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

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

DeKalb County had the highest uninsured rate, all ages (US) of 67 counties in 2023, at 15%. Hale County had the lowest, at 6.3%. The median was 9.2% and the figure for Alabama was 9.4%. Source: the U.S. Census Bureau.

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Highest15DeKalb County
Lowest6.3Hale County
Median9.267 counties
Alabama9.4History

Map of counties, 2023

Autauga County: 7.4 %Baldwin County: 8.2 %Barbour County: 10.8 %Bibb County: 8.3 %Blount County: 10.2 %Bullock County: 12.9 %Butler County: 12.3 %Calhoun County: 11.1 %Chambers County: 12.2 %Cherokee County: 9 %Chilton County: 10.1 %Choctaw County: 8.2 %Clarke County: 8.2 %Clay County: 8.4 %Cleburne County: 9.3 %Coffee County: 10.5 %Colbert County: 7.4 %Conecuh County: 8.2 %Coosa County: 7.4 %Covington County: 10.3 %Crenshaw County: 9.2 %Cullman County: 10.7 %Dale County: 10.9 %Dallas County: 9.3 %DeKalb County: 15 %Elmore County: 7.7 %Escambia County: 11.3 %Etowah County: 12.2 %Fayette County: 7.9 %Franklin County: 11.8 %Geneva County: 12.8 %Greene County: 13.9 %Hale County: 6.3 %Henry County: 8 %Houston County: 11.7 %Jackson County: 10.5 %Jefferson County: 9.2 %Lamar County: 9 %Lauderdale County: 9.8 %Lawrence County: 9.2 %Lee County: 8.7 %Limestone County: 8.1 %Lowndes County: 8.5 %Macon County: 9.1 %Madison County: 7.7 %Marengo County: 8.6 %Marion County: 10.2 %Marshall County: 11.5 %Mobile County: 10.9 %Monroe County: 11.2 %Montgomery County: 10.6 %Morgan County: 11.2 %Perry County: 7.5 %Pickens County: 8.9 %Pike County: 8.2 %Randolph County: 9 %Russell County: 11.5 %St. Clair County: 7.3 %Shelby County: 6.7 %Sumter County: 9.2 %Talladega County: 8.4 %Tallapoosa County: 8.9 %Tuscaloosa County: 6.7 %Walker County: 11.6 %Washington County: 7.8 %Wilcox County: 9.1 %Winston County: 9.5 %
  • Under 7.9
  • 7.9 to 8.5
  • 8.5 to 9.2
  • 9.2 to 10
  • 10 to 12
  • 12 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

DeKalb County: 15 %DeKalb County15Greene County: 13.9 %Greene County13.9Bullock County: 12.9 %Bullock County12.9Geneva County: 12.8 %Geneva County12.8Butler County: 12.3 %Butler County12.3Chambers County: 12.2 %Chambers County12.2Etowah County: 12.2 %Etowah County12.2Franklin County: 11.8 %Franklin County11.8Houston County: 11.7 %Houston County11.7Walker County: 11.6 %Walker County11.6Russell County: 11.5 %Russell County11.5Marshall County: 11.5 %Marshall County11.5Escambia County: 11.3 %Escambia County11.3Morgan County: 11.2 %Morgan County11.2Monroe County: 11.2 %Monroe County11.2Calhoun County: 11.1 %Calhoun County11.1Dale County: 10.9 %Dale County10.9Mobile County: 10.9 %Mobile County10.9Barbour County: 10.8 %Barbour County10.8Cullman County: 10.7 %Cullman County10.7Montgomery County: 10.6 %Montgomery County10.6Jackson County: 10.5 %Jackson County10.5Coffee County: 10.5 %Coffee County10.5Covington County: 10.3 %Covington County10.3Blount County: 10.2 %Blount County10.2Marion County: 10.2 %Marion County10.2Chilton County: 10.1 %Chilton County10.1Lauderdale County: 9.8 %Lauderdale County9.8Winston County: 9.5 %Winston County9.5Cleburne County: 9.3 %Cleburne County9.3Dallas County: 9.3 %Dallas County9.3Jefferson County: 9.2 %Jefferson County9.2Lawrence County: 9.2 %Lawrence County9.2Crenshaw County: 9.2 %Crenshaw County9.2Sumter County: 9.2 %Sumter County9.2Wilcox County: 9.1 %Wilcox County9.1Macon County: 9.1 %Macon County9.1Lamar County: 9 %Lamar County9Cherokee County: 9 %Cherokee County9Randolph County: 9 %Randolph County9DeKalb County: 15 %DeKalb County15Greene County: 13.9 %Greene County13.9Bullock County: 12.9 %Bullock County12.9Geneva County: 12.8 %Geneva County12.8Butler County: 12.3 %Butler County12.3Chambers County: 12.2 %Chambers County12.2Etowah County: 12.2 %Etowah County12.2Franklin County: 11.8 %Franklin County11.8Houston County: 11.7 %Houston County11.7Walker County: 11.6 %Walker County11.6Russell County: 11.5 %Russell County11.5Marshall County: 11.5 %Marshall County11.5Escambia County: 11.3 %Escambia County11.3Morgan County: 11.2 %Morgan County11.2Monroe County: 11.2 %Monroe County11.2Calhoun County: 11.1 %Calhoun County11.1Dale County: 10.9 %Dale County10.9Mobile County: 10.9 %Mobile County10.9Barbour County: 10.8 %Barbour County10.8Cullman County: 10.7 %Cullman County10.7Montgomery County: 10.6 %Montgomery County10.6Jackson County: 10.5 %Jackson County10.5Coffee County: 10.5 %Coffee County10.5Covington County: 10.3 %Covington County10.3Blount County: 10.2 %Blount County10.2Marion County: 10.2 %Marion County10.2Chilton County: 10.1 %Chilton County10.1Lauderdale County: 9.8 %Lauderdale County9.8Winston County: 9.5 %Winston County9.5Cleburne County: 9.3 %Cleburne County9.3Dallas County: 9.3 %Dallas County9.3Jefferson County: 9.2 %Jefferson County9.2Lawrence County: 9.2 %Lawrence County9.2Crenshaw County: 9.2 %Crenshaw County9.2Sumter County: 9.2 %Sumter County9.2Wilcox County: 9.1 %Wilcox County9.1Macon County: 9.1 %Macon County9.1Lamar County: 9 %Lamar County9Cherokee County: 9 %Cherokee County9Randolph County: 9 %Randolph County9
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1DeKalb County15+0.4 pts
2Greene County13.9-0 pts
3Bullock County12.9+0.7 pts
4Geneva County12.8+0.7 pts
5Butler County12.3+1.3 pts
6Chambers County12.2+1.5 pts
7Etowah County12.2+0.5 pts
8Franklin County11.8-0.7 pts
9Houston County11.7-0.1 pts
10Walker County11.6-0.6 pts
11Russell County11.5-0.2 pts
12Marshall County11.5+0.4 pts
13Escambia County11.3-1 pts
14Morgan County11.2+0.3 pts
15Monroe County11.2+0.1 pts
16Calhoun County11.1+0.2 pts
17Dale County10.9+0.9 pts
18Mobile County10.9-0.4 pts
19Barbour County10.8+0.1 pts
20Cullman County10.7+0.1 pts
21Montgomery County10.6+0.1 pts
22Jackson County10.5-0.5 pts
23Coffee County10.5-0.4 pts
24Covington County10.3+0.1 pts
25Blount County10.20 pts
26Marion County10.2-0.8 pts
27Chilton County10.1-1.4 pts
28Lauderdale County9.8+0.2 pts
29Winston County9.5-1.8 pts
30Cleburne County9.3-0.8 pts
30Dallas County9.3-0.3 pts
32Jefferson County9.2+0.2 pts
33Lawrence County9.2+0.1 pts
34Crenshaw County9.2+0.7 pts
35Sumter County9.2-0.5 pts
36Wilcox County9.1-0.3 pts
37Macon County9.1-2 pts
38Lamar County9+1.2 pts
39Cherokee County9-1.2 pts
40Randolph County9+0.5 pts
41Pickens County8.9+0.4 pts
42Tallapoosa County8.9-0.7 pts
43Lee County8.7+0.1 pts
44Marengo County8.6-0.6 pts
45Lowndes County8.5-0.4 pts
46Clay County8.4+0.3 pts
47Talladega County8.4-1 pts
48Bibb County8.3-0.1 pts
49Pike County8.2-0.7 pts
50Baldwin County8.2-1.2 pts
50Choctaw County8.2-0.1 pts
52Clarke County8.2-1.4 pts
52Conecuh County8.2-0.4 pts
54Limestone County8.1-0 pts
55Henry County8-1.6 pts
56Fayette County7.9-2.2 pts
57Washington County7.8-1.5 pts
58Elmore County7.7-0.5 pts
59Madison County7.7-0.1 pts
60Perry County7.5+1 pts
61Colbert County7.4-0.5 pts
62Coosa County7.4+1.2 pts
63Autauga County7.40 pts
64St. Clair County7.3-0.9 pts
65Tuscaloosa County6.7-0 pts
66Shelby County6.7+0.3 pts
67Hale County6.3-0.6 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2023. 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/alabama-counties?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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% in 2023, according to the U.S. Census Bureau.

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

Hale County, with 6.3% 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, 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