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

Scotland County had the highest uninsured rate, all ages (US) of 115 counties in 2024, at 39%. Osage County had the lowest, at 4.1%. The median was 10.4% and the figure for Missouri was 8.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Lowest4.1Osage County
Median10.4115 counties
Missouri8.8History

Map of counties, 2024

Adair County: 10.3 %Andrew County: 5.7 %Atchison County: 11.2 %Audrain County: 13.7 %Barry County: 12.1 %Barton County: 9.3 %Bates County: 11.3 %Benton County: 9.3 %Bollinger County: 7.3 %Boone County: 5.9 %Buchanan County: 11.2 %Butler County: 13 %Caldwell County: 9.6 %Callaway County: 8.4 %Camden County: 10.4 %Cape Girardeau County: 7.4 %Carroll County: 8.1 %Carter County: 14.6 %Cass County: 7.7 %Cedar County: 14.8 %Chariton County: 4.8 %Christian County: 7.6 %Clark County: 10.9 %Clay County: 7.6 %Clinton County: 8.8 %Cole County: 5.8 %Cooper County: 8.7 %Crawford County: 12.9 %Dade County: 10.2 %Dallas County: 15.9 %Daviess County: 17.1 %DeKalb County: 6.7 %Dent County: 15.6 %Douglas County: 11.4 %Dunklin County: 15.1 %Franklin County: 6.9 %Gasconade County: 5.8 %Gentry County: 13.9 %Greene County: 10.4 %Grundy County: 16.2 %Harrison County: 13.6 %Henry County: 9.5 %Hickory County: 13.2 %Holt County: 9.7 %Howard County: 8.1 %Howell County: 11.7 %Iron County: 10.8 %Jackson County: 10.7 %Jasper County: 12 %Jefferson County: 6.6 %Johnson County: 8.5 %Knox County: 25.5 %Laclede County: 10.9 %Lafayette County: 8.2 %Lawrence County: 14 %Lewis County: 10.7 %Lincoln County: 8.3 %Linn County: 9.3 %Livingston County: 11.4 %McDonald County: 18.5 %Macon County: 11.5 %Madison County: 10.6 %Maries County: 5.5 %Marion County: 7.9 %Mercer County: 9.2 %Miller County: 10.7 %Mississippi County: 10.9 %Moniteau County: 18.6 %Monroe County: 10.6 %Montgomery County: 9.9 %Morgan County: 24 %New Madrid County: 11.4 %Newton County: 12.8 %Nodaway County: 7.5 %Oregon County: 16.4 %Osage County: 4.1 %Ozark County: 13.2 %Pemiscot County: 12.6 %Perry County: 5.7 %Pettis County: 12.6 %Phelps County: 9.1 %Pike County: 9 %Platte County: 6.1 %Polk County: 14.1 %Pulaski County: 8.4 %Putnam County: 9.6 %Ralls County: 5.5 %Randolph County: 9.7 %Ray County: 9.1 %Reynolds County: 12.2 %Ripley County: 15.6 %St. Charles County: 4.2 %St. Clair County: 10.6 %Ste. Genevieve County: 4.6 %St. Francois County: 10.3 %St. Louis County: 5.7 %Saline County: 8.1 %Schuyler County: 15.5 %Scotland County: 39 %Scott County: 10.7 %Shannon County: 8.8 %Shelby County: 10.6 %Stoddard County: 11.2 %Stone County: 9.4 %Sullivan County: 8.7 %Taney County: 14.6 %Texas County: 13.3 %Vernon County: 14.4 %Warren County: 7.4 %Washington County: 10.4 %Wayne County: 13.5 %Webster County: 15.6 %Worth County: 7.9 %Wright County: 13.5 %St. Louis city: 9.3 %
  • Under 7.5
  • 7.5 to 9.1
  • 9.1 to 10
  • 10 to 11
  • 11 to 14
  • 14 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

Scotland County: 39 %Scotland County39Knox County: 25.5 %Knox County25.5Morgan County: 24 %Morgan County24Moniteau County: 18.6 %Moniteau County18.6McDonald County: 18.5 %McDonald County18.5Daviess County: 17.1 %Daviess County17.1Oregon County: 16.4 %Oregon County16.4Grundy County: 16.2 %Grundy County16.2Dallas County: 15.9 %Dallas County15.9Dent County: 15.6 %Dent County15.6Ripley County: 15.6 %Ripley County15.6Webster County: 15.6 %Webster County15.6Schuyler County: 15.5 %Schuyler County15.5Dunklin County: 15.1 %Dunklin County15.1Cedar County: 14.8 %Cedar County14.8Taney County: 14.6 %Taney County14.6Carter County: 14.6 %Carter County14.6Vernon County: 14.4 %Vernon County14.4Polk County: 14.1 %Polk County14.1Lawrence County: 14 %Lawrence County14Gentry County: 13.9 %Gentry County13.9Audrain County: 13.7 %Audrain County13.7Harrison County: 13.6 %Harrison County13.6Wayne County: 13.5 %Wayne County13.5Wright County: 13.5 %Wright County13.5Texas County: 13.3 %Texas County13.3Hickory County: 13.2 %Hickory County13.2Ozark County: 13.2 %Ozark County13.2Butler County: 13 %Butler County13Crawford County: 12.9 %Crawford County12.9Newton County: 12.8 %Newton County12.8Pemiscot County: 12.6 %Pemiscot County12.6Pettis County: 12.6 %Pettis County12.6Reynolds County: 12.2 %Reynolds County12.2Barry County: 12.1 %Barry County12.1Jasper County: 12 %Jasper County12Howell County: 11.7 %Howell County11.7Macon County: 11.5 %Macon County11.5New Madrid County: 11.4 %New Madrid County11.4Douglas County: 11.4 %Douglas County11.4Scotland County: 39 %Scotland County39Knox County: 25.5 %Knox County25.5Morgan County: 24 %Morgan County24Moniteau County: 18.6 %Moniteau County18.6McDonald County: 18.5 %McDonald County18.5Daviess County: 17.1 %Daviess County17.1Oregon County: 16.4 %Oregon County16.4Grundy County: 16.2 %Grundy County16.2Dallas County: 15.9 %Dallas County15.9Dent County: 15.6 %Dent County15.6Ripley County: 15.6 %Ripley County15.6Webster County: 15.6 %Webster County15.6Schuyler County: 15.5 %Schuyler County15.5Dunklin County: 15.1 %Dunklin County15.1Cedar County: 14.8 %Cedar County14.8Taney County: 14.6 %Taney County14.6Carter County: 14.6 %Carter County14.6Vernon County: 14.4 %Vernon County14.4Polk County: 14.1 %Polk County14.1Lawrence County: 14 %Lawrence County14Gentry County: 13.9 %Gentry County13.9Audrain County: 13.7 %Audrain County13.7Harrison County: 13.6 %Harrison County13.6Wayne County: 13.5 %Wayne County13.5Wright County: 13.5 %Wright County13.5Texas County: 13.3 %Texas County13.3Hickory County: 13.2 %Hickory County13.2Ozark County: 13.2 %Ozark County13.2Butler County: 13 %Butler County13Crawford County: 12.9 %Crawford County12.9Newton County: 12.8 %Newton County12.8Pemiscot County: 12.6 %Pemiscot County12.6Pettis County: 12.6 %Pettis County12.6Reynolds County: 12.2 %Reynolds County12.2Barry County: 12.1 %Barry County12.1Jasper County: 12 %Jasper County12Howell County: 11.7 %Howell County11.7Macon County: 11.5 %Macon County11.5New Madrid County: 11.4 %New Madrid County11.4Douglas County: 11.4 %Douglas County11.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Scotland County39+5.1 pts
2Knox County25.5+1.1 pts
3Morgan County24-0.6 pts
4Moniteau County18.6+2.6 pts
5McDonald County18.5-2 pts
6Daviess County17.1+1.7 pts
7Oregon County16.4-1.9 pts
8Grundy County16.2-0.8 pts
9Dallas County15.9-0.3 pts
10Dent County15.6+3.4 pts
11Ripley County15.6-0.9 pts
12Webster County15.6+2.1 pts
13Schuyler County15.5+0.8 pts
14Dunklin County15.1-0.9 pts
15Cedar County14.8-0 pts
16Taney County14.6-0.2 pts
17Carter County14.6+0.3 pts
18Vernon County14.4-1.3 pts
19Polk County14.1-0.3 pts
20Lawrence County14-1.3 pts
21Gentry County13.9+0.7 pts
22Audrain County13.7-0.8 pts
23Harrison County13.6+5.9 pts
24Wayne County13.5-0.4 pts
25Wright County13.5-2.2 pts
26Texas County13.3-2.4 pts
27Hickory County13.2+2.9 pts
28Ozark County13.2-3.1 pts
29Butler County13-0.3 pts
30Crawford County12.9-0.4 pts
31Newton County12.8-0.5 pts
32Pemiscot County12.6-0.4 pts
33Pettis County12.6+0.7 pts
34Reynolds County12.2-1.2 pts
35Barry County12.1-0.9 pts
36Jasper County12-0.7 pts
37Howell County11.7-2.5 pts
38Macon County11.5-1.1 pts
39New Madrid County11.4-1.3 pts
40Douglas County11.4+0.2 pts
41Livingston County11.4+0.7 pts
42Bates County11.3+0.4 pts
43Buchanan County11.2-0.8 pts
44Stoddard County11.2-0.5 pts
45Atchison County11.2-0.8 pts
46Clark County10.9-0.1 pts
46Mississippi County10.9-0.1 pts
48Laclede County10.9-0.4 pts
49Iron County10.8-0.2 pts
50Miller County10.7-0.1 pts
51Jackson County10.7-0.6 pts
51Scott County10.7-1.1 pts
53Lewis County10.7+0.1 pts
54Monroe County10.6-0.9 pts
55St. Clair County10.6-2.1 pts
56Madison County10.6-3.1 pts
57Shelby County10.6+0.5 pts
58Camden County10.4-1.2 pts
59Washington County10.4-1 pts
60Greene County10.4-1.1 pts
61Adair County10.3+2.1 pts
61St. Francois County10.3-1.4 pts
63Dade County10.2-0.5 pts
64Montgomery County9.9-0.1 pts
65Holt County9.7+0.2 pts
66Randolph County9.7-1 pts
67Putnam County9.6-1.2 pts
68Caldwell County9.6-1.1 pts
69Henry County9.5-1.4 pts
70Stone County9.4-0 pts
71Linn County9.3-0.5 pts
72St. Louis city9.3-0 pts
73Barton County9.3-1.6 pts
74Benton County9.3-0.3 pts
75Mercer County9.2-1 pts
76Ray County9.1-0.6 pts
77Phelps County9.1+0.3 pts
78Pike County90 pts
79Clinton County8.8-0.5 pts
80Shannon County8.8-2.5 pts
81Sullivan County8.7+0.1 pts
82Cooper County8.7-0 pts
83Johnson County8.5-1 pts
84Callaway County8.4-0.1 pts
85Pulaski County8.4-2 pts
86Lincoln County8.3-0.8 pts
87Lafayette County8.2-0.8 pts
88Howard County8.1-0 pts
89Carroll County8.1+0.6 pts
89Saline County8.1+0.3 pts
91Worth County7.9-2.6 pts
92Marion County7.9-0.1 pts
93Cass County7.7-0.1 pts
94Christian County7.6-0.6 pts
94Clay County7.6+0.3 pts
96Nodaway County7.5-0.6 pts
97Cape Girardeau County7.4+0.3 pts
98Warren County7.4-0.8 pts
99Bollinger County7.3-1.5 pts
100Franklin County6.9-0.7 pts
101DeKalb County6.7-1.9 pts
102Jefferson County6.6-0.7 pts
103Platte County6.1+0.2 pts
104Boone County5.9-0.4 pts
105Gasconade County5.8-1.4 pts
106Cole County5.8-0.9 pts
107Andrew County5.7-0.3 pts
108St. Louis County5.7-0.1 pts
109Perry County5.7-0.7 pts
110Ralls County5.5-0.3 pts
111Maries County5.5-3.1 pts
112Chariton County4.8-2.7 pts
113Ste. Genevieve County4.6-0.1 pts
114St. Charles County4.2-0.1 pts
115Osage County4.1-0.8 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/missouri-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)?

Scotland County, with 39% in 2024, according to the U.S. Census Bureau.

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

Osage County, with 4.1% 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 Missouri: more rankings