Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / US counties

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

Kenedy County had the highest uninsured rate, under 65 (US model-based estimate) of 3134 counties in 2021, at 46.3%. Norfolk County had the lowest, at 2.4%. The median was 10.4%. Source: the U.S. Census Bureau.

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Highest46.3Kenedy County
Lowest2.4Norfolk County
Median10.43134 counties

Map of counties, 2021

%, 2021. 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, 2021

Kenedy County: 46.3 %Kenedy County46.3Presidio County: 38.7 %Presidio County38.7Sherman County: 32.7 %Sherman County32.7Gaines County: 32.5 %Gaines County32.5Dallam County: 32.4 %Dallam County32.4Hidalgo County: 32 %Hidalgo County32Ochiltree County: 31.6 %Ochiltree County31.6Culberson County: 31.3 %Culberson County31.3Collingsworth County: 31.1 %Collingsworth County31.1Moore County: 31.1 %Moore County31.1Cameron County: 30.1 %Cameron County30.1Hansford County: 29.7 %Hansford County29.7Schleicher County: 29.7 %Schleicher County29.7Webb County: 29.7 %Webb County29.7Menard County: 29.5 %Menard County29.5Edwards County: 29.2 %Edwards County29.2Hudspeth County: 29.2 %Hudspeth County29.2Starr County: 29 %Starr County29Holmes County: 28.9 %Holmes County28.9Lipscomb County: 28.9 %Lipscomb County28.9Mason County: 28.7 %Mason County28.7Cochran County: 28.6 %Cochran County28.6Parmer County: 28.6 %Parmer County28.6Bailey County: 28.5 %Bailey County28.5Hall County: 28.5 %Hall County28.5Swisher County: 28.5 %Swisher County28.5Wheeler County: 28.2 %Wheeler County28.2Yoakum County: 28.2 %Yoakum County28.2Deaf Smith County: 27.9 %Deaf Smith County27.9Maverick County: 27.9 %Maverick County27.9San Saba County: 27.6 %San Saba County27.6Mills County: 27.5 %Mills County27.5Terry County: 27.5 %Terry County27.5Hardeman County: 27.4 %Hardeman County27.4Clark County: 27.3 %Clark County27.3Crockett County: 27.3 %Crockett County27.3Briscoe County: 27 %Briscoe County27Gonzales County: 26.8 %Gonzales County26.8Titus County: 26.8 %Titus County26.8King County: 26.7 %King County26.7Kenedy County: 46.3 %Kenedy County46.3Presidio County: 38.7 %Presidio County38.7Sherman County: 32.7 %Sherman County32.7Gaines County: 32.5 %Gaines County32.5Dallam County: 32.4 %Dallam County32.4Hidalgo County: 32 %Hidalgo County32Ochiltree County: 31.6 %Ochiltree County31.6Culberson County: 31.3 %Culberson County31.3Collingsworth County: 31.1 %Collingsworth County31.1Moore County: 31.1 %Moore County31.1Cameron County: 30.1 %Cameron County30.1Hansford County: 29.7 %Hansford County29.7Schleicher County: 29.7 %Schleicher County29.7Webb County: 29.7 %Webb County29.7Menard County: 29.5 %Menard County29.5Edwards County: 29.2 %Edwards County29.2Hudspeth County: 29.2 %Hudspeth County29.2Starr County: 29 %Starr County29Holmes County: 28.9 %Holmes County28.9Lipscomb County: 28.9 %Lipscomb County28.9Mason County: 28.7 %Mason County28.7Cochran County: 28.6 %Cochran County28.6Parmer County: 28.6 %Parmer County28.6Bailey County: 28.5 %Bailey County28.5Hall County: 28.5 %Hall County28.5Swisher County: 28.5 %Swisher County28.5Wheeler County: 28.2 %Wheeler County28.2Yoakum County: 28.2 %Yoakum County28.2Deaf Smith County: 27.9 %Deaf Smith County27.9Maverick County: 27.9 %Maverick County27.9San Saba County: 27.6 %San Saba County27.6Mills County: 27.5 %Mills County27.5Terry County: 27.5 %Terry County27.5Hardeman County: 27.4 %Hardeman County27.4Clark County: 27.3 %Clark County27.3Crockett County: 27.3 %Crockett County27.3Briscoe County: 27 %Briscoe County27Gonzales County: 26.8 %Gonzales County26.8Titus County: 26.8 %Titus County26.8King County: 26.7 %King County26.7
%. 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

RankCounties2021 (%)Change on 2020
1Kenedy County46.3+4.9 pts
2Presidio County38.7+1.4 pts
3Sherman County32.7+1.2 pts
4Gaines County32.5-0.6 pts
5Dallam County32.4-0.2 pts
6Hidalgo County32-1.1 pts
7Ochiltree County31.6+0.7 pts
8Culberson County31.3+1.5 pts
9Collingsworth County31.1+0.6 pts
9Moore County31.1+0.2 pts
11Cameron County30.1+0.2 pts
12Hansford County29.7-1.6 pts
12Schleicher County29.7+3.1 pts
12Webb County29.7-2.1 pts
15Menard County29.5+0.6 pts
16Edwards County29.2+1.1 pts
16Hudspeth County29.2-1.1 pts
18Starr County29+0.1 pts
19Holmes County28.9+0.5 pts
19Lipscomb County28.9+1.7 pts
21Mason County28.7+0.6 pts
22Cochran County28.6-0.5 pts
22Parmer County28.6+1.2 pts
24Bailey County28.5+0.1 pts
24Hall County28.5+2.6 pts
24Swisher County28.5-0.5 pts
27Wheeler County28.2+0.9 pts
27Yoakum County28.2-2.9 pts
29Deaf Smith County27.9-0.1 pts
29Maverick County27.9-2.4 pts
31San Saba County27.6-0.4 pts
32Mills County27.5+1.2 pts
32Terry County27.5+1.1 pts
34Hardeman County27.4-1 pts
35Clark County27.3-1.4 pts
35Crockett County27.3+1.4 pts
37Briscoe County27+2.6 pts
38Gonzales County26.8+2.4 pts
38Titus County26.8+1 pts
40King County26.7-0.1 pts
40Shelby County26.7+1.1 pts
42Castro County26.4-1.6 pts
43Atkinson County26.3+0.5 pts
43Zapata County26.3-3.1 pts
45Glasscock County26.2+1.8 pts
46Glades County26.1-0.7 pts
46Lamb County26.1+0.5 pts
48Floyd County25.7-1.7 pts
48Knox County25.7+1.4 pts
50Dickens County25.5+3.7 pts
51Caldwell County25.4+1.7 pts
51Gray County25.4-0.4 pts
53Crane County25.3+1.6 pts
53Ector County25.3+2.4 pts
53Hemphill County25.3+0.8 pts
53San Augustine County25.3+5.5 pts
57Hockley County25.2+0.8 pts
58Texas County25.1-1.4 pts
59Brewster County25+1.4 pts
59Hendry County25-2.6 pts
59Real County25-0.6 pts
62Harper County24.9-0.1 pts
62LaGrange County24.9-3.7 pts
64Haskell County24.8+0.1 pts
64Kimble County24.8+1.6 pts
66Jeff Davis County24.7-8.1 pts
66Pecos County24.7-1.5 pts
68Rains County24.6+2.2 pts
69Crosby County24.5+1.2 pts
69Jack County24.5+3.1 pts
69McCulloch County24.5+0.5 pts
69Navarro County24.5+1.8 pts
69Val Verde County24.5-0.3 pts
74Potter County24.40 pts
75Andrews County24.3-1.4 pts
75Shackelford County24.3+2.7 pts
77Cherokee County24.2+0.1 pts
77Dallas County24.2+1.7 pts
77Hale County24.2+0.4 pts
77Hamilton County24.2+2.2 pts
77Throckmorton County24.2+1.6 pts
82Madison County24.1+2.7 pts
82Stephens County24.1-0.2 pts
84DeSoto County24-1.4 pts
85Martin County23.9+1.2 pts
85Uvalde County23.9-1 pts
87Beaver County23.8+0.2 pts
87Gillespie County23.8-0.1 pts
87Harris County23.8+1.4 pts
87Marshall County23.8-1.6 pts
87Sutton County23.8-0.7 pts
87Waller County23.8-0.7 pts
87Wilbarger County23.8+0.6 pts
94Frio County23.6+1.9 pts
94Terrell County23.6+0.8 pts
94Wharton County23.6-0.9 pts
97El Paso County23.5+0.5 pts
97Live Oak County23.5+1.8 pts
99Colquitt County23.4+0.3 pts
99Dawson County23.4+0.3 pts
99Whitfield County23.4-0.9 pts
99Winkler County23.4+0.6 pts
103Coal County23.3+0.3 pts
103Duval County23.3+1.9 pts
103Haskell County23.3+2 pts
103San Jacinto County23.3+0.7 pts
107Aransas County23.2-1.4 pts
107Eastland County23.2+2.6 pts
107Garza County23.2-1.5 pts
107Liberty County23.20 pts
107Matagorda County23.2+0.5 pts
107Ward County23.20 pts
113Stonewall County23.1+0.4 pts
113Willacy County23.1-1 pts
113Yakutat City and Borough23.1+0.7 pts
116Colorado County23-0.4 pts
117Comanche County22.9+1.5 pts
117Lee County22.9+3 pts
117Leon County22.9-0.4 pts
117Llano County22.9+2 pts
121Bastrop County22.8+0.4 pts
121Donley County22.8+0.2 pts
121Hamilton County22.8-0.8 pts
124Jefferson County22.7-0.6 pts
124Reeves County22.7+0.9 pts
126Hopkins County22.6+1.5 pts
126Wood County22.6+0.6 pts
128Angelina County22.5+0.2 pts
128Coleman County22.5+1.8 pts
128Kerr County22.5+0.4 pts
128Newton County22.5+2.2 pts
128Reagan County22.5-1.2 pts
133Cherokee County22.3-2.1 pts
133Limestone County22.3+0.8 pts
133Scurry County22.3+0.5 pts
133Tyler County22.3+2.3 pts
133Upton County22.3-0.3 pts
138Brantley County22.2+1.2 pts
138Grimes County22.2-0.3 pts
140Aleutians East Borough22.1+1.3 pts
140Cooke County22.1-0.5 pts
140Fremont County22.1+2.3 pts
140Lincoln County22.1+0.8 pts
140Lynn County22.1+0.8 pts
140Rabun County22.1-0.5 pts
146Atascosa County22-0.3 pts
146Gregg County22+0.4 pts
146Morgan County22-0.3 pts
146Nacogdoches County22-0.6 pts
150Austin County21.9+0.2 pts
150Burleson County21.9+1.9 pts
150Echols County21.9-2.4 pts
153Atoka County21.8-1.4 pts
154Burnet County21.7-0.7 pts
154Coffee County21.7+1.3 pts
154Gordon County21.7+0.5 pts
154Henderson County21.7+0.7 pts
154Jim Wells County21.7+1.3 pts
154Montague County21.70 pts
154Young County21.7+0.1 pts
154Yukon-Koyukuk Census Area21.7+0.2 pts
162Bosque County21.6-0.6 pts
162Cimarron County21.6-0.7 pts
162Hill County21.6-1.7 pts
162La Salle County21.6-0.5 pts
162Nolan County21.6+1.3 pts
162Runnels County21.6-0.8 pts
168Childress County21.5-0.9 pts
168Dimmit County21.5-0.8 pts
168Erath County21.5+2.2 pts
168Harmon County21.5-1 pts
168Marion County21.5+2.7 pts
168Sterling County21.5+0.2 pts
174McMullen County21.4+3.2 pts
174Palo Pinto County21.4+0.4 pts
174Scotland County21.4-1.9 pts
177Banks County21.3-0.8 pts
177Jim Hogg County21.3+0.1 pts
177Lake and Peninsula Borough21.3+0.4 pts
177Sabine County21.3+1.6 pts
181Nueces County21.2+1.6 pts
181Smith County21.20 pts
183Brooks County21.1-0.4 pts
183Habersham County21.1-0.4 pts
183Hardee County21.1+1.4 pts
186Bryan County21-0.6 pts
186Kleberg County21-0.7 pts
186Lamar County21-0.1 pts
186Wrangell City and Borough21+2.3 pts
190DeWitt County20.9+1.7 pts
190Esmeralda County20.9+2.4 pts
190Freestone County20.9+0.1 pts
190Hall County20.9+0.4 pts
190Jackson County20.9-1.4 pts
190Le Flore County20.9-3.6 pts
190Wise County20.9-0.5 pts
197Bandera County20.8+1.9 pts
197Ellis County20.8+0.7 pts
197Lafayette County20.8+2.5 pts
197McDonald County20.8-1.9 pts
197Milam County20.8-0.4 pts
197Quitman County20.8-2.4 pts
203Big Horn County20.7+3.8 pts
203Camp County20.7+0.6 pts
203Candler County20.7-1.4 pts
203Love County20.7+0.1 pts
203San Patricio County20.7+0.1 pts
203Van Zandt County20.7+0.3 pts
209Caddo County20.6+0.3 pts
209Delaware County20.6-3 pts
209Howard County20.6+1.1 pts
212Fayette County20.5-0.8 pts
212Greene County20.5-0.1 pts
212Houston County20.5+1.5 pts
212Hunt County20.5+1.5 pts
212Okeechobee County20.5-0.9 pts
217Coke County20.4-1 pts
217Gilmer County20.4-1.4 pts
217Gray County20.4-0.6 pts
217La Paz County20.4+0.6 pts
217McIntosh County20.4-1.1 pts
217Seward County20.4-0.4 pts
217Swain County20.4-3.8 pts
217Victoria County20.4-0.2 pts
217Zavala County20.4-2.7 pts
226Falls County20.3+1 pts
226Pushmataha County20.3-1.8 pts
226Rusk County20.3-1.2 pts
226Trinity County20.3+1.1 pts
230Aleutians West Census Area20.2-0.6 pts
230Goliad County20.2+1.6 pts
230Kingfisher County20.2-1.3 pts
230Polk County20.2+0.2 pts
230Terrell County20.2+2.4 pts
230Tom Green County20.2+2.7 pts
236Adair County20.1-2.6 pts
236Murray County20.1-2 pts
236Taylor County20.1+3.2 pts
236Tillman County20.1-0.7 pts
236Walker County20.1+2.5 pts
241Appling County20+0.1 pts
241Blanco County20-2 pts
241Calhoun County20-0.4 pts
241Fannin County20-0.4 pts
241Ford County20+0.9 pts
241Ottawa County20-2.1 pts
241Washington County20+1.3 pts
248Hutchinson County19.9-0.4 pts
248McCurtain County19.9-3.5 pts
248Sequoyah County19.9-2.5 pts

Showing the top 250 of 3134. 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. 9 counties with data in other periods have no value for 2021 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/us-counties?period=2021.
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-2021-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)?

Kenedy County, with 46.3% in 2021, according to the U.S. Census Bureau.

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

Norfolk County, with 2.4% in 2021.

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. 9 counties have no value for 2021 and are not ranked.

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

US counties: more rankings