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

Sierra County had the highest uninsured rate, all ages (US) of 58 counties in 2021, at 15.5%. Placer County had the lowest, at 3.4%. The median was 6.6% and the figure for California was 7.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest15.5Sierra County
Lowest3.4Placer County
Median6.658 counties
California7.2History

Map of counties, 2021

Alameda County: 4.3 %Alpine County: 6.6 %Amador County: 4.7 %Butte County: 6.4 %Calaveras County: 6.6 %Colusa County: 8.4 %Contra Costa County: 4.7 %Del Norte County: 5.2 %El Dorado County: 4.1 %Fresno County: 7.3 %Glenn County: 10 %Humboldt County: 7.7 %Imperial County: 6.6 %Inyo County: 7.1 %Kern County: 8 %Kings County: 7.6 %Lake County: 6.7 %Lassen County: 5.8 %Los Angeles County: 9.1 %Madera County: 8.2 %Marin County: 3.5 %Mariposa County: 6.5 %Mendocino County: 9.7 %Merced County: 8.8 %Modoc County: 12 %Mono County: 12.5 %Monterey County: 10 %Napa County: 6 %Nevada County: 5.5 %Orange County: 7.1 %Placer County: 3.4 %Plumas County: 4.4 %Riverside County: 8.3 %Sacramento County: 5.5 %San Benito County: 6.4 %San Bernardino County: 8.5 %San Diego County: 7.5 %San Francisco County: 3.6 %San Joaquin County: 6.4 %San Luis Obispo County: 5.9 %San Mateo County: 3.8 %Santa Barbara County: 10.1 %Santa Clara County: 4.2 %Santa Cruz County: 5.5 %Shasta County: 6.8 %Sierra County: 15.5 %Siskiyou County: 6.5 %Solano County: 4.8 %Sonoma County: 5.9 %Stanislaus County: 6.1 %Sutter County: 6.6 %Tehama County: 6.5 %Trinity County: 10.5 %Tulare County: 7.7 %Tuolumne County: 6.5 %Ventura County: 8.4 %Yolo County: 4.5 %Yuba County: 7.1 %
  • Under 4.7
  • 4.7 to 6
  • 6 to 6.6
  • 6.6 to 7.5
  • 7.5 to 8.6
  • 8.6 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2021

Sierra County: 15.5 %Sierra County15.5Mono County: 12.5 %Mono County12.5Modoc County: 12 %Modoc County12Trinity County: 10.5 %Trinity County10.5Santa Barbara County: 10.1 %Santa Barbara County10.1Glenn County: 10 %Glenn County10Monterey County: 10 %Monterey County10Mendocino County: 9.7 %Mendocino County9.7Los Angeles County: 9.1 %Los Angeles County9.1Merced County: 8.8 %Merced County8.8San Bernardino County: 8.5 %San Bernardino County8.5Colusa County: 8.4 %Colusa County8.4Ventura County: 8.4 %Ventura County8.4Riverside County: 8.3 %Riverside County8.3Madera County: 8.2 %Madera County8.2Kern County: 8 %Kern County8Humboldt County: 7.7 %Humboldt County7.7Tulare County: 7.7 %Tulare County7.7Kings County: 7.6 %Kings County7.6San Diego County: 7.5 %San Diego County7.5Fresno County: 7.3 %Fresno County7.3Orange County: 7.1 %Orange County7.1Inyo County: 7.1 %Inyo County7.1Yuba County: 7.1 %Yuba County7.1Shasta County: 6.8 %Shasta County6.8Lake County: 6.7 %Lake County6.7Alpine County: 6.6 %Alpine County6.6Calaveras County: 6.6 %Calaveras County6.6Imperial County: 6.6 %Imperial County6.6Sutter County: 6.6 %Sutter County6.6Siskiyou County: 6.5 %Siskiyou County6.5Tehama County: 6.5 %Tehama County6.5Tuolumne County: 6.5 %Tuolumne County6.5Mariposa County: 6.5 %Mariposa County6.5San Benito County: 6.4 %San Benito County6.4Butte County: 6.4 %Butte County6.4San Joaquin County: 6.4 %San Joaquin County6.4Stanislaus County: 6.1 %Stanislaus County6.1Napa County: 6 %Napa County6San Luis Obispo County: 5.9 %San Luis Obispo County5.9Sonoma County: 5.9 %Sonoma County5.9Lassen County: 5.8 %Lassen County5.8Nevada County: 5.5 %Nevada County5.5Sacramento County: 5.5 %Sacramento County5.5Santa Cruz County: 5.5 %Santa Cruz County5.5Del Norte County: 5.2 %Del Norte County5.2Solano County: 4.8 %Solano County4.8Contra Costa County: 4.7 %Contra Costa County4.7Amador County: 4.7 %Amador County4.7Yolo County: 4.5 %Yolo County4.5Plumas County: 4.4 %Plumas County4.4Alameda County: 4.3 %Alameda County4.3Santa Clara County: 4.2 %Santa Clara County4.2El Dorado County: 4.1 %El Dorado County4.1San Mateo County: 3.8 %San Mateo County3.8San Francisco County: 3.6 %San Francisco County3.6Marin County: 3.5 %Marin County3.5Placer County: 3.4 %Placer County3.4Sierra County: 15.5 %Sierra County15.5Mono County: 12.5 %Mono County12.5Modoc County: 12 %Modoc County12Trinity County: 10.5 %Trinity County10.5Santa Barbara County: 10.1 %Santa Barbara County10.1Glenn County: 10 %Glenn County10Monterey County: 10 %Monterey County10Mendocino County: 9.7 %Mendocino County9.7Los Angeles County: 9.1 %Los Angeles County9.1Merced County: 8.8 %Merced County8.8San Bernardino County: 8.5 %San Bernardino County8.5Colusa County: 8.4 %Colusa County8.4Ventura County: 8.4 %Ventura County8.4Riverside County: 8.3 %Riverside County8.3Madera County: 8.2 %Madera County8.2Kern County: 8 %Kern County8Humboldt County: 7.7 %Humboldt County7.7Tulare County: 7.7 %Tulare County7.7Kings County: 7.6 %Kings County7.6San Diego County: 7.5 %San Diego County7.5Fresno County: 7.3 %Fresno County7.3Orange County: 7.1 %Orange County7.1Inyo County: 7.1 %Inyo County7.1Yuba County: 7.1 %Yuba County7.1Shasta County: 6.8 %Shasta County6.8Lake County: 6.7 %Lake County6.7Alpine County: 6.6 %Alpine County6.6Calaveras County: 6.6 %Calaveras County6.6Imperial County: 6.6 %Imperial County6.6Sutter County: 6.6 %Sutter County6.6Siskiyou County: 6.5 %Siskiyou County6.5Tehama County: 6.5 %Tehama County6.5Tuolumne County: 6.5 %Tuolumne County6.5Mariposa County: 6.5 %Mariposa County6.5San Benito County: 6.4 %San Benito County6.4Butte County: 6.4 %Butte County6.4San Joaquin County: 6.4 %San Joaquin County6.4Stanislaus County: 6.1 %Stanislaus County6.1Napa County: 6 %Napa County6San Luis Obispo County: 5.9 %San Luis Obispo County5.9Sonoma County: 5.9 %Sonoma County5.9Lassen County: 5.8 %Lassen County5.8Nevada County: 5.5 %Nevada County5.5Sacramento County: 5.5 %Sacramento County5.5Santa Cruz County: 5.5 %Santa Cruz County5.5Del Norte County: 5.2 %Del Norte County5.2Solano County: 4.8 %Solano County4.8Contra Costa County: 4.7 %Contra Costa County4.7Amador County: 4.7 %Amador County4.7Yolo County: 4.5 %Yolo County4.5Plumas County: 4.4 %Plumas County4.4Alameda County: 4.3 %Alameda County4.3Santa Clara County: 4.2 %Santa Clara County4.2El Dorado County: 4.1 %El Dorado County4.1San Mateo County: 3.8 %San Mateo County3.8San Francisco County: 3.6 %San Francisco County3.6Marin County: 3.5 %Marin County3.5Placer County: 3.4 %Placer County3.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_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 California 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/california-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 California 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/california-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/california-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)?

Sierra County, with 15.5% in 2021, according to the U.S. Census Bureau.

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

Placer County, with 3.4% 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 California: more rankings