Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / Counties in Kentucky

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

Todd County had the highest uninsured rate, under 65 (US model-based estimate) of 120 counties in 2020, at 13.1%. Oldham County had the lowest, at 4.4%. The median was 7.5% and the figure for Kentucky was 6.9%. Source: the U.S. Census Bureau.

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Highest13.1Todd County
Lowest4.4Oldham County
Median7.5120 counties
Kentucky6.9History

Map of counties, 2020

Adair County: 7.6 %Allen County: 7.4 %Anderson County: 7.2 %Ballard County: 8.2 %Barren County: 8.5 %Bath County: 7.1 %Bell County: 7 %Boone County: 5.9 %Bourbon County: 8.3 %Boyd County: 6.2 %Boyle County: 6.6 %Bracken County: 7 %Breathitt County: 5.8 %Breckinridge County: 7.5 %Bullitt County: 5.5 %Butler County: 9.6 %Caldwell County: 7.3 %Calloway County: 9.7 %Campbell County: 5.6 %Carlisle County: 9.7 %Carroll County: 8.2 %Carter County: 8.5 %Casey County: 9 %Christian County: 7.6 %Clark County: 6.8 %Clay County: 7.2 %Clinton County: 9.6 %Crittenden County: 8.6 %Cumberland County: 7.5 %Daviess County: 7.1 %Edmonson County: 9.7 %Elliott County: 5.5 %Estill County: 7.5 %Fayette County: 7.6 %Fleming County: 7.5 %Floyd County: 6.5 %Franklin County: 8 %Fulton County: 7.8 %Gallatin County: 9.5 %Garrard County: 8.9 %Grant County: 7.8 %Graves County: 8.3 %Grayson County: 7.6 %Green County: 10.6 %Greenup County: 5.9 %Hancock County: 7 %Hardin County: 7 %Harlan County: 5.9 %Harrison County: 7.2 %Hart County: 8.9 %Henderson County: 6.6 %Henry County: 8.8 %Hickman County: 9.9 %Hopkins County: 6.9 %Jackson County: 7.6 %Jefferson County: 5.7 %Jessamine County: 7.8 %Johnson County: 6.5 %Kenton County: 6 %Knott County: 6.9 %Knox County: 6.8 %Larue County: 7.7 %Laurel County: 7.5 %Lawrence County: 7.8 %Lee County: 6.6 %Leslie County: 6.4 %Letcher County: 7.2 %Lewis County: 7.7 %Lincoln County: 7.8 %Livingston County: 7.4 %Logan County: 8.2 %Lyon County: 7.1 %McCracken County: 6.5 %McCreary County: 6.9 %McLean County: 8.2 %Madison County: 6.9 %Magoffin County: 8.4 %Marion County: 7 %Marshall County: 7.8 %Martin County: 6.1 %Mason County: 7.6 %Meade County: 7.1 %Menifee County: 7.5 %Mercer County: 7.3 %Metcalfe County: 7.5 %Monroe County: 9.2 %Montgomery County: 7.5 %Morgan County: 7.4 %Muhlenberg County: 7.4 %Nelson County: 6.6 %Nicholas County: 8.1 %Ohio County: 7.6 %Oldham County: 4.4 %Owen County: 9.2 %Owsley County: 6 %Pendleton County: 8 %Perry County: 5.7 %Pike County: 7.3 %Powell County: 6.7 %Pulaski County: 6.7 %Robertson County: 7.4 %Rockcastle County: 5.9 %Rowan County: 7.3 %Russell County: 8.5 %Scott County: 5.9 %Shelby County: 8.1 %Simpson County: 8.1 %Spencer County: 6.8 %Taylor County: 6.6 %Todd County: 13.1 %Trigg County: 7.3 %Trimble County: 7.3 %Union County: 7.8 %Warren County: 8.2 %Washington County: 9.7 %Wayne County: 7.6 %Webster County: 10.3 %Whitley County: 6.8 %Wolfe County: 6.9 %Woodford County: 7.5 %
  • Under 6.6
  • 6.6 to 7
  • 7 to 7.5
  • 7.5 to 7.8
  • 7.8 to 8.5
  • 8.5 and over
%, 2020. 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.

Top 40 counties, 2020

Todd County: 13.1 %Todd County13.1Green County: 10.6 %Green County10.6Webster County: 10.3 %Webster County10.3Hickman County: 9.9 %Hickman County9.9Calloway County: 9.7 %Calloway County9.7Carlisle County: 9.7 %Carlisle County9.7Edmonson County: 9.7 %Edmonson County9.7Washington County: 9.7 %Washington County9.7Butler County: 9.6 %Butler County9.6Clinton County: 9.6 %Clinton County9.6Gallatin County: 9.5 %Gallatin County9.5Monroe County: 9.2 %Monroe County9.2Owen County: 9.2 %Owen County9.2Casey County: 9 %Casey County9Garrard County: 8.9 %Garrard County8.9Hart County: 8.9 %Hart County8.9Henry County: 8.8 %Henry County8.8Crittenden County: 8.6 %Crittenden County8.6Barren County: 8.5 %Barren County8.5Carter County: 8.5 %Carter County8.5Russell County: 8.5 %Russell County8.5Magoffin County: 8.4 %Magoffin County8.4Bourbon County: 8.3 %Bourbon County8.3Graves County: 8.3 %Graves County8.3Ballard County: 8.2 %Ballard County8.2Carroll County: 8.2 %Carroll County8.2Logan County: 8.2 %Logan County8.2McLean County: 8.2 %McLean County8.2Warren County: 8.2 %Warren County8.2Nicholas County: 8.1 %Nicholas County8.1Shelby County: 8.1 %Shelby County8.1Simpson County: 8.1 %Simpson County8.1Franklin County: 8 %Franklin County8Pendleton County: 8 %Pendleton County8Fulton County: 7.8 %Fulton County7.8Grant County: 7.8 %Grant County7.8Jessamine County: 7.8 %Jessamine County7.8Lawrence County: 7.8 %Lawrence County7.8Lincoln County: 7.8 %Lincoln County7.8Marshall County: 7.8 %Marshall County7.8Todd County: 13.1 %Todd County13.1Green County: 10.6 %Green County10.6Webster County: 10.3 %Webster County10.3Hickman County: 9.9 %Hickman County9.9Calloway County: 9.7 %Calloway County9.7Carlisle County: 9.7 %Carlisle County9.7Edmonson County: 9.7 %Edmonson County9.7Washington County: 9.7 %Washington County9.7Butler County: 9.6 %Butler County9.6Clinton County: 9.6 %Clinton County9.6Gallatin County: 9.5 %Gallatin County9.5Monroe County: 9.2 %Monroe County9.2Owen County: 9.2 %Owen County9.2Casey County: 9 %Casey County9Garrard County: 8.9 %Garrard County8.9Hart County: 8.9 %Hart County8.9Henry County: 8.8 %Henry County8.8Crittenden County: 8.6 %Crittenden County8.6Barren County: 8.5 %Barren County8.5Carter County: 8.5 %Carter County8.5Russell County: 8.5 %Russell County8.5Magoffin County: 8.4 %Magoffin County8.4Bourbon County: 8.3 %Bourbon County8.3Graves County: 8.3 %Graves County8.3Ballard County: 8.2 %Ballard County8.2Carroll County: 8.2 %Carroll County8.2Logan County: 8.2 %Logan County8.2McLean County: 8.2 %McLean County8.2Warren County: 8.2 %Warren County8.2Nicholas County: 8.1 %Nicholas County8.1Shelby County: 8.1 %Shelby County8.1Simpson County: 8.1 %Simpson County8.1Franklin County: 8 %Franklin County8Pendleton County: 8 %Pendleton County8Fulton County: 7.8 %Fulton County7.8Grant County: 7.8 %Grant County7.8Jessamine County: 7.8 %Jessamine County7.8Lawrence County: 7.8 %Lawrence County7.8Lincoln County: 7.8 %Lincoln County7.8Marshall County: 7.8 %Marshall County7.8
%. 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

RankCounties2020 (%)Change on 2019
1Todd County13.1+0.5 pts
2Green County10.6+0.2 pts
3Webster County10.30 pts
4Hickman County9.9+1.1 pts
5Calloway County9.7+0.7 pts
5Carlisle County9.7+0.2 pts
5Edmonson County9.7+0.3 pts
5Washington County9.7+1 pts
9Butler County9.6-0.1 pts
9Clinton County9.6+0.5 pts
11Gallatin County9.5+0.3 pts
12Monroe County9.2-1.1 pts
12Owen County9.2+0.7 pts
14Casey County9-1.8 pts
15Garrard County8.9-0.4 pts
15Hart County8.90 pts
17Henry County8.8-0.7 pts
18Crittenden County8.6+0.4 pts
19Barren County8.5+0.4 pts
19Carter County8.5-0.4 pts
19Russell County8.5-1.4 pts
22Magoffin County8.4-1.6 pts
23Bourbon County8.3-1.1 pts
23Graves County8.3-0.4 pts
25Ballard County8.2+1 pts
25Carroll County8.20 pts
25Logan County8.2-0.1 pts
25McLean County8.2+0.8 pts
25Warren County8.2-0.8 pts
30Nicholas County8.1-2.2 pts
30Shelby County8.1-1.3 pts
30Simpson County8.1+0.6 pts
33Franklin County8+0.2 pts
33Pendleton County80 pts
35Fulton County7.8+1 pts
35Grant County7.8+1.1 pts
35Jessamine County7.8-0.4 pts
35Lawrence County7.8-0.9 pts
35Lincoln County7.8-1.7 pts
35Marshall County7.8+0.6 pts
35Union County7.8-0.6 pts
42Larue County7.7-0.7 pts
42Lewis County7.7-1.3 pts
44Adair County7.6-0.9 pts
44Christian County7.6-0.9 pts
44Fayette County7.6-1.2 pts
44Grayson County7.6-1.3 pts
44Jackson County7.6-0.8 pts
44Mason County7.6-0.6 pts
44Ohio County7.6-0.2 pts
44Wayne County7.6-0.8 pts
52Breckinridge County7.5-1.4 pts
52Cumberland County7.5-0.6 pts
52Estill County7.5-0.9 pts
52Fleming County7.5-2.8 pts
52Laurel County7.5-0.8 pts
52Menifee County7.5-0.6 pts
52Metcalfe County7.5-0.7 pts
52Montgomery County7.50 pts
52Woodford County7.5-0.3 pts
61Allen County7.4-1.1 pts
61Livingston County7.4-0.4 pts
61Morgan County7.4-2 pts
61Muhlenberg County7.4-0.9 pts
61Robertson County7.4-1 pts
66Caldwell County7.3-0.6 pts
66Mercer County7.3-0.6 pts
66Pike County7.3-1.7 pts
66Rowan County7.3-0.7 pts
66Trigg County7.3-1.2 pts
66Trimble County7.3+0.1 pts
72Anderson County7.2+0.5 pts
72Clay County7.2-2.1 pts
72Harrison County7.2-0.5 pts
72Letcher County7.2-0.8 pts
76Bath County7.1-1.6 pts
76Daviess County7.1-0.3 pts
76Lyon County7.1-1.4 pts
76Meade County7.1+0.7 pts
80Bell County7-1.9 pts
80Bracken County7-0.4 pts
80Hancock County7+0.9 pts
80Hardin County7+0.7 pts
80Marion County7-0.5 pts
85Hopkins County6.9+0.1 pts
85Knott County6.9-1.7 pts
85Madison County6.9-0.1 pts
85McCreary County6.9-1.8 pts
85Wolfe County6.9-1 pts
90Clark County6.80 pts
90Knox County6.8-1.2 pts
90Spencer County6.8+0.6 pts
90Whitley County6.8-0.8 pts
94Powell County6.7-0.8 pts
94Pulaski County6.7-2.7 pts
96Boyle County6.60 pts
96Henderson County6.6-0.5 pts
96Lee County6.6-0.8 pts
96Nelson County6.6+0.3 pts
96Taylor County6.6-0.7 pts
101Floyd County6.5-2.2 pts
101Johnson County6.5-1.3 pts
101McCracken County6.5-0.5 pts
104Leslie County6.4-1.9 pts
105Boyd County6.2-0.9 pts
106Martin County6.1-1.8 pts
107Kenton County6-0.5 pts
107Owsley County6-1.3 pts
109Boone County5.9+0.3 pts
109Greenup County5.9-0.7 pts
109Harlan County5.9-2.3 pts
109Rockcastle County5.9-1.7 pts
109Scott County5.9-0.4 pts
114Breathitt County5.8-2 pts
115Jefferson County5.7-1.4 pts
115Perry County5.7-2.3 pts
117Campbell County5.6-0.1 pts
118Bullitt County5.5-0.6 pts
118Elliott County5.5-1.3 pts
120Oldham County4.4+0.1 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-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 65, all races, both sexes, all income levels, states and counties (Counties in Kentucky by uninsured rate, under 65 (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 65, all races, both sexes, all income levels, states and counties, Counties in Kentucky by uninsured rate, under 65 (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-65/kentucky-counties?period=2020. 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 Kentucky by uninsured rate, under 65 (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-65/kentucky-counties?period=2020.

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 Kentucky by uninsured rate, under 65 (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-65/kentucky-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2020,
  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 Kentucky by uninsured rate, under 65 (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-65/kentucky-counties?period=2020. 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-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 65, all races, both sexes, all income levels, states and counties: Counties in Kentucky by uninsured rate, under 65 (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-65/kentucky-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2020.
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-2020-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

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

Todd County, with 13.1% in 2020, according to the U.S. Census Bureau.

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

Oldham County, with 4.4% 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 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 Kentucky: more rankings