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

Yakima County had the highest uninsured rate, under 65 (US model-based estimate) of 39 counties in 2020, at 14.8%. King County had the lowest, at 5.8%. The median was 8.6% and the figure for Washington was 7.4%. Source: the U.S. Census Bureau.

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Highest14.8Yakima County
Lowest5.8King County
Median8.639 counties
Washington7.4History

Map of counties, 2020

Adams County: 14.4 %Asotin County: 8 %Benton County: 8 %Chelan County: 11.1 %Clallam County: 9.5 %Clark County: 7.6 %Columbia County: 6.9 %Cowlitz County: 7.4 %Douglas County: 13.8 %Ferry County: 10.1 %Franklin County: 13.5 %Garfield County: 6.4 %Grant County: 13 %Grays Harbor County: 8.9 %Island County: 7.1 %Jefferson County: 9.1 %King County: 5.8 %Kitsap County: 6.1 %Kittitas County: 8 %Klickitat County: 11 %Lewis County: 9.2 %Lincoln County: 7.2 %Mason County: 10.5 %Okanogan County: 14.6 %Pacific County: 10.9 %Pend Oreille County: 8.4 %Pierce County: 6.8 %San Juan County: 10.5 %Skagit County: 8.9 %Skamania County: 8.1 %Snohomish County: 7.1 %Spokane County: 6.3 %Stevens County: 8.1 %Thurston County: 6.9 %Wahkiakum County: 8.6 %Walla Walla County: 9.3 %Whatcom County: 8.7 %Whitman County: 7.5 %Yakima County: 14.8 %
  • Under 7
  • 7 to 7.9
  • 7.9 to 8.6
  • 8.6 to 9.4
  • 9.4 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.

All counties, 2020

Yakima County: 14.8 %Yakima County14.8Okanogan County: 14.6 %Okanogan County14.6Adams County: 14.4 %Adams County14.4Douglas County: 13.8 %Douglas County13.8Franklin County: 13.5 %Franklin County13.5Grant County: 13 %Grant County13Chelan County: 11.1 %Chelan County11.1Klickitat County: 11 %Klickitat County11Pacific County: 10.9 %Pacific County10.9Mason County: 10.5 %Mason County10.5San Juan County: 10.5 %San Juan County10.5Ferry County: 10.1 %Ferry County10.1Clallam County: 9.5 %Clallam County9.5Walla Walla County: 9.3 %Walla Walla County9.3Lewis County: 9.2 %Lewis County9.2Jefferson County: 9.1 %Jefferson County9.1Grays Harbor County: 8.9 %Grays Harbor County8.9Skagit County: 8.9 %Skagit County8.9Whatcom County: 8.7 %Whatcom County8.7Wahkiakum County: 8.6 %Wahkiakum County8.6Pend Oreille County: 8.4 %Pend Oreille County8.4Skamania County: 8.1 %Skamania County8.1Stevens County: 8.1 %Stevens County8.1Asotin County: 8 %Asotin County8Benton County: 8 %Benton County8Kittitas County: 8 %Kittitas County8Clark County: 7.6 %Clark County7.6Whitman County: 7.5 %Whitman County7.5Cowlitz County: 7.4 %Cowlitz County7.4Lincoln County: 7.2 %Lincoln County7.2Island County: 7.1 %Island County7.1Snohomish County: 7.1 %Snohomish County7.1Columbia County: 6.9 %Columbia County6.9Thurston County: 6.9 %Thurston County6.9Pierce County: 6.8 %Pierce County6.8Garfield County: 6.4 %Garfield County6.4Spokane County: 6.3 %Spokane County6.3Kitsap County: 6.1 %Kitsap County6.1King County: 5.8 %King County5.8Yakima County: 14.8 %Yakima County14.8Okanogan County: 14.6 %Okanogan County14.6Adams County: 14.4 %Adams County14.4Douglas County: 13.8 %Douglas County13.8Franklin County: 13.5 %Franklin County13.5Grant County: 13 %Grant County13Chelan County: 11.1 %Chelan County11.1Klickitat County: 11 %Klickitat County11Pacific County: 10.9 %Pacific County10.9Mason County: 10.5 %Mason County10.5San Juan County: 10.5 %San Juan County10.5Ferry County: 10.1 %Ferry County10.1Clallam County: 9.5 %Clallam County9.5Walla Walla County: 9.3 %Walla Walla County9.3Lewis County: 9.2 %Lewis County9.2Jefferson County: 9.1 %Jefferson County9.1Grays Harbor County: 8.9 %Grays Harbor County8.9Skagit County: 8.9 %Skagit County8.9Whatcom County: 8.7 %Whatcom County8.7Wahkiakum County: 8.6 %Wahkiakum County8.6Pend Oreille County: 8.4 %Pend Oreille County8.4Skamania County: 8.1 %Skamania County8.1Stevens County: 8.1 %Stevens County8.1Asotin County: 8 %Asotin County8Benton County: 8 %Benton County8Kittitas County: 8 %Kittitas County8Clark County: 7.6 %Clark County7.6Whitman County: 7.5 %Whitman County7.5Cowlitz County: 7.4 %Cowlitz County7.4Lincoln County: 7.2 %Lincoln County7.2Island County: 7.1 %Island County7.1Snohomish County: 7.1 %Snohomish County7.1Columbia County: 6.9 %Columbia County6.9Thurston County: 6.9 %Thurston County6.9Pierce County: 6.8 %Pierce County6.8Garfield County: 6.4 %Garfield County6.4Spokane County: 6.3 %Spokane County6.3Kitsap County: 6.1 %Kitsap County6.1King County: 5.8 %King County5.8
%. 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
1Yakima County14.8-0.3 pts
2Okanogan County14.60 pts
3Adams County14.4+1.3 pts
4Douglas County13.8+2.2 pts
5Franklin County13.5+0.1 pts
6Grant County13-0.4 pts
7Chelan County11.1-0.7 pts
8Klickitat County11+0.1 pts
9Pacific County10.9+0.1 pts
10Mason County10.5-0.1 pts
10San Juan County10.5-0.1 pts
12Ferry County10.1-1.4 pts
13Clallam County9.5-0.2 pts
14Walla Walla County9.3-0.3 pts
15Lewis County9.2-0.3 pts
16Jefferson County9.1+0.5 pts
17Grays Harbor County8.9-0.8 pts
17Skagit County8.9-0.8 pts
19Whatcom County8.7-0.4 pts
20Wahkiakum County8.6+0.3 pts
21Pend Oreille County8.4-0.7 pts
22Skamania County8.1+0.7 pts
22Stevens County8.1-0.9 pts
24Asotin County8+0.6 pts
24Benton County8-0.3 pts
24Kittitas County8-0.7 pts
27Clark County7.6+0.3 pts
28Whitman County7.5+0.6 pts
29Cowlitz County7.40 pts
30Lincoln County7.2-0.1 pts
31Island County7.1+0.5 pts
31Snohomish County7.1-0.1 pts
33Columbia County6.9+0.3 pts
33Thurston County6.90 pts
35Pierce County6.8-0.8 pts
36Garfield County6.4+0.6 pts
37Spokane County6.3-0.7 pts
38Kitsap County6.1-0.3 pts
39King County5.8-0.5 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/washington-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)?

Yakima County, with 14.8% in 2020, according to the U.S. Census Bureau.

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

King County, with 5.8% 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 Washington: more rankings