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 2016, at 20.1%. Wake County had the lowest, at 9.2%. The median was 13.1% and the figure for North Carolina was 12.2%. Source: the U.S. Census Bureau.

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Highest20.1Duplin County
Lowest9.2Wake County
Median13.1100 counties
North Carolina12.2History

Map of counties, 2016

Alamance County: 13.9 %Alexander County: 12.9 %Alleghany County: 16.8 %Anson County: 13.2 %Ashe County: 16.1 %Avery County: 18.5 %Beaufort County: 13 %Bertie County: 12.8 %Bladen County: 16.6 %Brunswick County: 14.6 %Buncombe County: 11.3 %Burke County: 14.2 %Cabarrus County: 9.8 %Caldwell County: 13.9 %Camden County: 10.3 %Carteret County: 12.3 %Caswell County: 13.2 %Catawba County: 13 %Chatham County: 13.5 %Cherokee County: 15.4 %Chowan County: 12.1 %Clay County: 15.1 %Cleveland County: 12 %Columbus County: 14.9 %Craven County: 11.9 %Cumberland County: 10.8 %Currituck County: 11.7 %Dare County: 12.9 %Davidson County: 13 %Davie County: 12.3 %Duplin County: 20.1 %Durham County: 12.8 %Edgecombe County: 12 %Forsyth County: 12.4 %Franklin County: 13.1 %Gaston County: 11.5 %Gates County: 11.3 %Graham County: 16.7 %Granville County: 11.8 %Greene County: 18.2 %Guilford County: 11.4 %Halifax County: 13.7 %Harnett County: 12.5 %Haywood County: 11.4 %Henderson County: 14.2 %Hertford County: 11.7 %Hoke County: 16.2 %Hyde County: 14.3 %Iredell County: 12.1 %Jackson County: 17.6 %Johnston County: 12.9 %Jones County: 13.8 %Lee County: 14.7 %Lenoir County: 14 %Lincoln County: 11.1 %McDowell County: 13.7 %Macon County: 16.6 %Madison County: 12.3 %Martin County: 11.6 %Mecklenburg County: 12.1 %Mitchell County: 13.3 %Montgomery County: 15.4 %Moore County: 11.5 %Nash County: 11.8 %New Hanover County: 10.9 %Northampton County: 12 %Onslow County: 9.6 %Orange County: 10.2 %Pamlico County: 13.4 %Pasquotank County: 12 %Pender County: 13.4 %Perquimans County: 12.4 %Person County: 12.5 %Pitt County: 12.3 %Polk County: 12.4 %Randolph County: 15.3 %Richmond County: 13.7 %Robeson County: 18.4 %Rockingham County: 13.6 %Rowan County: 12.7 %Rutherford County: 13.9 %Sampson County: 18.8 %Scotland County: 13.4 %Stanly County: 12 %Stokes County: 11.7 %Surry County: 15 %Swain County: 18.1 %Transylvania County: 14 %Tyrrell County: 17.4 %Union County: 9.9 %Vance County: 12.4 %Wake County: 9.2 %Warren County: 16.6 %Washington County: 12.7 %Watauga County: 13.2 %Wayne County: 14.7 %Wilkes County: 14.9 %Wilson County: 13.6 %Yadkin County: 14.4 %Yancey County: 14.4 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 and over
%, 2016. 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, 2016

Duplin County: 20.1 %Duplin County20.1Sampson County: 18.8 %Sampson County18.8Avery County: 18.5 %Avery County18.5Robeson County: 18.4 %Robeson County18.4Greene County: 18.2 %Greene County18.2Swain County: 18.1 %Swain County18.1Jackson County: 17.6 %Jackson County17.6Tyrrell County: 17.4 %Tyrrell County17.4Alleghany County: 16.8 %Alleghany County16.8Graham County: 16.7 %Graham County16.7Bladen County: 16.6 %Bladen County16.6Macon County: 16.6 %Macon County16.6Warren County: 16.6 %Warren County16.6Hoke County: 16.2 %Hoke County16.2Ashe County: 16.1 %Ashe County16.1Cherokee County: 15.4 %Cherokee County15.4Montgomery County: 15.4 %Montgomery County15.4Randolph County: 15.3 %Randolph County15.3Clay County: 15.1 %Clay County15.1Surry County: 15 %Surry County15Columbus County: 14.9 %Columbus County14.9Wilkes County: 14.9 %Wilkes County14.9Lee County: 14.7 %Lee County14.7Wayne County: 14.7 %Wayne County14.7Brunswick County: 14.6 %Brunswick County14.6Yadkin County: 14.4 %Yadkin County14.4Yancey County: 14.4 %Yancey County14.4Hyde County: 14.3 %Hyde County14.3Burke County: 14.2 %Burke County14.2Henderson County: 14.2 %Henderson County14.2Lenoir County: 14 %Lenoir County14Transylvania County: 14 %Transylvania County14Alamance County: 13.9 %Alamance County13.9Caldwell County: 13.9 %Caldwell County13.9Rutherford County: 13.9 %Rutherford County13.9Jones County: 13.8 %Jones County13.8Halifax County: 13.7 %Halifax County13.7McDowell County: 13.7 %McDowell County13.7Richmond County: 13.7 %Richmond County13.7Rockingham County: 13.6 %Rockingham County13.6Duplin County: 20.1 %Duplin County20.1Sampson County: 18.8 %Sampson County18.8Avery County: 18.5 %Avery County18.5Robeson County: 18.4 %Robeson County18.4Greene County: 18.2 %Greene County18.2Swain County: 18.1 %Swain County18.1Jackson County: 17.6 %Jackson County17.6Tyrrell County: 17.4 %Tyrrell County17.4Alleghany County: 16.8 %Alleghany County16.8Graham County: 16.7 %Graham County16.7Bladen County: 16.6 %Bladen County16.6Macon County: 16.6 %Macon County16.6Warren County: 16.6 %Warren County16.6Hoke County: 16.2 %Hoke County16.2Ashe County: 16.1 %Ashe County16.1Cherokee County: 15.4 %Cherokee County15.4Montgomery County: 15.4 %Montgomery County15.4Randolph County: 15.3 %Randolph County15.3Clay County: 15.1 %Clay County15.1Surry County: 15 %Surry County15Columbus County: 14.9 %Columbus County14.9Wilkes County: 14.9 %Wilkes County14.9Lee County: 14.7 %Lee County14.7Wayne County: 14.7 %Wayne County14.7Brunswick County: 14.6 %Brunswick County14.6Yadkin County: 14.4 %Yadkin County14.4Yancey County: 14.4 %Yancey County14.4Hyde County: 14.3 %Hyde County14.3Burke County: 14.2 %Burke County14.2Henderson County: 14.2 %Henderson County14.2Lenoir County: 14 %Lenoir County14Transylvania County: 14 %Transylvania County14Alamance County: 13.9 %Alamance County13.9Caldwell County: 13.9 %Caldwell County13.9Rutherford County: 13.9 %Rutherford County13.9Jones County: 13.8 %Jones County13.8Halifax County: 13.7 %Halifax County13.7McDowell County: 13.7 %McDowell County13.7Richmond County: 13.7 %Richmond County13.7Rockingham County: 13.6 %Rockingham County13.6
%. 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

RankCounties2016 (%)Change on 2015
1Duplin County20.1-1.3 pts
2Sampson County18.80 pts
3Avery County18.5+0.9 pts
4Robeson County18.4-1.2 pts
5Greene County18.2+0.1 pts
6Swain County18.1+0.1 pts
7Jackson County17.6-0.5 pts
8Tyrrell County17.4-1.8 pts
9Alleghany County16.8-1.4 pts
10Graham County16.7-0.1 pts
11Bladen County16.60 pts
11Macon County16.6-1.1 pts
11Warren County16.6-0.2 pts
14Hoke County16.2-0.4 pts
15Ashe County16.1-1.2 pts
16Cherokee County15.4+0.4 pts
16Montgomery County15.4-1.6 pts
18Randolph County15.3-0.8 pts
19Clay County15.10 pts
20Surry County15-0.9 pts
21Columbus County14.9-0.4 pts
21Wilkes County14.9-1 pts
23Lee County14.7-1.1 pts
23Wayne County14.7+0.9 pts
25Brunswick County14.6-0.1 pts
26Yadkin County14.4-0.2 pts
26Yancey County14.4+0.9 pts
28Hyde County14.3-1.5 pts
29Burke County14.2-1.2 pts
29Henderson County14.2-0.4 pts
31Lenoir County14-0.8 pts
31Transylvania County14+0.3 pts
33Alamance County13.9-0.2 pts
33Caldwell County13.9-1.2 pts
33Rutherford County13.9+0.7 pts
36Jones County13.8-0.9 pts
37Halifax County13.7+0.3 pts
37McDowell County13.7+1.1 pts
37Richmond County13.7-1.5 pts
40Rockingham County13.6+0.4 pts
40Wilson County13.6-1.4 pts
42Chatham County13.5-1.6 pts
43Pamlico County13.4+0.2 pts
43Pender County13.4-1 pts
43Scotland County13.4-1.3 pts
46Mitchell County13.3-1.2 pts
47Anson County13.2-0.5 pts
47Caswell County13.2+0.3 pts
47Watauga County13.20 pts
50Franklin County13.1-1 pts
51Beaufort County13-0.4 pts
51Catawba County13-0.9 pts
51Davidson County13-0.3 pts
54Alexander County12.9+1.2 pts
54Dare County12.9-1.8 pts
54Johnston County12.9-0.8 pts
57Bertie County12.8+0.2 pts
57Durham County12.8-0.9 pts
59Rowan County12.7-1.2 pts
59Washington County12.7-1.1 pts
61Harnett County12.5-0.6 pts
61Person County12.5+0.8 pts
63Forsyth County12.4-0.7 pts
63Perquimans County12.40 pts
63Polk County12.4-1.2 pts
63Vance County12.4-1.3 pts
67Carteret County12.3-1 pts
67Davie County12.3-0.7 pts
67Madison County12.30 pts
67Pitt County12.3-0.2 pts
71Chowan County12.1-1.8 pts
71Iredell County12.1+0.3 pts
71Mecklenburg County12.1-0.8 pts
74Cleveland County12-1.2 pts
74Edgecombe County12-0.2 pts
74Northampton County12-0.7 pts
74Pasquotank County12+0.1 pts
74Stanly County12-0.8 pts
79Craven County11.9+0.1 pts
80Granville County11.8+0.8 pts
80Nash County11.8-0.6 pts
82Currituck County11.7-0.5 pts
82Hertford County11.7-1 pts
82Stokes County11.7-1.1 pts
85Martin County11.6-0.7 pts
86Gaston County11.5-1.5 pts
86Moore County11.5-1 pts
88Guilford County11.4-1.8 pts
88Haywood County11.4-0.6 pts
90Buncombe County11.3-2.1 pts
90Gates County11.3+0.2 pts
92Lincoln County11.1-2.5 pts
93New Hanover County10.9-1.5 pts
94Cumberland County10.80 pts
95Camden County10.3-0.5 pts
96Orange County10.2-0.2 pts
97Union County9.9-1.4 pts
98Cabarrus County9.8-1.2 pts
99Onslow County9.6-0.2 pts
100Wake County9.2-0.5 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2016.

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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2016,
  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), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2016.
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-2016-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 20.1% in 2016, according to the U.S. Census Bureau.

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

Wake County, with 9.2% in 2016.

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