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

Swain County had the highest uninsured rate, all ages (US) of 100 counties in 2024, at 23.9%. Camden County had the lowest, at 4.5%. The median was 9.9% and the figure for North Carolina was 9.9%. Source: the U.S. Census Bureau.

Highest23.9Swain County
Lowest4.5Camden County
Median9.9100 counties
North Carolina9.9History

Top 40 counties, 2024

Swain County: 23.9 %Swain County23.9Greene County: 16.6 %Greene County16.6Clay County: 15.9 %Clay County15.9Jackson County: 15.8 %Jackson County15.8Hyde County: 15.6 %Hyde County15.6Sampson County: 15.6 %Sampson County15.6Duplin County: 15 %Duplin County15Robeson County: 14.2 %Robeson County14.2Tyrrell County: 14 %Tyrrell County14Alleghany County: 13.9 %Alleghany County13.9Macon County: 13.7 %Macon County13.7Anson County: 13.4 %Anson County13.4Vance County: 13.2 %Vance County13.2Columbus County: 12.7 %Columbus County12.7Cherokee County: 12.5 %Cherokee County12.5Graham County: 12.5 %Graham County12.5Avery County: 12.5 %Avery County12.5Montgomery County: 12.5 %Montgomery County12.5Henderson County: 12.4 %Henderson County12.4Lee County: 12.2 %Lee County12.2Wilson County: 12.2 %Wilson County12.2Wayne County: 12.1 %Wayne County12.1Rutherford County: 12 %Rutherford County12Yadkin County: 12 %Yadkin County12Richmond County: 11.6 %Richmond County11.6McDowell County: 11.5 %McDowell County11.5Mecklenburg County: 11.5 %Mecklenburg County11.5Nash County: 11.4 %Nash County11.4Haywood County: 11.4 %Haywood County11.4Transylvania County: 11.3 %Transylvania County11.3Randolph County: 11.2 %Randolph County11.2Pasquotank County: 11.1 %Pasquotank County11.1Edgecombe County: 11 %Edgecombe County11Burke County: 11 %Burke County11Buncombe County: 10.9 %Buncombe County10.9Durham County: 10.8 %Durham County10.8Warren County: 10.8 %Warren County10.8Surry County: 10.8 %Surry County10.8Gaston County: 10.7 %Gaston County10.7Catawba County: 10.6 %Catawba County10.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Swain County23.9+0.6 pts
2Greene County16.6+0.9 pts
3Clay County15.9+0.6 pts
4Jackson County15.8+0.5 pts
5Hyde County15.6+4.1 pts
6Sampson County15.6-0.4 pts
7Duplin County15-0.2 pts
8Robeson County14.2-0.2 pts
9Tyrrell County14+1.2 pts
10Alleghany County13.9-0.8 pts
11Macon County13.7-0.7 pts
12Anson County13.4+0.1 pts
13Vance County13.2+0.3 pts
14Columbus County12.7-0.9 pts
15Cherokee County12.5-2.2 pts
16Graham County12.5-1.2 pts
17Avery County12.5-1.7 pts
18Montgomery County12.5-0.6 pts
19Henderson County12.4+0.2 pts
20Lee County12.2-0.2 pts
21Wilson County12.2-0.6 pts
22Wayne County12.1-0 pts
23Rutherford County12+0.2 pts
23Yadkin County12+0.1 pts
25Richmond County11.6+2.1 pts
26McDowell County11.5-0.2 pts
27Mecklenburg County11.5-0.1 pts
28Nash County11.4-0.4 pts
29Haywood County11.4+0.1 pts
30Transylvania County11.3-0.5 pts
31Randolph County11.2-1.2 pts
32Pasquotank County11.1+1.4 pts
33Edgecombe County11+0.2 pts
34Burke County11-0.5 pts
35Buncombe County10.9-1.1 pts
36Durham County10.8-0.8 pts
37Warren County10.8+0.1 pts
38Surry County10.8-1.1 pts
39Gaston County10.7-0.1 pts
40Catawba County10.6-1.2 pts
41Caldwell County10.5-0.8 pts
42Wilkes County10.5-0.9 pts
43Johnston County10.4-0.7 pts
44Hoke County10.3-1.1 pts
45Bladen County10.3+1.4 pts
46Alamance County10.2+0.3 pts
47Lenoir County10.1-0.1 pts
48Pitt County10-0 pts
49Scotland County9.9-1.9 pts
50Bertie County9.9-1.4 pts
50Polk County9.9+0.1 pts
52Ashe County9.8-2.3 pts
53Caswell County9.8+0.7 pts
54Forsyth County9.8-0.7 pts
55Harnett County9.7-1 pts
55Perquimans County9.7-0.5 pts
57New Hanover County9.6-0.9 pts
58Onslow County9.6-0.6 pts
59Cumberland County9.5-0.9 pts
60Person County9.4+1.2 pts
61Davidson County9.4-1.1 pts
62Chatham County9.4+0.8 pts
62Rowan County9.4-0.9 pts
64Cleveland County9.3-1.1 pts
64Mitchell County9.3-0.7 pts
64Watauga County9.3-1.3 pts
67Granville County9.3-0.8 pts
68Franklin County9.2-0.6 pts
68Washington County9.2+0.8 pts
70Jones County9.2-1.5 pts
71Halifax County9.1-0.9 pts
72Rockingham County9.1-1 pts
73Beaufort County9-1.5 pts
74Iredell County9-0.5 pts
75Stanly County9-1.5 pts
76Currituck County8.8-0.7 pts
77Davie County8.8-1.2 pts
78Pender County8.8-0.9 pts
79Lincoln County8.7-0.5 pts
80Dare County8.6-0.2 pts
81Northampton County8.6-1.3 pts
82Hertford County8.6-1.1 pts
83Pamlico County8.4-0.1 pts
84Guilford County8.4-0.6 pts
85Madison County8.4-0.4 pts
86Chowan County8.2-0.8 pts
87Carteret County8.1-1.1 pts
88Alexander County8.1-0.7 pts
89Cabarrus County7.9+0.1 pts
90Craven County7.8-1 pts
91Union County7.7-0.3 pts
92Moore County7.6-0.2 pts
93Stokes County7.6-1 pts
94Brunswick County7.5-0.4 pts
94Wake County7.5-0.6 pts
96Yancey County7.2-2.3 pts
97Martin County7.1-0.6 pts
98Orange County6.5-0.1 pts
99Gates County6.2-0.4 pts
100Camden County4.5+1.5 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/north-carolina-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)?

Swain County, with 23.9% in 2024, according to the U.S. Census Bureau.

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

Camden County, with 4.5% 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 North Carolina: more rankings