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

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

Colfax County had the highest uninsured rate, under 65 (US model-based estimate) of 93 counties in 2024, at 15%. Washington County had the lowest, at 5.4%. The median was 8% and the figure for Nebraska was 8.2%. Source: the U.S. Census Bureau.

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Highest15Colfax County
Lowest5.4Washington County
Median893 counties
Nebraska8.2History

Map of counties, 2024

Adams County: 8.4 %Antelope County: 9.4 %Arthur County: 7.7 %Banner County: 10.8 %Blaine County: 7.3 %Boone County: 7 %Box Butte County: 9.4 %Boyd County: 8.2 %Brown County: 13.1 %Buffalo County: 7.6 %Burt County: 7.3 %Butler County: 7.8 %Cass County: 6.2 %Cedar County: 7.1 %Chase County: 11.7 %Cherry County: 7.5 %Cheyenne County: 6.8 %Clay County: 7 %Colfax County: 15 %Cuming County: 10.9 %Custer County: 9.6 %Dakota County: 11.1 %Dawes County: 6.9 %Dawson County: 12.8 %Deuel County: 9.1 %Dixon County: 12.2 %Dodge County: 8.9 %Douglas County: 8.8 %Dundy County: 8.9 %Fillmore County: 6.3 %Franklin County: 7.1 %Frontier County: 10 %Furnas County: 8.6 %Gage County: 7.5 %Garden County: 9.4 %Garfield County: 7.1 %Gosper County: 7.5 %Grant County: 6.9 %Greeley County: 10 %Hall County: 11.5 %Hamilton County: 5.9 %Harlan County: 10.8 %Hayes County: 9.5 %Hitchcock County: 8.4 %Holt County: 10.3 %Hooker County: 6.4 %Howard County: 7 %Jefferson County: 6.9 %Johnson County: 7.7 %Kearney County: 5.7 %Keith County: 9 %Keya Paha County: 12.5 %Kimball County: 11.3 %Knox County: 9.5 %Lancaster County: 7.6 %Lincoln County: 7.8 %Logan County: 7 %Loup County: 6.4 %McPherson County: 8.1 %Madison County: 8.3 %Merrick County: 7.5 %Morrill County: 10 %Nance County: 7.1 %Nemaha County: 9.5 %Nuckolls County: 8.4 %Otoe County: 7.1 %Pawnee County: 11.5 %Perkins County: 11 %Phelps County: 8 %Pierce County: 6.5 %Platte County: 9.4 %Polk County: 7.9 %Red Willow County: 7.4 %Richardson County: 6.9 %Rock County: 9.1 %Saline County: 12 %Sarpy County: 5.4 %Saunders County: 5.4 %Scotts Bluff County: 9.3 %Seward County: 6.6 %Sheridan County: 10 %Sherman County: 9.7 %Sioux County: 11.2 %Stanton County: 5.7 %Thayer County: 6.1 %Thomas County: 8.1 %Thurston County: 5.9 %Valley County: 10 %Washington County: 5.4 %Wayne County: 6.9 %Webster County: 7.2 %Wheeler County: 5.8 %York County: 7.7 %
  • Under 6.8
  • 6.8 to 7.3
  • 7.3 to 8
  • 8 to 9.3
  • 9.3 to 11
  • 11 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

Colfax County: 15 %Colfax County15Brown County: 13.1 %Brown County13.1Dawson County: 12.8 %Dawson County12.8Keya Paha County: 12.5 %Keya Paha County12.5Dixon County: 12.2 %Dixon County12.2Saline County: 12 %Saline County12Chase County: 11.7 %Chase County11.7Hall County: 11.5 %Hall County11.5Pawnee County: 11.5 %Pawnee County11.5Kimball County: 11.3 %Kimball County11.3Sioux County: 11.2 %Sioux County11.2Dakota County: 11.1 %Dakota County11.1Perkins County: 11 %Perkins County11Cuming County: 10.9 %Cuming County10.9Banner County: 10.8 %Banner County10.8Harlan County: 10.8 %Harlan County10.8Holt County: 10.3 %Holt County10.3Frontier County: 10 %Frontier County10Greeley County: 10 %Greeley County10Morrill County: 10 %Morrill County10Sheridan County: 10 %Sheridan County10Valley County: 10 %Valley County10Sherman County: 9.7 %Sherman County9.7Custer County: 9.6 %Custer County9.6Hayes County: 9.5 %Hayes County9.5Knox County: 9.5 %Knox County9.5Nemaha County: 9.5 %Nemaha County9.5Antelope County: 9.4 %Antelope County9.4Box Butte County: 9.4 %Box Butte County9.4Garden County: 9.4 %Garden County9.4Platte County: 9.4 %Platte County9.4Scotts Bluff County: 9.3 %Scotts Bluff County9.3Deuel County: 9.1 %Deuel County9.1Rock County: 9.1 %Rock County9.1Keith County: 9 %Keith County9Dodge County: 8.9 %Dodge County8.9Dundy County: 8.9 %Dundy County8.9Douglas County: 8.8 %Douglas County8.8Furnas County: 8.6 %Furnas County8.6Adams County: 8.4 %Adams County8.4Colfax County: 15 %Colfax County15Brown County: 13.1 %Brown County13.1Dawson County: 12.8 %Dawson County12.8Keya Paha County: 12.5 %Keya Paha County12.5Dixon County: 12.2 %Dixon County12.2Saline County: 12 %Saline County12Chase County: 11.7 %Chase County11.7Hall County: 11.5 %Hall County11.5Pawnee County: 11.5 %Pawnee County11.5Kimball County: 11.3 %Kimball County11.3Sioux County: 11.2 %Sioux County11.2Dakota County: 11.1 %Dakota County11.1Perkins County: 11 %Perkins County11Cuming County: 10.9 %Cuming County10.9Banner County: 10.8 %Banner County10.8Harlan County: 10.8 %Harlan County10.8Holt County: 10.3 %Holt County10.3Frontier County: 10 %Frontier County10Greeley County: 10 %Greeley County10Morrill County: 10 %Morrill County10Sheridan County: 10 %Sheridan County10Valley County: 10 %Valley County10Sherman County: 9.7 %Sherman County9.7Custer County: 9.6 %Custer County9.6Hayes County: 9.5 %Hayes County9.5Knox County: 9.5 %Knox County9.5Nemaha County: 9.5 %Nemaha County9.5Antelope County: 9.4 %Antelope County9.4Box Butte County: 9.4 %Box Butte County9.4Garden County: 9.4 %Garden County9.4Platte County: 9.4 %Platte County9.4Scotts Bluff County: 9.3 %Scotts Bluff County9.3Deuel County: 9.1 %Deuel County9.1Rock County: 9.1 %Rock County9.1Keith County: 9 %Keith County9Dodge County: 8.9 %Dodge County8.9Dundy County: 8.9 %Dundy County8.9Douglas County: 8.8 %Douglas County8.8Furnas County: 8.6 %Furnas County8.6Adams County: 8.4 %Adams County8.4
%. 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

RankCounties2024 (%)Change on 2023
1Colfax County15+0.8 pts
2Brown County13.1+3.8 pts
3Dawson County12.8+2.1 pts
4Keya Paha County12.5+1.8 pts
5Dixon County12.2+2.6 pts
6Saline County12+0.2 pts
7Chase County11.7+2.4 pts
8Hall County11.5+0.7 pts
8Pawnee County11.5+2 pts
10Kimball County11.3+1 pts
11Sioux County11.2+1.6 pts
12Dakota County11.1+0.8 pts
13Perkins County11+0.9 pts
14Cuming County10.9+2 pts
15Banner County10.8+4.2 pts
15Harlan County10.8+1.4 pts
17Holt County10.3+2.1 pts
18Frontier County10+2.2 pts
18Greeley County10+1.1 pts
18Morrill County10+1.8 pts
18Sheridan County10-0.3 pts
18Valley County10+1.1 pts
23Sherman County9.7+1.6 pts
24Custer County9.6+1.9 pts
25Hayes County9.5+0.1 pts
25Knox County9.5+1.7 pts
25Nemaha County9.5+1.6 pts
28Antelope County9.4+1.9 pts
28Box Butte County9.4+0.1 pts
28Garden County9.4+0.6 pts
28Platte County9.4+1.8 pts
32Scotts Bluff County9.3+0.8 pts
33Deuel County9.1+1.9 pts
33Rock County9.1+1.4 pts
35Keith County9+0.6 pts
36Dodge County8.9+0.9 pts
36Dundy County8.9+1.3 pts
38Douglas County8.8+0.9 pts
39Furnas County8.6+1.1 pts
40Adams County8.4+1.1 pts
40Hitchcock County8.4+0.4 pts
40Nuckolls County8.4+0.6 pts
43Madison County8.3+1.4 pts
44Boyd County8.2+0.2 pts
45McPherson County8.1+2.8 pts
45Thomas County8.1-1.1 pts
47Phelps County8+1.1 pts
48Polk County7.9+0.2 pts
49Butler County7.8+0.8 pts
49Lincoln County7.8+0.7 pts
51Arthur County7.7-0.3 pts
51Johnson County7.7+0.8 pts
51York County7.7+2.7 pts
54Buffalo County7.6-0.7 pts
54Lancaster County7.6+1.2 pts
56Cherry County7.5+0.3 pts
56Gage County7.5+1.2 pts
56Gosper County7.5+0.2 pts
56Merrick County7.5+0.7 pts
60Red Willow County7.4-0.9 pts
61Blaine County7.3-2.2 pts
61Burt County7.3+0.3 pts
63Webster County7.2+0.6 pts
64Cedar County7.1+0.4 pts
64Franklin County7.1+0.8 pts
64Garfield County7.1-0.4 pts
64Nance County7.1+0.7 pts
64Otoe County7.1+0.7 pts
69Boone County7+0.5 pts
69Clay County7-0.2 pts
69Howard County7+1.5 pts
69Logan County7+0.6 pts
73Dawes County6.9-0.6 pts
73Grant County6.9+0.1 pts
73Jefferson County6.9+0.6 pts
73Richardson County6.9-0.3 pts
73Wayne County6.9+0.6 pts
78Cheyenne County6.8+0.2 pts
79Seward County6.6+1 pts
80Pierce County6.5+0.8 pts
81Hooker County6.4-2 pts
81Loup County6.4+0.2 pts
83Fillmore County6.3+0.7 pts
84Cass County6.2+0.9 pts
85Thayer County6.1+0.3 pts
86Hamilton County5.9+0.8 pts
86Thurston County5.9-0.3 pts
88Wheeler County5.8+0.6 pts
89Kearney County5.7-0.5 pts
89Stanton County5.7+0.6 pts
91Sarpy County5.4+0.8 pts
91Saunders County5.4+0.6 pts
91Washington County5.4+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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-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)?

Colfax County, with 15% in 2024, according to the U.S. Census Bureau.

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

Washington County, with 5.4% 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 Nebraska: more rankings