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 2022, at 12.6%. Oldham County had the lowest, at 3.6%. The median was 6.9% and the figure for Kentucky was 6.6%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest12.6Todd County
Lowest3.6Oldham County
Median6.9120 counties
Kentucky6.6History

Map of counties, 2022

Adair County: 7.4 %Allen County: 6.4 %Anderson County: 5.9 %Ballard County: 6.5 %Barren County: 7.7 %Bath County: 6.3 %Bell County: 7 %Boone County: 4.7 %Bourbon County: 7.5 %Boyd County: 6 %Boyle County: 6 %Bracken County: 6.2 %Breathitt County: 6.7 %Breckinridge County: 8.2 %Bullitt County: 4.9 %Butler County: 9.3 %Caldwell County: 6.8 %Calloway County: 7.1 %Campbell County: 4.8 %Carlisle County: 8.3 %Carroll County: 6.8 %Carter County: 7.5 %Casey County: 9.2 %Christian County: 7.4 %Clark County: 5.4 %Clay County: 8.3 %Clinton County: 8.2 %Crittenden County: 7.7 %Cumberland County: 7.4 %Daviess County: 6.2 %Edmonson County: 7.9 %Elliott County: 5.1 %Estill County: 7.8 %Fayette County: 7.6 %Fleming County: 7.7 %Floyd County: 7.1 %Franklin County: 6.4 %Fulton County: 6.8 %Gallatin County: 6.6 %Garrard County: 8.7 %Grant County: 6.6 %Graves County: 7.3 %Grayson County: 7.5 %Green County: 7.9 %Greenup County: 6.1 %Hancock County: 5.9 %Hardin County: 5.9 %Harlan County: 6.6 %Harrison County: 6.2 %Hart County: 7.9 %Henderson County: 6.9 %Henry County: 7.7 %Hickman County: 7.2 %Hopkins County: 6.8 %Jackson County: 7.4 %Jefferson County: 6.3 %Jessamine County: 7.5 %Johnson County: 6.7 %Kenton County: 5.4 %Knott County: 7.2 %Knox County: 7.3 %Larue County: 9.1 %Laurel County: 7.2 %Lawrence County: 7.7 %Lee County: 6.7 %Leslie County: 5.4 %Letcher County: 7.1 %Lewis County: 7.6 %Lincoln County: 7.6 %Livingston County: 5.7 %Logan County: 6.6 %Lyon County: 8.5 %McCracken County: 6.6 %McCreary County: 8 %McLean County: 7 %Madison County: 6.1 %Magoffin County: 7.6 %Marion County: 6.2 %Marshall County: 6.2 %Martin County: 6.6 %Mason County: 7.3 %Meade County: 6.3 %Menifee County: 6.7 %Mercer County: 6.5 %Metcalfe County: 6.4 %Monroe County: 8.1 %Montgomery County: 6.6 %Morgan County: 8.6 %Muhlenberg County: 6.9 %Nelson County: 5.4 %Nicholas County: 7.1 %Ohio County: 7.9 %Oldham County: 3.6 %Owen County: 7.6 %Owsley County: 6.4 %Pendleton County: 6.8 %Perry County: 6.6 %Pike County: 7 %Powell County: 6.2 %Pulaski County: 7.9 %Robertson County: 6.7 %Rockcastle County: 6.8 %Rowan County: 6.2 %Russell County: 7.5 %Scott County: 4.5 %Shelby County: 7 %Simpson County: 5.9 %Spencer County: 5.4 %Taylor County: 6.4 %Todd County: 12.6 %Trigg County: 8.3 %Trimble County: 6.7 %Union County: 6.9 %Warren County: 9.2 %Washington County: 6.7 %Wayne County: 7.9 %Webster County: 9.2 %Whitley County: 6.7 %Wolfe County: 7.6 %Woodford County: 5.8 %
  • Under 6.1
  • 6.1 to 6.6
  • 6.6 to 6.8
  • 6.8 to 7.4
  • 7.4 to 7.9
  • 7.9 and over
%, 2022. 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, 2022

Todd County: 12.6 %Todd County12.6Butler County: 9.3 %Butler County9.3Casey County: 9.2 %Casey County9.2Warren County: 9.2 %Warren County9.2Webster County: 9.2 %Webster County9.2Larue County: 9.1 %Larue County9.1Garrard County: 8.7 %Garrard County8.7Morgan County: 8.6 %Morgan County8.6Lyon County: 8.5 %Lyon County8.5Carlisle County: 8.3 %Carlisle County8.3Clay County: 8.3 %Clay County8.3Trigg County: 8.3 %Trigg County8.3Breckinridge County: 8.2 %Breckinridge County8.2Clinton County: 8.2 %Clinton County8.2Monroe County: 8.1 %Monroe County8.1McCreary County: 8 %McCreary County8Edmonson County: 7.9 %Edmonson County7.9Green County: 7.9 %Green County7.9Hart County: 7.9 %Hart County7.9Ohio County: 7.9 %Ohio County7.9Pulaski County: 7.9 %Pulaski County7.9Wayne County: 7.9 %Wayne County7.9Estill County: 7.8 %Estill County7.8Barren County: 7.7 %Barren County7.7Crittenden County: 7.7 %Crittenden County7.7Fleming County: 7.7 %Fleming County7.7Henry County: 7.7 %Henry County7.7Lawrence County: 7.7 %Lawrence County7.7Fayette County: 7.6 %Fayette County7.6Lewis County: 7.6 %Lewis County7.6Lincoln County: 7.6 %Lincoln County7.6Magoffin County: 7.6 %Magoffin County7.6Owen County: 7.6 %Owen County7.6Wolfe County: 7.6 %Wolfe County7.6Bourbon County: 7.5 %Bourbon County7.5Carter County: 7.5 %Carter County7.5Grayson County: 7.5 %Grayson County7.5Jessamine County: 7.5 %Jessamine County7.5Russell County: 7.5 %Russell County7.5Adair County: 7.4 %Adair County7.4Todd County: 12.6 %Todd County12.6Butler County: 9.3 %Butler County9.3Casey County: 9.2 %Casey County9.2Warren County: 9.2 %Warren County9.2Webster County: 9.2 %Webster County9.2Larue County: 9.1 %Larue County9.1Garrard County: 8.7 %Garrard County8.7Morgan County: 8.6 %Morgan County8.6Lyon County: 8.5 %Lyon County8.5Carlisle County: 8.3 %Carlisle County8.3Clay County: 8.3 %Clay County8.3Trigg County: 8.3 %Trigg County8.3Breckinridge County: 8.2 %Breckinridge County8.2Clinton County: 8.2 %Clinton County8.2Monroe County: 8.1 %Monroe County8.1McCreary County: 8 %McCreary County8Edmonson County: 7.9 %Edmonson County7.9Green County: 7.9 %Green County7.9Hart County: 7.9 %Hart County7.9Ohio County: 7.9 %Ohio County7.9Pulaski County: 7.9 %Pulaski County7.9Wayne County: 7.9 %Wayne County7.9Estill County: 7.8 %Estill County7.8Barren County: 7.7 %Barren County7.7Crittenden County: 7.7 %Crittenden County7.7Fleming County: 7.7 %Fleming County7.7Henry County: 7.7 %Henry County7.7Lawrence County: 7.7 %Lawrence County7.7Fayette County: 7.6 %Fayette County7.6Lewis County: 7.6 %Lewis County7.6Lincoln County: 7.6 %Lincoln County7.6Magoffin County: 7.6 %Magoffin County7.6Owen County: 7.6 %Owen County7.6Wolfe County: 7.6 %Wolfe County7.6Bourbon County: 7.5 %Bourbon County7.5Carter County: 7.5 %Carter County7.5Grayson County: 7.5 %Grayson County7.5Jessamine County: 7.5 %Jessamine County7.5Russell County: 7.5 %Russell County7.5Adair County: 7.4 %Adair County7.4
%. 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

RankCounties2022 (%)Change on 2021
1Todd County12.6+1.2 pts
2Butler County9.3-0.4 pts
3Casey County9.2+0.5 pts
3Warren County9.2+0.9 pts
3Webster County9.20 pts
6Larue County9.1+0.9 pts
7Garrard County8.7+0.4 pts
8Morgan County8.6+1.7 pts
9Lyon County8.5+0.9 pts
10Carlisle County8.30 pts
10Clay County8.3-0.2 pts
10Trigg County8.3+1.5 pts
13Breckinridge County8.2+1 pts
13Clinton County8.2-0.4 pts
15Monroe County8.1+0.3 pts
16McCreary County80 pts
17Edmonson County7.9-0.9 pts
17Green County7.9-1.1 pts
17Hart County7.90 pts
17Ohio County7.9+0.7 pts
17Pulaski County7.9+0.6 pts
17Wayne County7.9+0.6 pts
23Estill County7.8-0.2 pts
24Barren County7.7-0.2 pts
24Crittenden County7.7+0.7 pts
24Fleming County7.7-0.5 pts
24Henry County7.7-1.2 pts
24Lawrence County7.7+0.2 pts
29Fayette County7.6-0.2 pts
29Lewis County7.6-0.3 pts
29Lincoln County7.6-0.2 pts
29Magoffin County7.6-1.1 pts
29Owen County7.6-0.4 pts
29Wolfe County7.6-0.8 pts
35Bourbon County7.5-0.7 pts
35Carter County7.5+0.1 pts
35Grayson County7.5+0.5 pts
35Jessamine County7.5+0.1 pts
35Russell County7.50 pts
40Adair County7.4-0.5 pts
40Christian County7.4+0.2 pts
40Cumberland County7.4+0.4 pts
40Jackson County7.4-0.7 pts
44Graves County7.3+0.1 pts
44Knox County7.3+0.1 pts
44Mason County7.3+0.7 pts
47Hickman County7.2-1.9 pts
47Knott County7.2-0.9 pts
47Laurel County7.2-0.7 pts
50Calloway County7.1-0.7 pts
50Floyd County7.1-0.5 pts
50Letcher County7.1-0.2 pts
50Nicholas County7.1-0.7 pts
54Bell County7-0.7 pts
54McLean County7-0.4 pts
54Pike County7-0.6 pts
54Shelby County7-1.1 pts
58Henderson County6.9+0.7 pts
58Muhlenberg County6.9-0.3 pts
58Union County6.9+0.2 pts
61Caldwell County6.80 pts
61Carroll County6.8-0.4 pts
61Fulton County6.8-0.1 pts
61Hopkins County6.8+0.5 pts
61Pendleton County6.8-0.5 pts
61Rockcastle County6.8-0.6 pts
67Breathitt County6.7-0.2 pts
67Johnson County6.7-0.2 pts
67Lee County6.7+0.1 pts
67Menifee County6.7-1.2 pts
67Robertson County6.7-0.7 pts
67Trimble County6.7-0.4 pts
67Washington County6.7-0.4 pts
67Whitley County6.70 pts
75Gallatin County6.6-1.8 pts
75Grant County6.6-0.2 pts
75Harlan County6.6-0.5 pts
75Logan County6.6-1.1 pts
75Martin County6.6-0.1 pts
75McCracken County6.6+0.9 pts
75Montgomery County6.6+0.1 pts
75Perry County6.6+0.2 pts
83Ballard County6.5-0.3 pts
83Mercer County6.5-0.3 pts
85Allen County6.4-0.6 pts
85Franklin County6.4-0.7 pts
85Metcalfe County6.4-0.3 pts
85Owsley County6.4-1.2 pts
85Taylor County6.4+0.2 pts
90Bath County6.3-0.8 pts
90Jefferson County6.3-0.2 pts
90Meade County6.3+0.4 pts
93Bracken County6.2-0.9 pts
93Daviess County6.2-0.1 pts
93Harrison County6.2-0.3 pts
93Marion County6.2-0.3 pts
93Marshall County6.20 pts
93Powell County6.2-0.1 pts
93Rowan County6.2-0.6 pts
100Greenup County6.1+0.1 pts
100Madison County6.1-0.7 pts
102Boyd County6+0.1 pts
102Boyle County60 pts
104Anderson County5.9-0.3 pts
104Hancock County5.9-0.6 pts
104Hardin County5.9-0.3 pts
104Simpson County5.90 pts
108Woodford County5.8-0.5 pts
109Livingston County5.7-1 pts
110Clark County5.4-0.4 pts
110Kenton County5.4-0.4 pts
110Leslie County5.4-1.4 pts
110Nelson County5.4-0.1 pts
110Spencer County5.4-0.2 pts
115Elliott County5.1-0.7 pts
116Bullitt County4.9-0.5 pts
117Campbell County4.80 pts
118Boone County4.7+0.2 pts
119Scott County4.5-0.7 pts
120Oldham County3.6-0.1 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2022.
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-2022-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 12.6% in 2022, according to the U.S. Census Bureau.

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

Oldham County, with 3.6% in 2022.

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