Data / Rankings / Uninsured rate, all ages (US) / Counties in Alabama

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

Greene County had the highest uninsured rate, all ages (US) of 67 counties in 2021, at 18%. Shelby County had the lowest, at 6.5%. The median was 10.2% and the figure for Alabama was 9.7%. Source: the U.S. Census Bureau.

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Highest18Greene County
Lowest6.5Shelby County
Median10.267 counties
Alabama9.7History

Map of counties, 2021

Autauga County: 7.9 %Baldwin County: 9.7 %Barbour County: 10.4 %Bibb County: 10 %Blount County: 10 %Bullock County: 10.1 %Butler County: 11.4 %Calhoun County: 11.2 %Chambers County: 10.5 %Cherokee County: 9.8 %Chilton County: 12.4 %Choctaw County: 11.1 %Clarke County: 10.9 %Clay County: 8.3 %Cleburne County: 11 %Coffee County: 10.6 %Colbert County: 6.6 %Conecuh County: 8.3 %Coosa County: 6.6 %Covington County: 11.2 %Crenshaw County: 7.3 %Cullman County: 10.9 %Dale County: 10.2 %Dallas County: 9.9 %DeKalb County: 15.1 %Elmore County: 8.6 %Escambia County: 12.2 %Etowah County: 12.2 %Fayette County: 10.6 %Franklin County: 12.7 %Geneva County: 11.9 %Greene County: 18 %Hale County: 7.1 %Henry County: 9 %Houston County: 11.4 %Jackson County: 10.7 %Jefferson County: 9.1 %Lamar County: 7.1 %Lauderdale County: 9.8 %Lawrence County: 9.2 %Lee County: 8.1 %Limestone County: 8.1 %Lowndes County: 9.3 %Macon County: 9.7 %Madison County: 8.1 %Marengo County: 10.4 %Marion County: 11.6 %Marshall County: 11.9 %Mobile County: 11.4 %Monroe County: 12.4 %Montgomery County: 10.4 %Morgan County: 10.8 %Perry County: 9.2 %Pickens County: 9.1 %Pike County: 8.8 %Randolph County: 9.6 %Russell County: 10.6 %St. Clair County: 8.2 %Shelby County: 6.5 %Sumter County: 11 %Talladega County: 9.8 %Tallapoosa County: 9.1 %Tuscaloosa County: 7 %Walker County: 12 %Washington County: 11.3 %Wilcox County: 10.3 %Winston County: 11.3 %
  • Under 8.2
  • 8.2 to 9.3
  • 9.3 to 10
  • 10 to 11
  • 11 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Greene County: 18 %Greene County18DeKalb County: 15.1 %DeKalb County15.1Franklin County: 12.7 %Franklin County12.7Chilton County: 12.4 %Chilton County12.4Monroe County: 12.4 %Monroe County12.4Escambia County: 12.2 %Escambia County12.2Etowah County: 12.2 %Etowah County12.2Walker County: 12 %Walker County12Marshall County: 11.9 %Marshall County11.9Geneva County: 11.9 %Geneva County11.9Marion County: 11.6 %Marion County11.6Mobile County: 11.4 %Mobile County11.4Houston County: 11.4 %Houston County11.4Butler County: 11.4 %Butler County11.4Winston County: 11.3 %Winston County11.3Washington County: 11.3 %Washington County11.3Calhoun County: 11.2 %Calhoun County11.2Covington County: 11.2 %Covington County11.2Choctaw County: 11.1 %Choctaw County11.1Cleburne County: 11 %Cleburne County11Sumter County: 11 %Sumter County11Cullman County: 10.9 %Cullman County10.9Clarke County: 10.9 %Clarke County10.9Morgan County: 10.8 %Morgan County10.8Jackson County: 10.7 %Jackson County10.7Russell County: 10.6 %Russell County10.6Fayette County: 10.6 %Fayette County10.6Coffee County: 10.6 %Coffee County10.6Chambers County: 10.5 %Chambers County10.5Montgomery County: 10.4 %Montgomery County10.4Barbour County: 10.4 %Barbour County10.4Marengo County: 10.4 %Marengo County10.4Wilcox County: 10.3 %Wilcox County10.3Dale County: 10.2 %Dale County10.2Bullock County: 10.1 %Bullock County10.1Blount County: 10 %Blount County10Bibb County: 10 %Bibb County10Dallas County: 9.9 %Dallas County9.9Cherokee County: 9.8 %Cherokee County9.8Talladega County: 9.8 %Talladega County9.8Greene County: 18 %Greene County18DeKalb County: 15.1 %DeKalb County15.1Franklin County: 12.7 %Franklin County12.7Chilton County: 12.4 %Chilton County12.4Monroe County: 12.4 %Monroe County12.4Escambia County: 12.2 %Escambia County12.2Etowah County: 12.2 %Etowah County12.2Walker County: 12 %Walker County12Marshall County: 11.9 %Marshall County11.9Geneva County: 11.9 %Geneva County11.9Marion County: 11.6 %Marion County11.6Mobile County: 11.4 %Mobile County11.4Houston County: 11.4 %Houston County11.4Butler County: 11.4 %Butler County11.4Winston County: 11.3 %Winston County11.3Washington County: 11.3 %Washington County11.3Calhoun County: 11.2 %Calhoun County11.2Covington County: 11.2 %Covington County11.2Choctaw County: 11.1 %Choctaw County11.1Cleburne County: 11 %Cleburne County11Sumter County: 11 %Sumter County11Cullman County: 10.9 %Cullman County10.9Clarke County: 10.9 %Clarke County10.9Morgan County: 10.8 %Morgan County10.8Jackson County: 10.7 %Jackson County10.7Russell County: 10.6 %Russell County10.6Fayette County: 10.6 %Fayette County10.6Coffee County: 10.6 %Coffee County10.6Chambers County: 10.5 %Chambers County10.5Montgomery County: 10.4 %Montgomery County10.4Barbour County: 10.4 %Barbour County10.4Marengo County: 10.4 %Marengo County10.4Wilcox County: 10.3 %Wilcox County10.3Dale County: 10.2 %Dale County10.2Bullock County: 10.1 %Bullock County10.1Blount County: 10 %Blount County10Bibb County: 10 %Bibb County10Dallas County: 9.9 %Dallas County9.9Cherokee County: 9.8 %Cherokee County9.8Talladega County: 9.8 %Talladega County9.8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Greene County18
2DeKalb County15.1
3Franklin County12.7
4Chilton County12.4
5Monroe County12.4
6Escambia County12.2
7Etowah County12.2
8Walker County12
9Marshall County11.9
10Geneva County11.9
11Marion County11.6
12Mobile County11.4
13Houston County11.4
14Butler County11.4
15Winston County11.3
16Washington County11.3
17Calhoun County11.2
18Covington County11.2
19Choctaw County11.1
20Cleburne County11
21Sumter County11
22Cullman County10.9
23Clarke County10.9
24Morgan County10.8
25Jackson County10.7
26Russell County10.6
27Fayette County10.6
28Coffee County10.6
29Chambers County10.5
30Montgomery County10.4
31Barbour County10.4
32Marengo County10.4
33Wilcox County10.3
34Dale County10.2
35Bullock County10.1
36Blount County10
37Bibb County10
38Dallas County9.9
39Cherokee County9.8
39Talladega County9.8
41Lauderdale County9.8
42Baldwin County9.7
43Macon County9.7
44Randolph County9.6
45Lowndes County9.3
46Lawrence County9.2
47Perry County9.2
48Pickens County9.1
49Jefferson County9.1
50Tallapoosa County9.1
51Henry County9
52Pike County8.8
53Elmore County8.6
54Clay County8.3
55Conecuh County8.3
56St. Clair County8.2
57Limestone County8.1
57Madison County8.1
59Lee County8.1
60Autauga County7.9
61Crenshaw County7.3
62Hale County7.1
62Lamar County7.1
64Tuscaloosa County7
65Colbert County6.6
66Coosa County6.6
67Shelby County6.5

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/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2021. 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/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  -
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Questions

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

Greene County, with 18% in 2021, according to the U.S. Census Bureau.

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

Shelby County, with 6.5% 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, 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