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 2023, at 14.2%. Sarpy County had the lowest, at 4.6%. The median was 7.5% and the figure for Nebraska was 7.2%. Source: the U.S. Census Bureau.

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Highest14.2Colfax County
Lowest4.6Sarpy County
Median7.593 counties
Nebraska7.2History

Map of counties, 2023

Adams County: 7.3 %Antelope County: 7.5 %Arthur County: 8 %Banner County: 6.6 %Blaine County: 9.5 %Boone County: 6.5 %Box Butte County: 9.3 %Boyd County: 8 %Brown County: 9.3 %Buffalo County: 8.3 %Burt County: 7 %Butler County: 7 %Cass County: 5.3 %Cedar County: 6.7 %Chase County: 9.3 %Cherry County: 7.2 %Cheyenne County: 6.6 %Clay County: 7.2 %Colfax County: 14.2 %Cuming County: 8.9 %Custer County: 7.7 %Dakota County: 10.3 %Dawes County: 7.5 %Dawson County: 10.7 %Deuel County: 7.2 %Dixon County: 9.6 %Dodge County: 8 %Douglas County: 7.9 %Dundy County: 7.6 %Fillmore County: 5.6 %Franklin County: 6.3 %Frontier County: 7.8 %Furnas County: 7.5 %Gage County: 6.3 %Garden County: 8.8 %Garfield County: 7.5 %Gosper County: 7.3 %Grant County: 6.8 %Greeley County: 8.9 %Hall County: 10.8 %Hamilton County: 5.1 %Harlan County: 9.4 %Hayes County: 9.4 %Hitchcock County: 8 %Holt County: 8.2 %Hooker County: 8.4 %Howard County: 5.5 %Jefferson County: 6.3 %Johnson County: 6.9 %Kearney County: 6.2 %Keith County: 8.4 %Keya Paha County: 10.7 %Kimball County: 10.3 %Knox County: 7.8 %Lancaster County: 6.4 %Lincoln County: 7.1 %Logan County: 6.4 %Loup County: 6.2 %McPherson County: 5.3 %Madison County: 6.9 %Merrick County: 6.8 %Morrill County: 8.2 %Nance County: 6.4 %Nemaha County: 7.9 %Nuckolls County: 7.8 %Otoe County: 6.4 %Pawnee County: 9.5 %Perkins County: 10.1 %Phelps County: 6.9 %Pierce County: 5.7 %Platte County: 7.6 %Polk County: 7.7 %Red Willow County: 8.3 %Richardson County: 7.2 %Rock County: 7.7 %Saline County: 11.8 %Sarpy County: 4.6 %Saunders County: 4.8 %Scotts Bluff County: 8.5 %Seward County: 5.6 %Sheridan County: 10.3 %Sherman County: 8.1 %Sioux County: 9.6 %Stanton County: 5.1 %Thayer County: 5.8 %Thomas County: 9.2 %Thurston County: 6.2 %Valley County: 8.9 %Washington County: 5 %Wayne County: 6.3 %Webster County: 6.6 %Wheeler County: 5.2 %York County: 5 %
  • Under 6.2
  • 6.2 to 6.8
  • 6.8 to 7.5
  • 7.5 to 8
  • 8 to 9.3
  • 9.3 and over
%, 2023. 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, 2023

Colfax County: 14.2 %Colfax County14.2Saline County: 11.8 %Saline County11.8Hall County: 10.8 %Hall County10.8Dawson County: 10.7 %Dawson County10.7Keya Paha County: 10.7 %Keya Paha County10.7Dakota County: 10.3 %Dakota County10.3Kimball County: 10.3 %Kimball County10.3Sheridan County: 10.3 %Sheridan County10.3Perkins County: 10.1 %Perkins County10.1Dixon County: 9.6 %Dixon County9.6Sioux County: 9.6 %Sioux County9.6Blaine County: 9.5 %Blaine County9.5Pawnee County: 9.5 %Pawnee County9.5Harlan County: 9.4 %Harlan County9.4Hayes County: 9.4 %Hayes County9.4Box Butte County: 9.3 %Box Butte County9.3Brown County: 9.3 %Brown County9.3Chase County: 9.3 %Chase County9.3Thomas County: 9.2 %Thomas County9.2Cuming County: 8.9 %Cuming County8.9Greeley County: 8.9 %Greeley County8.9Valley County: 8.9 %Valley County8.9Garden County: 8.8 %Garden County8.8Scotts Bluff County: 8.5 %Scotts Bluff County8.5Hooker County: 8.4 %Hooker County8.4Keith County: 8.4 %Keith County8.4Buffalo County: 8.3 %Buffalo County8.3Red Willow County: 8.3 %Red Willow County8.3Holt County: 8.2 %Holt County8.2Morrill County: 8.2 %Morrill County8.2Sherman County: 8.1 %Sherman County8.1Arthur County: 8 %Arthur County8Boyd County: 8 %Boyd County8Dodge County: 8 %Dodge County8Hitchcock County: 8 %Hitchcock County8Douglas County: 7.9 %Douglas County7.9Nemaha County: 7.9 %Nemaha County7.9Frontier County: 7.8 %Frontier County7.8Knox County: 7.8 %Knox County7.8Nuckolls County: 7.8 %Nuckolls County7.8Colfax County: 14.2 %Colfax County14.2Saline County: 11.8 %Saline County11.8Hall County: 10.8 %Hall County10.8Dawson County: 10.7 %Dawson County10.7Keya Paha County: 10.7 %Keya Paha County10.7Dakota County: 10.3 %Dakota County10.3Kimball County: 10.3 %Kimball County10.3Sheridan County: 10.3 %Sheridan County10.3Perkins County: 10.1 %Perkins County10.1Dixon County: 9.6 %Dixon County9.6Sioux County: 9.6 %Sioux County9.6Blaine County: 9.5 %Blaine County9.5Pawnee County: 9.5 %Pawnee County9.5Harlan County: 9.4 %Harlan County9.4Hayes County: 9.4 %Hayes County9.4Box Butte County: 9.3 %Box Butte County9.3Brown County: 9.3 %Brown County9.3Chase County: 9.3 %Chase County9.3Thomas County: 9.2 %Thomas County9.2Cuming County: 8.9 %Cuming County8.9Greeley County: 8.9 %Greeley County8.9Valley County: 8.9 %Valley County8.9Garden County: 8.8 %Garden County8.8Scotts Bluff County: 8.5 %Scotts Bluff County8.5Hooker County: 8.4 %Hooker County8.4Keith County: 8.4 %Keith County8.4Buffalo County: 8.3 %Buffalo County8.3Red Willow County: 8.3 %Red Willow County8.3Holt County: 8.2 %Holt County8.2Morrill County: 8.2 %Morrill County8.2Sherman County: 8.1 %Sherman County8.1Arthur County: 8 %Arthur County8Boyd County: 8 %Boyd County8Dodge County: 8 %Dodge County8Hitchcock County: 8 %Hitchcock County8Douglas County: 7.9 %Douglas County7.9Nemaha County: 7.9 %Nemaha County7.9Frontier County: 7.8 %Frontier County7.8Knox County: 7.8 %Knox County7.8Nuckolls County: 7.8 %Nuckolls County7.8
%. 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

RankCounties2023 (%)Change on 2022
1Colfax County14.2-0.5 pts
2Saline County11.8+0.3 pts
3Hall County10.8+0.4 pts
4Dawson County10.7-1.9 pts
4Keya Paha County10.7+1.3 pts
6Dakota County10.3-0.2 pts
6Kimball County10.3-1.8 pts
6Sheridan County10.3-0.6 pts
9Perkins County10.1-0.7 pts
10Dixon County9.6-0.6 pts
10Sioux County9.6+3.4 pts
12Blaine County9.5+2.2 pts
12Pawnee County9.5+0.2 pts
14Harlan County9.4+0.4 pts
14Hayes County9.4+1.1 pts
16Box Butte County9.3-1.6 pts
16Brown County9.3-0.7 pts
16Chase County9.3-1.9 pts
19Thomas County9.2+0.7 pts
20Cuming County8.9-2.3 pts
20Greeley County8.9-0.2 pts
20Valley County8.9-0.4 pts
23Garden County8.8+0.4 pts
24Scotts Bluff County8.5-1 pts
25Hooker County8.4-0.7 pts
25Keith County8.4+0.1 pts
27Buffalo County8.3+0.4 pts
27Red Willow County8.3+0.2 pts
29Holt County8.2-0.7 pts
29Morrill County8.2-0.8 pts
31Sherman County8.1+0.4 pts
32Arthur County8+1.5 pts
32Boyd County8-0.8 pts
32Dodge County8-0.6 pts
32Hitchcock County8+0.7 pts
36Douglas County7.90 pts
36Nemaha County7.9-1.8 pts
38Frontier County7.80 pts
38Knox County7.8-1.2 pts
38Nuckolls County7.8-1.2 pts
41Custer County7.7+0.4 pts
41Polk County7.7-0.5 pts
41Rock County7.7+0.2 pts
44Dundy County7.6-2.2 pts
44Platte County7.6-1.4 pts
46Antelope County7.5-0.9 pts
46Dawes County7.5-0.4 pts
46Furnas County7.5-1 pts
46Garfield County7.5+1.1 pts
50Adams County7.3-0.7 pts
50Gosper County7.3-1.4 pts
52Cherry County7.2-0.6 pts
52Clay County7.2-1.5 pts
52Deuel County7.2+0.1 pts
52Richardson County7.2-0.8 pts
56Lincoln County7.1-0.2 pts
57Burt County7-1.1 pts
57Butler County7-0.1 pts
59Johnson County6.9+0.1 pts
59Madison County6.9-2.3 pts
59Phelps County6.9-0.5 pts
62Grant County6.8-1.4 pts
62Merrick County6.8-0.5 pts
64Cedar County6.7-0.6 pts
65Banner County6.6+0.2 pts
65Cheyenne County6.6-1 pts
65Webster County6.6-0.4 pts
68Boone County6.5+0.4 pts
69Lancaster County6.4-0.9 pts
69Logan County6.4-0.7 pts
69Nance County6.4-0.2 pts
69Otoe County6.4-0.9 pts
73Franklin County6.3-0.8 pts
73Gage County6.3-1.1 pts
73Jefferson County6.3-1 pts
73Wayne County6.3-0.4 pts
77Kearney County6.2-0.3 pts
77Loup County6.2+1.4 pts
77Thurston County6.2-1.1 pts
80Thayer County5.8-1.5 pts
81Pierce County5.7-0.3 pts
82Fillmore County5.6-1.1 pts
82Seward County5.6-1.1 pts
84Howard County5.5-0.2 pts
85Cass County5.3-0.6 pts
85McPherson County5.3-0.3 pts
87Wheeler County5.2-0.2 pts
88Hamilton County5.1-1 pts
88Stanton County5.1-0.6 pts
90Washington County5-0.5 pts
90York County5-1.3 pts
92Saunders County4.8-0.5 pts
93Sarpy County4.60 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_nebraska_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties?period=2023.
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-2023-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 14.2% in 2023, 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 2023.

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