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

Okanogan County had the highest uninsured rate, under 19 (US model-based estimate) of 39 counties in 2020, at 6.3%. King County had the lowest, at 2.1%. The median was 3.9% and the figure for Washington was 3.1%. Source: the U.S. Census Bureau.

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Highest6.3Okanogan County
Lowest2.1King County
Median3.939 counties
Washington3.1History

Map of counties, 2020

Adams County: 5.9 %Asotin County: 3.1 %Benton County: 3.2 %Chelan County: 4.4 %Clallam County: 4.1 %Clark County: 3.4 %Columbia County: 3.5 %Cowlitz County: 2.9 %Douglas County: 5.5 %Ferry County: 4.8 %Franklin County: 5.8 %Garfield County: 3.9 %Grant County: 5 %Grays Harbor County: 3.3 %Island County: 3.1 %Jefferson County: 4 %King County: 2.1 %Kitsap County: 3.1 %Kittitas County: 3.6 %Klickitat County: 5.6 %Lewis County: 3.6 %Lincoln County: 4 %Mason County: 4.4 %Okanogan County: 6.3 %Pacific County: 4.8 %Pend Oreille County: 4.1 %Pierce County: 2.8 %San Juan County: 5.7 %Skagit County: 3.6 %Skamania County: 5.3 %Snohomish County: 3 %Spokane County: 2.4 %Stevens County: 3.5 %Thurston County: 3.2 %Wahkiakum County: 4.8 %Walla Walla County: 3.2 %Whatcom County: 4 %Whitman County: 3.6 %Yakima County: 5.6 %
  • Under 3.1
  • 3.1 to 3.5
  • 3.5 to 3.9
  • 3.9 to 4.4
  • 4.4 to 5.4
  • 5.4 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.

All counties, 2020

Okanogan County: 6.3 %Okanogan County6.3Adams County: 5.9 %Adams County5.9Franklin County: 5.8 %Franklin County5.8San Juan County: 5.7 %San Juan County5.7Klickitat County: 5.6 %Klickitat County5.6Yakima County: 5.6 %Yakima County5.6Douglas County: 5.5 %Douglas County5.5Skamania County: 5.3 %Skamania County5.3Grant County: 5 %Grant County5Ferry County: 4.8 %Ferry County4.8Pacific County: 4.8 %Pacific County4.8Wahkiakum County: 4.8 %Wahkiakum County4.8Chelan County: 4.4 %Chelan County4.4Mason County: 4.4 %Mason County4.4Clallam County: 4.1 %Clallam County4.1Pend Oreille County: 4.1 %Pend Oreille County4.1Jefferson County: 4 %Jefferson County4Lincoln County: 4 %Lincoln County4Whatcom County: 4 %Whatcom County4Garfield County: 3.9 %Garfield County3.9Kittitas County: 3.6 %Kittitas County3.6Lewis County: 3.6 %Lewis County3.6Skagit County: 3.6 %Skagit County3.6Whitman County: 3.6 %Whitman County3.6Columbia County: 3.5 %Columbia County3.5Stevens County: 3.5 %Stevens County3.5Clark County: 3.4 %Clark County3.4Grays Harbor County: 3.3 %Grays Harbor County3.3Benton County: 3.2 %Benton County3.2Thurston County: 3.2 %Thurston County3.2Walla Walla County: 3.2 %Walla Walla County3.2Asotin County: 3.1 %Asotin County3.1Island County: 3.1 %Island County3.1Kitsap County: 3.1 %Kitsap County3.1Snohomish County: 3 %Snohomish County3Cowlitz County: 2.9 %Cowlitz County2.9Pierce County: 2.8 %Pierce County2.8Spokane County: 2.4 %Spokane County2.4King County: 2.1 %King County2.1Okanogan County: 6.3 %Okanogan County6.3Adams County: 5.9 %Adams County5.9Franklin County: 5.8 %Franklin County5.8San Juan County: 5.7 %San Juan County5.7Klickitat County: 5.6 %Klickitat County5.6Yakima County: 5.6 %Yakima County5.6Douglas County: 5.5 %Douglas County5.5Skamania County: 5.3 %Skamania County5.3Grant County: 5 %Grant County5Ferry County: 4.8 %Ferry County4.8Pacific County: 4.8 %Pacific County4.8Wahkiakum County: 4.8 %Wahkiakum County4.8Chelan County: 4.4 %Chelan County4.4Mason County: 4.4 %Mason County4.4Clallam County: 4.1 %Clallam County4.1Pend Oreille County: 4.1 %Pend Oreille County4.1Jefferson County: 4 %Jefferson County4Lincoln County: 4 %Lincoln County4Whatcom County: 4 %Whatcom County4Garfield County: 3.9 %Garfield County3.9Kittitas County: 3.6 %Kittitas County3.6Lewis County: 3.6 %Lewis County3.6Skagit County: 3.6 %Skagit County3.6Whitman County: 3.6 %Whitman County3.6Columbia County: 3.5 %Columbia County3.5Stevens County: 3.5 %Stevens County3.5Clark County: 3.4 %Clark County3.4Grays Harbor County: 3.3 %Grays Harbor County3.3Benton County: 3.2 %Benton County3.2Thurston County: 3.2 %Thurston County3.2Walla Walla County: 3.2 %Walla Walla County3.2Asotin County: 3.1 %Asotin County3.1Island County: 3.1 %Island County3.1Kitsap County: 3.1 %Kitsap County3.1Snohomish County: 3 %Snohomish County3Cowlitz County: 2.9 %Cowlitz County2.9Pierce County: 2.8 %Pierce County2.8Spokane County: 2.4 %Spokane County2.4King County: 2.1 %King County2.1
%. 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

RankCounties2020 (%)Change on 2019
1Okanogan County6.3+0.8 pts
2Adams County5.9+1.4 pts
3Franklin County5.8+1.3 pts
4San Juan County5.7-0.7 pts
5Klickitat County5.6+1 pts
5Yakima County5.6+0.7 pts
7Douglas County5.5+1.3 pts
8Skamania County5.3+1.3 pts
9Grant County5+0.7 pts
10Ferry County4.8-0.8 pts
10Pacific County4.8+0.2 pts
10Wahkiakum County4.8+0.5 pts
13Chelan County4.4+0.2 pts
13Mason County4.4-0.2 pts
15Clallam County4.1+0.1 pts
15Pend Oreille County4.10 pts
17Jefferson County4-0.1 pts
17Lincoln County4-0.2 pts
17Whatcom County4+0.4 pts
20Garfield County3.90 pts
21Kittitas County3.6+0.4 pts
21Lewis County3.6+0.1 pts
21Skagit County3.6-0.5 pts
21Whitman County3.6+0.2 pts
25Columbia County3.5+0.1 pts
25Stevens County3.5-0.9 pts
27Clark County3.4+0.8 pts
28Grays Harbor County3.3-0.3 pts
29Benton County3.20 pts
29Thurston County3.2+0.5 pts
29Walla Walla County3.2-0.6 pts
32Asotin County3.1+0.4 pts
32Island County3.1-0.1 pts
32Kitsap County3.1+0.3 pts
35Snohomish County3-0.2 pts
36Cowlitz County2.9-0.1 pts
37Pierce County2.8+0.1 pts
38Spokane County2.40 pts
39King County2.1-0.7 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-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  - 
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Questions

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

Okanogan County, with 6.3% in 2020, according to the U.S. Census Bureau.

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

King County, with 2.1% 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 Washington: more rankings