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

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

Gaines County had the highest uninsured rate, all ages (US) of 254 counties in 2024, at 36.7%. Loving County had the lowest, at 0%. The median was 16.7% and the figure for Texas was 17.1%. Source: the U.S. Census Bureau.

Highest36.7Gaines County
Lowest0Loving County
Median16.7254 counties
Texas17.1History

Top 40 counties, 2024

Gaines County: 36.7 %Gaines County36.7Presidio County: 33.6 %Presidio County33.6Hudspeth County: 31.4 %Hudspeth County31.4Jim Hogg County: 29 %Jim Hogg County29Starr County: 28.9 %Starr County28.9Bailey County: 28.6 %Bailey County28.6Hidalgo County: 28.3 %Hidalgo County28.3Zapata County: 27.6 %Zapata County27.6Webb County: 27.3 %Webb County27.3Cochran County: 27.2 %Cochran County27.2San Saba County: 27 %San Saba County27Terry County: 26.9 %Terry County26.9Sterling County: 26.4 %Sterling County26.4Liberty County: 26.2 %Liberty County26.2Cameron County: 25.8 %Cameron County25.8Ochiltree County: 25.6 %Ochiltree County25.6Glasscock County: 25.1 %Glasscock County25.1Lamb County: 25.1 %Lamb County25.1Kenedy County: 24.8 %Kenedy County24.8Dallam County: 24.4 %Dallam County24.4Parmer County: 24.1 %Parmer County24.1Willacy County: 23.9 %Willacy County23.9Menard County: 23.6 %Menard County23.6Maverick County: 23.4 %Maverick County23.4Floyd County: 23.3 %Floyd County23.3Swisher County: 23.3 %Swisher County23.3Schleicher County: 22.8 %Schleicher County22.8Moore County: 22.8 %Moore County22.8Yoakum County: 22.5 %Yoakum County22.5Dawson County: 22.5 %Dawson County22.5Andrews County: 22.4 %Andrews County22.4Duval County: 22.2 %Duval County22.2Castro County: 22.2 %Castro County22.2Collingsworth County: 22.1 %Collingsworth County22.1Ector County: 22.1 %Ector County22.1Bastrop County: 21.8 %Bastrop County21.8Kinney County: 21.8 %Kinney County21.8El Paso County: 21.7 %El Paso County21.7Titus County: 21.5 %Titus County21.5Dallas County: 21.5 %Dallas County21.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Gaines County36.7+4.2 pts
2Presidio County33.6+6.9 pts
3Hudspeth County31.4-2.2 pts
4Jim Hogg County29-2.3 pts
5Starr County28.9-2.4 pts
6Bailey County28.6-5 pts
7Hidalgo County28.3-1.5 pts
8Zapata County27.6-0.2 pts
9Webb County27.3-1.1 pts
10Cochran County27.2+6.1 pts
11San Saba County27+1.3 pts
12Terry County26.9+3.7 pts
13Sterling County26.4+0.7 pts
14Liberty County26.2+0.5 pts
15Cameron County25.8-0.9 pts
16Ochiltree County25.6+3.7 pts
17Glasscock County25.1+2.2 pts
18Lamb County25.1-0.4 pts
19Kenedy County24.8+24.8 pts
20Dallam County24.4-11.9 pts
21Parmer County24.1+1.4 pts
22Willacy County23.9-2.6 pts
23Menard County23.6+1.8 pts
24Maverick County23.4-1.3 pts
25Floyd County23.3-0.8 pts
26Swisher County23.3+1 pts
27Schleicher County22.8-2.5 pts
28Moore County22.8+2.9 pts
29Yoakum County22.5+1.3 pts
30Dawson County22.5+0.1 pts
31Andrews County22.4+0.1 pts
32Duval County22.2+0.2 pts
33Castro County22.2+0.7 pts
34Collingsworth County22.1-0.9 pts
35Ector County22.1+0.5 pts
36Bastrop County21.8+0.9 pts
37Kinney County21.8+4.5 pts
38El Paso County21.7-0.2 pts
39Titus County21.5+0.3 pts
40Dallas County21.5-0.1 pts
41Caldwell County21.5-3.6 pts
42Brooks County21.4-1.7 pts
43Coleman County21.3-5.9 pts
44Hansford County21.3+2.3 pts
45Wheeler County21.2+1.7 pts
46Deaf Smith County21+0.6 pts
47Hale County21-2.5 pts
48Harris County20.9-0.3 pts
49Jim Wells County20.9-0.4 pts
49Shelby County20.9+1.7 pts
51Motley County20.7+0.8 pts
52Comanche County20.7+2.8 pts
53Throckmorton County20.6-3.7 pts
54Baylor County20.6-0.9 pts
55Jefferson County20.6-0.7 pts
56Crosby County20.2-1.4 pts
57Waller County20.1-0.5 pts
58Cherokee County19.9-0.5 pts
59McCulloch County19.8+0.1 pts
60Briscoe County19.8+1.8 pts
61Camp County19.5-2.9 pts
62Atascosa County19.5-1.9 pts
63San Augustine County19.4-0.6 pts
64Lamar County19.3+0.3 pts
64Potter County19.3-1.2 pts
66Jones County19.3+1 pts
67Edwards County19.2-4.8 pts
68Culberson County19.2-8.9 pts
69Newton County19.2-1.9 pts
70Hockley County19.2+0.5 pts
71Foard County19.1+5.3 pts
72Reagan County19+2.1 pts
73Winkler County19+1 pts
74Ward County19+3 pts
75Burnet County18.9+2.7 pts
76Oldham County18.9+3.8 pts
77Bee County18.9+0.8 pts
78Jasper County18.8+0.1 pts
79Upton County18.8+4 pts
80Hopkins County18.7-0.1 pts
81San Patricio County18.7+0.6 pts
82Uvalde County18.7-1.5 pts
83Young County18.6-1.6 pts
84Hill County18.6+0.9 pts
85Crane County18.6-4.4 pts
86Anderson County18.5+0.3 pts
87Navarro County18.4-0.3 pts
88Van Zandt County18.4+0.2 pts
89Hemphill County18.4+0.4 pts
90Grimes County18.3-2.1 pts
91Live Oak County18.3+0.2 pts
92Palo Pinto County18.2-1.9 pts
93Lipscomb County18.1-0.1 pts
94Jack County18-1.3 pts
95Garza County18+0.8 pts
96Gonzales County18+1.6 pts
97Donley County17.9+4.7 pts
98Matagorda County17.90 pts
99Knox County17.8-0.3 pts
100Angelina County17.7-0.3 pts
100San Jacinto County17.7-1.9 pts
102Limestone County17.7-0.3 pts
103Gray County17.7-0.5 pts
104Clay County17.6-0.4 pts
105Nueces County17.60 pts
106Bosque County17.6-0.2 pts
107La Salle County17.5-1.3 pts
107Mitchell County17.5-2.8 pts
109Rains County17.5+3 pts
110Reeves County17.5-2.7 pts
110Val Verde County17.5-1.9 pts
112Concho County17.4+7.4 pts
113Kerr County17.3-0.5 pts
114Victoria County17.2+0.4 pts
115Leon County17.2+0.7 pts
116Wood County17.1+1.9 pts
117Martin County17.1+1.6 pts
118DeWitt County17-0.5 pts
119Hunt County17+0.7 pts
119Panola County17-0.9 pts
121Falls County16.9+0.8 pts
122Smith County16.9+0.2 pts
123Jackson County16.8-0.1 pts
124Scurry County16.8-2.2 pts
125Tarrant County16.7+0.1 pts
126Runnels County16.7+1.7 pts
127Henderson County16.7-1.2 pts
128Austin County16.7+1.6 pts
129Pecos County16.5+1.8 pts
130Gregg County16.5-0.5 pts
131Red River County16.5+1.1 pts
132Hartley County16.5+2.3 pts
133Johnson County16.4-0.1 pts
134Sherman County16.3+1 pts
135Real County16.3-0.5 pts
136Haskell County16.2-1.1 pts
136Kleberg County16.2-0.8 pts
138Cooke County16.1+0.1 pts
139Lee County16.1-1.6 pts
140Refugio County16.1-0.7 pts
141Trinity County16+0.3 pts
142Bexar County16+0.1 pts
143Chambers County16-0.3 pts
144Hardin County15.9-0.1 pts
145Llano County15.8+0.5 pts
146Sutton County15.8-2.1 pts
147Karnes County15.8-0.6 pts
148Tyler County15.7-1.4 pts
149Grayson County15.7-0.1 pts
150Milam County15.7-0.9 pts
151Hardeman County15.6-1.1 pts
152Hall County15.6-3 pts
152Wichita County15.6+0.3 pts
154Callahan County15.5-0.7 pts
155Brown County15.5-2.3 pts
156Tom Green County15.5+0.9 pts
157Nacogdoches County15.4+0.1 pts
158Walker County15.4+0.6 pts
159Brewster County15.4+4.8 pts
160Eastland County15.3-0.5 pts
161Erath County15.2-0.9 pts
162Terrell County15.2+4.8 pts
163Frio County15.1-0.4 pts
163Montgomery County15.1+0.4 pts
165Franklin County15-1.6 pts
165Kaufman County15+0.9 pts
167McMullen County15-3 pts
168Ellis County15-0.6 pts
169Wise County14.9-0 pts
170Zavala County14.9+1.8 pts
171Orange County14.9-1.2 pts
172Irion County14.8+0.2 pts
173Blanco County14.7-1.3 pts
174Jeff Davis County14.5-4.7 pts
175Midland County14.5-0.8 pts
176Washington County14.5-0.6 pts
177Dimmit County14.5-3 pts
178Montague County14.5-1.6 pts
179Polk County14.4-1.4 pts
180Fannin County14.3-0.5 pts
181Marion County14.3-0 pts
182Childress County14.2+0.8 pts
183Hood County14.2-1 pts
184McLennan County14.2+0.4 pts
185Wharton County14.2-2.4 pts
186Harrison County14.2-0.4 pts
187Taylor County14.1-0.4 pts
188Bell County14-0.4 pts
189Gillespie County13.9-1.6 pts
190Archer County13.9-3.1 pts
191Lubbock County13.9+0.1 pts
192Upshur County13.8+0.6 pts
193Stephens County13.8-0.6 pts
194Rusk County13.7-0.3 pts
195Kimble County13.7-1 pts
196Galveston County13.6-0.2 pts
197Howard County13.6-0.6 pts
198Cass County13.5+1.3 pts
199Hamilton County13.5-1.3 pts
199Mason County13.5-0.7 pts
201Goliad County13.4+0.5 pts
202Shackelford County13.4-0.2 pts
203Bowie County13.4-2 pts
204Bandera County13.4+1.2 pts
205Nolan County13.3-2.2 pts
206Parker County13.2+0.2 pts
207Hutchinson County13.1-1.4 pts
208Lampasas County12.9-0 pts
209Lynn County12.9-1.5 pts
210Madison County12.9-2 pts
211Sabine County12.8-1.3 pts
212Aransas County12.8-0.9 pts
213Brazoria County12.7-0.1 pts
213Morris County12.7-0.4 pts
215Stonewall County12.7-1.5 pts
216Freestone County12.6+0.2 pts
217Burleson County12.6+0.2 pts
217Colorado County12.6-1.4 pts
219Somervell County12.4+1.2 pts
220Brazos County12.2+0.3 pts
221Travis County12.1-0.1 pts
222Dickens County12-0.1 pts
223Carson County11.7-1.4 pts
224Fisher County11.7-0.4 pts
225Fort Bend County11.7-0.2 pts
225Hays County11.7-0.3 pts
227Medina County11.6-1.1 pts
228Houston County11.5-2.3 pts
229Robertson County11.3-0.6 pts
230Coke County11.2-1.4 pts
231Cottle County11.2+2.2 pts
232Roberts County11.1-1.7 pts
233Guadalupe County11+0.2 pts
234Wilson County11-0.4 pts
235Randall County11+0.6 pts
236Mills County10.8-1.5 pts
237Kendall County10.8-0.5 pts
238Coryell County10.6-1.2 pts
239Denton County10.6-0.2 pts
240Lavaca County10.6-0.5 pts
241Comal County10.5-0.4 pts
242Fayette County9.9-0.4 pts
243Williamson County9.8+0.4 pts
244Delta County9.6+1.9 pts
245Collin County9.5-0.4 pts
246Wilbarger County8.9-1.7 pts
247Rockwall County8.7-0.4 pts
248King County7.6+3.9 pts
249Calhoun County6.8-3.6 pts
250Armstrong County4.2-3.2 pts

Showing the top 250 of 254. The Excel download has every row.

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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties (Accessed: 12 October 2026).

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

Gaines County, with 36.7% in 2024, according to the U.S. Census Bureau.

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

Loving County, with 0% 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 Texas: more rankings