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

Mountrail County had the highest uninsured rate, under 65 (US model-based estimate) of 53 counties in 2019, at 14.4%. Steele County had the lowest, at 4.7%. The median was 8.3% and the figure for North Dakota was 7.2%. Source: the U.S. Census Bureau.

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Highest14.4Mountrail County
Lowest4.7Steele County
Median8.353 counties
North Dakota7.2History

Map of counties, 2019

Adams County: 9.5 %Barnes County: 6.9 %Benson County: 11.1 %Billings County: 9 %Bottineau County: 8.4 %Bowman County: 10 %Burke County: 6.8 %Burleigh County: 5.6 %Cass County: 6.2 %Cavalier County: 6.3 %Dickey County: 7.9 %Divide County: 10.1 %Dunn County: 11.5 %Eddy County: 8.3 %Emmons County: 11.6 %Foster County: 6.4 %Golden Valley County: 9.2 %Grand Forks County: 6.4 %Grant County: 13.5 %Griggs County: 7.7 %Hettinger County: 11.7 %Kidder County: 10.3 %LaMoure County: 10.9 %Logan County: 13.7 %McHenry County: 8.5 %McIntosh County: 10.2 %McKenzie County: 8.9 %McLean County: 9.1 %Mercer County: 5.1 %Morton County: 6.3 %Mountrail County: 14.4 %Nelson County: 8.1 %Oliver County: 7.8 %Pembina County: 8.3 %Pierce County: 6.7 %Ramsey County: 7.3 %Ransom County: 6.6 %Renville County: 6.7 %Richland County: 6.9 %Rolette County: 13.6 %Sargent County: 7.2 %Sheridan County: 12.4 %Sioux County: 12.3 %Slope County: 11.3 %Stark County: 6.5 %Steele County: 4.7 %Stutsman County: 6.7 %Towner County: 10.7 %Traill County: 6 %Walsh County: 9.6 %Ward County: 7.5 %Wells County: 7.2 %Williams County: 8.5 %
  • Under 6.5
  • 6.5 to 7.2
  • 7.2 to 8.3
  • 8.3 to 9.6
  • 9.6 to 11
  • 11 and over
%, 2019. 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, 2019

Mountrail County: 14.4 %Mountrail County14.4Logan County: 13.7 %Logan County13.7Rolette County: 13.6 %Rolette County13.6Grant County: 13.5 %Grant County13.5Sheridan County: 12.4 %Sheridan County12.4Sioux County: 12.3 %Sioux County12.3Hettinger County: 11.7 %Hettinger County11.7Emmons County: 11.6 %Emmons County11.6Dunn County: 11.5 %Dunn County11.5Slope County: 11.3 %Slope County11.3Benson County: 11.1 %Benson County11.1LaMoure County: 10.9 %LaMoure County10.9Towner County: 10.7 %Towner County10.7Kidder County: 10.3 %Kidder County10.3McIntosh County: 10.2 %McIntosh County10.2Divide County: 10.1 %Divide County10.1Bowman County: 10 %Bowman County10Walsh County: 9.6 %Walsh County9.6Adams County: 9.5 %Adams County9.5Golden Valley County: 9.2 %Golden Valley County9.2McLean County: 9.1 %McLean County9.1Billings County: 9 %Billings County9McKenzie County: 8.9 %McKenzie County8.9McHenry County: 8.5 %McHenry County8.5Williams County: 8.5 %Williams County8.5Bottineau County: 8.4 %Bottineau County8.4Eddy County: 8.3 %Eddy County8.3Pembina County: 8.3 %Pembina County8.3Nelson County: 8.1 %Nelson County8.1Dickey County: 7.9 %Dickey County7.9Oliver County: 7.8 %Oliver County7.8Griggs County: 7.7 %Griggs County7.7Ward County: 7.5 %Ward County7.5Ramsey County: 7.3 %Ramsey County7.3Sargent County: 7.2 %Sargent County7.2Wells County: 7.2 %Wells County7.2Barnes County: 6.9 %Barnes County6.9Richland County: 6.9 %Richland County6.9Burke County: 6.8 %Burke County6.8Pierce County: 6.7 %Pierce County6.7Renville County: 6.7 %Renville County6.7Stutsman County: 6.7 %Stutsman County6.7Ransom County: 6.6 %Ransom County6.6Stark County: 6.5 %Stark County6.5Foster County: 6.4 %Foster County6.4Grand Forks County: 6.4 %Grand Forks County6.4Cavalier County: 6.3 %Cavalier County6.3Morton County: 6.3 %Morton County6.3Cass County: 6.2 %Cass County6.2Traill County: 6 %Traill County6Burleigh County: 5.6 %Burleigh County5.6Mercer County: 5.1 %Mercer County5.1Steele County: 4.7 %Steele County4.7Mountrail County: 14.4 %Mountrail County14.4Logan County: 13.7 %Logan County13.7Rolette County: 13.6 %Rolette County13.6Grant County: 13.5 %Grant County13.5Sheridan County: 12.4 %Sheridan County12.4Sioux County: 12.3 %Sioux County12.3Hettinger County: 11.7 %Hettinger County11.7Emmons County: 11.6 %Emmons County11.6Dunn County: 11.5 %Dunn County11.5Slope County: 11.3 %Slope County11.3Benson County: 11.1 %Benson County11.1LaMoure County: 10.9 %LaMoure County10.9Towner County: 10.7 %Towner County10.7Kidder County: 10.3 %Kidder County10.3McIntosh County: 10.2 %McIntosh County10.2Divide County: 10.1 %Divide County10.1Bowman County: 10 %Bowman County10Walsh County: 9.6 %Walsh County9.6Adams County: 9.5 %Adams County9.5Golden Valley County: 9.2 %Golden Valley County9.2McLean County: 9.1 %McLean County9.1Billings County: 9 %Billings County9McKenzie County: 8.9 %McKenzie County8.9McHenry County: 8.5 %McHenry County8.5Williams County: 8.5 %Williams County8.5Bottineau County: 8.4 %Bottineau County8.4Eddy County: 8.3 %Eddy County8.3Pembina County: 8.3 %Pembina County8.3Nelson County: 8.1 %Nelson County8.1Dickey County: 7.9 %Dickey County7.9Oliver County: 7.8 %Oliver County7.8Griggs County: 7.7 %Griggs County7.7Ward County: 7.5 %Ward County7.5Ramsey County: 7.3 %Ramsey County7.3Sargent County: 7.2 %Sargent County7.2Wells County: 7.2 %Wells County7.2Barnes County: 6.9 %Barnes County6.9Richland County: 6.9 %Richland County6.9Burke County: 6.8 %Burke County6.8Pierce County: 6.7 %Pierce County6.7Renville County: 6.7 %Renville County6.7Stutsman County: 6.7 %Stutsman County6.7Ransom County: 6.6 %Ransom County6.6Stark County: 6.5 %Stark County6.5Foster County: 6.4 %Foster County6.4Grand Forks County: 6.4 %Grand Forks County6.4Cavalier County: 6.3 %Cavalier County6.3Morton County: 6.3 %Morton County6.3Cass County: 6.2 %Cass County6.2Traill County: 6 %Traill County6Burleigh County: 5.6 %Burleigh County5.6Mercer County: 5.1 %Mercer County5.1Steele County: 4.7 %Steele County4.7
%. 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

RankCounties2019 (%)Change on 2018
1Mountrail County14.4-0.1 pts
2Logan County13.7-2.8 pts
3Rolette County13.6-2.4 pts
4Grant County13.5-1.8 pts
5Sheridan County12.4-1 pts
6Sioux County12.3-2.8 pts
7Hettinger County11.7+0.8 pts
8Emmons County11.6-1.6 pts
9Dunn County11.5-2.3 pts
10Slope County11.3-1.1 pts
11Benson County11.1-1.6 pts
12LaMoure County10.9-0.5 pts
13Towner County10.7+1.3 pts
14Kidder County10.30 pts
15McIntosh County10.2-2.8 pts
16Divide County10.1-0.1 pts
17Bowman County10-0.1 pts
18Walsh County9.6-1.3 pts
19Adams County9.5+0.1 pts
20Golden Valley County9.2-0.8 pts
21McLean County9.1+0.4 pts
22Billings County9+0.9 pts
23McKenzie County8.9-1 pts
24McHenry County8.5-0.1 pts
24Williams County8.5+0.1 pts
26Bottineau County8.4-1 pts
27Eddy County8.3-1.1 pts
27Pembina County8.3-1.5 pts
29Nelson County8.1-1.8 pts
30Dickey County7.9-1.4 pts
31Oliver County7.8+0.7 pts
32Griggs County7.7-0.2 pts
33Ward County7.50 pts
34Ramsey County7.3-1.3 pts
35Sargent County7.2-0.7 pts
35Wells County7.2-0.2 pts
37Barnes County6.9-1.7 pts
37Richland County6.9-0.8 pts
39Burke County6.8-1.4 pts
40Pierce County6.7-1.7 pts
40Renville County6.7-0.4 pts
40Stutsman County6.7-1 pts
43Ransom County6.6-0.8 pts
44Stark County6.5-1.1 pts
45Foster County6.4-1.5 pts
45Grand Forks County6.4-1.1 pts
47Cavalier County6.3-1.2 pts
47Morton County6.3-1 pts
49Cass County6.2-1 pts
50Traill County6-1.6 pts
51Burleigh County5.6-0.5 pts
52Mercer County5.1-0.7 pts
53Steele County4.7-1 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2019.
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-2019-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)?

Mountrail County, with 14.4% in 2019, according to the U.S. Census Bureau.

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

Steele County, with 4.7% in 2019.

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