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 2022, at 11.8%. Sargent County had the lowest, at 5.1%. The median was 7.3% and the figure for North Dakota was 7.2%. Source: the U.S. Census Bureau.

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Highest11.8Mountrail County
Median7.353 counties
North Dakota7.2History

Map of counties, 2022

Adams County: 7.9 %Barnes County: 6.2 %Benson County: 6.7 %Billings County: 7.7 %Bottineau County: 7.9 %Bowman County: 9.5 %Burke County: 7.5 %Burleigh County: 5.9 %Cass County: 7.2 %Cavalier County: 5.9 %Dickey County: 8.7 %Divide County: 7.4 %Dunn County: 10.1 %Eddy County: 7.8 %Emmons County: 8.2 %Foster County: 7.9 %Golden Valley County: 7.2 %Grand Forks County: 6.4 %Grant County: 6 %Griggs County: 6.2 %Hettinger County: 7.9 %Kidder County: 7.5 %LaMoure County: 9.9 %Logan County: 6.2 %McHenry County: 5.5 %McIntosh County: 8.2 %McKenzie County: 8.4 %McLean County: 7.3 %Mercer County: 6.6 %Morton County: 6.7 %Mountrail County: 11.8 %Nelson County: 6.8 %Oliver County: 5.6 %Pembina County: 7.9 %Pierce County: 5.2 %Ramsey County: 7.6 %Ransom County: 7.3 %Renville County: 7.4 %Richland County: 7.2 %Rolette County: 10.4 %Sargent County: 5.1 %Sheridan County: 9.1 %Sioux County: 7 %Slope County: 6.2 %Stark County: 7.5 %Steele County: 5.7 %Stutsman County: 6.7 %Towner County: 9.5 %Traill County: 6.4 %Walsh County: 10.8 %Ward County: 6.5 %Wells County: 6.6 %Williams County: 9.9 %
  • Under 6.2
  • 6.2 to 6.7
  • 6.7 to 7.3
  • 7.3 to 7.9
  • 7.9 to 8.8
  • 8.8 and over
%, 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.

All counties, 2022

Mountrail County: 11.8 %Mountrail County11.8Walsh County: 10.8 %Walsh County10.8Rolette County: 10.4 %Rolette County10.4Dunn County: 10.1 %Dunn County10.1LaMoure County: 9.9 %LaMoure County9.9Williams County: 9.9 %Williams County9.9Bowman County: 9.5 %Bowman County9.5Towner County: 9.5 %Towner County9.5Sheridan County: 9.1 %Sheridan County9.1Dickey County: 8.7 %Dickey County8.7McKenzie County: 8.4 %McKenzie County8.4Emmons County: 8.2 %Emmons County8.2McIntosh County: 8.2 %McIntosh County8.2Adams County: 7.9 %Adams County7.9Bottineau County: 7.9 %Bottineau County7.9Foster County: 7.9 %Foster County7.9Hettinger County: 7.9 %Hettinger County7.9Pembina County: 7.9 %Pembina County7.9Eddy County: 7.8 %Eddy County7.8Billings County: 7.7 %Billings County7.7Ramsey County: 7.6 %Ramsey County7.6Burke County: 7.5 %Burke County7.5Kidder County: 7.5 %Kidder County7.5Stark County: 7.5 %Stark County7.5Divide County: 7.4 %Divide County7.4Renville County: 7.4 %Renville County7.4McLean County: 7.3 %McLean County7.3Ransom County: 7.3 %Ransom County7.3Cass County: 7.2 %Cass County7.2Golden Valley County: 7.2 %Golden Valley County7.2Richland County: 7.2 %Richland County7.2Sioux County: 7 %Sioux County7Nelson County: 6.8 %Nelson County6.8Benson County: 6.7 %Benson County6.7Morton County: 6.7 %Morton County6.7Stutsman County: 6.7 %Stutsman County6.7Mercer County: 6.6 %Mercer County6.6Wells County: 6.6 %Wells County6.6Ward County: 6.5 %Ward County6.5Grand Forks County: 6.4 %Grand Forks County6.4Traill County: 6.4 %Traill County6.4Barnes County: 6.2 %Barnes County6.2Griggs County: 6.2 %Griggs County6.2Logan County: 6.2 %Logan County6.2Slope County: 6.2 %Slope County6.2Grant County: 6 %Grant County6Burleigh County: 5.9 %Burleigh County5.9Cavalier County: 5.9 %Cavalier County5.9Steele County: 5.7 %Steele County5.7Oliver County: 5.6 %Oliver County5.6McHenry County: 5.5 %McHenry County5.5Pierce County: 5.2 %Pierce County5.2Sargent County: 5.1 %Sargent County5.1Mountrail County: 11.8 %Mountrail County11.8Walsh County: 10.8 %Walsh County10.8Rolette County: 10.4 %Rolette County10.4Dunn County: 10.1 %Dunn County10.1LaMoure County: 9.9 %LaMoure County9.9Williams County: 9.9 %Williams County9.9Bowman County: 9.5 %Bowman County9.5Towner County: 9.5 %Towner County9.5Sheridan County: 9.1 %Sheridan County9.1Dickey County: 8.7 %Dickey County8.7McKenzie County: 8.4 %McKenzie County8.4Emmons County: 8.2 %Emmons County8.2McIntosh County: 8.2 %McIntosh County8.2Adams County: 7.9 %Adams County7.9Bottineau County: 7.9 %Bottineau County7.9Foster County: 7.9 %Foster County7.9Hettinger County: 7.9 %Hettinger County7.9Pembina County: 7.9 %Pembina County7.9Eddy County: 7.8 %Eddy County7.8Billings County: 7.7 %Billings County7.7Ramsey County: 7.6 %Ramsey County7.6Burke County: 7.5 %Burke County7.5Kidder County: 7.5 %Kidder County7.5Stark County: 7.5 %Stark County7.5Divide County: 7.4 %Divide County7.4Renville County: 7.4 %Renville County7.4McLean County: 7.3 %McLean County7.3Ransom County: 7.3 %Ransom County7.3Cass County: 7.2 %Cass County7.2Golden Valley County: 7.2 %Golden Valley County7.2Richland County: 7.2 %Richland County7.2Sioux County: 7 %Sioux County7Nelson County: 6.8 %Nelson County6.8Benson County: 6.7 %Benson County6.7Morton County: 6.7 %Morton County6.7Stutsman County: 6.7 %Stutsman County6.7Mercer County: 6.6 %Mercer County6.6Wells County: 6.6 %Wells County6.6Ward County: 6.5 %Ward County6.5Grand Forks County: 6.4 %Grand Forks County6.4Traill County: 6.4 %Traill County6.4Barnes County: 6.2 %Barnes County6.2Griggs County: 6.2 %Griggs County6.2Logan County: 6.2 %Logan County6.2Slope County: 6.2 %Slope County6.2Grant County: 6 %Grant County6Burleigh County: 5.9 %Burleigh County5.9Cavalier County: 5.9 %Cavalier County5.9Steele County: 5.7 %Steele County5.7Oliver County: 5.6 %Oliver County5.6McHenry County: 5.5 %McHenry County5.5Pierce County: 5.2 %Pierce County5.2Sargent County: 5.1 %Sargent County5.1
%. 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
1Mountrail County11.8-4.7 pts
2Walsh County10.8-1.4 pts
3Rolette County10.4-3.9 pts
4Dunn County10.1-2.6 pts
5LaMoure County9.9-2 pts
5Williams County9.9-2.1 pts
7Bowman County9.5-3.6 pts
7Towner County9.5-4.8 pts
9Sheridan County9.1-3.4 pts
10Dickey County8.7+0.3 pts
11McKenzie County8.4-4.7 pts
12Emmons County8.2-3 pts
12McIntosh County8.2-2.4 pts
14Adams County7.9-3.8 pts
14Bottineau County7.9-2.2 pts
14Foster County7.9-2.1 pts
14Hettinger County7.9-4.6 pts
14Pembina County7.9-3.2 pts
19Eddy County7.8-2.1 pts
20Billings County7.7-1.7 pts
21Ramsey County7.6-2.6 pts
22Burke County7.5-3.3 pts
22Kidder County7.5-2.6 pts
22Stark County7.5-1.6 pts
25Divide County7.4-5.1 pts
25Renville County7.4-2.9 pts
27McLean County7.3-2.8 pts
27Ransom County7.3-3.8 pts
29Cass County7.2-0.8 pts
29Golden Valley County7.2-3.5 pts
29Richland County7.2-2.7 pts
32Sioux County7-5.5 pts
33Nelson County6.8-3.8 pts
34Benson County6.7-5 pts
34Morton County6.7-1.6 pts
34Stutsman County6.7-1.9 pts
37Mercer County6.6-1.3 pts
37Wells County6.6-2.5 pts
39Ward County6.5-3.4 pts
40Grand Forks County6.4-2.3 pts
40Traill County6.4-3.3 pts
42Barnes County6.2-2.2 pts
42Griggs County6.2-2.8 pts
42Logan County6.2-1.8 pts
42Slope County6.2-3.2 pts
46Grant County6-3 pts
47Burleigh County5.9-1.3 pts
47Cavalier County5.9-2.4 pts
49Steele County5.7-1.1 pts
50Oliver County5.6-2.8 pts
51McHenry County5.5-3.2 pts
52Pierce County5.2-1.2 pts
53Sargent County5.1-2.1 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-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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-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)?

Mountrail County, with 11.8% in 2022, according to the U.S. Census Bureau.

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

Sargent County, with 5.1% 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 Dakota: more rankings