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)

Greene County had the highest uninsured rate, under 65 (US model-based estimate) of 100 counties in 2021, at 20.5%. Wake County had the lowest, at 9.2%. The median was 13.4% and the figure for North Carolina was 12.5%. Source: the U.S. Census Bureau.

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Highest20.5Greene County
Lowest9.2Wake County
Median13.4100 counties
North Carolina12.5History

Map of counties, 2021

Alamance County: 14 %Alexander County: 12.9 %Alleghany County: 18.4 %Anson County: 13 %Ashe County: 13.7 %Avery County: 15.5 %Beaufort County: 13.8 %Bertie County: 11.7 %Bladen County: 14.5 %Brunswick County: 12.2 %Buncombe County: 12.6 %Burke County: 14.6 %Cabarrus County: 10.8 %Caldwell County: 13.8 %Camden County: 12.3 %Carteret County: 12.7 %Caswell County: 13.6 %Catawba County: 13.5 %Chatham County: 12.6 %Cherokee County: 15.6 %Chowan County: 12.6 %Clay County: 17.5 %Cleveland County: 13.4 %Columbus County: 14.9 %Craven County: 11.3 %Cumberland County: 11.2 %Currituck County: 12.4 %Dare County: 12.3 %Davidson County: 13.5 %Davie County: 12.3 %Duplin County: 19.6 %Durham County: 12.5 %Edgecombe County: 11.2 %Forsyth County: 12.9 %Franklin County: 13.1 %Gaston County: 12.4 %Gates County: 11.1 %Graham County: 19.8 %Granville County: 12.1 %Greene County: 20.5 %Guilford County: 11.8 %Halifax County: 12.8 %Harnett County: 12.6 %Haywood County: 13.4 %Henderson County: 13.7 %Hertford County: 11.9 %Hoke County: 13.9 %Hyde County: 19.5 %Iredell County: 11.7 %Jackson County: 18 %Johnston County: 12.9 %Jones County: 16.8 %Lee County: 16 %Lenoir County: 14 %Lincoln County: 12.2 %McDowell County: 14.5 %Macon County: 16.5 %Madison County: 11.8 %Martin County: 13.5 %Mecklenburg County: 12.7 %Mitchell County: 13.7 %Montgomery County: 16.9 %Moore County: 11.7 %Nash County: 13.9 %New Hanover County: 11.1 %Northampton County: 11.7 %Onslow County: 10.7 %Orange County: 10 %Pamlico County: 14.8 %Pasquotank County: 11.2 %Pender County: 13.3 %Perquimans County: 12.5 %Person County: 12.2 %Pitt County: 12.6 %Polk County: 13.1 %Randolph County: 16.1 %Richmond County: 13.1 %Robeson County: 16.9 %Rockingham County: 14.2 %Rowan County: 14.5 %Rutherford County: 14 %Sampson County: 17.7 %Scotland County: 13.3 %Stanly County: 13.6 %Stokes County: 12.8 %Surry County: 15.1 %Swain County: 20.4 %Transylvania County: 13.7 %Tyrrell County: 17.4 %Union County: 10.3 %Vance County: 14.3 %Wake County: 9.2 %Warren County: 16.2 %Washington County: 12.1 %Watauga County: 12.6 %Wayne County: 14.8 %Wilkes County: 15.5 %Wilson County: 16 %Yadkin County: 14.6 %Yancey County: 14.3 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 16
  • 16 and over
%, 2021. 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, 2021

Greene County: 20.5 %Greene County20.5Swain County: 20.4 %Swain County20.4Graham County: 19.8 %Graham County19.8Duplin County: 19.6 %Duplin County19.6Hyde County: 19.5 %Hyde County19.5Alleghany County: 18.4 %Alleghany County18.4Jackson County: 18 %Jackson County18Sampson County: 17.7 %Sampson County17.7Clay County: 17.5 %Clay County17.5Tyrrell County: 17.4 %Tyrrell County17.4Montgomery County: 16.9 %Montgomery County16.9Robeson County: 16.9 %Robeson County16.9Jones County: 16.8 %Jones County16.8Macon County: 16.5 %Macon County16.5Warren County: 16.2 %Warren County16.2Randolph County: 16.1 %Randolph County16.1Lee County: 16 %Lee County16Wilson County: 16 %Wilson County16Cherokee County: 15.6 %Cherokee County15.6Avery County: 15.5 %Avery County15.5Wilkes County: 15.5 %Wilkes County15.5Surry County: 15.1 %Surry County15.1Columbus County: 14.9 %Columbus County14.9Pamlico County: 14.8 %Pamlico County14.8Wayne County: 14.8 %Wayne County14.8Burke County: 14.6 %Burke County14.6Yadkin County: 14.6 %Yadkin County14.6Bladen County: 14.5 %Bladen County14.5McDowell County: 14.5 %McDowell County14.5Rowan County: 14.5 %Rowan County14.5Vance County: 14.3 %Vance County14.3Yancey County: 14.3 %Yancey County14.3Rockingham County: 14.2 %Rockingham County14.2Alamance County: 14 %Alamance County14Lenoir County: 14 %Lenoir County14Rutherford County: 14 %Rutherford County14Hoke County: 13.9 %Hoke County13.9Nash County: 13.9 %Nash County13.9Beaufort County: 13.8 %Beaufort County13.8Caldwell County: 13.8 %Caldwell County13.8Greene County: 20.5 %Greene County20.5Swain County: 20.4 %Swain County20.4Graham County: 19.8 %Graham County19.8Duplin County: 19.6 %Duplin County19.6Hyde County: 19.5 %Hyde County19.5Alleghany County: 18.4 %Alleghany County18.4Jackson County: 18 %Jackson County18Sampson County: 17.7 %Sampson County17.7Clay County: 17.5 %Clay County17.5Tyrrell County: 17.4 %Tyrrell County17.4Montgomery County: 16.9 %Montgomery County16.9Robeson County: 16.9 %Robeson County16.9Jones County: 16.8 %Jones County16.8Macon County: 16.5 %Macon County16.5Warren County: 16.2 %Warren County16.2Randolph County: 16.1 %Randolph County16.1Lee County: 16 %Lee County16Wilson County: 16 %Wilson County16Cherokee County: 15.6 %Cherokee County15.6Avery County: 15.5 %Avery County15.5Wilkes County: 15.5 %Wilkes County15.5Surry County: 15.1 %Surry County15.1Columbus County: 14.9 %Columbus County14.9Pamlico County: 14.8 %Pamlico County14.8Wayne County: 14.8 %Wayne County14.8Burke County: 14.6 %Burke County14.6Yadkin County: 14.6 %Yadkin County14.6Bladen County: 14.5 %Bladen County14.5McDowell County: 14.5 %McDowell County14.5Rowan County: 14.5 %Rowan County14.5Vance County: 14.3 %Vance County14.3Yancey County: 14.3 %Yancey County14.3Rockingham County: 14.2 %Rockingham County14.2Alamance County: 14 %Alamance County14Lenoir County: 14 %Lenoir County14Rutherford County: 14 %Rutherford County14Hoke County: 13.9 %Hoke County13.9Nash County: 13.9 %Nash County13.9Beaufort County: 13.8 %Beaufort County13.8Caldwell County: 13.8 %Caldwell County13.8
%. 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

RankCounties2021 (%)Change on 2020
1Greene County20.5-0.1 pts
2Swain County20.4-3.8 pts
3Graham County19.8+1.5 pts
4Duplin County19.6-1.6 pts
5Hyde County19.5+2 pts
6Alleghany County18.4+1.4 pts
7Jackson County18-2.2 pts
8Sampson County17.7-0.2 pts
9Clay County17.5+1.5 pts
10Tyrrell County17.4-1.2 pts
11Montgomery County16.9+0.6 pts
11Robeson County16.9-2.8 pts
13Jones County16.8-0.2 pts
14Macon County16.5+0.6 pts
15Warren County16.2-1.2 pts
16Randolph County16.1+1 pts
17Lee County16+0.4 pts
17Wilson County16+0.9 pts
19Cherokee County15.6+0.8 pts
20Avery County15.5-0.8 pts
20Wilkes County15.5+0.8 pts
22Surry County15.1+0.4 pts
23Columbus County14.9-1 pts
24Pamlico County14.8+0.4 pts
24Wayne County14.8-0.1 pts
26Burke County14.6-0.5 pts
26Yadkin County14.6-0.8 pts
28Bladen County14.5-1 pts
28McDowell County14.5+1.3 pts
28Rowan County14.5+1.6 pts
31Vance County14.3-0.1 pts
31Yancey County14.3-0.4 pts
33Rockingham County14.2+0.9 pts
34Alamance County14-0.5 pts
34Lenoir County14+0.5 pts
34Rutherford County14+0.4 pts
37Hoke County13.9-1.5 pts
37Nash County13.9+0.6 pts
39Beaufort County13.8+0.1 pts
39Caldwell County13.8-0.5 pts
41Ashe County13.7-0.1 pts
41Henderson County13.7-1.3 pts
41Mitchell County13.7+0.7 pts
41Transylvania County13.7-1.8 pts
45Caswell County13.6-0.2 pts
45Stanly County13.6+0.8 pts
47Catawba County13.50 pts
47Davidson County13.5-1 pts
47Martin County13.5+1.2 pts
50Cleveland County13.4-0.1 pts
50Haywood County13.4+0.6 pts
52Pender County13.3+0.9 pts
52Scotland County13.3-1 pts
54Franklin County13.1-1.5 pts
54Polk County13.1-1 pts
54Richmond County13.1-1.8 pts
57Anson County13+0.2 pts
58Alexander County12.9+0.4 pts
58Forsyth County12.9+0.7 pts
58Johnston County12.9+0.3 pts
61Halifax County12.8-1.2 pts
61Stokes County12.8-0.9 pts
63Carteret County12.7+1 pts
63Mecklenburg County12.7+0.5 pts
65Buncombe County12.6-1.9 pts
65Chatham County12.6+0.4 pts
65Chowan County12.6+1.7 pts
65Harnett County12.6+0.1 pts
65Pitt County12.6+0.3 pts
65Watauga County12.6-0.7 pts
71Durham County12.5-1 pts
71Perquimans County12.5+0.6 pts
73Currituck County12.4+0.4 pts
73Gaston County12.4-0.5 pts
75Camden County12.3-1.2 pts
75Dare County12.3-1.3 pts
75Davie County12.3-1.1 pts
78Brunswick County12.2+0.5 pts
78Lincoln County12.2-0.3 pts
78Person County12.20 pts
81Granville County12.1-1 pts
81Washington County12.1-0.8 pts
83Hertford County11.9-0.5 pts
84Guilford County11.8-0.1 pts
84Madison County11.8-0.8 pts
86Bertie County11.7+0.3 pts
86Iredell County11.7-0.9 pts
86Moore County11.7-0.4 pts
86Northampton County11.7+0.2 pts
90Craven County11.3-1.7 pts
91Cumberland County11.2-0.7 pts
91Edgecombe County11.2-0.2 pts
91Pasquotank County11.2-2 pts
94Gates County11.1+0.4 pts
94New Hanover County11.1-1.5 pts
96Cabarrus County10.8-0.8 pts
97Onslow County10.7-0.5 pts
98Union County10.3-0.5 pts
99Orange County10+1.3 pts
100Wake County9.2-0.3 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2021.
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-2021-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)?

Greene County, with 20.5% in 2021, 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 2021.

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