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 2020, at 14.8%. Steele County had the lowest, at 5.7%. The median was 8.8% and the figure for North Dakota was 8.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest14.8Mountrail County
Lowest5.7Steele County
Median8.853 counties
North Dakota8.2History

Map of counties, 2020

Adams County: 8.5 %Barnes County: 8.7 %Benson County: 10 %Billings County: 10 %Bottineau County: 9.6 %Bowman County: 12 %Burke County: 9 %Burleigh County: 6.7 %Cass County: 7.2 %Cavalier County: 7.1 %Dickey County: 8.7 %Divide County: 8.7 %Dunn County: 9.6 %Eddy County: 10.1 %Emmons County: 9.4 %Foster County: 10.2 %Golden Valley County: 9.4 %Grand Forks County: 7.3 %Grant County: 8.1 %Griggs County: 8.7 %Hettinger County: 10.9 %Kidder County: 7.6 %LaMoure County: 10.3 %Logan County: 6.2 %McHenry County: 7 %McIntosh County: 8.8 %McKenzie County: 11.3 %McLean County: 9.1 %Mercer County: 6.9 %Morton County: 7.8 %Mountrail County: 14.8 %Nelson County: 9.5 %Oliver County: 8.1 %Pembina County: 10.3 %Pierce County: 6.1 %Ramsey County: 10 %Ransom County: 9 %Renville County: 8.7 %Richland County: 9 %Rolette County: 13.6 %Sargent County: 7.9 %Sheridan County: 11.6 %Sioux County: 11.3 %Slope County: 7.5 %Stark County: 8.7 %Steele County: 5.7 %Stutsman County: 7.2 %Towner County: 11.9 %Traill County: 8.4 %Walsh County: 11.7 %Ward County: 7.8 %Wells County: 8.8 %Williams County: 9.9 %
  • Under 7.3
  • 7.3 to 8.4
  • 8.4 to 8.8
  • 8.8 to 9.6
  • 9.6 to 11
  • 11 and over
%, 2020. 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, 2020

Mountrail County: 14.8 %Mountrail County14.8Rolette County: 13.6 %Rolette County13.6Bowman County: 12 %Bowman County12Towner County: 11.9 %Towner County11.9Walsh County: 11.7 %Walsh County11.7Sheridan County: 11.6 %Sheridan County11.6McKenzie County: 11.3 %McKenzie County11.3Sioux County: 11.3 %Sioux County11.3Hettinger County: 10.9 %Hettinger County10.9LaMoure County: 10.3 %LaMoure County10.3Pembina County: 10.3 %Pembina County10.3Foster County: 10.2 %Foster County10.2Eddy County: 10.1 %Eddy County10.1Benson County: 10 %Benson County10Billings County: 10 %Billings County10Ramsey County: 10 %Ramsey County10Williams County: 9.9 %Williams County9.9Bottineau County: 9.6 %Bottineau County9.6Dunn County: 9.6 %Dunn County9.6Nelson County: 9.5 %Nelson County9.5Emmons County: 9.4 %Emmons County9.4Golden Valley County: 9.4 %Golden Valley County9.4McLean County: 9.1 %McLean County9.1Burke County: 9 %Burke County9Ransom County: 9 %Ransom County9Richland County: 9 %Richland County9McIntosh County: 8.8 %McIntosh County8.8Wells County: 8.8 %Wells County8.8Barnes County: 8.7 %Barnes County8.7Dickey County: 8.7 %Dickey County8.7Divide County: 8.7 %Divide County8.7Griggs County: 8.7 %Griggs County8.7Renville County: 8.7 %Renville County8.7Stark County: 8.7 %Stark County8.7Adams County: 8.5 %Adams County8.5Traill County: 8.4 %Traill County8.4Grant County: 8.1 %Grant County8.1Oliver County: 8.1 %Oliver County8.1Sargent County: 7.9 %Sargent County7.9Morton County: 7.8 %Morton County7.8Ward County: 7.8 %Ward County7.8Kidder County: 7.6 %Kidder County7.6Slope County: 7.5 %Slope County7.5Grand Forks County: 7.3 %Grand Forks County7.3Cass County: 7.2 %Cass County7.2Stutsman County: 7.2 %Stutsman County7.2Cavalier County: 7.1 %Cavalier County7.1McHenry County: 7 %McHenry County7Mercer County: 6.9 %Mercer County6.9Burleigh County: 6.7 %Burleigh County6.7Logan County: 6.2 %Logan County6.2Pierce County: 6.1 %Pierce County6.1Steele County: 5.7 %Steele County5.7Mountrail County: 14.8 %Mountrail County14.8Rolette County: 13.6 %Rolette County13.6Bowman County: 12 %Bowman County12Towner County: 11.9 %Towner County11.9Walsh County: 11.7 %Walsh County11.7Sheridan County: 11.6 %Sheridan County11.6McKenzie County: 11.3 %McKenzie County11.3Sioux County: 11.3 %Sioux County11.3Hettinger County: 10.9 %Hettinger County10.9LaMoure County: 10.3 %LaMoure County10.3Pembina County: 10.3 %Pembina County10.3Foster County: 10.2 %Foster County10.2Eddy County: 10.1 %Eddy County10.1Benson County: 10 %Benson County10Billings County: 10 %Billings County10Ramsey County: 10 %Ramsey County10Williams County: 9.9 %Williams County9.9Bottineau County: 9.6 %Bottineau County9.6Dunn County: 9.6 %Dunn County9.6Nelson County: 9.5 %Nelson County9.5Emmons County: 9.4 %Emmons County9.4Golden Valley County: 9.4 %Golden Valley County9.4McLean County: 9.1 %McLean County9.1Burke County: 9 %Burke County9Ransom County: 9 %Ransom County9Richland County: 9 %Richland County9McIntosh County: 8.8 %McIntosh County8.8Wells County: 8.8 %Wells County8.8Barnes County: 8.7 %Barnes County8.7Dickey County: 8.7 %Dickey County8.7Divide County: 8.7 %Divide County8.7Griggs County: 8.7 %Griggs County8.7Renville County: 8.7 %Renville County8.7Stark County: 8.7 %Stark County8.7Adams County: 8.5 %Adams County8.5Traill County: 8.4 %Traill County8.4Grant County: 8.1 %Grant County8.1Oliver County: 8.1 %Oliver County8.1Sargent County: 7.9 %Sargent County7.9Morton County: 7.8 %Morton County7.8Ward County: 7.8 %Ward County7.8Kidder County: 7.6 %Kidder County7.6Slope County: 7.5 %Slope County7.5Grand Forks County: 7.3 %Grand Forks County7.3Cass County: 7.2 %Cass County7.2Stutsman County: 7.2 %Stutsman County7.2Cavalier County: 7.1 %Cavalier County7.1McHenry County: 7 %McHenry County7Mercer County: 6.9 %Mercer County6.9Burleigh County: 6.7 %Burleigh County6.7Logan County: 6.2 %Logan County6.2Pierce County: 6.1 %Pierce County6.1Steele County: 5.7 %Steele County5.7
%. 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

RankCounties2020 (%)Change on 2019
1Mountrail County14.8+0.4 pts
2Rolette County13.60 pts
3Bowman County12+2 pts
4Towner County11.9+1.2 pts
5Walsh County11.7+2.1 pts
6Sheridan County11.6-0.8 pts
7McKenzie County11.3+2.4 pts
7Sioux County11.3-1 pts
9Hettinger County10.9-0.8 pts
10LaMoure County10.3-0.6 pts
10Pembina County10.3+2 pts
12Foster County10.2+3.8 pts
13Eddy County10.1+1.8 pts
14Benson County10-1.1 pts
14Billings County10+1 pts
14Ramsey County10+2.7 pts
17Williams County9.9+1.4 pts
18Bottineau County9.6+1.2 pts
18Dunn County9.6-1.9 pts
20Nelson County9.5+1.4 pts
21Emmons County9.4-2.2 pts
21Golden Valley County9.4+0.2 pts
23McLean County9.10 pts
24Burke County9+2.2 pts
24Ransom County9+2.4 pts
24Richland County9+2.1 pts
27McIntosh County8.8-1.4 pts
27Wells County8.8+1.6 pts
29Barnes County8.7+1.8 pts
29Dickey County8.7+0.8 pts
29Divide County8.7-1.4 pts
29Griggs County8.7+1 pts
29Renville County8.7+2 pts
29Stark County8.7+2.2 pts
35Adams County8.5-1 pts
36Traill County8.4+2.4 pts
37Grant County8.1-5.4 pts
37Oliver County8.1+0.3 pts
39Sargent County7.9+0.7 pts
40Morton County7.8+1.5 pts
40Ward County7.8+0.3 pts
42Kidder County7.6-2.7 pts
43Slope County7.5-3.8 pts
44Grand Forks County7.3+0.9 pts
45Cass County7.2+1 pts
45Stutsman County7.2+0.5 pts
47Cavalier County7.1+0.8 pts
48McHenry County7-1.5 pts
49Mercer County6.9+1.8 pts
50Burleigh County6.7+1.1 pts
51Logan County6.2-7.5 pts
52Pierce County6.1-0.6 pts
53Steele County5.7+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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties?period=2020.
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-2020-csv.zip. Retrieved 2026-10-12.
ER  - 
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in North Dakota by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_65","level":"province","within":"North Dakota","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_65&level=province&within=North%20Dakota&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Mountrail County, with 14.8% in 2020, according to the U.S. Census Bureau.

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

Steele County, with 5.7% in 2020.

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