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 2023, at 14.7%. Falls Church city had the lowest, at 4.1%. The median was 7.9% and the figure for Virginia was 7.5%. Source: the U.S. Census Bureau.

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Median7.9133 counties
Virginia7.5History

Map of counties, 2023

Accomack County: 11.8 %Albemarle County: 7 %Alleghany County: 7.5 %Amelia County: 9.8 %Amherst County: 7.5 %Appomattox County: 8.7 %Arlington County: 4.6 %Augusta County: 7.2 %Bath County: 6.4 %Bedford County: 7.9 %Bland County: 5.7 %Botetourt County: 5.7 %Brunswick County: 10.3 %Buchanan County: 10.1 %Buckingham County: 9.8 %Campbell County: 7.6 %Caroline County: 7.8 %Carroll County: 10.2 %Charles City County: 9.6 %Charlotte County: 9.5 %Chesterfield County: 7.1 %Clarke County: 7.2 %Craig County: 8 %Culpeper County: 9.5 %Cumberland County: 7.2 %Dickenson County: 8.7 %Dinwiddie County: 7.3 %Essex County: 10.1 %Fairfax County: 7 %Fauquier County: 7.5 %Floyd County: 7.7 %Fluvanna County: 5.7 %Franklin County: 8 %Frederick County: 8 %Giles County: 8.2 %Gloucester County: 7.3 %Goochland County: 4.4 %Grayson County: 9.3 %Greene County: 9 %Greensville County: 7 %Halifax County: 8.9 %Hanover County: 5.6 %Henrico County: 7.6 %Henry County: 8.3 %Highland County: 7.5 %Isle of Wight County: 6.3 %James City County: 5.6 %King and Queen County: 9.8 %King George County: 6.5 %King William County: 6.7 %Lancaster County: 10.3 %Lee County: 8.9 %Loudoun County: 5.2 %Louisa County: 8.4 %Lunenburg County: 10.8 %Madison County: 10.9 %Mathews County: 7 %Mecklenburg County: 9.7 %Middlesex County: 10.2 %Montgomery County: 6.7 %Nelson County: 10.5 %New Kent County: 6.7 %Northampton County: 9.8 %Northumberland County: 9.5 %Nottoway County: 9.2 %Orange County: 7.8 %Page County: 9.4 %Patrick County: 8.4 %Pittsylvania County: 8.4 %Powhatan County: 6.5 %Prince Edward County: 7.9 %Prince George County: 6.4 %Prince William County: 9 %Pulaski County: 6.3 %Rappahannock County: 10.2 %Richmond County: 11.1 %Roanoke County: 5.7 %Rockbridge County: 7.4 %Rockingham County: 9.7 %Russell County: 8.7 %Scott County: 7.7 %Shenandoah County: 9.3 %Smyth County: 8.2 %Southampton County: 6.5 %Spotsylvania County: 7.5 %Stafford County: 6.4 %Surry County: 6.8 %Sussex County: 7.8 %Tazewell County: 8.8 %Warren County: 8.8 %Washington County: 7.6 %Westmoreland County: 10.6 %Wise County: 8.6 %Wythe County: 7.5 %York County: 5 %Alexandria city: 7.9 %Bristol city: 8.4 %Buena Vista city: 6.9 %Charlottesville city: 7.7 %Chesapeake city: 6.1 %Colonial Heights city: 7.3 %Covington city: 6.8 %Danville city: 8.3 %Emporia city: 7.9 %Fairfax city: 9 %Falls Church city: 4.1 %Franklin city: 7 %Fredericksburg city: 8.7 %Galax city: 9.9 %Hampton city: 7 %Harrisonburg city: 12.9 %Hopewell city: 7.9 %Lexington city: 4.9 %Lynchburg city: 7.5 %Manassas city: 11.7 %Manassas Park city: 14.7 %Martinsville city: 8.3 %Newport News city: 8.3 %Norfolk city: 9.4 %Norton city: 5.5 %Petersburg city: 8.3 %Poquoson city: 4.8 %Portsmouth city: 6.8 %Radford city: 6.2 %Richmond city: 9.3 %Roanoke city: 9.8 %Salem city: 5.4 %Staunton city: 7 %Suffolk city: 7 %Virginia Beach city: 7 %Waynesboro city: 9 %Williamsburg city: 8.3 %Winchester city: 10.6 %
  • Under 6.5
  • 6.5 to 7.2
  • 7.2 to 7.9
  • 7.9 to 8.7
  • 8.7 to 9.8
  • 9.8 and over
%, 2023. 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, 2023

Manassas Park city: 14.7 %Manassas Park city14.7Harrisonburg city: 12.9 %Harrisonburg city12.9Accomack County: 11.8 %Accomack County11.8Manassas city: 11.7 %Manassas city11.7Richmond County: 11.1 %Richmond County11.1Madison County: 10.9 %Madison County10.9Lunenburg County: 10.8 %Lunenburg County10.8Westmoreland County: 10.6 %Westmoreland County10.6Winchester city: 10.6 %Winchester city10.6Nelson County: 10.5 %Nelson County10.5Brunswick County: 10.3 %Brunswick County10.3Lancaster County: 10.3 %Lancaster County10.3Carroll County: 10.2 %Carroll County10.2Middlesex County: 10.2 %Middlesex County10.2Rappahannock County: 10.2 %Rappahannock County10.2Buchanan County: 10.1 %Buchanan County10.1Essex County: 10.1 %Essex County10.1Galax city: 9.9 %Galax city9.9Amelia County: 9.8 %Amelia County9.8Buckingham County: 9.8 %Buckingham County9.8King and Queen County: 9.8 %King and Queen County9.8Northampton County: 9.8 %Northampton County9.8Roanoke city: 9.8 %Roanoke city9.8Mecklenburg County: 9.7 %Mecklenburg County9.7Rockingham County: 9.7 %Rockingham County9.7Charles City County: 9.6 %Charles City County9.6Charlotte County: 9.5 %Charlotte County9.5Culpeper County: 9.5 %Culpeper County9.5Northumberland County: 9.5 %Northumberland County9.5Norfolk city: 9.4 %Norfolk city9.4Page County: 9.4 %Page County9.4Grayson County: 9.3 %Grayson County9.3Richmond city: 9.3 %Richmond city9.3Shenandoah County: 9.3 %Shenandoah County9.3Nottoway County: 9.2 %Nottoway County9.2Fairfax city: 9 %Fairfax city9Greene County: 9 %Greene County9Prince William County: 9 %Prince William County9Waynesboro city: 9 %Waynesboro city9Halifax County: 8.9 %Halifax County8.9Manassas Park city: 14.7 %Manassas Park city14.7Harrisonburg city: 12.9 %Harrisonburg city12.9Accomack County: 11.8 %Accomack County11.8Manassas city: 11.7 %Manassas city11.7Richmond County: 11.1 %Richmond County11.1Madison County: 10.9 %Madison County10.9Lunenburg County: 10.8 %Lunenburg County10.8Westmoreland County: 10.6 %Westmoreland County10.6Winchester city: 10.6 %Winchester city10.6Nelson County: 10.5 %Nelson County10.5Brunswick County: 10.3 %Brunswick County10.3Lancaster County: 10.3 %Lancaster County10.3Carroll County: 10.2 %Carroll County10.2Middlesex County: 10.2 %Middlesex County10.2Rappahannock County: 10.2 %Rappahannock County10.2Buchanan County: 10.1 %Buchanan County10.1Essex County: 10.1 %Essex County10.1Galax city: 9.9 %Galax city9.9Amelia County: 9.8 %Amelia County9.8Buckingham County: 9.8 %Buckingham County9.8King and Queen County: 9.8 %King and Queen County9.8Northampton County: 9.8 %Northampton County9.8Roanoke city: 9.8 %Roanoke city9.8Mecklenburg County: 9.7 %Mecklenburg County9.7Rockingham County: 9.7 %Rockingham County9.7Charles City County: 9.6 %Charles City County9.6Charlotte County: 9.5 %Charlotte County9.5Culpeper County: 9.5 %Culpeper County9.5Northumberland County: 9.5 %Northumberland County9.5Norfolk city: 9.4 %Norfolk city9.4Page County: 9.4 %Page County9.4Grayson County: 9.3 %Grayson County9.3Richmond city: 9.3 %Richmond city9.3Shenandoah County: 9.3 %Shenandoah County9.3Nottoway County: 9.2 %Nottoway County9.2Fairfax city: 9 %Fairfax city9Greene County: 9 %Greene County9Prince William County: 9 %Prince William County9Waynesboro city: 9 %Waynesboro city9Halifax County: 8.9 %Halifax County8.9
%. 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

RankCounties2023 (%)Change on 2022
1Manassas Park city14.7+0.6 pts
2Harrisonburg city12.9-0.3 pts
3Accomack County11.8+0.9 pts
4Manassas city11.7-2.3 pts
5Richmond County11.1+1.5 pts
6Madison County10.9+1.5 pts
7Lunenburg County10.80 pts
8Westmoreland County10.6+0.7 pts
8Winchester city10.6+0.1 pts
10Nelson County10.5-1.7 pts
11Brunswick County10.3+0.9 pts
11Lancaster County10.30 pts
13Carroll County10.2+0.3 pts
13Middlesex County10.2-1 pts
13Rappahannock County10.2+0.6 pts
16Buchanan County10.1+0.2 pts
16Essex County10.1+0.2 pts
18Galax city9.90 pts
19Amelia County9.8-0.7 pts
19Buckingham County9.8-0.5 pts
19King and Queen County9.8+0.3 pts
19Northampton County9.8-0.1 pts
19Roanoke city9.8+1.3 pts
24Mecklenburg County9.7+0.3 pts
24Rockingham County9.7+0.4 pts
26Charles City County9.6-1.8 pts
27Charlotte County9.5+1 pts
27Culpeper County9.5+0.6 pts
27Northumberland County9.5-0.3 pts
30Norfolk city9.4+1.3 pts
30Page County9.4+0.4 pts
32Grayson County9.3+2.1 pts
32Richmond city9.3+0.7 pts
32Shenandoah County9.3+0.7 pts
35Nottoway County9.2-0.2 pts
36Fairfax city9+0.2 pts
36Greene County9+0.2 pts
36Prince William County9-0.9 pts
36Waynesboro city9+0.2 pts
40Halifax County8.9+0.1 pts
40Lee County8.9+0.6 pts
42Tazewell County8.8+0.8 pts
42Warren County8.8+0.2 pts
44Appomattox County8.7-0.1 pts
44Dickenson County8.7+0.2 pts
44Fredericksburg city8.70 pts
44Russell County8.7+0.5 pts
48Wise County8.6+0.3 pts
49Bristol city8.4+0.5 pts
49Louisa County8.4+0.2 pts
49Patrick County8.4+0.2 pts
49Pittsylvania County8.4-0.3 pts
53Danville city8.3-0.1 pts
53Henry County8.3-0.1 pts
53Martinsville city8.3+0.5 pts
53Newport News city8.3+1.2 pts
53Petersburg city8.3+0.8 pts
53Williamsburg city8.3+0.5 pts
59Giles County8.2+1.1 pts
59Smyth County8.2+0.3 pts
61Craig County8+0.3 pts
61Franklin County8+0.1 pts
61Frederick County8-0.2 pts
64Alexandria city7.9-0.2 pts
64Bedford County7.9+0.3 pts
64Emporia city7.9-0.5 pts
64Hopewell city7.9+0.5 pts
64Prince Edward County7.9-0.5 pts
69Caroline County7.8-0.2 pts
69Orange County7.8-0.1 pts
69Sussex County7.8-0.1 pts
72Charlottesville city7.7-0.3 pts
72Floyd County7.7+0.1 pts
72Scott County7.7+0.5 pts
75Campbell County7.6+0.2 pts
75Henrico County7.6+0.8 pts
75Washington County7.6+0.3 pts
78Alleghany County7.5+1 pts
78Amherst County7.5-0.3 pts
78Fauquier County7.5+0.5 pts
78Highland County7.5-0.9 pts
78Lynchburg city7.5+0.5 pts
78Spotsylvania County7.5-0.5 pts
78Wythe County7.5+0.3 pts
85Rockbridge County7.4+0.1 pts
86Colonial Heights city7.3+0.3 pts
86Dinwiddie County7.3+0.2 pts
86Gloucester County7.3-0.7 pts
89Augusta County7.2-0.2 pts
89Clarke County7.2-0.6 pts
89Cumberland County7.2-0.4 pts
92Chesterfield County7.1+0.1 pts
93Albemarle County7+0.5 pts
93Fairfax County7-0.6 pts
93Franklin city7-0.2 pts
93Greensville County7+1.1 pts
93Hampton city7+0.9 pts
93Mathews County7-0.2 pts
93Staunton city7-0.2 pts
93Suffolk city7+0.6 pts
93Virginia Beach city7-0.2 pts
102Buena Vista city6.9-0.4 pts
103Covington city6.8-0.1 pts
103Portsmouth city6.8-0.2 pts
103Surry County6.8+0.3 pts
106King William County6.7-0.4 pts
106Montgomery County6.7+0.6 pts
106New Kent County6.7-0.8 pts
109King George County6.5+0.1 pts
109Powhatan County6.5+0.2 pts
109Southampton County6.5-0.3 pts
112Bath County6.4-0.4 pts
112Prince George County6.40 pts
112Stafford County6.4+0.4 pts
115Isle of Wight County6.3+0.1 pts
115Pulaski County6.3-0.2 pts
117Radford city6.2+0.3 pts
118Chesapeake city6.1-0.7 pts
119Bland County5.7-1 pts
119Botetourt County5.7+0.4 pts
119Fluvanna County5.7-0.2 pts
119Roanoke County5.7-0.8 pts
123Hanover County5.60 pts
123James City County5.6-0.4 pts
125Norton city5.5-0.4 pts
126Salem city5.4-0.1 pts
127Loudoun County5.2-0.4 pts
128York County5-1 pts
129Lexington city4.9+0.9 pts
130Poquoson city4.8-0.2 pts
131Arlington County4.6-0.2 pts
132Goochland County4.4+0.5 pts
133Falls Church city4.1+0.2 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2023.
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-2023-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 14.7% in 2023, according to the U.S. Census Bureau.

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

Falls Church city, with 4.1% in 2023.

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