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)

Swain County had the highest uninsured rate, under 65 (US model-based estimate) of 100 counties in 2019, at 22.3%. Wake County had the lowest, at 10.1%. The median was 14.1% and the figure for North Carolina was 13.4%. Source: the U.S. Census Bureau.

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Highest22.3Swain County
Lowest10.1Wake County
Median14.1100 counties
North Carolina13.4History

Map of counties, 2019

Alamance County: 14.8 %Alexander County: 13.6 %Alleghany County: 19.5 %Anson County: 13.3 %Ashe County: 16.5 %Avery County: 19.2 %Beaufort County: 14.4 %Bertie County: 12.6 %Bladen County: 16.1 %Brunswick County: 13.5 %Buncombe County: 14.6 %Burke County: 15.5 %Cabarrus County: 11.2 %Caldwell County: 15.3 %Camden County: 11.2 %Carteret County: 13.4 %Caswell County: 13.3 %Catawba County: 15.4 %Chatham County: 14 %Cherokee County: 16.6 %Chowan County: 11.8 %Clay County: 17.2 %Cleveland County: 13.6 %Columbus County: 16.6 %Craven County: 12.9 %Cumberland County: 12.5 %Currituck County: 12.7 %Dare County: 13.6 %Davidson County: 14.6 %Davie County: 13 %Duplin County: 21.6 %Durham County: 14 %Edgecombe County: 12.1 %Forsyth County: 14.2 %Franklin County: 13.8 %Gaston County: 13.9 %Gates County: 11.8 %Graham County: 19 %Granville County: 13.2 %Greene County: 20.7 %Guilford County: 13.1 %Halifax County: 15 %Harnett County: 15.1 %Haywood County: 12.4 %Henderson County: 14.7 %Hertford County: 13.6 %Hoke County: 16.5 %Hyde County: 16.8 %Iredell County: 12.8 %Jackson County: 19.2 %Johnston County: 14.5 %Jones County: 17.5 %Lee County: 15.9 %Lenoir County: 14.9 %Lincoln County: 13 %McDowell County: 14.8 %Macon County: 18.2 %Madison County: 13.4 %Martin County: 13 %Mecklenburg County: 13.2 %Mitchell County: 14.6 %Montgomery County: 17.3 %Moore County: 12 %Nash County: 12.6 %New Hanover County: 12.2 %Northampton County: 13 %Onslow County: 10.6 %Orange County: 10.5 %Pamlico County: 14.6 %Pasquotank County: 12.2 %Pender County: 13.4 %Perquimans County: 12.8 %Person County: 12.7 %Pitt County: 12 %Polk County: 14.1 %Randolph County: 17.4 %Richmond County: 14.7 %Robeson County: 18.5 %Rockingham County: 13.7 %Rowan County: 14.5 %Rutherford County: 13.8 %Sampson County: 20.2 %Scotland County: 13.7 %Stanly County: 14.6 %Stokes County: 12.3 %Surry County: 16.7 %Swain County: 22.3 %Transylvania County: 15.9 %Tyrrell County: 16.3 %Union County: 11.3 %Vance County: 14.6 %Wake County: 10.1 %Warren County: 17 %Washington County: 14.1 %Watauga County: 13.1 %Wayne County: 15.4 %Wilkes County: 16.4 %Wilson County: 16.1 %Yadkin County: 15.3 %Yancey County: 15.7 %
  • Under 13
  • 13 to 14
  • 14 to 15
  • 15 to 17
  • 17 and over
%, 2019. 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, 2019

Swain County: 22.3 %Swain County22.3Duplin County: 21.6 %Duplin County21.6Greene County: 20.7 %Greene County20.7Sampson County: 20.2 %Sampson County20.2Alleghany County: 19.5 %Alleghany County19.5Avery County: 19.2 %Avery County19.2Jackson County: 19.2 %Jackson County19.2Graham County: 19 %Graham County19Robeson County: 18.5 %Robeson County18.5Macon County: 18.2 %Macon County18.2Jones County: 17.5 %Jones County17.5Randolph County: 17.4 %Randolph County17.4Montgomery County: 17.3 %Montgomery County17.3Clay County: 17.2 %Clay County17.2Warren County: 17 %Warren County17Hyde County: 16.8 %Hyde County16.8Surry County: 16.7 %Surry County16.7Cherokee County: 16.6 %Cherokee County16.6Columbus County: 16.6 %Columbus County16.6Ashe County: 16.5 %Ashe County16.5Hoke County: 16.5 %Hoke County16.5Wilkes County: 16.4 %Wilkes County16.4Tyrrell County: 16.3 %Tyrrell County16.3Bladen County: 16.1 %Bladen County16.1Wilson County: 16.1 %Wilson County16.1Lee County: 15.9 %Lee County15.9Transylvania County: 15.9 %Transylvania County15.9Yancey County: 15.7 %Yancey County15.7Burke County: 15.5 %Burke County15.5Catawba County: 15.4 %Catawba County15.4Wayne County: 15.4 %Wayne County15.4Caldwell County: 15.3 %Caldwell County15.3Yadkin County: 15.3 %Yadkin County15.3Harnett County: 15.1 %Harnett County15.1Halifax County: 15 %Halifax County15Lenoir County: 14.9 %Lenoir County14.9Alamance County: 14.8 %Alamance County14.8McDowell County: 14.8 %McDowell County14.8Henderson County: 14.7 %Henderson County14.7Richmond County: 14.7 %Richmond County14.7Swain County: 22.3 %Swain County22.3Duplin County: 21.6 %Duplin County21.6Greene County: 20.7 %Greene County20.7Sampson County: 20.2 %Sampson County20.2Alleghany County: 19.5 %Alleghany County19.5Avery County: 19.2 %Avery County19.2Jackson County: 19.2 %Jackson County19.2Graham County: 19 %Graham County19Robeson County: 18.5 %Robeson County18.5Macon County: 18.2 %Macon County18.2Jones County: 17.5 %Jones County17.5Randolph County: 17.4 %Randolph County17.4Montgomery County: 17.3 %Montgomery County17.3Clay County: 17.2 %Clay County17.2Warren County: 17 %Warren County17Hyde County: 16.8 %Hyde County16.8Surry County: 16.7 %Surry County16.7Cherokee County: 16.6 %Cherokee County16.6Columbus County: 16.6 %Columbus County16.6Ashe County: 16.5 %Ashe County16.5Hoke County: 16.5 %Hoke County16.5Wilkes County: 16.4 %Wilkes County16.4Tyrrell County: 16.3 %Tyrrell County16.3Bladen County: 16.1 %Bladen County16.1Wilson County: 16.1 %Wilson County16.1Lee County: 15.9 %Lee County15.9Transylvania County: 15.9 %Transylvania County15.9Yancey County: 15.7 %Yancey County15.7Burke County: 15.5 %Burke County15.5Catawba County: 15.4 %Catawba County15.4Wayne County: 15.4 %Wayne County15.4Caldwell County: 15.3 %Caldwell County15.3Yadkin County: 15.3 %Yadkin County15.3Harnett County: 15.1 %Harnett County15.1Halifax County: 15 %Halifax County15Lenoir County: 14.9 %Lenoir County14.9Alamance County: 14.8 %Alamance County14.8McDowell County: 14.8 %McDowell County14.8Henderson County: 14.7 %Henderson County14.7Richmond County: 14.7 %Richmond County14.7
%. 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

RankCounties2019 (%)Change on 2018
1Swain County22.3+3 pts
2Duplin County21.6+0.9 pts
3Greene County20.7+1.1 pts
4Sampson County20.2+1.4 pts
5Alleghany County19.5+1.7 pts
6Avery County19.2+1.1 pts
6Jackson County19.2+1.8 pts
8Graham County19+0.5 pts
9Robeson County18.50 pts
10Macon County18.2+0.3 pts
11Jones County17.5+1.7 pts
12Randolph County17.4+1.7 pts
13Montgomery County17.3+1.9 pts
14Clay County17.2+0.9 pts
15Warren County17+0.5 pts
16Hyde County16.8-0.4 pts
17Surry County16.7+1.5 pts
18Cherokee County16.6+1.4 pts
18Columbus County16.6+1 pts
20Ashe County16.5+1.1 pts
20Hoke County16.5+1.2 pts
22Wilkes County16.4+1.1 pts
23Tyrrell County16.3-0.8 pts
24Bladen County16.1-1.7 pts
24Wilson County16.1+1.4 pts
26Lee County15.9-0.3 pts
26Transylvania County15.9-0.7 pts
28Yancey County15.7+0.6 pts
29Burke County15.5+1.9 pts
30Catawba County15.4+1.9 pts
30Wayne County15.4+0.6 pts
32Caldwell County15.3+0.9 pts
32Yadkin County15.3+0.8 pts
34Harnett County15.1+1.1 pts
35Halifax County15+1.7 pts
36Lenoir County14.9+0.7 pts
37Alamance County14.8+1 pts
37McDowell County14.8+1 pts
39Henderson County14.7+0.1 pts
39Richmond County14.7+1.1 pts
41Buncombe County14.6+2.1 pts
41Davidson County14.6+0.4 pts
41Mitchell County14.6+0.1 pts
41Pamlico County14.6+1.4 pts
41Stanly County14.6+1.6 pts
41Vance County14.6+1.4 pts
47Johnston County14.5+0.9 pts
47Rowan County14.5+0.9 pts
49Beaufort County14.4+1.3 pts
50Forsyth County14.2+1.4 pts
51Polk County14.1+0.1 pts
51Washington County14.1+1.3 pts
53Chatham County14+0.6 pts
53Durham County14+1.4 pts
55Gaston County13.9+1.5 pts
56Franklin County13.80 pts
56Rutherford County13.8-0.2 pts
58Rockingham County13.7+0.4 pts
58Scotland County13.7-0.8 pts
60Alexander County13.6+0.8 pts
60Cleveland County13.6+0.5 pts
60Dare County13.6-1.2 pts
60Hertford County13.6+1.3 pts
64Brunswick County13.5-0.2 pts
65Carteret County13.4+0.1 pts
65Madison County13.4+0.9 pts
65Pender County13.4+0.6 pts
68Anson County13.3-0.1 pts
68Caswell County13.3+0.1 pts
70Granville County13.2+0.7 pts
70Mecklenburg County13.2+0.2 pts
72Guilford County13.1+1.6 pts
72Watauga County13.1+0.3 pts
74Davie County13-0.1 pts
74Lincoln County13+0.6 pts
74Martin County13+1 pts
74Northampton County13+0.5 pts
78Craven County12.9+1.2 pts
79Iredell County12.8+0.7 pts
79Perquimans County12.8-0.8 pts
81Currituck County12.7+0.1 pts
81Person County12.7+1 pts
83Bertie County12.60 pts
83Nash County12.6+0.5 pts
85Cumberland County12.5+1.8 pts
86Haywood County12.4+0.1 pts
87Stokes County12.3-0.1 pts
88New Hanover County12.2+0.5 pts
88Pasquotank County12.2+0.6 pts
90Edgecombe County12.1-0.6 pts
91Moore County12+0.1 pts
91Pitt County12+0.2 pts
93Chowan County11.8-0.2 pts
93Gates County11.8+1 pts
95Union County11.3-1 pts
96Cabarrus County11.2+0.6 pts
96Camden County11.2-0.7 pts
98Onslow County10.6+0.7 pts
99Orange County10.5+0.1 pts
100Wake County10.1+0.1 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2019.
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-2019-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)?

Swain County, with 22.3% in 2019, according to the U.S. Census Bureau.

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

Wake County, with 10.1% in 2019.

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