9 %Grant County: 6.1 %Griggs County: 7.7 %Hettinger County: 10.8 %Kidder County: 6.7 %LaMoure County: 10.1 %Logan County: 4.7 %McHenry County: 6.7 %McIntosh County: 8.2 %McKenzie County: 10.5 %McLean County: 8.7 %Mercer County: 6.7 %Morton County: 5.2 %Mountrail County: 12.4 %Nelson County: 8.5 %Oliver County: 8 %Pembina County: 10.2 %Pierce County: 4.9 %Ramsey County: 7.2 %Ransom County: 8.6 %Renville County: 8.9 %Richland County: 6.4 %Rolette County: 8.4 %Sargent County: 8.5 %Sheridan County: 8.7 %Sioux County: 6.8 %Slope County: 6.5 %Stark County: 7.8 %Steele County: 5.7 %Stutsman County: 5.5 %Towner County: 12.3 %Traill County: 7.9 %Walsh County: 10.3 %Ward County: 5.9 %Wells County: 8.4 %Williams County: 7.5 %
  • Under 5.8
  • 5.8 to 6.8
  • 6.8 to 7.9
  • 7.9 to 8.5
  • 8.5 to 9.5
  • 9.5 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.

All counties, 2020

Mountrail County: 12.4 %Mountrail County12.4Towner County: 12.3 %Towner County12.3Bowman County: 11.9 %Bowman County11.9Hettinger County: 10.8 %Hettinger County10.8Foster County: 10.5 %Foster County10.5McKenzie County: 10.5 %McKenzie County10.5Walsh County: 10.3 %Walsh County10.3Pembina County: 10.2 %Pembina County10.2LaMoure County: 10.1 %LaMoure County10.1Burke County: 9.2 %Burke County9.2Dunn County: 8.9 %Dunn County8.9Renville County: 8.9 %Renville County8.9Golden Valley County: 8.7 %Golden Valley County8.7McLean County: 8.7 %McLean County8.7Sheridan County: 8.7 %Sheridan County8.7Billings County: 8.6 %Billings County8.6Ransom County: 8.6 %Ransom County8.6Nelson County: 8.5 %Nelson County8.5Sargent County: 8.5 %Sargent County8.5Eddy County: 8.4 %Eddy County8.4Rolette County: 8.4 %Rolette County8.4Wells County: 8.4 %Wells County8.4McIntosh County: 8.2 %McIntosh County8.2Bottineau County: 8.1 %Bottineau County8.1Oliver County: 8 %Oliver County8Dickey County: 7.9 %Dickey County7.9Traill County: 7.9 %Traill County7.9Divide County: 7.8 %Divide County7.8Stark County: 7.8 %Stark County7.8Adams County: 7.7 %Adams County7.7Griggs County: 7.7 %Griggs County7.7Emmons County: 7.5 %Emmons County7.5Williams County: 7.5 %Williams County7.5Ramsey County: 7.2 %Ramsey County7.2Cavalier County: 6.8 %Cavalier County6.8Sioux County: 6.8 %Sioux County6.8Kidder County: 6.7 %Kidder County6.7McHenry County: 6.7 %McHenry County6.7Mercer County: 6.7 %Mercer County6.7Barnes County: 6.6 %Barnes County6.6Slope County: 6.5 %Slope County6.5Richland County: 6.4 %Richland County6.4Grant County: 6.1 %Grant County6.1Ward County: 5.9 %Ward County5.9Steele County: 5.7 %Steele County5.7Stutsman County: 5.5 %Stutsman County5.5Benson County: 5.4 %Benson County5.4Morton County: 5.2 %Morton County5.2Grand Forks County: 4.9 %Grand Forks County4.9Pierce County: 4.9 %Pierce County4.9Cass County: 4.7 %Cass County4.7Logan County: 4.7 %Logan County4.7Burleigh County: 4.4 %Burleigh County4.4Mountrail County: 12.4 %Mountrail County12.4Towner County: 12.3 %Towner County12.3Bowman County: 11.9 %Bowman County11.9Hettinger County: 10.8 %Hettinger County10.8Foster County: 10.5 %Foster County10.5McKenzie County: 10.5 %McKenzie County10.5Walsh County: 10.3 %Walsh County10.3Pembina County: 10.2 %Pembina County10.2LaMoure County: 10.1 %LaMoure County10.1Burke County: 9.2 %Burke County9.2Dunn County: 8.9 %Dunn County8.9Renville County: 8.9 %Renville County8.9Golden Valley County: 8.7 %Golden Valley County8.7McLean County: 8.7 %McLean County8.7Sheridan County: 8.7 %Sheridan County8.7Billings County: 8.6 %Billings County8.6Ransom County: 8.6 %Ransom County8.6Nelson County: 8.5 %Nelson County8.5Sargent County: 8.5 %Sargent County8.5Eddy County: 8.4 %Eddy County8.4Rolette County: 8.4 %Rolette County8.4Wells County: 8.4 %Wells County8.4McIntosh County: 8.2 %McIntosh County8.2Bottineau County: 8.1 %Bottineau County8.1Oliver County: 8 %Oliver County8Dickey County: 7.9 %Dickey County7.9Traill County: 7.9 %Traill County7.9Divide County: 7.8 %Divide County7.8Stark County: 7.8 %Stark County7.8Adams County: 7.7 %Adams County7.7Griggs County: 7.7 %Griggs County7.7Emmons County: 7.5 %Emmons County7.5Williams County: 7.5 %Williams County7.5Ramsey County: 7.2 %Ramsey County7.2Cavalier County: 6.8 %Cavalier County6.8Sioux County: 6.8 %Sioux County6.8Kidder County: 6.7 %Kidder County6.7McHenry County: 6.7 %McHenry County6.7Mercer County: 6.7 %Mercer County6.7Barnes County: 6.6 %Barnes County6.6Slope County: 6.5 %Slope County6.5Richland County: 6.4 %Richland County6.4Grant County: 6.1 %Grant County6.1Ward County: 5.9 %Ward County5.9Steele County: 5.7 %Steele County5.7Stutsman County: 5.5 %Stutsman County5.5Benson County: 5.4 %Benson County5.4Morton County: 5.2 %Morton County5.2Grand Forks County: 4.9 %Grand Forks County4.9Pierce County: 4.9 %Pierce County4.9Cass County: 4.7 %Cass County4.7Logan County: 4.7 %Logan County4.7Burleigh County: 4.4 %Burleigh County4.4
%. 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

RankCounties2020 (%)Change on 2019
1Mountrail County12.4-1.3 pts
2Towner County12.3+0.9 pts
3Bowman County11.9+0.6 pts
4Hettinger County10.8-1.4 pts
5Foster County10.5+3.9 pts
5McKenzie County10.5+1.1 pts
7Walsh County10.3+1.9 pts
8Pembina County10.2+2.1 pts
9LaMoure County10.1-1.8 pts
10Burke County9.2+2.4 pts
11Dunn County8.9-5.4 pts
11Renville County8.9+2 pts
13Golden Valley County8.7-0.4 pts
13McLean County8.7-1.8 pts
13Sheridan County8.7-2 pts
16Billings County8.6-1.1 pts
16Ransom County8.6+1.5 pts
18Nelson County8.5-0.2 pts
18Sargent County8.5+0.8 pts
20Eddy County8.4-0.1 pts
20Rolette County8.4-1 pts
20Wells County8.4+1.2 pts
23McIntosh County8.2-2.3 pts
24Bottineau County8.1-0.4 pts
25Oliver County8+0.2 pts
26Dickey County7.9-0.1 pts
26Traill County7.9+2.1 pts
28Divide County7.8-3.1 pts
28Stark County7.8+2.1 pts
30Adams County7.7-3.6 pts
30Griggs County7.7+0.6 pts
32Emmons County7.5-4.6 pts
32Williams County7.5-0.6 pts
34Ramsey County7.2+1.1 pts
35Cavalier County6.8+0.2 pts
35Sioux County6.8-0.6 pts
37Kidder County6.7-4.2 pts
37McHenry County6.7-2.5 pts
37Mercer County6.7+1.6 pts
40Barnes County6.6+1.3 pts
41Slope County6.5-6.7 pts
42Richland County6.4+0.8 pts
43Grant County6.1-9 pts
44Ward County5.9+0.5 pts
45Steele County5.7+0.7 pts
46Stutsman County5.5+0.2 pts
47Benson County5.4-2.1 pts
48Morton County5.20 pts
49Grand Forks County4.9+0.1 pts
49Pierce County4.9-1.4 pts
51Cass County4.7-0.1 pts
51Logan County4.7-12 pts
53Burleigh County4.40 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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-dakota-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)?

Mountrail County, with 12.4% in 2020, according to the U.S. Census Bureau.

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

Burleigh County, with 4.4% 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 Dakota: more rankings