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 2022, at 24%. Camden County had the lowest, at 3.7%. The median was 11% and the figure for North Carolina was 10.5%. Source: the U.S. Census Bureau.

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Highest24Swain County
Lowest3.7Camden County
Median11100 counties
North Carolina10.5History

Map of counties, 2022

Alamance County: 9.7 %Alexander County: 9.1 %Alleghany County: 13.4 %Anson County: 13 %Ashe County: 11 %Avery County: 14.6 %Beaufort County: 11.3 %Bertie County: 12 %Bladen County: 10 %Brunswick County: 8.8 %Buncombe County: 11.3 %Burke County: 10.8 %Cabarrus County: 8 %Caldwell County: 11.3 %Camden County: 3.7 %Carteret County: 10.1 %Caswell County: 9.9 %Catawba County: 11.8 %Chatham County: 8.8 %Cherokee County: 16.2 %Chowan County: 6.6 %Clay County: 15.3 %Cleveland County: 11.2 %Columbus County: 14.2 %Craven County: 9.2 %Cumberland County: 10.8 %Currituck County: 11.2 %Dare County: 11.6 %Davidson County: 11 %Davie County: 10.2 %Duplin County: 14.8 %Durham County: 11.4 %Edgecombe County: 11.6 %Forsyth County: 10.5 %Franklin County: 9.8 %Gaston County: 10.2 %Gates County: 7.4 %Graham County: 17.7 %Granville County: 10.6 %Greene County: 16.9 %Guilford County: 9.2 %Halifax County: 10.3 %Harnett County: 10.9 %Haywood County: 11.3 %Henderson County: 12.3 %Hertford County: 10.8 %Hoke County: 11 %Hyde County: 13.8 %Iredell County: 9.3 %Jackson County: 15.1 %Johnston County: 11.2 %Jones County: 12.5 %Lee County: 13.7 %Lenoir County: 10.8 %Lincoln County: 8.6 %McDowell County: 12.6 %Macon County: 15.5 %Madison County: 9 %Martin County: 8.2 %Mecklenburg County: 11.5 %Mitchell County: 10.6 %Montgomery County: 13.9 %Moore County: 8.3 %Nash County: 11.6 %New Hanover County: 10.5 %Northampton County: 11.2 %Onslow County: 10.3 %Orange County: 6.3 %Pamlico County: 9.3 %Pasquotank County: 10.7 %Pender County: 9.3 %Perquimans County: 10.7 %Person County: 8.4 %Pitt County: 10.2 %Polk County: 9.9 %Randolph County: 13 %Richmond County: 10.3 %Robeson County: 14.5 %Rockingham County: 10 %Rowan County: 10.8 %Rutherford County: 11.9 %Sampson County: 15.8 %Scotland County: 12.3 %Stanly County: 11.2 %Stokes County: 8.6 %Surry County: 12.6 %Swain County: 24 %Transylvania County: 13.6 %Tyrrell County: 12.3 %Union County: 8.9 %Vance County: 12.5 %Wake County: 8.3 %Warren County: 11.2 %Washington County: 8.7 %Watauga County: 9.4 %Wayne County: 12.2 %Wilkes County: 11.7 %Wilson County: 12.1 %Yadkin County: 12.2 %Yancey County: 10.1 %
  • Under 9.1
  • 9.1 to 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Swain County: 24 %Swain County24Graham County: 17.7 %Graham County17.7Greene County: 16.9 %Greene County16.9Cherokee County: 16.2 %Cherokee County16.2Sampson County: 15.8 %Sampson County15.8Macon County: 15.5 %Macon County15.5Clay County: 15.3 %Clay County15.3Jackson County: 15.1 %Jackson County15.1Duplin County: 14.8 %Duplin County14.8Avery County: 14.6 %Avery County14.6Robeson County: 14.5 %Robeson County14.5Columbus County: 14.2 %Columbus County14.2Montgomery County: 13.9 %Montgomery County13.9Hyde County: 13.8 %Hyde County13.8Lee County: 13.7 %Lee County13.7Transylvania County: 13.6 %Transylvania County13.6Alleghany County: 13.4 %Alleghany County13.4Anson County: 13 %Anson County13Randolph County: 13 %Randolph County13McDowell County: 12.6 %McDowell County12.6Surry County: 12.6 %Surry County12.6Jones County: 12.5 %Jones County12.5Vance County: 12.5 %Vance County12.5Tyrrell County: 12.3 %Tyrrell County12.3Henderson County: 12.3 %Henderson County12.3Scotland County: 12.3 %Scotland County12.3Yadkin County: 12.2 %Yadkin County12.2Wayne County: 12.2 %Wayne County12.2Wilson County: 12.1 %Wilson County12.1Bertie County: 12 %Bertie County12Rutherford County: 11.9 %Rutherford County11.9Catawba County: 11.8 %Catawba County11.8Wilkes County: 11.7 %Wilkes County11.7Dare County: 11.6 %Dare County11.6Nash County: 11.6 %Nash County11.6Edgecombe County: 11.6 %Edgecombe County11.6Mecklenburg County: 11.5 %Mecklenburg County11.5Durham County: 11.4 %Durham County11.4Buncombe County: 11.3 %Buncombe County11.3Caldwell County: 11.3 %Caldwell County11.3Swain County: 24 %Swain County24Graham County: 17.7 %Graham County17.7Greene County: 16.9 %Greene County16.9Cherokee County: 16.2 %Cherokee County16.2Sampson County: 15.8 %Sampson County15.8Macon County: 15.5 %Macon County15.5Clay County: 15.3 %Clay County15.3Jackson County: 15.1 %Jackson County15.1Duplin County: 14.8 %Duplin County14.8Avery County: 14.6 %Avery County14.6Robeson County: 14.5 %Robeson County14.5Columbus County: 14.2 %Columbus County14.2Montgomery County: 13.9 %Montgomery County13.9Hyde County: 13.8 %Hyde County13.8Lee County: 13.7 %Lee County13.7Transylvania County: 13.6 %Transylvania County13.6Alleghany County: 13.4 %Alleghany County13.4Anson County: 13 %Anson County13Randolph County: 13 %Randolph County13McDowell County: 12.6 %McDowell County12.6Surry County: 12.6 %Surry County12.6Jones County: 12.5 %Jones County12.5Vance County: 12.5 %Vance County12.5Tyrrell County: 12.3 %Tyrrell County12.3Henderson County: 12.3 %Henderson County12.3Scotland County: 12.3 %Scotland County12.3Yadkin County: 12.2 %Yadkin County12.2Wayne County: 12.2 %Wayne County12.2Wilson County: 12.1 %Wilson County12.1Bertie County: 12 %Bertie County12Rutherford County: 11.9 %Rutherford County11.9Catawba County: 11.8 %Catawba County11.8Wilkes County: 11.7 %Wilkes County11.7Dare County: 11.6 %Dare County11.6Nash County: 11.6 %Nash County11.6Edgecombe County: 11.6 %Edgecombe County11.6Mecklenburg County: 11.5 %Mecklenburg County11.5Durham County: 11.4 %Durham County11.4Buncombe County: 11.3 %Buncombe County11.3Caldwell County: 11.3 %Caldwell County11.3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Swain County24+2.8 pts
2Graham County17.7+1.4 pts
3Greene County16.9-0.3 pts
4Cherokee County16.2+0.5 pts
5Sampson County15.8+1.1 pts
6Macon County15.5+1 pts
7Clay County15.3+0.5 pts
8Jackson County15.1-0.1 pts
9Duplin County14.8-1.6 pts
10Avery County14.6-1.3 pts
11Robeson County14.5-0.1 pts
12Columbus County14.2-0.4 pts
13Montgomery County13.9+0.6 pts
14Hyde County13.8-5.7 pts
15Lee County13.7+0.3 pts
16Transylvania County13.6-0.8 pts
17Alleghany County13.4+0.8 pts
18Anson County13+2.1 pts
18Randolph County13-0.3 pts
20McDowell County12.6+0.7 pts
21Surry County12.6-0 pts
22Jones County12.5-1.6 pts
23Vance County12.5+1.8 pts
24Tyrrell County12.3+0.6 pts
25Henderson County12.3-0.3 pts
26Scotland County12.3-0.5 pts
27Yadkin County12.2-0.3 pts
28Wayne County12.2-0.2 pts
29Wilson County12.1-0.5 pts
30Bertie County12+0.3 pts
31Rutherford County11.9-1 pts
32Catawba County11.8+0.2 pts
33Wilkes County11.7-0.9 pts
34Dare County11.6+0.2 pts
34Nash County11.6+0.1 pts
36Edgecombe County11.6+1.3 pts
37Mecklenburg County11.5-0.1 pts
38Durham County11.4-0.4 pts
39Buncombe County11.30 pts
40Caldwell County11.3-0 pts
41Beaufort County11.3-1 pts
42Haywood County11.3-0.9 pts
43Stanly County11.2-0.6 pts
44Warren County11.2+1.1 pts
45Northampton County11.2-0.9 pts
46Cleveland County11.2-0.2 pts
46Currituck County11.2-1.6 pts
46Johnston County11.2-0.7 pts
49Ashe County11-0.4 pts
49Hoke County11-0.8 pts
51Davidson County11-0.4 pts
52Harnett County10.9-0.1 pts
53Cumberland County10.8+0.2 pts
53Rowan County10.8-0.9 pts
55Lenoir County10.8-0.5 pts
56Hertford County10.8+1.1 pts
57Burke County10.8-1.1 pts
58Pasquotank County10.7+0.1 pts
59Perquimans County10.7+0.8 pts
60Mitchell County10.6-0.7 pts
61Granville County10.6+0.6 pts
62New Hanover County10.5+0.1 pts
63Forsyth County10.5-0.2 pts
64Halifax County10.3-1.8 pts
64Onslow County10.3+0.1 pts
66Richmond County10.3-0.2 pts
67Davie County10.2-0.8 pts
68Gaston County10.2-0.2 pts
69Pitt County10.2+0.3 pts
70Carteret County10.1-0.4 pts
71Yancey County10.1-2.3 pts
72Bladen County10-0.7 pts
72Rockingham County10+0.2 pts
74Polk County9.9-0.5 pts
75Caswell County9.9+0.9 pts
76Franklin County9.8-0.6 pts
77Alamance County9.7-0.8 pts
78Watauga County9.4+0.4 pts
79Pamlico County9.3-0 pts
80Iredell County9.3-0.1 pts
81Pender County9.3-0.3 pts
82Craven County9.2-0.9 pts
83Guilford County9.2-0.1 pts
84Alexander County9.1-0.6 pts
85Madison County9-0.5 pts
86Union County8.9+0.2 pts
87Chatham County8.8-0.8 pts
88Brunswick County8.8-0.2 pts
89Washington County8.7-2.7 pts
90Stokes County8.6-2.5 pts
91Lincoln County8.6-1.1 pts
92Person County8.4-1 pts
93Moore County8.3-0.3 pts
94Wake County8.3-0.2 pts
95Martin County8.2-0.5 pts
96Cabarrus County8-0.5 pts
97Gates County7.4-0.9 pts
98Chowan County6.6-1 pts
99Orange County6.3-0.1 pts
100Camden County3.7-2.3 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate/north-carolina-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate/north-carolina-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/north-carolina-counties?period=2022. 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate/north-carolina-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/north-carolina-counties?period=2022.
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/2022/table-based-SF/data/5YRData/acsdt5y2022-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 24% in 2022, according to the U.S. Census Bureau.

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

Camden County, with 3.7% in 2022.

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