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

Sierra County had the highest uninsured rate, all ages (US) of 58 counties in 2023, at 12.4%. Placer County had the lowest, at 3.4%. The median was 6.4% and the figure for California was 6.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest12.4Sierra County
Lowest3.4Placer County
Median6.458 counties
California6.9History

Map of counties, 2023

Alameda County: 4.1 %Alpine County: 5 %Amador County: 5.9 %Butte County: 6.4 %Calaveras County: 5.3 %Colusa County: 9 %Contra Costa County: 4.8 %Del Norte County: 5.9 %El Dorado County: 4 %Fresno County: 7 %Glenn County: 8.9 %Humboldt County: 5.8 %Imperial County: 6.8 %Inyo County: 7.1 %Kern County: 7.9 %Kings County: 7.9 %Lake County: 6.4 %Lassen County: 6.7 %Los Angeles County: 8.7 %Madera County: 7.5 %Marin County: 3.8 %Mariposa County: 6.6 %Mendocino County: 8.2 %Merced County: 9 %Modoc County: 9.8 %Mono County: 11.6 %Monterey County: 9.9 %Napa County: 5.7 %Nevada County: 5.2 %Orange County: 6.8 %Placer County: 3.4 %Plumas County: 5 %Riverside County: 8 %Sacramento County: 5.2 %San Benito County: 6.3 %San Bernardino County: 8.5 %San Diego County: 6.8 %San Francisco County: 3.5 %San Joaquin County: 6.4 %San Luis Obispo County: 5.8 %San Mateo County: 3.9 %Santa Barbara County: 9.2 %Santa Clara County: 4 %Santa Cruz County: 5.3 %Shasta County: 6.7 %Sierra County: 12.4 %Siskiyou County: 6.4 %Solano County: 4.9 %Sonoma County: 5.4 %Stanislaus County: 6 %Sutter County: 6 %Tehama County: 6.4 %Trinity County: 12.4 %Tulare County: 8 %Tuolumne County: 5.8 %Ventura County: 7.9 %Yolo County: 4.6 %Yuba County: 6.9 %
  • Under 4.9
  • 4.9 to 5.8
  • 5.8 to 6.4
  • 6.4 to 7
  • 7 to 8.6
  • 8.6 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All counties, 2023

Sierra County: 12.4 %Sierra County12.4Trinity County: 12.4 %Trinity County12.4Mono County: 11.6 %Mono County11.6Monterey County: 9.9 %Monterey County9.9Modoc County: 9.8 %Modoc County9.8Santa Barbara County: 9.2 %Santa Barbara County9.2Colusa County: 9 %Colusa County9Merced County: 9 %Merced County9Glenn County: 8.9 %Glenn County8.9Los Angeles County: 8.7 %Los Angeles County8.7San Bernardino County: 8.5 %San Bernardino County8.5Mendocino County: 8.2 %Mendocino County8.2Riverside County: 8 %Riverside County8Tulare County: 8 %Tulare County8Ventura County: 7.9 %Ventura County7.9Kings County: 7.9 %Kings County7.9Kern County: 7.9 %Kern County7.9Madera County: 7.5 %Madera County7.5Inyo County: 7.1 %Inyo County7.1Fresno County: 7 %Fresno County7Yuba County: 6.9 %Yuba County6.9Orange County: 6.8 %Orange County6.8Imperial County: 6.8 %Imperial County6.8San Diego County: 6.8 %San Diego County6.8Shasta County: 6.7 %Shasta County6.7Lassen County: 6.7 %Lassen County6.7Mariposa County: 6.6 %Mariposa County6.6San Joaquin County: 6.4 %San Joaquin County6.4Siskiyou County: 6.4 %Siskiyou County6.4Lake County: 6.4 %Lake County6.4Tehama County: 6.4 %Tehama County6.4Butte County: 6.4 %Butte County6.4San Benito County: 6.3 %San Benito County6.3Stanislaus County: 6 %Stanislaus County6Sutter County: 6 %Sutter County6Amador County: 5.9 %Amador County5.9Del Norte County: 5.9 %Del Norte County5.9Tuolumne County: 5.8 %Tuolumne County5.8San Luis Obispo County: 5.8 %San Luis Obispo County5.8Humboldt County: 5.8 %Humboldt County5.8Napa County: 5.7 %Napa County5.7Sonoma County: 5.4 %Sonoma County5.4Santa Cruz County: 5.3 %Santa Cruz County5.3Calaveras County: 5.3 %Calaveras County5.3Nevada County: 5.2 %Nevada County5.2Sacramento County: 5.2 %Sacramento County5.2Plumas County: 5 %Plumas County5Alpine County: 5 %Alpine County5Solano County: 4.9 %Solano County4.9Contra Costa County: 4.8 %Contra Costa County4.8Yolo County: 4.6 %Yolo County4.6Alameda County: 4.1 %Alameda County4.1El Dorado County: 4 %El Dorado County4Santa Clara County: 4 %Santa Clara County4San Mateo County: 3.9 %San Mateo County3.9Marin County: 3.8 %Marin County3.8San Francisco County: 3.5 %San Francisco County3.5Placer County: 3.4 %Placer County3.4Sierra County: 12.4 %Sierra County12.4Trinity County: 12.4 %Trinity County12.4Mono County: 11.6 %Mono County11.6Monterey County: 9.9 %Monterey County9.9Modoc County: 9.8 %Modoc County9.8Santa Barbara County: 9.2 %Santa Barbara County9.2Colusa County: 9 %Colusa County9Merced County: 9 %Merced County9Glenn County: 8.9 %Glenn County8.9Los Angeles County: 8.7 %Los Angeles County8.7San Bernardino County: 8.5 %San Bernardino County8.5Mendocino County: 8.2 %Mendocino County8.2Riverside County: 8 %Riverside County8Tulare County: 8 %Tulare County8Ventura County: 7.9 %Ventura County7.9Kings County: 7.9 %Kings County7.9Kern County: 7.9 %Kern County7.9Madera County: 7.5 %Madera County7.5Inyo County: 7.1 %Inyo County7.1Fresno County: 7 %Fresno County7Yuba County: 6.9 %Yuba County6.9Orange County: 6.8 %Orange County6.8Imperial County: 6.8 %Imperial County6.8San Diego County: 6.8 %San Diego County6.8Shasta County: 6.7 %Shasta County6.7Lassen County: 6.7 %Lassen County6.7Mariposa County: 6.6 %Mariposa County6.6San Joaquin County: 6.4 %San Joaquin County6.4Siskiyou County: 6.4 %Siskiyou County6.4Lake County: 6.4 %Lake County6.4Tehama County: 6.4 %Tehama County6.4Butte County: 6.4 %Butte County6.4San Benito County: 6.3 %San Benito County6.3Stanislaus County: 6 %Stanislaus County6Sutter County: 6 %Sutter County6Amador County: 5.9 %Amador County5.9Del Norte County: 5.9 %Del Norte County5.9Tuolumne County: 5.8 %Tuolumne County5.8San Luis Obispo County: 5.8 %San Luis Obispo County5.8Humboldt County: 5.8 %Humboldt County5.8Napa County: 5.7 %Napa County5.7Sonoma County: 5.4 %Sonoma County5.4Santa Cruz County: 5.3 %Santa Cruz County5.3Calaveras County: 5.3 %Calaveras County5.3Nevada County: 5.2 %Nevada County5.2Sacramento County: 5.2 %Sacramento County5.2Plumas County: 5 %Plumas County5Alpine County: 5 %Alpine County5Solano County: 4.9 %Solano County4.9Contra Costa County: 4.8 %Contra Costa County4.8Yolo County: 4.6 %Yolo County4.6Alameda County: 4.1 %Alameda County4.1El Dorado County: 4 %El Dorado County4Santa Clara County: 4 %Santa Clara County4San Mateo County: 3.9 %San Mateo County3.9Marin County: 3.8 %Marin County3.8San Francisco County: 3.5 %San Francisco County3.5Placer County: 3.4 %Placer County3.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Sierra County12.4+1.6 pts
2Trinity County12.4-0.8 pts
3Mono County11.6-3.2 pts
4Monterey County9.90 pts
5Modoc County9.8+1.1 pts
6Santa Barbara County9.2-0.4 pts
7Colusa County9-0.2 pts
8Merced County9-0.1 pts
9Glenn County8.9-2 pts
10Los Angeles County8.7-0.3 pts
11San Bernardino County8.5-0.1 pts
12Mendocino County8.2-1 pts
13Riverside County8-0 pts
14Tulare County8+0.1 pts
15Ventura County7.9-0.3 pts
16Kings County7.9+0.5 pts
17Kern County7.9+0.1 pts
18Madera County7.5-0.1 pts
19Inyo County7.1+0.4 pts
20Fresno County7-0.2 pts
21Yuba County6.9-0 pts
22Orange County6.8-0.1 pts
23Imperial County6.8-0 pts
24San Diego County6.8-0.5 pts
25Shasta County6.7+0.1 pts
26Lassen County6.7-0.7 pts
27Mariposa County6.6-0.7 pts
28San Joaquin County6.4-0 pts
29Siskiyou County6.4-0.7 pts
30Lake County6.4-0.1 pts
30Tehama County6.4-0.2 pts
32Butte County6.4-0.3 pts
33San Benito County6.3+0.1 pts
34Stanislaus County6-0 pts
35Sutter County6-0.2 pts
36Amador County5.9+1 pts
37Del Norte County5.9-0.2 pts
38Tuolumne County5.8-0.2 pts
39San Luis Obispo County5.8-0.1 pts
40Humboldt County5.8-0.4 pts
41Napa County5.7-0.4 pts
42Sonoma County5.4-0.2 pts
43Santa Cruz County5.3-0.1 pts
44Calaveras County5.3-0.6 pts
45Nevada County5.2-0.4 pts
46Sacramento County5.2-0 pts
47Plumas County5+0.1 pts
48Alpine County5-1.4 pts
49Solano County4.9-0 pts
50Contra Costa County4.8+0.2 pts
51Yolo County4.6-0 pts
52Alameda County4.1+0.1 pts
53El Dorado County4-0.2 pts
54Santa Clara County40 pts
55San Mateo County3.9+0.2 pts
56Marin County3.8+0.1 pts
57San Francisco County3.5-0.1 pts
58Placer County3.40 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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_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 California 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/california-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 California 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/california-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/california-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)?

Sierra County, with 12.4% in 2023, according to the U.S. Census Bureau.

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

Placer County, with 3.4% 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 California: more rankings