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 2022, at 14.7%. Sarpy County had the lowest, at 4.6%. The median was 7.9% and the figure for Nebraska was 7.7%. Source: the U.S. Census Bureau.

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Highest14.7Colfax County
Lowest4.6Sarpy County
Median7.993 counties
Nebraska7.7History

Map of counties, 2022

Adams County: 8 %Antelope County: 8.4 %Arthur County: 6.5 %Banner County: 6.4 %Blaine County: 7.3 %Boone County: 6.1 %Box Butte County: 10.9 %Boyd County: 8.8 %Brown County: 10 %Buffalo County: 7.9 %Burt County: 8.1 %Butler County: 7.1 %Cass County: 5.9 %Cedar County: 7.3 %Chase County: 11.2 %Cherry County: 7.8 %Cheyenne County: 7.6 %Clay County: 8.7 %Colfax County: 14.7 %Cuming County: 11.2 %Custer County: 7.3 %Dakota County: 10.5 %Dawes County: 7.9 %Dawson County: 12.6 %Deuel County: 7.1 %Dixon County: 10.2 %Dodge County: 8.6 %Douglas County: 7.9 %Dundy County: 9.8 %Fillmore County: 6.7 %Franklin County: 7.1 %Frontier County: 7.8 %Furnas County: 8.5 %Gage County: 7.4 %Garden County: 8.4 %Garfield County: 6.4 %Gosper County: 8.7 %Grant County: 8.2 %Greeley County: 9.1 %Hall County: 10.4 %Hamilton County: 6.1 %Harlan County: 9 %Hayes County: 8.3 %Hitchcock County: 7.3 %Holt County: 8.9 %Hooker County: 9.1 %Howard County: 5.7 %Jefferson County: 7.3 %Johnson County: 6.8 %Kearney County: 6.5 %Keith County: 8.3 %Keya Paha County: 9.4 %Kimball County: 12.1 %Knox County: 9 %Lancaster County: 7.3 %Lincoln County: 7.3 %Logan County: 7.1 %Loup County: 4.8 %McPherson County: 5.6 %Madison County: 9.2 %Merrick County: 7.3 %Morrill County: 9 %Nance County: 6.6 %Nemaha County: 9.7 %Nuckolls County: 9 %Otoe County: 7.3 %Pawnee County: 9.3 %Perkins County: 10.8 %Phelps County: 7.4 %Pierce County: 6 %Platte County: 9 %Polk County: 8.2 %Red Willow County: 8.1 %Richardson County: 8 %Rock County: 7.5 %Saline County: 11.5 %Sarpy County: 4.6 %Saunders County: 5.3 %Scotts Bluff County: 9.5 %Seward County: 6.7 %Sheridan County: 10.9 %Sherman County: 7.7 %Sioux County: 6.2 %Stanton County: 5.7 %Thayer County: 7.3 %Thomas County: 8.5 %Thurston County: 7.3 %Valley County: 9.3 %Washington County: 5.5 %Wayne County: 6.7 %Webster County: 7 %Wheeler County: 5.4 %York County: 6.3 %
  • Under 6.4
  • 6.4 to 7.3
  • 7.3 to 7.9
  • 7.9 to 8.6
  • 8.6 to 9.5
  • 9.5 and over
%, 2022. 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, 2022

Colfax County: 14.7 %Colfax County14.7Dawson County: 12.6 %Dawson County12.6Kimball County: 12.1 %Kimball County12.1Saline County: 11.5 %Saline County11.5Chase County: 11.2 %Chase County11.2Cuming County: 11.2 %Cuming County11.2Box Butte County: 10.9 %Box Butte County10.9Sheridan County: 10.9 %Sheridan County10.9Perkins County: 10.8 %Perkins County10.8Dakota County: 10.5 %Dakota County10.5Hall County: 10.4 %Hall County10.4Dixon County: 10.2 %Dixon County10.2Brown County: 10 %Brown County10Dundy County: 9.8 %Dundy County9.8Nemaha County: 9.7 %Nemaha County9.7Scotts Bluff County: 9.5 %Scotts Bluff County9.5Keya Paha County: 9.4 %Keya Paha County9.4Pawnee County: 9.3 %Pawnee County9.3Valley County: 9.3 %Valley County9.3Madison County: 9.2 %Madison County9.2Greeley County: 9.1 %Greeley County9.1Hooker County: 9.1 %Hooker County9.1Harlan County: 9 %Harlan County9Knox County: 9 %Knox County9Morrill County: 9 %Morrill County9Nuckolls County: 9 %Nuckolls County9Platte County: 9 %Platte County9Holt County: 8.9 %Holt County8.9Boyd County: 8.8 %Boyd County8.8Clay County: 8.7 %Clay County8.7Gosper County: 8.7 %Gosper County8.7Dodge County: 8.6 %Dodge County8.6Furnas County: 8.5 %Furnas County8.5Thomas County: 8.5 %Thomas County8.5Antelope County: 8.4 %Antelope County8.4Garden County: 8.4 %Garden County8.4Hayes County: 8.3 %Hayes County8.3Keith County: 8.3 %Keith County8.3Grant County: 8.2 %Grant County8.2Polk County: 8.2 %Polk County8.2Colfax County: 14.7 %Colfax County14.7Dawson County: 12.6 %Dawson County12.6Kimball County: 12.1 %Kimball County12.1Saline County: 11.5 %Saline County11.5Chase County: 11.2 %Chase County11.2Cuming County: 11.2 %Cuming County11.2Box Butte County: 10.9 %Box Butte County10.9Sheridan County: 10.9 %Sheridan County10.9Perkins County: 10.8 %Perkins County10.8Dakota County: 10.5 %Dakota County10.5Hall County: 10.4 %Hall County10.4Dixon County: 10.2 %Dixon County10.2Brown County: 10 %Brown County10Dundy County: 9.8 %Dundy County9.8Nemaha County: 9.7 %Nemaha County9.7Scotts Bluff County: 9.5 %Scotts Bluff County9.5Keya Paha County: 9.4 %Keya Paha County9.4Pawnee County: 9.3 %Pawnee County9.3Valley County: 9.3 %Valley County9.3Madison County: 9.2 %Madison County9.2Greeley County: 9.1 %Greeley County9.1Hooker County: 9.1 %Hooker County9.1Harlan County: 9 %Harlan County9Knox County: 9 %Knox County9Morrill County: 9 %Morrill County9Nuckolls County: 9 %Nuckolls County9Platte County: 9 %Platte County9Holt County: 8.9 %Holt County8.9Boyd County: 8.8 %Boyd County8.8Clay County: 8.7 %Clay County8.7Gosper County: 8.7 %Gosper County8.7Dodge County: 8.6 %Dodge County8.6Furnas County: 8.5 %Furnas County8.5Thomas County: 8.5 %Thomas County8.5Antelope County: 8.4 %Antelope County8.4Garden County: 8.4 %Garden County8.4Hayes County: 8.3 %Hayes County8.3Keith County: 8.3 %Keith County8.3Grant County: 8.2 %Grant County8.2Polk County: 8.2 %Polk County8.2
%. 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

RankCounties2022 (%)Change on 2021
1Colfax County14.7-3.6 pts
2Dawson County12.6-1.1 pts
3Kimball County12.1-0.6 pts
4Saline County11.5-1.1 pts
5Chase County11.2-1.3 pts
5Cuming County11.2+0.8 pts
7Box Butte County10.9-0.3 pts
7Sheridan County10.9-1.7 pts
9Perkins County10.8-0.4 pts
10Dakota County10.5-3 pts
11Hall County10.4-2.3 pts
12Dixon County10.2-0.6 pts
13Brown County10+1 pts
14Dundy County9.8-3 pts
15Nemaha County9.7+1.4 pts
16Scotts Bluff County9.5-0.7 pts
17Keya Paha County9.4-0.4 pts
18Pawnee County9.3-1.9 pts
18Valley County9.3-0.4 pts
20Madison County9.2-0.8 pts
21Greeley County9.1-0.5 pts
21Hooker County9.1+0.3 pts
23Harlan County9-0.5 pts
23Knox County9-0.5 pts
23Morrill County9-2 pts
23Nuckolls County9-0.9 pts
23Platte County9-0.6 pts
28Holt County8.9+1.7 pts
29Boyd County8.8+0.5 pts
30Clay County8.7-1.3 pts
30Gosper County8.7-0.8 pts
32Dodge County8.6-1 pts
33Furnas County8.5-1.5 pts
33Thomas County8.5+1.1 pts
35Antelope County8.4-1.9 pts
35Garden County8.4-1.2 pts
37Hayes County8.3-3.1 pts
37Keith County8.3-1.8 pts
39Grant County8.2-0.2 pts
39Polk County8.2-2.9 pts
41Burt County8.1-1.9 pts
41Red Willow County8.1+0.1 pts
43Adams County8-1.2 pts
43Richardson County8-1.3 pts
45Buffalo County7.9-0.5 pts
45Dawes County7.9-1.7 pts
45Douglas County7.9-1.1 pts
48Cherry County7.80 pts
48Frontier County7.80 pts
50Sherman County7.7-0.5 pts
51Cheyenne County7.6+0.4 pts
52Rock County7.5-0.5 pts
53Gage County7.4-0.5 pts
53Phelps County7.4-0.8 pts
55Blaine County7.3+0.2 pts
55Cedar County7.3-0.7 pts
55Custer County7.3-0.7 pts
55Hitchcock County7.3-1.4 pts
55Jefferson County7.3-1.2 pts
55Lancaster County7.3+0.1 pts
55Lincoln County7.3+0.2 pts
55Merrick County7.3-0.6 pts
55Otoe County7.3-0.5 pts
55Thayer County7.3-1 pts
55Thurston County7.3-3.8 pts
66Butler County7.1-0.3 pts
66Deuel County7.1-1.4 pts
66Franklin County7.1-0.4 pts
66Logan County7.1-1.9 pts
70Webster County7-0.4 pts
71Johnson County6.8-1.4 pts
72Fillmore County6.7-1.5 pts
72Seward County6.7+0.5 pts
72Wayne County6.7-0.7 pts
75Nance County6.60 pts
76Arthur County6.5-1.5 pts
76Kearney County6.5-0.4 pts
78Banner County6.4-0.4 pts
78Garfield County6.4-0.2 pts
80York County6.3+0.2 pts
81Sioux County6.2-1.8 pts
82Boone County6.1-1.3 pts
82Hamilton County6.1+0.2 pts
84Pierce County6-0.2 pts
85Cass County5.9-1.1 pts
86Howard County5.7-1 pts
86Stanton County5.7-1.6 pts
88McPherson County5.6-2.2 pts
89Washington County5.5-0.4 pts
90Wheeler County5.4-2.3 pts
91Saunders County5.3-1.2 pts
92Loup County4.8-0.3 pts
93Sarpy County4.6-1 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2022.
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-2022-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 14.7% in 2022, according to the U.S. Census Bureau.

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

Sarpy County, with 4.6% in 2022.

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