Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in Virginia

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

Richmond County had the highest uninsured rate, under 19 (US model-based estimate) of 133 counties in 2023, at 8.4%. Arlington County had the lowest, at 2.5%. The median was 5% and the figure for Virginia was 4.5%. Source: the U.S. Census Bureau.

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Highest8.4Richmond County
Lowest2.5Arlington County
Median5133 counties
Virginia4.5History

Map of counties, 2023

Accomack County: 6.2 %Albemarle County: 4.6 %Alleghany County: 4.6 %Amelia County: 7.5 %Amherst County: 4.8 %Appomattox County: 5.6 %Arlington County: 2.5 %Augusta County: 5.2 %Bath County: 4.3 %Bedford County: 5.6 %Bland County: 3.7 %Botetourt County: 3.6 %Brunswick County: 7.5 %Buchanan County: 6.8 %Buckingham County: 7.1 %Campbell County: 4.3 %Caroline County: 5.1 %Carroll County: 5.8 %Charles City County: 6.4 %Charlotte County: 6.7 %Chesterfield County: 4.5 %Clarke County: 5.7 %Craig County: 5.6 %Culpeper County: 6 %Cumberland County: 4.8 %Dickenson County: 5.3 %Dinwiddie County: 4.5 %Essex County: 6.7 %Fairfax County: 4.1 %Fauquier County: 4.3 %Floyd County: 4.8 %Fluvanna County: 3.8 %Franklin County: 5.6 %Frederick County: 4.6 %Giles County: 5.5 %Gloucester County: 5.4 %Goochland County: 3.3 %Grayson County: 5.7 %Greene County: 6.4 %Greensville County: 4.9 %Halifax County: 6.7 %Hanover County: 3.9 %Henrico County: 4.8 %Henry County: 5 %Highland County: 5 %Isle of Wight County: 4.3 %James City County: 3.4 %King and Queen County: 7.1 %King George County: 5 %King William County: 4.7 %Lancaster County: 8.2 %Lee County: 5.5 %Loudoun County: 2.9 %Louisa County: 5.5 %Lunenburg County: 7 %Madison County: 7.5 %Mathews County: 5.2 %Mecklenburg County: 6.2 %Middlesex County: 7.9 %Montgomery County: 4 %Nelson County: 8.1 %New Kent County: 4.9 %Northampton County: 6.6 %Northumberland County: 7.7 %Nottoway County: 6.7 %Orange County: 5.1 %Page County: 6.2 %Patrick County: 5.7 %Pittsylvania County: 5 %Powhatan County: 4.8 %Prince Edward County: 4.9 %Prince George County: 4.3 %Prince William County: 5 %Pulaski County: 3.9 %Rappahannock County: 8 %Richmond County: 8.4 %Roanoke County: 3.5 %Rockbridge County: 5 %Rockingham County: 7.6 %Russell County: 5.3 %Scott County: 4.6 %Shenandoah County: 5.5 %Smyth County: 4.6 %Southampton County: 4.6 %Spotsylvania County: 4 %Stafford County: 4.2 %Surry County: 4.8 %Sussex County: 6 %Tazewell County: 5.3 %Warren County: 5.7 %Washington County: 4.7 %Westmoreland County: 6.8 %Wise County: 5.3 %Wythe County: 4.4 %York County: 3.5 %Alexandria city: 4.3 %Bristol city: 4.7 %Buena Vista city: 3.8 %Charlottesville city: 5.2 %Chesapeake city: 3.8 %Colonial Heights city: 4.8 %Covington city: 3.9 %Danville city: 4.8 %Emporia city: 4.7 %Fairfax city: 5.2 %Falls Church city: 2.7 %Franklin city: 5 %Fredericksburg city: 5.4 %Galax city: 5.4 %Hampton city: 4.1 %Harrisonburg city: 6.3 %Hopewell city: 4.5 %Lexington city: 3.1 %Lynchburg city: 3.7 %Manassas city: 6.6 %Manassas Park city: 7 %Martinsville city: 4.6 %Newport News city: 4.5 %Norfolk city: 5.7 %Norton city: 3.1 %Petersburg city: 4.8 %Poquoson city: 3.4 %Portsmouth city: 4 %Radford city: 4.2 %Richmond city: 5.4 %Roanoke city: 5.6 %Salem city: 3.2 %Staunton city: 4.3 %Suffolk city: 4.1 %Virginia Beach city: 4 %Waynesboro city: 5.7 %Williamsburg city: 5.4 %Winchester city: 6 %
  • Under 4
  • 4 to 4.6
  • 4.6 to 5
  • 5 to 5.5
  • 5.5 to 6.4
  • 6.4 and over
%, 2023. 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, 2023

Richmond County: 8.4 %Richmond County8.4Lancaster County: 8.2 %Lancaster County8.2Nelson County: 8.1 %Nelson County8.1Rappahannock County: 8 %Rappahannock County8Middlesex County: 7.9 %Middlesex County7.9Northumberland County: 7.7 %Northumberland County7.7Rockingham County: 7.6 %Rockingham County7.6Amelia County: 7.5 %Amelia County7.5Brunswick County: 7.5 %Brunswick County7.5Madison County: 7.5 %Madison County7.5Buckingham County: 7.1 %Buckingham County7.1King and Queen County: 7.1 %King and Queen County7.1Lunenburg County: 7 %Lunenburg County7Manassas Park city: 7 %Manassas Park city7Buchanan County: 6.8 %Buchanan County6.8Westmoreland County: 6.8 %Westmoreland County6.8Charlotte County: 6.7 %Charlotte County6.7Essex County: 6.7 %Essex County6.7Halifax County: 6.7 %Halifax County6.7Nottoway County: 6.7 %Nottoway County6.7Manassas city: 6.6 %Manassas city6.6Northampton County: 6.6 %Northampton County6.6Charles City County: 6.4 %Charles City County6.4Greene County: 6.4 %Greene County6.4Harrisonburg city: 6.3 %Harrisonburg city6.3Accomack County: 6.2 %Accomack County6.2Mecklenburg County: 6.2 %Mecklenburg County6.2Page County: 6.2 %Page County6.2Culpeper County: 6 %Culpeper County6Sussex County: 6 %Sussex County6Winchester city: 6 %Winchester city6Carroll County: 5.8 %Carroll County5.8Clarke County: 5.7 %Clarke County5.7Grayson County: 5.7 %Grayson County5.7Norfolk city: 5.7 %Norfolk city5.7Patrick County: 5.7 %Patrick County5.7Warren County: 5.7 %Warren County5.7Waynesboro city: 5.7 %Waynesboro city5.7Appomattox County: 5.6 %Appomattox County5.6Bedford County: 5.6 %Bedford County5.6Richmond County: 8.4 %Richmond County8.4Lancaster County: 8.2 %Lancaster County8.2Nelson County: 8.1 %Nelson County8.1Rappahannock County: 8 %Rappahannock County8Middlesex County: 7.9 %Middlesex County7.9Northumberland County: 7.7 %Northumberland County7.7Rockingham County: 7.6 %Rockingham County7.6Amelia County: 7.5 %Amelia County7.5Brunswick County: 7.5 %Brunswick County7.5Madison County: 7.5 %Madison County7.5Buckingham County: 7.1 %Buckingham County7.1King and Queen County: 7.1 %King and Queen County7.1Lunenburg County: 7 %Lunenburg County7Manassas Park city: 7 %Manassas Park city7Buchanan County: 6.8 %Buchanan County6.8Westmoreland County: 6.8 %Westmoreland County6.8Charlotte County: 6.7 %Charlotte County6.7Essex County: 6.7 %Essex County6.7Halifax County: 6.7 %Halifax County6.7Nottoway County: 6.7 %Nottoway County6.7Manassas city: 6.6 %Manassas city6.6Northampton County: 6.6 %Northampton County6.6Charles City County: 6.4 %Charles City County6.4Greene County: 6.4 %Greene County6.4Harrisonburg city: 6.3 %Harrisonburg city6.3Accomack County: 6.2 %Accomack County6.2Mecklenburg County: 6.2 %Mecklenburg County6.2Page County: 6.2 %Page County6.2Culpeper County: 6 %Culpeper County6Sussex County: 6 %Sussex County6Winchester city: 6 %Winchester city6Carroll County: 5.8 %Carroll County5.8Clarke County: 5.7 %Clarke County5.7Grayson County: 5.7 %Grayson County5.7Norfolk city: 5.7 %Norfolk city5.7Patrick County: 5.7 %Patrick County5.7Warren County: 5.7 %Warren County5.7Waynesboro city: 5.7 %Waynesboro city5.7Appomattox County: 5.6 %Appomattox County5.6Bedford County: 5.6 %Bedford County5.6
%. 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

RankCounties2023 (%)Change on 2022
1Richmond County8.4+2.3 pts
2Lancaster County8.2+0.7 pts
3Nelson County8.1-0.9 pts
4Rappahannock County8+1.1 pts
5Middlesex County7.9+0.1 pts
6Northumberland County7.7+1 pts
7Rockingham County7.6+1.1 pts
8Amelia County7.50 pts
8Brunswick County7.5+1.9 pts
8Madison County7.5+0.5 pts
11Buckingham County7.1+0.4 pts
11King and Queen County7.1+1.3 pts
13Lunenburg County7+0.8 pts
13Manassas Park city70 pts
15Buchanan County6.8+1.2 pts
15Westmoreland County6.8+0.3 pts
17Charlotte County6.7+1.5 pts
17Essex County6.7+0.6 pts
17Halifax County6.7+1.5 pts
17Nottoway County6.7+0.6 pts
21Manassas city6.6-1.4 pts
21Northampton County6.6+0.1 pts
23Charles City County6.4-1 pts
23Greene County6.4-0.1 pts
25Harrisonburg city6.30 pts
26Accomack County6.2+0.7 pts
26Mecklenburg County6.2+1.2 pts
26Page County6.2+0.7 pts
29Culpeper County6+0.4 pts
29Sussex County6+0.8 pts
29Winchester city6+0.2 pts
32Carroll County5.8+0.2 pts
33Clarke County5.7+0.3 pts
33Grayson County5.7+1.7 pts
33Norfolk city5.7+1.3 pts
33Patrick County5.7+1 pts
33Warren County5.7+0.5 pts
33Waynesboro city5.7+0.2 pts
39Appomattox County5.60 pts
39Bedford County5.6+1.1 pts
39Craig County5.6+0.8 pts
39Franklin County5.6+0.3 pts
39Roanoke city5.6+1.2 pts
44Giles County5.5+0.7 pts
44Lee County5.5+0.8 pts
44Louisa County5.5+0.6 pts
44Shenandoah County5.5+0.7 pts
48Fredericksburg city5.4+0.3 pts
48Galax city5.4+0.7 pts
48Gloucester County5.4-0.3 pts
48Richmond city5.4+1 pts
48Williamsburg city5.4+0.8 pts
53Dickenson County5.3+0.3 pts
53Russell County5.3+0.4 pts
53Tazewell County5.3+0.2 pts
53Wise County5.3+0.9 pts
57Augusta County5.2+0.5 pts
57Charlottesville city5.2+0.5 pts
57Fairfax city5.2+0.1 pts
57Mathews County5.2+0.2 pts
61Caroline County5.10 pts
61Orange County5.1+0.4 pts
63Franklin city5+0.5 pts
63Henry County5+0.5 pts
63Highland County5+0.8 pts
63King George County5+0.4 pts
63Pittsylvania County5-0.3 pts
63Prince William County5-0.1 pts
63Rockbridge County5+0.2 pts
70Greensville County4.9+1.7 pts
70New Kent County4.9-0.7 pts
70Prince Edward County4.9-0.2 pts
73Amherst County4.8+0.1 pts
73Colonial Heights city4.8+0.7 pts
73Cumberland County4.8-0.1 pts
73Danville city4.8+0.3 pts
73Floyd County4.8+0.1 pts
73Henrico County4.8+1.1 pts
73Petersburg city4.8+0.8 pts
73Powhatan County4.8+0.2 pts
73Surry County4.8+0.3 pts
82Bristol city4.7+0.8 pts
82Emporia city4.7+0.3 pts
82King William County4.7+0.3 pts
82Washington County4.7+0.8 pts
86Albemarle County4.6+0.5 pts
86Alleghany County4.6+0.9 pts
86Frederick County4.60 pts
86Martinsville city4.6+0.5 pts
86Scott County4.6+0.5 pts
86Smyth County4.6+0.3 pts
86Southampton County4.6-0.2 pts
93Chesterfield County4.5+0.8 pts
93Dinwiddie County4.5+0.3 pts
93Hopewell city4.5+0.5 pts
93Newport News city4.5+0.5 pts
97Wythe County4.4+0.4 pts
98Alexandria city4.30 pts
98Bath County4.3-0.1 pts
98Campbell County4.30 pts
98Fauquier County4.3-0.6 pts
98Isle of Wight County4.3+0.4 pts
98Prince George County4.3-0.3 pts
98Staunton city4.30 pts
105Radford city4.2+0.5 pts
105Stafford County4.2+0.8 pts
107Fairfax County4.1-0.1 pts
107Hampton city4.1+0.6 pts
107Suffolk city4.1-0.3 pts
110Montgomery County4+0.4 pts
110Portsmouth city4+0.2 pts
110Spotsylvania County4-0.3 pts
110Virginia Beach city4-0.1 pts
114Covington city3.9+0.3 pts
114Hanover County3.9-0.2 pts
114Pulaski County3.9+0.2 pts
117Buena Vista city3.8-0.1 pts
117Chesapeake city3.8-0.4 pts
117Fluvanna County3.8+0.3 pts
120Bland County3.7-0.2 pts
120Lynchburg city3.7+0.3 pts
122Botetourt County3.6+0.1 pts
123Roanoke County3.50 pts
123York County3.5-0.3 pts
125James City County3.40 pts
125Poquoson city3.4+0.1 pts
127Goochland County3.3+0.2 pts
128Salem city3.2-0.1 pts
129Lexington city3.1+0.9 pts
129Norton city3.1-0.3 pts
131Loudoun County2.9-0.6 pts
132Falls Church city2.7+0.2 pts
133Arlington County2.5-0.1 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties?period=2023.
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-2023-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)?

Richmond County, with 8.4% in 2023, according to the U.S. Census Bureau.

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

Arlington County, with 2.5% in 2023.

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