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

Manassas Park city had the highest uninsured rate, under 65 (US model-based estimate) of 133 counties in 2021, at 15.2%. Falls Church city had the lowest, at 4.4%. The median was 8.8% and the figure for Virginia was 8%. Source: the U.S. Census Bureau.

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Median8.8133 counties
Virginia8History

Map of counties, 2021

Accomack County: 13.4 %Albemarle County: 7.8 %Alleghany County: 8 %Amelia County: 11.1 %Amherst County: 8.9 %Appomattox County: 10.2 %Arlington County: 5 %Augusta County: 8.7 %Bath County: 8.5 %Bedford County: 7.5 %Bland County: 7.6 %Botetourt County: 6.2 %Brunswick County: 10 %Buchanan County: 11 %Buckingham County: 10.5 %Campbell County: 8.4 %Caroline County: 8.8 %Carroll County: 11.6 %Charles City County: 14.4 %Charlotte County: 10.3 %Chesterfield County: 7.6 %Clarke County: 7.4 %Craig County: 8 %Culpeper County: 9.8 %Cumberland County: 9.4 %Dickenson County: 9.3 %Dinwiddie County: 9.1 %Essex County: 10.4 %Fairfax County: 7.4 %Fauquier County: 8.2 %Floyd County: 8.9 %Fluvanna County: 7.5 %Franklin County: 8.8 %Frederick County: 8.9 %Giles County: 8.6 %Gloucester County: 9 %Goochland County: 4.8 %Grayson County: 9.4 %Greene County: 9.2 %Greensville County: 6.9 %Halifax County: 9.3 %Hanover County: 5.9 %Henrico County: 7.6 %Henry County: 9.8 %Highland County: 11 %Isle of Wight County: 7 %James City County: 6 %King and Queen County: 9.5 %King George County: 6.2 %King William County: 7.1 %Lancaster County: 11.3 %Lee County: 9.6 %Loudoun County: 5.8 %Louisa County: 9.5 %Lunenburg County: 11.7 %Madison County: 10 %Mathews County: 8.6 %Mecklenburg County: 10.3 %Middlesex County: 11.4 %Montgomery County: 7.5 %Nelson County: 11.6 %New Kent County: 8.2 %Northampton County: 11.9 %Northumberland County: 10.7 %Nottoway County: 9.8 %Orange County: 8.7 %Page County: 10 %Patrick County: 9 %Pittsylvania County: 9.7 %Powhatan County: 7.7 %Prince Edward County: 9.2 %Prince George County: 6.8 %Prince William County: 9.6 %Pulaski County: 7.7 %Rappahannock County: 11 %Richmond County: 10.3 %Roanoke County: 6.5 %Rockbridge County: 9 %Rockingham County: 11.3 %Russell County: 8.5 %Scott County: 8.6 %Shenandoah County: 9.5 %Smyth County: 9 %Southampton County: 8 %Spotsylvania County: 8.3 %Stafford County: 5.9 %Surry County: 9 %Sussex County: 8.6 %Tazewell County: 9.2 %Warren County: 9.4 %Washington County: 8.4 %Westmoreland County: 10 %Wise County: 9.5 %Wythe County: 8.4 %York County: 5.4 %Alexandria city: 9 %Bristol city: 8.2 %Buena Vista city: 8.8 %Charlottesville city: 8.3 %Chesapeake city: 7 %Colonial Heights city: 7.6 %Covington city: 7.5 %Danville city: 8.8 %Emporia city: 9.3 %Fairfax city: 8.7 %Falls Church city: 4.4 %Franklin city: 7.6 %Fredericksburg city: 9.9 %Galax city: 12.9 %Hampton city: 7 %Harrisonburg city: 12.3 %Hopewell city: 8.5 %Lexington city: 6.8 %Lynchburg city: 7.5 %Manassas city: 14.1 %Manassas Park city: 15.2 %Martinsville city: 8.5 %Newport News city: 7.6 %Norfolk city: 9.3 %Norton city: 7.6 %Petersburg city: 9 %Poquoson city: 5.5 %Portsmouth city: 6.9 %Radford city: 6.4 %Richmond city: 9.1 %Roanoke city: 9.6 %Salem city: 7.1 %Staunton city: 7.9 %Suffolk city: 6.8 %Virginia Beach city: 7 %Waynesboro city: 10 %Williamsburg city: 8.4 %Winchester city: 11.1 %
  • Under 7.1
  • 7.1 to 8
  • 8 to 8.8
  • 8.8 to 9.4
  • 9.4 to 10
  • 10 and over
%, 2021. 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

Manassas Park city: 15.2 %Manassas Park city15.2Charles City County: 14.4 %Charles City County14.4Manassas city: 14.1 %Manassas city14.1Accomack County: 13.4 %Accomack County13.4Galax city: 12.9 %Galax city12.9Harrisonburg city: 12.3 %Harrisonburg city12.3Northampton County: 11.9 %Northampton County11.9Lunenburg County: 11.7 %Lunenburg County11.7Carroll County: 11.6 %Carroll County11.6Nelson County: 11.6 %Nelson County11.6Middlesex County: 11.4 %Middlesex County11.4Lancaster County: 11.3 %Lancaster County11.3Rockingham County: 11.3 %Rockingham County11.3Amelia County: 11.1 %Amelia County11.1Winchester city: 11.1 %Winchester city11.1Buchanan County: 11 %Buchanan County11Highland County: 11 %Highland County11Rappahannock County: 11 %Rappahannock County11Northumberland County: 10.7 %Northumberland County10.7Buckingham County: 10.5 %Buckingham County10.5Essex County: 10.4 %Essex County10.4Charlotte County: 10.3 %Charlotte County10.3Mecklenburg County: 10.3 %Mecklenburg County10.3Richmond County: 10.3 %Richmond County10.3Appomattox County: 10.2 %Appomattox County10.2Brunswick County: 10 %Brunswick County10Madison County: 10 %Madison County10Page County: 10 %Page County10Waynesboro city: 10 %Waynesboro city10Westmoreland County: 10 %Westmoreland County10Fredericksburg city: 9.9 %Fredericksburg city9.9Culpeper County: 9.8 %Culpeper County9.8Henry County: 9.8 %Henry County9.8Nottoway County: 9.8 %Nottoway County9.8Pittsylvania County: 9.7 %Pittsylvania County9.7Lee County: 9.6 %Lee County9.6Prince William County: 9.6 %Prince William County9.6Roanoke city: 9.6 %Roanoke city9.6King and Queen County: 9.5 %King and Queen County9.5Louisa County: 9.5 %Louisa County9.5Manassas Park city: 15.2 %Manassas Park city15.2Charles City County: 14.4 %Charles City County14.4Manassas city: 14.1 %Manassas city14.1Accomack County: 13.4 %Accomack County13.4Galax city: 12.9 %Galax city12.9Harrisonburg city: 12.3 %Harrisonburg city12.3Northampton County: 11.9 %Northampton County11.9Lunenburg County: 11.7 %Lunenburg County11.7Carroll County: 11.6 %Carroll County11.6Nelson County: 11.6 %Nelson County11.6Middlesex County: 11.4 %Middlesex County11.4Lancaster County: 11.3 %Lancaster County11.3Rockingham County: 11.3 %Rockingham County11.3Amelia County: 11.1 %Amelia County11.1Winchester city: 11.1 %Winchester city11.1Buchanan County: 11 %Buchanan County11Highland County: 11 %Highland County11Rappahannock County: 11 %Rappahannock County11Northumberland County: 10.7 %Northumberland County10.7Buckingham County: 10.5 %Buckingham County10.5Essex County: 10.4 %Essex County10.4Charlotte County: 10.3 %Charlotte County10.3Mecklenburg County: 10.3 %Mecklenburg County10.3Richmond County: 10.3 %Richmond County10.3Appomattox County: 10.2 %Appomattox County10.2Brunswick County: 10 %Brunswick County10Madison County: 10 %Madison County10Page County: 10 %Page County10Waynesboro city: 10 %Waynesboro city10Westmoreland County: 10 %Westmoreland County10Fredericksburg city: 9.9 %Fredericksburg city9.9Culpeper County: 9.8 %Culpeper County9.8Henry County: 9.8 %Henry County9.8Nottoway County: 9.8 %Nottoway County9.8Pittsylvania County: 9.7 %Pittsylvania County9.7Lee County: 9.6 %Lee County9.6Prince William County: 9.6 %Prince William County9.6Roanoke city: 9.6 %Roanoke city9.6King and Queen County: 9.5 %King and Queen County9.5Louisa County: 9.5 %Louisa County9.5
%. 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

RankCounties2021 (%)Change on 2020
1Manassas Park city15.2-1.6 pts
2Charles City County14.4-0.5 pts
3Manassas city14.1-3.3 pts
4Accomack County13.4-0.2 pts
5Galax city12.9+1.6 pts
6Harrisonburg city12.3-0.8 pts
7Northampton County11.9+0.9 pts
8Lunenburg County11.7-1.9 pts
9Carroll County11.60 pts
9Nelson County11.6-0.2 pts
11Middlesex County11.4-0.4 pts
12Lancaster County11.3+0.6 pts
12Rockingham County11.3-0.5 pts
14Amelia County11.1-0.6 pts
14Winchester city11.1-1.3 pts
16Buchanan County11+1.4 pts
16Highland County11-0.2 pts
16Rappahannock County11-2.6 pts
19Northumberland County10.7-0.2 pts
20Buckingham County10.5-1 pts
21Essex County10.4-0.9 pts
22Charlotte County10.3-1.1 pts
22Mecklenburg County10.3-0.5 pts
22Richmond County10.3+0.1 pts
25Appomattox County10.2-0.6 pts
26Brunswick County10-0.2 pts
26Madison County10-1.9 pts
26Page County10-0.8 pts
26Waynesboro city10-0.9 pts
26Westmoreland County10-0.9 pts
31Fredericksburg city9.9-1.8 pts
32Culpeper County9.8-1.1 pts
32Henry County9.8-0.3 pts
32Nottoway County9.8-0.9 pts
35Pittsylvania County9.7-0.3 pts
36Lee County9.6-0.4 pts
36Prince William County9.6+0.1 pts
36Roanoke city9.6-0.6 pts
39King and Queen County9.5-2.7 pts
39Louisa County9.5-0.4 pts
39Shenandoah County9.5-1.2 pts
39Wise County9.50 pts
43Cumberland County9.4-0.4 pts
43Grayson County9.4-1 pts
43Warren County9.4-0.2 pts
46Dickenson County9.3+0.6 pts
46Emporia city9.3+0.5 pts
46Halifax County9.30 pts
46Norfolk city9.3-1.2 pts
50Greene County9.2-1.8 pts
50Prince Edward County9.2-0.3 pts
50Tazewell County9.20 pts
53Dinwiddie County9.1+0.2 pts
53Richmond city9.1-2 pts
55Alexandria city9+0.8 pts
55Gloucester County9-0.2 pts
55Patrick County9-1.1 pts
55Petersburg city9-0.2 pts
55Rockbridge County9-1.2 pts
55Smyth County9+0.6 pts
55Surry County9+0.4 pts
62Amherst County8.9-1.9 pts
62Floyd County8.9-2.6 pts
62Frederick County8.90 pts
65Buena Vista city8.8-1 pts
65Caroline County8.80 pts
65Danville city8.8-0.6 pts
65Franklin County8.8-0.5 pts
69Augusta County8.7-0.5 pts
69Fairfax city8.7-0.2 pts
69Orange County8.7-1.4 pts
72Giles County8.6-0.2 pts
72Mathews County8.6-0.8 pts
72Scott County8.60 pts
72Sussex County8.6-0.2 pts
76Bath County8.5-1.5 pts
76Hopewell city8.5-0.5 pts
76Martinsville city8.5-0.4 pts
76Russell County8.5-0.6 pts
80Campbell County8.4-1.1 pts
80Washington County8.4-0.5 pts
80Williamsburg city8.4+0.1 pts
80Wythe County8.4-1.4 pts
84Charlottesville city8.3-1.2 pts
84Spotsylvania County8.3-0.2 pts
86Bristol city8.2-0.5 pts
86Fauquier County8.2-0.5 pts
86New Kent County8.2-1.2 pts
89Alleghany County8-1.5 pts
89Craig County8-0.6 pts
89Southampton County8-0.7 pts
92Staunton city7.9-1.6 pts
93Albemarle County7.8-1.7 pts
94Powhatan County7.7-1.1 pts
94Pulaski County7.7+0.1 pts
96Bland County7.6-0.3 pts
96Chesterfield County7.6-0.5 pts
96Colonial Heights city7.6-1.2 pts
96Franklin city7.6-0.5 pts
96Henrico County7.6-0.8 pts
96Newport News city7.6-0.3 pts
96Norton city7.6+0.2 pts
103Bedford County7.5-0.6 pts
103Covington city7.5-0.2 pts
103Fluvanna County7.5-1.8 pts
103Lynchburg city7.5-0.7 pts
103Montgomery County7.5-0.9 pts
108Clarke County7.4-1.5 pts
108Fairfax County7.4-0.2 pts
110King William County7.1-1.8 pts
110Salem city7.1-1 pts
112Chesapeake city7-0.7 pts
112Hampton city7-0.9 pts
112Isle of Wight County7-0.9 pts
112Virginia Beach city7-1.1 pts
116Greensville County6.9-0.5 pts
116Portsmouth city6.9-1.3 pts
118Lexington city6.8-0.7 pts
118Prince George County6.8-0.7 pts
118Suffolk city6.8-1 pts
121Roanoke County6.5-0.5 pts
122Radford city6.4-1 pts
123Botetourt County6.2-0.9 pts
123King George County6.2-0.2 pts
125James City County6-0.8 pts
126Hanover County5.9-0.6 pts
126Stafford County5.9-1.9 pts
128Loudoun County5.8-0.1 pts
129Poquoson city5.5-1.4 pts
130York County5.4-0.9 pts
131Arlington County5-1.3 pts
132Goochland County4.8-0.5 pts
133Falls Church city4.4+0.1 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-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 (Counties in Virginia 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, Counties in Virginia 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/virginia-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. Counties in Virginia 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/virginia-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, Counties in Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_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: Counties in Virginia 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/virginia-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: Counties in Virginia 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/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-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)?

Manassas Park city, with 15.2% in 2021, according to the U.S. Census Bureau.

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

Falls Church city, with 4.4% 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.

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

Counties in Virginia: more rankings