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

Slope County had the highest uninsured rate, under 19 (US model-based estimate) of 53 counties in 2023, at 9.8%. Burleigh County had the lowest, at 3.1%. The median was 5.5% and the figure for North Dakota was 4.4%. Source: the U.S. Census Bureau.

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Highest9.8Slope County
Median5.553 counties
North Dakota4.4History

Map of counties, 2023

Adams County: 7.1 %Barnes County: 4.5 %Benson County: 4.7 %Billings County: 6.7 %Bottineau County: 5.4 %Bowman County: 9 %Burke County: 6.3 %Burleigh County: 3.1 %Cass County: 3.4 %Cavalier County: 4.5 %Dickey County: 7.6 %Divide County: 7.7 %Dunn County: 7.3 %Eddy County: 5.4 %Emmons County: 6.8 %Foster County: 5.9 %Golden Valley County: 6.1 %Grand Forks County: 3.6 %Grant County: 6.3 %Griggs County: 5.2 %Hettinger County: 7.2 %Kidder County: 7.1 %LaMoure County: 7.7 %Logan County: 6.9 %McHenry County: 5.5 %McIntosh County: 6 %McKenzie County: 5.4 %McLean County: 5.4 %Mercer County: 4.7 %Morton County: 3.7 %Mountrail County: 8.6 %Nelson County: 4.4 %Oliver County: 3.7 %Pembina County: 5.9 %Pierce County: 4.3 %Ramsey County: 4.3 %Ransom County: 7.3 %Renville County: 6.6 %Richland County: 4.9 %Rolette County: 5.4 %Sargent County: 3.6 %Sheridan County: 8 %Sioux County: 4 %Slope County: 9.8 %Stark County: 5.2 %Steele County: 3.9 %Stutsman County: 4.7 %Towner County: 7.4 %Traill County: 5 %Walsh County: 8.3 %Ward County: 4.5 %Wells County: 6.1 %Williams County: 5.9 %
  • Under 4.3
  • 4.3 to 4.9
  • 4.9 to 5.5
  • 5.5 to 6.5
  • 6.5 to 7.3
  • 7.3 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.

All counties, 2023

Slope County: 9.8 %Slope County9.8Bowman County: 9 %Bowman County9Mountrail County: 8.6 %Mountrail County8.6Walsh County: 8.3 %Walsh County8.3Sheridan County: 8 %Sheridan County8Divide County: 7.7 %Divide County7.7LaMoure County: 7.7 %LaMoure County7.7Dickey County: 7.6 %Dickey County7.6Towner County: 7.4 %Towner County7.4Dunn County: 7.3 %Dunn County7.3Ransom County: 7.3 %Ransom County7.3Hettinger County: 7.2 %Hettinger County7.2Adams County: 7.1 %Adams County7.1Kidder County: 7.1 %Kidder County7.1Logan County: 6.9 %Logan County6.9Emmons County: 6.8 %Emmons County6.8Billings County: 6.7 %Billings County6.7Renville County: 6.6 %Renville County6.6Burke County: 6.3 %Burke County6.3Grant County: 6.3 %Grant County6.3Golden Valley County: 6.1 %Golden Valley County6.1Wells County: 6.1 %Wells County6.1McIntosh County: 6 %McIntosh County6Foster County: 5.9 %Foster County5.9Pembina County: 5.9 %Pembina County5.9Williams County: 5.9 %Williams County5.9McHenry County: 5.5 %McHenry County5.5Bottineau County: 5.4 %Bottineau County5.4Eddy County: 5.4 %Eddy County5.4McKenzie County: 5.4 %McKenzie County5.4McLean County: 5.4 %McLean County5.4Rolette County: 5.4 %Rolette County5.4Griggs County: 5.2 %Griggs County5.2Stark County: 5.2 %Stark County5.2Traill County: 5 %Traill County5Richland County: 4.9 %Richland County4.9Benson County: 4.7 %Benson County4.7Mercer County: 4.7 %Mercer County4.7Stutsman County: 4.7 %Stutsman County4.7Barnes County: 4.5 %Barnes County4.5Cavalier County: 4.5 %Cavalier County4.5Ward County: 4.5 %Ward County4.5Nelson County: 4.4 %Nelson County4.4Pierce County: 4.3 %Pierce County4.3Ramsey County: 4.3 %Ramsey County4.3Sioux County: 4 %Sioux County4Steele County: 3.9 %Steele County3.9Morton County: 3.7 %Morton County3.7Oliver County: 3.7 %Oliver County3.7Grand Forks County: 3.6 %Grand Forks County3.6Sargent County: 3.6 %Sargent County3.6Cass County: 3.4 %Cass County3.4Burleigh County: 3.1 %Burleigh County3.1Slope County: 9.8 %Slope County9.8Bowman County: 9 %Bowman County9Mountrail County: 8.6 %Mountrail County8.6Walsh County: 8.3 %Walsh County8.3Sheridan County: 8 %Sheridan County8Divide County: 7.7 %Divide County7.7LaMoure County: 7.7 %LaMoure County7.7Dickey County: 7.6 %Dickey County7.6Towner County: 7.4 %Towner County7.4Dunn County: 7.3 %Dunn County7.3Ransom County: 7.3 %Ransom County7.3Hettinger County: 7.2 %Hettinger County7.2Adams County: 7.1 %Adams County7.1Kidder County: 7.1 %Kidder County7.1Logan County: 6.9 %Logan County6.9Emmons County: 6.8 %Emmons County6.8Billings County: 6.7 %Billings County6.7Renville County: 6.6 %Renville County6.6Burke County: 6.3 %Burke County6.3Grant County: 6.3 %Grant County6.3Golden Valley County: 6.1 %Golden Valley County6.1Wells County: 6.1 %Wells County6.1McIntosh County: 6 %McIntosh County6Foster County: 5.9 %Foster County5.9Pembina County: 5.9 %Pembina County5.9Williams County: 5.9 %Williams County5.9McHenry County: 5.5 %McHenry County5.5Bottineau County: 5.4 %Bottineau County5.4Eddy County: 5.4 %Eddy County5.4McKenzie County: 5.4 %McKenzie County5.4McLean County: 5.4 %McLean County5.4Rolette County: 5.4 %Rolette County5.4Griggs County: 5.2 %Griggs County5.2Stark County: 5.2 %Stark County5.2Traill County: 5 %Traill County5Richland County: 4.9 %Richland County4.9Benson County: 4.7 %Benson County4.7Mercer County: 4.7 %Mercer County4.7Stutsman County: 4.7 %Stutsman County4.7Barnes County: 4.5 %Barnes County4.5Cavalier County: 4.5 %Cavalier County4.5Ward County: 4.5 %Ward County4.5Nelson County: 4.4 %Nelson County4.4Pierce County: 4.3 %Pierce County4.3Ramsey County: 4.3 %Ramsey County4.3Sioux County: 4 %Sioux County4Steele County: 3.9 %Steele County3.9Morton County: 3.7 %Morton County3.7Oliver County: 3.7 %Oliver County3.7Grand Forks County: 3.6 %Grand Forks County3.6Sargent County: 3.6 %Sargent County3.6Cass County: 3.4 %Cass County3.4Burleigh County: 3.1 %Burleigh County3.1
%. 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

RankCounties2023 (%)Change on 2022
1Slope County9.8+4.6 pts
2Bowman County9+0.4 pts
3Mountrail County8.6-0.5 pts
4Walsh County8.3-0.5 pts
5Sheridan County8+1.6 pts
6Divide County7.7+0.9 pts
6LaMoure County7.7-1.7 pts
8Dickey County7.6+0.6 pts
9Towner County7.4-0.1 pts
10Dunn County7.3-0.6 pts
10Ransom County7.3+0.7 pts
12Hettinger County7.2+1 pts
13Adams County7.1+0.8 pts
13Kidder County7.1+1 pts
15Logan County6.9+2.9 pts
16Emmons County6.80 pts
17Billings County6.7+0.4 pts
18Renville County6.6-0.1 pts
19Burke County6.3-0.2 pts
19Grant County6.3+2.1 pts
21Golden Valley County6.1+0.5 pts
21Wells County6.1+0.5 pts
23McIntosh County6+0.1 pts
24Foster County5.9-1 pts
24Pembina County5.9-0.6 pts
24Williams County5.9-1.6 pts
27McHenry County5.5+0.7 pts
28Bottineau County5.4-0.5 pts
28Eddy County5.4-0.2 pts
28McKenzie County5.4-3.1 pts
28McLean County5.4-1 pts
28Rolette County5.4-0.8 pts
33Griggs County5.2+0.3 pts
33Stark County5.2-0.5 pts
35Traill County5-0.5 pts
36Richland County4.9-0.7 pts
37Benson County4.7+1 pts
37Mercer County4.7-1 pts
37Stutsman County4.7-0.9 pts
40Barnes County4.5-0.1 pts
40Cavalier County4.5-0.7 pts
40Ward County4.5-0.3 pts
43Nelson County4.4-0.2 pts
44Pierce County4.3+0.3 pts
44Ramsey County4.3-1.5 pts
46Sioux County4+0.3 pts
47Steele County3.9-1.2 pts
48Morton County3.7-1.5 pts
48Oliver County3.7-0.5 pts
50Grand Forks County3.6-0.4 pts
50Sargent County3.6-0.9 pts
52Cass County3.4-1 pts
53Burleigh County3.1-1.5 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-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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/north-dakota-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)?

Slope County, with 9.8% in 2023, according to the U.S. Census Bureau.

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

Burleigh County, with 3.1% 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 Dakota: more rankings