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)

Colfax County had the highest uninsured rate, under 65 (US model-based estimate) of 93 counties in 2020, at 19%. Sarpy County had the lowest, at 6.1%. The median was 9.9% and the figure for Nebraska was 9.5%. Source: the U.S. Census Bureau.

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Highest19Colfax County
Lowest6.1Sarpy County
Median9.993 counties
Nebraska9.5History

Map of counties, 2020

Adams County: 10.2 %Antelope County: 11.2 %Arthur County: 6.3 %Banner County: 6.5 %Blaine County: 7.8 %Boone County: 7.8 %Box Butte County: 12.8 %Boyd County: 9.7 %Brown County: 10 %Buffalo County: 9.6 %Burt County: 12.5 %Butler County: 8.2 %Cass County: 7.7 %Cedar County: 9.5 %Chase County: 14.4 %Cherry County: 10.5 %Cheyenne County: 8.3 %Clay County: 11.3 %Colfax County: 19 %Cuming County: 12.4 %Custer County: 9.8 %Dakota County: 15.4 %Dawes County: 10.3 %Dawson County: 16.6 %Deuel County: 11.3 %Dixon County: 13.9 %Dodge County: 10.9 %Douglas County: 9.2 %Dundy County: 15.9 %Fillmore County: 8.9 %Franklin County: 8.5 %Frontier County: 8.3 %Furnas County: 12 %Gage County: 9.3 %Garden County: 10 %Garfield County: 7.3 %Gosper County: 11.5 %Grant County: 9.7 %Greeley County: 10 %Hall County: 14.4 %Hamilton County: 8.1 %Harlan County: 10.7 %Hayes County: 11.4 %Hitchcock County: 10.1 %Holt County: 8.6 %Hooker County: 13.6 %Howard County: 7.6 %Jefferson County: 10 %Johnson County: 10.5 %Kearney County: 8.2 %Keith County: 10.3 %Keya Paha County: 8.8 %Kimball County: 13.4 %Knox County: 11.8 %Lancaster County: 8.6 %Lincoln County: 9.5 %Logan County: 10.2 %Loup County: 7.4 %McPherson County: 8.2 %Madison County: 11.7 %Merrick County: 9.5 %Morrill County: 13.4 %Nance County: 8.2 %Nemaha County: 9.1 %Nuckolls County: 9.9 %Otoe County: 8.6 %Pawnee County: 10.4 %Perkins County: 12.5 %Phelps County: 9.2 %Pierce County: 7.1 %Platte County: 11.1 %Polk County: 12 %Red Willow County: 9.9 %Richardson County: 12.1 %Rock County: 8.1 %Saline County: 13.2 %Sarpy County: 6.1 %Saunders County: 7.9 %Scotts Bluff County: 13.1 %Seward County: 7.4 %Sheridan County: 13.6 %Sherman County: 8.7 %Sioux County: 7.8 %Stanton County: 8.7 %Thayer County: 9.6 %Thomas County: 10.7 %Thurston County: 15.1 %Valley County: 11.2 %Washington County: 7 %Wayne County: 8.6 %Webster County: 8.8 %Wheeler County: 8.3 %York County: 8.3 %
  • Under 8.1
  • 8.1 to 8.8
  • 8.8 to 9.9
  • 9.9 to 11
  • 11 to 13
  • 13 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

Colfax County: 19 %Colfax County19Dawson County: 16.6 %Dawson County16.6Dundy County: 15.9 %Dundy County15.9Dakota County: 15.4 %Dakota County15.4Thurston County: 15.1 %Thurston County15.1Chase County: 14.4 %Chase County14.4Hall County: 14.4 %Hall County14.4Dixon County: 13.9 %Dixon County13.9Hooker County: 13.6 %Hooker County13.6Sheridan County: 13.6 %Sheridan County13.6Kimball County: 13.4 %Kimball County13.4Morrill County: 13.4 %Morrill County13.4Saline County: 13.2 %Saline County13.2Scotts Bluff County: 13.1 %Scotts Bluff County13.1Box Butte County: 12.8 %Box Butte County12.8Burt County: 12.5 %Burt County12.5Perkins County: 12.5 %Perkins County12.5Cuming County: 12.4 %Cuming County12.4Richardson County: 12.1 %Richardson County12.1Furnas County: 12 %Furnas County12Polk County: 12 %Polk County12Knox County: 11.8 %Knox County11.8Madison County: 11.7 %Madison County11.7Gosper County: 11.5 %Gosper County11.5Hayes County: 11.4 %Hayes County11.4Clay County: 11.3 %Clay County11.3Deuel County: 11.3 %Deuel County11.3Antelope County: 11.2 %Antelope County11.2Valley County: 11.2 %Valley County11.2Platte County: 11.1 %Platte County11.1Dodge County: 10.9 %Dodge County10.9Harlan County: 10.7 %Harlan County10.7Thomas County: 10.7 %Thomas County10.7Cherry County: 10.5 %Cherry County10.5Johnson County: 10.5 %Johnson County10.5Pawnee County: 10.4 %Pawnee County10.4Dawes County: 10.3 %Dawes County10.3Keith County: 10.3 %Keith County10.3Adams County: 10.2 %Adams County10.2Logan County: 10.2 %Logan County10.2Colfax County: 19 %Colfax County19Dawson County: 16.6 %Dawson County16.6Dundy County: 15.9 %Dundy County15.9Dakota County: 15.4 %Dakota County15.4Thurston County: 15.1 %Thurston County15.1Chase County: 14.4 %Chase County14.4Hall County: 14.4 %Hall County14.4Dixon County: 13.9 %Dixon County13.9Hooker County: 13.6 %Hooker County13.6Sheridan County: 13.6 %Sheridan County13.6Kimball County: 13.4 %Kimball County13.4Morrill County: 13.4 %Morrill County13.4Saline County: 13.2 %Saline County13.2Scotts Bluff County: 13.1 %Scotts Bluff County13.1Box Butte County: 12.8 %Box Butte County12.8Burt County: 12.5 %Burt County12.5Perkins County: 12.5 %Perkins County12.5Cuming County: 12.4 %Cuming County12.4Richardson County: 12.1 %Richardson County12.1Furnas County: 12 %Furnas County12Polk County: 12 %Polk County12Knox County: 11.8 %Knox County11.8Madison County: 11.7 %Madison County11.7Gosper County: 11.5 %Gosper County11.5Hayes County: 11.4 %Hayes County11.4Clay County: 11.3 %Clay County11.3Deuel County: 11.3 %Deuel County11.3Antelope County: 11.2 %Antelope County11.2Valley County: 11.2 %Valley County11.2Platte County: 11.1 %Platte County11.1Dodge County: 10.9 %Dodge County10.9Harlan County: 10.7 %Harlan County10.7Thomas County: 10.7 %Thomas County10.7Cherry County: 10.5 %Cherry County10.5Johnson County: 10.5 %Johnson County10.5Pawnee County: 10.4 %Pawnee County10.4Dawes County: 10.3 %Dawes County10.3Keith County: 10.3 %Keith County10.3Adams County: 10.2 %Adams County10.2Logan County: 10.2 %Logan County10.2
%. 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
1Colfax County19+1.2 pts
2Dawson County16.6+1.5 pts
3Dundy County15.9-4.1 pts
4Dakota County15.4-0.1 pts
5Thurston County15.1-0.8 pts
6Chase County14.4+0.6 pts
6Hall County14.4+1.6 pts
8Dixon County13.9+3.3 pts
9Hooker County13.6+2.3 pts
9Sheridan County13.6-2.9 pts
11Kimball County13.4+1.1 pts
11Morrill County13.4+0.2 pts
13Saline County13.2+0.7 pts
14Scotts Bluff County13.1+1.6 pts
15Box Butte County12.8+2.5 pts
16Burt County12.5+1.3 pts
16Perkins County12.5+1.1 pts
18Cuming County12.4+0.6 pts
19Richardson County12.1+2.3 pts
20Furnas County12-0.3 pts
20Polk County12+1.4 pts
22Knox County11.8-0.7 pts
23Madison County11.7+0.5 pts
24Gosper County11.5+2.8 pts
25Hayes County11.4-8 pts
26Clay County11.3+0.4 pts
26Deuel County11.3+0.6 pts
28Antelope County11.2+1 pts
28Valley County11.20 pts
30Platte County11.1+1 pts
31Dodge County10.9+0.8 pts
32Harlan County10.7-0.4 pts
32Thomas County10.7-3.9 pts
34Cherry County10.5-5.5 pts
34Johnson County10.5+0.1 pts
36Pawnee County10.4-1.4 pts
37Dawes County10.3-0.3 pts
37Keith County10.3+0.1 pts
39Adams County10.2+0.6 pts
39Logan County10.2-0.9 pts
41Hitchcock County10.1-1.4 pts
42Brown County10-3.2 pts
42Garden County10-3.2 pts
42Greeley County10-2.9 pts
42Jefferson County10+0.7 pts
46Nuckolls County9.9-0.8 pts
46Red Willow County9.9+0.1 pts
48Custer County9.8-1.4 pts
49Boyd County9.7-2.9 pts
49Grant County9.7-1.6 pts
51Buffalo County9.6+0.1 pts
51Thayer County9.6+0.4 pts
53Cedar County9.50 pts
53Lincoln County9.5+1 pts
53Merrick County9.5-0.6 pts
56Gage County9.3+0.5 pts
57Douglas County9.2-1.1 pts
57Phelps County9.2+1.2 pts
59Nemaha County9.1+1.4 pts
60Fillmore County8.9+0.2 pts
61Keya Paha County8.8-10 pts
61Webster County8.8-0.3 pts
63Sherman County8.7-3.8 pts
63Stanton County8.7+0.9 pts
65Holt County8.6-1.4 pts
65Lancaster County8.6+0.4 pts
65Otoe County8.6-0.9 pts
65Wayne County8.6+0.8 pts
69Franklin County8.5-1.7 pts
70Cheyenne County8.3+0.9 pts
70Frontier County8.3-2.8 pts
70Wheeler County8.3-4.6 pts
70York County8.3+0.3 pts
74Butler County8.2+0.2 pts
74Kearney County8.2+0.8 pts
74McPherson County8.2-4.4 pts
74Nance County8.2-1.3 pts
78Hamilton County8.1+1.1 pts
78Rock County8.1-4.2 pts
80Saunders County7.9+0.8 pts
81Blaine County7.8-12.3 pts
81Boone County7.8-1.8 pts
81Sioux County7.8-6.5 pts
84Cass County7.7+1.1 pts
85Howard County7.6-1.8 pts
86Loup County7.4-3.6 pts
86Seward County7.4+0.7 pts
88Garfield County7.3-2.4 pts
89Pierce County7.1-1.3 pts
90Washington County7+0.3 pts
91Banner County6.5-0.5 pts
92Arthur County6.3-6.1 pts
93Sarpy County6.1+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-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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-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)?

Colfax County, with 19% in 2020, according to the U.S. Census Bureau.

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

Sarpy County, with 6.1% 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 Nebraska: more rankings