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

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

Pickett County had the highest uninsured rate, under 19 (US model-based estimate) of 95 counties in 2020, at 10.1%. Sullivan County had the lowest, at 4.1%. The median was 6.2% and the figure for Tennessee was 6%. Source: the U.S. Census Bureau.

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Highest10.1Pickett County
Lowest4.1Sullivan County
Median6.295 counties
Tennessee6History

Map of counties, 2020

Anderson County: 5.1 %Bedford County: 8.2 %Benton County: 5.9 %Bledsoe County: 7.1 %Blount County: 6.1 %Bradley County: 6.5 %Campbell County: 5 %Cannon County: 6.8 %Carroll County: 5.5 %Carter County: 5 %Cheatham County: 6.7 %Chester County: 6.1 %Claiborne County: 4.7 %Clay County: 6.4 %Cocke County: 4.8 %Coffee County: 6.8 %Crockett County: 9.4 %Cumberland County: 5.4 %Davidson County: 7.4 %Decatur County: 6.7 %DeKalb County: 8.4 %Dickson County: 6.9 %Dyer County: 5.3 %Fayette County: 6.7 %Fentress County: 5.4 %Franklin County: 5.9 %Gibson County: 6.2 %Giles County: 6.3 %Grainger County: 7.6 %Greene County: 5.3 %Grundy County: 8.6 %Hamblen County: 6.7 %Hamilton County: 5.6 %Hancock County: 5.3 %Hardeman County: 5.6 %Hardin County: 6 %Hawkins County: 5 %Haywood County: 7.1 %Henderson County: 6.3 %Henry County: 5.7 %Hickman County: 8.3 %Houston County: 8.9 %Humphreys County: 6.8 %Jackson County: 7.4 %Jefferson County: 5.6 %Johnson County: 5.3 %Knox County: 4.3 %Lake County: 4.3 %Lauderdale County: 5.4 %Lawrence County: 6.7 %Lewis County: 5.9 %Lincoln County: 6.3 %Loudon County: 7.7 %McMinn County: 5.5 %McNairy County: 5.6 %Macon County: 6.1 %Madison County: 6 %Marion County: 5.5 %Marshall County: 8 %Maury County: 5.7 %Meigs County: 7.4 %Monroe County: 5.7 %Montgomery County: 4.7 %Moore County: 8.6 %Morgan County: 6.4 %Obion County: 6.3 %Overton County: 6.4 %Perry County: 8 %Pickett County: 10.1 %Polk County: 6.6 %Putnam County: 7.2 %Rhea County: 6.4 %Roane County: 5.2 %Robertson County: 5.7 %Rutherford County: 5.5 %Scott County: 5.2 %Sequatchie County: 6.4 %Sevier County: 7.3 %Shelby County: 6.2 %Smith County: 7.6 %Stewart County: 7.8 %Sullivan County: 4.1 %Sumner County: 5.7 %Tipton County: 6.8 %Trousdale County: 7.1 %Unicoi County: 5.9 %Union County: 7.4 %Van Buren County: 7.3 %Warren County: 6.6 %Washington County: 5.8 %Wayne County: 5.9 %Weakley County: 5.4 %White County: 6.1 %Williamson County: 4.9 %Wilson County: 6.5 %
  • Under 5.3
  • 5.3 to 5.7
  • 5.7 to 6.2
  • 6.2 to 6.7
  • 6.7 to 7.4
  • 7.4 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.

Top 40 counties, 2020

Pickett County: 10.1 %Pickett County10.1Crockett County: 9.4 %Crockett County9.4Houston County: 8.9 %Houston County8.9Grundy County: 8.6 %Grundy County8.6Moore County: 8.6 %Moore County8.6DeKalb County: 8.4 %DeKalb County8.4Hickman County: 8.3 %Hickman County8.3Bedford County: 8.2 %Bedford County8.2Marshall County: 8 %Marshall County8Perry County: 8 %Perry County8Stewart County: 7.8 %Stewart County7.8Loudon County: 7.7 %Loudon County7.7Grainger County: 7.6 %Grainger County7.6Smith County: 7.6 %Smith County7.6Davidson County: 7.4 %Davidson County7.4Jackson County: 7.4 %Jackson County7.4Meigs County: 7.4 %Meigs County7.4Union County: 7.4 %Union County7.4Sevier County: 7.3 %Sevier County7.3Van Buren County: 7.3 %Van Buren County7.3Putnam County: 7.2 %Putnam County7.2Bledsoe County: 7.1 %Bledsoe County7.1Haywood County: 7.1 %Haywood County7.1Trousdale County: 7.1 %Trousdale County7.1Dickson County: 6.9 %Dickson County6.9Cannon County: 6.8 %Cannon County6.8Coffee County: 6.8 %Coffee County6.8Humphreys County: 6.8 %Humphreys County6.8Tipton County: 6.8 %Tipton County6.8Cheatham County: 6.7 %Cheatham County6.7Decatur County: 6.7 %Decatur County6.7Fayette County: 6.7 %Fayette County6.7Hamblen County: 6.7 %Hamblen County6.7Lawrence County: 6.7 %Lawrence County6.7Polk County: 6.6 %Polk County6.6Warren County: 6.6 %Warren County6.6Bradley County: 6.5 %Bradley County6.5Wilson County: 6.5 %Wilson County6.5Clay County: 6.4 %Clay County6.4Morgan County: 6.4 %Morgan County6.4Pickett County: 10.1 %Pickett County10.1Crockett County: 9.4 %Crockett County9.4Houston County: 8.9 %Houston County8.9Grundy County: 8.6 %Grundy County8.6Moore County: 8.6 %Moore County8.6DeKalb County: 8.4 %DeKalb County8.4Hickman County: 8.3 %Hickman County8.3Bedford County: 8.2 %Bedford County8.2Marshall County: 8 %Marshall County8Perry County: 8 %Perry County8Stewart County: 7.8 %Stewart County7.8Loudon County: 7.7 %Loudon County7.7Grainger County: 7.6 %Grainger County7.6Smith County: 7.6 %Smith County7.6Davidson County: 7.4 %Davidson County7.4Jackson County: 7.4 %Jackson County7.4Meigs County: 7.4 %Meigs County7.4Union County: 7.4 %Union County7.4Sevier County: 7.3 %Sevier County7.3Van Buren County: 7.3 %Van Buren County7.3Putnam County: 7.2 %Putnam County7.2Bledsoe County: 7.1 %Bledsoe County7.1Haywood County: 7.1 %Haywood County7.1Trousdale County: 7.1 %Trousdale County7.1Dickson County: 6.9 %Dickson County6.9Cannon County: 6.8 %Cannon County6.8Coffee County: 6.8 %Coffee County6.8Humphreys County: 6.8 %Humphreys County6.8Tipton County: 6.8 %Tipton County6.8Cheatham County: 6.7 %Cheatham County6.7Decatur County: 6.7 %Decatur County6.7Fayette County: 6.7 %Fayette County6.7Hamblen County: 6.7 %Hamblen County6.7Lawrence County: 6.7 %Lawrence County6.7Polk County: 6.6 %Polk County6.6Warren County: 6.6 %Warren County6.6Bradley County: 6.5 %Bradley County6.5Wilson County: 6.5 %Wilson County6.5Clay County: 6.4 %Clay County6.4Morgan County: 6.4 %Morgan County6.4
%. 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
1Pickett County10.1+3.2 pts
2Crockett County9.4+3.3 pts
3Houston County8.9+3.3 pts
4Grundy County8.6+3.2 pts
4Moore County8.6+2.9 pts
6DeKalb County8.4+2.5 pts
7Hickman County8.3+2.3 pts
8Bedford County8.2+2.4 pts
9Marshall County8+2.8 pts
9Perry County8+1.7 pts
11Stewart County7.8+2 pts
12Loudon County7.7+1 pts
13Grainger County7.6+2 pts
13Smith County7.6+2.7 pts
15Davidson County7.4+1 pts
15Jackson County7.4+1.8 pts
15Meigs County7.4+1.7 pts
15Union County7.4+2 pts
19Sevier County7.3+1.3 pts
19Van Buren County7.3+1.9 pts
21Putnam County7.2+2.3 pts
22Bledsoe County7.1+0.4 pts
22Haywood County7.1+2.6 pts
22Trousdale County7.1+1.2 pts
25Dickson County6.9+2 pts
26Cannon County6.8+1.7 pts
26Coffee County6.8+1.4 pts
26Humphreys County6.8+2 pts
26Tipton County6.8+2.4 pts
30Cheatham County6.7+1.2 pts
30Decatur County6.7+0.7 pts
30Fayette County6.7+1.6 pts
30Hamblen County6.7+1.1 pts
30Lawrence County6.7+1.7 pts
35Polk County6.6+0.8 pts
35Warren County6.6+0.7 pts
37Bradley County6.5+1.7 pts
37Wilson County6.5+1.7 pts
39Clay County6.4+0.7 pts
39Morgan County6.4+0.8 pts
39Overton County6.4+0.9 pts
39Rhea County6.4+1 pts
39Sequatchie County6.4+0.8 pts
44Giles County6.3+0.9 pts
44Henderson County6.3+1.4 pts
44Lincoln County6.3+1.1 pts
44Obion County6.3+1.7 pts
48Gibson County6.2+1.8 pts
48Shelby County6.2+1.4 pts
50Blount County6.1+0.8 pts
50Chester County6.1+1.4 pts
50Macon County6.1+0.9 pts
50White County6.1+1.3 pts
54Hardin County6+1.1 pts
54Madison County6+1.5 pts
56Benton County5.9+0.9 pts
56Franklin County5.9+0.5 pts
56Lewis County5.9+1.1 pts
56Unicoi County5.9+1.2 pts
56Wayne County5.90 pts
61Washington County5.8+1.3 pts
62Henry County5.7+0.7 pts
62Maury County5.7+0.9 pts
62Monroe County5.7+0.8 pts
62Robertson County5.7+1.1 pts
62Sumner County5.7+0.9 pts
67Hamilton County5.6+0.6 pts
67Hardeman County5.6+1.2 pts
67Jefferson County5.6+0.6 pts
67McNairy County5.6+0.9 pts
71Carroll County5.5+0.9 pts
71Marion County5.5+0.9 pts
71McMinn County5.5+0.6 pts
71Rutherford County5.5+0.7 pts
75Cumberland County5.4-0.3 pts
75Fentress County5.40 pts
75Lauderdale County5.4+1.1 pts
75Weakley County5.4+0.9 pts
79Dyer County5.3+1 pts
79Greene County5.3+0.9 pts
79Hancock County5.3+0.9 pts
79Johnson County5.3+0.5 pts
83Roane County5.2+1.2 pts
83Scott County5.2+1 pts
85Anderson County5.1+0.3 pts
86Campbell County5+0.2 pts
86Carter County5+1 pts
86Hawkins County5+1 pts
89Williamson County4.9+1 pts
90Cocke County4.8+0.8 pts
91Claiborne County4.7+0.3 pts
91Montgomery County4.7+0.6 pts
93Knox County4.3-0.4 pts
93Lake County4.3+0.5 pts
95Sullivan County4.1+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-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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2020 (Accessed: 12 October 2026).

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

Pickett County, with 10.1% in 2020, according to the U.S. Census Bureau.

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

Sullivan County, with 4.1% 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 Tennessee: more rankings