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 3143 counties in 2022, at 37.7%. Los Alamos County had the lowest, at 2.1%. The median was 9.4%. Source: the U.S. Census Bureau.

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Highest37.7Kenedy County
Lowest2.1Los Alamos County
Median9.43143 counties

Map of counties, 2022

%, 2022. 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, 2022

Kenedy County: 37.7 %Kenedy County37.7Holmes County: 34.8 %Holmes County34.8Presidio County: 33.5 %Presidio County33.5LaGrange County: 33.3 %LaGrange County33.3Gaines County: 32 %Gaines County32Hidalgo County: 30.2 %Hidalgo County30.2Edwards County: 29.4 %Edwards County29.4Ochiltree County: 28.1 %Ochiltree County28.1Swisher County: 28.1 %Swisher County28.1Dallam County: 28 %Dallam County28Sherman County: 27.3 %Sherman County27.3San Saba County: 27.2 %San Saba County27.2Hansford County: 27.1 %Hansford County27.1Webb County: 27.1 %Webb County27.1Crockett County: 26.7 %Crockett County26.7Bailey County: 26.6 %Bailey County26.6Yoakum County: 26.6 %Yoakum County26.6Maverick County: 26.3 %Maverick County26.3Moore County: 26.1 %Moore County26.1Collingsworth County: 26 %Collingsworth County26Menard County: 25.8 %Menard County25.8Wheeler County: 25.7 %Wheeler County25.7Hudspeth County: 25.6 %Hudspeth County25.6Castro County: 25.3 %Castro County25.3Cameron County: 25.2 %Cameron County25.2Hall County: 25.1 %Hall County25.1Starr County: 25 %Starr County25Floyd County: 24.9 %Floyd County24.9Glades County: 24.8 %Glades County24.8Gillespie County: 24.7 %Gillespie County24.7Parmer County: 24.4 %Parmer County24.4Hendry County: 24.3 %Hendry County24.3Madison County: 24.3 %Madison County24.3Titus County: 24.2 %Titus County24.2Mason County: 24 %Mason County24Zapata County: 23.7 %Zapata County23.7Dallas County: 23.6 %Dallas County23.6Haskell County: 23.6 %Haskell County23.6Terry County: 23.6 %Terry County23.6Cochran County: 23.5 %Cochran County23.5Kenedy County: 37.7 %Kenedy County37.7Holmes County: 34.8 %Holmes County34.8Presidio County: 33.5 %Presidio County33.5LaGrange County: 33.3 %LaGrange County33.3Gaines County: 32 %Gaines County32Hidalgo County: 30.2 %Hidalgo County30.2Edwards County: 29.4 %Edwards County29.4Ochiltree County: 28.1 %Ochiltree County28.1Swisher County: 28.1 %Swisher County28.1Dallam County: 28 %Dallam County28Sherman County: 27.3 %Sherman County27.3San Saba County: 27.2 %San Saba County27.2Hansford County: 27.1 %Hansford County27.1Webb County: 27.1 %Webb County27.1Crockett County: 26.7 %Crockett County26.7Bailey County: 26.6 %Bailey County26.6Yoakum County: 26.6 %Yoakum County26.6Maverick County: 26.3 %Maverick County26.3Moore County: 26.1 %Moore County26.1Collingsworth County: 26 %Collingsworth County26Menard County: 25.8 %Menard County25.8Wheeler County: 25.7 %Wheeler County25.7Hudspeth County: 25.6 %Hudspeth County25.6Castro County: 25.3 %Castro County25.3Cameron County: 25.2 %Cameron County25.2Hall County: 25.1 %Hall County25.1Starr County: 25 %Starr County25Floyd County: 24.9 %Floyd County24.9Glades County: 24.8 %Glades County24.8Gillespie County: 24.7 %Gillespie County24.7Parmer County: 24.4 %Parmer County24.4Hendry County: 24.3 %Hendry County24.3Madison County: 24.3 %Madison County24.3Titus County: 24.2 %Titus County24.2Mason County: 24 %Mason County24Zapata County: 23.7 %Zapata County23.7Dallas County: 23.6 %Dallas County23.6Haskell County: 23.6 %Haskell County23.6Terry County: 23.6 %Terry County23.6Cochran County: 23.5 %Cochran County23.5
%. 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
1Kenedy County37.7-8.6 pts
2Holmes County34.8+5.9 pts
3Presidio County33.5-5.2 pts
4LaGrange County33.3+8.4 pts
5Gaines County32-0.5 pts
6Hidalgo County30.2-1.8 pts
7Edwards County29.4+0.2 pts
8Ochiltree County28.1-3.5 pts
8Swisher County28.1-0.4 pts
10Dallam County28-4.4 pts
11Sherman County27.3-5.4 pts
12San Saba County27.2-0.4 pts
13Hansford County27.1-2.6 pts
13Webb County27.1-2.6 pts
15Crockett County26.7-0.6 pts
16Bailey County26.6-1.9 pts
16Yoakum County26.6-1.6 pts
18Maverick County26.3-1.6 pts
19Moore County26.1-5 pts
20Collingsworth County26-5.1 pts
21Menard County25.8-3.7 pts
22Wheeler County25.7-2.5 pts
23Hudspeth County25.6-3.6 pts
24Castro County25.3-1.1 pts
25Cameron County25.2-4.9 pts
26Hall County25.1-3.4 pts
27Starr County25-4 pts
28Floyd County24.9-0.8 pts
29Glades County24.8-1.3 pts
30Gillespie County24.7+0.9 pts
31Parmer County24.4-4.2 pts
32Hendry County24.3-0.7 pts
32Madison County24.3+0.2 pts
34Titus County24.2-2.6 pts
35Mason County24-4.7 pts
36Zapata County23.7-2.6 pts
37Dallas County23.6-0.6 pts
37Haskell County23.6-1.2 pts
37Terry County23.6-3.9 pts
40Cochran County23.5-5.1 pts
40El Paso County23.50 pts
42Ward County23.3+0.1 pts
43Crane County23.2-2.1 pts
43Culberson County23.2-8.1 pts
45Schleicher County23.1-6.6 pts
46Issaquena County23+3.2 pts
46Lamb County23-3.1 pts
46Scotland County23+1.6 pts
49Andrews County22.9-1.4 pts
49Potter County22.9-1.5 pts
49Uvalde County22.9-1 pts
52Caldwell County22.8-2.6 pts
53Brewster County22.7-2.3 pts
53Deaf Smith County22.7-5.2 pts
55Colorado County22.6-0.4 pts
55DeSoto County22.6-1.4 pts
55Gonzales County22.6-4.2 pts
55Liberty County22.6-0.6 pts
59Hockley County22.5-2.7 pts
60Henderson County22.4+0.7 pts
60Pecos County22.4-2.3 pts
60Shelby County22.4-4.3 pts
63Hale County22.3-1.9 pts
63Hamilton County22.3-0.5 pts
63Jack County22.3-2.2 pts
63La Salle County22.3+0.7 pts
63McCulloch County22.3-2.2 pts
68Garza County22.2-1 pts
68Harris County22.2-1.6 pts
68Jeff Davis County22.2-2.5 pts
71Dawson County22.1-1.3 pts
72Crosby County22-2.5 pts
72Reeves County22-0.7 pts
74Comanche County21.9-1 pts
74Frio County21.9-1.7 pts
76Ector County21.8-3.5 pts
76Leon County21.8-1.1 pts
78Lipscomb County21.7-7.2 pts
78Rains County21.7-2.9 pts
80Clark County21.6-5.7 pts
80Coleman County21.6-0.9 pts
80Kimble County21.6-3.2 pts
80Matagorda County21.6-1.6 pts
80Mills County21.6-5.9 pts
80Willacy County21.6-1.5 pts
86Briscoe County21.5-5.5 pts
86Donley County21.5-1.3 pts
86Gray County21.5-3.9 pts
89Jim Hogg County21.4+0.1 pts
89Morgan County21.4-0.6 pts
89Val Verde County21.4-3.1 pts
89Whitfield County21.4-2 pts
93Live Oak County21.3-2.2 pts
93Sutton County21.3-2.5 pts
95Haskell County21.2-2.1 pts
96Burleson County21.1-0.8 pts
96Martin County21.1-2.8 pts
96Wrangell City and Borough21.1+0.1 pts
96Young County21.1-0.6 pts
100Knox County20.9-4.8 pts
100Montague County20.9-0.8 pts
100Reagan County20.9-1.6 pts
100Scurry County20.9-1.4 pts
100Wilbarger County20.9-2.9 pts
105Bastrop County20.8-2 pts
105Hemphill County20.8-4.5 pts
107Atkinson County20.7-5.6 pts
107Palo Pinto County20.7-0.7 pts
107Real County20.7-4.3 pts
107Runnels County20.7-0.9 pts
107Stephens County20.7-3.4 pts
112Aransas County20.6-2.6 pts
112Erath County20.6-0.9 pts
112Wharton County20.6-3 pts
115Irion County20.5+1.8 pts
115Jefferson County20.5-2.2 pts
115Shackelford County20.5-3.8 pts
118Newton County20.4-2.1 pts
118Webster County20.4+2.1 pts
120Bosque County20.3-1.3 pts
120Hopkins County20.3-2.3 pts
120King County20.3-6.4 pts
120Lee County20.3-2.6 pts
124Atascosa County20.2-1.8 pts
124Camp County20.2-0.5 pts
124Candler County20.2-0.5 pts
124Eastland County20.2-3 pts
124Jasper County20.2+0.7 pts
124San Jacinto County20.2-3.1 pts
130Beaver County20-3.8 pts
130Clark County20+3.3 pts
130Santa Cruz County20+2.1 pts
133Gordon County19.9-1.8 pts
133Gregg County19.9-2.1 pts
133Hamilton County19.9-4.3 pts
133Hardeman County19.9-7.5 pts
137Colquitt County19.8-3.6 pts
137Houston County19.8-0.7 pts
137Howard County19.8-0.8 pts
137Jackson County19.8-1.1 pts
137Limestone County19.8-2.5 pts
137Wood County19.8-2.8 pts
143Franklin County19.7+1.2 pts
143Grimes County19.7-2.5 pts
143Lincoln County19.7-2.4 pts
143Rabun County19.7-2.4 pts
143Upton County19.7-2.6 pts
143Winkler County19.7-3.7 pts
149Aleutians East Borough19.6-2.5 pts
149Angelina County19.6-2.9 pts
149Cherokee County19.6-4.6 pts
149Hill County19.6-2 pts
149Llano County19.6-3.3 pts
149San Augustine County19.6-5.7 pts
155Bandera County19.5-1.3 pts
155Burnet County19.5-2.2 pts
155Treutlen County19.5-0.2 pts
158Dimmit County19.4-2.1 pts
158Nueces County19.4-1.8 pts
158Swain County19.4-1 pts
158Throckmorton County19.4-4.8 pts
162Macon County19.3-0.2 pts
162Milam County19.3-1.5 pts
162Sabine County19.3-2 pts
162Yakutat City and Borough19.3-3.8 pts
166Coal County19.2-4.1 pts
166Hall County19.2-1.7 pts
166Lake and Peninsula Borough19.2-2.1 pts
166Nacogdoches County19.2-2.8 pts
166Van Zandt County19.2-1.5 pts
171Austin County19.1-2.8 pts
171Coffee County19.1-2.6 pts
171Echols County19.1-2.8 pts
171Highlands County19.10 pts
171Kleberg County19.1-1.9 pts
171Le Flore County19.1-1.8 pts
171Prince of Wales-Hyder Census Area19.1-0.4 pts
171Red River County19.1+0.9 pts
171Terrell County19.1-4.5 pts
171Tyler County19.1-3.2 pts
171Victoria County19.1-1.3 pts
171Yukon-Koyukuk Census Area19.1-2.6 pts
183Fayette County19-1.5 pts
183Jim Wells County19-2.7 pts
183Kerr County19-3.5 pts
183Polk County19-1.2 pts
183Rusk County19-1.3 pts
183Stevens County19+1.4 pts
189Dickens County18.9-6.6 pts
189Freestone County18.9-2 pts
189Hunt County18.9-1.6 pts
189Hyde County18.9-0.6 pts
189Midland County18.9+0.4 pts
189Nolan County18.9-2.7 pts
189San Patricio County18.9-1.8 pts
196Big Horn County18.8-1.9 pts
196DeWitt County18.8-2.1 pts
196Esmeralda County18.8-2.1 pts
196Texas County18.8-6.3 pts
200Appling County18.7-1.3 pts
200Navarro County18.7-5.8 pts
200Taylor County18.7-0.2 pts
203Collier County18.6+1.1 pts
203Jefferson County18.6-0.3 pts
203Marshall County18.6-5.2 pts
203Smith County18.6-2.6 pts
203Walker County18.6-1.5 pts
208Clinch County18.5-0.4 pts
208Elbert County18.5+0.5 pts
208Fremont County18.5-3.6 pts
208Grayson County18.5-0.9 pts
208McLennan County18.5-1 pts
208Refugio County18.5-1.3 pts
214Childress County18.4-3.1 pts
214Cooke County18.4-3.7 pts
214Habersham County18.4-2.7 pts
214Harper County18.4-6.5 pts
214Petersburg Borough18.4-0.6 pts
219Falls County18.3-2 pts
219Foard County18.3-0.8 pts
219Johnson County18.3-1.1 pts
219Karnes County18.3-1.4 pts
219Lafayette County18.3-2.5 pts
219Waller County18.3-5.5 pts
225Blanco County18.2-1.8 pts
225Coke County18.2-2.2 pts
225Lamar County18.2-2.8 pts
225Murray County18.2-1.9 pts
225Panola County18.2-1.2 pts
225Seward County18.2-2.2 pts
225Tarrant County18.2-1.7 pts
232Tom Green County18.1-2.1 pts
232Wayne County18.1-0.1 pts
234Benton County18+0.4 pts
234Bexar County18-0.9 pts
234Duval County18-5.3 pts
234Gooding County18+0.1 pts
234McDonald County18-2.8 pts
234Wheeler County18-1.1 pts
240Atoka County17.9-3.9 pts
240Brantley County17.9-4.3 pts
240Brooks County17.9-3.2 pts
240Gray County17.9-2.5 pts
240Greene County17.9-2.6 pts
240Hardee County17.9-3.2 pts
240Jones County17.9-1.3 pts
240Marion County17.9+0.3 pts
240Seminole County17.9-1.9 pts
240Wise County17.9-3 pts
250Brown County17.8-1.4 pts

Showing the top 250 of 3143. 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. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2022 (Accessed: 12 October 2026).

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

Kenedy County, with 37.7% in 2022, according to the U.S. Census Bureau.

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

Los Alamos County, with 2.1% 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

US counties: more rankings