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

Adams County had the highest uninsured rate, under 65 (US model-based estimate) of 39 counties in 2021, at 16.3%. King County had the lowest, at 6.1%. The median was 8.5% and the figure for Washington was 7.6%. Source: the U.S. Census Bureau.

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Highest16.3Adams County
Lowest6.1King County
Median8.539 counties
Washington7.6History

Map of counties, 2021

Adams County: 16.3 %Asotin County: 8.5 %Benton County: 8.5 %Chelan County: 12 %Clallam County: 10 %Clark County: 7.8 %Columbia County: 9 %Cowlitz County: 8.2 %Douglas County: 12.7 %Ferry County: 9.6 %Franklin County: 12.4 %Garfield County: 7.5 %Grant County: 13.8 %Grays Harbor County: 9 %Island County: 6.5 %Jefferson County: 7.6 %King County: 6.1 %Kitsap County: 6.7 %Kittitas County: 8.4 %Klickitat County: 10.6 %Lewis County: 9.2 %Lincoln County: 7.3 %Mason County: 10.7 %Okanogan County: 14.3 %Pacific County: 10.5 %Pend Oreille County: 8 %Pierce County: 7.2 %San Juan County: 11.1 %Skagit County: 8.8 %Skamania County: 7.7 %Snohomish County: 7.1 %Spokane County: 6.2 %Stevens County: 8.2 %Thurston County: 6.8 %Wahkiakum County: 10.2 %Walla Walla County: 8.7 %Whatcom County: 8 %Whitman County: 7.2 %Yakima County: 15.3 %
  • Under 7.2
  • 7.2 to 7.9
  • 7.9 to 8.5
  • 8.5 to 9.7
  • 9.7 to 12
  • 12 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.

All counties, 2021

Adams County: 16.3 %Adams County16.3Yakima County: 15.3 %Yakima County15.3Okanogan County: 14.3 %Okanogan County14.3Grant County: 13.8 %Grant County13.8Douglas County: 12.7 %Douglas County12.7Franklin County: 12.4 %Franklin County12.4Chelan County: 12 %Chelan County12San Juan County: 11.1 %San Juan County11.1Mason County: 10.7 %Mason County10.7Klickitat County: 10.6 %Klickitat County10.6Pacific County: 10.5 %Pacific County10.5Wahkiakum County: 10.2 %Wahkiakum County10.2Clallam County: 10 %Clallam County10Ferry County: 9.6 %Ferry County9.6Lewis County: 9.2 %Lewis County9.2Columbia County: 9 %Columbia County9Grays Harbor County: 9 %Grays Harbor County9Skagit County: 8.8 %Skagit County8.8Walla Walla County: 8.7 %Walla Walla County8.7Asotin County: 8.5 %Asotin County8.5Benton County: 8.5 %Benton County8.5Kittitas County: 8.4 %Kittitas County8.4Cowlitz County: 8.2 %Cowlitz County8.2Stevens County: 8.2 %Stevens County8.2Pend Oreille County: 8 %Pend Oreille County8Whatcom County: 8 %Whatcom County8Clark County: 7.8 %Clark County7.8Skamania County: 7.7 %Skamania County7.7Jefferson County: 7.6 %Jefferson County7.6Garfield County: 7.5 %Garfield County7.5Lincoln County: 7.3 %Lincoln County7.3Pierce County: 7.2 %Pierce County7.2Whitman County: 7.2 %Whitman County7.2Snohomish County: 7.1 %Snohomish County7.1Thurston County: 6.8 %Thurston County6.8Kitsap County: 6.7 %Kitsap County6.7Island County: 6.5 %Island County6.5Spokane County: 6.2 %Spokane County6.2King County: 6.1 %King County6.1Adams County: 16.3 %Adams County16.3Yakima County: 15.3 %Yakima County15.3Okanogan County: 14.3 %Okanogan County14.3Grant County: 13.8 %Grant County13.8Douglas County: 12.7 %Douglas County12.7Franklin County: 12.4 %Franklin County12.4Chelan County: 12 %Chelan County12San Juan County: 11.1 %San Juan County11.1Mason County: 10.7 %Mason County10.7Klickitat County: 10.6 %Klickitat County10.6Pacific County: 10.5 %Pacific County10.5Wahkiakum County: 10.2 %Wahkiakum County10.2Clallam County: 10 %Clallam County10Ferry County: 9.6 %Ferry County9.6Lewis County: 9.2 %Lewis County9.2Columbia County: 9 %Columbia County9Grays Harbor County: 9 %Grays Harbor County9Skagit County: 8.8 %Skagit County8.8Walla Walla County: 8.7 %Walla Walla County8.7Asotin County: 8.5 %Asotin County8.5Benton County: 8.5 %Benton County8.5Kittitas County: 8.4 %Kittitas County8.4Cowlitz County: 8.2 %Cowlitz County8.2Stevens County: 8.2 %Stevens County8.2Pend Oreille County: 8 %Pend Oreille County8Whatcom County: 8 %Whatcom County8Clark County: 7.8 %Clark County7.8Skamania County: 7.7 %Skamania County7.7Jefferson County: 7.6 %Jefferson County7.6Garfield County: 7.5 %Garfield County7.5Lincoln County: 7.3 %Lincoln County7.3Pierce County: 7.2 %Pierce County7.2Whitman County: 7.2 %Whitman County7.2Snohomish County: 7.1 %Snohomish County7.1Thurston County: 6.8 %Thurston County6.8Kitsap County: 6.7 %Kitsap County6.7Island County: 6.5 %Island County6.5Spokane County: 6.2 %Spokane County6.2King County: 6.1 %King County6.1
%. 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
1Adams County16.3+1.9 pts
2Yakima County15.3+0.5 pts
3Okanogan County14.3-0.3 pts
4Grant County13.8+0.8 pts
5Douglas County12.7-1.1 pts
6Franklin County12.4-1.1 pts
7Chelan County12+0.9 pts
8San Juan County11.1+0.6 pts
9Mason County10.7+0.2 pts
10Klickitat County10.6-0.4 pts
11Pacific County10.5-0.4 pts
12Wahkiakum County10.2+1.6 pts
13Clallam County10+0.5 pts
14Ferry County9.6-0.5 pts
15Lewis County9.20 pts
16Columbia County9+2.1 pts
16Grays Harbor County9+0.1 pts
18Skagit County8.8-0.1 pts
19Walla Walla County8.7-0.6 pts
20Asotin County8.5+0.5 pts
20Benton County8.5+0.5 pts
22Kittitas County8.4+0.4 pts
23Cowlitz County8.2+0.8 pts
23Stevens County8.2+0.1 pts
25Pend Oreille County8-0.4 pts
25Whatcom County8-0.7 pts
27Clark County7.8+0.2 pts
28Skamania County7.7-0.4 pts
29Jefferson County7.6-1.5 pts
30Garfield County7.5+1.1 pts
31Lincoln County7.3+0.1 pts
32Pierce County7.2+0.4 pts
32Whitman County7.2-0.3 pts
34Snohomish County7.10 pts
35Thurston County6.8-0.1 pts
36Kitsap County6.7+0.6 pts
37Island County6.5-0.6 pts
38Spokane County6.2-0.1 pts
39King County6.1+0.3 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/washington-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)?

Adams County, with 16.3% in 2021, according to the U.S. Census Bureau.

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

King County, with 6.1% 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 Washington: more rankings