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 2023, at 15.7%. King County had the lowest, at 5.8%. The median was 8.4% and the figure for Washington was 7.4%. Source: the U.S. Census Bureau.

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Highest15.7Okanogan County
Lowest5.8King County
Median8.439 counties
Washington7.4History

Map of counties, 2023

Adams County: 13.7 %Asotin County: 7.1 %Benton County: 8.3 %Chelan County: 11.8 %Clallam County: 8.4 %Clark County: 8.4 %Columbia County: 7.8 %Cowlitz County: 8.1 %Douglas County: 12.8 %Ferry County: 9 %Franklin County: 13 %Garfield County: 7.6 %Grant County: 13.7 %Grays Harbor County: 10.8 %Island County: 6.7 %Jefferson County: 6.8 %King County: 5.8 %Kitsap County: 6 %Kittitas County: 7.7 %Klickitat County: 10.2 %Lewis County: 9.1 %Lincoln County: 7 %Mason County: 9.8 %Okanogan County: 15.7 %Pacific County: 9.3 %Pend Oreille County: 7.7 %Pierce County: 7.1 %San Juan County: 9.4 %Skagit County: 9.1 %Skamania County: 7.2 %Snohomish County: 7.1 %Spokane County: 6.6 %Stevens County: 8.5 %Thurston County: 6.1 %Wahkiakum County: 10.2 %Walla Walla County: 9.1 %Whatcom County: 7.2 %Whitman County: 7.7 %Yakima County: 14.4 %
  • Under 7
  • 7 to 7.7
  • 7.7 to 8.4
  • 8.4 to 9.2
  • 9.2 to 11
  • 11 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.

All counties, 2023

Okanogan County: 15.7 %Okanogan County15.7Yakima County: 14.4 %Yakima County14.4Adams County: 13.7 %Adams County13.7Grant County: 13.7 %Grant County13.7Franklin County: 13 %Franklin County13Douglas County: 12.8 %Douglas County12.8Chelan County: 11.8 %Chelan County11.8Grays Harbor County: 10.8 %Grays Harbor County10.8Klickitat County: 10.2 %Klickitat County10.2Wahkiakum County: 10.2 %Wahkiakum County10.2Mason County: 9.8 %Mason County9.8San Juan County: 9.4 %San Juan County9.4Pacific County: 9.3 %Pacific County9.3Lewis County: 9.1 %Lewis County9.1Skagit County: 9.1 %Skagit County9.1Walla Walla County: 9.1 %Walla Walla County9.1Ferry County: 9 %Ferry County9Stevens County: 8.5 %Stevens County8.5Clallam County: 8.4 %Clallam County8.4Clark County: 8.4 %Clark County8.4Benton County: 8.3 %Benton County8.3Cowlitz County: 8.1 %Cowlitz County8.1Columbia County: 7.8 %Columbia County7.8Kittitas County: 7.7 %Kittitas County7.7Pend Oreille County: 7.7 %Pend Oreille County7.7Whitman County: 7.7 %Whitman County7.7Garfield County: 7.6 %Garfield County7.6Skamania County: 7.2 %Skamania County7.2Whatcom County: 7.2 %Whatcom County7.2Asotin County: 7.1 %Asotin County7.1Pierce County: 7.1 %Pierce County7.1Snohomish County: 7.1 %Snohomish County7.1Lincoln County: 7 %Lincoln County7Jefferson County: 6.8 %Jefferson County6.8Island County: 6.7 %Island County6.7Spokane County: 6.6 %Spokane County6.6Thurston County: 6.1 %Thurston County6.1Kitsap County: 6 %Kitsap County6King County: 5.8 %King County5.8Okanogan County: 15.7 %Okanogan County15.7Yakima County: 14.4 %Yakima County14.4Adams County: 13.7 %Adams County13.7Grant County: 13.7 %Grant County13.7Franklin County: 13 %Franklin County13Douglas County: 12.8 %Douglas County12.8Chelan County: 11.8 %Chelan County11.8Grays Harbor County: 10.8 %Grays Harbor County10.8Klickitat County: 10.2 %Klickitat County10.2Wahkiakum County: 10.2 %Wahkiakum County10.2Mason County: 9.8 %Mason County9.8San Juan County: 9.4 %San Juan County9.4Pacific County: 9.3 %Pacific County9.3Lewis County: 9.1 %Lewis County9.1Skagit County: 9.1 %Skagit County9.1Walla Walla County: 9.1 %Walla Walla County9.1Ferry County: 9 %Ferry County9Stevens County: 8.5 %Stevens County8.5Clallam County: 8.4 %Clallam County8.4Clark County: 8.4 %Clark County8.4Benton County: 8.3 %Benton County8.3Cowlitz County: 8.1 %Cowlitz County8.1Columbia County: 7.8 %Columbia County7.8Kittitas County: 7.7 %Kittitas County7.7Pend Oreille County: 7.7 %Pend Oreille County7.7Whitman County: 7.7 %Whitman County7.7Garfield County: 7.6 %Garfield County7.6Skamania County: 7.2 %Skamania County7.2Whatcom County: 7.2 %Whatcom County7.2Asotin County: 7.1 %Asotin County7.1Pierce County: 7.1 %Pierce County7.1Snohomish County: 7.1 %Snohomish County7.1Lincoln County: 7 %Lincoln County7Jefferson County: 6.8 %Jefferson County6.8Island County: 6.7 %Island County6.7Spokane County: 6.6 %Spokane County6.6Thurston County: 6.1 %Thurston County6.1Kitsap County: 6 %Kitsap County6King 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

RankCounties2023 (%)Change on 2022
1Okanogan County15.70 pts
2Yakima County14.4+0.5 pts
3Adams County13.7+0.5 pts
3Grant County13.7+0.7 pts
5Franklin County13-0.4 pts
6Douglas County12.8-0.2 pts
7Chelan County11.8-1 pts
8Grays Harbor County10.8+0.9 pts
9Klickitat County10.2+0.5 pts
9Wahkiakum County10.2+0.9 pts
11Mason County9.8-0.7 pts
12San Juan County9.4-0.5 pts
13Pacific County9.3-0.6 pts
14Lewis County9.1+0.1 pts
14Skagit County9.1+0.6 pts
14Walla Walla County9.1+0.6 pts
17Ferry County9+0.1 pts
18Stevens County8.5+0.7 pts
19Clallam County8.4-0.9 pts
19Clark County8.4+1.5 pts
21Benton County8.30 pts
22Cowlitz County8.1+0.6 pts
23Columbia County7.8+0.2 pts
24Kittitas County7.7-0.7 pts
24Pend Oreille County7.70 pts
24Whitman County7.7+1 pts
27Garfield County7.6+0.6 pts
28Skamania County7.2+0.4 pts
28Whatcom County7.2-0.6 pts
30Asotin County7.1+0.3 pts
30Pierce County7.1+0.5 pts
30Snohomish County7.1+0.4 pts
33Lincoln County7-0.9 pts
34Jefferson County6.8-1.1 pts
35Island County6.70 pts
36Spokane County6.6+0.4 pts
37Thurston County6.1-0.6 pts
38Kitsap County6-1.1 pts
39King County5.8+0.1 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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/washington-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)?

Okanogan County, with 15.7% in 2023, 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 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 Washington: more rankings