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 2021, at 6.3%. Spokane County had the lowest, at 2.4%. The median was 3.5% and the figure for Washington was 3.2%. Source: the U.S. Census Bureau.

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Highest6.3San Juan County
Median3.539 counties
Washington3.2History

Map of counties, 2021

Adams County: 5.9 %Asotin County: 3.1 %Benton County: 3.2 %Chelan County: 5 %Clallam County: 4.2 %Clark County: 3 %Columbia County: 4.2 %Cowlitz County: 3.3 %Douglas County: 4.5 %Ferry County: 3.9 %Franklin County: 4.1 %Garfield County: 3.8 %Grant County: 4.4 %Grays Harbor County: 3.4 %Island County: 3.1 %Jefferson County: 3.3 %King County: 2.9 %Kitsap County: 2.9 %Kittitas County: 3.4 %Klickitat County: 4.3 %Lewis County: 3.5 %Lincoln County: 3.8 %Mason County: 4.1 %Okanogan County: 5.5 %Pacific County: 4.1 %Pend Oreille County: 3.5 %Pierce County: 3.3 %San Juan County: 6.3 %Skagit County: 3.8 %Skamania County: 4.1 %Snohomish County: 3 %Spokane County: 2.4 %Stevens County: 3.4 %Thurston County: 2.7 %Wahkiakum County: 5.1 %Walla Walla County: 3.2 %Whatcom County: 3.4 %Whitman County: 2.6 %Yakima County: 5.3 %
  • Under 3
  • 3 to 3.3
  • 3.3 to 3.5
  • 3.5 to 4.1
  • 4.1 to 4.5
  • 4.5 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.

All counties, 2021

San Juan County: 6.3 %San Juan County6.3Adams County: 5.9 %Adams County5.9Okanogan County: 5.5 %Okanogan County5.5Yakima County: 5.3 %Yakima County5.3Wahkiakum County: 5.1 %Wahkiakum County5.1Chelan County: 5 %Chelan County5Douglas County: 4.5 %Douglas County4.5Grant County: 4.4 %Grant County4.4Klickitat County: 4.3 %Klickitat County4.3Clallam County: 4.2 %Clallam County4.2Columbia County: 4.2 %Columbia County4.2Franklin County: 4.1 %Franklin County4.1Mason County: 4.1 %Mason County4.1Pacific County: 4.1 %Pacific County4.1Skamania County: 4.1 %Skamania County4.1Ferry County: 3.9 %Ferry County3.9Garfield County: 3.8 %Garfield County3.8Lincoln County: 3.8 %Lincoln County3.8Skagit County: 3.8 %Skagit County3.8Lewis County: 3.5 %Lewis County3.5Pend Oreille County: 3.5 %Pend Oreille County3.5Grays Harbor County: 3.4 %Grays Harbor County3.4Kittitas County: 3.4 %Kittitas County3.4Stevens County: 3.4 %Stevens County3.4Whatcom County: 3.4 %Whatcom County3.4Cowlitz County: 3.3 %Cowlitz County3.3Jefferson County: 3.3 %Jefferson County3.3Pierce County: 3.3 %Pierce County3.3Benton County: 3.2 %Benton County3.2Walla Walla County: 3.2 %Walla Walla County3.2Asotin County: 3.1 %Asotin County3.1Island County: 3.1 %Island County3.1Clark County: 3 %Clark County3Snohomish County: 3 %Snohomish County3King County: 2.9 %King County2.9Kitsap County: 2.9 %Kitsap County2.9Thurston County: 2.7 %Thurston County2.7Whitman County: 2.6 %Whitman County2.6Spokane County: 2.4 %Spokane County2.4San Juan County: 6.3 %San Juan County6.3Adams County: 5.9 %Adams County5.9Okanogan County: 5.5 %Okanogan County5.5Yakima County: 5.3 %Yakima County5.3Wahkiakum County: 5.1 %Wahkiakum County5.1Chelan County: 5 %Chelan County5Douglas County: 4.5 %Douglas County4.5Grant County: 4.4 %Grant County4.4Klickitat County: 4.3 %Klickitat County4.3Clallam County: 4.2 %Clallam County4.2Columbia County: 4.2 %Columbia County4.2Franklin County: 4.1 %Franklin County4.1Mason County: 4.1 %Mason County4.1Pacific County: 4.1 %Pacific County4.1Skamania County: 4.1 %Skamania County4.1Ferry County: 3.9 %Ferry County3.9Garfield County: 3.8 %Garfield County3.8Lincoln County: 3.8 %Lincoln County3.8Skagit County: 3.8 %Skagit County3.8Lewis County: 3.5 %Lewis County3.5Pend Oreille County: 3.5 %Pend Oreille County3.5Grays Harbor County: 3.4 %Grays Harbor County3.4Kittitas County: 3.4 %Kittitas County3.4Stevens County: 3.4 %Stevens County3.4Whatcom County: 3.4 %Whatcom County3.4Cowlitz County: 3.3 %Cowlitz County3.3Jefferson County: 3.3 %Jefferson County3.3Pierce County: 3.3 %Pierce County3.3Benton County: 3.2 %Benton County3.2Walla Walla County: 3.2 %Walla Walla County3.2Asotin County: 3.1 %Asotin County3.1Island County: 3.1 %Island County3.1Clark County: 3 %Clark County3Snohomish County: 3 %Snohomish County3King County: 2.9 %King County2.9Kitsap County: 2.9 %Kitsap County2.9Thurston County: 2.7 %Thurston County2.7Whitman County: 2.6 %Whitman County2.6Spokane County: 2.4 %Spokane County2.4
%. 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
1San Juan County6.3+0.6 pts
2Adams County5.90 pts
3Okanogan County5.5-0.8 pts
4Yakima County5.3-0.3 pts
5Wahkiakum County5.1+0.3 pts
6Chelan County5+0.6 pts
7Douglas County4.5-1 pts
8Grant County4.4-0.6 pts
9Klickitat County4.3-1.3 pts
10Clallam County4.2+0.1 pts
10Columbia County4.2+0.7 pts
12Franklin County4.1-1.7 pts
12Mason County4.1-0.3 pts
12Pacific County4.1-0.7 pts
12Skamania County4.1-1.2 pts
16Ferry County3.9-0.9 pts
17Garfield County3.8-0.1 pts
17Lincoln County3.8-0.2 pts
17Skagit County3.8+0.2 pts
20Lewis County3.5-0.1 pts
20Pend Oreille County3.5-0.6 pts
22Grays Harbor County3.4+0.1 pts
22Kittitas County3.4-0.2 pts
22Stevens County3.4-0.1 pts
22Whatcom County3.4-0.6 pts
26Cowlitz County3.3+0.4 pts
26Jefferson County3.3-0.7 pts
26Pierce County3.3+0.5 pts
29Benton County3.20 pts
29Walla Walla County3.20 pts
31Asotin County3.10 pts
31Island County3.10 pts
33Clark County3-0.4 pts
33Snohomish County30 pts
35King County2.9+0.8 pts
35Kitsap County2.9-0.2 pts
37Thurston County2.7-0.5 pts
38Whitman County2.6-1 pts
39Spokane County2.40 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-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)?

San Juan County, with 6.3% in 2021, according to the U.S. Census Bureau.

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

Spokane 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 Washington: more rankings