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)

Avery County had the highest uninsured rate, under 65 (US model-based estimate) of 100 counties in 2017, at 20%. Onslow County had the lowest, at 8.8%. The median was 13.5% and the figure for North Carolina was 12.6%. Source: the U.S. Census Bureau.

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Highest20Avery County
Lowest8.8Onslow County
Median13.5100 counties
North Carolina12.6History

Map of counties, 2017

Alamance County: 14.1 %Alexander County: 13.4 %Alleghany County: 18.3 %Anson County: 13.1 %Ashe County: 15.7 %Avery County: 20 %Beaufort County: 13.9 %Bertie County: 13.2 %Bladen County: 16.7 %Brunswick County: 13.5 %Buncombe County: 13.5 %Burke County: 14.7 %Cabarrus County: 10.4 %Caldwell County: 13.9 %Camden County: 11.9 %Carteret County: 12.7 %Caswell County: 12.9 %Catawba County: 13.2 %Chatham County: 14.2 %Cherokee County: 14 %Chowan County: 11.9 %Clay County: 15.6 %Cleveland County: 11.9 %Columbus County: 14.8 %Craven County: 11.6 %Cumberland County: 10.8 %Currituck County: 12.8 %Dare County: 13 %Davidson County: 12.9 %Davie County: 12.5 %Duplin County: 19.6 %Durham County: 13.4 %Edgecombe County: 12.1 %Forsyth County: 12.9 %Franklin County: 14.4 %Gaston County: 12 %Gates County: 11.7 %Graham County: 18.6 %Granville County: 11.5 %Greene County: 18.8 %Guilford County: 11.9 %Halifax County: 13.5 %Harnett County: 13 %Haywood County: 12 %Henderson County: 15.2 %Hertford County: 11.9 %Hoke County: 15.8 %Hyde County: 15.7 %Iredell County: 11.5 %Jackson County: 18.2 %Johnston County: 14 %Jones County: 15.6 %Lee County: 15 %Lenoir County: 13.5 %Lincoln County: 12.7 %McDowell County: 12.9 %Macon County: 15.6 %Madison County: 12.6 %Martin County: 10.9 %Mecklenburg County: 12.7 %Mitchell County: 14.2 %Montgomery County: 16.3 %Moore County: 11.9 %Nash County: 12.3 %New Hanover County: 12.3 %Northampton County: 11.5 %Onslow County: 8.8 %Orange County: 10.5 %Pamlico County: 12.7 %Pasquotank County: 12.2 %Pender County: 13.7 %Perquimans County: 12.4 %Person County: 11.7 %Pitt County: 10.8 %Polk County: 14.3 %Randolph County: 15 %Richmond County: 14.6 %Robeson County: 18.6 %Rockingham County: 13 %Rowan County: 13.8 %Rutherford County: 13.6 %Sampson County: 18.7 %Scotland County: 14.2 %Stanly County: 12.9 %Stokes County: 13.3 %Surry County: 14.7 %Swain County: 18.3 %Transylvania County: 15.3 %Tyrrell County: 17 %Union County: 10.5 %Vance County: 12.1 %Wake County: 10 %Warren County: 16.4 %Washington County: 13.1 %Watauga County: 14.2 %Wayne County: 15 %Wilkes County: 15.7 %Wilson County: 13.8 %Yadkin County: 14.1 %Yancey County: 14.7 %
  • Under 12
  • 12 to 13
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  • 14 to 16
  • 16 and over
%, 2017. 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, 2017

Avery County: 20 %Avery County20Duplin County: 19.6 %Duplin County19.6Greene County: 18.8 %Greene County18.8Sampson County: 18.7 %Sampson County18.7Graham County: 18.6 %Graham County18.6Robeson County: 18.6 %Robeson County18.6Alleghany County: 18.3 %Alleghany County18.3Swain County: 18.3 %Swain County18.3Jackson County: 18.2 %Jackson County18.2Tyrrell County: 17 %Tyrrell County17Bladen County: 16.7 %Bladen County16.7Warren County: 16.4 %Warren County16.4Montgomery County: 16.3 %Montgomery County16.3Hoke County: 15.8 %Hoke County15.8Ashe County: 15.7 %Ashe County15.7Hyde County: 15.7 %Hyde County15.7Wilkes County: 15.7 %Wilkes County15.7Clay County: 15.6 %Clay County15.6Jones County: 15.6 %Jones County15.6Macon County: 15.6 %Macon County15.6Transylvania County: 15.3 %Transylvania County15.3Henderson County: 15.2 %Henderson County15.2Lee County: 15 %Lee County15Randolph County: 15 %Randolph County15Wayne County: 15 %Wayne County15Columbus County: 14.8 %Columbus County14.8Burke County: 14.7 %Burke County14.7Surry County: 14.7 %Surry County14.7Yancey County: 14.7 %Yancey County14.7Richmond County: 14.6 %Richmond County14.6Franklin County: 14.4 %Franklin County14.4Polk County: 14.3 %Polk County14.3Chatham County: 14.2 %Chatham County14.2Mitchell County: 14.2 %Mitchell County14.2Scotland County: 14.2 %Scotland County14.2Watauga County: 14.2 %Watauga County14.2Alamance County: 14.1 %Alamance County14.1Yadkin County: 14.1 %Yadkin County14.1Cherokee County: 14 %Cherokee County14Johnston County: 14 %Johnston County14Avery County: 20 %Avery County20Duplin County: 19.6 %Duplin County19.6Greene County: 18.8 %Greene County18.8Sampson County: 18.7 %Sampson County18.7Graham County: 18.6 %Graham County18.6Robeson County: 18.6 %Robeson County18.6Alleghany County: 18.3 %Alleghany County18.3Swain County: 18.3 %Swain County18.3Jackson County: 18.2 %Jackson County18.2Tyrrell County: 17 %Tyrrell County17Bladen County: 16.7 %Bladen County16.7Warren County: 16.4 %Warren County16.4Montgomery County: 16.3 %Montgomery County16.3Hoke County: 15.8 %Hoke County15.8Ashe County: 15.7 %Ashe County15.7Hyde County: 15.7 %Hyde County15.7Wilkes County: 15.7 %Wilkes County15.7Clay County: 15.6 %Clay County15.6Jones County: 15.6 %Jones County15.6Macon County: 15.6 %Macon County15.6Transylvania County: 15.3 %Transylvania County15.3Henderson County: 15.2 %Henderson County15.2Lee County: 15 %Lee County15Randolph County: 15 %Randolph County15Wayne County: 15 %Wayne County15Columbus County: 14.8 %Columbus County14.8Burke County: 14.7 %Burke County14.7Surry County: 14.7 %Surry County14.7Yancey County: 14.7 %Yancey County14.7Richmond County: 14.6 %Richmond County14.6Franklin County: 14.4 %Franklin County14.4Polk County: 14.3 %Polk County14.3Chatham County: 14.2 %Chatham County14.2Mitchell County: 14.2 %Mitchell County14.2Scotland County: 14.2 %Scotland County14.2Watauga County: 14.2 %Watauga County14.2Alamance County: 14.1 %Alamance County14.1Yadkin County: 14.1 %Yadkin County14.1Cherokee County: 14 %Cherokee County14Johnston County: 14 %Johnston County14
%. 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

RankCounties2017 (%)Change on 2016
1Avery County20+1.5 pts
2Duplin County19.6-0.5 pts
3Greene County18.8+0.6 pts
4Sampson County18.7-0.1 pts
5Graham County18.6+1.9 pts
5Robeson County18.6+0.2 pts
7Alleghany County18.3+1.5 pts
7Swain County18.3+0.2 pts
9Jackson County18.2+0.6 pts
10Tyrrell County17-0.4 pts
11Bladen County16.7+0.1 pts
12Warren County16.4-0.2 pts
13Montgomery County16.3+0.9 pts
14Hoke County15.8-0.4 pts
15Ashe County15.7-0.4 pts
15Hyde County15.7+1.4 pts
15Wilkes County15.7+0.8 pts
18Clay County15.6+0.5 pts
18Jones County15.6+1.8 pts
18Macon County15.6-1 pts
21Transylvania County15.3+1.3 pts
22Henderson County15.2+1 pts
23Lee County15+0.3 pts
23Randolph County15-0.3 pts
23Wayne County15+0.3 pts
26Columbus County14.8-0.1 pts
27Burke County14.7+0.5 pts
27Surry County14.7-0.3 pts
27Yancey County14.7+0.3 pts
30Richmond County14.6+0.9 pts
31Franklin County14.4+1.3 pts
32Polk County14.3+1.9 pts
33Chatham County14.2+0.7 pts
33Mitchell County14.2+0.9 pts
33Scotland County14.2+0.8 pts
33Watauga County14.2+1 pts
37Alamance County14.1+0.2 pts
37Yadkin County14.1-0.3 pts
39Cherokee County14-1.4 pts
39Johnston County14+1.1 pts
41Beaufort County13.9+0.9 pts
41Caldwell County13.90 pts
43Rowan County13.8+1.1 pts
43Wilson County13.8+0.2 pts
45Pender County13.7+0.3 pts
46Rutherford County13.6-0.3 pts
47Brunswick County13.5-1.1 pts
47Buncombe County13.5+2.2 pts
47Halifax County13.5-0.2 pts
47Lenoir County13.5-0.5 pts
51Alexander County13.4+0.5 pts
51Durham County13.4+0.6 pts
53Stokes County13.3+1.6 pts
54Bertie County13.2+0.4 pts
54Catawba County13.2+0.2 pts
56Anson County13.1-0.1 pts
56Washington County13.1+0.4 pts
58Dare County13+0.1 pts
58Harnett County13+0.5 pts
58Rockingham County13-0.6 pts
61Caswell County12.9-0.3 pts
61Davidson County12.9-0.1 pts
61Forsyth County12.9+0.5 pts
61McDowell County12.9-0.8 pts
61Stanly County12.9+0.9 pts
66Currituck County12.8+1.1 pts
67Carteret County12.7+0.4 pts
67Lincoln County12.7+1.6 pts
67Mecklenburg County12.7+0.6 pts
67Pamlico County12.7-0.7 pts
71Madison County12.6+0.3 pts
72Davie County12.5+0.2 pts
73Perquimans County12.40 pts
74Nash County12.3+0.5 pts
74New Hanover County12.3+1.4 pts
76Pasquotank County12.2+0.2 pts
77Edgecombe County12.1+0.1 pts
77Vance County12.1-0.3 pts
79Gaston County12+0.5 pts
79Haywood County12+0.6 pts
81Camden County11.9+1.6 pts
81Chowan County11.9-0.2 pts
81Cleveland County11.9-0.1 pts
81Guilford County11.9+0.5 pts
81Hertford County11.9+0.2 pts
81Moore County11.9+0.4 pts
87Gates County11.7+0.4 pts
87Person County11.7-0.8 pts
89Craven County11.6-0.3 pts
90Granville County11.5-0.3 pts
90Iredell County11.5-0.6 pts
90Northampton County11.5-0.5 pts
93Martin County10.9-0.7 pts
94Cumberland County10.80 pts
94Pitt County10.8-1.5 pts
96Orange County10.5+0.3 pts
96Union County10.5+0.6 pts
98Cabarrus County10.4+0.6 pts
99Wake County10+0.8 pts
100Onslow County8.8-0.8 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2017.
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-2017-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)?

Avery County, with 20% in 2017, according to the U.S. Census Bureau.

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

Onslow County, with 8.8% in 2017.

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