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

Scotland County had the highest uninsured rate, under 65 (US model-based estimate) of 115 counties in 2024, at 22.4%. St. Charles County had the lowest, at 5.3%. The median was 11% and the figure for Missouri was 9.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest22.4Scotland County
Median11115 counties
Missouri9.2History

Map of counties, 2024

Adair County: 10.7 %Andrew County: 7.7 %Atchison County: 9.6 %Audrain County: 11.2 %Barry County: 13.7 %Barton County: 14.2 %Bates County: 12.7 %Benton County: 13.4 %Bollinger County: 11.2 %Boone County: 7.6 %Buchanan County: 10.6 %Butler County: 12.3 %Caldwell County: 11.3 %Callaway County: 8.6 %Camden County: 11 %Cape Girardeau County: 8.8 %Carroll County: 10.2 %Carter County: 10.8 %Cass County: 8.2 %Cedar County: 14.5 %Chariton County: 9.1 %Christian County: 8.5 %Clark County: 10.5 %Clay County: 8 %Clinton County: 8.4 %Cole County: 7 %Cooper County: 9.3 %Crawford County: 12.5 %Dade County: 11 %Dallas County: 14.7 %Daviess County: 15.3 %DeKalb County: 9.7 %Dent County: 12.9 %Douglas County: 13.8 %Dunklin County: 11.6 %Franklin County: 8.8 %Gasconade County: 10.7 %Gentry County: 12.4 %Greene County: 9.9 %Grundy County: 12.5 %Harrison County: 12.6 %Henry County: 11.2 %Hickory County: 12.1 %Holt County: 10.6 %Howard County: 10 %Howell County: 11.8 %Iron County: 10.7 %Jackson County: 10.2 %Jasper County: 12.1 %Jefferson County: 7.7 %Johnson County: 8.4 %Knox County: 18.8 %Laclede County: 10.6 %Lafayette County: 9.8 %Lawrence County: 14 %Lewis County: 11 %Lincoln County: 8 %Linn County: 10.4 %Livingston County: 11 %McDonald County: 16.7 %Macon County: 10.4 %Madison County: 11.1 %Maries County: 11.4 %Marion County: 9.6 %Mercer County: 13.8 %Miller County: 12.7 %Mississippi County: 13 %Moniteau County: 15.8 %Monroe County: 11.6 %Montgomery County: 11.7 %Morgan County: 18.9 %New Madrid County: 11 %Newton County: 12 %Nodaway County: 9.5 %Oregon County: 11.3 %Osage County: 8.3 %Ozark County: 13.9 %Pemiscot County: 10.9 %Perry County: 9.6 %Pettis County: 12.6 %Phelps County: 10 %Pike County: 11.3 %Platte County: 6.4 %Polk County: 13 %Pulaski County: 8.6 %Putnam County: 8.3 %Ralls County: 9.6 %Randolph County: 9.8 %Ray County: 9.4 %Reynolds County: 11.1 %Ripley County: 12.3 %St. Charles County: 5.3 %St. Clair County: 13.1 %Ste. Genevieve County: 7.9 %St. Francois County: 10.4 %St. Louis County: 6.6 %Saline County: 10.9 %Schuyler County: 9.9 %Scotland County: 22.4 %Scott County: 10.2 %Shannon County: 10.6 %Shelby County: 11.4 %Stoddard County: 12.8 %Stone County: 11.8 %Sullivan County: 12 %Taney County: 12.7 %Texas County: 14 %Vernon County: 12.7 %Warren County: 8.7 %Washington County: 12.4 %Wayne County: 12.9 %Webster County: 14.6 %Worth County: 11.4 %Wright County: 13.7 %St. Louis city: 10.4 %
  • Under 8.8
  • 8.8 to 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 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.

Top 40 counties, 2024

Scotland County: 22.4 %Scotland County22.4Morgan County: 18.9 %Morgan County18.9Knox County: 18.8 %Knox County18.8McDonald County: 16.7 %McDonald County16.7Moniteau County: 15.8 %Moniteau County15.8Daviess County: 15.3 %Daviess County15.3Dallas County: 14.7 %Dallas County14.7Webster County: 14.6 %Webster County14.6Cedar County: 14.5 %Cedar County14.5Barton County: 14.2 %Barton County14.2Lawrence County: 14 %Lawrence County14Texas County: 14 %Texas County14Ozark County: 13.9 %Ozark County13.9Douglas County: 13.8 %Douglas County13.8Mercer County: 13.8 %Mercer County13.8Barry County: 13.7 %Barry County13.7Wright County: 13.7 %Wright County13.7Benton County: 13.4 %Benton County13.4St. Clair County: 13.1 %St. Clair County13.1Mississippi County: 13 %Mississippi County13Polk County: 13 %Polk County13Dent County: 12.9 %Dent County12.9Wayne County: 12.9 %Wayne County12.9Stoddard County: 12.8 %Stoddard County12.8Bates County: 12.7 %Bates County12.7Miller County: 12.7 %Miller County12.7Taney County: 12.7 %Taney County12.7Vernon County: 12.7 %Vernon County12.7Harrison County: 12.6 %Harrison County12.6Pettis County: 12.6 %Pettis County12.6Crawford County: 12.5 %Crawford County12.5Grundy County: 12.5 %Grundy County12.5Gentry County: 12.4 %Gentry County12.4Washington County: 12.4 %Washington County12.4Butler County: 12.3 %Butler County12.3Ripley County: 12.3 %Ripley County12.3Hickory County: 12.1 %Hickory County12.1Jasper County: 12.1 %Jasper County12.1Newton County: 12 %Newton County12Sullivan County: 12 %Sullivan County12Scotland County: 22.4 %Scotland County22.4Morgan County: 18.9 %Morgan County18.9Knox County: 18.8 %Knox County18.8McDonald County: 16.7 %McDonald County16.7Moniteau County: 15.8 %Moniteau County15.8Daviess County: 15.3 %Daviess County15.3Dallas County: 14.7 %Dallas County14.7Webster County: 14.6 %Webster County14.6Cedar County: 14.5 %Cedar County14.5Barton County: 14.2 %Barton County14.2Lawrence County: 14 %Lawrence County14Texas County: 14 %Texas County14Ozark County: 13.9 %Ozark County13.9Douglas County: 13.8 %Douglas County13.8Mercer County: 13.8 %Mercer County13.8Barry County: 13.7 %Barry County13.7Wright County: 13.7 %Wright County13.7Benton County: 13.4 %Benton County13.4St. Clair County: 13.1 %St. Clair County13.1Mississippi County: 13 %Mississippi County13Polk County: 13 %Polk County13Dent County: 12.9 %Dent County12.9Wayne County: 12.9 %Wayne County12.9Stoddard County: 12.8 %Stoddard County12.8Bates County: 12.7 %Bates County12.7Miller County: 12.7 %Miller County12.7Taney County: 12.7 %Taney County12.7Vernon County: 12.7 %Vernon County12.7Harrison County: 12.6 %Harrison County12.6Pettis County: 12.6 %Pettis County12.6Crawford County: 12.5 %Crawford County12.5Grundy County: 12.5 %Grundy County12.5Gentry County: 12.4 %Gentry County12.4Washington County: 12.4 %Washington County12.4Butler County: 12.3 %Butler County12.3Ripley County: 12.3 %Ripley County12.3Hickory County: 12.1 %Hickory County12.1Jasper County: 12.1 %Jasper County12.1Newton County: 12 %Newton County12Sullivan County: 12 %Sullivan County12
%. 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
1Scotland County22.4+3.3 pts
2Morgan County18.9+0.4 pts
3Knox County18.8+1.7 pts
4McDonald County16.7-0.4 pts
5Moniteau County15.8+1.2 pts
6Daviess County15.3+0.9 pts
7Dallas County14.7+0.6 pts
8Webster County14.6+1.5 pts
9Cedar County14.5+1.1 pts
10Barton County14.2+1.8 pts
11Lawrence County14+0.8 pts
11Texas County14+0.4 pts
13Ozark County13.9-0.3 pts
14Douglas County13.8+1.3 pts
14Mercer County13.8+2.2 pts
16Barry County13.7+0.3 pts
16Wright County13.7+0.6 pts
18Benton County13.4+0.5 pts
19St. Clair County13.1+2.1 pts
20Mississippi County13-0.4 pts
20Polk County13+1.5 pts
22Dent County12.9+1.7 pts
22Wayne County12.9-0.2 pts
24Stoddard County12.8+0.5 pts
25Bates County12.7+0.4 pts
25Miller County12.7+1.1 pts
25Taney County12.7+0.3 pts
25Vernon County12.7+0.4 pts
29Harrison County12.6+1.4 pts
29Pettis County12.6+0.8 pts
31Crawford County12.5+0.2 pts
31Grundy County12.5+0.7 pts
33Gentry County12.4-0.8 pts
33Washington County12.4+0.3 pts
35Butler County12.30 pts
35Ripley County12.3+0.7 pts
37Hickory County12.1+0.8 pts
37Jasper County12.1-0.1 pts
39Newton County12+0.6 pts
39Sullivan County12+0.2 pts
41Howell County11.8-0.8 pts
41Stone County11.8+0.4 pts
43Montgomery County11.7-0.9 pts
44Dunklin County11.6-0.6 pts
44Monroe County11.6+1.1 pts
46Maries County11.4-0.1 pts
46Shelby County11.4-0.7 pts
46Worth County11.4+1.2 pts
49Caldwell County11.3+0.1 pts
49Oregon County11.3-0.5 pts
49Pike County11.3+0.1 pts
52Audrain County11.2-1.1 pts
52Bollinger County11.2-0.4 pts
52Henry County11.2+0.3 pts
55Madison County11.1+1.3 pts
55Reynolds County11.1-0.5 pts
57Camden County11+0.2 pts
57Dade County11-1.2 pts
57Lewis County11-0.3 pts
57Livingston County11+0.3 pts
57New Madrid County11+0.3 pts
62Pemiscot County10.9+0.1 pts
62Saline County10.9+1 pts
64Carter County10.8-1 pts
65Adair County10.7-0.8 pts
65Gasconade County10.7-0.3 pts
65Iron County10.7+0.3 pts
68Buchanan County10.6+0.8 pts
68Holt County10.6+1.4 pts
68Laclede County10.6+0.2 pts
68Shannon County10.6-0.4 pts
72Clark County10.5-0.2 pts
73Linn County10.4-1.6 pts
73Macon County10.4-0.3 pts
73St. Francois County10.4+0.3 pts
73St. Louis city10.4+2 pts
77Carroll County10.2+1 pts
77Jackson County10.2-0.3 pts
77Scott County10.2+0.1 pts
80Howard County10+0.6 pts
80Phelps County10-0.5 pts
82Greene County9.9+0.2 pts
82Schuyler County9.9-1.1 pts
84Lafayette County9.8+0.4 pts
84Randolph County9.80 pts
86DeKalb County9.70 pts
87Atchison County9.6-0.9 pts
87Marion County9.6+0.7 pts
87Perry County9.6-0.7 pts
87Ralls County9.6+0.9 pts
91Nodaway County9.5+0.3 pts
92Ray County9.4-0.4 pts
93Cooper County9.3+0.7 pts
94Chariton County9.1-0.2 pts
95Cape Girardeau County8.8-0.6 pts
95Franklin County8.8-0.7 pts
97Warren County8.7-0.8 pts
98Callaway County8.6+0.5 pts
98Pulaski County8.6-0.1 pts
100Christian County8.5+0.3 pts
101Clinton County8.4+0.3 pts
101Johnson County8.4-0.4 pts
103Osage County8.3+0.5 pts
103Putnam County8.3-1 pts
105Cass County8.2+1.3 pts
106Clay County8+0.8 pts
106Lincoln County8-0.9 pts
108Ste. Genevieve County7.9-0.4 pts
109Andrew County7.7+0.1 pts
109Jefferson County7.70 pts
111Boone County7.6-0.4 pts
112Cole County7-0.9 pts
113St. Louis County6.6-0.1 pts
114Platte County6.4+0.2 pts
115St. Charles County5.3+0.2 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/missouri-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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Questions

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

Scotland County, with 22.4% in 2024, according to the U.S. Census Bureau.

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

St. Charles County, with 5.3% 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 Missouri: more rankings