Counties in California by uninsured rate, under 65 (US model-based estimate), 2024

Madera County had the highest uninsured rate, under 65 (US model-based estimate) of 58 counties in 2024, at 9.5%. Placer County had the lowest, at 3.7%. The median was 6.2% and the figure for California was 6.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest9.5Madera County
Lowest3.7Placer County
Median6.258 counties
California6.9History

Map of counties, 2024

Alameda County: 4.6 %Alpine County: 4.1 %Amador County: 5.3 %Butte County: 6.3 %Calaveras County: 5.3 %Colusa County: 9 %Contra Costa County: 5 %Del Norte County: 6.1 %El Dorado County: 4.4 %Fresno County: 7.5 %Glenn County: 7.7 %Humboldt County: 5.9 %Imperial County: 7.7 %Inyo County: 5.7 %Kern County: 8.6 %Kings County: 8 %Lake County: 7.4 %Lassen County: 5.8 %Los Angeles County: 8.3 %Madera County: 9.5 %Marin County: 5 %Mariposa County: 6.5 %Mendocino County: 8.3 %Merced County: 8.5 %Modoc County: 6.4 %Mono County: 7.8 %Monterey County: 9.3 %Napa County: 7 %Nevada County: 5.7 %Orange County: 6.6 %Placer County: 3.7 %Plumas County: 5.2 %Riverside County: 8 %Sacramento County: 5.5 %San Benito County: 6 %San Bernardino County: 8.1 %San Diego County: 6.5 %San Francisco County: 4 %San Joaquin County: 7.7 %San Luis Obispo County: 6 %San Mateo County: 4.4 %Santa Barbara County: 8.7 %Santa Clara County: 4.4 %Santa Cruz County: 6.1 %Shasta County: 6 %Sierra County: 5.7 %Siskiyou County: 6.5 %Solano County: 5.4 %Sonoma County: 6 %Stanislaus County: 6.6 %Sutter County: 8 %Tehama County: 7 %Trinity County: 5.1 %Tulare County: 8.6 %Tuolumne County: 4.8 %Ventura County: 7 %Yolo County: 5.4 %Yuba County: 5.9 %
  • Under 5
  • 5 to 5.7
  • 5.7 to 6.2
  • 6.2 to 7
  • 7 to 8.1
  • 8.1 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2024

Madera County: 9.5 %Madera County9.5Monterey County: 9.3 %Monterey County9.3Colusa County: 9 %Colusa County9Santa Barbara County: 8.7 %Santa Barbara County8.7Kern County: 8.6 %Kern County8.6Tulare County: 8.6 %Tulare County8.6Merced County: 8.5 %Merced County8.5Los Angeles County: 8.3 %Los Angeles County8.3Mendocino County: 8.3 %Mendocino County8.3San Bernardino County: 8.1 %San Bernardino County8.1Kings County: 8 %Kings County8Riverside County: 8 %Riverside County8Sutter County: 8 %Sutter County8Mono County: 7.8 %Mono County7.8Glenn County: 7.7 %Glenn County7.7Imperial County: 7.7 %Imperial County7.7San Joaquin County: 7.7 %San Joaquin County7.7Fresno County: 7.5 %Fresno County7.5Lake County: 7.4 %Lake County7.4Napa County: 7 %Napa County7Tehama County: 7 %Tehama County7Ventura County: 7 %Ventura County7Orange County: 6.6 %Orange County6.6Stanislaus County: 6.6 %Stanislaus County6.6Mariposa County: 6.5 %Mariposa County6.5San Diego County: 6.5 %San Diego County6.5Siskiyou County: 6.5 %Siskiyou County6.5Modoc County: 6.4 %Modoc County6.4Butte County: 6.3 %Butte County6.3Del Norte County: 6.1 %Del Norte County6.1Santa Cruz County: 6.1 %Santa Cruz County6.1San Benito County: 6 %San Benito County6San Luis Obispo County: 6 %San Luis Obispo County6Shasta County: 6 %Shasta County6Sonoma County: 6 %Sonoma County6Humboldt County: 5.9 %Humboldt County5.9Yuba County: 5.9 %Yuba County5.9Lassen County: 5.8 %Lassen County5.8Inyo County: 5.7 %Inyo County5.7Nevada County: 5.7 %Nevada County5.7Sierra County: 5.7 %Sierra County5.7Sacramento County: 5.5 %Sacramento County5.5Solano County: 5.4 %Solano County5.4Yolo County: 5.4 %Yolo County5.4Amador County: 5.3 %Amador County5.3Calaveras County: 5.3 %Calaveras County5.3Plumas County: 5.2 %Plumas County5.2Trinity County: 5.1 %Trinity County5.1Contra Costa County: 5 %Contra Costa County5Marin County: 5 %Marin County5Tuolumne County: 4.8 %Tuolumne County4.8Alameda County: 4.6 %Alameda County4.6El Dorado County: 4.4 %El Dorado County4.4San Mateo County: 4.4 %San Mateo County4.4Santa Clara County: 4.4 %Santa Clara County4.4Alpine County: 4.1 %Alpine County4.1San Francisco County: 4 %San Francisco County4Placer County: 3.7 %Placer County3.7Madera County: 9.5 %Madera County9.5Monterey County: 9.3 %Monterey County9.3Colusa County: 9 %Colusa County9Santa Barbara County: 8.7 %Santa Barbara County8.7Kern County: 8.6 %Kern County8.6Tulare County: 8.6 %Tulare County8.6Merced County: 8.5 %Merced County8.5Los Angeles County: 8.3 %Los Angeles County8.3Mendocino County: 8.3 %Mendocino County8.3San Bernardino County: 8.1 %San Bernardino County8.1Kings County: 8 %Kings County8Riverside County: 8 %Riverside County8Sutter County: 8 %Sutter County8Mono County: 7.8 %Mono County7.8Glenn County: 7.7 %Glenn County7.7Imperial County: 7.7 %Imperial County7.7San Joaquin County: 7.7 %San Joaquin County7.7Fresno County: 7.5 %Fresno County7.5Lake County: 7.4 %Lake County7.4Napa County: 7 %Napa County7Tehama County: 7 %Tehama County7Ventura County: 7 %Ventura County7Orange County: 6.6 %Orange County6.6Stanislaus County: 6.6 %Stanislaus County6.6Mariposa County: 6.5 %Mariposa County6.5San Diego County: 6.5 %San Diego County6.5Siskiyou County: 6.5 %Siskiyou County6.5Modoc County: 6.4 %Modoc County6.4Butte County: 6.3 %Butte County6.3Del Norte County: 6.1 %Del Norte County6.1Santa Cruz County: 6.1 %Santa Cruz County6.1San Benito County: 6 %San Benito County6San Luis Obispo County: 6 %San Luis Obispo County6Shasta County: 6 %Shasta County6Sonoma County: 6 %Sonoma County6Humboldt County: 5.9 %Humboldt County5.9Yuba County: 5.9 %Yuba County5.9Lassen County: 5.8 %Lassen County5.8Inyo County: 5.7 %Inyo County5.7Nevada County: 5.7 %Nevada County5.7Sierra County: 5.7 %Sierra County5.7Sacramento County: 5.5 %Sacramento County5.5Solano County: 5.4 %Solano County5.4Yolo County: 5.4 %Yolo County5.4Amador County: 5.3 %Amador County5.3Calaveras County: 5.3 %Calaveras County5.3Plumas County: 5.2 %Plumas County5.2Trinity County: 5.1 %Trinity County5.1Contra Costa County: 5 %Contra Costa County5Marin County: 5 %Marin County5Tuolumne County: 4.8 %Tuolumne County4.8Alameda County: 4.6 %Alameda County4.6El Dorado County: 4.4 %El Dorado County4.4San Mateo County: 4.4 %San Mateo County4.4Santa Clara County: 4.4 %Santa Clara County4.4Alpine County: 4.1 %Alpine County4.1San Francisco County: 4 %San Francisco County4Placer County: 3.7 %Placer County3.7
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Madera County9.5-1 pts
2Monterey County9.3-1.7 pts
3Colusa County90 pts
4Santa Barbara County8.7-1.6 pts
5Kern County8.6-0.7 pts
5Tulare County8.6-0.9 pts
7Merced County8.5-0.9 pts
8Los Angeles County8.3-0.5 pts
8Mendocino County8.3-0.1 pts
10San Bernardino County8.1-0.7 pts
11Kings County8-0.7 pts
11Riverside County8-0.7 pts
11Sutter County8-0.7 pts
14Mono County7.8-2.2 pts
15Glenn County7.7-1.6 pts
15Imperial County7.7-0.7 pts
15San Joaquin County7.7+0.5 pts
18Fresno County7.5-0.8 pts
19Lake County7.4-0.8 pts
20Napa County7+0.2 pts
20Tehama County70 pts
20Ventura County7-1.5 pts
23Orange County6.6-0.5 pts
23Stanislaus County6.6-0.3 pts
25Mariposa County6.5+0.2 pts
25San Diego County6.5-0.3 pts
25Siskiyou County6.5-0.3 pts
28Modoc County6.4-0.8 pts
29Butte County6.3-0.3 pts
30Del Norte County6.1-1.7 pts
30Santa Cruz County6.1-0.6 pts
32San Benito County6-0.8 pts
32San Luis Obispo County6-0.3 pts
32Shasta County6-1 pts
32Sonoma County6-0.6 pts
36Humboldt County5.9-1.1 pts
36Yuba County5.9-1 pts
38Lassen County5.8-0.7 pts
39Inyo County5.7-0.3 pts
39Nevada County5.7+0.2 pts
39Sierra County5.7-0.2 pts
42Sacramento County5.5-0.5 pts
43Solano County5.40 pts
43Yolo County5.4-0.9 pts
45Amador County5.3-0.9 pts
45Calaveras County5.3-0.4 pts
47Plumas County5.2-0.2 pts
48Trinity County5.1-1.1 pts
49Contra Costa County5-0.9 pts
49Marin County5+0.5 pts
51Tuolumne County4.8-1.2 pts
52Alameda County4.6-0.2 pts
53El Dorado County4.4-0.3 pts
53San Mateo County4.4-0.5 pts
53Santa Clara County4.4-0.3 pts
56Alpine County4.1-1.4 pts
57San Francisco County4-0.2 pts
58Placer County3.7-0.4 pts

Other periods

About this ranking

People under 65 without health insurance coverage of any kind, as a percentage of all people under 65. 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. People 65 and over are left out because nearly all of them have Medicare.

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 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 65, all races, both sexes, all income levels, states and counties (Counties in California by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, Counties in California by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/california-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Counties in California by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/california-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, Counties in California by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/california-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: Counties in California by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/california-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: Counties in California by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/california-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/california-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  - 
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Rank Counties in California by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
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Questions

Which county has the highest uninsured rate, under 65 (US model-based estimate)?

Madera County, with 9.5% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 65 (US model-based estimate)?

Placer County, with 3.7% in 2024.

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 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 65 (US model-based estimate): other rankings

Counties in California: more rankings