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)

Hyde County had the highest uninsured rate, under 65 (US model-based estimate) of 100 counties in 2023, at 17.7%. Wake County had the lowest, at 8%. The median was 11.6% and the figure for North Carolina was 11.1%. Source: the U.S. Census Bureau.

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Highest17.7Hyde County
Lowest8Wake County
Median11.6100 counties
North Carolina11.1History

Map of counties, 2023

Alamance County: 12 %Alexander County: 11.4 %Alleghany County: 17.2 %Anson County: 12.9 %Ashe County: 13.3 %Avery County: 14.7 %Beaufort County: 11.7 %Bertie County: 11.4 %Bladen County: 11.3 %Brunswick County: 9.4 %Buncombe County: 12.7 %Burke County: 12.9 %Cabarrus County: 8.8 %Caldwell County: 13.4 %Camden County: 8.9 %Carteret County: 10.3 %Caswell County: 12 %Catawba County: 12.3 %Chatham County: 11.3 %Cherokee County: 12.5 %Chowan County: 11.7 %Clay County: 13.1 %Cleveland County: 10.3 %Columbus County: 13.3 %Craven County: 10.9 %Cumberland County: 9.6 %Currituck County: 9.6 %Dare County: 10.2 %Davidson County: 11.8 %Davie County: 10.4 %Duplin County: 17.2 %Durham County: 11.4 %Edgecombe County: 10.8 %Forsyth County: 11.6 %Franklin County: 11.6 %Gaston County: 11.5 %Gates County: 9.5 %Graham County: 14 %Granville County: 11 %Greene County: 17.4 %Guilford County: 10.8 %Halifax County: 12 %Harnett County: 11.6 %Haywood County: 11.3 %Henderson County: 12.8 %Hertford County: 10.6 %Hoke County: 11.6 %Hyde County: 17.7 %Iredell County: 10.7 %Jackson County: 15 %Johnston County: 11.5 %Jones County: 12.9 %Lee County: 13.8 %Lenoir County: 12.7 %Lincoln County: 10.4 %McDowell County: 12.4 %Macon County: 14.9 %Madison County: 10.6 %Martin County: 11.5 %Mecklenburg County: 12.3 %Mitchell County: 11.2 %Montgomery County: 14.4 %Moore County: 9.3 %Nash County: 12.8 %New Hanover County: 10.6 %Northampton County: 9.6 %Onslow County: 8.3 %Orange County: 9.5 %Pamlico County: 11.2 %Pasquotank County: 9.6 %Pender County: 11.2 %Perquimans County: 11.7 %Person County: 10.3 %Pitt County: 10.9 %Polk County: 12.7 %Randolph County: 13.4 %Richmond County: 11 %Robeson County: 13.8 %Rockingham County: 12.7 %Rowan County: 11.4 %Rutherford County: 13 %Sampson County: 17.2 %Scotland County: 11 %Stanly County: 10.4 %Stokes County: 10.9 %Surry County: 13.6 %Swain County: 15.3 %Transylvania County: 10.9 %Tyrrell County: 15.9 %Union County: 9.1 %Vance County: 12.2 %Wake County: 8 %Warren County: 14.7 %Washington County: 10.3 %Watauga County: 12.3 %Wayne County: 14 %Wilkes County: 13.9 %Wilson County: 13.2 %Yadkin County: 12.1 %Yancey County: 12.6 %
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%, 2023. 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, 2023

Hyde County: 17.7 %Hyde County17.7Greene County: 17.4 %Greene County17.4Alleghany County: 17.2 %Alleghany County17.2Duplin County: 17.2 %Duplin County17.2Sampson County: 17.2 %Sampson County17.2Tyrrell County: 15.9 %Tyrrell County15.9Swain County: 15.3 %Swain County15.3Jackson County: 15 %Jackson County15Macon County: 14.9 %Macon County14.9Avery County: 14.7 %Avery County14.7Warren County: 14.7 %Warren County14.7Montgomery County: 14.4 %Montgomery County14.4Graham County: 14 %Graham County14Wayne County: 14 %Wayne County14Wilkes County: 13.9 %Wilkes County13.9Lee County: 13.8 %Lee County13.8Robeson County: 13.8 %Robeson County13.8Surry County: 13.6 %Surry County13.6Caldwell County: 13.4 %Caldwell County13.4Randolph County: 13.4 %Randolph County13.4Ashe County: 13.3 %Ashe County13.3Columbus County: 13.3 %Columbus County13.3Wilson County: 13.2 %Wilson County13.2Clay County: 13.1 %Clay County13.1Rutherford County: 13 %Rutherford County13Anson County: 12.9 %Anson County12.9Burke County: 12.9 %Burke County12.9Jones County: 12.9 %Jones County12.9Henderson County: 12.8 %Henderson County12.8Nash County: 12.8 %Nash County12.8Buncombe County: 12.7 %Buncombe County12.7Lenoir County: 12.7 %Lenoir County12.7Polk County: 12.7 %Polk County12.7Rockingham County: 12.7 %Rockingham County12.7Yancey County: 12.6 %Yancey County12.6Cherokee County: 12.5 %Cherokee County12.5McDowell County: 12.4 %McDowell County12.4Catawba County: 12.3 %Catawba County12.3Mecklenburg County: 12.3 %Mecklenburg County12.3Watauga County: 12.3 %Watauga County12.3Hyde County: 17.7 %Hyde County17.7Greene County: 17.4 %Greene County17.4Alleghany County: 17.2 %Alleghany County17.2Duplin County: 17.2 %Duplin County17.2Sampson County: 17.2 %Sampson County17.2Tyrrell County: 15.9 %Tyrrell County15.9Swain County: 15.3 %Swain County15.3Jackson County: 15 %Jackson County15Macon County: 14.9 %Macon County14.9Avery County: 14.7 %Avery County14.7Warren County: 14.7 %Warren County14.7Montgomery County: 14.4 %Montgomery County14.4Graham County: 14 %Graham County14Wayne County: 14 %Wayne County14Wilkes County: 13.9 %Wilkes County13.9Lee County: 13.8 %Lee County13.8Robeson County: 13.8 %Robeson County13.8Surry County: 13.6 %Surry County13.6Caldwell County: 13.4 %Caldwell County13.4Randolph County: 13.4 %Randolph County13.4Ashe County: 13.3 %Ashe County13.3Columbus County: 13.3 %Columbus County13.3Wilson County: 13.2 %Wilson County13.2Clay County: 13.1 %Clay County13.1Rutherford County: 13 %Rutherford County13Anson County: 12.9 %Anson County12.9Burke County: 12.9 %Burke County12.9Jones County: 12.9 %Jones County12.9Henderson County: 12.8 %Henderson County12.8Nash County: 12.8 %Nash County12.8Buncombe County: 12.7 %Buncombe County12.7Lenoir County: 12.7 %Lenoir County12.7Polk County: 12.7 %Polk County12.7Rockingham County: 12.7 %Rockingham County12.7Yancey County: 12.6 %Yancey County12.6Cherokee County: 12.5 %Cherokee County12.5McDowell County: 12.4 %McDowell County12.4Catawba County: 12.3 %Catawba County12.3Mecklenburg County: 12.3 %Mecklenburg County12.3Watauga County: 12.3 %Watauga County12.3
%. 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

RankCounties2023 (%)Change on 2022
1Hyde County17.7-1.2 pts
2Greene County17.4-0.5 pts
3Alleghany County17.2-0.1 pts
3Duplin County17.2+1.5 pts
3Sampson County17.2+0.6 pts
6Tyrrell County15.9+0.2 pts
7Swain County15.3-4.1 pts
8Jackson County15-0.7 pts
9Macon County14.9-1.3 pts
10Avery County14.7-1 pts
10Warren County14.7-0.3 pts
12Montgomery County14.4-1.8 pts
13Graham County14-2.5 pts
13Wayne County14+0.4 pts
15Wilkes County13.9+0.4 pts
16Lee County13.80 pts
16Robeson County13.8-1.4 pts
18Surry County13.6+0.2 pts
19Caldwell County13.4+0.3 pts
19Randolph County13.40 pts
21Ashe County13.3-0.3 pts
21Columbus County13.3-0.4 pts
23Wilson County13.2+0.3 pts
24Clay County13.1-0.2 pts
25Rutherford County13+0.7 pts
26Anson County12.9+0.4 pts
26Burke County12.9-0.6 pts
26Jones County12.9-0.7 pts
29Henderson County12.8-0.8 pts
29Nash County12.8-1.2 pts
31Buncombe County12.7-0.4 pts
31Lenoir County12.7-0.2 pts
31Polk County12.7+0.4 pts
31Rockingham County12.7+0.2 pts
35Yancey County12.6-0.2 pts
36Cherokee County12.5-1 pts
37McDowell County12.4-1.2 pts
38Catawba County12.3+0.3 pts
38Mecklenburg County12.3+1 pts
38Watauga County12.3+0.2 pts
41Vance County12.2-0.9 pts
42Yadkin County12.1-1.3 pts
43Alamance County12-0.6 pts
43Caswell County12-0.5 pts
43Halifax County12-0.2 pts
46Davidson County11.8-0.5 pts
47Beaufort County11.7-0.5 pts
47Chowan County11.7+0.2 pts
47Perquimans County11.7+0.2 pts
50Forsyth County11.6+0.1 pts
50Franklin County11.6-1.1 pts
50Harnett County11.6-0.3 pts
50Hoke County11.6+0.4 pts
54Gaston County11.5+0.3 pts
54Johnston County11.5-1.2 pts
54Martin County11.5-1.1 pts
57Alexander County11.4-0.5 pts
57Bertie County11.4-0.3 pts
57Durham County11.4+0.8 pts
57Rowan County11.40 pts
61Bladen County11.3-2.7 pts
61Chatham County11.3-0.2 pts
61Haywood County11.3-0.9 pts
64Mitchell County11.2-0.2 pts
64Pamlico County11.2-1.3 pts
64Pender County11.2-0.5 pts
67Granville County11-1 pts
67Richmond County11-1.5 pts
67Scotland County11-0.1 pts
70Craven County10.9-0.1 pts
70Pitt County10.9+0.4 pts
70Stokes County10.9+0.5 pts
70Transylvania County10.9-2.7 pts
74Edgecombe County10.8-0.3 pts
74Guilford County10.8+0.7 pts
76Iredell County10.7+0.8 pts
77Hertford County10.6-1.3 pts
77Madison County10.6-0.2 pts
77New Hanover County10.6-0.3 pts
80Davie County10.4+0.2 pts
80Lincoln County10.4+0.1 pts
80Stanly County10.4-2.2 pts
83Carteret County10.3-2 pts
83Cleveland County10.3-0.7 pts
83Person County10.3-0.6 pts
83Washington County10.3-1.9 pts
87Dare County10.2-0.8 pts
88Cumberland County9.6-1 pts
88Currituck County9.6-0.2 pts
88Northampton County9.6-0.6 pts
88Pasquotank County9.6-0.3 pts
92Gates County9.5+0.3 pts
92Orange County9.5+1.4 pts
94Brunswick County9.4-0.9 pts
95Moore County9.3-0.9 pts
96Union County9.1-1.4 pts
97Camden County8.9-0.5 pts
98Cabarrus County8.80 pts
99Onslow County8.3-1.2 pts
100Wake County8-0.5 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties?period=2023.
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-2023-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)?

Hyde County, with 17.7% in 2023, according to the U.S. Census Bureau.

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

Wake County, with 8% in 2023.

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