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 2020, at 24.2%. Orange County had the lowest, at 8.7%. The median was 13.5% and the figure for North Carolina was 12.7%. Source: the U.S. Census Bureau.

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Highest24.2Swain County
Lowest8.7Orange County
Median13.5100 counties
North Carolina12.7History

Map of counties, 2020

Alamance County: 14.5 %Alexander County: 12.5 %Alleghany County: 17 %Anson County: 12.8 %Ashe County: 13.8 %Avery County: 16.3 %Beaufort County: 13.7 %Bertie County: 11.4 %Bladen County: 15.5 %Brunswick County: 11.7 %Buncombe County: 14.5 %Burke County: 15.1 %Cabarrus County: 11.6 %Caldwell County: 14.3 %Camden County: 13.5 %Carteret County: 11.7 %Caswell County: 13.8 %Catawba County: 13.5 %Chatham County: 12.2 %Cherokee County: 14.8 %Chowan County: 10.9 %Clay County: 16 %Cleveland County: 13.5 %Columbus County: 15.9 %Craven County: 13 %Cumberland County: 11.9 %Currituck County: 12 %Dare County: 13.6 %Davidson County: 14.5 %Davie County: 13.4 %Duplin County: 21.2 %Durham County: 13.5 %Edgecombe County: 11.4 %Forsyth County: 12.2 %Franklin County: 14.6 %Gaston County: 12.9 %Gates County: 10.7 %Graham County: 18.3 %Granville County: 13.1 %Greene County: 20.6 %Guilford County: 11.9 %Halifax County: 14 %Harnett County: 12.5 %Haywood County: 12.8 %Henderson County: 15 %Hertford County: 12.4 %Hoke County: 15.4 %Hyde County: 17.5 %Iredell County: 12.6 %Jackson County: 20.2 %Johnston County: 12.6 %Jones County: 17 %Lee County: 15.6 %Lenoir County: 13.5 %Lincoln County: 12.5 %McDowell County: 13.2 %Macon County: 15.9 %Madison County: 12.6 %Martin County: 12.3 %Mecklenburg County: 12.2 %Mitchell County: 13 %Montgomery County: 16.3 %Moore County: 12.1 %Nash County: 13.3 %New Hanover County: 12.6 %Northampton County: 11.5 %Onslow County: 11.2 %Orange County: 8.7 %Pamlico County: 14.4 %Pasquotank County: 13.2 %Pender County: 12.4 %Perquimans County: 11.9 %Person County: 12.2 %Pitt County: 12.3 %Polk County: 14.1 %Randolph County: 15.1 %Richmond County: 14.9 %Robeson County: 19.7 %Rockingham County: 13.3 %Rowan County: 12.9 %Rutherford County: 13.6 %Sampson County: 17.9 %Scotland County: 14.3 %Stanly County: 12.8 %Stokes County: 13.7 %Surry County: 14.7 %Swain County: 24.2 %Transylvania County: 15.5 %Tyrrell County: 18.6 %Union County: 10.8 %Vance County: 14.4 %Wake County: 9.5 %Warren County: 17.4 %Washington County: 12.9 %Watauga County: 13.3 %Wayne County: 14.9 %Wilkes County: 14.7 %Wilson County: 15.1 %Yadkin County: 15.4 %Yancey County: 14.7 %
  • Under 12
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  • 16 and over
%, 2020. 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, 2020

Swain County: 24.2 %Swain County24.2Duplin County: 21.2 %Duplin County21.2Greene County: 20.6 %Greene County20.6Jackson County: 20.2 %Jackson County20.2Robeson County: 19.7 %Robeson County19.7Tyrrell County: 18.6 %Tyrrell County18.6Graham County: 18.3 %Graham County18.3Sampson County: 17.9 %Sampson County17.9Hyde County: 17.5 %Hyde County17.5Warren County: 17.4 %Warren County17.4Alleghany County: 17 %Alleghany County17Jones County: 17 %Jones County17Avery County: 16.3 %Avery County16.3Montgomery County: 16.3 %Montgomery County16.3Clay County: 16 %Clay County16Columbus County: 15.9 %Columbus County15.9Macon County: 15.9 %Macon County15.9Lee County: 15.6 %Lee County15.6Bladen County: 15.5 %Bladen County15.5Transylvania County: 15.5 %Transylvania County15.5Hoke County: 15.4 %Hoke County15.4Yadkin County: 15.4 %Yadkin County15.4Burke County: 15.1 %Burke County15.1Randolph County: 15.1 %Randolph County15.1Wilson County: 15.1 %Wilson County15.1Henderson County: 15 %Henderson County15Richmond County: 14.9 %Richmond County14.9Wayne County: 14.9 %Wayne County14.9Cherokee County: 14.8 %Cherokee County14.8Surry County: 14.7 %Surry County14.7Wilkes County: 14.7 %Wilkes County14.7Yancey County: 14.7 %Yancey County14.7Franklin County: 14.6 %Franklin County14.6Alamance County: 14.5 %Alamance County14.5Buncombe County: 14.5 %Buncombe County14.5Davidson County: 14.5 %Davidson County14.5Pamlico County: 14.4 %Pamlico County14.4Vance County: 14.4 %Vance County14.4Caldwell County: 14.3 %Caldwell County14.3Scotland County: 14.3 %Scotland County14.3Swain County: 24.2 %Swain County24.2Duplin County: 21.2 %Duplin County21.2Greene County: 20.6 %Greene County20.6Jackson County: 20.2 %Jackson County20.2Robeson County: 19.7 %Robeson County19.7Tyrrell County: 18.6 %Tyrrell County18.6Graham County: 18.3 %Graham County18.3Sampson County: 17.9 %Sampson County17.9Hyde County: 17.5 %Hyde County17.5Warren County: 17.4 %Warren County17.4Alleghany County: 17 %Alleghany County17Jones County: 17 %Jones County17Avery County: 16.3 %Avery County16.3Montgomery County: 16.3 %Montgomery County16.3Clay County: 16 %Clay County16Columbus County: 15.9 %Columbus County15.9Macon County: 15.9 %Macon County15.9Lee County: 15.6 %Lee County15.6Bladen County: 15.5 %Bladen County15.5Transylvania County: 15.5 %Transylvania County15.5Hoke County: 15.4 %Hoke County15.4Yadkin County: 15.4 %Yadkin County15.4Burke County: 15.1 %Burke County15.1Randolph County: 15.1 %Randolph County15.1Wilson County: 15.1 %Wilson County15.1Henderson County: 15 %Henderson County15Richmond County: 14.9 %Richmond County14.9Wayne County: 14.9 %Wayne County14.9Cherokee County: 14.8 %Cherokee County14.8Surry County: 14.7 %Surry County14.7Wilkes County: 14.7 %Wilkes County14.7Yancey County: 14.7 %Yancey County14.7Franklin County: 14.6 %Franklin County14.6Alamance County: 14.5 %Alamance County14.5Buncombe County: 14.5 %Buncombe County14.5Davidson County: 14.5 %Davidson County14.5Pamlico County: 14.4 %Pamlico County14.4Vance County: 14.4 %Vance County14.4Caldwell County: 14.3 %Caldwell County14.3Scotland County: 14.3 %Scotland County14.3
%. 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

RankCounties2020 (%)Change on 2019
1Swain County24.2+1.9 pts
2Duplin County21.2-0.4 pts
3Greene County20.6-0.1 pts
4Jackson County20.2+1 pts
5Robeson County19.7+1.2 pts
6Tyrrell County18.6+2.3 pts
7Graham County18.3-0.7 pts
8Sampson County17.9-2.3 pts
9Hyde County17.5+0.7 pts
10Warren County17.4+0.4 pts
11Alleghany County17-2.5 pts
11Jones County17-0.5 pts
13Avery County16.3-2.9 pts
13Montgomery County16.3-1 pts
15Clay County16-1.2 pts
16Columbus County15.9-0.7 pts
16Macon County15.9-2.3 pts
18Lee County15.6-0.3 pts
19Bladen County15.5-0.6 pts
19Transylvania County15.5-0.4 pts
21Hoke County15.4-1.1 pts
21Yadkin County15.4+0.1 pts
23Burke County15.1-0.4 pts
23Randolph County15.1-2.3 pts
23Wilson County15.1-1 pts
26Henderson County15+0.3 pts
27Richmond County14.9+0.2 pts
27Wayne County14.9-0.5 pts
29Cherokee County14.8-1.8 pts
30Surry County14.7-2 pts
30Wilkes County14.7-1.7 pts
30Yancey County14.7-1 pts
33Franklin County14.6+0.8 pts
34Alamance County14.5-0.3 pts
34Buncombe County14.5-0.1 pts
34Davidson County14.5-0.1 pts
37Pamlico County14.4-0.2 pts
37Vance County14.4-0.2 pts
39Caldwell County14.3-1 pts
39Scotland County14.3+0.6 pts
41Polk County14.10 pts
42Halifax County14-1 pts
43Ashe County13.8-2.7 pts
43Caswell County13.8+0.5 pts
45Beaufort County13.7-0.7 pts
45Stokes County13.7+1.4 pts
47Dare County13.60 pts
47Rutherford County13.6-0.2 pts
49Camden County13.5+2.3 pts
49Catawba County13.5-1.9 pts
49Cleveland County13.5-0.1 pts
49Durham County13.5-0.5 pts
49Lenoir County13.5-1.4 pts
54Davie County13.4+0.4 pts
55Nash County13.3+0.7 pts
55Rockingham County13.3-0.4 pts
55Watauga County13.3+0.2 pts
58McDowell County13.2-1.6 pts
58Pasquotank County13.2+1 pts
60Granville County13.1-0.1 pts
61Craven County13+0.1 pts
61Mitchell County13-1.6 pts
63Gaston County12.9-1 pts
63Rowan County12.9-1.6 pts
63Washington County12.9-1.2 pts
66Anson County12.8-0.5 pts
66Haywood County12.8+0.4 pts
66Stanly County12.8-1.8 pts
69Iredell County12.6-0.2 pts
69Johnston County12.6-1.9 pts
69Madison County12.6-0.8 pts
69New Hanover County12.6+0.4 pts
73Alexander County12.5-1.1 pts
73Harnett County12.5-2.6 pts
73Lincoln County12.5-0.5 pts
76Hertford County12.4-1.2 pts
76Pender County12.4-1 pts
78Martin County12.3-0.7 pts
78Pitt County12.3+0.3 pts
80Chatham County12.2-1.8 pts
80Forsyth County12.2-2 pts
80Mecklenburg County12.2-1 pts
80Person County12.2-0.5 pts
84Moore County12.1+0.1 pts
85Currituck County12-0.7 pts
86Cumberland County11.9-0.6 pts
86Guilford County11.9-1.2 pts
86Perquimans County11.9-0.9 pts
89Brunswick County11.7-1.8 pts
89Carteret County11.7-1.7 pts
91Cabarrus County11.6+0.4 pts
92Northampton County11.5-1.5 pts
93Bertie County11.4-1.2 pts
93Edgecombe County11.4-0.7 pts
95Onslow County11.2+0.6 pts
96Chowan County10.9-0.9 pts
97Union County10.8-0.5 pts
98Gates County10.7-1.1 pts
99Wake County9.5-0.6 pts
100Orange County8.7-1.8 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2020.
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-2020-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 24.2% in 2020, according to the U.S. Census Bureau.

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

Orange County, with 8.7% in 2020.

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