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

Aleutians East Borough had the highest uninsured rate, under 65 (US model-based estimate) of 3132 counties in 2014, at 39.3%. Norfolk County had the lowest, at 2.7%. The median was 14%. Source: the U.S. Census Bureau.

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Median143132 counties

Map of counties, 2014

%, 2014. 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, 2014

Aleutians East Borough: 39.3 %Aleutians East Borough39.3Briscoe County: 35.4 %Briscoe County35.4Mason County: 34 %Mason County34Hidalgo County: 33.8 %Hidalgo County33.8Clark County: 33.5 %Clark County33.5Castro County: 32.9 %Castro County32.9Cameron County: 32.8 %Cameron County32.8Presidio County: 32.5 %Presidio County32.5Hudspeth County: 32.4 %Hudspeth County32.4Starr County: 32.4 %Starr County32.4Collingsworth County: 32.3 %Collingsworth County32.3Edwards County: 32.1 %Edwards County32.1Menard County: 31.5 %Menard County31.5Yukon-Koyukuk Census Area: 31.4 %Yukon-Koyukuk Census Area31.4Gaines County: 31.3 %Gaines County31.3Webb County: 31.2 %Webb County31.2Hall County: 30.9 %Hall County30.9DeSoto County: 30.8 %DeSoto County30.8Bailey County: 30.7 %Bailey County30.7Maverick County: 30.7 %Maverick County30.7Parmer County: 30.7 %Parmer County30.7Yakutat City and Borough: 30.7 %Yakutat City and Borough30.7Echols County: 30.5 %Echols County30.5Dallam County: 30.3 %Dallam County30.3San Saba County: 30.2 %San Saba County30.2Lake and Peninsula Borough: 30 %Lake and Peninsula Borough30Comanche County: 29.8 %Comanche County29.8Hoonah-Angoon Census Area: 29.7 %Hoonah-Angoon Census Area29.7Real County: 29.6 %Real County29.6Jeff Davis County: 29.3 %Jeff Davis County29.3Mills County: 29.3 %Mills County29.3Zapata County: 29.3 %Zapata County29.3Cochran County: 29 %Cochran County29Culberson County: 28.9 %Culberson County28.9Hendry County: 28.9 %Hendry County28.9Motley County: 28.6 %Motley County28.6Cottle County: 28.2 %Cottle County28.2Glades County: 28.2 %Glades County28.2Owyhee County: 28.2 %Owyhee County28.2Sherman County: 28.1 %Sherman County28.1Aleutians East Borough: 39.3 %Aleutians East Borough39.3Briscoe County: 35.4 %Briscoe County35.4Mason County: 34 %Mason County34Hidalgo County: 33.8 %Hidalgo County33.8Clark County: 33.5 %Clark County33.5Castro County: 32.9 %Castro County32.9Cameron County: 32.8 %Cameron County32.8Presidio County: 32.5 %Presidio County32.5Hudspeth County: 32.4 %Hudspeth County32.4Starr County: 32.4 %Starr County32.4Collingsworth County: 32.3 %Collingsworth County32.3Edwards County: 32.1 %Edwards County32.1Menard County: 31.5 %Menard County31.5Yukon-Koyukuk Census Area: 31.4 %Yukon-Koyukuk Census Area31.4Gaines County: 31.3 %Gaines County31.3Webb County: 31.2 %Webb County31.2Hall County: 30.9 %Hall County30.9DeSoto County: 30.8 %DeSoto County30.8Bailey County: 30.7 %Bailey County30.7Maverick County: 30.7 %Maverick County30.7Parmer County: 30.7 %Parmer County30.7Yakutat City and Borough: 30.7 %Yakutat City and Borough30.7Echols County: 30.5 %Echols County30.5Dallam County: 30.3 %Dallam County30.3San Saba County: 30.2 %San Saba County30.2Lake and Peninsula Borough: 30 %Lake and Peninsula Borough30Comanche County: 29.8 %Comanche County29.8Hoonah-Angoon Census Area: 29.7 %Hoonah-Angoon Census Area29.7Real County: 29.6 %Real County29.6Jeff Davis County: 29.3 %Jeff Davis County29.3Mills County: 29.3 %Mills County29.3Zapata County: 29.3 %Zapata County29.3Cochran County: 29 %Cochran County29Culberson County: 28.9 %Culberson County28.9Hendry County: 28.9 %Hendry County28.9Motley County: 28.6 %Motley County28.6Cottle County: 28.2 %Cottle County28.2Glades County: 28.2 %Glades County28.2Owyhee County: 28.2 %Owyhee County28.2Sherman County: 28.1 %Sherman County28.1
%. 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

RankCounties2014 (%)Change on 2013
1Aleutians East Borough39.3-0.8 pts
2Briscoe County35.4-4.8 pts
3Mason County34-6 pts
4Hidalgo County33.8-4.2 pts
5Clark County33.5-6.1 pts
6Castro County32.9-4.5 pts
7Cameron County32.8-2.3 pts
8Presidio County32.5-2.6 pts
9Hudspeth County32.4-5.2 pts
9Starr County32.4-2.1 pts
11Collingsworth County32.3-3.8 pts
12Edwards County32.1-4.3 pts
13Menard County31.5-4.8 pts
14Yukon-Koyukuk Census Area31.4-1.9 pts
15Gaines County31.3-3 pts
16Webb County31.2-3.6 pts
17Hall County30.9-7.3 pts
18DeSoto County30.8-6.3 pts
19Bailey County30.7-2.3 pts
19Maverick County30.7-3.1 pts
19Parmer County30.7-1.3 pts
19Yakutat City and Borough30.7-4.8 pts
23Echols County30.5-3.2 pts
24Dallam County30.3-3.9 pts
25San Saba County30.2-2.7 pts
26Lake and Peninsula Borough30-1.5 pts
27Comanche County29.8-2.4 pts
28Hoonah-Angoon Census Area29.7-3.7 pts
29Real County29.6-1.7 pts
30Jeff Davis County29.3-4.1 pts
30Mills County29.3-5.7 pts
30Zapata County29.3-4.9 pts
33Cochran County29-5.3 pts
34Culberson County28.9-3.7 pts
34Hendry County28.9-4.4 pts
36Motley County28.6-3 pts
37Cottle County28.2-7.4 pts
37Glades County28.2-6 pts
37Owyhee County28.2-2.8 pts
40Sherman County28.1-5.9 pts
41Kimble County28-4.2 pts
41Knox County28-3.9 pts
43Atkinson County27.9-4.7 pts
44Northwest Arctic Borough27.8-1.9 pts
44Uvalde County27.8-0.5 pts
46Deaf Smith County27.7-1.8 pts
46Prince of Wales-Hyder Census Area27.7-4.7 pts
48Shelby County27.5-1.7 pts
49Nome Census Area27.4-1.9 pts
50Glacier County27.3-2.2 pts
51Gonzales County27.2-3.7 pts
51Hardee County27.2-3.7 pts
53Okeechobee County27.1-1.7 pts
54Palo Pinto County26.7-3 pts
54Terrell County26.7-8.6 pts
56Blaine County26.6-2.6 pts
56Cimarron County26.6-4.5 pts
56Erath County26.6-4.3 pts
56Throckmorton County26.6-6 pts
60Collier County26.5-3.4 pts
60Hansford County26.5-1.7 pts
60Lipscomb County26.5-4.2 pts
60Ochiltree County26.5-4 pts
64Titus County26.3-4.5 pts
65McKinley County26.2-3.1 pts
65Stephens County26.2-2.4 pts
67Big Horn County26.1-1.9 pts
68Bethel Census Area26-1.8 pts
68Colquitt County26-2.2 pts
68Crosby County26-2.9 pts
68Lamb County26-3.8 pts
68Sanders County26-4.2 pts
73Cherokee County25.8+0.1 pts
73Gilmer County25.8-2.4 pts
73Hardeman County25.8-0.9 pts
73Moore County25.8-3.5 pts
77Henderson County25.7-0.8 pts
77Kenedy County25.7+3.6 pts
77Val Verde County25.7-4 pts
80Kusilvak Census Area25.6-2.6 pts
81Adair County25.5-0.8 pts
81Camp County25.5-3.3 pts
81Donley County25.5-4.7 pts
81Miami-Dade County25.5-7.6 pts
81Willacy County25.5-3.7 pts
86Dickens County25.4-5.7 pts
86Dillingham Census Area25.4-1.9 pts
86Hayes County25.4-8.9 pts
86Terry County25.4-4.3 pts
90Aleutians West Census Area25.2-2.5 pts
90Floyd County25.2-3.9 pts
90Hopkins County25.2-3.2 pts
90La Salle County25.2-0.6 pts
90LaGrange County25.2-1.4 pts
90Lake County25.2-3.3 pts
90Waller County25.2-3.3 pts
97Bosque County25.1-2.6 pts
97Dawson County25.1-1.7 pts
97Highlands County25.1-2.9 pts
97Wheeler County25.1-3.5 pts
101Dallas County25-4.3 pts
101El Paso County25-5.6 pts
101Hamilton County25-3.7 pts
101Kinney County25-1.5 pts
101Leon County25-3.9 pts
101Nacogdoches County25-2.2 pts
101Potter County25-2.4 pts
101Wheatland County25-3.7 pts
109Cherokee County24.9-4.2 pts
109Foard County24.9-6.6 pts
109Gooding County24.9-3 pts
109Rabun County24.9-5 pts
113Jerome County24.8-2.8 pts
113Kodiak Island Borough24.8-2 pts
113Roosevelt County24.8-1.7 pts
116Gillespie County24.7-3.4 pts
116Grimes County24.7-3 pts
118Caddo County24.6-1 pts
118Robertson County24.6-3.6 pts
120Coleman County24.5-2.4 pts
120Falls County24.5-1.9 pts
120Grady County24.5-3.3 pts
120Haines Borough24.5-5.8 pts
120Highland County24.5-2.8 pts
120Rains County24.5-4 pts
126Blanco County24.4-4.3 pts
126Jim Hogg County24.4-2.7 pts
126Judith Basin County24.4-2.5 pts
126Southeast Fairbanks Census Area24.4-3.1 pts
126Wharton County24.4-2 pts
131Lafayette County24.2-3.8 pts
131McDonald County24.2+1.6 pts
131Reeves County24.2-1.2 pts
131Sitka City and Borough24.2-0.3 pts
131Whitfield County24.2-3.2 pts
136Reagan County24.1-5.8 pts
136Red River County24.1-3.6 pts
136Swisher County24.1-3.8 pts
139Caldwell County24-1.5 pts
139Hill County24-3.4 pts
139La Paz County24-3.3 pts
139Madison County24-4.3 pts
139Marshall County24-1.3 pts
139Runnels County24-2.9 pts
139Young County24-3.7 pts
139Zavala County24-2.9 pts
147Burnet County23.9-3.4 pts
147Harris County23.9-3.6 pts
147Phillips County23.9-3.6 pts
150Camas County23.8-5.3 pts
150Haskell County23.8-2.1 pts
150Jackson County23.8+2 pts
150Navarro County23.8-3.6 pts
150Polk County23.8-2.9 pts
150Schleicher County23.8-4.3 pts
156Chouteau County23.7-3.1 pts
156Kleberg County23.7-1.4 pts
156Lampasas County23.7-2.8 pts
156McCone County23.7-8.3 pts
156Trinity County23.7-3.2 pts
161Blaine County23.6-6.7 pts
161Burleson County23.6-4.5 pts
161Jack County23.6-4.4 pts
161Lincoln County23.6-5.5 pts
161Yoakum County23.6-5 pts
166De Baca County23.5-5.8 pts
166Harmon County23.5-1.6 pts
166Le Flore County23.5-3 pts
166Lee County23.5-3.5 pts
166Liberty County23.5-2.8 pts
166Limestone County23.5-1.1 pts
172Hale County23.4-3 pts
172Lynn County23.4-3.3 pts
174Aransas County23.3-3.9 pts
174Carter County23.3-6.3 pts
174Coal County23.3-3.1 pts
174Dooly County23.3-1.2 pts
174North Slope Borough23.3-2.2 pts
179Duplin County23.2-2.9 pts
179Hughes County23.2-2.8 pts
179Pondera County23.2-2.5 pts
179Sutton County23.2-3.5 pts
183Brooks County23.1-2.2 pts
183Houston County23.1-4.2 pts
183Jefferson County23.1-0.7 pts
183Montague County23.1-2 pts
183Stonewall County23.1-6.1 pts
188Bastrop County23-4 pts
188Hartley County23-1.2 pts
188Haskell County23-1.8 pts
188Kerr County23-2.7 pts
188Texas County23-2.9 pts
193Eastland County22.9-5.1 pts
193Garza County22.9-2.8 pts
193Holmes County22.9-1.5 pts
193Jasper County22.9-4.3 pts
193Teton County22.9-4.8 pts
198Candler County22.8-1.7 pts
198Clayton County22.8-3.4 pts
198Crockett County22.8-4.3 pts
198Delaware County22.8-2.6 pts
198Indian River County22.8-3.7 pts
198Macon County22.8-3.3 pts
198Sabine County22.8-1.7 pts
198Upton County22.8-4.2 pts
206Cook County22.7-1.4 pts
206McCulloch County22.7-5.1 pts
206Murray County22.7-1.5 pts
209Ector County22.6-2.9 pts
209Lamar County22.6-2.6 pts
209Levy County22.6-3.7 pts
209Tyrrell County22.6-2.5 pts
213Arthur County22.5-3.3 pts
213Brooks County22.5-2.9 pts
213Calhoun County22.5-1.6 pts
213Fannin County22.5-2.7 pts
213Freestone County22.5-3.5 pts
213Gordon County22.5-2.8 pts
213Habersham County22.5-0.7 pts
213Mitchell County22.5-1.9 pts
213Monroe County22.5-5 pts
213Taliaferro County22.5-2.9 pts
213Towns County22.5-3.2 pts
213Van Zandt County22.5-3.7 pts
213Wilbarger County22.5-2.6 pts
226Angelina County22.4-2.8 pts
226Atoka County22.4-3.5 pts
226Choctaw County22.4+0.3 pts
226Coffee County22.4-3.3 pts
226Golden Valley County22.4-8.6 pts
226Pecos County22.4-4.2 pts
226Piute County22.4-2.8 pts
226Saguache County22.4-8 pts
226Scotland County22.4+1.6 pts
226Wood County22.4-4.4 pts
236King County22.3+1.5 pts
236Llano County22.3-3.2 pts
236San Jacinto County22.3-4.9 pts
239Catron County22.2-6.9 pts
239Hemphill County22.2-3.1 pts
239Jefferson County22.2-3.3 pts
239Leake County22.2-4 pts
239Noxubee County22.2-2.3 pts
239Scott County22.2-3.9 pts
245Cooke County22.1-3.4 pts
245Frio County22.1-1.5 pts
245Gilchrist County22.1-2.3 pts
245Gray County22.1-3.4 pts
245Hunt County22.1-4.3 pts
245Kemper County22.1-2.2 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 2014 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-2014-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), 2014) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-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), 2014. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2014. 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), 2014. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2014.

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), 2014 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2014 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2014,
  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), 2014}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2014. 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-2014-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), 2014
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-2014-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2014
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2014.
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-2014-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)?

Aleutians East Borough, with 39.3% in 2014, according to the U.S. Census Bureau.

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

Norfolk County, with 2.7% in 2014.

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 2014 and are not ranked.

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

US counties: more rankings