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 2021, at 18.3%. Loup County had the lowest, at 5.1%. The median was 8.4% and the figure for Nebraska was 8.5%. Source: the U.S. Census Bureau.

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Highest18.3Colfax County
Lowest5.1Loup County
Median8.493 counties
Nebraska8.5History

Map of counties, 2021

Adams County: 9.2 %Antelope County: 10.3 %Arthur County: 8 %Banner County: 6.8 %Blaine County: 7.1 %Boone County: 7.4 %Box Butte County: 11.2 %Boyd County: 8.3 %Brown County: 9 %Buffalo County: 8.4 %Burt County: 10 %Butler County: 7.4 %Cass County: 7 %Cedar County: 8 %Chase County: 12.5 %Cherry County: 7.8 %Cheyenne County: 7.2 %Clay County: 10 %Colfax County: 18.3 %Cuming County: 10.4 %Custer County: 8 %Dakota County: 13.5 %Dawes County: 9.6 %Dawson County: 13.7 %Deuel County: 8.5 %Dixon County: 10.8 %Dodge County: 9.6 %Douglas County: 9 %Dundy County: 12.8 %Fillmore County: 8.2 %Franklin County: 7.5 %Frontier County: 7.8 %Furnas County: 10 %Gage County: 7.9 %Garden County: 9.6 %Garfield County: 6.6 %Gosper County: 9.5 %Grant County: 8.4 %Greeley County: 9.6 %Hall County: 12.7 %Hamilton County: 5.9 %Harlan County: 9.5 %Hayes County: 11.4 %Hitchcock County: 8.7 %Holt County: 7.2 %Hooker County: 8.8 %Howard County: 6.7 %Jefferson County: 8.5 %Johnson County: 8.2 %Kearney County: 6.9 %Keith County: 10.1 %Keya Paha County: 9.8 %Kimball County: 12.7 %Knox County: 9.5 %Lancaster County: 7.2 %Lincoln County: 7.1 %Logan County: 9 %Loup County: 5.1 %McPherson County: 7.8 %Madison County: 10 %Merrick County: 7.9 %Morrill County: 11 %Nance County: 6.6 %Nemaha County: 8.3 %Nuckolls County: 9.9 %Otoe County: 7.8 %Pawnee County: 11.2 %Perkins County: 11.2 %Phelps County: 8.2 %Pierce County: 6.2 %Platte County: 9.6 %Polk County: 11.1 %Red Willow County: 8 %Richardson County: 9.3 %Rock County: 8 %Saline County: 12.6 %Sarpy County: 5.6 %Saunders County: 6.5 %Scotts Bluff County: 10.2 %Seward County: 6.2 %Sheridan County: 12.6 %Sherman County: 8.2 %Sioux County: 8 %Stanton County: 7.3 %Thayer County: 8.3 %Thomas County: 7.4 %Thurston County: 11.1 %Valley County: 9.7 %Washington County: 5.9 %Wayne County: 7.4 %Webster County: 7.4 %Wheeler County: 7.7 %York County: 6.1 %
  • Under 7.1
  • 7.1 to 7.9
  • 7.9 to 8.4
  • 8.4 to 9.6
  • 9.6 to 11
  • 11 and over
%, 2021. 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, 2021

Colfax County: 18.3 %Colfax County18.3Dawson County: 13.7 %Dawson County13.7Dakota County: 13.5 %Dakota County13.5Dundy County: 12.8 %Dundy County12.8Hall County: 12.7 %Hall County12.7Kimball County: 12.7 %Kimball County12.7Saline County: 12.6 %Saline County12.6Sheridan County: 12.6 %Sheridan County12.6Chase County: 12.5 %Chase County12.5Hayes County: 11.4 %Hayes County11.4Box Butte County: 11.2 %Box Butte County11.2Pawnee County: 11.2 %Pawnee County11.2Perkins County: 11.2 %Perkins County11.2Polk County: 11.1 %Polk County11.1Thurston County: 11.1 %Thurston County11.1Morrill County: 11 %Morrill County11Dixon County: 10.8 %Dixon County10.8Cuming County: 10.4 %Cuming County10.4Antelope County: 10.3 %Antelope County10.3Scotts Bluff County: 10.2 %Scotts Bluff County10.2Keith County: 10.1 %Keith County10.1Burt County: 10 %Burt County10Clay County: 10 %Clay County10Furnas County: 10 %Furnas County10Madison County: 10 %Madison County10Nuckolls County: 9.9 %Nuckolls County9.9Keya Paha County: 9.8 %Keya Paha County9.8Valley County: 9.7 %Valley County9.7Dawes County: 9.6 %Dawes County9.6Dodge County: 9.6 %Dodge County9.6Garden County: 9.6 %Garden County9.6Greeley County: 9.6 %Greeley County9.6Platte County: 9.6 %Platte County9.6Gosper County: 9.5 %Gosper County9.5Harlan County: 9.5 %Harlan County9.5Knox County: 9.5 %Knox County9.5Richardson County: 9.3 %Richardson County9.3Adams County: 9.2 %Adams County9.2Brown County: 9 %Brown County9Douglas County: 9 %Douglas County9Colfax County: 18.3 %Colfax County18.3Dawson County: 13.7 %Dawson County13.7Dakota County: 13.5 %Dakota County13.5Dundy County: 12.8 %Dundy County12.8Hall County: 12.7 %Hall County12.7Kimball County: 12.7 %Kimball County12.7Saline County: 12.6 %Saline County12.6Sheridan County: 12.6 %Sheridan County12.6Chase County: 12.5 %Chase County12.5Hayes County: 11.4 %Hayes County11.4Box Butte County: 11.2 %Box Butte County11.2Pawnee County: 11.2 %Pawnee County11.2Perkins County: 11.2 %Perkins County11.2Polk County: 11.1 %Polk County11.1Thurston County: 11.1 %Thurston County11.1Morrill County: 11 %Morrill County11Dixon County: 10.8 %Dixon County10.8Cuming County: 10.4 %Cuming County10.4Antelope County: 10.3 %Antelope County10.3Scotts Bluff County: 10.2 %Scotts Bluff County10.2Keith County: 10.1 %Keith County10.1Burt County: 10 %Burt County10Clay County: 10 %Clay County10Furnas County: 10 %Furnas County10Madison County: 10 %Madison County10Nuckolls County: 9.9 %Nuckolls County9.9Keya Paha County: 9.8 %Keya Paha County9.8Valley County: 9.7 %Valley County9.7Dawes County: 9.6 %Dawes County9.6Dodge County: 9.6 %Dodge County9.6Garden County: 9.6 %Garden County9.6Greeley County: 9.6 %Greeley County9.6Platte County: 9.6 %Platte County9.6Gosper County: 9.5 %Gosper County9.5Harlan County: 9.5 %Harlan County9.5Knox County: 9.5 %Knox County9.5Richardson County: 9.3 %Richardson County9.3Adams County: 9.2 %Adams County9.2Brown County: 9 %Brown County9Douglas County: 9 %Douglas County9
%. 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

RankCounties2021 (%)Change on 2020
1Colfax County18.3-0.7 pts
2Dawson County13.7-2.9 pts
3Dakota County13.5-1.9 pts
4Dundy County12.8-3.1 pts
5Hall County12.7-1.7 pts
5Kimball County12.7-0.7 pts
7Saline County12.6-0.6 pts
7Sheridan County12.6-1 pts
9Chase County12.5-1.9 pts
10Hayes County11.40 pts
11Box Butte County11.2-1.6 pts
11Pawnee County11.2+0.8 pts
11Perkins County11.2-1.3 pts
14Polk County11.1-0.9 pts
14Thurston County11.1-4 pts
16Morrill County11-2.4 pts
17Dixon County10.8-3.1 pts
18Cuming County10.4-2 pts
19Antelope County10.3-0.9 pts
20Scotts Bluff County10.2-2.9 pts
21Keith County10.1-0.2 pts
22Burt County10-2.5 pts
22Clay County10-1.3 pts
22Furnas County10-2 pts
22Madison County10-1.7 pts
26Nuckolls County9.90 pts
27Keya Paha County9.8+1 pts
28Valley County9.7-1.5 pts
29Dawes County9.6-0.7 pts
29Dodge County9.6-1.3 pts
29Garden County9.6-0.4 pts
29Greeley County9.6-0.4 pts
29Platte County9.6-1.5 pts
34Gosper County9.5-2 pts
34Harlan County9.5-1.2 pts
34Knox County9.5-2.3 pts
37Richardson County9.3-2.8 pts
38Adams County9.2-1 pts
39Brown County9-1 pts
39Douglas County9-0.2 pts
39Logan County9-1.2 pts
42Hooker County8.8-4.8 pts
43Hitchcock County8.7-1.4 pts
44Deuel County8.5-2.8 pts
44Jefferson County8.5-1.5 pts
46Buffalo County8.4-1.2 pts
46Grant County8.4-1.3 pts
48Boyd County8.3-1.4 pts
48Nemaha County8.3-0.8 pts
48Thayer County8.3-1.3 pts
51Fillmore County8.2-0.7 pts
51Johnson County8.2-2.3 pts
51Phelps County8.2-1 pts
51Sherman County8.2-0.5 pts
55Arthur County8+1.7 pts
55Cedar County8-1.5 pts
55Custer County8-1.8 pts
55Red Willow County8-1.9 pts
55Rock County8-0.1 pts
55Sioux County8+0.2 pts
61Gage County7.9-1.4 pts
61Merrick County7.9-1.6 pts
63Cherry County7.8-2.7 pts
63Frontier County7.8-0.5 pts
63McPherson County7.8-0.4 pts
63Otoe County7.8-0.8 pts
67Wheeler County7.7-0.6 pts
68Franklin County7.5-1 pts
69Boone County7.4-0.4 pts
69Butler County7.4-0.8 pts
69Thomas County7.4-3.3 pts
69Wayne County7.4-1.2 pts
69Webster County7.4-1.4 pts
74Stanton County7.3-1.4 pts
75Cheyenne County7.2-1.1 pts
75Holt County7.2-1.4 pts
75Lancaster County7.2-1.4 pts
78Blaine County7.1-0.7 pts
78Lincoln County7.1-2.4 pts
80Cass County7-0.7 pts
81Kearney County6.9-1.3 pts
82Banner County6.8+0.3 pts
83Howard County6.7-0.9 pts
84Garfield County6.6-0.7 pts
84Nance County6.6-1.6 pts
86Saunders County6.5-1.4 pts
87Pierce County6.2-0.9 pts
87Seward County6.2-1.2 pts
89York County6.1-2.2 pts
90Hamilton County5.9-2.2 pts
90Washington County5.9-1.1 pts
92Sarpy County5.6-0.5 pts
93Loup County5.1-2.3 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2021.
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-2021-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 18.3% in 2021, according to the U.S. Census Bureau.

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

Loup County, with 5.1% in 2021.

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