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

Nelson County had the highest uninsured rate, under 19 (US model-based estimate) of 133 counties in 2022, at 9%. Lexington city had the lowest, at 2.2%. The median was 4.6% and the figure for Virginia was 4.3%. Source: the U.S. Census Bureau.

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Median4.6133 counties
Virginia4.3History

Map of counties, 2022

Accomack County: 5.5 %Albemarle County: 4.1 %Alleghany County: 3.7 %Amelia County: 7.5 %Amherst County: 4.7 %Appomattox County: 5.6 %Arlington County: 2.6 %Augusta County: 4.7 %Bath County: 4.4 %Bedford County: 4.5 %Bland County: 3.9 %Botetourt County: 3.5 %Brunswick County: 5.6 %Buchanan County: 5.6 %Buckingham County: 6.7 %Campbell County: 4.3 %Caroline County: 5.1 %Carroll County: 5.6 %Charles City County: 7.4 %Charlotte County: 5.2 %Chesterfield County: 3.7 %Clarke County: 5.4 %Craig County: 4.8 %Culpeper County: 5.6 %Cumberland County: 4.9 %Dickenson County: 5 %Dinwiddie County: 4.2 %Essex County: 6.1 %Fairfax County: 4.2 %Fauquier County: 4.9 %Floyd County: 4.7 %Fluvanna County: 3.5 %Franklin County: 5.3 %Frederick County: 4.6 %Giles County: 4.8 %Gloucester County: 5.7 %Goochland County: 3.1 %Grayson County: 4 %Greene County: 6.5 %Greensville County: 3.2 %Halifax County: 5.2 %Hanover County: 4.1 %Henrico County: 3.7 %Henry County: 4.5 %Highland County: 4.2 %Isle of Wight County: 3.9 %James City County: 3.4 %King and Queen County: 5.8 %King George County: 4.6 %King William County: 4.4 %Lancaster County: 7.5 %Lee County: 4.7 %Loudoun County: 3.5 %Louisa County: 4.9 %Lunenburg County: 6.2 %Madison County: 7 %Mathews County: 5 %Mecklenburg County: 5 %Middlesex County: 7.8 %Montgomery County: 3.6 %Nelson County: 9 %New Kent County: 5.6 %Northampton County: 6.5 %Northumberland County: 6.7 %Nottoway County: 6.1 %Orange County: 4.7 %Page County: 5.5 %Patrick County: 4.7 %Pittsylvania County: 5.3 %Powhatan County: 4.6 %Prince Edward County: 5.1 %Prince George County: 4.6 %Prince William County: 5.1 %Pulaski County: 3.7 %Rappahannock County: 6.9 %Richmond County: 6.1 %Roanoke County: 3.5 %Rockbridge County: 4.8 %Rockingham County: 6.5 %Russell County: 4.9 %Scott County: 4.1 %Shenandoah County: 4.8 %Smyth County: 4.3 %Southampton County: 4.8 %Spotsylvania County: 4.3 %Stafford County: 3.4 %Surry County: 4.5 %Sussex County: 5.2 %Tazewell County: 5.1 %Warren County: 5.2 %Washington County: 3.9 %Westmoreland County: 6.5 %Wise County: 4.4 %Wythe County: 4 %York County: 3.8 %Alexandria city: 4.3 %Bristol city: 3.9 %Buena Vista city: 3.9 %Charlottesville city: 4.7 %Chesapeake city: 4.2 %Colonial Heights city: 4.1 %Covington city: 3.6 %Danville city: 4.5 %Emporia city: 4.4 %Fairfax city: 5.1 %Falls Church city: 2.5 %Franklin city: 4.5 %Fredericksburg city: 5.1 %Galax city: 4.7 %Hampton city: 3.5 %Harrisonburg city: 6.3 %Hopewell city: 4 %Lexington city: 2.2 %Lynchburg city: 3.4 %Manassas city: 8 %Manassas Park city: 7 %Martinsville city: 4.1 %Newport News city: 4 %Norfolk city: 4.4 %Norton city: 3.4 %Petersburg city: 4 %Poquoson city: 3.3 %Portsmouth city: 3.8 %Radford city: 3.7 %Richmond city: 4.4 %Roanoke city: 4.4 %Salem city: 3.3 %Staunton city: 4.3 %Suffolk city: 4.4 %Virginia Beach city: 4.1 %Waynesboro city: 5.5 %Williamsburg city: 4.6 %Winchester city: 5.8 %
  • Under 3.7
  • 3.7 to 4.2
  • 4.2 to 4.6
  • 4.6 to 5.1
  • 5.1 to 5.7
  • 5.7 and over
%, 2022. 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, 2022

Nelson County: 9 %Nelson County9Manassas city: 8 %Manassas city8Middlesex County: 7.8 %Middlesex County7.8Amelia County: 7.5 %Amelia County7.5Lancaster County: 7.5 %Lancaster County7.5Charles City County: 7.4 %Charles City County7.4Madison County: 7 %Madison County7Manassas Park city: 7 %Manassas Park city7Rappahannock County: 6.9 %Rappahannock County6.9Buckingham County: 6.7 %Buckingham County6.7Northumberland County: 6.7 %Northumberland County6.7Greene County: 6.5 %Greene County6.5Northampton County: 6.5 %Northampton County6.5Rockingham County: 6.5 %Rockingham County6.5Westmoreland County: 6.5 %Westmoreland County6.5Harrisonburg city: 6.3 %Harrisonburg city6.3Lunenburg County: 6.2 %Lunenburg County6.2Essex County: 6.1 %Essex County6.1Nottoway County: 6.1 %Nottoway County6.1Richmond County: 6.1 %Richmond County6.1King and Queen County: 5.8 %King and Queen County5.8Winchester city: 5.8 %Winchester city5.8Gloucester County: 5.7 %Gloucester County5.7Appomattox County: 5.6 %Appomattox County5.6Brunswick County: 5.6 %Brunswick County5.6Buchanan County: 5.6 %Buchanan County5.6Carroll County: 5.6 %Carroll County5.6Culpeper County: 5.6 %Culpeper County5.6New Kent County: 5.6 %New Kent County5.6Accomack County: 5.5 %Accomack County5.5Page County: 5.5 %Page County5.5Waynesboro city: 5.5 %Waynesboro city5.5Clarke County: 5.4 %Clarke County5.4Franklin County: 5.3 %Franklin County5.3Pittsylvania County: 5.3 %Pittsylvania County5.3Charlotte County: 5.2 %Charlotte County5.2Halifax County: 5.2 %Halifax County5.2Sussex County: 5.2 %Sussex County5.2Warren County: 5.2 %Warren County5.2Caroline County: 5.1 %Caroline County5.1Nelson County: 9 %Nelson County9Manassas city: 8 %Manassas city8Middlesex County: 7.8 %Middlesex County7.8Amelia County: 7.5 %Amelia County7.5Lancaster County: 7.5 %Lancaster County7.5Charles City County: 7.4 %Charles City County7.4Madison County: 7 %Madison County7Manassas Park city: 7 %Manassas Park city7Rappahannock County: 6.9 %Rappahannock County6.9Buckingham County: 6.7 %Buckingham County6.7Northumberland County: 6.7 %Northumberland County6.7Greene County: 6.5 %Greene County6.5Northampton County: 6.5 %Northampton County6.5Rockingham County: 6.5 %Rockingham County6.5Westmoreland County: 6.5 %Westmoreland County6.5Harrisonburg city: 6.3 %Harrisonburg city6.3Lunenburg County: 6.2 %Lunenburg County6.2Essex County: 6.1 %Essex County6.1Nottoway County: 6.1 %Nottoway County6.1Richmond County: 6.1 %Richmond County6.1King and Queen County: 5.8 %King and Queen County5.8Winchester city: 5.8 %Winchester city5.8Gloucester County: 5.7 %Gloucester County5.7Appomattox County: 5.6 %Appomattox County5.6Brunswick County: 5.6 %Brunswick County5.6Buchanan County: 5.6 %Buchanan County5.6Carroll County: 5.6 %Carroll County5.6Culpeper County: 5.6 %Culpeper County5.6New Kent County: 5.6 %New Kent County5.6Accomack County: 5.5 %Accomack County5.5Page County: 5.5 %Page County5.5Waynesboro city: 5.5 %Waynesboro city5.5Clarke County: 5.4 %Clarke County5.4Franklin County: 5.3 %Franklin County5.3Pittsylvania County: 5.3 %Pittsylvania County5.3Charlotte County: 5.2 %Charlotte County5.2Halifax County: 5.2 %Halifax County5.2Sussex County: 5.2 %Sussex County5.2Warren County: 5.2 %Warren County5.2Caroline County: 5.1 %Caroline County5.1
%. 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

RankCounties2022 (%)Change on 2021
1Nelson County9+0.3 pts
2Manassas city8+0.3 pts
3Middlesex County7.8-0.6 pts
4Amelia County7.5-0.2 pts
4Lancaster County7.5-0.8 pts
6Charles City County7.4-3.1 pts
7Madison County7-0.2 pts
7Manassas Park city7-1.8 pts
9Rappahannock County6.9-2.5 pts
10Buckingham County6.7+0.4 pts
10Northumberland County6.7-1.3 pts
12Greene County6.5+0.9 pts
12Northampton County6.5-2.1 pts
12Rockingham County6.5+0.3 pts
12Westmoreland County6.5+0.5 pts
16Harrisonburg city6.3+0.3 pts
17Lunenburg County6.2-0.5 pts
18Essex County6.1+0.1 pts
18Nottoway County6.1+0.6 pts
18Richmond County6.1+0.2 pts
21King and Queen County5.8-0.2 pts
21Winchester city5.8-0.5 pts
23Gloucester County5.70 pts
24Appomattox County5.6-0.5 pts
24Brunswick County5.6+0.7 pts
24Buchanan County5.6+0.2 pts
24Carroll County5.6-0.3 pts
24Culpeper County5.6-0.5 pts
24New Kent County5.6-0.4 pts
30Accomack County5.5-2.3 pts
30Page County5.5+0.3 pts
30Waynesboro city5.5+0.7 pts
33Clarke County5.4+0.2 pts
34Franklin County5.3+0.4 pts
34Pittsylvania County5.3+0.2 pts
36Charlotte County5.2-0.8 pts
36Halifax County5.2+0.4 pts
36Sussex County5.2+0.8 pts
36Warren County5.2-0.6 pts
40Caroline County5.1+0.5 pts
40Fairfax city5.1-0.5 pts
40Fredericksburg city5.1-0.4 pts
40Prince Edward County5.1+0.2 pts
40Prince William County5.1-0.2 pts
40Tazewell County5.1+0.6 pts
46Dickenson County5+0.4 pts
46Mathews County5-1.2 pts
46Mecklenburg County5-0.5 pts
49Cumberland County4.90 pts
49Fauquier County4.9-0.7 pts
49Louisa County4.9-1.3 pts
49Russell County4.9+0.8 pts
53Craig County4.8-0.3 pts
53Giles County4.8+0.2 pts
53Rockbridge County4.8-0.8 pts
53Shenandoah County4.8-0.3 pts
53Southampton County4.8-0.3 pts
58Amherst County4.70 pts
58Augusta County4.7-0.5 pts
58Charlottesville city4.7-0.2 pts
58Floyd County4.7-0.7 pts
58Galax city4.7-1.1 pts
58Lee County4.7+0.4 pts
58Orange County4.7-0.3 pts
58Patrick County4.7-0.2 pts
66Frederick County4.6-0.5 pts
66King George County4.6+0.2 pts
66Powhatan County4.6-1.3 pts
66Prince George County4.6+0.4 pts
66Williamsburg city4.6-0.6 pts
71Bedford County4.5+0.2 pts
71Danville city4.5+1 pts
71Franklin city4.5+0.3 pts
71Henry County4.5+0.3 pts
71Surry County4.5-1.3 pts
76Bath County4.4-1.3 pts
76Emporia city4.4+0.1 pts
76King William County4.4-0.1 pts
76Norfolk city4.40 pts
76Richmond city4.4+0.4 pts
76Roanoke city4.4+0.4 pts
76Suffolk city4.4+0.4 pts
76Wise County4.4+0.3 pts
84Alexandria city4.3-0.7 pts
84Campbell County4.3-0.3 pts
84Smyth County4.3+0.2 pts
84Spotsylvania County4.3-0.7 pts
84Staunton city4.3+0.1 pts
89Chesapeake city4.2+0.6 pts
89Dinwiddie County4.2-1 pts
89Fairfax County4.20 pts
89Highland County4.2-2.6 pts
93Albemarle County4.1-1.4 pts
93Colonial Heights city4.1-0.1 pts
93Hanover County4.1+0.2 pts
93Martinsville city4.1+0.6 pts
93Scott County4.1+0.2 pts
93Virginia Beach city4.1+0.3 pts
99Grayson County4-0.2 pts
99Hopewell city4+0.3 pts
99Newport News city4+1.1 pts
99Petersburg city4+0.5 pts
99Wythe County4-0.4 pts
104Bland County3.9-0.5 pts
104Bristol city3.9+0.5 pts
104Buena Vista city3.9+0.1 pts
104Isle of Wight County3.9-0.8 pts
104Washington County3.9-0.2 pts
109Portsmouth city3.8+0.7 pts
109York County3.8+0.5 pts
111Alleghany County3.7-0.4 pts
111Chesterfield County3.7-0.6 pts
111Henrico County3.7-0.1 pts
111Pulaski County3.7-0.1 pts
111Radford city3.7+0.6 pts
116Covington city3.6+0.3 pts
116Montgomery County3.6-0.1 pts
118Botetourt County3.5-0.2 pts
118Fluvanna County3.5-1 pts
118Hampton city3.5+0.6 pts
118Loudoun County3.50 pts
118Roanoke County3.5-0.1 pts
123James City County3.4-0.1 pts
123Lynchburg city3.4-0.1 pts
123Norton city3.4+0.1 pts
123Stafford County3.4-0.1 pts
127Poquoson city3.3-0.4 pts
127Salem city3.3-0.2 pts
129Greensville County3.2+0.8 pts
130Goochland County3.1-0.3 pts
131Arlington County2.6-0.5 pts
132Falls Church city2.5-0.7 pts
133Lexington city2.2-1.6 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2022.
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-2022-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)?

Nelson County, with 9% in 2022, according to the U.S. Census Bureau.

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

Lexington city, with 2.2% in 2022.

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