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

Okanogan County had the highest uninsured rate, under 65 (US model-based estimate) of 39 counties in 2022, at 15.7%. King County had the lowest, at 5.7%. The median was 8.3% and the figure for Washington was 7.2%. Source: the U.S. Census Bureau.

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Highest15.7Okanogan County
Lowest5.7King County
Median8.339 counties
Washington7.2History

Map of counties, 2022

Adams County: 13.2 %Asotin County: 6.8 %Benton County: 8.3 %Chelan County: 12.8 %Clallam County: 9.3 %Clark County: 6.9 %Columbia County: 7.6 %Cowlitz County: 7.5 %Douglas County: 13 %Ferry County: 8.9 %Franklin County: 13.4 %Garfield County: 7 %Grant County: 13 %Grays Harbor County: 9.9 %Island County: 6.7 %Jefferson County: 7.9 %King County: 5.7 %Kitsap County: 7.1 %Kittitas County: 8.4 %Klickitat County: 9.7 %Lewis County: 9 %Lincoln County: 7.9 %Mason County: 10.5 %Okanogan County: 15.7 %Pacific County: 9.9 %Pend Oreille County: 7.7 %Pierce County: 6.6 %San Juan County: 9.9 %Skagit County: 8.5 %Skamania County: 6.8 %Snohomish County: 6.7 %Spokane County: 6.2 %Stevens County: 7.8 %Thurston County: 6.7 %Wahkiakum County: 9.3 %Walla Walla County: 8.5 %Whatcom County: 7.8 %Whitman County: 6.7 %Yakima County: 13.9 %
  • Under 6.7
  • 6.7 to 7.6
  • 7.6 to 8.3
  • 8.3 to 9.3
  • 9.3 to 12
  • 12 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.

All counties, 2022

Okanogan County: 15.7 %Okanogan County15.7Yakima County: 13.9 %Yakima County13.9Franklin County: 13.4 %Franklin County13.4Adams County: 13.2 %Adams County13.2Douglas County: 13 %Douglas County13Grant County: 13 %Grant County13Chelan County: 12.8 %Chelan County12.8Mason County: 10.5 %Mason County10.5Grays Harbor County: 9.9 %Grays Harbor County9.9Pacific County: 9.9 %Pacific County9.9San Juan County: 9.9 %San Juan County9.9Klickitat County: 9.7 %Klickitat County9.7Clallam County: 9.3 %Clallam County9.3Wahkiakum County: 9.3 %Wahkiakum County9.3Lewis County: 9 %Lewis County9Ferry County: 8.9 %Ferry County8.9Skagit County: 8.5 %Skagit County8.5Walla Walla County: 8.5 %Walla Walla County8.5Kittitas County: 8.4 %Kittitas County8.4Benton County: 8.3 %Benton County8.3Jefferson County: 7.9 %Jefferson County7.9Lincoln County: 7.9 %Lincoln County7.9Stevens County: 7.8 %Stevens County7.8Whatcom County: 7.8 %Whatcom County7.8Pend Oreille County: 7.7 %Pend Oreille County7.7Columbia County: 7.6 %Columbia County7.6Cowlitz County: 7.5 %Cowlitz County7.5Kitsap County: 7.1 %Kitsap County7.1Garfield County: 7 %Garfield County7Clark County: 6.9 %Clark County6.9Asotin County: 6.8 %Asotin County6.8Skamania County: 6.8 %Skamania County6.8Island County: 6.7 %Island County6.7Snohomish County: 6.7 %Snohomish County6.7Thurston County: 6.7 %Thurston County6.7Whitman County: 6.7 %Whitman County6.7Pierce County: 6.6 %Pierce County6.6Spokane County: 6.2 %Spokane County6.2King County: 5.7 %King County5.7Okanogan County: 15.7 %Okanogan County15.7Yakima County: 13.9 %Yakima County13.9Franklin County: 13.4 %Franklin County13.4Adams County: 13.2 %Adams County13.2Douglas County: 13 %Douglas County13Grant County: 13 %Grant County13Chelan County: 12.8 %Chelan County12.8Mason County: 10.5 %Mason County10.5Grays Harbor County: 9.9 %Grays Harbor County9.9Pacific County: 9.9 %Pacific County9.9San Juan County: 9.9 %San Juan County9.9Klickitat County: 9.7 %Klickitat County9.7Clallam County: 9.3 %Clallam County9.3Wahkiakum County: 9.3 %Wahkiakum County9.3Lewis County: 9 %Lewis County9Ferry County: 8.9 %Ferry County8.9Skagit County: 8.5 %Skagit County8.5Walla Walla County: 8.5 %Walla Walla County8.5Kittitas County: 8.4 %Kittitas County8.4Benton County: 8.3 %Benton County8.3Jefferson County: 7.9 %Jefferson County7.9Lincoln County: 7.9 %Lincoln County7.9Stevens County: 7.8 %Stevens County7.8Whatcom County: 7.8 %Whatcom County7.8Pend Oreille County: 7.7 %Pend Oreille County7.7Columbia County: 7.6 %Columbia County7.6Cowlitz County: 7.5 %Cowlitz County7.5Kitsap County: 7.1 %Kitsap County7.1Garfield County: 7 %Garfield County7Clark County: 6.9 %Clark County6.9Asotin County: 6.8 %Asotin County6.8Skamania County: 6.8 %Skamania County6.8Island County: 6.7 %Island County6.7Snohomish County: 6.7 %Snohomish County6.7Thurston County: 6.7 %Thurston County6.7Whitman County: 6.7 %Whitman County6.7Pierce County: 6.6 %Pierce County6.6Spokane County: 6.2 %Spokane County6.2King County: 5.7 %King County5.7
%. 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
1Okanogan County15.7+1.4 pts
2Yakima County13.9-1.4 pts
3Franklin County13.4+1 pts
4Adams County13.2-3.1 pts
5Douglas County13+0.3 pts
5Grant County13-0.8 pts
7Chelan County12.8+0.8 pts
8Mason County10.5-0.2 pts
9Grays Harbor County9.9+0.9 pts
9Pacific County9.9-0.6 pts
9San Juan County9.9-1.2 pts
12Klickitat County9.7-0.9 pts
13Clallam County9.3-0.7 pts
13Wahkiakum County9.3-0.9 pts
15Lewis County9-0.2 pts
16Ferry County8.9-0.7 pts
17Skagit County8.5-0.3 pts
17Walla Walla County8.5-0.2 pts
19Kittitas County8.40 pts
20Benton County8.3-0.2 pts
21Jefferson County7.9+0.3 pts
21Lincoln County7.9+0.6 pts
23Stevens County7.8-0.4 pts
23Whatcom County7.8-0.2 pts
25Pend Oreille County7.7-0.3 pts
26Columbia County7.6-1.4 pts
27Cowlitz County7.5-0.7 pts
28Kitsap County7.1+0.4 pts
29Garfield County7-0.5 pts
30Clark County6.9-0.9 pts
31Asotin County6.8-1.7 pts
31Skamania County6.8-0.9 pts
33Island County6.7+0.2 pts
33Snohomish County6.7-0.4 pts
33Thurston County6.7-0.1 pts
33Whitman County6.7-0.5 pts
37Pierce County6.6-0.6 pts
38Spokane County6.20 pts
39King County5.7-0.4 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/washington-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)?

Okanogan County, with 15.7% in 2022, according to the U.S. Census Bureau.

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

King County, with 5.7% 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 Washington: more rankings