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

Highland County had the highest uninsured rate, under 19 (US model-based estimate) of 133 counties in 2016, at 10.8%. Falls Church city had the lowest, at 2.5%. The median was 5.5% and the figure for Virginia was 4.9%. Source: the U.S. Census Bureau.

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Highest10.8Highland County
Median5.5133 counties
Virginia4.9History

Map of counties, 2016

Accomack County: 8.6 %Albemarle County: 6.4 %Alleghany County: 4.8 %Amelia County: 7.7 %Amherst County: 6.3 %Appomattox County: 6.1 %Arlington County: 3.4 %Augusta County: 5.6 %Bath County: 6.3 %Bedford County: 4.7 %Bland County: 5.6 %Botetourt County: 4.8 %Brunswick County: 5.7 %Buchanan County: 6.2 %Buckingham County: 6.6 %Campbell County: 5.4 %Caroline County: 5.1 %Carroll County: 6.2 %Charles City County: 9.2 %Charlotte County: 7.6 %Chesterfield County: 3.5 %Clarke County: 7.2 %Craig County: 5.2 %Culpeper County: 6.3 %Cumberland County: 5.6 %Dickenson County: 5.5 %Dinwiddie County: 5.6 %Essex County: 5.7 %Fairfax County: 4.7 %Fauquier County: 5.1 %Floyd County: 7 %Fluvanna County: 5.5 %Franklin County: 6.2 %Frederick County: 4.8 %Giles County: 5 %Gloucester County: 5.3 %Goochland County: 5.2 %Grayson County: 5.9 %Greene County: 6.6 %Greensville County: 4.5 %Halifax County: 5 %Hanover County: 3.9 %Henrico County: 5 %Henry County: 4.9 %Highland County: 10.8 %Isle of Wight County: 4.8 %James City County: 4.4 %King and Queen County: 7.7 %King George County: 3.8 %King William County: 5.5 %Lancaster County: 6.9 %Lee County: 6 %Loudoun County: 4.6 %Louisa County: 7.1 %Lunenburg County: 7.2 %Madison County: 7.8 %Mathews County: 5.9 %Mecklenburg County: 5.8 %Middlesex County: 7.9 %Montgomery County: 5.2 %Nelson County: 8 %New Kent County: 6.1 %Northampton County: 7.5 %Northumberland County: 7.4 %Nottoway County: 6.1 %Orange County: 6.5 %Page County: 5.5 %Patrick County: 6.5 %Pittsylvania County: 4.8 %Powhatan County: 6.1 %Prince Edward County: 5.7 %Prince George County: 4.4 %Prince William County: 5.9 %Pulaski County: 4.3 %Rappahannock County: 9.6 %Richmond County: 7.1 %Roanoke County: 4.2 %Rockbridge County: 6.3 %Rockingham County: 7.3 %Russell County: 5.3 %Scott County: 4.6 %Shenandoah County: 6.3 %Smyth County: 4.4 %Southampton County: 5.6 %Spotsylvania County: 5.1 %Stafford County: 3.8 %Surry County: 5.3 %Sussex County: 5.7 %Tazewell County: 5.1 %Warren County: 5.1 %Washington County: 4.8 %Westmoreland County: 6.6 %Wise County: 4.5 %Wythe County: 5.9 %York County: 4.1 %Alexandria city: 6.7 %Bristol city: 3.7 %Buena Vista city: 3.3 %Charlottesville city: 5.8 %Chesapeake city: 4.4 %Colonial Heights city: 4.5 %Covington city: 3.4 %Danville city: 3.9 %Emporia city: 3.8 %Fairfax city: 6.2 %Falls Church city: 2.5 %Franklin city: 3.9 %Fredericksburg city: 5.6 %Galax city: 5.8 %Hampton city: 3.5 %Harrisonburg city: 6.1 %Hopewell city: 4.2 %Lexington city: 5 %Lynchburg city: 4.7 %Manassas city: 7.4 %Manassas Park city: 7.6 %Martinsville city: 4.2 %Newport News city: 4.5 %Norfolk city: 4.7 %Norton city: 3.9 %Petersburg city: 3.6 %Poquoson city: 3.7 %Portsmouth city: 3.9 %Radford city: 3.7 %Richmond city: 4.1 %Roanoke city: 4.9 %Salem city: 4.1 %Staunton city: 4.3 %Suffolk city: 4.7 %Virginia Beach city: 3.9 %Waynesboro city: 5.6 %Williamsburg city: 6.6 %Winchester city: 6.4 %
  • Under 4.2
  • 4.2 to 4.8
  • 4.8 to 5.5
  • 5.5 to 6
  • 6 to 6.6
  • 6.6 and over
%, 2016. 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, 2016

Highland County: 10.8 %Highland County10.8Rappahannock County: 9.6 %Rappahannock County9.6Charles City County: 9.2 %Charles City County9.2Accomack County: 8.6 %Accomack County8.6Nelson County: 8 %Nelson County8Middlesex County: 7.9 %Middlesex County7.9Madison County: 7.8 %Madison County7.8Amelia County: 7.7 %Amelia County7.7King and Queen County: 7.7 %King and Queen County7.7Charlotte County: 7.6 %Charlotte County7.6Manassas Park city: 7.6 %Manassas Park city7.6Northampton County: 7.5 %Northampton County7.5Manassas city: 7.4 %Manassas city7.4Northumberland County: 7.4 %Northumberland County7.4Rockingham County: 7.3 %Rockingham County7.3Clarke County: 7.2 %Clarke County7.2Lunenburg County: 7.2 %Lunenburg County7.2Louisa County: 7.1 %Louisa County7.1Richmond County: 7.1 %Richmond County7.1Floyd County: 7 %Floyd County7Lancaster County: 6.9 %Lancaster County6.9Alexandria city: 6.7 %Alexandria city6.7Buckingham County: 6.6 %Buckingham County6.6Greene County: 6.6 %Greene County6.6Westmoreland County: 6.6 %Westmoreland County6.6Williamsburg city: 6.6 %Williamsburg city6.6Orange County: 6.5 %Orange County6.5Patrick County: 6.5 %Patrick County6.5Albemarle County: 6.4 %Albemarle County6.4Winchester city: 6.4 %Winchester city6.4Amherst County: 6.3 %Amherst County6.3Bath County: 6.3 %Bath County6.3Culpeper County: 6.3 %Culpeper County6.3Rockbridge County: 6.3 %Rockbridge County6.3Shenandoah County: 6.3 %Shenandoah County6.3Buchanan County: 6.2 %Buchanan County6.2Carroll County: 6.2 %Carroll County6.2Fairfax city: 6.2 %Fairfax city6.2Franklin County: 6.2 %Franklin County6.2Appomattox County: 6.1 %Appomattox County6.1Highland County: 10.8 %Highland County10.8Rappahannock County: 9.6 %Rappahannock County9.6Charles City County: 9.2 %Charles City County9.2Accomack County: 8.6 %Accomack County8.6Nelson County: 8 %Nelson County8Middlesex County: 7.9 %Middlesex County7.9Madison County: 7.8 %Madison County7.8Amelia County: 7.7 %Amelia County7.7King and Queen County: 7.7 %King and Queen County7.7Charlotte County: 7.6 %Charlotte County7.6Manassas Park city: 7.6 %Manassas Park city7.6Northampton County: 7.5 %Northampton County7.5Manassas city: 7.4 %Manassas city7.4Northumberland County: 7.4 %Northumberland County7.4Rockingham County: 7.3 %Rockingham County7.3Clarke County: 7.2 %Clarke County7.2Lunenburg County: 7.2 %Lunenburg County7.2Louisa County: 7.1 %Louisa County7.1Richmond County: 7.1 %Richmond County7.1Floyd County: 7 %Floyd County7Lancaster County: 6.9 %Lancaster County6.9Alexandria city: 6.7 %Alexandria city6.7Buckingham County: 6.6 %Buckingham County6.6Greene County: 6.6 %Greene County6.6Westmoreland County: 6.6 %Westmoreland County6.6Williamsburg city: 6.6 %Williamsburg city6.6Orange County: 6.5 %Orange County6.5Patrick County: 6.5 %Patrick County6.5Albemarle County: 6.4 %Albemarle County6.4Winchester city: 6.4 %Winchester city6.4Amherst County: 6.3 %Amherst County6.3Bath County: 6.3 %Bath County6.3Culpeper County: 6.3 %Culpeper County6.3Rockbridge County: 6.3 %Rockbridge County6.3Shenandoah County: 6.3 %Shenandoah County6.3Buchanan County: 6.2 %Buchanan County6.2Carroll County: 6.2 %Carroll County6.2Fairfax city: 6.2 %Fairfax city6.2Franklin County: 6.2 %Franklin County6.2Appomattox County: 6.1 %Appomattox County6.1
%. 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

RankCounties2016 (%)Change on 2015
1Highland County10.8-1.2 pts
2Rappahannock County9.6-0.7 pts
3Charles City County9.2-0.8 pts
4Accomack County8.6-0.3 pts
5Nelson County8-0.2 pts
6Middlesex County7.9-0.3 pts
7Madison County7.8-0.1 pts
8Amelia County7.7-0.2 pts
8King and Queen County7.7-0.8 pts
10Charlotte County7.6+0.3 pts
10Manassas Park city7.6-1.9 pts
12Northampton County7.5-1.8 pts
13Manassas city7.4-0.7 pts
13Northumberland County7.4-1.6 pts
15Rockingham County7.3-0.1 pts
16Clarke County7.2-0.1 pts
16Lunenburg County7.2-0.8 pts
18Louisa County7.1-0.5 pts
18Richmond County7.1-1.2 pts
20Floyd County7-0.6 pts
21Lancaster County6.9-0.7 pts
22Alexandria city6.7+1.2 pts
23Buckingham County6.60 pts
23Greene County6.6-1.3 pts
23Westmoreland County6.6-0.8 pts
23Williamsburg city6.6+0.2 pts
27Orange County6.5+0.1 pts
27Patrick County6.5-0.3 pts
29Albemarle County6.4+1.3 pts
29Winchester city6.4-0.1 pts
31Amherst County6.3+0.4 pts
31Bath County6.3-1 pts
31Culpeper County6.3-0.7 pts
31Rockbridge County6.3-0.2 pts
31Shenandoah County6.3+0.1 pts
36Buchanan County6.2-0.8 pts
36Carroll County6.2-0.3 pts
36Fairfax city6.2-0.3 pts
36Franklin County6.2-0.9 pts
40Appomattox County6.1-1 pts
40Harrisonburg city6.1-0.8 pts
40New Kent County6.1-0.5 pts
40Nottoway County6.1-0.2 pts
40Powhatan County6.1-0.5 pts
45Lee County6+0.4 pts
46Grayson County5.9+0.2 pts
46Mathews County5.9-1.5 pts
46Prince William County5.9-0.1 pts
46Wythe County5.9+0.4 pts
50Charlottesville city5.80 pts
50Galax city5.8-1.5 pts
50Mecklenburg County5.8-1.1 pts
53Brunswick County5.7-0.1 pts
53Essex County5.7-0.6 pts
53Prince Edward County5.7+0.3 pts
53Sussex County5.7-0.5 pts
57Augusta County5.6+0.5 pts
57Bland County5.6-0.4 pts
57Cumberland County5.6-0.5 pts
57Dinwiddie County5.6-0.4 pts
57Fredericksburg city5.6+0.3 pts
57Southampton County5.6-0.6 pts
57Waynesboro city5.6+0.5 pts
64Dickenson County5.5-0.9 pts
64Fluvanna County5.5-0.4 pts
64King William County5.5-0.3 pts
64Page County5.5-0.4 pts
68Campbell County5.4-0.4 pts
69Gloucester County5.30 pts
69Russell County5.3-0.1 pts
69Surry County5.3-0.6 pts
72Craig County5.2-0.8 pts
72Goochland County5.2+1.2 pts
72Montgomery County5.2-0.4 pts
75Caroline County5.1-0.7 pts
75Fauquier County5.1-0.7 pts
75Spotsylvania County5.1-0.1 pts
75Tazewell County5.1-0.3 pts
75Warren County5.1-0.5 pts
80Giles County5-1 pts
80Halifax County5-0.3 pts
80Henrico County5+0.2 pts
80Lexington city5+0.2 pts
84Henry County4.9-1 pts
84Roanoke city4.9+0.1 pts
86Alleghany County4.8-0.3 pts
86Botetourt County4.8+0.3 pts
86Frederick County4.8-1.2 pts
86Isle of Wight County4.8-0.4 pts
86Pittsylvania County4.8-0.4 pts
86Washington County4.8-0.1 pts
92Bedford County4.7-0.4 pts
92Fairfax County4.7+0.2 pts
92Lynchburg city4.7-0.3 pts
92Norfolk city4.7+0.1 pts
92Suffolk city4.7+0.7 pts
97Loudoun County4.6+1.2 pts
97Scott County4.6-0.8 pts
99Colonial Heights city4.5-0.5 pts
99Greensville County4.5+0.1 pts
99Newport News city4.5+0.4 pts
99Wise County4.5-0.1 pts
103Chesapeake city4.4+0.6 pts
103James City County4.4-0.4 pts
103Prince George County4.4-0.3 pts
103Smyth County4.4-0.7 pts
107Pulaski County4.30 pts
107Staunton city4.3-0.3 pts
109Hopewell city4.2-0.1 pts
109Martinsville city4.2-0.3 pts
109Roanoke County4.2-0.3 pts
112Richmond city4.1-0.8 pts
112Salem city4.1-0.4 pts
112York County4.1-0.8 pts
115Danville city3.9-0.4 pts
115Franklin city3.9-0.7 pts
115Hanover County3.9-0.8 pts
115Norton city3.9+0.2 pts
115Portsmouth city3.9+0.2 pts
115Virginia Beach city3.9-0.6 pts
121Emporia city3.8+0.1 pts
121King George County3.8-0.4 pts
121Stafford County3.8-0.5 pts
124Bristol city3.7-0.3 pts
124Poquoson city3.7-0.9 pts
124Radford city3.7-0.2 pts
127Petersburg city3.6-0.1 pts
128Chesterfield County3.5-1 pts
128Hampton city3.5-0.5 pts
130Arlington County3.4-0.1 pts
130Covington city3.4-0.8 pts
132Buena Vista city3.3-0.4 pts
133Falls Church city2.5-0.7 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-2016-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 Virginia by uninsured rate, under 19 (US model-based estimate), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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 Virginia by uninsured rate, under 19 (US model-based estimate), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2016. 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 Virginia by uninsured rate, under 19 (US model-based estimate), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2016.

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 Virginia by uninsured rate, under 19 (US model-based estimate), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2016,
  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 Virginia by uninsured rate, under 19 (US model-based estimate), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2016. 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-2016-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 Virginia by uninsured rate, under 19 (US model-based estimate), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2016.
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-2016-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)?

Highland County, with 10.8% in 2016, according to the U.S. Census Bureau.

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

Falls Church city, with 2.5% in 2016.

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 Virginia: more rankings