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 2022, at 8.7%. Williamson County had the lowest, at 3.3%. The median was 5.6% and the figure for Tennessee was 5.3%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest8.7Pickett County
Median5.695 counties
Tennessee5.3History

Map of counties, 2022

Anderson County: 4.3 %Bedford County: 6.5 %Benton County: 6.3 %Bledsoe County: 6.5 %Blount County: 5.6 %Bradley County: 5.5 %Campbell County: 5.8 %Cannon County: 7.2 %Carroll County: 4.6 %Carter County: 6 %Cheatham County: 6.6 %Chester County: 5.7 %Claiborne County: 4.3 %Clay County: 5.3 %Cocke County: 5.2 %Coffee County: 5.4 %Crockett County: 6.9 %Cumberland County: 6.1 %Davidson County: 6.5 %Decatur County: 5.8 %DeKalb County: 5.7 %Dickson County: 6.5 %Dyer County: 5.5 %Fayette County: 5.6 %Fentress County: 6.8 %Franklin County: 4.7 %Gibson County: 5.5 %Giles County: 5.2 %Grainger County: 5.3 %Greene County: 5.2 %Grundy County: 6.5 %Hamblen County: 4.9 %Hamilton County: 5.3 %Hancock County: 3.4 %Hardeman County: 4.2 %Hardin County: 6.2 %Hawkins County: 4.5 %Haywood County: 5 %Henderson County: 6 %Henry County: 5.1 %Hickman County: 6.9 %Houston County: 6.8 %Humphreys County: 7.1 %Jackson County: 6.5 %Jefferson County: 4.9 %Johnson County: 5.9 %Knox County: 4.5 %Lake County: 6.2 %Lauderdale County: 5 %Lawrence County: 7.8 %Lewis County: 7.5 %Lincoln County: 5.7 %Loudon County: 5.4 %McMinn County: 6.1 %McNairy County: 5.6 %Macon County: 6.1 %Madison County: 5.1 %Marion County: 6.8 %Marshall County: 5.8 %Maury County: 4.9 %Meigs County: 5.1 %Monroe County: 5.6 %Montgomery County: 5.2 %Moore County: 5.6 %Morgan County: 6.2 %Obion County: 6.6 %Overton County: 7 %Perry County: 6.5 %Pickett County: 8.7 %Polk County: 6.5 %Putnam County: 5.2 %Rhea County: 6.1 %Roane County: 4.2 %Robertson County: 5.3 %Rutherford County: 5.2 %Scott County: 6.4 %Sequatchie County: 8.1 %Sevier County: 7.2 %Shelby County: 4.8 %Smith County: 6.1 %Stewart County: 6.8 %Sullivan County: 4.3 %Sumner County: 5.5 %Tipton County: 5.5 %Trousdale County: 4.6 %Unicoi County: 4.9 %Union County: 6.8 %Van Buren County: 5.2 %Warren County: 6.2 %Washington County: 5.1 %Wayne County: 5.1 %Weakley County: 5 %White County: 6.8 %Williamson County: 3.3 %Wilson County: 4.8 %
  • Under 4.9
  • 4.9 to 5.2
  • 5.2 to 5.6
  • 5.6 to 6.2
  • 6.2 to 6.7
  • 6.7 and over
%, 2022. 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, 2022

Pickett County: 8.7 %Pickett County8.7Sequatchie County: 8.1 %Sequatchie County8.1Lawrence County: 7.8 %Lawrence County7.8Lewis County: 7.5 %Lewis County7.5Cannon County: 7.2 %Cannon County7.2Sevier County: 7.2 %Sevier County7.2Humphreys County: 7.1 %Humphreys County7.1Overton County: 7 %Overton County7Crockett County: 6.9 %Crockett County6.9Hickman County: 6.9 %Hickman County6.9Fentress County: 6.8 %Fentress County6.8Houston County: 6.8 %Houston County6.8Marion County: 6.8 %Marion County6.8Stewart County: 6.8 %Stewart County6.8Union County: 6.8 %Union County6.8White County: 6.8 %White County6.8Cheatham County: 6.6 %Cheatham County6.6Obion County: 6.6 %Obion County6.6Bedford County: 6.5 %Bedford County6.5Bledsoe County: 6.5 %Bledsoe County6.5Davidson County: 6.5 %Davidson County6.5Dickson County: 6.5 %Dickson County6.5Grundy County: 6.5 %Grundy County6.5Jackson County: 6.5 %Jackson County6.5Perry County: 6.5 %Perry County6.5Polk County: 6.5 %Polk County6.5Scott County: 6.4 %Scott County6.4Benton County: 6.3 %Benton County6.3Hardin County: 6.2 %Hardin County6.2Lake County: 6.2 %Lake County6.2Morgan County: 6.2 %Morgan County6.2Warren County: 6.2 %Warren County6.2Cumberland County: 6.1 %Cumberland County6.1Macon County: 6.1 %Macon County6.1McMinn County: 6.1 %McMinn County6.1Rhea County: 6.1 %Rhea County6.1Smith County: 6.1 %Smith County6.1Carter County: 6 %Carter County6Henderson County: 6 %Henderson County6Johnson County: 5.9 %Johnson County5.9Pickett County: 8.7 %Pickett County8.7Sequatchie County: 8.1 %Sequatchie County8.1Lawrence County: 7.8 %Lawrence County7.8Lewis County: 7.5 %Lewis County7.5Cannon County: 7.2 %Cannon County7.2Sevier County: 7.2 %Sevier County7.2Humphreys County: 7.1 %Humphreys County7.1Overton County: 7 %Overton County7Crockett County: 6.9 %Crockett County6.9Hickman County: 6.9 %Hickman County6.9Fentress County: 6.8 %Fentress County6.8Houston County: 6.8 %Houston County6.8Marion County: 6.8 %Marion County6.8Stewart County: 6.8 %Stewart County6.8Union County: 6.8 %Union County6.8White County: 6.8 %White County6.8Cheatham County: 6.6 %Cheatham County6.6Obion County: 6.6 %Obion County6.6Bedford County: 6.5 %Bedford County6.5Bledsoe County: 6.5 %Bledsoe County6.5Davidson County: 6.5 %Davidson County6.5Dickson County: 6.5 %Dickson County6.5Grundy County: 6.5 %Grundy County6.5Jackson County: 6.5 %Jackson County6.5Perry County: 6.5 %Perry County6.5Polk County: 6.5 %Polk County6.5Scott County: 6.4 %Scott County6.4Benton County: 6.3 %Benton County6.3Hardin County: 6.2 %Hardin County6.2Lake County: 6.2 %Lake County6.2Morgan County: 6.2 %Morgan County6.2Warren County: 6.2 %Warren County6.2Cumberland County: 6.1 %Cumberland County6.1Macon County: 6.1 %Macon County6.1McMinn County: 6.1 %McMinn County6.1Rhea County: 6.1 %Rhea County6.1Smith County: 6.1 %Smith County6.1Carter County: 6 %Carter County6Henderson County: 6 %Henderson County6Johnson County: 5.9 %Johnson 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

RankCounties2022 (%)Change on 2021
1Pickett County8.7+1.2 pts
2Sequatchie County8.1+2.2 pts
3Lawrence County7.8+3 pts
4Lewis County7.5+1.7 pts
5Cannon County7.2+1.2 pts
5Sevier County7.2+1.1 pts
7Humphreys County7.1+0.9 pts
8Overton County7+2.2 pts
9Crockett County6.9+0.9 pts
9Hickman County6.9+1.4 pts
11Fentress County6.8+1.8 pts
11Houston County6.8-0.7 pts
11Marion County6.8+2 pts
11Stewart County6.8+0.5 pts
11Union County6.8+0.4 pts
11White County6.8+1.7 pts
17Cheatham County6.6+1.1 pts
17Obion County6.6+0.8 pts
19Bedford County6.5+0.2 pts
19Bledsoe County6.5+0.4 pts
19Davidson County6.5+0.7 pts
19Dickson County6.5+1.7 pts
19Grundy County6.5+0.5 pts
19Jackson County6.5+1 pts
19Perry County6.5+0.4 pts
19Polk County6.5+0.5 pts
27Scott County6.4+1.8 pts
28Benton County6.3+0.9 pts
29Hardin County6.2+1.2 pts
29Lake County6.2+2.7 pts
29Morgan County6.2+1.2 pts
29Warren County6.2+0.5 pts
33Cumberland County6.1+0.7 pts
33Macon County6.1+1.4 pts
33McMinn County6.1+1.3 pts
33Rhea County6.1+0.9 pts
33Smith County6.1+0.8 pts
38Carter County6+2.3 pts
38Henderson County6+1.3 pts
40Johnson County5.9+1.4 pts
41Campbell County5.8+1.2 pts
41Decatur County5.8+0.3 pts
41Marshall County5.8+0.7 pts
44Chester County5.7+1.2 pts
44DeKalb County5.7-0.2 pts
44Lincoln County5.7-0.3 pts
47Blount County5.6+0.9 pts
47Fayette County5.6-0.4 pts
47McNairy County5.6+0.9 pts
47Monroe County5.6+1.4 pts
47Moore County5.6+0.5 pts
52Bradley County5.5+1 pts
52Dyer County5.5+1.1 pts
52Gibson County5.5+0.9 pts
52Sumner County5.5+0.9 pts
52Tipton County5.5+0.8 pts
57Coffee County5.4+0.1 pts
57Loudon County5.4-0.4 pts
59Clay County5.3+0.4 pts
59Grainger County5.3-0.4 pts
59Hamilton County5.3+1 pts
59Robertson County5.3+0.3 pts
63Cocke County5.2+1.4 pts
63Giles County5.2+0.7 pts
63Greene County5.2+1.4 pts
63Montgomery County5.2+1.3 pts
63Putnam County5.2+0.1 pts
63Rutherford County5.2+1 pts
63Van Buren County5.2-2.1 pts
70Henry County5.1+0.5 pts
70Madison County5.1+1.1 pts
70Meigs County5.1-0.5 pts
70Washington County5.1+0.9 pts
70Wayne County5.1+1 pts
75Haywood County5+0.3 pts
75Lauderdale County5+0.9 pts
75Weakley County5+0.9 pts
78Hamblen County4.90 pts
78Jefferson County4.9+1 pts
78Maury County4.9+0.5 pts
78Unicoi County4.9+0.5 pts
82Shelby County4.8-0.1 pts
82Wilson County4.8+0.6 pts
84Franklin County4.70 pts
85Carroll County4.6+0.8 pts
85Trousdale County4.6+0.7 pts
87Hawkins County4.5+1 pts
87Knox County4.5+0.9 pts
89Anderson County4.3-0.2 pts
89Claiborne County4.3+0.5 pts
89Sullivan County4.3+0.7 pts
92Hardeman County4.2+0.5 pts
92Roane County4.2+0.1 pts
94Hancock County3.40 pts
95Williamson County3.30 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/tennessee-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/tennessee-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/tennessee-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/tennessee-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/tennessee-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/tennessee-counties?period=2022.
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-2022-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 8.7% in 2022, according to the U.S. Census Bureau.

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

Williamson County, with 3.3% in 2022.

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