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

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

Swain County had the highest uninsured rate, all ages (US) of 100 counties in 2021, at 21.2%. Camden County had the lowest, at 6%. The median was 11.4% and the figure for North Carolina was 10.7%. Source: the U.S. Census Bureau.

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Highest21.2Swain County
Lowest6Camden County
Median11.4100 counties
North Carolina10.7History

Map of counties, 2021

Alamance County: 10.5 %Alexander County: 9.7 %Alleghany County: 12.6 %Anson County: 10.9 %Ashe County: 11.4 %Avery County: 15.9 %Beaufort County: 12.3 %Bertie County: 11.7 %Bladen County: 10.7 %Brunswick County: 8.9 %Buncombe County: 11.3 %Burke County: 11.8 %Cabarrus County: 8.5 %Caldwell County: 11.3 %Camden County: 6 %Carteret County: 10.5 %Caswell County: 9 %Catawba County: 11.7 %Chatham County: 9.6 %Cherokee County: 15.7 %Chowan County: 7.6 %Clay County: 14.7 %Cleveland County: 11.4 %Columbus County: 14.5 %Craven County: 10.1 %Cumberland County: 10.7 %Currituck County: 12.7 %Dare County: 11.3 %Davidson County: 11.4 %Davie County: 11 %Duplin County: 16.4 %Durham County: 11.9 %Edgecombe County: 10.2 %Forsyth County: 10.7 %Franklin County: 10.4 %Gaston County: 10.4 %Gates County: 8.3 %Graham County: 16.3 %Granville County: 10 %Greene County: 17.2 %Guilford County: 9.3 %Halifax County: 12.1 %Harnett County: 10.9 %Haywood County: 12.2 %Henderson County: 12.6 %Hertford County: 9.7 %Hoke County: 11.9 %Hyde County: 19.5 %Iredell County: 9.4 %Jackson County: 15.2 %Johnston County: 11.9 %Jones County: 14.1 %Lee County: 13.4 %Lenoir County: 11.4 %Lincoln County: 9.6 %McDowell County: 11.9 %Macon County: 14.5 %Madison County: 9.6 %Martin County: 8.7 %Mecklenburg County: 11.6 %Mitchell County: 11.3 %Montgomery County: 13.3 %Moore County: 8.6 %Nash County: 11.5 %New Hanover County: 10.5 %Northampton County: 12.1 %Onslow County: 10.3 %Orange County: 6.4 %Pamlico County: 9.3 %Pasquotank County: 10.6 %Pender County: 9.6 %Perquimans County: 9.9 %Person County: 9.4 %Pitt County: 9.9 %Polk County: 10.4 %Randolph County: 13.3 %Richmond County: 10.5 %Robeson County: 14.6 %Rockingham County: 9.8 %Rowan County: 11.7 %Rutherford County: 12.9 %Sampson County: 14.7 %Scotland County: 12.8 %Stanly County: 11.8 %Stokes County: 11.2 %Surry County: 12.6 %Swain County: 21.2 %Transylvania County: 14.3 %Tyrrell County: 11.7 %Union County: 8.7 %Vance County: 10.7 %Wake County: 8.6 %Warren County: 10.1 %Washington County: 11.4 %Watauga County: 9 %Wayne County: 12.3 %Wilkes County: 12.6 %Wilson County: 12.6 %Yadkin County: 12.5 %Yancey County: 12.4 %
  • Under 9.6
  • 9.6 to 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Swain County: 21.2 %Swain County21.2Hyde County: 19.5 %Hyde County19.5Greene County: 17.2 %Greene County17.2Duplin County: 16.4 %Duplin County16.4Graham County: 16.3 %Graham County16.3Avery County: 15.9 %Avery County15.9Cherokee County: 15.7 %Cherokee County15.7Jackson County: 15.2 %Jackson County15.2Clay County: 14.7 %Clay County14.7Sampson County: 14.7 %Sampson County14.7Robeson County: 14.6 %Robeson County14.6Columbus County: 14.5 %Columbus County14.5Macon County: 14.5 %Macon County14.5Transylvania County: 14.3 %Transylvania County14.3Jones County: 14.1 %Jones County14.1Lee County: 13.4 %Lee County13.4Randolph County: 13.3 %Randolph County13.3Montgomery County: 13.3 %Montgomery County13.3Rutherford County: 12.9 %Rutherford County12.9Scotland County: 12.8 %Scotland County12.8Currituck County: 12.7 %Currituck County12.7Alleghany County: 12.6 %Alleghany County12.6Surry County: 12.6 %Surry County12.6Henderson County: 12.6 %Henderson County12.6Wilson County: 12.6 %Wilson County12.6Wilkes County: 12.6 %Wilkes County12.6Yadkin County: 12.5 %Yadkin County12.5Yancey County: 12.4 %Yancey County12.4Wayne County: 12.3 %Wayne County12.3Beaufort County: 12.3 %Beaufort County12.3Haywood County: 12.2 %Haywood County12.2Halifax County: 12.1 %Halifax County12.1Northampton County: 12.1 %Northampton County12.1McDowell County: 11.9 %McDowell County11.9Johnston County: 11.9 %Johnston County11.9Hoke County: 11.9 %Hoke County11.9Durham County: 11.9 %Durham County11.9Burke County: 11.8 %Burke County11.8Stanly County: 11.8 %Stanly County11.8Tyrrell County: 11.7 %Tyrrell County11.7Swain County: 21.2 %Swain County21.2Hyde County: 19.5 %Hyde County19.5Greene County: 17.2 %Greene County17.2Duplin County: 16.4 %Duplin County16.4Graham County: 16.3 %Graham County16.3Avery County: 15.9 %Avery County15.9Cherokee County: 15.7 %Cherokee County15.7Jackson County: 15.2 %Jackson County15.2Clay County: 14.7 %Clay County14.7Sampson County: 14.7 %Sampson County14.7Robeson County: 14.6 %Robeson County14.6Columbus County: 14.5 %Columbus County14.5Macon County: 14.5 %Macon County14.5Transylvania County: 14.3 %Transylvania County14.3Jones County: 14.1 %Jones County14.1Lee County: 13.4 %Lee County13.4Randolph County: 13.3 %Randolph County13.3Montgomery County: 13.3 %Montgomery County13.3Rutherford County: 12.9 %Rutherford County12.9Scotland County: 12.8 %Scotland County12.8Currituck County: 12.7 %Currituck County12.7Alleghany County: 12.6 %Alleghany County12.6Surry County: 12.6 %Surry County12.6Henderson County: 12.6 %Henderson County12.6Wilson County: 12.6 %Wilson County12.6Wilkes County: 12.6 %Wilkes County12.6Yadkin County: 12.5 %Yadkin County12.5Yancey County: 12.4 %Yancey County12.4Wayne County: 12.3 %Wayne County12.3Beaufort County: 12.3 %Beaufort County12.3Haywood County: 12.2 %Haywood County12.2Halifax County: 12.1 %Halifax County12.1Northampton County: 12.1 %Northampton County12.1McDowell County: 11.9 %McDowell County11.9Johnston County: 11.9 %Johnston County11.9Hoke County: 11.9 %Hoke County11.9Durham County: 11.9 %Durham County11.9Burke County: 11.8 %Burke County11.8Stanly County: 11.8 %Stanly County11.8Tyrrell County: 11.7 %Tyrrell County11.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Swain County21.2
2Hyde County19.5
3Greene County17.2
4Duplin County16.4
5Graham County16.3
6Avery County15.9
7Cherokee County15.7
8Jackson County15.2
9Clay County14.7
10Sampson County14.7
11Robeson County14.6
12Columbus County14.5
13Macon County14.5
14Transylvania County14.3
15Jones County14.1
16Lee County13.4
17Randolph County13.3
18Montgomery County13.3
19Rutherford County12.9
20Scotland County12.8
21Currituck County12.7
22Alleghany County12.6
23Surry County12.6
24Henderson County12.6
25Wilson County12.6
26Wilkes County12.6
27Yadkin County12.5
28Yancey County12.4
29Wayne County12.3
30Beaufort County12.3
31Haywood County12.2
32Halifax County12.1
33Northampton County12.1
34McDowell County11.9
35Johnston County11.9
36Hoke County11.9
37Durham County11.9
38Burke County11.8
39Stanly County11.8
40Tyrrell County11.7
41Rowan County11.7
42Catawba County11.7
43Bertie County11.7
44Mecklenburg County11.6
45Nash County11.5
46Ashe County11.4
47Washington County11.4
48Cleveland County11.4
49Davidson County11.4
50Lenoir County11.4
51Dare County11.3
52Buncombe County11.3
52Caldwell County11.3
52Mitchell County11.3
55Stokes County11.2
56Davie County11
57Harnett County10.9
58Anson County10.9
59Vance County10.7
60Bladen County10.7
60Cumberland County10.7
62Forsyth County10.7
63Pasquotank County10.6
64Carteret County10.5
65Alamance County10.5
66New Hanover County10.5
67Richmond County10.5
68Polk County10.4
69Gaston County10.4
70Franklin County10.4
71Onslow County10.3
72Edgecombe County10.2
73Craven County10.1
74Warren County10.1
75Granville County10
76Perquimans County9.9
77Pitt County9.9
78Rockingham County9.8
79Hertford County9.7
80Alexander County9.7
81Chatham County9.6
81Lincoln County9.6
83Pender County9.6
84Madison County9.6
85Person County9.4
86Iredell County9.4
87Pamlico County9.3
88Guilford County9.3
89Caswell County9
90Watauga County9
91Brunswick County8.9
92Union County8.7
93Martin County8.7
94Moore County8.6
95Wake County8.6
96Cabarrus County8.5
97Gates County8.3
98Chowan County7.6
99Orange County6.4
100Camden County6

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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/north-carolina-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)?

Swain County, with 21.2% in 2021, according to the U.S. Census Bureau.

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

Camden County, with 6% 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 North Carolina: more rankings