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 2022, at 19.4%. Orange County had the lowest, at 8.1%. The median was 12.3% and the figure for North Carolina was 11.2%. Source: the U.S. Census Bureau.

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Highest19.4Swain County
Lowest8.1Orange County
Median12.3100 counties
North Carolina11.2History

Map of counties, 2022

Alamance County: 12.6 %Alexander County: 11.9 %Alleghany County: 17.3 %Anson County: 12.5 %Ashe County: 13.6 %Avery County: 15.7 %Beaufort County: 12.2 %Bertie County: 11.7 %Bladen County: 14 %Brunswick County: 10.3 %Buncombe County: 13.1 %Burke County: 13.5 %Cabarrus County: 8.8 %Caldwell County: 13.1 %Camden County: 9.4 %Carteret County: 12.3 %Caswell County: 12.5 %Catawba County: 12 %Chatham County: 11.5 %Cherokee County: 13.5 %Chowan County: 11.5 %Clay County: 13.3 %Cleveland County: 11 %Columbus County: 13.7 %Craven County: 11 %Cumberland County: 10.6 %Currituck County: 9.8 %Dare County: 11 %Davidson County: 12.3 %Davie County: 10.2 %Duplin County: 15.7 %Durham County: 10.6 %Edgecombe County: 11.1 %Forsyth County: 11.5 %Franklin County: 12.7 %Gaston County: 11.2 %Gates County: 9.2 %Graham County: 16.5 %Granville County: 12 %Greene County: 17.9 %Guilford County: 10.1 %Halifax County: 12.2 %Harnett County: 11.9 %Haywood County: 12.2 %Henderson County: 13.6 %Hertford County: 11.9 %Hoke County: 11.2 %Hyde County: 18.9 %Iredell County: 9.9 %Jackson County: 15.7 %Johnston County: 12.7 %Jones County: 13.6 %Lee County: 13.8 %Lenoir County: 12.9 %Lincoln County: 10.3 %McDowell County: 13.6 %Macon County: 16.2 %Madison County: 10.8 %Martin County: 12.6 %Mecklenburg County: 11.3 %Mitchell County: 11.4 %Montgomery County: 16.2 %Moore County: 10.2 %Nash County: 14 %New Hanover County: 10.9 %Northampton County: 10.2 %Onslow County: 9.5 %Orange County: 8.1 %Pamlico County: 12.5 %Pasquotank County: 9.9 %Pender County: 11.7 %Perquimans County: 11.5 %Person County: 10.9 %Pitt County: 10.5 %Polk County: 12.3 %Randolph County: 13.4 %Richmond County: 12.5 %Robeson County: 15.2 %Rockingham County: 12.5 %Rowan County: 11.4 %Rutherford County: 12.3 %Sampson County: 16.6 %Scotland County: 11.1 %Stanly County: 12.6 %Stokes County: 10.4 %Surry County: 13.4 %Swain County: 19.4 %Transylvania County: 13.6 %Tyrrell County: 15.7 %Union County: 10.5 %Vance County: 13.1 %Wake County: 8.5 %Warren County: 15 %Washington County: 12.2 %Watauga County: 12.1 %Wayne County: 13.6 %Wilkes County: 13.5 %Wilson County: 12.9 %Yadkin County: 13.4 %Yancey County: 12.8 %
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%, 2022. 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, 2022

Swain County: 19.4 %Swain County19.4Hyde County: 18.9 %Hyde County18.9Greene County: 17.9 %Greene County17.9Alleghany County: 17.3 %Alleghany County17.3Sampson County: 16.6 %Sampson County16.6Graham County: 16.5 %Graham County16.5Macon County: 16.2 %Macon County16.2Montgomery County: 16.2 %Montgomery County16.2Avery County: 15.7 %Avery County15.7Duplin County: 15.7 %Duplin County15.7Jackson County: 15.7 %Jackson County15.7Tyrrell County: 15.7 %Tyrrell County15.7Robeson County: 15.2 %Robeson County15.2Warren County: 15 %Warren County15Bladen County: 14 %Bladen County14Nash County: 14 %Nash County14Lee County: 13.8 %Lee County13.8Columbus County: 13.7 %Columbus County13.7Ashe County: 13.6 %Ashe County13.6Henderson County: 13.6 %Henderson County13.6Jones County: 13.6 %Jones County13.6McDowell County: 13.6 %McDowell County13.6Transylvania County: 13.6 %Transylvania County13.6Wayne County: 13.6 %Wayne County13.6Burke County: 13.5 %Burke County13.5Cherokee County: 13.5 %Cherokee County13.5Wilkes County: 13.5 %Wilkes County13.5Randolph County: 13.4 %Randolph County13.4Surry County: 13.4 %Surry County13.4Yadkin County: 13.4 %Yadkin County13.4Clay County: 13.3 %Clay County13.3Buncombe County: 13.1 %Buncombe County13.1Caldwell County: 13.1 %Caldwell County13.1Vance County: 13.1 %Vance County13.1Lenoir County: 12.9 %Lenoir County12.9Wilson County: 12.9 %Wilson County12.9Yancey County: 12.8 %Yancey County12.8Franklin County: 12.7 %Franklin County12.7Johnston County: 12.7 %Johnston County12.7Alamance County: 12.6 %Alamance County12.6Swain County: 19.4 %Swain County19.4Hyde County: 18.9 %Hyde County18.9Greene County: 17.9 %Greene County17.9Alleghany County: 17.3 %Alleghany County17.3Sampson County: 16.6 %Sampson County16.6Graham County: 16.5 %Graham County16.5Macon County: 16.2 %Macon County16.2Montgomery County: 16.2 %Montgomery County16.2Avery County: 15.7 %Avery County15.7Duplin County: 15.7 %Duplin County15.7Jackson County: 15.7 %Jackson County15.7Tyrrell County: 15.7 %Tyrrell County15.7Robeson County: 15.2 %Robeson County15.2Warren County: 15 %Warren County15Bladen County: 14 %Bladen County14Nash County: 14 %Nash County14Lee County: 13.8 %Lee County13.8Columbus County: 13.7 %Columbus County13.7Ashe County: 13.6 %Ashe County13.6Henderson County: 13.6 %Henderson County13.6Jones County: 13.6 %Jones County13.6McDowell County: 13.6 %McDowell County13.6Transylvania County: 13.6 %Transylvania County13.6Wayne County: 13.6 %Wayne County13.6Burke County: 13.5 %Burke County13.5Cherokee County: 13.5 %Cherokee County13.5Wilkes County: 13.5 %Wilkes County13.5Randolph County: 13.4 %Randolph County13.4Surry County: 13.4 %Surry County13.4Yadkin County: 13.4 %Yadkin County13.4Clay County: 13.3 %Clay County13.3Buncombe County: 13.1 %Buncombe County13.1Caldwell County: 13.1 %Caldwell County13.1Vance County: 13.1 %Vance County13.1Lenoir County: 12.9 %Lenoir County12.9Wilson County: 12.9 %Wilson County12.9Yancey County: 12.8 %Yancey County12.8Franklin County: 12.7 %Franklin County12.7Johnston County: 12.7 %Johnston County12.7Alamance County: 12.6 %Alamance County12.6
%. 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

RankCounties2022 (%)Change on 2021
1Swain County19.4-1 pts
2Hyde County18.9-0.6 pts
3Greene County17.9-2.6 pts
4Alleghany County17.3-1.1 pts
5Sampson County16.6-1.1 pts
6Graham County16.5-3.3 pts
7Macon County16.2-0.3 pts
7Montgomery County16.2-0.7 pts
9Avery County15.7+0.2 pts
9Duplin County15.7-3.9 pts
9Jackson County15.7-2.3 pts
9Tyrrell County15.7-1.7 pts
13Robeson County15.2-1.7 pts
14Warren County15-1.2 pts
15Bladen County14-0.5 pts
15Nash County14+0.1 pts
17Lee County13.8-2.2 pts
18Columbus County13.7-1.2 pts
19Ashe County13.6-0.1 pts
19Henderson County13.6-0.1 pts
19Jones County13.6-3.2 pts
19McDowell County13.6-0.9 pts
19Transylvania County13.6-0.1 pts
19Wayne County13.6-1.2 pts
25Burke County13.5-1.1 pts
25Cherokee County13.5-2.1 pts
25Wilkes County13.5-2 pts
28Randolph County13.4-2.7 pts
28Surry County13.4-1.7 pts
28Yadkin County13.4-1.2 pts
31Clay County13.3-4.2 pts
32Buncombe County13.1+0.5 pts
32Caldwell County13.1-0.7 pts
32Vance County13.1-1.2 pts
35Lenoir County12.9-1.1 pts
35Wilson County12.9-3.1 pts
37Yancey County12.8-1.5 pts
38Franklin County12.7-0.4 pts
38Johnston County12.7-0.2 pts
40Alamance County12.6-1.4 pts
40Martin County12.6-0.9 pts
40Stanly County12.6-1 pts
43Anson County12.5-0.5 pts
43Caswell County12.5-1.1 pts
43Pamlico County12.5-2.3 pts
43Richmond County12.5-0.6 pts
43Rockingham County12.5-1.7 pts
48Carteret County12.3-0.4 pts
48Davidson County12.3-1.2 pts
48Polk County12.3-0.8 pts
48Rutherford County12.3-1.7 pts
52Beaufort County12.2-1.6 pts
52Halifax County12.2-0.6 pts
52Haywood County12.2-1.2 pts
52Washington County12.2+0.1 pts
56Watauga County12.1-0.5 pts
57Catawba County12-1.5 pts
57Granville County12-0.1 pts
59Alexander County11.9-1 pts
59Harnett County11.9-0.7 pts
59Hertford County11.90 pts
62Bertie County11.70 pts
62Pender County11.7-1.6 pts
64Chatham County11.5-1.1 pts
64Chowan County11.5-1.1 pts
64Forsyth County11.5-1.4 pts
64Perquimans County11.5-1 pts
68Mitchell County11.4-2.3 pts
68Rowan County11.4-3.1 pts
70Mecklenburg County11.3-1.4 pts
71Gaston County11.2-1.2 pts
71Hoke County11.2-2.7 pts
73Edgecombe County11.1-0.1 pts
73Scotland County11.1-2.2 pts
75Cleveland County11-2.4 pts
75Craven County11-0.3 pts
75Dare County11-1.3 pts
78New Hanover County10.9-0.2 pts
78Person County10.9-1.3 pts
80Madison County10.8-1 pts
81Cumberland County10.6-0.6 pts
81Durham County10.6-1.9 pts
83Pitt County10.5-2.1 pts
83Union County10.5+0.2 pts
85Stokes County10.4-2.4 pts
86Brunswick County10.3-1.9 pts
86Lincoln County10.3-1.9 pts
88Davie County10.2-2.1 pts
88Moore County10.2-1.5 pts
88Northampton County10.2-1.5 pts
91Guilford County10.1-1.7 pts
92Iredell County9.9-1.8 pts
92Pasquotank County9.9-1.3 pts
94Currituck County9.8-2.6 pts
95Onslow County9.5-1.2 pts
96Camden County9.4-2.9 pts
97Gates County9.2-1.9 pts
98Cabarrus County8.8-2 pts
99Wake County8.5-0.7 pts
100Orange County8.1-1.9 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2022.
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-2022-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 19.4% in 2022, according to the U.S. Census Bureau.

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

Orange County, with 8.1% in 2022.

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