Counties in North Dakota by uninsured rate, under 65 (US model-based estimate), 2024

Logan County had the highest uninsured rate, under 65 (US model-based estimate) of 53 counties in 2024, at 13.4%. Oliver County had the lowest, at 4.9%. The median was 7.2% and the figure for North Dakota was 6.6%. Source: the U.S. Census Bureau.

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Highest13.4Logan County
Lowest4.9Oliver County
Median7.253 counties
North Dakota6.6History

Map of counties, 2024

Adams County: 11.4 %Barnes County: 6.2 %Benson County: 8.2 %Billings County: 6.2 %Bottineau County: 7.3 %Bowman County: 10 %Burke County: 7.2 %Burleigh County: 5.4 %Cass County: 6 %Cavalier County: 5.9 %Dickey County: 9.4 %Divide County: 10.7 %Dunn County: 8.8 %Eddy County: 6.1 %Emmons County: 8.2 %Foster County: 5.4 %Golden Valley County: 5.9 %Grand Forks County: 5.9 %Grant County: 11.4 %Griggs County: 5.7 %Hettinger County: 6.5 %Kidder County: 8.9 %LaMoure County: 8 %Logan County: 13.4 %McHenry County: 8 %McIntosh County: 9.9 %McKenzie County: 7.7 %McLean County: 6.5 %Mercer County: 6.3 %Morton County: 5.7 %Mountrail County: 11.4 %Nelson County: 7 %Oliver County: 4.9 %Pembina County: 7.6 %Pierce County: 5.6 %Ramsey County: 6.4 %Ransom County: 8.7 %Renville County: 7.6 %Richland County: 6 %Rolette County: 8.5 %Sargent County: 5.6 %Sheridan County: 10.3 %Sioux County: 7.1 %Slope County: 8.2 %Stark County: 7.3 %Steele County: 6.8 %Stutsman County: 6.3 %Towner County: 7.4 %Traill County: 5.7 %Walsh County: 9.8 %Ward County: 6.6 %Wells County: 6.3 %Williams County: 8.3 %
  • Under 5.9
  • 5.9 to 6.3
  • 6.3 to 7.2
  • 7.2 to 8.1
  • 8.1 to 9.5
  • 9.5 and over
%, 2024. 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.

All counties, 2024

Logan County: 13.4 %Logan County13.4Adams County: 11.4 %Adams County11.4Grant County: 11.4 %Grant County11.4Mountrail County: 11.4 %Mountrail County11.4Divide County: 10.7 %Divide County10.7Sheridan County: 10.3 %Sheridan County10.3Bowman County: 10 %Bowman County10McIntosh County: 9.9 %McIntosh County9.9Walsh County: 9.8 %Walsh County9.8Dickey County: 9.4 %Dickey County9.4Kidder County: 8.9 %Kidder County8.9Dunn County: 8.8 %Dunn County8.8Ransom County: 8.7 %Ransom County8.7Rolette County: 8.5 %Rolette County8.5Williams County: 8.3 %Williams County8.3Benson County: 8.2 %Benson County8.2Emmons County: 8.2 %Emmons County8.2Slope County: 8.2 %Slope County8.2LaMoure County: 8 %LaMoure County8McHenry County: 8 %McHenry County8McKenzie County: 7.7 %McKenzie County7.7Pembina County: 7.6 %Pembina County7.6Renville County: 7.6 %Renville County7.6Towner County: 7.4 %Towner County7.4Bottineau County: 7.3 %Bottineau County7.3Stark County: 7.3 %Stark County7.3Burke County: 7.2 %Burke County7.2Sioux County: 7.1 %Sioux County7.1Nelson County: 7 %Nelson County7Steele County: 6.8 %Steele County6.8Ward County: 6.6 %Ward County6.6Hettinger County: 6.5 %Hettinger County6.5McLean County: 6.5 %McLean County6.5Ramsey County: 6.4 %Ramsey County6.4Mercer County: 6.3 %Mercer County6.3Stutsman County: 6.3 %Stutsman County6.3Wells County: 6.3 %Wells County6.3Barnes County: 6.2 %Barnes County6.2Billings County: 6.2 %Billings County6.2Eddy County: 6.1 %Eddy County6.1Cass County: 6 %Cass County6Richland County: 6 %Richland County6Cavalier County: 5.9 %Cavalier County5.9Golden Valley County: 5.9 %Golden Valley County5.9Grand Forks County: 5.9 %Grand Forks County5.9Griggs County: 5.7 %Griggs County5.7Morton County: 5.7 %Morton County5.7Traill County: 5.7 %Traill County5.7Pierce County: 5.6 %Pierce County5.6Sargent County: 5.6 %Sargent County5.6Burleigh County: 5.4 %Burleigh County5.4Foster County: 5.4 %Foster County5.4Oliver County: 4.9 %Oliver County4.9Logan County: 13.4 %Logan County13.4Adams County: 11.4 %Adams County11.4Grant County: 11.4 %Grant County11.4Mountrail County: 11.4 %Mountrail County11.4Divide County: 10.7 %Divide County10.7Sheridan County: 10.3 %Sheridan County10.3Bowman County: 10 %Bowman County10McIntosh County: 9.9 %McIntosh County9.9Walsh County: 9.8 %Walsh County9.8Dickey County: 9.4 %Dickey County9.4Kidder County: 8.9 %Kidder County8.9Dunn County: 8.8 %Dunn County8.8Ransom County: 8.7 %Ransom County8.7Rolette County: 8.5 %Rolette County8.5Williams County: 8.3 %Williams County8.3Benson County: 8.2 %Benson County8.2Emmons County: 8.2 %Emmons County8.2Slope County: 8.2 %Slope County8.2LaMoure County: 8 %LaMoure County8McHenry County: 8 %McHenry County8McKenzie County: 7.7 %McKenzie County7.7Pembina County: 7.6 %Pembina County7.6Renville County: 7.6 %Renville County7.6Towner County: 7.4 %Towner County7.4Bottineau County: 7.3 %Bottineau County7.3Stark County: 7.3 %Stark County7.3Burke County: 7.2 %Burke County7.2Sioux County: 7.1 %Sioux County7.1Nelson County: 7 %Nelson County7Steele County: 6.8 %Steele County6.8Ward County: 6.6 %Ward County6.6Hettinger County: 6.5 %Hettinger County6.5McLean County: 6.5 %McLean County6.5Ramsey County: 6.4 %Ramsey County6.4Mercer County: 6.3 %Mercer County6.3Stutsman County: 6.3 %Stutsman County6.3Wells County: 6.3 %Wells County6.3Barnes County: 6.2 %Barnes County6.2Billings County: 6.2 %Billings County6.2Eddy County: 6.1 %Eddy County6.1Cass County: 6 %Cass County6Richland County: 6 %Richland County6Cavalier County: 5.9 %Cavalier County5.9Golden Valley County: 5.9 %Golden Valley County5.9Grand Forks County: 5.9 %Grand Forks County5.9Griggs County: 5.7 %Griggs County5.7Morton County: 5.7 %Morton County5.7Traill County: 5.7 %Traill County5.7Pierce County: 5.6 %Pierce County5.6Sargent County: 5.6 %Sargent County5.6Burleigh County: 5.4 %Burleigh County5.4Foster County: 5.4 %Foster County5.4Oliver County: 4.9 %Oliver County4.9
%. 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

RankCounties2024 (%)Change on 2023
1Logan County13.4+6 pts
2Adams County11.4+2.8 pts
2Grant County11.4+3.5 pts
2Mountrail County11.4+1.7 pts
5Divide County10.7+2.9 pts
6Sheridan County10.3+1.3 pts
7Bowman County10+1 pts
8McIntosh County9.9+2.7 pts
9Walsh County9.8+0.9 pts
10Dickey County9.4+1.3 pts
11Kidder County8.9+1.3 pts
12Dunn County8.8+0.4 pts
13Ransom County8.7+1.4 pts
14Rolette County8.5+0.2 pts
15Williams County8.3+1 pts
16Benson County8.2+1.2 pts
16Emmons County8.2+0.6 pts
16Slope County8.2-0.3 pts
19LaMoure County8+0.1 pts
19McHenry County8+1.8 pts
21McKenzie County7.7+1.6 pts
22Pembina County7.6+1.2 pts
22Renville County7.6+0.9 pts
24Towner County7.4-1.1 pts
25Bottineau County7.3+0.8 pts
25Stark County7.3+1 pts
27Burke County7.2+0.6 pts
28Sioux County7.1+0.1 pts
29Nelson County7+1.8 pts
30Steele County6.8+2.2 pts
31Ward County6.6+0.4 pts
32Hettinger County6.5-1.4 pts
32McLean County6.5+0.2 pts
34Ramsey County6.4+0.7 pts
35Mercer County6.3+0.8 pts
35Stutsman County6.3+0.5 pts
35Wells County6.3+0.1 pts
38Barnes County6.2+0.8 pts
38Billings County6.2-1.7 pts
40Eddy County6.1-0.2 pts
41Cass County6+1 pts
41Richland County6+0.2 pts
43Cavalier County5.9+0.9 pts
43Golden Valley County5.9-0.4 pts
43Grand Forks County5.9+0.9 pts
46Griggs County5.7+0.2 pts
46Morton County5.7+1.1 pts
46Traill County5.7+0.2 pts
49Pierce County5.6+0.2 pts
49Sargent County5.6+1.6 pts
51Burleigh County5.4+0.7 pts
51Foster County5.4-0.7 pts
53Oliver County4.9+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-2024-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 Dakota by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Dakota by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties. 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 Dakota by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties.

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 Dakota by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_2024,
  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 Dakota by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties. 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-2024-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 Dakota by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties.
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-2024-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)?

Logan County, with 13.4% in 2024, according to the U.S. Census Bureau.

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

Oliver County, with 4.9% in 2024.

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 Dakota: more rankings