US counties by uninsured rate, under 65 (US model-based estimate)

Briscoe County had the highest uninsured rate, under 65 (US model-based estimate) of 3132 counties in 2013, at 40.2%. Norfolk County had the lowest, at 3%. The median was 17.3%. Source: the U.S. Census Bureau.

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Highest40.2Briscoe County
Median17.33132 counties

Map of counties, 2013

%, 2013. Hatched areas have no value for this period. 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, 2013

Briscoe County: 40.2 %Briscoe County40.2Aleutians East Borough: 40.1 %Aleutians East Borough40.1Mason County: 40 %Mason County40Clark County: 39.6 %Clark County39.6Hall County: 38.2 %Hall County38.2Hidalgo County: 38 %Hidalgo County38Hudspeth County: 37.6 %Hudspeth County37.6Castro County: 37.4 %Castro County37.4DeSoto County: 37.1 %DeSoto County37.1Edwards County: 36.4 %Edwards County36.4Menard County: 36.3 %Menard County36.3Collingsworth County: 36.1 %Collingsworth County36.1Cottle County: 35.6 %Cottle County35.6Yakutat City and Borough: 35.5 %Yakutat City and Borough35.5Terrell County: 35.3 %Terrell County35.3Cameron County: 35.1 %Cameron County35.1Presidio County: 35.1 %Presidio County35.1Mills County: 35 %Mills County35Webb County: 34.8 %Webb County34.8Starr County: 34.5 %Starr County34.5Cochran County: 34.3 %Cochran County34.3Gaines County: 34.3 %Gaines County34.3Hayes County: 34.3 %Hayes County34.3Dallam County: 34.2 %Dallam County34.2Glades County: 34.2 %Glades County34.2Zapata County: 34.2 %Zapata County34.2Sherman County: 34 %Sherman County34Maverick County: 33.8 %Maverick County33.8Echols County: 33.7 %Echols County33.7Hoonah-Angoon Census Area: 33.4 %Hoonah-Angoon Census Area33.4Jeff Davis County: 33.4 %Jeff Davis County33.4Hendry County: 33.3 %Hendry County33.3Yukon-Koyukuk Census Area: 33.3 %Yukon-Koyukuk Census Area33.3Miami-Dade County: 33.1 %Miami-Dade County33.1Bailey County: 33 %Bailey County33San Saba County: 32.9 %San Saba County32.9Garfield County: 32.8 %Garfield County32.8Atkinson County: 32.6 %Atkinson County32.6Culberson County: 32.6 %Culberson County32.6Throckmorton County: 32.6 %Throckmorton County32.6Briscoe County: 40.2 %Briscoe County40.2Aleutians East Borough: 40.1 %Aleutians East Borough40.1Mason County: 40 %Mason County40Clark County: 39.6 %Clark County39.6Hall County: 38.2 %Hall County38.2Hidalgo County: 38 %Hidalgo County38Hudspeth County: 37.6 %Hudspeth County37.6Castro County: 37.4 %Castro County37.4DeSoto County: 37.1 %DeSoto County37.1Edwards County: 36.4 %Edwards County36.4Menard County: 36.3 %Menard County36.3Collingsworth County: 36.1 %Collingsworth County36.1Cottle County: 35.6 %Cottle County35.6Yakutat City and Borough: 35.5 %Yakutat City and Borough35.5Terrell County: 35.3 %Terrell County35.3Cameron County: 35.1 %Cameron County35.1Presidio County: 35.1 %Presidio County35.1Mills County: 35 %Mills County35Webb County: 34.8 %Webb County34.8Starr County: 34.5 %Starr County34.5Cochran County: 34.3 %Cochran County34.3Gaines County: 34.3 %Gaines County34.3Hayes County: 34.3 %Hayes County34.3Dallam County: 34.2 %Dallam County34.2Glades County: 34.2 %Glades County34.2Zapata County: 34.2 %Zapata County34.2Sherman County: 34 %Sherman County34Maverick County: 33.8 %Maverick County33.8Echols County: 33.7 %Echols County33.7Hoonah-Angoon Census Area: 33.4 %Hoonah-Angoon Census Area33.4Jeff Davis County: 33.4 %Jeff Davis County33.4Hendry County: 33.3 %Hendry County33.3Yukon-Koyukuk Census Area: 33.3 %Yukon-Koyukuk Census Area33.3Miami-Dade County: 33.1 %Miami-Dade County33.1Bailey County: 33 %Bailey County33San Saba County: 32.9 %San Saba County32.9Garfield County: 32.8 %Garfield County32.8Atkinson County: 32.6 %Atkinson County32.6Culberson County: 32.6 %Culberson County32.6Throckmorton County: 32.6 %Throckmorton County32.6
%. 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

RankCounties2013 (%)Change on 2012
1Briscoe County40.2+1.6 pts
2Aleutians East Borough40.1-1.5 pts
3Mason County40+9.3 pts
4Clark County39.6+7.2 pts
5Hall County38.2+3.9 pts
6Hidalgo County38-0.6 pts
7Hudspeth County37.6+0.2 pts
8Castro County37.4+2.6 pts
9DeSoto County37.1+5.3 pts
10Edwards County36.4+3.2 pts
11Menard County36.3+3.6 pts
12Collingsworth County36.1+3.7 pts
13Cottle County35.6+1.4 pts
14Yakutat City and Borough35.5-0.8 pts
15Terrell County35.3+6.8 pts
16Cameron County35.1-1 pts
16Presidio County35.1+0.1 pts
18Mills County35+2.4 pts
19Webb County34.8-0.4 pts
20Starr County34.5+0.3 pts
21Cochran County34.3+1.8 pts
21Gaines County34.3-0.5 pts
21Hayes County34.3+10.1 pts
24Dallam County34.2+2 pts
24Glades County34.2+2.3 pts
24Zapata County34.2+1.7 pts
27Sherman County34+1.2 pts
28Maverick County33.8-0.5 pts
29Echols County33.7-2.5 pts
30Hoonah-Angoon Census Area33.4-0.3 pts
30Jeff Davis County33.4+3.2 pts
32Hendry County33.3+0.2 pts
32Yukon-Koyukuk Census Area33.3-3.5 pts
34Miami-Dade County33.1-0.1 pts
35Bailey County33+2.1 pts
36San Saba County32.9+3.9 pts
37Garfield County32.8+0.3 pts
38Atkinson County32.6+2.2 pts
38Culberson County32.6-2.7 pts
38Throckmorton County32.6-0.8 pts
41Prince of Wales-Hyder Census Area32.4+1 pts
42Esmeralda County32.3+0.9 pts
43Comanche County32.2+1.3 pts
43Kimble County32.2-0.6 pts
45McCone County32+5.1 pts
45Parmer County32+0.1 pts
47Knox County31.9+1 pts
48Motley County31.6+2.4 pts
49Foard County31.5-0.6 pts
49Lake and Peninsula Borough31.5-2.2 pts
51Real County31.3-2.7 pts
52Cimarron County31.1+1.6 pts
52Dickens County31.1+2.3 pts
54Golden Valley County31+0.4 pts
54Owyhee County31+2.4 pts
56Erath County30.9-0.7 pts
56Gonzales County30.9+1.1 pts
56Hardee County30.9+1.3 pts
59Titus County30.8+0.4 pts
60Lipscomb County30.7+2.1 pts
61El Paso County30.6-0.1 pts
62Ochiltree County30.5+1.6 pts
63Saguache County30.4-0.3 pts
64Blaine County30.3+9.3 pts
64Haines Borough30.3-0.8 pts
66Costilla County30.2+2.2 pts
66Donley County30.2+1.3 pts
66Sanders County30.2+0.6 pts
69Collier County29.9+2 pts
69Rabun County29.9+2.1 pts
69Reagan County29.9+1.1 pts
72Lamb County29.8+1.6 pts
73Northwest Arctic Borough29.7-0.5 pts
73Palo Pinto County29.7+2.7 pts
73Terry County29.7+1.2 pts
73Val Verde County29.7+0.8 pts
77Carter County29.6+2.5 pts
77Sevier County29.6+0.3 pts
79Deaf Smith County29.5-0.8 pts
79Glacier County29.5-0.3 pts
81Dallas County29.3+0.4 pts
81De Baca County29.3+2.3 pts
81McKinley County29.3-1.4 pts
81Moore County29.3-0.1 pts
81Nome Census Area29.3+0.9 pts
86Blaine County29.2-3.6 pts
86Shelby County29.2-0.6 pts
86Stonewall County29.2+3.3 pts
86Willacy County29.2+0.5 pts
90Camas County29.1+4.1 pts
90Catron County29.1+3.3 pts
90Cherokee County29.1+1.4 pts
90Floyd County29.1+1.2 pts
90Lincoln County29.1+3.1 pts
95Crosby County28.9+1.2 pts
95Leon County28.9+1.7 pts
97Camp County28.8+0.2 pts
97Okeechobee County28.8-0.5 pts
99Blanco County28.7+1.9 pts
99Hamilton County28.7+0.5 pts
99Wheatland County28.7+2 pts
102Stephens County28.6+0.4 pts
102Wheeler County28.6+1.7 pts
102Yoakum County28.6+1.7 pts
105Lake County28.5-1.2 pts
105Rains County28.5+0.9 pts
105Waller County28.5+1.1 pts
108Hopkins County28.4-0.4 pts
109Madison County28.3-0.5 pts
109Uvalde County28.3+0.1 pts
111Armstrong County28.2+5.8 pts
111Baylor County28.2+4.2 pts
111Colquitt County28.2+0.7 pts
111Gilmer County28.2+1.8 pts
111Hansford County28.2-0.2 pts
111Kusilvak Census Area28.2-1.9 pts
111Robertson County28.2+1.2 pts
118Burleson County28.1+1.4 pts
118Gillespie County28.1+1 pts
118Schleicher County28.1+1.1 pts
121Big Horn County28-2.5 pts
121Eastland County28+0.6 pts
121Highlands County28+2 pts
121Jack County28+2.4 pts
121Lafayette County28+0.8 pts
126Gooding County27.9+2.5 pts
126Kent County27.9+5.1 pts
126Swisher County27.9+1.7 pts
129Bethel Census Area27.8-1.8 pts
129Grady County27.8+0.9 pts
129McCulloch County27.8+0.8 pts
132Aleutians West Census Area27.7-1.6 pts
132Bosque County27.7+0.2 pts
132Grimes County27.7+1.3 pts
132Red River County27.7+1.4 pts
132Teton County27.7+1.7 pts
132Young County27.7+1 pts
138Jerome County27.6+0.8 pts
139Concho County27.5+0.2 pts
139Harris County27.5-0.1 pts
139Monroe County27.5+0.6 pts
139Phillips County27.5-1.9 pts
139Southeast Fairbanks Census Area27.5-2.2 pts
144Baca County27.4+6.1 pts
144Hill County27.4-1.2 pts
144Navarro County27.4+0.3 pts
144Potter County27.4-0.9 pts
144Whitfield County27.4+1.1 pts
149Burnet County27.3+0.1 pts
149Dillingham Census Area27.3-1.7 pts
149Highland County27.3+1.5 pts
149Houston County27.3-1.3 pts
149La Paz County27.3+0.4 pts
154Aransas County27.2+0.9 pts
154Delta County27.2+1 pts
154Jasper County27.2-0.4 pts
154Meagher County27.2+0.4 pts
154Nacogdoches County27.2+0.1 pts
154San Jacinto County27.2+0.1 pts
160Crockett County27.1+0.2 pts
160Jim Hogg County27.1-1 pts
162Bastrop County27+0.8 pts
162Lee County27+1.2 pts
162Upton County27+0.3 pts
162Yakima County27+1.7 pts
166Coleman County26.9-0.1 pts
166Judith Basin County26.9-1 pts
166Luna County26.9+1.4 pts
166Pushmataha County26.9+1.3 pts
166Runnels County26.9+1.9 pts
166Trinity County26.9-0.1 pts
166Zavala County26.9-0.4 pts
173Chouteau County26.8-4 pts
173Dawson County26.80 pts
173Keya Paha County26.8+5.5 pts
173Kodiak Island Borough26.8-0.9 pts
173Wood County26.8+1 pts
178Coke County26.7-1.5 pts
178Granite County26.7+1.6 pts
178Hardeman County26.7+0.6 pts
178Lynn County26.7+0.6 pts
178Polk County26.70 pts
178Sutton County26.7-0.5 pts
184LaGrange County26.6-1.5 pts
184Lincoln County26.6+2.3 pts
184Osceola County26.6+1.7 pts
184Pecos County26.6-0.4 pts
184Winkler County26.6+1.2 pts
189Henderson County26.5+0.2 pts
189Indian River County26.5+1.8 pts
189Kinney County26.5+2.6 pts
189Lampasas County26.5+1.2 pts
189Le Flore County26.5+0.2 pts
189Lee County26.5+1.8 pts
189Roosevelt County26.5-2.4 pts
196Coal County26.40 pts
196Colorado County26.4-0.7 pts
196Falls County26.4+0.6 pts
196Franklin County26.4+5 pts
196Hale County26.40 pts
196Hunt County26.4+0.9 pts
196Jones County26.4-0.5 pts
196Okanogan County26.4+0.9 pts
196Pike County26.4+1.2 pts
196Treasure County26.4+1.5 pts
196Wharton County26.4-0.5 pts
207Adair County26.3-1.4 pts
207Fayette County26.3+1.3 pts
207Levy County26.3+2.3 pts
207Liberty County26.3-0.7 pts
207Tattnall County26.3+1.4 pts
212Clayton County26.2-1 pts
212Leake County26.2+1.6 pts
212Stanton County26.2+2.9 pts
212Van Zandt County26.2-2 pts
216Duplin County26.1-0.3 pts
216Franklin County26.1+1.7 pts
216Macon County26.1+1.1 pts
216Scott County26.1+0.6 pts
220Freestone County26+1.4 pts
220Hughes County26+1.1 pts
220Shackelford County26+0.3 pts
220Skagway Municipality26+0.3 pts
224Atoka County25.9-0.5 pts
224Haskell County25.9-0.1 pts
224San Augustine County25.9+0.8 pts
224Texas County25.9-0.2 pts
228Arthur County25.8+6.4 pts
228Broward County25.8-0.1 pts
228La Salle County25.8-0.6 pts
228Lincoln County25.8-0.3 pts
232Alleghany County25.7-1.2 pts
232Carroll County25.7-1.2 pts
232Cherokee County25.7-2.6 pts
232Coffee County25.7+0.6 pts
232Garza County25.7+2 pts
232Kerr County25.7-0.4 pts
232Matagorda County25.7-1 pts
232Pondera County25.7-0.7 pts
232Towns County25.7+3.4 pts
241Caddo County25.6-2.2 pts
241St. Lucie County25.6+0.6 pts
243Bacon County25.5+0.3 pts
243Caldwell County25.5+0.6 pts
243Cooke County25.5+0.3 pts
243Ector County25.5-1.5 pts
243Fannin County25.5-0.1 pts
243Gray County25.5-0.3 pts
243Jefferson County25.5-0.1 pts
243Lake County25.5+0.3 pts

Showing the top 250 of 3132. The Excel download has every row.

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. 11 counties with data in other periods have no value for 2013 and are left out rather than filled from another source. 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-2013-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 (US counties by uninsured rate, under 65 (US model-based estimate), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, US counties by uninsured rate, under 65 (US model-based estimate), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2013. 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. US counties by uninsured rate, under 65 (US model-based estimate), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2013.

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, US counties by uninsured rate, under 65 (US model-based estimate), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2013,
  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: US counties by uninsured rate, under 65 (US model-based estimate), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2013. 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-2013-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: US counties by uninsured rate, under 65 (US model-based estimate), 2013
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-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2013.
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-2013-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)?

Briscoe County, with 40.2% in 2013, according to the U.S. Census Bureau.

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

Norfolk County, with 3% in 2013.

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. 11 counties have no value for 2013 and are not ranked.

Uninsured rate, under 65 (US model-based estimate): other rankings

US counties: more rankings