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 2021, at 16.8%. Pierce County had the lowest, at 5.4%. The median was 9.2% and the figure for North Dakota was 7.5%. Source: the U.S. Census Bureau.

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Highest16.8Mountrail County
Lowest5.4Pierce County
Median9.253 counties
North Dakota7.5History

Map of counties, 2021

Adams County: 11.4 %Barnes County: 6.8 %Benson County: 7.1 %Billings County: 9.1 %Bottineau County: 9.7 %Bowman County: 14.2 %Burke County: 11 %Burleigh County: 5.7 %Cass County: 6.1 %Cavalier County: 8.5 %Dickey County: 8 %Divide County: 12.8 %Dunn County: 12.5 %Eddy County: 9.2 %Emmons County: 10.4 %Foster County: 10.6 %Golden Valley County: 10.7 %Grand Forks County: 5.7 %Grant County: 7.4 %Griggs County: 8.6 %Hettinger County: 12.1 %Kidder County: 9.3 %LaMoure County: 13.5 %Logan County: 6.8 %McHenry County: 7.6 %McIntosh County: 10.4 %McKenzie County: 13.5 %McLean County: 10.3 %Mercer County: 7.2 %Morton County: 6.3 %Mountrail County: 16.8 %Nelson County: 10.2 %Oliver County: 7.9 %Pembina County: 10.7 %Pierce County: 5.4 %Ramsey County: 8.5 %Ransom County: 11.2 %Renville County: 11.1 %Richland County: 8.2 %Rolette County: 9.7 %Sargent County: 7.7 %Sheridan County: 11.7 %Sioux County: 7.2 %Slope County: 9.2 %Stark County: 7.2 %Steele County: 6.4 %Stutsman County: 7.6 %Towner County: 14.2 %Traill County: 9.3 %Walsh County: 11.2 %Ward County: 6.5 %Wells County: 9.1 %Williams County: 10.4 %
  • Under 7
  • 7 to 7.9
  • 7.9 to 9.2
  • 9.2 to 10
  • 10 to 12
  • 12 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.

All counties, 2021

Mountrail County: 16.8 %Mountrail County16.8Bowman County: 14.2 %Bowman County14.2Towner County: 14.2 %Towner County14.2LaMoure County: 13.5 %LaMoure County13.5McKenzie County: 13.5 %McKenzie County13.5Divide County: 12.8 %Divide County12.8Dunn County: 12.5 %Dunn County12.5Hettinger County: 12.1 %Hettinger County12.1Sheridan County: 11.7 %Sheridan County11.7Adams County: 11.4 %Adams County11.4Ransom County: 11.2 %Ransom County11.2Walsh County: 11.2 %Walsh County11.2Renville County: 11.1 %Renville County11.1Burke County: 11 %Burke County11Golden Valley County: 10.7 %Golden Valley County10.7Pembina County: 10.7 %Pembina County10.7Foster County: 10.6 %Foster County10.6Emmons County: 10.4 %Emmons County10.4McIntosh County: 10.4 %McIntosh County10.4Williams County: 10.4 %Williams County10.4McLean County: 10.3 %McLean County10.3Nelson County: 10.2 %Nelson County10.2Bottineau County: 9.7 %Bottineau County9.7Rolette County: 9.7 %Rolette County9.7Kidder County: 9.3 %Kidder County9.3Traill County: 9.3 %Traill County9.3Eddy County: 9.2 %Eddy County9.2Slope County: 9.2 %Slope County9.2Billings County: 9.1 %Billings County9.1Wells County: 9.1 %Wells County9.1Griggs County: 8.6 %Griggs County8.6Cavalier County: 8.5 %Cavalier County8.5Ramsey County: 8.5 %Ramsey County8.5Richland County: 8.2 %Richland County8.2Dickey County: 8 %Dickey County8Oliver County: 7.9 %Oliver County7.9Sargent County: 7.7 %Sargent County7.7McHenry County: 7.6 %McHenry County7.6Stutsman County: 7.6 %Stutsman County7.6Grant County: 7.4 %Grant County7.4Mercer County: 7.2 %Mercer County7.2Sioux County: 7.2 %Sioux County7.2Stark County: 7.2 %Stark County7.2Benson County: 7.1 %Benson County7.1Barnes County: 6.8 %Barnes County6.8Logan County: 6.8 %Logan County6.8Ward County: 6.5 %Ward County6.5Steele County: 6.4 %Steele County6.4Morton County: 6.3 %Morton County6.3Cass County: 6.1 %Cass County6.1Burleigh County: 5.7 %Burleigh County5.7Grand Forks County: 5.7 %Grand Forks County5.7Pierce County: 5.4 %Pierce County5.4Mountrail County: 16.8 %Mountrail County16.8Bowman County: 14.2 %Bowman County14.2Towner County: 14.2 %Towner County14.2LaMoure County: 13.5 %LaMoure County13.5McKenzie County: 13.5 %McKenzie County13.5Divide County: 12.8 %Divide County12.8Dunn County: 12.5 %Dunn County12.5Hettinger County: 12.1 %Hettinger County12.1Sheridan County: 11.7 %Sheridan County11.7Adams County: 11.4 %Adams County11.4Ransom County: 11.2 %Ransom County11.2Walsh County: 11.2 %Walsh County11.2Renville County: 11.1 %Renville County11.1Burke County: 11 %Burke County11Golden Valley County: 10.7 %Golden Valley County10.7Pembina County: 10.7 %Pembina County10.7Foster County: 10.6 %Foster County10.6Emmons County: 10.4 %Emmons County10.4McIntosh County: 10.4 %McIntosh County10.4Williams County: 10.4 %Williams County10.4McLean County: 10.3 %McLean County10.3Nelson County: 10.2 %Nelson County10.2Bottineau County: 9.7 %Bottineau County9.7Rolette County: 9.7 %Rolette County9.7Kidder County: 9.3 %Kidder County9.3Traill County: 9.3 %Traill County9.3Eddy County: 9.2 %Eddy County9.2Slope County: 9.2 %Slope County9.2Billings County: 9.1 %Billings County9.1Wells County: 9.1 %Wells County9.1Griggs County: 8.6 %Griggs County8.6Cavalier County: 8.5 %Cavalier County8.5Ramsey County: 8.5 %Ramsey County8.5Richland County: 8.2 %Richland County8.2Dickey County: 8 %Dickey County8Oliver County: 7.9 %Oliver County7.9Sargent County: 7.7 %Sargent County7.7McHenry County: 7.6 %McHenry County7.6Stutsman County: 7.6 %Stutsman County7.6Grant County: 7.4 %Grant County7.4Mercer County: 7.2 %Mercer County7.2Sioux County: 7.2 %Sioux County7.2Stark County: 7.2 %Stark County7.2Benson County: 7.1 %Benson County7.1Barnes County: 6.8 %Barnes County6.8Logan County: 6.8 %Logan County6.8Ward County: 6.5 %Ward County6.5Steele County: 6.4 %Steele County6.4Morton County: 6.3 %Morton County6.3Cass County: 6.1 %Cass County6.1Burleigh County: 5.7 %Burleigh County5.7Grand Forks County: 5.7 %Grand Forks County5.7Pierce County: 5.4 %Pierce County5.4
%. 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

RankCounties2021 (%)Change on 2020
1Mountrail County16.8+4.4 pts
2Bowman County14.2+2.3 pts
2Towner County14.2+1.9 pts
4LaMoure County13.5+3.4 pts
4McKenzie County13.5+3 pts
6Divide County12.8+5 pts
7Dunn County12.5+3.6 pts
8Hettinger County12.1+1.3 pts
9Sheridan County11.7+3 pts
10Adams County11.4+3.7 pts
11Ransom County11.2+2.6 pts
11Walsh County11.2+0.9 pts
13Renville County11.1+2.2 pts
14Burke County11+1.8 pts
15Golden Valley County10.7+2 pts
15Pembina County10.7+0.5 pts
17Foster County10.6+0.1 pts
18Emmons County10.4+2.9 pts
18McIntosh County10.4+2.2 pts
18Williams County10.4+2.9 pts
21McLean County10.3+1.6 pts
22Nelson County10.2+1.7 pts
23Bottineau County9.7+1.6 pts
23Rolette County9.7+1.3 pts
25Kidder County9.3+2.6 pts
25Traill County9.3+1.4 pts
27Eddy County9.2+0.8 pts
27Slope County9.2+2.7 pts
29Billings County9.1+0.5 pts
29Wells County9.1+0.7 pts
31Griggs County8.6+0.9 pts
32Cavalier County8.5+1.7 pts
32Ramsey County8.5+1.3 pts
34Richland County8.2+1.8 pts
35Dickey County8+0.1 pts
36Oliver County7.9-0.1 pts
37Sargent County7.7-0.8 pts
38McHenry County7.6+0.9 pts
38Stutsman County7.6+2.1 pts
40Grant County7.4+1.3 pts
41Mercer County7.2+0.5 pts
41Sioux County7.2+0.4 pts
41Stark County7.2-0.6 pts
44Benson County7.1+1.7 pts
45Barnes County6.8+0.2 pts
45Logan County6.8+2.1 pts
47Ward County6.5+0.6 pts
48Steele County6.4+0.7 pts
49Morton County6.3+1.1 pts
50Cass County6.1+1.4 pts
51Burleigh County5.7+1.3 pts
51Grand Forks County5.7+0.8 pts
53Pierce County5.4+0.5 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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-dakota-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)?

Mountrail County, with 16.8% in 2021, according to the U.S. Census Bureau.

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

Pierce County, with 5.4% 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 Dakota: more rankings