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

Swain County had the highest uninsured rate, all ages (US) of 100 counties in 2023, at 23.2%. Camden County had the lowest, at 3%. The median was 10.5% and the figure for North Carolina was 10.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest23.2Swain County
Median10.5100 counties
North Carolina10.4History

Map of counties, 2023

Alamance County: 9.9 %Alexander County: 8.8 %Alleghany County: 14.7 %Anson County: 13.3 %Ashe County: 12.1 %Avery County: 14.1 %Beaufort County: 10.5 %Bertie County: 11.2 %Bladen County: 8.9 %Brunswick County: 8 %Buncombe County: 11.9 %Burke County: 11.5 %Cabarrus County: 7.8 %Caldwell County: 11.3 %Camden County: 3 %Carteret County: 9.3 %Caswell County: 9.1 %Catawba County: 11.8 %Chatham County: 8.6 %Cherokee County: 14.8 %Chowan County: 8.9 %Clay County: 15.3 %Cleveland County: 10.4 %Columbus County: 13.6 %Craven County: 8.8 %Cumberland County: 10.4 %Currituck County: 9.5 %Dare County: 8.9 %Davidson County: 10.5 %Davie County: 10 %Duplin County: 15.2 %Durham County: 11.7 %Edgecombe County: 10.8 %Forsyth County: 10.5 %Franklin County: 9.8 %Gaston County: 10.9 %Gates County: 6.6 %Graham County: 13.7 %Granville County: 10.1 %Greene County: 15.8 %Guilford County: 9 %Halifax County: 10 %Harnett County: 10.7 %Haywood County: 11.3 %Henderson County: 12.2 %Hertford County: 9.7 %Hoke County: 11.4 %Hyde County: 11.5 %Iredell County: 9.5 %Jackson County: 15.2 %Johnston County: 11.1 %Jones County: 10.6 %Lee County: 12.4 %Lenoir County: 10.2 %Lincoln County: 9.2 %McDowell County: 11.7 %Macon County: 14.4 %Madison County: 8.7 %Martin County: 7.7 %Mecklenburg County: 11.6 %Mitchell County: 10 %Montgomery County: 13.1 %Moore County: 7.8 %Nash County: 11.8 %New Hanover County: 10.6 %Northampton County: 9.9 %Onslow County: 10.1 %Orange County: 6.6 %Pamlico County: 8.6 %Pasquotank County: 9.7 %Pender County: 9.7 %Perquimans County: 10.2 %Person County: 8.3 %Pitt County: 10 %Polk County: 9.7 %Randolph County: 12.4 %Richmond County: 9.5 %Robeson County: 14.3 %Rockingham County: 10.1 %Rowan County: 10.2 %Rutherford County: 11.8 %Sampson County: 16 %Scotland County: 11.8 %Stanly County: 10.5 %Stokes County: 8.6 %Surry County: 11.9 %Swain County: 23.2 %Transylvania County: 11.8 %Tyrrell County: 12.8 %Union County: 7.9 %Vance County: 12.9 %Wake County: 8.2 %Warren County: 10.7 %Washington County: 8.4 %Watauga County: 10.7 %Wayne County: 12.1 %Wilkes County: 11.4 %Wilson County: 12.8 %Yadkin County: 11.9 %Yancey County: 9.4 %
  • Under 8.8
  • 8.8 to 9.9
  • 9.9 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Swain County: 23.2 %Swain County23.2Sampson County: 16 %Sampson County16Greene County: 15.8 %Greene County15.8Clay County: 15.3 %Clay County15.3Jackson County: 15.2 %Jackson County15.2Duplin County: 15.2 %Duplin County15.2Cherokee County: 14.8 %Cherokee County14.8Alleghany County: 14.7 %Alleghany County14.7Macon County: 14.4 %Macon County14.4Robeson County: 14.3 %Robeson County14.3Avery County: 14.1 %Avery County14.1Graham County: 13.7 %Graham County13.7Columbus County: 13.6 %Columbus County13.6Anson County: 13.3 %Anson County13.3Montgomery County: 13.1 %Montgomery County13.1Vance County: 12.9 %Vance County12.9Tyrrell County: 12.8 %Tyrrell County12.8Wilson County: 12.8 %Wilson County12.8Lee County: 12.4 %Lee County12.4Randolph County: 12.4 %Randolph County12.4Henderson County: 12.2 %Henderson County12.2Wayne County: 12.1 %Wayne County12.1Ashe County: 12.1 %Ashe County12.1Buncombe County: 11.9 %Buncombe County11.9Surry County: 11.9 %Surry County11.9Yadkin County: 11.9 %Yadkin County11.9Rutherford County: 11.8 %Rutherford County11.8Scotland County: 11.8 %Scotland County11.8Nash County: 11.8 %Nash County11.8Transylvania County: 11.8 %Transylvania County11.8Catawba County: 11.8 %Catawba County11.8McDowell County: 11.7 %McDowell County11.7Durham County: 11.7 %Durham County11.7Mecklenburg County: 11.6 %Mecklenburg County11.6Hyde County: 11.5 %Hyde County11.5Burke County: 11.5 %Burke County11.5Hoke County: 11.4 %Hoke County11.4Wilkes County: 11.4 %Wilkes County11.4Caldwell County: 11.3 %Caldwell County11.3Haywood County: 11.3 %Haywood County11.3Swain County: 23.2 %Swain County23.2Sampson County: 16 %Sampson County16Greene County: 15.8 %Greene County15.8Clay County: 15.3 %Clay County15.3Jackson County: 15.2 %Jackson County15.2Duplin County: 15.2 %Duplin County15.2Cherokee County: 14.8 %Cherokee County14.8Alleghany County: 14.7 %Alleghany County14.7Macon County: 14.4 %Macon County14.4Robeson County: 14.3 %Robeson County14.3Avery County: 14.1 %Avery County14.1Graham County: 13.7 %Graham County13.7Columbus County: 13.6 %Columbus County13.6Anson County: 13.3 %Anson County13.3Montgomery County: 13.1 %Montgomery County13.1Vance County: 12.9 %Vance County12.9Tyrrell County: 12.8 %Tyrrell County12.8Wilson County: 12.8 %Wilson County12.8Lee County: 12.4 %Lee County12.4Randolph County: 12.4 %Randolph County12.4Henderson County: 12.2 %Henderson County12.2Wayne County: 12.1 %Wayne County12.1Ashe County: 12.1 %Ashe County12.1Buncombe County: 11.9 %Buncombe County11.9Surry County: 11.9 %Surry County11.9Yadkin County: 11.9 %Yadkin County11.9Rutherford County: 11.8 %Rutherford County11.8Scotland County: 11.8 %Scotland County11.8Nash County: 11.8 %Nash County11.8Transylvania County: 11.8 %Transylvania County11.8Catawba County: 11.8 %Catawba County11.8McDowell County: 11.7 %McDowell County11.7Durham County: 11.7 %Durham County11.7Mecklenburg County: 11.6 %Mecklenburg County11.6Hyde County: 11.5 %Hyde County11.5Burke County: 11.5 %Burke County11.5Hoke County: 11.4 %Hoke County11.4Wilkes County: 11.4 %Wilkes County11.4Caldwell County: 11.3 %Caldwell County11.3Haywood County: 11.3 %Haywood County11.3
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Swain County23.2-0.8 pts
2Sampson County16+0.2 pts
3Greene County15.8-1.1 pts
4Clay County15.30 pts
5Jackson County15.2+0.1 pts
6Duplin County15.2+0.3 pts
7Cherokee County14.8-1.5 pts
8Alleghany County14.7+1.3 pts
9Macon County14.4-1.1 pts
10Robeson County14.3-0.2 pts
11Avery County14.1-0.5 pts
12Graham County13.7-4 pts
13Columbus County13.6-0.6 pts
14Anson County13.3+0.3 pts
15Montgomery County13.1-0.8 pts
16Vance County12.9+0.4 pts
17Tyrrell County12.8+0.5 pts
18Wilson County12.8+0.7 pts
19Lee County12.4-1.3 pts
20Randolph County12.4-0.6 pts
21Henderson County12.2-0.1 pts
22Wayne County12.1-0 pts
23Ashe County12.1+1.1 pts
24Buncombe County11.9+0.6 pts
25Surry County11.9-0.7 pts
25Yadkin County11.9-0.3 pts
27Rutherford County11.8-0.1 pts
27Scotland County11.8-0.5 pts
29Nash County11.8+0.2 pts
29Transylvania County11.8-1.8 pts
31Catawba County11.8-0.1 pts
32McDowell County11.7-0.9 pts
33Durham County11.7+0.2 pts
34Mecklenburg County11.6+0.1 pts
35Hyde County11.5-2.3 pts
36Burke County11.5+0.7 pts
37Hoke County11.4+0.4 pts
38Wilkes County11.4-0.3 pts
39Caldwell County11.30 pts
40Haywood County11.30 pts
41Bertie County11.2-0.7 pts
42Johnston County11.1-0.1 pts
43Gaston County10.9+0.7 pts
44Edgecombe County10.8-0.7 pts
45Harnett County10.7-0.2 pts
46Watauga County10.7+1.3 pts
47Warren County10.7-0.5 pts
48Jones County10.6-1.9 pts
49New Hanover County10.60 pts
50Beaufort County10.5-0.7 pts
51Forsyth County10.50 pts
52Stanly County10.5-0.7 pts
53Davidson County10.5-0.5 pts
54Cumberland County10.4-0.4 pts
55Cleveland County10.4-0.8 pts
56Rowan County10.2-0.6 pts
57Perquimans County10.2-0.4 pts
58Lenoir County10.2-0.6 pts
59Onslow County10.1-0.2 pts
60Granville County10.1-0.5 pts
61Rockingham County10.1+0.1 pts
62Mitchell County10-0.6 pts
63Pitt County10-0.2 pts
64Halifax County10-0.3 pts
65Davie County10-0.2 pts
66Alamance County9.9+0.2 pts
67Northampton County9.9-1.3 pts
68Franklin County9.80 pts
69Polk County9.7-0.2 pts
70Pasquotank County9.7-1 pts
71Hertford County9.7-1.1 pts
71Pender County9.7+0.4 pts
73Richmond County9.5-0.8 pts
74Currituck County9.5-1.7 pts
74Iredell County9.5+0.2 pts
76Yancey County9.4-0.7 pts
77Carteret County9.3-0.9 pts
78Lincoln County9.2+0.7 pts
79Caswell County9.1-0.8 pts
80Guilford County9-0.1 pts
81Chowan County8.9+2.4 pts
82Bladen County8.9-1.1 pts
83Dare County8.9-2.7 pts
84Craven County8.8-0.4 pts
85Alexander County8.8-0.3 pts
86Madison County8.7-0.3 pts
87Stokes County8.6-0 pts
88Chatham County8.6-0.3 pts
88Pamlico County8.6-0.8 pts
90Washington County8.4-0.3 pts
91Person County8.3-0.2 pts
92Wake County8.2-0.2 pts
93Brunswick County8-0.8 pts
94Union County7.9-0.9 pts
95Cabarrus County7.8-0.2 pts
96Moore County7.8-0.5 pts
97Martin County7.7-0.5 pts
98Orange County6.6+0.3 pts
99Gates County6.6-0.9 pts
100Camden County3-0.6 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/north-carolina-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)?

Swain County, with 23.2% in 2023, according to the U.S. Census Bureau.

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

Camden County, with 3% 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 North Carolina: more rankings