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

Charles City County had the highest uninsured rate, under 19 (US model-based estimate) of 133 counties in 2019, at 9.7%. Falls Church city had the lowest, at 2.5%. The median was 5.3% and the figure for Virginia was 4.9%. Source: the U.S. Census Bureau.

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Median5.3133 counties
Virginia4.9History

Map of counties, 2019

Accomack County: 7.7 %Albemarle County: 5.6 %Alleghany County: 4.8 %Amelia County: 7.4 %Amherst County: 5.5 %Appomattox County: 6.8 %Arlington County: 3.6 %Augusta County: 5.6 %Bath County: 6.5 %Bedford County: 5 %Bland County: 5.2 %Botetourt County: 5 %Brunswick County: 5.7 %Buchanan County: 6.4 %Buckingham County: 6 %Campbell County: 4.6 %Caroline County: 5.2 %Carroll County: 5.6 %Charles City County: 9.7 %Charlotte County: 6.5 %Chesterfield County: 4.8 %Clarke County: 6.8 %Craig County: 4.2 %Culpeper County: 7.1 %Cumberland County: 5.4 %Dickenson County: 5.2 %Dinwiddie County: 5.2 %Essex County: 5.8 %Fairfax County: 5 %Fauquier County: 5.8 %Floyd County: 7.1 %Fluvanna County: 5.2 %Franklin County: 5.8 %Frederick County: 5.3 %Giles County: 4.6 %Gloucester County: 5.6 %Goochland County: 6.2 %Grayson County: 5.7 %Greene County: 5.9 %Greensville County: 4.3 %Halifax County: 4.9 %Hanover County: 4.3 %Henrico County: 4.4 %Henry County: 4.8 %Highland County: 9.6 %Isle of Wight County: 5.3 %James City County: 4.3 %King and Queen County: 7.6 %King George County: 4.1 %King William County: 5.6 %Lancaster County: 8.6 %Lee County: 5.4 %Loudoun County: 3.7 %Louisa County: 7.6 %Lunenburg County: 7.3 %Madison County: 7.2 %Mathews County: 5.8 %Mecklenburg County: 6 %Middlesex County: 8.1 %Montgomery County: 4.4 %Nelson County: 8.7 %New Kent County: 6.7 %Northampton County: 7.3 %Northumberland County: 7.2 %Nottoway County: 5.8 %Orange County: 6.5 %Page County: 5.4 %Patrick County: 6 %Pittsylvania County: 5.9 %Powhatan County: 6.7 %Prince Edward County: 4.8 %Prince George County: 4.5 %Prince William County: 6.5 %Pulaski County: 4.3 %Rappahannock County: 8.7 %Richmond County: 5.5 %Roanoke County: 4.6 %Rockbridge County: 5.9 %Rockingham County: 7.2 %Russell County: 5.2 %Scott County: 5.2 %Shenandoah County: 5.5 %Smyth County: 4.3 %Southampton County: 5.1 %Spotsylvania County: 5.3 %Stafford County: 4.4 %Surry County: 5.6 %Sussex County: 5.7 %Tazewell County: 4.9 %Warren County: 5.6 %Washington County: 6.2 %Westmoreland County: 5.8 %Wise County: 4.7 %Wythe County: 5.4 %York County: 4.3 %Alexandria city: 5.1 %Bristol city: 3.4 %Buena Vista city: 3.2 %Charlottesville city: 5.4 %Chesapeake city: 4.3 %Colonial Heights city: 4.9 %Covington city: 3.3 %Danville city: 3.6 %Emporia city: 3.1 %Fairfax city: 6 %Falls Church city: 2.5 %Franklin city: 3.3 %Fredericksburg city: 5.3 %Galax city: 5.9 %Hampton city: 3.6 %Harrisonburg city: 5.7 %Hopewell city: 3.3 %Lexington city: 3.5 %Lynchburg city: 4.4 %Manassas city: 6.9 %Manassas Park city: 6.6 %Martinsville city: 4 %Newport News city: 3.8 %Norfolk city: 3.8 %Norton city: 3.4 %Petersburg city: 3.4 %Poquoson city: 3.7 %Portsmouth city: 3.4 %Radford city: 3.2 %Richmond city: 4.6 %Roanoke city: 3.8 %Salem city: 4.2 %Staunton city: 4.3 %Suffolk city: 4.3 %Virginia Beach city: 4.1 %Waynesboro city: 4.7 %Williamsburg city: 5 %Winchester city: 6.4 %
  • Under 4.1
  • 4.1 to 4.7
  • 4.7 to 5.3
  • 5.3 to 5.8
  • 5.8 to 6.6
  • 6.6 and over
%, 2019. 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, 2019

Charles City County: 9.7 %Charles City County9.7Highland County: 9.6 %Highland County9.6Nelson County: 8.7 %Nelson County8.7Rappahannock County: 8.7 %Rappahannock County8.7Lancaster County: 8.6 %Lancaster County8.6Middlesex County: 8.1 %Middlesex County8.1Accomack County: 7.7 %Accomack County7.7King and Queen County: 7.6 %King and Queen County7.6Louisa County: 7.6 %Louisa County7.6Amelia County: 7.4 %Amelia County7.4Lunenburg County: 7.3 %Lunenburg County7.3Northampton County: 7.3 %Northampton County7.3Madison County: 7.2 %Madison County7.2Northumberland County: 7.2 %Northumberland County7.2Rockingham County: 7.2 %Rockingham County7.2Culpeper County: 7.1 %Culpeper County7.1Floyd County: 7.1 %Floyd County7.1Manassas city: 6.9 %Manassas city6.9Appomattox County: 6.8 %Appomattox County6.8Clarke County: 6.8 %Clarke County6.8New Kent County: 6.7 %New Kent County6.7Powhatan County: 6.7 %Powhatan County6.7Manassas Park city: 6.6 %Manassas Park city6.6Bath County: 6.5 %Bath County6.5Charlotte County: 6.5 %Charlotte County6.5Orange County: 6.5 %Orange County6.5Prince William County: 6.5 %Prince William County6.5Buchanan County: 6.4 %Buchanan County6.4Winchester city: 6.4 %Winchester city6.4Goochland County: 6.2 %Goochland County6.2Washington County: 6.2 %Washington County6.2Buckingham County: 6 %Buckingham County6Fairfax city: 6 %Fairfax city6Mecklenburg County: 6 %Mecklenburg County6Patrick County: 6 %Patrick County6Galax city: 5.9 %Galax city5.9Greene County: 5.9 %Greene County5.9Pittsylvania County: 5.9 %Pittsylvania County5.9Rockbridge County: 5.9 %Rockbridge County5.9Essex County: 5.8 %Essex County5.8Charles City County: 9.7 %Charles City County9.7Highland County: 9.6 %Highland County9.6Nelson County: 8.7 %Nelson County8.7Rappahannock County: 8.7 %Rappahannock County8.7Lancaster County: 8.6 %Lancaster County8.6Middlesex County: 8.1 %Middlesex County8.1Accomack County: 7.7 %Accomack County7.7King and Queen County: 7.6 %King and Queen County7.6Louisa County: 7.6 %Louisa County7.6Amelia County: 7.4 %Amelia County7.4Lunenburg County: 7.3 %Lunenburg County7.3Northampton County: 7.3 %Northampton County7.3Madison County: 7.2 %Madison County7.2Northumberland County: 7.2 %Northumberland County7.2Rockingham County: 7.2 %Rockingham County7.2Culpeper County: 7.1 %Culpeper County7.1Floyd County: 7.1 %Floyd County7.1Manassas city: 6.9 %Manassas city6.9Appomattox County: 6.8 %Appomattox County6.8Clarke County: 6.8 %Clarke County6.8New Kent County: 6.7 %New Kent County6.7Powhatan County: 6.7 %Powhatan County6.7Manassas Park city: 6.6 %Manassas Park city6.6Bath County: 6.5 %Bath County6.5Charlotte County: 6.5 %Charlotte County6.5Orange County: 6.5 %Orange County6.5Prince William County: 6.5 %Prince William County6.5Buchanan County: 6.4 %Buchanan County6.4Winchester city: 6.4 %Winchester city6.4Goochland County: 6.2 %Goochland County6.2Washington County: 6.2 %Washington County6.2Buckingham County: 6 %Buckingham County6Fairfax city: 6 %Fairfax city6Mecklenburg County: 6 %Mecklenburg County6Patrick County: 6 %Patrick County6Galax city: 5.9 %Galax city5.9Greene County: 5.9 %Greene County5.9Pittsylvania County: 5.9 %Pittsylvania County5.9Rockbridge County: 5.9 %Rockbridge County5.9Essex County: 5.8 %Essex County5.8
%. 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

RankCounties2019 (%)Change on 2018
1Charles City County9.7+1.2 pts
2Highland County9.6-2.1 pts
3Nelson County8.7+0.7 pts
3Rappahannock County8.7+0.4 pts
5Lancaster County8.6+0.7 pts
6Middlesex County8.1+1.2 pts
7Accomack County7.7-0.8 pts
8King and Queen County7.6+0.2 pts
8Louisa County7.6+0.5 pts
10Amelia County7.4-0.5 pts
11Lunenburg County7.3-0.6 pts
11Northampton County7.3-1.2 pts
13Madison County7.2+0.3 pts
13Northumberland County7.20 pts
13Rockingham County7.2+0.3 pts
16Culpeper County7.1+0.6 pts
16Floyd County7.1-0.4 pts
18Manassas city6.9-0.7 pts
19Appomattox County6.8+0.4 pts
19Clarke County6.80 pts
21New Kent County6.7+0.6 pts
21Powhatan County6.7+0.6 pts
23Manassas Park city6.6-0.3 pts
24Bath County6.5-0.2 pts
24Charlotte County6.5-0.7 pts
24Orange County6.5+0.5 pts
24Prince William County6.5+1.2 pts
28Buchanan County6.4+0.1 pts
28Winchester city6.4+0.4 pts
30Goochland County6.2+0.6 pts
30Washington County6.2+0.9 pts
32Buckingham County6-1.1 pts
32Fairfax city6+0.7 pts
32Mecklenburg County6+0.6 pts
32Patrick County6-1 pts
36Galax city5.9-0.5 pts
36Greene County5.9-0.4 pts
36Pittsylvania County5.9+0.6 pts
36Rockbridge County5.9-0.3 pts
40Essex County5.80 pts
40Fauquier County5.8+0.1 pts
40Franklin County5.8-0.6 pts
40Mathews County5.8-0.1 pts
40Nottoway County5.8-1.4 pts
40Westmoreland County5.8-0.3 pts
46Brunswick County5.70 pts
46Grayson County5.7-0.7 pts
46Harrisonburg city5.7-0.2 pts
46Sussex County5.7-1.4 pts
50Albemarle County5.6+0.2 pts
50Augusta County5.6+0.4 pts
50Carroll County5.6-0.7 pts
50Gloucester County5.6+0.5 pts
50King William County5.6+0.3 pts
50Surry County5.60 pts
50Warren County5.6-0.9 pts
57Amherst County5.5-0.2 pts
57Richmond County5.5-1.3 pts
57Shenandoah County5.5-0.7 pts
60Charlottesville city5.4-0.6 pts
60Cumberland County5.4-0.4 pts
60Lee County5.4-1.1 pts
60Page County5.4-1.3 pts
60Wythe County5.4-0.2 pts
65Frederick County5.3-0.6 pts
65Fredericksburg city5.3-0.1 pts
65Isle of Wight County5.3-0.5 pts
65Spotsylvania County5.3-0.1 pts
69Bland County5.20 pts
69Caroline County5.2-0.6 pts
69Dickenson County5.2-0.6 pts
69Dinwiddie County5.2-0.4 pts
69Fluvanna County5.2-0.6 pts
69Russell County5.2-0.3 pts
69Scott County5.2+0.5 pts
76Alexandria city5.1-1.1 pts
76Southampton County5.1-0.9 pts
78Bedford County5-0.1 pts
78Botetourt County5+0.4 pts
78Fairfax County5+0.4 pts
78Williamsburg city5-0.3 pts
82Colonial Heights city4.9+0.5 pts
82Halifax County4.9-0.4 pts
82Tazewell County4.9-0.5 pts
85Alleghany County4.8-0.4 pts
85Chesterfield County4.8-0.1 pts
85Henry County4.8-0.2 pts
85Prince Edward County4.8-0.9 pts
89Waynesboro city4.7-0.8 pts
89Wise County4.7-0.1 pts
91Campbell County4.6-0.9 pts
91Giles County4.60 pts
91Richmond city4.6-0.7 pts
91Roanoke County4.6+0.4 pts
95Prince George County4.5-0.3 pts
96Henrico County4.4-0.1 pts
96Lynchburg city4.4+0.2 pts
96Montgomery County4.4-0.8 pts
96Stafford County4.4-0.6 pts
100Chesapeake city4.3+0.1 pts
100Greensville County4.3-0.7 pts
100Hanover County4.3+0.2 pts
100James City County4.3-0.3 pts
100Pulaski County4.3-0.3 pts
100Smyth County4.3-0.4 pts
100Staunton city4.3-0.3 pts
100Suffolk city4.3-0.7 pts
100York County4.3+0.3 pts
109Craig County4.2-0.8 pts
109Salem city4.2+0.5 pts
111King George County4.1-0.1 pts
111Virginia Beach city4.1-0.7 pts
113Martinsville city40 pts
114Newport News city3.8-0.6 pts
114Norfolk city3.8-1.9 pts
114Roanoke city3.8-1.2 pts
117Loudoun County3.7+0.1 pts
117Poquoson city3.7+0.5 pts
119Arlington County3.60 pts
119Danville city3.6-0.6 pts
119Hampton city3.60 pts
122Lexington city3.5-1 pts
123Bristol city3.4-0.4 pts
123Norton city3.4-0.3 pts
123Petersburg city3.4-0.8 pts
123Portsmouth city3.4-0.3 pts
127Covington city3.3-0.4 pts
127Franklin city3.3-0.2 pts
127Hopewell city3.3-0.9 pts
130Buena Vista city3.2-0.1 pts
130Radford city3.2-0.6 pts
132Emporia city3.1-0.1 pts
133Falls Church city2.5+0.3 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2019.
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-2019-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)?

Charles City County, with 9.7% in 2019, 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 2019.

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