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)

Hayes County had the highest uninsured rate, under 65 (US model-based estimate) of 93 counties in 2018, at 20.1%. Washington County had the lowest, at 6%. The median was 10.5% and the figure for Nebraska was 9.4%. Source: the U.S. Census Bureau.

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Highest20.1Hayes County
Lowest6Washington County
Median10.593 counties
Nebraska9.4History

Map of counties, 2018

Adams County: 9 %Antelope County: 10.7 %Arthur County: 13 %Banner County: 9.4 %Blaine County: 13 %Boone County: 9.1 %Box Butte County: 9.1 %Boyd County: 12.2 %Brown County: 11.4 %Buffalo County: 9.3 %Burt County: 11.7 %Butler County: 7.7 %Cass County: 6.7 %Cedar County: 9.6 %Chase County: 14.2 %Cherry County: 15 %Cheyenne County: 6.4 %Clay County: 10.3 %Colfax County: 16.4 %Cuming County: 11.4 %Custer County: 10.9 %Dakota County: 15 %Dawes County: 10.5 %Dawson County: 14.6 %Deuel County: 11.7 %Dixon County: 10.1 %Dodge County: 10.2 %Douglas County: 10.4 %Dundy County: 19.2 %Fillmore County: 7.9 %Franklin County: 9.2 %Frontier County: 11.4 %Furnas County: 11.4 %Gage County: 8.7 %Garden County: 12.5 %Garfield County: 11 %Gosper County: 7.2 %Grant County: 8.9 %Greeley County: 14 %Hall County: 12.1 %Hamilton County: 7.2 %Harlan County: 10.5 %Hayes County: 20.1 %Hitchcock County: 10.6 %Holt County: 10.7 %Hooker County: 9.7 %Howard County: 9.5 %Jefferson County: 8.6 %Johnson County: 9.6 %Kearney County: 7.4 %Keith County: 9.6 %Keya Paha County: 15 %Kimball County: 11.5 %Knox County: 12.4 %Lancaster County: 8 %Lincoln County: 7.8 %Logan County: 10.9 %Loup County: 10.6 %McPherson County: 11 %Madison County: 10.5 %Merrick County: 9 %Morrill County: 13.9 %Nance County: 9 %Nemaha County: 7 %Nuckolls County: 9.8 %Otoe County: 8.5 %Pawnee County: 12.4 %Perkins County: 11.9 %Phelps County: 8.1 %Pierce County: 8.3 %Platte County: 11.1 %Polk County: 9.6 %Red Willow County: 8.4 %Richardson County: 9.5 %Rock County: 10.6 %Saline County: 13.3 %Sarpy County: 6.2 %Saunders County: 6.6 %Scotts Bluff County: 11.2 %Seward County: 6.4 %Sheridan County: 15.7 %Sherman County: 12.3 %Sioux County: 13.1 %Stanton County: 7.1 %Thayer County: 9.6 %Thomas County: 13.4 %Thurston County: 14.8 %Valley County: 10.8 %Washington County: 6 %Wayne County: 7.1 %Webster County: 9.8 %Wheeler County: 14.4 %York County: 7.2 %
  • Under 7.9
  • 7.9 to 9.4
  • 9.4 to 11
  • 11 to 13
  • 13 and over
%, 2018. 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, 2018

Hayes County: 20.1 %Hayes County20.1Dundy County: 19.2 %Dundy County19.2Colfax County: 16.4 %Colfax County16.4Sheridan County: 15.7 %Sheridan County15.7Cherry County: 15 %Cherry County15Dakota County: 15 %Dakota County15Keya Paha County: 15 %Keya Paha County15Thurston County: 14.8 %Thurston County14.8Dawson County: 14.6 %Dawson County14.6Wheeler County: 14.4 %Wheeler County14.4Chase County: 14.2 %Chase County14.2Greeley County: 14 %Greeley County14Morrill County: 13.9 %Morrill County13.9Thomas County: 13.4 %Thomas County13.4Saline County: 13.3 %Saline County13.3Sioux County: 13.1 %Sioux County13.1Arthur County: 13 %Arthur County13Blaine County: 13 %Blaine County13Garden County: 12.5 %Garden County12.5Knox County: 12.4 %Knox County12.4Pawnee County: 12.4 %Pawnee County12.4Sherman County: 12.3 %Sherman County12.3Boyd County: 12.2 %Boyd County12.2Hall County: 12.1 %Hall County12.1Perkins County: 11.9 %Perkins County11.9Burt County: 11.7 %Burt County11.7Deuel County: 11.7 %Deuel County11.7Kimball County: 11.5 %Kimball County11.5Brown County: 11.4 %Brown County11.4Cuming County: 11.4 %Cuming County11.4Frontier County: 11.4 %Frontier County11.4Furnas County: 11.4 %Furnas County11.4Scotts Bluff County: 11.2 %Scotts Bluff County11.2Platte County: 11.1 %Platte County11.1Garfield County: 11 %Garfield County11McPherson County: 11 %McPherson County11Custer County: 10.9 %Custer County10.9Logan County: 10.9 %Logan County10.9Valley County: 10.8 %Valley County10.8Antelope County: 10.7 %Antelope County10.7Hayes County: 20.1 %Hayes County20.1Dundy County: 19.2 %Dundy County19.2Colfax County: 16.4 %Colfax County16.4Sheridan County: 15.7 %Sheridan County15.7Cherry County: 15 %Cherry County15Dakota County: 15 %Dakota County15Keya Paha County: 15 %Keya Paha County15Thurston County: 14.8 %Thurston County14.8Dawson County: 14.6 %Dawson County14.6Wheeler County: 14.4 %Wheeler County14.4Chase County: 14.2 %Chase County14.2Greeley County: 14 %Greeley County14Morrill County: 13.9 %Morrill County13.9Thomas County: 13.4 %Thomas County13.4Saline County: 13.3 %Saline County13.3Sioux County: 13.1 %Sioux County13.1Arthur County: 13 %Arthur County13Blaine County: 13 %Blaine County13Garden County: 12.5 %Garden County12.5Knox County: 12.4 %Knox County12.4Pawnee County: 12.4 %Pawnee County12.4Sherman County: 12.3 %Sherman County12.3Boyd County: 12.2 %Boyd County12.2Hall County: 12.1 %Hall County12.1Perkins County: 11.9 %Perkins County11.9Burt County: 11.7 %Burt County11.7Deuel County: 11.7 %Deuel County11.7Kimball County: 11.5 %Kimball County11.5Brown County: 11.4 %Brown County11.4Cuming County: 11.4 %Cuming County11.4Frontier County: 11.4 %Frontier County11.4Furnas County: 11.4 %Furnas County11.4Scotts Bluff County: 11.2 %Scotts Bluff County11.2Platte County: 11.1 %Platte County11.1Garfield County: 11 %Garfield County11McPherson County: 11 %McPherson County11Custer County: 10.9 %Custer County10.9Logan County: 10.9 %Logan County10.9Valley County: 10.8 %Valley County10.8Antelope County: 10.7 %Antelope County10.7
%. 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

RankCounties2018 (%)Change on 2017
1Hayes County20.1-6.8 pts
2Dundy County19.2+2.2 pts
3Colfax County16.4-0.3 pts
4Sheridan County15.7-1.5 pts
5Cherry County15+0.1 pts
5Dakota County15-1.1 pts
5Keya Paha County15-3.6 pts
8Thurston County14.8-1.1 pts
9Dawson County14.6-0.2 pts
10Wheeler County14.4+2.8 pts
11Chase County14.2-2.7 pts
12Greeley County14-2.4 pts
13Morrill County13.9+0.2 pts
14Thomas County13.4+0.2 pts
15Saline County13.3+0.1 pts
16Sioux County13.1-2.6 pts
17Arthur County13-2 pts
17Blaine County13-1 pts
19Garden County12.5-0.7 pts
20Knox County12.4-0.7 pts
20Pawnee County12.4-0.2 pts
22Sherman County12.3-0.4 pts
23Boyd County12.2-2 pts
24Hall County12.1-1.3 pts
25Perkins County11.9-1.8 pts
26Burt County11.7+0.7 pts
26Deuel County11.7-0.1 pts
28Kimball County11.5-0.9 pts
29Brown County11.4-0.6 pts
29Cuming County11.4-1.2 pts
29Frontier County11.40 pts
29Furnas County11.4-0.1 pts
33Scotts Bluff County11.2+0.1 pts
34Platte County11.1+0.8 pts
35Garfield County11+0.3 pts
35McPherson County11+2.7 pts
37Custer County10.9-0.4 pts
37Logan County10.9-1.7 pts
39Valley County10.8-1 pts
40Antelope County10.7-0.3 pts
40Holt County10.7-0.5 pts
42Hitchcock County10.6-2.2 pts
42Loup County10.6-0.1 pts
42Rock County10.6-4.1 pts
45Dawes County10.5-0.5 pts
45Harlan County10.5+0.7 pts
45Madison County10.5-0.8 pts
48Douglas County10.4+0.4 pts
49Clay County10.3-1.5 pts
50Dodge County10.2-0.5 pts
51Dixon County10.1-0.7 pts
52Nuckolls County9.8+0.6 pts
52Webster County9.8+0.3 pts
54Hooker County9.7+1.3 pts
55Cedar County9.6-0.1 pts
55Johnson County9.6-0.6 pts
55Keith County9.6-0.5 pts
55Polk County9.6-0.4 pts
55Thayer County9.6-0.1 pts
60Howard County9.5+0.5 pts
60Richardson County9.5-0.4 pts
62Banner County9.4-0.6 pts
63Buffalo County9.3-0.3 pts
64Franklin County9.2-1.3 pts
65Boone County9.10 pts
65Box Butte County9.1-0.6 pts
67Adams County9+0.2 pts
67Merrick County9-0.5 pts
67Nance County9+0.4 pts
70Grant County8.9+0.4 pts
71Gage County8.70 pts
72Jefferson County8.6-0.6 pts
73Otoe County8.5-0.4 pts
74Red Willow County8.4-0.3 pts
75Pierce County8.3+1.1 pts
76Phelps County8.1-0.2 pts
77Lancaster County8-0.4 pts
78Fillmore County7.9-0.4 pts
79Lincoln County7.8-1 pts
80Butler County7.7-1.1 pts
81Kearney County7.4-0.7 pts
82Gosper County7.2-1.4 pts
82Hamilton County7.2+0.2 pts
82York County7.2-0.9 pts
85Stanton County7.1-0.4 pts
85Wayne County7.1-0.8 pts
87Nemaha County7-0.7 pts
88Cass County6.7-0.3 pts
89Saunders County6.6-0.7 pts
90Cheyenne County6.4-0.4 pts
90Seward County6.4-0.3 pts
92Sarpy County6.2-0.3 pts
93Washington County6-0.2 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-2018-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), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2018. 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), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2018.

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), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2018,
  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), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2018. 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-2018-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), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2018.
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-2018-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)?

Hayes County, with 20.1% in 2018, according to the U.S. Census Bureau.

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

Washington County, with 6% in 2018.

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