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

Rappahannock County had the highest uninsured rate, under 19 (US model-based estimate) of 133 counties in 2020, at 11.2%. Falls Church city had the lowest, at 2.3%. The median was 4.9% and the figure for Virginia was 4.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Median4.9133 counties
Virginia4.4History

Map of counties, 2020

Accomack County: 7.5 %Albemarle County: 5.7 %Alleghany County: 5.1 %Amelia County: 7.8 %Amherst County: 5.7 %Appomattox County: 6.2 %Arlington County: 3.4 %Augusta County: 5.4 %Bath County: 6.7 %Bedford County: 4.4 %Bland County: 4.9 %Botetourt County: 4.2 %Brunswick County: 4.9 %Buchanan County: 4.7 %Buckingham County: 6.3 %Campbell County: 4.4 %Caroline County: 5.5 %Carroll County: 5.9 %Charles City County: 10.2 %Charlotte County: 6.1 %Chesterfield County: 4.5 %Clarke County: 6.6 %Craig County: 6 %Culpeper County: 6.8 %Cumberland County: 5.6 %Dickenson County: 4.2 %Dinwiddie County: 5.2 %Essex County: 6.3 %Fairfax County: 3.9 %Fauquier County: 6.1 %Floyd County: 7.1 %Fluvanna County: 5.6 %Franklin County: 4.7 %Frederick County: 5.4 %Giles County: 4.5 %Gloucester County: 5.5 %Goochland County: 4 %Grayson County: 5.8 %Greene County: 6.7 %Greensville County: 3.5 %Halifax County: 4.7 %Hanover County: 4.4 %Henrico County: 3.8 %Henry County: 4.3 %Highland County: 6.5 %Isle of Wight County: 5.3 %James City County: 4.1 %King and Queen County: 8 %King George County: 4.3 %King William County: 5.8 %Lancaster County: 6.7 %Lee County: 4.3 %Loudoun County: 3.6 %Louisa County: 6.3 %Lunenburg County: 8.2 %Madison County: 7.9 %Mathews County: 6.6 %Mecklenburg County: 5.5 %Middlesex County: 7.7 %Montgomery County: 4.3 %Nelson County: 7.9 %New Kent County: 7.3 %Northampton County: 6.4 %Northumberland County: 6.7 %Nottoway County: 5.4 %Orange County: 5.8 %Page County: 6.1 %Patrick County: 5.5 %Pittsylvania County: 5.2 %Powhatan County: 6.9 %Prince Edward County: 4.8 %Prince George County: 4.9 %Prince William County: 5.2 %Pulaski County: 3.7 %Rappahannock County: 11.2 %Richmond County: 6.4 %Roanoke County: 3.9 %Rockbridge County: 5.8 %Rockingham County: 6.6 %Russell County: 4.2 %Scott County: 4.5 %Shenandoah County: 6 %Smyth County: 3.7 %Southampton County: 5.4 %Spotsylvania County: 4.2 %Stafford County: 4.2 %Surry County: 5.7 %Sussex County: 5.4 %Tazewell County: 4.2 %Warren County: 5.3 %Washington County: 4.7 %Westmoreland County: 6.1 %Wise County: 3.5 %Wythe County: 5.3 %York County: 4.2 %Alexandria city: 4.8 %Bristol city: 3 %Buena Vista city: 4.6 %Charlottesville city: 5 %Chesapeake city: 3.6 %Colonial Heights city: 4.6 %Covington city: 3.3 %Danville city: 3.1 %Emporia city: 3.4 %Fairfax city: 5 %Falls Church city: 2.3 %Franklin city: 3.8 %Fredericksburg city: 5.5 %Galax city: 4.8 %Hampton city: 2.8 %Harrisonburg city: 6.5 %Hopewell city: 3.2 %Lexington city: 4.4 %Lynchburg city: 3.4 %Manassas city: 8.5 %Manassas Park city: 8.8 %Martinsville city: 3.4 %Newport News city: 3.3 %Norfolk city: 3.4 %Norton city: 3.1 %Petersburg city: 2.9 %Poquoson city: 4.7 %Portsmouth city: 3 %Radford city: 3.4 %Richmond city: 4.1 %Roanoke city: 3.7 %Salem city: 4.1 %Staunton city: 4 %Suffolk city: 4.4 %Virginia Beach city: 3.9 %Waynesboro city: 4.8 %Williamsburg city: 4.6 %Winchester city: 6.1 %
  • Under 3.7
  • 3.7 to 4.4
  • 4.4 to 4.9
  • 4.9 to 5.7
  • 5.7 to 6.5
  • 6.5 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

Rappahannock County: 11.2 %Rappahannock County11.2Charles City County: 10.2 %Charles City County10.2Manassas Park city: 8.8 %Manassas Park city8.8Manassas city: 8.5 %Manassas city8.5Lunenburg County: 8.2 %Lunenburg County8.2King and Queen County: 8 %King and Queen County8Madison County: 7.9 %Madison County7.9Nelson County: 7.9 %Nelson County7.9Amelia County: 7.8 %Amelia County7.8Middlesex County: 7.7 %Middlesex County7.7Accomack County: 7.5 %Accomack County7.5New Kent County: 7.3 %New Kent County7.3Floyd County: 7.1 %Floyd County7.1Powhatan County: 6.9 %Powhatan County6.9Culpeper County: 6.8 %Culpeper County6.8Bath County: 6.7 %Bath County6.7Greene County: 6.7 %Greene County6.7Lancaster County: 6.7 %Lancaster County6.7Northumberland County: 6.7 %Northumberland County6.7Clarke County: 6.6 %Clarke County6.6Mathews County: 6.6 %Mathews County6.6Rockingham County: 6.6 %Rockingham County6.6Harrisonburg city: 6.5 %Harrisonburg city6.5Highland County: 6.5 %Highland County6.5Northampton County: 6.4 %Northampton County6.4Richmond County: 6.4 %Richmond County6.4Buckingham County: 6.3 %Buckingham County6.3Essex County: 6.3 %Essex County6.3Louisa County: 6.3 %Louisa County6.3Appomattox County: 6.2 %Appomattox County6.2Charlotte County: 6.1 %Charlotte County6.1Fauquier County: 6.1 %Fauquier County6.1Page County: 6.1 %Page County6.1Westmoreland County: 6.1 %Westmoreland County6.1Winchester city: 6.1 %Winchester city6.1Craig County: 6 %Craig County6Shenandoah County: 6 %Shenandoah County6Carroll County: 5.9 %Carroll County5.9Grayson County: 5.8 %Grayson County5.8King William County: 5.8 %King William County5.8Rappahannock County: 11.2 %Rappahannock County11.2Charles City County: 10.2 %Charles City County10.2Manassas Park city: 8.8 %Manassas Park city8.8Manassas city: 8.5 %Manassas city8.5Lunenburg County: 8.2 %Lunenburg County8.2King and Queen County: 8 %King and Queen County8Madison County: 7.9 %Madison County7.9Nelson County: 7.9 %Nelson County7.9Amelia County: 7.8 %Amelia County7.8Middlesex County: 7.7 %Middlesex County7.7Accomack County: 7.5 %Accomack County7.5New Kent County: 7.3 %New Kent County7.3Floyd County: 7.1 %Floyd County7.1Powhatan County: 6.9 %Powhatan County6.9Culpeper County: 6.8 %Culpeper County6.8Bath County: 6.7 %Bath County6.7Greene County: 6.7 %Greene County6.7Lancaster County: 6.7 %Lancaster County6.7Northumberland County: 6.7 %Northumberland County6.7Clarke County: 6.6 %Clarke County6.6Mathews County: 6.6 %Mathews County6.6Rockingham County: 6.6 %Rockingham County6.6Harrisonburg city: 6.5 %Harrisonburg city6.5Highland County: 6.5 %Highland County6.5Northampton County: 6.4 %Northampton County6.4Richmond County: 6.4 %Richmond County6.4Buckingham County: 6.3 %Buckingham County6.3Essex County: 6.3 %Essex County6.3Louisa County: 6.3 %Louisa County6.3Appomattox County: 6.2 %Appomattox County6.2Charlotte County: 6.1 %Charlotte County6.1Fauquier County: 6.1 %Fauquier County6.1Page County: 6.1 %Page County6.1Westmoreland County: 6.1 %Westmoreland County6.1Winchester city: 6.1 %Winchester city6.1Craig County: 6 %Craig County6Shenandoah County: 6 %Shenandoah County6Carroll County: 5.9 %Carroll County5.9Grayson County: 5.8 %Grayson County5.8King William County: 5.8 %King William 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

RankCounties2020 (%)Change on 2019
1Rappahannock County11.2+2.5 pts
2Charles City County10.2+0.5 pts
3Manassas Park city8.8+2.2 pts
4Manassas city8.5+1.6 pts
5Lunenburg County8.2+0.9 pts
6King and Queen County8+0.4 pts
7Madison County7.9+0.7 pts
7Nelson County7.9-0.8 pts
9Amelia County7.8+0.4 pts
10Middlesex County7.7-0.4 pts
11Accomack County7.5-0.2 pts
12New Kent County7.3+0.6 pts
13Floyd County7.10 pts
14Powhatan County6.9+0.2 pts
15Culpeper County6.8-0.3 pts
16Bath County6.7+0.2 pts
16Greene County6.7+0.8 pts
16Lancaster County6.7-1.9 pts
16Northumberland County6.7-0.5 pts
20Clarke County6.6-0.2 pts
20Mathews County6.6+0.8 pts
20Rockingham County6.6-0.6 pts
23Harrisonburg city6.5+0.8 pts
23Highland County6.5-3.1 pts
25Northampton County6.4-0.9 pts
25Richmond County6.4+0.9 pts
27Buckingham County6.3+0.3 pts
27Essex County6.3+0.5 pts
27Louisa County6.3-1.3 pts
30Appomattox County6.2-0.6 pts
31Charlotte County6.1-0.4 pts
31Fauquier County6.1+0.3 pts
31Page County6.1+0.7 pts
31Westmoreland County6.1+0.3 pts
31Winchester city6.1-0.3 pts
36Craig County6+1.8 pts
36Shenandoah County6+0.5 pts
38Carroll County5.9+0.3 pts
39Grayson County5.8+0.1 pts
39King William County5.8+0.2 pts
39Orange County5.8-0.7 pts
39Rockbridge County5.8-0.1 pts
43Albemarle County5.7+0.1 pts
43Amherst County5.7+0.2 pts
43Surry County5.7+0.1 pts
46Cumberland County5.6+0.2 pts
46Fluvanna County5.6+0.4 pts
48Caroline County5.5+0.3 pts
48Fredericksburg city5.5+0.2 pts
48Gloucester County5.5-0.1 pts
48Mecklenburg County5.5-0.5 pts
48Patrick County5.5-0.5 pts
53Augusta County5.4-0.2 pts
53Frederick County5.4+0.1 pts
53Nottoway County5.4-0.4 pts
53Southampton County5.4+0.3 pts
53Sussex County5.4-0.3 pts
58Isle of Wight County5.30 pts
58Warren County5.3-0.3 pts
58Wythe County5.3-0.1 pts
61Dinwiddie County5.20 pts
61Pittsylvania County5.2-0.7 pts
61Prince William County5.2-1.3 pts
64Alleghany County5.1+0.3 pts
65Charlottesville city5-0.4 pts
65Fairfax city5-1 pts
67Bland County4.9-0.3 pts
67Brunswick County4.9-0.8 pts
67Prince George County4.9+0.4 pts
70Alexandria city4.8-0.3 pts
70Galax city4.8-1.1 pts
70Prince Edward County4.80 pts
70Waynesboro city4.8+0.1 pts
74Buchanan County4.7-1.7 pts
74Franklin County4.7-1.1 pts
74Halifax County4.7-0.2 pts
74Poquoson city4.7+1 pts
74Washington County4.7-1.5 pts
79Buena Vista city4.6+1.4 pts
79Colonial Heights city4.6-0.3 pts
79Williamsburg city4.6-0.4 pts
82Chesterfield County4.5-0.3 pts
82Giles County4.5-0.1 pts
82Scott County4.5-0.7 pts
85Bedford County4.4-0.6 pts
85Campbell County4.4-0.2 pts
85Hanover County4.4+0.1 pts
85Lexington city4.4+0.9 pts
85Suffolk city4.4+0.1 pts
90Henry County4.3-0.5 pts
90King George County4.3+0.2 pts
90Lee County4.3-1.1 pts
90Montgomery County4.3-0.1 pts
94Botetourt County4.2-0.8 pts
94Dickenson County4.2-1 pts
94Russell County4.2-1 pts
94Spotsylvania County4.2-1.1 pts
94Stafford County4.2-0.2 pts
94Tazewell County4.2-0.7 pts
94York County4.2-0.1 pts
101James City County4.1-0.2 pts
101Richmond city4.1-0.5 pts
101Salem city4.1-0.1 pts
104Goochland County4-2.2 pts
104Staunton city4-0.3 pts
106Fairfax County3.9-1.1 pts
106Roanoke County3.9-0.7 pts
106Virginia Beach city3.9-0.2 pts
109Franklin city3.8+0.5 pts
109Henrico County3.8-0.6 pts
111Pulaski County3.7-0.6 pts
111Roanoke city3.7-0.1 pts
111Smyth County3.7-0.6 pts
114Chesapeake city3.6-0.7 pts
114Loudoun County3.6-0.1 pts
116Greensville County3.5-0.8 pts
116Wise County3.5-1.2 pts
118Arlington County3.4-0.2 pts
118Emporia city3.4+0.3 pts
118Lynchburg city3.4-1 pts
118Martinsville city3.4-0.6 pts
118Norfolk city3.4-0.4 pts
118Radford city3.4+0.2 pts
124Covington city3.30 pts
124Newport News city3.3-0.5 pts
126Hopewell city3.2-0.1 pts
127Danville city3.1-0.5 pts
127Norton city3.1-0.3 pts
129Bristol city3-0.4 pts
129Portsmouth city3-0.4 pts
131Petersburg city2.9-0.5 pts
132Hampton city2.8-0.8 pts
133Falls Church city2.3-0.2 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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-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  - 
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in Virginia by uninsured rate, under 19 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_19","level":"province","within":"Virginia","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_19&level=province&within=Virginia&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Rappahannock County, with 11.2% in 2020, according to the U.S. Census Bureau.

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

Falls Church city, with 2.3% 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 Virginia: more rankings