Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / Counties in North Carolina

Counties in North Carolina by uninsured rate, under 65 (US model-based estimate), 2024

Greene County had the highest uninsured rate, under 65 (US model-based estimate) of 100 counties in 2024, at 16.5%. Wake County had the lowest, at 7.2%. The median was 11% and the figure for North Carolina was 10.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest16.5Greene County
Lowest7.2Wake County
Median11100 counties
North Carolina10.2History

Map of counties, 2024

Alamance County: 11.8 %Alexander County: 10.2 %Alleghany County: 16 %Anson County: 12.1 %Ashe County: 12.9 %Avery County: 14.1 %Beaufort County: 11.2 %Bertie County: 10.5 %Bladen County: 11.4 %Brunswick County: 9 %Buncombe County: 11.7 %Burke County: 12.1 %Cabarrus County: 9 %Caldwell County: 11.6 %Camden County: 7.8 %Carteret County: 9.8 %Caswell County: 12.3 %Catawba County: 11.8 %Chatham County: 11.2 %Cherokee County: 10.6 %Chowan County: 10.9 %Clay County: 11.4 %Cleveland County: 10.1 %Columbus County: 11.7 %Craven County: 9.2 %Cumberland County: 8.8 %Currituck County: 8.1 %Dare County: 9 %Davidson County: 10.3 %Davie County: 9.4 %Duplin County: 16.4 %Durham County: 10.1 %Edgecombe County: 10.8 %Forsyth County: 11 %Franklin County: 11.2 %Gaston County: 11.1 %Gates County: 8.2 %Graham County: 12.4 %Granville County: 10 %Greene County: 16.5 %Guilford County: 10.1 %Halifax County: 12.1 %Harnett County: 9.9 %Haywood County: 9.9 %Henderson County: 12.3 %Hertford County: 10.2 %Hoke County: 10.2 %Hyde County: 12.2 %Iredell County: 9.2 %Jackson County: 13.6 %Johnston County: 10.5 %Jones County: 11.3 %Lee County: 13.5 %Lenoir County: 12.4 %Lincoln County: 8.9 %McDowell County: 12 %Macon County: 14.6 %Madison County: 10.2 %Martin County: 10.9 %Mecklenburg County: 11.2 %Mitchell County: 9.6 %Montgomery County: 14.4 %Moore County: 9 %Nash County: 11.2 %New Hanover County: 8.9 %Northampton County: 9.1 %Onslow County: 8.1 %Orange County: 8.1 %Pamlico County: 10.5 %Pasquotank County: 9.8 %Pender County: 10.3 %Perquimans County: 10.4 %Person County: 11.1 %Pitt County: 9.8 %Polk County: 12.2 %Randolph County: 12.8 %Richmond County: 10.6 %Robeson County: 13.4 %Rockingham County: 10.9 %Rowan County: 11.2 %Rutherford County: 12.6 %Sampson County: 14.2 %Scotland County: 9.7 %Stanly County: 10.1 %Stokes County: 8.9 %Surry County: 13 %Swain County: 11.1 %Transylvania County: 10.1 %Tyrrell County: 13.8 %Union County: 9 %Vance County: 11.7 %Wake County: 7.2 %Warren County: 13.1 %Washington County: 10.6 %Watauga County: 10.8 %Wayne County: 12.5 %Wilkes County: 12.7 %Wilson County: 12.3 %Yadkin County: 11.7 %Yancey County: 11.8 %
  • Under 9.2
  • 9.2 to 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2024. 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, 2024

Greene County: 16.5 %Greene County16.5Duplin County: 16.4 %Duplin County16.4Alleghany County: 16 %Alleghany County16Macon County: 14.6 %Macon County14.6Montgomery County: 14.4 %Montgomery County14.4Sampson County: 14.2 %Sampson County14.2Avery County: 14.1 %Avery County14.1Tyrrell County: 13.8 %Tyrrell County13.8Jackson County: 13.6 %Jackson County13.6Lee County: 13.5 %Lee County13.5Robeson County: 13.4 %Robeson County13.4Warren County: 13.1 %Warren County13.1Surry County: 13 %Surry County13Ashe County: 12.9 %Ashe County12.9Randolph County: 12.8 %Randolph County12.8Wilkes County: 12.7 %Wilkes County12.7Rutherford County: 12.6 %Rutherford County12.6Wayne County: 12.5 %Wayne County12.5Graham County: 12.4 %Graham County12.4Lenoir County: 12.4 %Lenoir County12.4Caswell County: 12.3 %Caswell County12.3Henderson County: 12.3 %Henderson County12.3Wilson County: 12.3 %Wilson County12.3Hyde County: 12.2 %Hyde County12.2Polk County: 12.2 %Polk County12.2Anson County: 12.1 %Anson County12.1Burke County: 12.1 %Burke County12.1Halifax County: 12.1 %Halifax County12.1McDowell County: 12 %McDowell County12Alamance County: 11.8 %Alamance County11.8Catawba County: 11.8 %Catawba County11.8Yancey County: 11.8 %Yancey County11.8Buncombe County: 11.7 %Buncombe County11.7Columbus County: 11.7 %Columbus County11.7Vance County: 11.7 %Vance County11.7Yadkin County: 11.7 %Yadkin County11.7Caldwell County: 11.6 %Caldwell County11.6Bladen County: 11.4 %Bladen County11.4Clay County: 11.4 %Clay County11.4Jones County: 11.3 %Jones County11.3Greene County: 16.5 %Greene County16.5Duplin County: 16.4 %Duplin County16.4Alleghany County: 16 %Alleghany County16Macon County: 14.6 %Macon County14.6Montgomery County: 14.4 %Montgomery County14.4Sampson County: 14.2 %Sampson County14.2Avery County: 14.1 %Avery County14.1Tyrrell County: 13.8 %Tyrrell County13.8Jackson County: 13.6 %Jackson County13.6Lee County: 13.5 %Lee County13.5Robeson County: 13.4 %Robeson County13.4Warren County: 13.1 %Warren County13.1Surry County: 13 %Surry County13Ashe County: 12.9 %Ashe County12.9Randolph County: 12.8 %Randolph County12.8Wilkes County: 12.7 %Wilkes County12.7Rutherford County: 12.6 %Rutherford County12.6Wayne County: 12.5 %Wayne County12.5Graham County: 12.4 %Graham County12.4Lenoir County: 12.4 %Lenoir County12.4Caswell County: 12.3 %Caswell County12.3Henderson County: 12.3 %Henderson County12.3Wilson County: 12.3 %Wilson County12.3Hyde County: 12.2 %Hyde County12.2Polk County: 12.2 %Polk County12.2Anson County: 12.1 %Anson County12.1Burke County: 12.1 %Burke County12.1Halifax County: 12.1 %Halifax County12.1McDowell County: 12 %McDowell County12Alamance County: 11.8 %Alamance County11.8Catawba County: 11.8 %Catawba County11.8Yancey County: 11.8 %Yancey County11.8Buncombe County: 11.7 %Buncombe County11.7Columbus County: 11.7 %Columbus County11.7Vance County: 11.7 %Vance County11.7Yadkin County: 11.7 %Yadkin County11.7Caldwell County: 11.6 %Caldwell County11.6Bladen County: 11.4 %Bladen County11.4Clay County: 11.4 %Clay County11.4Jones County: 11.3 %Jones County11.3
%. 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

RankCounties2024 (%)Change on 2023
1Greene County16.5-0.9 pts
2Duplin County16.4-0.8 pts
3Alleghany County16-1.2 pts
4Macon County14.6-0.3 pts
5Montgomery County14.40 pts
6Sampson County14.2-3 pts
7Avery County14.1-0.6 pts
8Tyrrell County13.8-2.1 pts
9Jackson County13.6-1.4 pts
10Lee County13.5-0.3 pts
11Robeson County13.4-0.4 pts
12Warren County13.1-1.6 pts
13Surry County13-0.6 pts
14Ashe County12.9-0.4 pts
15Randolph County12.8-0.6 pts
16Wilkes County12.7-1.2 pts
17Rutherford County12.6-0.4 pts
18Wayne County12.5-1.5 pts
19Graham County12.4-1.6 pts
19Lenoir County12.4-0.3 pts
21Caswell County12.3+0.3 pts
21Henderson County12.3-0.5 pts
21Wilson County12.3-0.9 pts
24Hyde County12.2-5.5 pts
24Polk County12.2-0.5 pts
26Anson County12.1-0.8 pts
26Burke County12.1-0.8 pts
26Halifax County12.1+0.1 pts
29McDowell County12-0.4 pts
30Alamance County11.8-0.2 pts
30Catawba County11.8-0.5 pts
30Yancey County11.8-0.8 pts
33Buncombe County11.7-1 pts
33Columbus County11.7-1.6 pts
33Vance County11.7-0.5 pts
33Yadkin County11.7-0.4 pts
37Caldwell County11.6-1.8 pts
38Bladen County11.4+0.1 pts
38Clay County11.4-1.7 pts
40Jones County11.3-1.6 pts
41Beaufort County11.2-0.5 pts
41Chatham County11.2-0.1 pts
41Franklin County11.2-0.4 pts
41Mecklenburg County11.2-1.1 pts
41Nash County11.2-1.6 pts
41Rowan County11.2-0.2 pts
47Gaston County11.1-0.4 pts
47Person County11.1+0.8 pts
47Swain County11.1-4.2 pts
50Forsyth County11-0.6 pts
51Chowan County10.9-0.8 pts
51Martin County10.9-0.6 pts
51Rockingham County10.9-1.8 pts
54Edgecombe County10.80 pts
54Watauga County10.8-1.5 pts
56Cherokee County10.6-1.9 pts
56Richmond County10.6-0.4 pts
56Washington County10.6+0.3 pts
59Bertie County10.5-0.9 pts
59Johnston County10.5-1 pts
59Pamlico County10.5-0.7 pts
62Perquimans County10.4-1.3 pts
63Davidson County10.3-1.5 pts
63Pender County10.3-0.9 pts
65Alexander County10.2-1.2 pts
65Hertford County10.2-0.4 pts
65Hoke County10.2-1.4 pts
65Madison County10.2-0.4 pts
69Cleveland County10.1-0.2 pts
69Durham County10.1-1.3 pts
69Guilford County10.1-0.7 pts
69Stanly County10.1-0.3 pts
69Transylvania County10.1-0.8 pts
74Granville County10-1 pts
75Harnett County9.9-1.7 pts
75Haywood County9.9-1.4 pts
77Carteret County9.8-0.5 pts
77Pasquotank County9.8+0.2 pts
77Pitt County9.8-1.1 pts
80Scotland County9.7-1.3 pts
81Mitchell County9.6-1.6 pts
82Davie County9.4-1 pts
83Craven County9.2-1.7 pts
83Iredell County9.2-1.5 pts
85Northampton County9.1-0.5 pts
86Brunswick County9-0.4 pts
86Cabarrus County9+0.2 pts
86Dare County9-1.2 pts
86Moore County9-0.3 pts
86Union County9-0.1 pts
91Lincoln County8.9-1.5 pts
91New Hanover County8.9-1.7 pts
91Stokes County8.9-2 pts
94Cumberland County8.8-0.8 pts
95Gates County8.2-1.3 pts
96Currituck County8.1-1.5 pts
96Onslow County8.1-0.2 pts
96Orange County8.1-1.4 pts
99Camden County7.8-1.1 pts
100Wake County7.2-0.8 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-2024-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 North Carolina by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 North Carolina by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties. 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 North Carolina by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties.

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 North Carolina by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2024,
  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 North Carolina by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties. 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-2024-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 North Carolina by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties.
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-2024-csv.zip. Retrieved 2026-10-12.
ER  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in North Carolina by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_65","level":"province","within":"North Carolina","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_65&level=province&within=North%20Carolina&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Greene County, with 16.5% in 2024, according to the U.S. Census Bureau.

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

Wake County, with 7.2% in 2024.

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 North Carolina: more rankings