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 2021, at 10.5%. Greensville County had the lowest, at 2.4%. The median was 4.8% and the figure for Virginia was 4.4%. Source: the U.S. Census Bureau.

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Median4.8133 counties
Virginia4.4History

Map of counties, 2021

Accomack County: 7.8 %Albemarle County: 5.5 %Alleghany County: 4.1 %Amelia County: 7.7 %Amherst County: 4.7 %Appomattox County: 6.1 %Arlington County: 3.1 %Augusta County: 5.2 %Bath County: 5.7 %Bedford County: 4.3 %Bland County: 4.4 %Botetourt County: 3.7 %Brunswick County: 4.9 %Buchanan County: 5.4 %Buckingham County: 6.3 %Campbell County: 4.6 %Caroline County: 4.6 %Carroll County: 5.9 %Charles City County: 10.5 %Charlotte County: 6 %Chesterfield County: 4.3 %Clarke County: 5.2 %Craig County: 5.1 %Culpeper County: 6.1 %Cumberland County: 4.9 %Dickenson County: 4.6 %Dinwiddie County: 5.2 %Essex County: 6 %Fairfax County: 4.2 %Fauquier County: 5.6 %Floyd County: 5.4 %Fluvanna County: 4.5 %Franklin County: 4.9 %Frederick County: 5.1 %Giles County: 4.6 %Gloucester County: 5.7 %Goochland County: 3.4 %Grayson County: 4.2 %Greene County: 5.6 %Greensville County: 2.4 %Halifax County: 4.8 %Hanover County: 3.9 %Henrico County: 3.8 %Henry County: 4.2 %Highland County: 6.8 %Isle of Wight County: 4.7 %James City County: 3.5 %King and Queen County: 6 %King George County: 4.4 %King William County: 4.5 %Lancaster County: 8.3 %Lee County: 4.3 %Loudoun County: 3.5 %Louisa County: 6.2 %Lunenburg County: 6.7 %Madison County: 7.2 %Mathews County: 6.2 %Mecklenburg County: 5.5 %Middlesex County: 8.4 %Montgomery County: 3.7 %Nelson County: 8.7 %New Kent County: 6 %Northampton County: 8.6 %Northumberland County: 8 %Nottoway County: 5.5 %Orange County: 5 %Page County: 5.2 %Patrick County: 4.9 %Pittsylvania County: 5.1 %Powhatan County: 5.9 %Prince Edward County: 4.9 %Prince George County: 4.2 %Prince William County: 5.3 %Pulaski County: 3.8 %Rappahannock County: 9.4 %Richmond County: 5.9 %Roanoke County: 3.6 %Rockbridge County: 5.6 %Rockingham County: 6.2 %Russell County: 4.1 %Scott County: 3.9 %Shenandoah County: 5.1 %Smyth County: 4.1 %Southampton County: 5.1 %Spotsylvania County: 5 %Stafford County: 3.5 %Surry County: 5.8 %Sussex County: 4.4 %Tazewell County: 4.5 %Warren County: 5.8 %Washington County: 4.1 %Westmoreland County: 6 %Wise County: 4.1 %Wythe County: 4.4 %York County: 3.3 %Alexandria city: 5 %Bristol city: 3.4 %Buena Vista city: 3.8 %Charlottesville city: 4.9 %Chesapeake city: 3.6 %Colonial Heights city: 4.2 %Covington city: 3.3 %Danville city: 3.5 %Emporia city: 4.3 %Fairfax city: 5.6 %Falls Church city: 3.2 %Franklin city: 4.2 %Fredericksburg city: 5.5 %Galax city: 5.8 %Hampton city: 2.9 %Harrisonburg city: 6 %Hopewell city: 3.7 %Lexington city: 3.8 %Lynchburg city: 3.5 %Manassas city: 7.7 %Manassas Park city: 8.8 %Martinsville city: 3.5 %Newport News city: 2.9 %Norfolk city: 4.4 %Norton city: 3.3 %Petersburg city: 3.5 %Poquoson city: 3.7 %Portsmouth city: 3.1 %Radford city: 3.1 %Richmond city: 4 %Roanoke city: 4 %Salem city: 3.5 %Staunton city: 4.2 %Suffolk city: 4 %Virginia Beach city: 3.8 %Waynesboro city: 4.8 %Williamsburg city: 5.2 %Winchester city: 6.3 %
  • Under 3.7
  • 3.7 to 4.2
  • 4.2 to 4.8
  • 4.8 to 5.4
  • 5.4 to 6
  • 6 and over
%, 2021. 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, 2021

Charles City County: 10.5 %Charles City County10.5Rappahannock County: 9.4 %Rappahannock County9.4Manassas Park city: 8.8 %Manassas Park city8.8Nelson County: 8.7 %Nelson County8.7Northampton County: 8.6 %Northampton County8.6Middlesex County: 8.4 %Middlesex County8.4Lancaster County: 8.3 %Lancaster County8.3Northumberland County: 8 %Northumberland County8Accomack County: 7.8 %Accomack County7.8Amelia County: 7.7 %Amelia County7.7Manassas city: 7.7 %Manassas city7.7Madison County: 7.2 %Madison County7.2Highland County: 6.8 %Highland County6.8Lunenburg County: 6.7 %Lunenburg County6.7Buckingham County: 6.3 %Buckingham County6.3Winchester city: 6.3 %Winchester city6.3Louisa County: 6.2 %Louisa County6.2Mathews County: 6.2 %Mathews County6.2Rockingham County: 6.2 %Rockingham County6.2Appomattox County: 6.1 %Appomattox County6.1Culpeper County: 6.1 %Culpeper County6.1Charlotte County: 6 %Charlotte County6Essex County: 6 %Essex County6Harrisonburg city: 6 %Harrisonburg city6King and Queen County: 6 %King and Queen County6New Kent County: 6 %New Kent County6Westmoreland County: 6 %Westmoreland County6Carroll County: 5.9 %Carroll County5.9Powhatan County: 5.9 %Powhatan County5.9Richmond County: 5.9 %Richmond County5.9Galax city: 5.8 %Galax city5.8Surry County: 5.8 %Surry County5.8Warren County: 5.8 %Warren County5.8Bath County: 5.7 %Bath County5.7Gloucester County: 5.7 %Gloucester County5.7Fairfax city: 5.6 %Fairfax city5.6Fauquier County: 5.6 %Fauquier County5.6Greene County: 5.6 %Greene County5.6Rockbridge County: 5.6 %Rockbridge County5.6Albemarle County: 5.5 %Albemarle County5.5Charles City County: 10.5 %Charles City County10.5Rappahannock County: 9.4 %Rappahannock County9.4Manassas Park city: 8.8 %Manassas Park city8.8Nelson County: 8.7 %Nelson County8.7Northampton County: 8.6 %Northampton County8.6Middlesex County: 8.4 %Middlesex County8.4Lancaster County: 8.3 %Lancaster County8.3Northumberland County: 8 %Northumberland County8Accomack County: 7.8 %Accomack County7.8Amelia County: 7.7 %Amelia County7.7Manassas city: 7.7 %Manassas city7.7Madison County: 7.2 %Madison County7.2Highland County: 6.8 %Highland County6.8Lunenburg County: 6.7 %Lunenburg County6.7Buckingham County: 6.3 %Buckingham County6.3Winchester city: 6.3 %Winchester city6.3Louisa County: 6.2 %Louisa County6.2Mathews County: 6.2 %Mathews County6.2Rockingham County: 6.2 %Rockingham County6.2Appomattox County: 6.1 %Appomattox County6.1Culpeper County: 6.1 %Culpeper County6.1Charlotte County: 6 %Charlotte County6Essex County: 6 %Essex County6Harrisonburg city: 6 %Harrisonburg city6King and Queen County: 6 %King and Queen County6New Kent County: 6 %New Kent County6Westmoreland County: 6 %Westmoreland County6Carroll County: 5.9 %Carroll County5.9Powhatan County: 5.9 %Powhatan County5.9Richmond County: 5.9 %Richmond County5.9Galax city: 5.8 %Galax city5.8Surry County: 5.8 %Surry County5.8Warren County: 5.8 %Warren County5.8Bath County: 5.7 %Bath County5.7Gloucester County: 5.7 %Gloucester County5.7Fairfax city: 5.6 %Fairfax city5.6Fauquier County: 5.6 %Fauquier County5.6Greene County: 5.6 %Greene County5.6Rockbridge County: 5.6 %Rockbridge County5.6Albemarle County: 5.5 %Albemarle County5.5
%. 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

RankCounties2021 (%)Change on 2020
1Charles City County10.5+0.3 pts
2Rappahannock County9.4-1.8 pts
3Manassas Park city8.80 pts
4Nelson County8.7+0.8 pts
5Northampton County8.6+2.2 pts
6Middlesex County8.4+0.7 pts
7Lancaster County8.3+1.6 pts
8Northumberland County8+1.3 pts
9Accomack County7.8+0.3 pts
10Amelia County7.7-0.1 pts
10Manassas city7.7-0.8 pts
12Madison County7.2-0.7 pts
13Highland County6.8+0.3 pts
14Lunenburg County6.7-1.5 pts
15Buckingham County6.30 pts
15Winchester city6.3+0.2 pts
17Louisa County6.2-0.1 pts
17Mathews County6.2-0.4 pts
17Rockingham County6.2-0.4 pts
20Appomattox County6.1-0.1 pts
20Culpeper County6.1-0.7 pts
22Charlotte County6-0.1 pts
22Essex County6-0.3 pts
22Harrisonburg city6-0.5 pts
22King and Queen County6-2 pts
22New Kent County6-1.3 pts
22Westmoreland County6-0.1 pts
28Carroll County5.90 pts
28Powhatan County5.9-1 pts
28Richmond County5.9-0.5 pts
31Galax city5.8+1 pts
31Surry County5.8+0.1 pts
31Warren County5.8+0.5 pts
34Bath County5.7-1 pts
34Gloucester County5.7+0.2 pts
36Fairfax city5.6+0.6 pts
36Fauquier County5.6-0.5 pts
36Greene County5.6-1.1 pts
36Rockbridge County5.6-0.2 pts
40Albemarle County5.5-0.2 pts
40Fredericksburg city5.50 pts
40Mecklenburg County5.50 pts
40Nottoway County5.5+0.1 pts
44Buchanan County5.4+0.7 pts
44Floyd County5.4-1.7 pts
46Prince William County5.3+0.1 pts
47Augusta County5.2-0.2 pts
47Clarke County5.2-1.4 pts
47Dinwiddie County5.20 pts
47Page County5.2-0.9 pts
47Williamsburg city5.2+0.6 pts
52Craig County5.1-0.9 pts
52Frederick County5.1-0.3 pts
52Pittsylvania County5.1-0.1 pts
52Shenandoah County5.1-0.9 pts
52Southampton County5.1-0.3 pts
57Alexandria city5+0.2 pts
57Orange County5-0.8 pts
57Spotsylvania County5+0.8 pts
60Brunswick County4.90 pts
60Charlottesville city4.9-0.1 pts
60Cumberland County4.9-0.7 pts
60Franklin County4.9+0.2 pts
60Patrick County4.9-0.6 pts
60Prince Edward County4.9+0.1 pts
66Halifax County4.8+0.1 pts
66Waynesboro city4.80 pts
68Amherst County4.7-1 pts
68Isle of Wight County4.7-0.6 pts
70Campbell County4.6+0.2 pts
70Caroline County4.6-0.9 pts
70Dickenson County4.6+0.4 pts
70Giles County4.6+0.1 pts
74Fluvanna County4.5-1.1 pts
74King William County4.5-1.3 pts
74Tazewell County4.5+0.3 pts
77Bland County4.4-0.5 pts
77King George County4.4+0.1 pts
77Norfolk city4.4+1 pts
77Sussex County4.4-1 pts
77Wythe County4.4-0.9 pts
82Bedford County4.3-0.1 pts
82Chesterfield County4.3-0.2 pts
82Emporia city4.3+0.9 pts
82Lee County4.30 pts
86Colonial Heights city4.2-0.4 pts
86Fairfax County4.2+0.3 pts
86Franklin city4.2+0.4 pts
86Grayson County4.2-1.6 pts
86Henry County4.2-0.1 pts
86Prince George County4.2-0.7 pts
86Staunton city4.2+0.2 pts
93Alleghany County4.1-1 pts
93Russell County4.1-0.1 pts
93Smyth County4.1+0.4 pts
93Washington County4.1-0.6 pts
93Wise County4.1+0.6 pts
98Richmond city4-0.1 pts
98Roanoke city4+0.3 pts
98Suffolk city4-0.4 pts
101Hanover County3.9-0.5 pts
101Scott County3.9-0.6 pts
103Buena Vista city3.8-0.8 pts
103Henrico County3.80 pts
103Lexington city3.8-0.6 pts
103Pulaski County3.8+0.1 pts
103Virginia Beach city3.8-0.1 pts
108Botetourt County3.7-0.5 pts
108Hopewell city3.7+0.5 pts
108Montgomery County3.7-0.6 pts
108Poquoson city3.7-1 pts
112Chesapeake city3.60 pts
112Roanoke County3.6-0.3 pts
114Danville city3.5+0.4 pts
114James City County3.5-0.6 pts
114Loudoun County3.5-0.1 pts
114Lynchburg city3.5+0.1 pts
114Martinsville city3.5+0.1 pts
114Petersburg city3.5+0.6 pts
114Salem city3.5-0.6 pts
114Stafford County3.5-0.7 pts
122Bristol city3.4+0.4 pts
122Goochland County3.4-0.6 pts
124Covington city3.30 pts
124Norton city3.3+0.2 pts
124York County3.3-0.9 pts
127Falls Church city3.2+0.9 pts
128Arlington County3.1-0.3 pts
128Portsmouth city3.1+0.1 pts
128Radford city3.1-0.3 pts
131Hampton city2.9+0.1 pts
131Newport News city2.9-0.4 pts
133Greensville County2.4-1.1 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2021.
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-2021-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 10.5% in 2021, according to the U.S. Census Bureau.

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

Greensville County, with 2.4% in 2021.

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