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 2018, at 11.7%. Falls Church city had the lowest, at 2.2%. The median was 5.5% and the figure for Virginia was 5%. Source: the U.S. Census Bureau.

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Highest11.7Highland County
Median5.5133 counties
Virginia5History

Map of counties, 2018

Accomack County: 8.5 %Albemarle County: 5.4 %Alleghany County: 5.2 %Amelia County: 7.9 %Amherst County: 5.7 %Appomattox County: 6.4 %Arlington County: 3.6 %Augusta County: 5.2 %Bath County: 6.7 %Bedford County: 5.1 %Bland County: 5.2 %Botetourt County: 4.6 %Brunswick County: 5.7 %Buchanan County: 6.3 %Buckingham County: 7.1 %Campbell County: 5.5 %Caroline County: 5.8 %Carroll County: 6.3 %Charles City County: 8.5 %Charlotte County: 7.2 %Chesterfield County: 4.9 %Clarke County: 6.8 %Craig County: 5 %Culpeper County: 6.5 %Cumberland County: 5.8 %Dickenson County: 5.8 %Dinwiddie County: 5.6 %Essex County: 5.8 %Fairfax County: 4.6 %Fauquier County: 5.7 %Floyd County: 7.5 %Fluvanna County: 5.8 %Franklin County: 6.4 %Frederick County: 5.9 %Giles County: 4.6 %Gloucester County: 5.1 %Goochland County: 5.6 %Grayson County: 6.4 %Greene County: 6.3 %Greensville County: 5 %Halifax County: 5.3 %Hanover County: 4.1 %Henrico County: 4.5 %Henry County: 5 %Highland County: 11.7 %Isle of Wight County: 5.8 %James City County: 4.6 %King and Queen County: 7.4 %King George County: 4.2 %King William County: 5.3 %Lancaster County: 7.9 %Lee County: 6.5 %Loudoun County: 3.6 %Louisa County: 7.1 %Lunenburg County: 7.9 %Madison County: 6.9 %Mathews County: 5.9 %Mecklenburg County: 5.4 %Middlesex County: 6.9 %Montgomery County: 5.2 %Nelson County: 8 %New Kent County: 6.1 %Northampton County: 8.5 %Northumberland County: 7.2 %Nottoway County: 7.2 %Orange County: 6 %Page County: 6.7 %Patrick County: 7 %Pittsylvania County: 5.3 %Powhatan County: 6.1 %Prince Edward County: 5.7 %Prince George County: 4.8 %Prince William County: 5.3 %Pulaski County: 4.6 %Rappahannock County: 8.3 %Richmond County: 6.8 %Roanoke County: 4.2 %Rockbridge County: 6.2 %Rockingham County: 6.9 %Russell County: 5.5 %Scott County: 4.7 %Shenandoah County: 6.2 %Smyth County: 4.7 %Southampton County: 6 %Spotsylvania County: 5.4 %Stafford County: 5 %Surry County: 5.6 %Sussex County: 7.1 %Tazewell County: 5.4 %Warren County: 6.5 %Washington County: 5.3 %Westmoreland County: 6.1 %Wise County: 4.8 %Wythe County: 5.6 %York County: 4 %Alexandria city: 6.2 %Bristol city: 3.8 %Buena Vista city: 3.3 %Charlottesville city: 6 %Chesapeake city: 4.2 %Colonial Heights city: 4.4 %Covington city: 3.7 %Danville city: 4.2 %Emporia city: 3.2 %Fairfax city: 5.3 %Falls Church city: 2.2 %Franklin city: 3.5 %Fredericksburg city: 5.4 %Galax city: 6.4 %Hampton city: 3.6 %Harrisonburg city: 5.9 %Hopewell city: 4.2 %Lexington city: 4.5 %Lynchburg city: 4.2 %Manassas city: 7.6 %Manassas Park city: 6.9 %Martinsville city: 4 %Newport News city: 4.4 %Norfolk city: 5.7 %Norton city: 3.7 %Petersburg city: 4.2 %Poquoson city: 3.2 %Portsmouth city: 3.7 %Radford city: 3.8 %Richmond city: 5.3 %Roanoke city: 5 %Salem city: 3.7 %Staunton city: 4.6 %Suffolk city: 5 %Virginia Beach city: 4.8 %Waynesboro city: 5.5 %Williamsburg city: 5.3 %Winchester city: 6 %
  • Under 4.2
  • 4.2 to 5
  • 5 to 5.5
  • 5.5 to 6
  • 6 to 6.9
  • 6.9 and over
%, 2018. 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, 2018

Highland County: 11.7 %Highland County11.7Accomack County: 8.5 %Accomack County8.5Charles City County: 8.5 %Charles City County8.5Northampton County: 8.5 %Northampton County8.5Rappahannock County: 8.3 %Rappahannock County8.3Nelson County: 8 %Nelson County8Amelia County: 7.9 %Amelia County7.9Lancaster County: 7.9 %Lancaster County7.9Lunenburg County: 7.9 %Lunenburg County7.9Manassas city: 7.6 %Manassas city7.6Floyd County: 7.5 %Floyd County7.5King and Queen County: 7.4 %King and Queen County7.4Charlotte County: 7.2 %Charlotte County7.2Northumberland County: 7.2 %Northumberland County7.2Nottoway County: 7.2 %Nottoway County7.2Buckingham County: 7.1 %Buckingham County7.1Louisa County: 7.1 %Louisa County7.1Sussex County: 7.1 %Sussex County7.1Patrick County: 7 %Patrick County7Madison County: 6.9 %Madison County6.9Manassas Park city: 6.9 %Manassas Park city6.9Middlesex County: 6.9 %Middlesex County6.9Rockingham County: 6.9 %Rockingham County6.9Clarke County: 6.8 %Clarke County6.8Richmond County: 6.8 %Richmond County6.8Bath County: 6.7 %Bath County6.7Page County: 6.7 %Page County6.7Culpeper County: 6.5 %Culpeper County6.5Lee County: 6.5 %Lee County6.5Warren County: 6.5 %Warren County6.5Appomattox County: 6.4 %Appomattox County6.4Franklin County: 6.4 %Franklin County6.4Galax city: 6.4 %Galax city6.4Grayson County: 6.4 %Grayson County6.4Buchanan County: 6.3 %Buchanan County6.3Carroll County: 6.3 %Carroll County6.3Greene County: 6.3 %Greene County6.3Alexandria city: 6.2 %Alexandria city6.2Rockbridge County: 6.2 %Rockbridge County6.2Shenandoah County: 6.2 %Shenandoah County6.2Highland County: 11.7 %Highland County11.7Accomack County: 8.5 %Accomack County8.5Charles City County: 8.5 %Charles City County8.5Northampton County: 8.5 %Northampton County8.5Rappahannock County: 8.3 %Rappahannock County8.3Nelson County: 8 %Nelson County8Amelia County: 7.9 %Amelia County7.9Lancaster County: 7.9 %Lancaster County7.9Lunenburg County: 7.9 %Lunenburg County7.9Manassas city: 7.6 %Manassas city7.6Floyd County: 7.5 %Floyd County7.5King and Queen County: 7.4 %King and Queen County7.4Charlotte County: 7.2 %Charlotte County7.2Northumberland County: 7.2 %Northumberland County7.2Nottoway County: 7.2 %Nottoway County7.2Buckingham County: 7.1 %Buckingham County7.1Louisa County: 7.1 %Louisa County7.1Sussex County: 7.1 %Sussex County7.1Patrick County: 7 %Patrick County7Madison County: 6.9 %Madison County6.9Manassas Park city: 6.9 %Manassas Park city6.9Middlesex County: 6.9 %Middlesex County6.9Rockingham County: 6.9 %Rockingham County6.9Clarke County: 6.8 %Clarke County6.8Richmond County: 6.8 %Richmond County6.8Bath County: 6.7 %Bath County6.7Page County: 6.7 %Page County6.7Culpeper County: 6.5 %Culpeper County6.5Lee County: 6.5 %Lee County6.5Warren County: 6.5 %Warren County6.5Appomattox County: 6.4 %Appomattox County6.4Franklin County: 6.4 %Franklin County6.4Galax city: 6.4 %Galax city6.4Grayson County: 6.4 %Grayson County6.4Buchanan County: 6.3 %Buchanan County6.3Carroll County: 6.3 %Carroll County6.3Greene County: 6.3 %Greene County6.3Alexandria city: 6.2 %Alexandria city6.2Rockbridge County: 6.2 %Rockbridge County6.2Shenandoah County: 6.2 %Shenandoah County6.2
%. 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

RankCounties2018 (%)Change on 2017
1Highland County11.7-0.7 pts
2Accomack County8.5-0.7 pts
2Charles City County8.5-1.8 pts
2Northampton County8.5+0.8 pts
5Rappahannock County8.3-1.6 pts
6Nelson County8-0.7 pts
7Amelia County7.9-0.3 pts
7Lancaster County7.9+0.7 pts
7Lunenburg County7.9+0.5 pts
10Manassas city7.6+0.1 pts
11Floyd County7.5-0.2 pts
12King and Queen County7.40 pts
13Charlotte County7.2-0.4 pts
13Northumberland County7.2-1.1 pts
13Nottoway County7.2+0.9 pts
16Buckingham County7.1+0.5 pts
16Louisa County7.1-0.3 pts
16Sussex County7.1+0.5 pts
19Patrick County7+0.3 pts
20Madison County6.9-0.5 pts
20Manassas Park city6.9-0.2 pts
20Middlesex County6.9+0.1 pts
20Rockingham County6.9-3.2 pts
24Clarke County6.8-0.7 pts
24Richmond County6.8+0.1 pts
26Bath County6.7+0.8 pts
26Page County6.7+0.2 pts
28Culpeper County6.5-0.2 pts
28Lee County6.5+0.9 pts
28Warren County6.5+0.9 pts
31Appomattox County6.4-0.4 pts
31Franklin County6.40 pts
31Galax city6.4+0.3 pts
31Grayson County6.4-1.4 pts
35Buchanan County6.3+0.5 pts
35Carroll County6.3+0.4 pts
35Greene County6.3-0.7 pts
38Alexandria city6.2+0.2 pts
38Rockbridge County6.2-0.1 pts
38Shenandoah County6.2+0.5 pts
41New Kent County6.1-0.5 pts
41Powhatan County6.1-0.6 pts
41Westmoreland County6.1+0.2 pts
44Charlottesville city6+0.4 pts
44Orange County6-0.2 pts
44Southampton County6-0.1 pts
44Winchester city6-0.2 pts
48Frederick County5.9+0.9 pts
48Harrisonburg city5.9-0.4 pts
48Mathews County5.9-0.1 pts
51Caroline County5.8+0.1 pts
51Cumberland County5.8+0.2 pts
51Dickenson County5.8+0.5 pts
51Essex County5.8-0.2 pts
51Fluvanna County5.8+0.4 pts
51Isle of Wight County5.8+0.5 pts
57Amherst County5.7-0.6 pts
57Brunswick County5.7+0.1 pts
57Fauquier County5.7-0.6 pts
57Norfolk city5.7+1.4 pts
57Prince Edward County5.70 pts
62Dinwiddie County5.6-0.2 pts
62Goochland County5.6+0.2 pts
62Surry County5.6-0.2 pts
62Wythe County5.6-0.9 pts
66Campbell County5.50 pts
66Russell County5.5+0.7 pts
66Waynesboro city5.5+0.4 pts
69Albemarle County5.4-0.3 pts
69Fredericksburg city5.4-0.4 pts
69Mecklenburg County5.40 pts
69Spotsylvania County5.4+0.8 pts
69Tazewell County5.4+0.3 pts
74Fairfax city5.3+0.4 pts
74Halifax County5.3-0.7 pts
74King William County5.3-0.2 pts
74Pittsylvania County5.3-0.2 pts
74Prince William County5.3-1.4 pts
74Richmond city5.3+0.1 pts
74Washington County5.3+0.2 pts
74Williamsburg city5.3-0.4 pts
82Alleghany County5.2+0.3 pts
82Augusta County5.2-0.3 pts
82Bland County5.2+0.1 pts
82Montgomery County5.2-0.2 pts
86Bedford County5.1-0.1 pts
86Gloucester County5.1-0.1 pts
88Craig County5-0.2 pts
88Greensville County50 pts
88Henry County5-0.2 pts
88Roanoke city5+0.3 pts
88Stafford County5+0.5 pts
88Suffolk city5+0.6 pts
94Chesterfield County4.9+0.6 pts
95Prince George County4.8-0.1 pts
95Virginia Beach city4.8+1 pts
95Wise County4.8+0.2 pts
98Scott County4.70 pts
98Smyth County4.7+0.1 pts
100Botetourt County4.6-0.1 pts
100Fairfax County4.6-0.1 pts
100Giles County4.6-0.4 pts
100James City County4.6-0.2 pts
100Pulaski County4.6-0.2 pts
100Staunton city4.6+0.4 pts
106Henrico County4.5-1.1 pts
106Lexington city4.5+0.1 pts
108Colonial Heights city4.4+0.2 pts
108Newport News city4.4-0.4 pts
110Chesapeake city4.20 pts
110Danville city4.2+0.4 pts
110Hopewell city4.2+0.3 pts
110King George County4.2+0.2 pts
110Lynchburg city4.20 pts
110Petersburg city4.2+1 pts
110Roanoke County4.2-0.2 pts
117Hanover County4.1-0.5 pts
118Martinsville city4+0.4 pts
118York County4-0.1 pts
120Bristol city3.8+0.4 pts
120Radford city3.8+0.1 pts
122Covington city3.7+0.4 pts
122Norton city3.7-0.2 pts
122Portsmouth city3.7+0.2 pts
122Salem city3.7-0.1 pts
126Arlington County3.6-0.6 pts
126Hampton city3.6+0.3 pts
126Loudoun County3.6-0.5 pts
129Franklin city3.5-0.3 pts
130Buena Vista city3.3-0.2 pts
131Emporia city3.2-0.4 pts
131Poquoson city3.2-0.2 pts
133Falls Church city2.2+0.1 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-2018-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), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2018. 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), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2018.

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), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2018,
  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), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2018. 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-2018-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), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2018.
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-2018-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 11.7% in 2018, according to the U.S. Census Bureau.

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

Falls Church city, with 2.2% in 2018.

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