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

San Juan County had the highest uninsured rate, under 19 (US model-based estimate) of 39 counties in 2018, at 5.1%. King County had the lowest, at 2.2%. The median was 3.5% and the figure for Washington was 2.8%. Source: the U.S. Census Bureau.

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Highest5.1San Juan County
Lowest2.2King County
Median3.539 counties
Washington2.8History

Map of counties, 2018

Adams County: 4.1 %Asotin County: 2.5 %Benton County: 2.5 %Chelan County: 3.8 %Clallam County: 4.1 %Clark County: 2.6 %Columbia County: 3.1 %Cowlitz County: 2.6 %Douglas County: 3.6 %Ferry County: 4.2 %Franklin County: 3.9 %Garfield County: 2.5 %Grant County: 3.8 %Grays Harbor County: 3.4 %Island County: 2.7 %Jefferson County: 4.2 %King County: 2.2 %Kitsap County: 2.7 %Kittitas County: 3.1 %Klickitat County: 4.2 %Lewis County: 3.1 %Lincoln County: 3.8 %Mason County: 4 %Okanogan County: 4.9 %Pacific County: 4 %Pend Oreille County: 4 %Pierce County: 2.6 %San Juan County: 5.1 %Skagit County: 3.4 %Skamania County: 3.6 %Snohomish County: 3.1 %Spokane County: 2.3 %Stevens County: 4.5 %Thurston County: 2.6 %Wahkiakum County: 4.3 %Walla Walla County: 3.1 %Whatcom County: 3.5 %Whitman County: 2.7 %Yakima County: 4.4 %
  • Under 2.6
  • 2.6 to 3.1
  • 3.1 to 3.5
  • 3.5 to 3.9
  • 3.9 to 4.2
  • 4.2 and over
%, 2018. 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.

All counties, 2018

San Juan County: 5.1 %San Juan County5.1Okanogan County: 4.9 %Okanogan County4.9Stevens County: 4.5 %Stevens County4.5Yakima County: 4.4 %Yakima County4.4Wahkiakum County: 4.3 %Wahkiakum County4.3Ferry County: 4.2 %Ferry County4.2Jefferson County: 4.2 %Jefferson County4.2Klickitat County: 4.2 %Klickitat County4.2Adams County: 4.1 %Adams County4.1Clallam County: 4.1 %Clallam County4.1Mason County: 4 %Mason County4Pacific County: 4 %Pacific County4Pend Oreille County: 4 %Pend Oreille County4Franklin County: 3.9 %Franklin County3.9Chelan County: 3.8 %Chelan County3.8Grant County: 3.8 %Grant County3.8Lincoln County: 3.8 %Lincoln County3.8Douglas County: 3.6 %Douglas County3.6Skamania County: 3.6 %Skamania County3.6Whatcom County: 3.5 %Whatcom County3.5Grays Harbor County: 3.4 %Grays Harbor County3.4Skagit County: 3.4 %Skagit County3.4Columbia County: 3.1 %Columbia County3.1Kittitas County: 3.1 %Kittitas County3.1Lewis County: 3.1 %Lewis County3.1Snohomish County: 3.1 %Snohomish County3.1Walla Walla County: 3.1 %Walla Walla County3.1Island County: 2.7 %Island County2.7Kitsap County: 2.7 %Kitsap County2.7Whitman County: 2.7 %Whitman County2.7Clark County: 2.6 %Clark County2.6Cowlitz County: 2.6 %Cowlitz County2.6Pierce County: 2.6 %Pierce County2.6Thurston County: 2.6 %Thurston County2.6Asotin County: 2.5 %Asotin County2.5Benton County: 2.5 %Benton County2.5Garfield County: 2.5 %Garfield County2.5Spokane County: 2.3 %Spokane County2.3King County: 2.2 %King County2.2San Juan County: 5.1 %San Juan County5.1Okanogan County: 4.9 %Okanogan County4.9Stevens County: 4.5 %Stevens County4.5Yakima County: 4.4 %Yakima County4.4Wahkiakum County: 4.3 %Wahkiakum County4.3Ferry County: 4.2 %Ferry County4.2Jefferson County: 4.2 %Jefferson County4.2Klickitat County: 4.2 %Klickitat County4.2Adams County: 4.1 %Adams County4.1Clallam County: 4.1 %Clallam County4.1Mason County: 4 %Mason County4Pacific County: 4 %Pacific County4Pend Oreille County: 4 %Pend Oreille County4Franklin County: 3.9 %Franklin County3.9Chelan County: 3.8 %Chelan County3.8Grant County: 3.8 %Grant County3.8Lincoln County: 3.8 %Lincoln County3.8Douglas County: 3.6 %Douglas County3.6Skamania County: 3.6 %Skamania County3.6Whatcom County: 3.5 %Whatcom County3.5Grays Harbor County: 3.4 %Grays Harbor County3.4Skagit County: 3.4 %Skagit County3.4Columbia County: 3.1 %Columbia County3.1Kittitas County: 3.1 %Kittitas County3.1Lewis County: 3.1 %Lewis County3.1Snohomish County: 3.1 %Snohomish County3.1Walla Walla County: 3.1 %Walla Walla County3.1Island County: 2.7 %Island County2.7Kitsap County: 2.7 %Kitsap County2.7Whitman County: 2.7 %Whitman County2.7Clark County: 2.6 %Clark County2.6Cowlitz County: 2.6 %Cowlitz County2.6Pierce County: 2.6 %Pierce County2.6Thurston County: 2.6 %Thurston County2.6Asotin County: 2.5 %Asotin County2.5Benton County: 2.5 %Benton County2.5Garfield County: 2.5 %Garfield County2.5Spokane County: 2.3 %Spokane County2.3King County: 2.2 %King County2.2
%. 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

RankCounties2018 (%)Change on 2017
1San Juan County5.1-0.8 pts
2Okanogan County4.9-0.6 pts
3Stevens County4.5+1.1 pts
4Yakima County4.4+0.8 pts
5Wahkiakum County4.3-0.6 pts
6Ferry County4.2-1.1 pts
6Jefferson County4.2+0.3 pts
6Klickitat County4.2-0.1 pts
9Adams County4.1+0.2 pts
9Clallam County4.1+0.2 pts
11Mason County4+0.6 pts
11Pacific County4-0.3 pts
11Pend Oreille County4+0.8 pts
14Franklin County3.9+1.1 pts
15Chelan County3.8+0.2 pts
15Grant County3.8+0.2 pts
15Lincoln County3.80 pts
18Douglas County3.6+0.3 pts
18Skamania County3.60 pts
20Whatcom County3.5+0.3 pts
21Grays Harbor County3.4-0.2 pts
21Skagit County3.4-0.1 pts
23Columbia County3.1+0.7 pts
23Kittitas County3.1-0.1 pts
23Lewis County3.1-0.3 pts
23Snohomish County3.1+0.6 pts
23Walla Walla County3.1+0.1 pts
28Island County2.7+0.2 pts
28Kitsap County2.7+0.4 pts
28Whitman County2.70 pts
31Clark County2.6+0.1 pts
31Cowlitz County2.6+0.2 pts
31Pierce County2.6-0.1 pts
31Thurston County2.6+0.3 pts
35Asotin County2.5-0.1 pts
35Benton County2.50 pts
35Garfield County2.5-0.4 pts
38Spokane County2.3+0.1 pts
39King County2.20 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-2018-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 Washington by uninsured rate, under 19 (US model-based estimate), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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 Washington by uninsured rate, under 19 (US model-based estimate), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-counties?period=2018. 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 Washington by uninsured rate, under 19 (US model-based estimate), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-counties?period=2018.

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 Washington by uninsured rate, under 19 (US model-based estimate), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/washington-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_by_2018,
  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 Washington by uninsured rate, under 19 (US model-based estimate), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-counties?period=2018. 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-2018-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 Washington by uninsured rate, under 19 (US model-based estimate), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/washington-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-counties?period=2018.
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-2018-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)?

San Juan County, with 5.1% in 2018, according to the U.S. Census Bureau.

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

King County, with 2.2% in 2018.

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 Washington: more rankings