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

Duplin County had the highest uninsured rate, under 65 (US model-based estimate) of 100 counties in 2015, at 21.4%. Wake County had the lowest, at 9.7%. The median was 13.6% and the figure for North Carolina was 13%. Source: the U.S. Census Bureau.

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Highest21.4Duplin County
Lowest9.7Wake County
Median13.6100 counties
North Carolina13History

Map of counties, 2015

Alamance County: 14.1 %Alexander County: 11.7 %Alleghany County: 18.2 %Anson County: 13.7 %Ashe County: 17.3 %Avery County: 17.6 %Beaufort County: 13.4 %Bertie County: 12.6 %Bladen County: 16.6 %Brunswick County: 14.7 %Buncombe County: 13.4 %Burke County: 15.4 %Cabarrus County: 11 %Caldwell County: 15.1 %Camden County: 10.8 %Carteret County: 13.3 %Caswell County: 12.9 %Catawba County: 13.9 %Chatham County: 15.1 %Cherokee County: 15 %Chowan County: 13.9 %Clay County: 15.1 %Cleveland County: 13.2 %Columbus County: 15.3 %Craven County: 11.8 %Cumberland County: 10.8 %Currituck County: 12.2 %Dare County: 14.7 %Davidson County: 13.3 %Davie County: 13 %Duplin County: 21.4 %Durham County: 13.7 %Edgecombe County: 12.2 %Forsyth County: 13.1 %Franklin County: 14.1 %Gaston County: 13 %Gates County: 11.1 %Graham County: 16.8 %Granville County: 11 %Greene County: 18.1 %Guilford County: 13.2 %Halifax County: 13.4 %Harnett County: 13.1 %Haywood County: 12 %Henderson County: 14.6 %Hertford County: 12.7 %Hoke County: 16.6 %Hyde County: 15.8 %Iredell County: 11.8 %Jackson County: 18.1 %Johnston County: 13.7 %Jones County: 14.7 %Lee County: 15.8 %Lenoir County: 14.8 %Lincoln County: 13.6 %McDowell County: 12.6 %Macon County: 17.7 %Madison County: 12.3 %Martin County: 12.3 %Mecklenburg County: 12.9 %Mitchell County: 14.5 %Montgomery County: 17 %Moore County: 12.5 %Nash County: 12.4 %New Hanover County: 12.4 %Northampton County: 12.7 %Onslow County: 9.8 %Orange County: 10.4 %Pamlico County: 13.2 %Pasquotank County: 11.9 %Pender County: 14.4 %Perquimans County: 12.4 %Person County: 11.7 %Pitt County: 12.5 %Polk County: 13.6 %Randolph County: 16.1 %Richmond County: 15.2 %Robeson County: 19.6 %Rockingham County: 13.2 %Rowan County: 13.9 %Rutherford County: 13.2 %Sampson County: 18.8 %Scotland County: 14.7 %Stanly County: 12.8 %Stokes County: 12.8 %Surry County: 15.9 %Swain County: 18 %Transylvania County: 13.7 %Tyrrell County: 19.2 %Union County: 11.3 %Vance County: 13.7 %Wake County: 9.7 %Warren County: 16.8 %Washington County: 13.8 %Watauga County: 13.2 %Wayne County: 13.8 %Wilkes County: 15.9 %Wilson County: 15 %Yadkin County: 14.6 %Yancey County: 13.5 %
  • Under 12
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  • 16 and over
%, 2015. 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, 2015

Duplin County: 21.4 %Duplin County21.4Robeson County: 19.6 %Robeson County19.6Tyrrell County: 19.2 %Tyrrell County19.2Sampson County: 18.8 %Sampson County18.8Alleghany County: 18.2 %Alleghany County18.2Greene County: 18.1 %Greene County18.1Jackson County: 18.1 %Jackson County18.1Swain County: 18 %Swain County18Macon County: 17.7 %Macon County17.7Avery County: 17.6 %Avery County17.6Ashe County: 17.3 %Ashe County17.3Montgomery County: 17 %Montgomery County17Graham County: 16.8 %Graham County16.8Warren County: 16.8 %Warren County16.8Bladen County: 16.6 %Bladen County16.6Hoke County: 16.6 %Hoke County16.6Randolph County: 16.1 %Randolph County16.1Surry County: 15.9 %Surry County15.9Wilkes County: 15.9 %Wilkes County15.9Hyde County: 15.8 %Hyde County15.8Lee County: 15.8 %Lee County15.8Burke County: 15.4 %Burke County15.4Columbus County: 15.3 %Columbus County15.3Richmond County: 15.2 %Richmond County15.2Caldwell County: 15.1 %Caldwell County15.1Chatham County: 15.1 %Chatham County15.1Clay County: 15.1 %Clay County15.1Cherokee County: 15 %Cherokee County15Wilson County: 15 %Wilson County15Lenoir County: 14.8 %Lenoir County14.8Brunswick County: 14.7 %Brunswick County14.7Dare County: 14.7 %Dare County14.7Jones County: 14.7 %Jones County14.7Scotland County: 14.7 %Scotland County14.7Henderson County: 14.6 %Henderson County14.6Yadkin County: 14.6 %Yadkin County14.6Mitchell County: 14.5 %Mitchell County14.5Pender County: 14.4 %Pender County14.4Alamance County: 14.1 %Alamance County14.1Franklin County: 14.1 %Franklin County14.1Duplin County: 21.4 %Duplin County21.4Robeson County: 19.6 %Robeson County19.6Tyrrell County: 19.2 %Tyrrell County19.2Sampson County: 18.8 %Sampson County18.8Alleghany County: 18.2 %Alleghany County18.2Greene County: 18.1 %Greene County18.1Jackson County: 18.1 %Jackson County18.1Swain County: 18 %Swain County18Macon County: 17.7 %Macon County17.7Avery County: 17.6 %Avery County17.6Ashe County: 17.3 %Ashe County17.3Montgomery County: 17 %Montgomery County17Graham County: 16.8 %Graham County16.8Warren County: 16.8 %Warren County16.8Bladen County: 16.6 %Bladen County16.6Hoke County: 16.6 %Hoke County16.6Randolph County: 16.1 %Randolph County16.1Surry County: 15.9 %Surry County15.9Wilkes County: 15.9 %Wilkes County15.9Hyde County: 15.8 %Hyde County15.8Lee County: 15.8 %Lee County15.8Burke County: 15.4 %Burke County15.4Columbus County: 15.3 %Columbus County15.3Richmond County: 15.2 %Richmond County15.2Caldwell County: 15.1 %Caldwell County15.1Chatham County: 15.1 %Chatham County15.1Clay County: 15.1 %Clay County15.1Cherokee County: 15 %Cherokee County15Wilson County: 15 %Wilson County15Lenoir County: 14.8 %Lenoir County14.8Brunswick County: 14.7 %Brunswick County14.7Dare County: 14.7 %Dare County14.7Jones County: 14.7 %Jones County14.7Scotland County: 14.7 %Scotland County14.7Henderson County: 14.6 %Henderson County14.6Yadkin County: 14.6 %Yadkin County14.6Mitchell County: 14.5 %Mitchell County14.5Pender County: 14.4 %Pender County14.4Alamance County: 14.1 %Alamance County14.1Franklin County: 14.1 %Franklin County14.1
%. 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

RankCounties2015 (%)Change on 2014
1Duplin County21.4-1.8 pts
2Robeson County19.6-2.1 pts
3Tyrrell County19.2-3.4 pts
4Sampson County18.8-1.5 pts
5Alleghany County18.2-2.8 pts
6Greene County18.1-2 pts
6Jackson County18.1-2.1 pts
8Swain County18-2.7 pts
9Macon County17.7-3.1 pts
10Avery County17.6-3.1 pts
11Ashe County17.3-2.5 pts
12Montgomery County17-3.1 pts
13Graham County16.8-2.2 pts
13Warren County16.8-1 pts
15Bladen County16.6-2 pts
15Hoke County16.6-0.4 pts
17Randolph County16.1-0.9 pts
18Surry County15.9-2.7 pts
18Wilkes County15.9-2.2 pts
20Hyde County15.8-1.6 pts
20Lee County15.8-1.7 pts
22Burke County15.4-1.8 pts
23Columbus County15.3-2.9 pts
24Richmond County15.2-2.5 pts
25Caldwell County15.1-1.9 pts
25Chatham County15.1-0.6 pts
25Clay County15.1-3.9 pts
28Cherokee County15-4.2 pts
28Wilson County15-3 pts
30Lenoir County14.8-1 pts
31Brunswick County14.7-2.7 pts
31Dare County14.7-2.5 pts
31Jones County14.7-2.3 pts
31Scotland County14.7-1.6 pts
35Henderson County14.6-2.5 pts
35Yadkin County14.6-2.1 pts
37Mitchell County14.5-1.6 pts
38Pender County14.4-1.9 pts
39Alamance County14.1-2.4 pts
39Franklin County14.1-3.4 pts
41Catawba County13.9-1.5 pts
41Chowan County13.9-2.4 pts
41Rowan County13.9-3 pts
44Washington County13.8-1.1 pts
44Wayne County13.8-2.9 pts
46Anson County13.7-3 pts
46Durham County13.7-1.4 pts
46Johnston County13.7-2.3 pts
46Transylvania County13.7-2.7 pts
46Vance County13.7-2.2 pts
51Lincoln County13.6-1.7 pts
51Polk County13.6-4.1 pts
53Yancey County13.5-3 pts
54Beaufort County13.4-2.2 pts
54Buncombe County13.4-1.6 pts
54Halifax County13.4-2.1 pts
57Carteret County13.3-3 pts
57Davidson County13.3-2.2 pts
59Cleveland County13.2-0.9 pts
59Guilford County13.2-1.6 pts
59Pamlico County13.2-3 pts
59Rockingham County13.2-1.8 pts
59Rutherford County13.2-2.3 pts
59Watauga County13.2-1.6 pts
65Forsyth County13.1-2.2 pts
65Harnett County13.1-2.4 pts
67Davie County13-1.4 pts
67Gaston County13-2.8 pts
69Caswell County12.9-2.9 pts
69Mecklenburg County12.9-2 pts
71Stanly County12.8-1.9 pts
71Stokes County12.8-1.7 pts
73Hertford County12.7-2.9 pts
73Northampton County12.7-2 pts
75Bertie County12.6-1.8 pts
75McDowell County12.6-2.9 pts
77Moore County12.5-2.5 pts
77Pitt County12.5-1.9 pts
79Nash County12.4-3 pts
79New Hanover County12.4-2.1 pts
79Perquimans County12.4-3 pts
82Madison County12.3-2.9 pts
82Martin County12.3-2.8 pts
84Currituck County12.2-2.8 pts
84Edgecombe County12.2-2.3 pts
86Haywood County12-3.3 pts
87Pasquotank County11.9-3.7 pts
88Craven County11.8-2.7 pts
88Iredell County11.8-2.9 pts
90Alexander County11.7-4.5 pts
90Person County11.7-2.9 pts
92Union County11.3-1.9 pts
93Gates County11.1-3.2 pts
94Cabarrus County11-2.4 pts
94Granville County11-3.6 pts
96Camden County10.8-2.5 pts
96Cumberland County10.8-2.6 pts
98Orange County10.4-1.7 pts
99Onslow County9.8-1.7 pts
100Wake County9.7-2.3 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-2015-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), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-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), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2015. 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), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2015.

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), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2015,
  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), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2015. 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-2015-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), 2015
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-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2015.
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-2015-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)?

Duplin County, with 21.4% in 2015, according to the U.S. Census Bureau.

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

Wake County, with 9.7% in 2015.

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