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 2022, at 14.1%. Goochland County had the lowest, at 3.9%. The median was 7.8% and the figure for Virginia was 7.5%. Source: the U.S. Census Bureau.

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Median7.8133 counties
Virginia7.5History

Map of counties, 2022

Accomack County: 10.9 %Albemarle County: 6.5 %Alleghany County: 6.5 %Amelia County: 10.5 %Amherst County: 7.8 %Appomattox County: 8.8 %Arlington County: 4.8 %Augusta County: 7.4 %Bath County: 6.8 %Bedford County: 7.6 %Bland County: 6.7 %Botetourt County: 5.3 %Brunswick County: 9.4 %Buchanan County: 9.9 %Buckingham County: 10.3 %Campbell County: 7.4 %Caroline County: 8 %Carroll County: 9.9 %Charles City County: 11.4 %Charlotte County: 8.5 %Chesterfield County: 7 %Clarke County: 7.8 %Craig County: 7.7 %Culpeper County: 8.9 %Cumberland County: 7.6 %Dickenson County: 8.5 %Dinwiddie County: 7.1 %Essex County: 9.9 %Fairfax County: 7.6 %Fauquier County: 7 %Floyd County: 7.6 %Fluvanna County: 5.9 %Franklin County: 7.9 %Frederick County: 8.2 %Giles County: 7.1 %Gloucester County: 8 %Goochland County: 3.9 %Grayson County: 7.2 %Greene County: 8.8 %Greensville County: 5.9 %Halifax County: 8.8 %Hanover County: 5.6 %Henrico County: 6.8 %Henry County: 8.4 %Highland County: 8.4 %Isle of Wight County: 6.2 %James City County: 6 %King and Queen County: 9.5 %King George County: 6.4 %King William County: 7.1 %Lancaster County: 10.3 %Lee County: 8.3 %Loudoun County: 5.6 %Louisa County: 8.2 %Lunenburg County: 10.8 %Madison County: 9.4 %Mathews County: 7.2 %Mecklenburg County: 9.4 %Middlesex County: 11.2 %Montgomery County: 6.1 %Nelson County: 12.2 %New Kent County: 7.5 %Northampton County: 9.9 %Northumberland County: 9.8 %Nottoway County: 9.4 %Orange County: 7.9 %Page County: 9 %Patrick County: 8.2 %Pittsylvania County: 8.7 %Powhatan County: 6.3 %Prince Edward County: 8.4 %Prince George County: 6.4 %Prince William County: 9.9 %Pulaski County: 6.5 %Rappahannock County: 9.6 %Richmond County: 9.6 %Roanoke County: 6.5 %Rockbridge County: 7.3 %Rockingham County: 9.3 %Russell County: 8.2 %Scott County: 7.2 %Shenandoah County: 8.6 %Smyth County: 7.9 %Southampton County: 6.8 %Spotsylvania County: 8 %Stafford County: 6 %Surry County: 6.5 %Sussex County: 7.9 %Tazewell County: 8 %Warren County: 8.6 %Washington County: 7.3 %Westmoreland County: 9.9 %Wise County: 8.3 %Wythe County: 7.2 %York County: 6 %Alexandria city: 8.1 %Bristol city: 7.9 %Buena Vista city: 7.3 %Charlottesville city: 8 %Chesapeake city: 6.8 %Colonial Heights city: 7 %Covington city: 6.9 %Danville city: 8.4 %Emporia city: 8.4 %Fairfax city: 8.8 %Falls Church city: 3.9 %Franklin city: 7.2 %Fredericksburg city: 8.7 %Galax city: 9.9 %Hampton city: 6.1 %Harrisonburg city: 13.2 %Hopewell city: 7.4 %Lexington city: 4 %Lynchburg city: 7 %Manassas city: 14 %Manassas Park city: 14.1 %Martinsville city: 7.8 %Newport News city: 7.1 %Norfolk city: 8.1 %Norton city: 5.9 %Petersburg city: 7.5 %Poquoson city: 5 %Portsmouth city: 7 %Radford city: 5.9 %Richmond city: 8.6 %Roanoke city: 8.5 %Salem city: 5.5 %Staunton city: 7.2 %Suffolk city: 6.4 %Virginia Beach city: 7.2 %Waynesboro city: 8.8 %Williamsburg city: 7.8 %Winchester city: 10.5 %
  • Under 6.4
  • 6.4 to 7.2
  • 7.2 to 7.8
  • 7.8 to 8.4
  • 8.4 to 9.5
  • 9.5 and over
%, 2022. 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

Manassas Park city: 14.1 %Manassas Park city14.1Manassas city: 14 %Manassas city14Harrisonburg city: 13.2 %Harrisonburg city13.2Nelson County: 12.2 %Nelson County12.2Charles City County: 11.4 %Charles City County11.4Middlesex County: 11.2 %Middlesex County11.2Accomack County: 10.9 %Accomack County10.9Lunenburg County: 10.8 %Lunenburg County10.8Amelia County: 10.5 %Amelia County10.5Winchester city: 10.5 %Winchester city10.5Buckingham County: 10.3 %Buckingham County10.3Lancaster County: 10.3 %Lancaster County10.3Buchanan County: 9.9 %Buchanan County9.9Carroll County: 9.9 %Carroll County9.9Essex County: 9.9 %Essex County9.9Galax city: 9.9 %Galax city9.9Northampton County: 9.9 %Northampton County9.9Prince William County: 9.9 %Prince William County9.9Westmoreland County: 9.9 %Westmoreland County9.9Northumberland County: 9.8 %Northumberland County9.8Rappahannock County: 9.6 %Rappahannock County9.6Richmond County: 9.6 %Richmond County9.6King and Queen County: 9.5 %King and Queen County9.5Brunswick County: 9.4 %Brunswick County9.4Madison County: 9.4 %Madison County9.4Mecklenburg County: 9.4 %Mecklenburg County9.4Nottoway County: 9.4 %Nottoway County9.4Rockingham County: 9.3 %Rockingham County9.3Page County: 9 %Page County9Culpeper County: 8.9 %Culpeper County8.9Appomattox County: 8.8 %Appomattox County8.8Fairfax city: 8.8 %Fairfax city8.8Greene County: 8.8 %Greene County8.8Halifax County: 8.8 %Halifax County8.8Waynesboro city: 8.8 %Waynesboro city8.8Fredericksburg city: 8.7 %Fredericksburg city8.7Pittsylvania County: 8.7 %Pittsylvania County8.7Richmond city: 8.6 %Richmond city8.6Shenandoah County: 8.6 %Shenandoah County8.6Warren County: 8.6 %Warren County8.6Manassas Park city: 14.1 %Manassas Park city14.1Manassas city: 14 %Manassas city14Harrisonburg city: 13.2 %Harrisonburg city13.2Nelson County: 12.2 %Nelson County12.2Charles City County: 11.4 %Charles City County11.4Middlesex County: 11.2 %Middlesex County11.2Accomack County: 10.9 %Accomack County10.9Lunenburg County: 10.8 %Lunenburg County10.8Amelia County: 10.5 %Amelia County10.5Winchester city: 10.5 %Winchester city10.5Buckingham County: 10.3 %Buckingham County10.3Lancaster County: 10.3 %Lancaster County10.3Buchanan County: 9.9 %Buchanan County9.9Carroll County: 9.9 %Carroll County9.9Essex County: 9.9 %Essex County9.9Galax city: 9.9 %Galax city9.9Northampton County: 9.9 %Northampton County9.9Prince William County: 9.9 %Prince William County9.9Westmoreland County: 9.9 %Westmoreland County9.9Northumberland County: 9.8 %Northumberland County9.8Rappahannock County: 9.6 %Rappahannock County9.6Richmond County: 9.6 %Richmond County9.6King and Queen County: 9.5 %King and Queen County9.5Brunswick County: 9.4 %Brunswick County9.4Madison County: 9.4 %Madison County9.4Mecklenburg County: 9.4 %Mecklenburg County9.4Nottoway County: 9.4 %Nottoway County9.4Rockingham County: 9.3 %Rockingham County9.3Page County: 9 %Page County9Culpeper County: 8.9 %Culpeper County8.9Appomattox County: 8.8 %Appomattox County8.8Fairfax city: 8.8 %Fairfax city8.8Greene County: 8.8 %Greene County8.8Halifax County: 8.8 %Halifax County8.8Waynesboro city: 8.8 %Waynesboro city8.8Fredericksburg city: 8.7 %Fredericksburg city8.7Pittsylvania County: 8.7 %Pittsylvania County8.7Richmond city: 8.6 %Richmond city8.6Shenandoah County: 8.6 %Shenandoah County8.6Warren County: 8.6 %Warren County8.6
%. 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
1Manassas Park city14.1-1.1 pts
2Manassas city14-0.1 pts
3Harrisonburg city13.2+0.9 pts
4Nelson County12.2+0.6 pts
5Charles City County11.4-3 pts
6Middlesex County11.2-0.2 pts
7Accomack County10.9-2.5 pts
8Lunenburg County10.8-0.9 pts
9Amelia County10.5-0.6 pts
9Winchester city10.5-0.6 pts
11Buckingham County10.3-0.2 pts
11Lancaster County10.3-1 pts
13Buchanan County9.9-1.1 pts
13Carroll County9.9-1.7 pts
13Essex County9.9-0.5 pts
13Galax city9.9-3 pts
13Northampton County9.9-2 pts
13Prince William County9.9+0.3 pts
13Westmoreland County9.9-0.1 pts
20Northumberland County9.8-0.9 pts
21Rappahannock County9.6-1.4 pts
21Richmond County9.6-0.7 pts
23King and Queen County9.50 pts
24Brunswick County9.4-0.6 pts
24Madison County9.4-0.6 pts
24Mecklenburg County9.4-0.9 pts
24Nottoway County9.4-0.4 pts
28Rockingham County9.3-2 pts
29Page County9-1 pts
30Culpeper County8.9-0.9 pts
31Appomattox County8.8-1.4 pts
31Fairfax city8.8+0.1 pts
31Greene County8.8-0.4 pts
31Halifax County8.8-0.5 pts
31Waynesboro city8.8-1.2 pts
36Fredericksburg city8.7-1.2 pts
36Pittsylvania County8.7-1 pts
38Richmond city8.6-0.5 pts
38Shenandoah County8.6-0.9 pts
38Warren County8.6-0.8 pts
41Charlotte County8.5-1.8 pts
41Dickenson County8.5-0.8 pts
41Roanoke city8.5-1.1 pts
44Danville city8.4-0.4 pts
44Emporia city8.4-0.9 pts
44Henry County8.4-1.4 pts
44Highland County8.4-2.6 pts
44Prince Edward County8.4-0.8 pts
49Lee County8.3-1.3 pts
49Wise County8.3-1.2 pts
51Frederick County8.2-0.7 pts
51Louisa County8.2-1.3 pts
51Patrick County8.2-0.8 pts
51Russell County8.2-0.3 pts
55Alexandria city8.1-0.9 pts
55Norfolk city8.1-1.2 pts
57Caroline County8-0.8 pts
57Charlottesville city8-0.3 pts
57Gloucester County8-1 pts
57Spotsylvania County8-0.3 pts
57Tazewell County8-1.2 pts
62Bristol city7.9-0.3 pts
62Franklin County7.9-0.9 pts
62Orange County7.9-0.8 pts
62Smyth County7.9-1.1 pts
62Sussex County7.9-0.7 pts
67Amherst County7.8-1.1 pts
67Clarke County7.8+0.4 pts
67Martinsville city7.8-0.7 pts
67Williamsburg city7.8-0.6 pts
71Craig County7.7-0.3 pts
72Bedford County7.6+0.1 pts
72Cumberland County7.6-1.8 pts
72Fairfax County7.6+0.2 pts
72Floyd County7.6-1.3 pts
76New Kent County7.5-0.7 pts
76Petersburg city7.5-1.5 pts
78Augusta County7.4-1.3 pts
78Campbell County7.4-1 pts
78Hopewell city7.4-1.1 pts
81Buena Vista city7.3-1.5 pts
81Rockbridge County7.3-1.7 pts
81Washington County7.3-1.1 pts
84Franklin city7.2-0.4 pts
84Grayson County7.2-2.2 pts
84Mathews County7.2-1.4 pts
84Scott County7.2-1.4 pts
84Staunton city7.2-0.7 pts
84Virginia Beach city7.2+0.2 pts
84Wythe County7.2-1.2 pts
91Dinwiddie County7.1-2 pts
91Giles County7.1-1.5 pts
91King William County7.10 pts
91Newport News city7.1-0.5 pts
95Chesterfield County7-0.6 pts
95Colonial Heights city7-0.6 pts
95Fauquier County7-1.2 pts
95Lynchburg city7-0.5 pts
95Portsmouth city7+0.1 pts
100Covington city6.9-0.6 pts
101Bath County6.8-1.7 pts
101Chesapeake city6.8-0.2 pts
101Henrico County6.8-0.8 pts
101Southampton County6.8-1.2 pts
105Bland County6.7-0.9 pts
106Albemarle County6.5-1.3 pts
106Alleghany County6.5-1.5 pts
106Pulaski County6.5-1.2 pts
106Roanoke County6.50 pts
106Surry County6.5-2.5 pts
111King George County6.4+0.2 pts
111Prince George County6.4-0.4 pts
111Suffolk city6.4-0.4 pts
114Powhatan County6.3-1.4 pts
115Isle of Wight County6.2-0.8 pts
116Hampton city6.1-0.9 pts
116Montgomery County6.1-1.4 pts
118James City County60 pts
118Stafford County6+0.1 pts
118York County6+0.6 pts
121Fluvanna County5.9-1.6 pts
121Greensville County5.9-1 pts
121Norton city5.9-1.7 pts
121Radford city5.9-0.5 pts
125Hanover County5.6-0.3 pts
125Loudoun County5.6-0.2 pts
127Salem city5.5-1.6 pts
128Botetourt County5.3-0.9 pts
129Poquoson city5-0.5 pts
130Arlington County4.8-0.2 pts
131Lexington city4-2.8 pts
132Falls Church city3.9-0.5 pts
132Goochland County3.9-0.9 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-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 (Counties in Virginia 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, Counties in Virginia 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/virginia-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. Counties in Virginia 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/virginia-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, Counties in Virginia 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/virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_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: Counties in Virginia 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/virginia-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: Counties in Virginia 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/virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-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)?

Manassas Park city, with 14.1% in 2022, according to the U.S. Census Bureau.

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

Goochland County, with 3.9% 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

Counties in Virginia: more rankings