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

Chelan County had the highest uninsured rate, under 19 (US model-based estimate) of 39 counties in 2023, at 6.3%. King County had the lowest, at 2.6%. The median was 4.3% and the figure for Washington was 3.5%. Source: the U.S. Census Bureau.

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Highest6.3Chelan County
Lowest2.6King County
Median4.339 counties
Washington3.5History

Map of counties, 2023

Adams County: 5.5 %Asotin County: 3.8 %Benton County: 3.5 %Chelan County: 6.3 %Clallam County: 4.4 %Clark County: 4.2 %Columbia County: 3.9 %Cowlitz County: 4 %Douglas County: 5 %Ferry County: 4.3 %Franklin County: 5.6 %Garfield County: 4.7 %Grant County: 5.1 %Grays Harbor County: 4.7 %Island County: 3.8 %Jefferson County: 3.7 %King County: 2.6 %Kitsap County: 3 %Kittitas County: 4 %Klickitat County: 4.7 %Lewis County: 4.1 %Lincoln County: 4.3 %Mason County: 5.1 %Okanogan County: 5.1 %Pacific County: 4.6 %Pend Oreille County: 3.8 %Pierce County: 3.3 %San Juan County: 5.7 %Skagit County: 4.1 %Skamania County: 4.6 %Snohomish County: 3.5 %Spokane County: 2.7 %Stevens County: 3.9 %Thurston County: 3.3 %Wahkiakum County: 5.9 %Walla Walla County: 4.6 %Whatcom County: 3.9 %Whitman County: 4.3 %Yakima County: 4.9 %
  • Under 3.6
  • 3.6 to 3.9
  • 3.9 to 4.3
  • 4.3 to 4.6
  • 4.6 to 5.1
  • 5.1 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.

All counties, 2023

Chelan County: 6.3 %Chelan County6.3Wahkiakum County: 5.9 %Wahkiakum County5.9San Juan County: 5.7 %San Juan County5.7Franklin County: 5.6 %Franklin County5.6Adams County: 5.5 %Adams County5.5Grant County: 5.1 %Grant County5.1Mason County: 5.1 %Mason County5.1Okanogan County: 5.1 %Okanogan County5.1Douglas County: 5 %Douglas County5Yakima County: 4.9 %Yakima County4.9Garfield County: 4.7 %Garfield County4.7Grays Harbor County: 4.7 %Grays Harbor County4.7Klickitat County: 4.7 %Klickitat County4.7Pacific County: 4.6 %Pacific County4.6Skamania County: 4.6 %Skamania County4.6Walla Walla County: 4.6 %Walla Walla County4.6Clallam County: 4.4 %Clallam County4.4Ferry County: 4.3 %Ferry County4.3Lincoln County: 4.3 %Lincoln County4.3Whitman County: 4.3 %Whitman County4.3Clark County: 4.2 %Clark County4.2Lewis County: 4.1 %Lewis County4.1Skagit County: 4.1 %Skagit County4.1Cowlitz County: 4 %Cowlitz County4Kittitas County: 4 %Kittitas County4Columbia County: 3.9 %Columbia County3.9Stevens County: 3.9 %Stevens County3.9Whatcom County: 3.9 %Whatcom County3.9Asotin County: 3.8 %Asotin County3.8Island County: 3.8 %Island County3.8Pend Oreille County: 3.8 %Pend Oreille County3.8Jefferson County: 3.7 %Jefferson County3.7Benton County: 3.5 %Benton County3.5Snohomish County: 3.5 %Snohomish County3.5Pierce County: 3.3 %Pierce County3.3Thurston County: 3.3 %Thurston County3.3Kitsap County: 3 %Kitsap County3Spokane County: 2.7 %Spokane County2.7King County: 2.6 %King County2.6Chelan County: 6.3 %Chelan County6.3Wahkiakum County: 5.9 %Wahkiakum County5.9San Juan County: 5.7 %San Juan County5.7Franklin County: 5.6 %Franklin County5.6Adams County: 5.5 %Adams County5.5Grant County: 5.1 %Grant County5.1Mason County: 5.1 %Mason County5.1Okanogan County: 5.1 %Okanogan County5.1Douglas County: 5 %Douglas County5Yakima County: 4.9 %Yakima County4.9Garfield County: 4.7 %Garfield County4.7Grays Harbor County: 4.7 %Grays Harbor County4.7Klickitat County: 4.7 %Klickitat County4.7Pacific County: 4.6 %Pacific County4.6Skamania County: 4.6 %Skamania County4.6Walla Walla County: 4.6 %Walla Walla County4.6Clallam County: 4.4 %Clallam County4.4Ferry County: 4.3 %Ferry County4.3Lincoln County: 4.3 %Lincoln County4.3Whitman County: 4.3 %Whitman County4.3Clark County: 4.2 %Clark County4.2Lewis County: 4.1 %Lewis County4.1Skagit County: 4.1 %Skagit County4.1Cowlitz County: 4 %Cowlitz County4Kittitas County: 4 %Kittitas County4Columbia County: 3.9 %Columbia County3.9Stevens County: 3.9 %Stevens County3.9Whatcom County: 3.9 %Whatcom County3.9Asotin County: 3.8 %Asotin County3.8Island County: 3.8 %Island County3.8Pend Oreille County: 3.8 %Pend Oreille County3.8Jefferson County: 3.7 %Jefferson County3.7Benton County: 3.5 %Benton County3.5Snohomish County: 3.5 %Snohomish County3.5Pierce County: 3.3 %Pierce County3.3Thurston County: 3.3 %Thurston County3.3Kitsap County: 3 %Kitsap County3Spokane County: 2.7 %Spokane County2.7King County: 2.6 %King County2.6
%. 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
1Chelan County6.3+1.7 pts
2Wahkiakum County5.9+1.8 pts
3San Juan County5.7+1 pts
4Franklin County5.6+1.2 pts
5Adams County5.5+0.9 pts
6Grant County5.1+1.2 pts
6Mason County5.1+1.6 pts
6Okanogan County5.1+0.5 pts
9Douglas County5+0.5 pts
10Yakima County4.9+0.8 pts
11Garfield County4.7+1.2 pts
11Grays Harbor County4.7+1.1 pts
11Klickitat County4.7+1.2 pts
14Pacific County4.6+1 pts
14Skamania County4.6+1.4 pts
14Walla Walla County4.6+1.2 pts
17Clallam County4.4+0.5 pts
18Ferry County4.3+1.1 pts
18Lincoln County4.3+0.7 pts
18Whitman County4.3+1.5 pts
21Clark County4.2+0.9 pts
22Lewis County4.1+0.9 pts
22Skagit County4.1+0.5 pts
24Cowlitz County4+1 pts
24Kittitas County4+0.6 pts
26Columbia County3.9+0.6 pts
26Stevens County3.9+0.8 pts
26Whatcom County3.9+1 pts
29Asotin County3.8+1.1 pts
29Island County3.8+0.8 pts
29Pend Oreille County3.8+0.5 pts
32Jefferson County3.7+0.3 pts
33Benton County3.5+0.6 pts
33Snohomish County3.5+0.8 pts
35Pierce County3.3+0.2 pts
35Thurston County3.3+0.8 pts
37Kitsap County3+0.3 pts
38Spokane County2.7+0.2 pts
39King County2.6+0.2 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/washington-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)?

Chelan County, with 6.3% in 2023, according to the U.S. Census Bureau.

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

King County, with 2.6% 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 Washington: more rankings