Counties in Virginia by uninsured rate, under 65 (US model-based estimate)

Manassas city had the highest uninsured rate, under 65 (US model-based estimate) of 133 counties in 2020, at 17.4%. Falls Church city had the lowest, at 4.3%. The median was 9.3% and the figure for Virginia was 8.6%. Source: the U.S. Census Bureau.

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Highest17.4Manassas city
Median9.3133 counties
Virginia8.6History

Map of counties, 2020

Accomack County: 13.6 %Albemarle County: 9.5 %Alleghany County: 9.5 %Amelia County: 11.7 %Amherst County: 10.8 %Appomattox County: 10.8 %Arlington County: 6.3 %Augusta County: 9.2 %Bath County: 10 %Bedford County: 8.1 %Bland County: 7.9 %Botetourt County: 7.1 %Brunswick County: 10.2 %Buchanan County: 9.6 %Buckingham County: 11.5 %Campbell County: 9.5 %Caroline County: 8.8 %Carroll County: 11.6 %Charles City County: 14.9 %Charlotte County: 11.4 %Chesterfield County: 8.1 %Clarke County: 8.9 %Craig County: 8.6 %Culpeper County: 10.9 %Cumberland County: 9.8 %Dickenson County: 8.7 %Dinwiddie County: 8.9 %Essex County: 11.3 %Fairfax County: 7.6 %Fauquier County: 8.7 %Floyd County: 11.5 %Fluvanna County: 9.3 %Franklin County: 9.3 %Frederick County: 8.9 %Giles County: 8.8 %Gloucester County: 9.2 %Goochland County: 5.3 %Grayson County: 10.4 %Greene County: 11 %Greensville County: 7.4 %Halifax County: 9.3 %Hanover County: 6.5 %Henrico County: 8.4 %Henry County: 10.1 %Highland County: 11.2 %Isle of Wight County: 7.9 %James City County: 6.8 %King and Queen County: 12.2 %King George County: 6.4 %King William County: 8.9 %Lancaster County: 10.7 %Lee County: 10 %Loudoun County: 5.9 %Louisa County: 9.9 %Lunenburg County: 13.6 %Madison County: 11.9 %Mathews County: 9.4 %Mecklenburg County: 10.8 %Middlesex County: 11.8 %Montgomery County: 8.4 %Nelson County: 11.8 %New Kent County: 9.4 %Northampton County: 11 %Northumberland County: 10.9 %Nottoway County: 10.7 %Orange County: 10.1 %Page County: 10.8 %Patrick County: 10.1 %Pittsylvania County: 10 %Powhatan County: 8.8 %Prince Edward County: 9.5 %Prince George County: 7.5 %Prince William County: 9.5 %Pulaski County: 7.6 %Rappahannock County: 13.6 %Richmond County: 10.2 %Roanoke County: 7 %Rockbridge County: 10.2 %Rockingham County: 11.8 %Russell County: 9.1 %Scott County: 8.6 %Shenandoah County: 10.7 %Smyth County: 8.4 %Southampton County: 8.7 %Spotsylvania County: 8.5 %Stafford County: 7.8 %Surry County: 8.6 %Sussex County: 8.8 %Tazewell County: 9.2 %Warren County: 9.6 %Washington County: 8.9 %Westmoreland County: 10.9 %Wise County: 9.5 %Wythe County: 9.8 %York County: 6.3 %Alexandria city: 8.2 %Bristol city: 8.7 %Buena Vista city: 9.8 %Charlottesville city: 9.5 %Chesapeake city: 7.7 %Colonial Heights city: 8.8 %Covington city: 7.7 %Danville city: 9.4 %Emporia city: 8.8 %Fairfax city: 8.9 %Falls Church city: 4.3 %Franklin city: 8.1 %Fredericksburg city: 11.7 %Galax city: 11.3 %Hampton city: 7.9 %Harrisonburg city: 13.1 %Hopewell city: 9 %Lexington city: 7.5 %Lynchburg city: 8.2 %Manassas city: 17.4 %Manassas Park city: 16.8 %Martinsville city: 8.9 %Newport News city: 7.9 %Norfolk city: 10.5 %Norton city: 7.4 %Petersburg city: 9.2 %Poquoson city: 6.9 %Portsmouth city: 8.2 %Radford city: 7.4 %Richmond city: 11.1 %Roanoke city: 10.2 %Salem city: 8.1 %Staunton city: 9.5 %Suffolk city: 7.8 %Virginia Beach city: 8.1 %Waynesboro city: 10.9 %Williamsburg city: 8.3 %Winchester city: 12.4 %
  • Under 7.9
  • 7.9 to 8.7
  • 8.7 to 9.3
  • 9.3 to 10
  • 10 to 11
  • 11 and over
%, 2020. 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, 2020

Manassas city: 17.4 %Manassas city17.4Manassas Park city: 16.8 %Manassas Park city16.8Charles City County: 14.9 %Charles City County14.9Accomack County: 13.6 %Accomack County13.6Lunenburg County: 13.6 %Lunenburg County13.6Rappahannock County: 13.6 %Rappahannock County13.6Harrisonburg city: 13.1 %Harrisonburg city13.1Winchester city: 12.4 %Winchester city12.4King and Queen County: 12.2 %King and Queen County12.2Madison County: 11.9 %Madison County11.9Middlesex County: 11.8 %Middlesex County11.8Nelson County: 11.8 %Nelson County11.8Rockingham County: 11.8 %Rockingham County11.8Amelia County: 11.7 %Amelia County11.7Fredericksburg city: 11.7 %Fredericksburg city11.7Carroll County: 11.6 %Carroll County11.6Buckingham County: 11.5 %Buckingham County11.5Floyd County: 11.5 %Floyd County11.5Charlotte County: 11.4 %Charlotte County11.4Essex County: 11.3 %Essex County11.3Galax city: 11.3 %Galax city11.3Highland County: 11.2 %Highland County11.2Richmond city: 11.1 %Richmond city11.1Greene County: 11 %Greene County11Northampton County: 11 %Northampton County11Culpeper County: 10.9 %Culpeper County10.9Northumberland County: 10.9 %Northumberland County10.9Waynesboro city: 10.9 %Waynesboro city10.9Westmoreland County: 10.9 %Westmoreland County10.9Amherst County: 10.8 %Amherst County10.8Appomattox County: 10.8 %Appomattox County10.8Mecklenburg County: 10.8 %Mecklenburg County10.8Page County: 10.8 %Page County10.8Lancaster County: 10.7 %Lancaster County10.7Nottoway County: 10.7 %Nottoway County10.7Shenandoah County: 10.7 %Shenandoah County10.7Norfolk city: 10.5 %Norfolk city10.5Grayson County: 10.4 %Grayson County10.4Brunswick County: 10.2 %Brunswick County10.2Richmond County: 10.2 %Richmond County10.2Manassas city: 17.4 %Manassas city17.4Manassas Park city: 16.8 %Manassas Park city16.8Charles City County: 14.9 %Charles City County14.9Accomack County: 13.6 %Accomack County13.6Lunenburg County: 13.6 %Lunenburg County13.6Rappahannock County: 13.6 %Rappahannock County13.6Harrisonburg city: 13.1 %Harrisonburg city13.1Winchester city: 12.4 %Winchester city12.4King and Queen County: 12.2 %King and Queen County12.2Madison County: 11.9 %Madison County11.9Middlesex County: 11.8 %Middlesex County11.8Nelson County: 11.8 %Nelson County11.8Rockingham County: 11.8 %Rockingham County11.8Amelia County: 11.7 %Amelia County11.7Fredericksburg city: 11.7 %Fredericksburg city11.7Carroll County: 11.6 %Carroll County11.6Buckingham County: 11.5 %Buckingham County11.5Floyd County: 11.5 %Floyd County11.5Charlotte County: 11.4 %Charlotte County11.4Essex County: 11.3 %Essex County11.3Galax city: 11.3 %Galax city11.3Highland County: 11.2 %Highland County11.2Richmond city: 11.1 %Richmond city11.1Greene County: 11 %Greene County11Northampton County: 11 %Northampton County11Culpeper County: 10.9 %Culpeper County10.9Northumberland County: 10.9 %Northumberland County10.9Waynesboro city: 10.9 %Waynesboro city10.9Westmoreland County: 10.9 %Westmoreland County10.9Amherst County: 10.8 %Amherst County10.8Appomattox County: 10.8 %Appomattox County10.8Mecklenburg County: 10.8 %Mecklenburg County10.8Page County: 10.8 %Page County10.8Lancaster County: 10.7 %Lancaster County10.7Nottoway County: 10.7 %Nottoway County10.7Shenandoah County: 10.7 %Shenandoah County10.7Norfolk city: 10.5 %Norfolk city10.5Grayson County: 10.4 %Grayson County10.4Brunswick County: 10.2 %Brunswick County10.2Richmond County: 10.2 %Richmond County10.2
%. 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

RankCounties2020 (%)Change on 2019
1Manassas city17.4+1.4 pts
2Manassas Park city16.8+1.5 pts
3Charles City County14.9+0.9 pts
4Accomack County13.6-1.5 pts
4Lunenburg County13.60 pts
4Rappahannock County13.6+1.4 pts
7Harrisonburg city13.1+0.1 pts
8Winchester city12.4-0.3 pts
9King and Queen County12.2-0.1 pts
10Madison County11.9+0.7 pts
11Middlesex County11.8+0.3 pts
11Nelson County11.8-0.9 pts
11Rockingham County11.8+0.3 pts
14Amelia County11.7+0.1 pts
14Fredericksburg city11.7+1.3 pts
16Carroll County11.6-0.6 pts
17Buckingham County11.5-0.4 pts
17Floyd County11.5-0.6 pts
19Charlotte County11.4-1 pts
20Essex County11.30 pts
20Galax city11.3-2.8 pts
22Highland County11.2-3.4 pts
23Richmond city11.1-0.7 pts
24Greene County11+0.2 pts
24Northampton County11-1.5 pts
26Culpeper County10.9-0.2 pts
26Northumberland County10.9-0.2 pts
26Waynesboro city10.9+0.8 pts
26Westmoreland County10.9+0.2 pts
30Amherst County10.8+0.6 pts
30Appomattox County10.8-1.1 pts
30Mecklenburg County10.8-1.2 pts
30Page County10.8-0.5 pts
34Lancaster County10.7-1.1 pts
34Nottoway County10.7-2.2 pts
34Shenandoah County10.7+0.5 pts
37Norfolk city10.5+0.1 pts
38Grayson County10.4-1.2 pts
39Brunswick County10.2-2.3 pts
39Richmond County10.2+0.5 pts
39Roanoke city10.2-0.9 pts
39Rockbridge County10.2+0.1 pts
43Henry County10.1-1.3 pts
43Orange County10.1-0.3 pts
43Patrick County10.1-1.6 pts
46Bath County10-0.5 pts
46Lee County10-0.9 pts
46Pittsylvania County10-1.4 pts
49Louisa County9.9-2.2 pts
50Buena Vista city9.8+1.9 pts
50Cumberland County9.8-0.7 pts
50Wythe County9.8+0.2 pts
53Buchanan County9.6-2.6 pts
53Warren County9.6-0.5 pts
55Albemarle County9.5+0.8 pts
55Alleghany County9.50 pts
55Campbell County9.5-0.8 pts
55Charlottesville city9.5-1.2 pts
55Prince Edward County9.5-0.3 pts
55Prince William County9.5-1.8 pts
55Staunton city9.5+0.2 pts
55Wise County9.5-1.8 pts
63Danville city9.4-0.4 pts
63Mathews County9.4+0.6 pts
63New Kent County9.4+0.8 pts
66Fluvanna County9.3+0.2 pts
66Franklin County9.3-1 pts
66Halifax County9.3-1.2 pts
69Augusta County9.2-0.8 pts
69Gloucester County9.2-0.2 pts
69Petersburg city9.2-1.4 pts
69Tazewell County9.2-1.2 pts
73Russell County9.1-0.7 pts
74Hopewell city90 pts
75Clarke County8.9-0.6 pts
75Dinwiddie County8.9-1.1 pts
75Fairfax city8.9-0.5 pts
75Frederick County8.9-0.6 pts
75King William County8.9+0.4 pts
75Martinsville city8.9+0.5 pts
75Washington County8.9-1.7 pts
82Caroline County8.8-0.7 pts
82Colonial Heights city8.8-0.3 pts
82Emporia city8.8+0.5 pts
82Giles County8.8-0.4 pts
82Powhatan County8.8-0.3 pts
82Sussex County8.8-1.3 pts
88Bristol city8.7-0.7 pts
88Dickenson County8.7-1.6 pts
88Fauquier County8.7-0.4 pts
88Southampton County8.7-0.1 pts
92Craig County8.6+2.1 pts
92Scott County8.6-1.6 pts
92Surry County8.6-0.2 pts
95Spotsylvania County8.5-0.4 pts
96Henrico County8.4-0.4 pts
96Montgomery County8.4-0.4 pts
96Smyth County8.4-0.9 pts
99Williamsburg city8.3+0.3 pts
100Alexandria city8.2-0.9 pts
100Lynchburg city8.2-1.1 pts
100Portsmouth city8.2-0.6 pts
103Bedford County8.1-1.1 pts
103Chesterfield County8.1-1 pts
103Franklin city8.1+0.7 pts
103Salem city8.1+0.8 pts
103Virginia Beach city8.1-0.1 pts
108Bland County7.90 pts
108Hampton city7.90 pts
108Isle of Wight County7.9-0.3 pts
108Newport News city7.9-1.6 pts
112Stafford County7.8+0.7 pts
112Suffolk city7.8-0.1 pts
114Chesapeake city7.7-0.2 pts
114Covington city7.7-0.3 pts
116Fairfax County7.6-1.5 pts
116Pulaski County7.6-0.7 pts
118Lexington city7.5+1.5 pts
118Prince George County7.5-0.1 pts
120Greensville County7.4-1.2 pts
120Norton city7.4-0.8 pts
120Radford city7.4-0.1 pts
123Botetourt County7.1-0.2 pts
124Roanoke County7-0.5 pts
125Poquoson city6.9+1.2 pts
126James City County6.8-0.1 pts
127Hanover County6.5-0.2 pts
128King George County6.4-0.3 pts
129Arlington County6.3+0.2 pts
129York County6.3-0.7 pts
131Loudoun County5.9-0.2 pts
132Goochland County5.3-1.1 pts
133Falls Church city4.3+0.5 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-2020-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 Virginia by uninsured rate, under 65 (US model-based estimate), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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 Virginia by uninsured rate, under 65 (US model-based estimate), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2020. 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 Virginia by uninsured rate, under 65 (US model-based estimate), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2020.

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 Virginia by uninsured rate, under 65 (US model-based estimate), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2020,
  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 Virginia by uninsured rate, under 65 (US model-based estimate), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2020. 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-2020-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 Virginia by uninsured rate, under 65 (US model-based estimate), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2020.
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-2020-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)?

Manassas city, with 17.4% in 2020, according to the U.S. Census Bureau.

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

Falls Church city, with 4.3% in 2020.

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 Virginia: more rankings