Counties in Alabama by uninsured rate, all ages (US), 2024

DeKalb County had the highest uninsured rate, all ages (US) of 67 counties in 2024, at 15.5%. Hale County had the lowest, at 6.3%. The median was 8.8% and the figure for Alabama was 9.2%. Source: the U.S. Census Bureau.

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Highest15.5DeKalb County
Lowest6.3Hale County
Median8.867 counties
Alabama9.2History

Map of counties, 2024

Autauga County: 7.3 %Baldwin County: 8.3 %Barbour County: 10.3 %Bibb County: 6.9 %Blount County: 10.3 %Bullock County: 11.8 %Butler County: 12.3 %Calhoun County: 10.2 %Chambers County: 11 %Cherokee County: 7.2 %Chilton County: 11.1 %Choctaw County: 8.6 %Clarke County: 7.5 %Clay County: 7.2 %Cleburne County: 8.8 %Coffee County: 10.4 %Colbert County: 7.9 %Conecuh County: 8 %Coosa County: 7.6 %Covington County: 9.4 %Crenshaw County: 8.1 %Cullman County: 11 %Dale County: 10.1 %Dallas County: 8.2 %DeKalb County: 15.5 %Elmore County: 7.7 %Escambia County: 9.2 %Etowah County: 11.4 %Fayette County: 7.7 %Franklin County: 12.7 %Geneva County: 12.5 %Greene County: 13.7 %Hale County: 6.3 %Henry County: 9.1 %Houston County: 11.2 %Jackson County: 10.3 %Jefferson County: 9.4 %Lamar County: 8 %Lauderdale County: 8.8 %Lawrence County: 8 %Lee County: 8.6 %Limestone County: 7.8 %Lowndes County: 7.6 %Macon County: 9.4 %Madison County: 7.7 %Marengo County: 9.2 %Marion County: 10.7 %Marshall County: 12 %Mobile County: 10.4 %Monroe County: 9.1 %Montgomery County: 10.3 %Morgan County: 10.9 %Perry County: 7.2 %Pickens County: 7.5 %Pike County: 8.5 %Randolph County: 9.1 %Russell County: 11.3 %St. Clair County: 7.2 %Shelby County: 6.4 %Sumter County: 8.6 %Talladega County: 8.1 %Tallapoosa County: 8.4 %Tuscaloosa County: 6.7 %Walker County: 9.7 %Washington County: 6.9 %Wilcox County: 8.7 %Winston County: 8.9 %
  • Under 7.5
  • 7.5 to 8.1
  • 8.1 to 8.8
  • 8.8 to 10
  • 10 to 11
  • 11 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

DeKalb County: 15.5 %DeKalb County15.5Greene County: 13.7 %Greene County13.7Franklin County: 12.7 %Franklin County12.7Geneva County: 12.5 %Geneva County12.5Butler County: 12.3 %Butler County12.3Marshall County: 12 %Marshall County12Bullock County: 11.8 %Bullock County11.8Etowah County: 11.4 %Etowah County11.4Russell County: 11.3 %Russell County11.3Houston County: 11.2 %Houston County11.2Chilton County: 11.1 %Chilton County11.1Chambers County: 11 %Chambers County11Cullman County: 11 %Cullman County11Morgan County: 10.9 %Morgan County10.9Marion County: 10.7 %Marion County10.7Mobile County: 10.4 %Mobile County10.4Coffee County: 10.4 %Coffee County10.4Montgomery County: 10.3 %Montgomery County10.3Blount County: 10.3 %Blount County10.3Jackson County: 10.3 %Jackson County10.3Barbour County: 10.3 %Barbour County10.3Calhoun County: 10.2 %Calhoun County10.2Dale County: 10.1 %Dale County10.1Walker County: 9.7 %Walker County9.7Covington County: 9.4 %Covington County9.4Jefferson County: 9.4 %Jefferson County9.4Macon County: 9.4 %Macon County9.4Escambia County: 9.2 %Escambia County9.2Marengo County: 9.2 %Marengo County9.2Henry County: 9.1 %Henry County9.1Monroe County: 9.1 %Monroe County9.1Randolph County: 9.1 %Randolph County9.1Winston County: 8.9 %Winston County8.9Cleburne County: 8.8 %Cleburne County8.8Lauderdale County: 8.8 %Lauderdale County8.8Wilcox County: 8.7 %Wilcox County8.7Sumter County: 8.6 %Sumter County8.6Lee County: 8.6 %Lee County8.6Choctaw County: 8.6 %Choctaw County8.6Pike County: 8.5 %Pike County8.5DeKalb County: 15.5 %DeKalb County15.5Greene County: 13.7 %Greene County13.7Franklin County: 12.7 %Franklin County12.7Geneva County: 12.5 %Geneva County12.5Butler County: 12.3 %Butler County12.3Marshall County: 12 %Marshall County12Bullock County: 11.8 %Bullock County11.8Etowah County: 11.4 %Etowah County11.4Russell County: 11.3 %Russell County11.3Houston County: 11.2 %Houston County11.2Chilton County: 11.1 %Chilton County11.1Chambers County: 11 %Chambers County11Cullman County: 11 %Cullman County11Morgan County: 10.9 %Morgan County10.9Marion County: 10.7 %Marion County10.7Mobile County: 10.4 %Mobile County10.4Coffee County: 10.4 %Coffee County10.4Montgomery County: 10.3 %Montgomery County10.3Blount County: 10.3 %Blount County10.3Jackson County: 10.3 %Jackson County10.3Barbour County: 10.3 %Barbour County10.3Calhoun County: 10.2 %Calhoun County10.2Dale County: 10.1 %Dale County10.1Walker County: 9.7 %Walker County9.7Covington County: 9.4 %Covington County9.4Jefferson County: 9.4 %Jefferson County9.4Macon County: 9.4 %Macon County9.4Escambia County: 9.2 %Escambia County9.2Marengo County: 9.2 %Marengo County9.2Henry County: 9.1 %Henry County9.1Monroe County: 9.1 %Monroe County9.1Randolph County: 9.1 %Randolph County9.1Winston County: 8.9 %Winston County8.9Cleburne County: 8.8 %Cleburne County8.8Lauderdale County: 8.8 %Lauderdale County8.8Wilcox County: 8.7 %Wilcox County8.7Sumter County: 8.6 %Sumter County8.6Lee County: 8.6 %Lee County8.6Choctaw County: 8.6 %Choctaw County8.6Pike County: 8.5 %Pike County8.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1DeKalb County15.5+0.5 pts
2Greene County13.7-0.2 pts
3Franklin County12.7+1 pts
4Geneva County12.5-0.3 pts
5Butler County12.30 pts
6Marshall County12+0.4 pts
7Bullock County11.8-1.1 pts
8Etowah County11.4-0.9 pts
9Russell County11.3-0.2 pts
10Houston County11.2-0.5 pts
11Chilton County11.1+1.1 pts
12Chambers County11-1.3 pts
13Cullman County11+0.3 pts
14Morgan County10.9-0.3 pts
15Marion County10.7+0.5 pts
16Mobile County10.4-0.4 pts
17Coffee County10.4-0.1 pts
18Montgomery County10.3-0.3 pts
19Blount County10.3+0.1 pts
19Jackson County10.3-0.2 pts
21Barbour County10.3-0.6 pts
22Calhoun County10.2-0.9 pts
23Dale County10.1-0.8 pts
24Walker County9.7-1.9 pts
25Covington County9.4-0.9 pts
25Jefferson County9.4+0.2 pts
27Macon County9.4+0.3 pts
28Escambia County9.2-2.1 pts
28Marengo County9.2+0.6 pts
30Henry County9.1+1.1 pts
30Monroe County9.1-2.1 pts
32Randolph County9.1+0.1 pts
33Winston County8.9-0.5 pts
34Cleburne County8.8-0.5 pts
35Lauderdale County8.8-1 pts
36Wilcox County8.7-0.4 pts
37Sumter County8.6-0.5 pts
38Lee County8.6-0.1 pts
39Choctaw County8.6+0.4 pts
40Pike County8.5+0.2 pts
41Tallapoosa County8.4-0.5 pts
42Baldwin County8.3+0.1 pts
43Dallas County8.2-1.1 pts
44Talladega County8.1-0.3 pts
45Crenshaw County8.1-1.1 pts
46Lawrence County8-1.2 pts
47Conecuh County8-0.2 pts
47Lamar County8-1 pts
49Colbert County7.9+0.5 pts
50Limestone County7.8-0.3 pts
51Elmore County7.7-0 pts
51Madison County7.70 pts
53Fayette County7.7-0.2 pts
54Lowndes County7.6-0.9 pts
55Coosa County7.6+0.2 pts
56Clarke County7.5-0.7 pts
57Pickens County7.5-1.4 pts
58Autauga County7.3-0.1 pts
59Clay County7.2-1.2 pts
60St. Clair County7.2-0.1 pts
61Cherokee County7.2-1.8 pts
61Perry County7.2-0.4 pts
63Bibb County6.9-1.4 pts
64Washington County6.9-0.9 pts
65Tuscaloosa County6.70 pts
66Shelby County6.4-0.2 pts
67Hale County6.3-0.1 pts

Other periods

About this ranking

People without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

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. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. 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). American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs (Counties in Alabama by uninsured rate, all ages (US), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, Counties in Alabama by uninsured rate, all ages (US), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs. Counties in Alabama by uninsured rate, all ages (US), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, Counties in Alabama by uninsured rate, all ages (US), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs: Counties in Alabama by uninsured rate, all ages (US), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs: Counties in Alabama by uninsured rate, all ages (US), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, all ages (US)?

DeKalb County, with 15.5% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, all ages (US)?

Hale County, with 6.3% in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, all ages (US): other rankings

Counties in Alabama: more rankings