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

Starr County had the highest uninsured rate, all ages (US) of 254 counties in 2021, at 33.8%. Loving County had the lowest, at 0%. The median was 16.9% and the figure for Texas was 17.6%. Source: the U.S. Census Bureau.

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Highest33.8Starr County
Median16.9254 counties
Texas17.6History

Map of counties, 2021

Anderson County: 16.9 %Andrews County: 23.7 %Angelina County: 19.2 %Aransas County: 16 %Archer County: 16.8 %Armstrong County: 8.5 %Atascosa County: 19.5 %Austin County: 15.4 %Bailey County: 32.4 %Bandera County: 15.4 %Bastrop County: 18.6 %Baylor County: 18 %Bee County: 15.7 %Bell County: 13.8 %Bexar County: 15.6 %Blanco County: 15.3 %Borden County: 5.5 %Bosque County: 16.8 %Bowie County: 14.7 %Brazoria County: 13.4 %Brazos County: 12.3 %Brewster County: 12.7 %Briscoe County: 26.1 %Brooks County: 22.7 %Brown County: 16.9 %Burleson County: 13.9 %Burnet County: 18.1 %Caldwell County: 24.1 %Calhoun County: 13.6 %Callahan County: 16.3 %Cameron County: 28.5 %Camp County: 20.4 %Carson County: 10.2 %Cass County: 14.7 %Castro County: 22.3 %Chambers County: 14.2 %Cherokee County: 20.7 %Childress County: 21.9 %Clay County: 14.4 %Cochran County: 22.4 %Coke County: 13.4 %Coleman County: 24.2 %Collin County: 10.6 %Collingsworth County: 25.3 %Colorado County: 16.2 %Comal County: 11.1 %Comanche County: 15.7 %Concho County: 7.2 %Cooke County: 16.4 %Coryell County: 12.6 %Cottle County: 12.6 %Crane County: 16.9 %Crockett County: 20.4 %Crosby County: 21 %Culberson County: 28 %Dallam County: 29.5 %Dallas County: 21.4 %Dawson County: 16.9 %Deaf Smith County: 23.3 %Delta County: 9.3 %Denton County: 10.9 %DeWitt County: 16.5 %Dickens County: 17.2 %Dimmit County: 14.1 %Donley County: 16.3 %Duval County: 22 %Eastland County: 17.1 %Ector County: 21.6 %Edwards County: 26.1 %Ellis County: 16.1 %El Paso County: 21.3 %Erath County: 14.9 %Falls County: 15.9 %Fannin County: 16.9 %Fayette County: 11.7 %Fisher County: 12.4 %Floyd County: 23.8 %Foard County: 16.9 %Fort Bend County: 12.2 %Franklin County: 15.1 %Freestone County: 11.6 %Frio County: 16.6 %Gaines County: 30.5 %Galveston County: 13.2 %Garza County: 11.9 %Gillespie County: 18.4 %Glasscock County: 27.9 %Goliad County: 11.3 %Gonzales County: 20.3 %Gray County: 20.7 %Grayson County: 16.8 %Gregg County: 18 %Grimes County: 16 %Guadalupe County: 11.9 %Hale County: 23 %Hall County: 22.1 %Hamilton County: 15.9 %Hansford County: 16.1 %Hardeman County: 12.3 %Hardin County: 16.4 %Harris County: 21.1 %Harrison County: 15.3 %Hartley County: 17.5 %Haskell County: 19.8 %Hays County: 13.9 %Hemphill County: 18.4 %Henderson County: 18.4 %Hidalgo County: 30.8 %Hill County: 16.8 %Hockley County: 19.1 %Hood County: 13.7 %Hopkins County: 19.6 %Houston County: 15.6 %Howard County: 17.3 %Hudspeth County: 21.3 %Hunt County: 16.3 %Hutchinson County: 18.6 %Irion County: 14.6 %Jack County: 18.9 %Jackson County: 16.2 %Jasper County: 19.4 %Jeff Davis County: 20.9 %Jefferson County: 21 %Jim Hogg County: 23.6 %Jim Wells County: 19.1 %Johnson County: 16.3 %Jones County: 16.9 %Karnes County: 15.9 %Kaufman County: 13.9 %Kendall County: 12.4 %Kenedy County: 20.7 %Kent County: 2.9 %Kerr County: 18.3 %Kimble County: 17.8 %King County: 15.7 %Kinney County: 17.7 %Kleberg County: 15.1 %Knox County: 19.2 %Lamar County: 17.8 %Lamb County: 23.6 %Lampasas County: 15 %La Salle County: 21.1 %Lavaca County: 11.4 %Lee County: 16.5 %Leon County: 18.1 %Liberty County: 24 %Limestone County: 18.7 %Lipscomb County: 18.7 %Live Oak County: 15 %Llano County: 15.9 %Loving County: 0 %Lubbock County: 13.4 %Lynn County: 14.6 %McCulloch County: 19.7 %McLennan County: 14 %McMullen County: 24.1 %Madison County: 15.5 %Marion County: 12.2 %Martin County: 10.5 %Mason County: 12.6 %Matagorda County: 18.4 %Maverick County: 28.7 %Medina County: 13.9 %Menard County: 26.7 %Midland County: 16.2 %Milam County: 15 %Mills County: 16.4 %Mitchell County: 17.4 %Montague County: 15.3 %Montgomery County: 14.7 %Moore County: 19.9 %Morris County: 11.5 %Motley County: 19.3 %Nacogdoches County: 16.6 %Navarro County: 19.6 %Newton County: 21.6 %Nolan County: 17.6 %Nueces County: 18.4 %Ochiltree County: 21.8 %Oldham County: 9.8 %Orange County: 16.6 %Palo Pinto County: 18.4 %Panola County: 19.3 %Parker County: 13.8 %Parmer County: 21.2 %Pecos County: 18.5 %Polk County: 17.7 %Potter County: 21.8 %Presidio County: 29.3 %Rains County: 17.6 %Randall County: 9.7 %Reagan County: 19 %Real County: 22.5 %Red River County: 16.1 %Reeves County: 19.7 %Refugio County: 16.5 %Roberts County: 16.2 %Robertson County: 13.6 %Rockwall County: 8.8 %Runnels County: 13.3 %Rusk County: 15.4 %Sabine County: 13.7 %San Augustine County: 18.9 %San Jacinto County: 19.6 %San Patricio County: 16.5 %San Saba County: 23.1 %Schleicher County: 25.8 %Scurry County: 20.6 %Shackelford County: 11.7 %Shelby County: 20.6 %Sherman County: 17.1 %Smith County: 17.2 %Somervell County: 14.3 %Starr County: 33.8 %Stephens County: 19.2 %Sterling County: 27.1 %Stonewall County: 17.1 %Sutton County: 17.2 %Swisher County: 21.8 %Tarrant County: 16.8 %Taylor County: 14.8 %Terrell County: 10.6 %Terry County: 22.1 %Throckmorton County: 22.6 %Titus County: 18.7 %Tom Green County: 13.4 %Travis County: 12.4 %Trinity County: 19.3 %Tyler County: 18.9 %Upshur County: 16 %Upton County: 8.9 %Uvalde County: 18.9 %Val Verde County: 21.4 %Van Zandt County: 17.2 %Victoria County: 16.7 %Walker County: 14.3 %Waller County: 19.7 %Ward County: 14.9 %Washington County: 14.2 %Webb County: 28.6 %Wharton County: 19 %Wheeler County: 21.6 %Wichita County: 14.9 %Wilbarger County: 12.6 %Willacy County: 29.1 %Williamson County: 9.6 %Wilson County: 13 %Winkler County: 22.3 %Wise County: 17.3 %Wood County: 15.9 %Yoakum County: 24.7 %Young County: 18.4 %Zapata County: 26 %Zavala County: 14.1 %
  • Under 13
  • 13 to 16
  • 16 to 17
  • 17 to 19
  • 19 to 22
  • 22 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

Starr County: 33.8 %Starr County33.8Bailey County: 32.4 %Bailey County32.4Hidalgo County: 30.8 %Hidalgo County30.8Gaines County: 30.5 %Gaines County30.5Dallam County: 29.5 %Dallam County29.5Presidio County: 29.3 %Presidio County29.3Willacy County: 29.1 %Willacy County29.1Maverick County: 28.7 %Maverick County28.7Webb County: 28.6 %Webb County28.6Cameron County: 28.5 %Cameron County28.5Culberson County: 28 %Culberson County28Glasscock County: 27.9 %Glasscock County27.9Sterling County: 27.1 %Sterling County27.1Menard County: 26.7 %Menard County26.7Edwards County: 26.1 %Edwards County26.1Briscoe County: 26.1 %Briscoe County26.1Zapata County: 26 %Zapata County26Schleicher County: 25.8 %Schleicher County25.8Collingsworth County: 25.3 %Collingsworth County25.3Yoakum County: 24.7 %Yoakum County24.7Coleman County: 24.2 %Coleman County24.2McMullen County: 24.1 %McMullen County24.1Caldwell County: 24.1 %Caldwell County24.1Liberty County: 24 %Liberty County24Floyd County: 23.8 %Floyd County23.8Andrews County: 23.7 %Andrews County23.7Lamb County: 23.6 %Lamb County23.6Jim Hogg County: 23.6 %Jim Hogg County23.6Deaf Smith County: 23.3 %Deaf Smith County23.3San Saba County: 23.1 %San Saba County23.1Hale County: 23 %Hale County23Brooks County: 22.7 %Brooks County22.7Throckmorton County: 22.6 %Throckmorton County22.6Real County: 22.5 %Real County22.5Cochran County: 22.4 %Cochran County22.4Castro County: 22.3 %Castro County22.3Winkler County: 22.3 %Winkler County22.3Terry County: 22.1 %Terry County22.1Hall County: 22.1 %Hall County22.1Duval County: 22 %Duval County22Starr County: 33.8 %Starr County33.8Bailey County: 32.4 %Bailey County32.4Hidalgo County: 30.8 %Hidalgo County30.8Gaines County: 30.5 %Gaines County30.5Dallam County: 29.5 %Dallam County29.5Presidio County: 29.3 %Presidio County29.3Willacy County: 29.1 %Willacy County29.1Maverick County: 28.7 %Maverick County28.7Webb County: 28.6 %Webb County28.6Cameron County: 28.5 %Cameron County28.5Culberson County: 28 %Culberson County28Glasscock County: 27.9 %Glasscock County27.9Sterling County: 27.1 %Sterling County27.1Menard County: 26.7 %Menard County26.7Edwards County: 26.1 %Edwards County26.1Briscoe County: 26.1 %Briscoe County26.1Zapata County: 26 %Zapata County26Schleicher County: 25.8 %Schleicher County25.8Collingsworth County: 25.3 %Collingsworth County25.3Yoakum County: 24.7 %Yoakum County24.7Coleman County: 24.2 %Coleman County24.2McMullen County: 24.1 %McMullen County24.1Caldwell County: 24.1 %Caldwell County24.1Liberty County: 24 %Liberty County24Floyd County: 23.8 %Floyd County23.8Andrews County: 23.7 %Andrews County23.7Lamb County: 23.6 %Lamb County23.6Jim Hogg County: 23.6 %Jim Hogg County23.6Deaf Smith County: 23.3 %Deaf Smith County23.3San Saba County: 23.1 %San Saba County23.1Hale County: 23 %Hale County23Brooks County: 22.7 %Brooks County22.7Throckmorton County: 22.6 %Throckmorton County22.6Real County: 22.5 %Real County22.5Cochran County: 22.4 %Cochran County22.4Castro County: 22.3 %Castro County22.3Winkler County: 22.3 %Winkler County22.3Terry County: 22.1 %Terry County22.1Hall County: 22.1 %Hall County22.1Duval County: 22 %Duval County22
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Starr County33.8
2Bailey County32.4
3Hidalgo County30.8
4Gaines County30.5
5Dallam County29.5
6Presidio County29.3
7Willacy County29.1
8Maverick County28.7
9Webb County28.6
10Cameron County28.5
11Culberson County28
12Glasscock County27.9
13Sterling County27.1
14Menard County26.7
15Edwards County26.1
16Briscoe County26.1
17Zapata County26
18Schleicher County25.8
19Collingsworth County25.3
20Yoakum County24.7
21Coleman County24.2
22McMullen County24.1
23Caldwell County24.1
24Liberty County24
25Floyd County23.8
26Andrews County23.7
27Lamb County23.6
28Jim Hogg County23.6
29Deaf Smith County23.3
30San Saba County23.1
31Hale County23
32Brooks County22.7
33Throckmorton County22.6
34Real County22.5
35Cochran County22.4
36Castro County22.3
37Winkler County22.3
38Terry County22.1
39Hall County22.1
40Duval County22
41Childress County21.9
42Ochiltree County21.8
43Potter County21.8
44Swisher County21.8
45Wheeler County21.6
46Ector County21.6
47Newton County21.6
48Val Verde County21.4
49Dallas County21.4
50Hudspeth County21.3
51El Paso County21.3
52Parmer County21.2
53Harris County21.1
54La Salle County21.1
55Crosby County21
55Jefferson County21
57Jeff Davis County20.9
58Cherokee County20.7
59Kenedy County20.7
60Gray County20.7
61Scurry County20.6
62Shelby County20.6
63Camp County20.4
64Crockett County20.4
65Gonzales County20.3
66Moore County19.9
67Haskell County19.8
68Waller County19.7
69McCulloch County19.7
69Reeves County19.7
71San Jacinto County19.6
72Navarro County19.6
73Hopkins County19.6
74Atascosa County19.5
75Jasper County19.4
76Trinity County19.3
77Motley County19.3
78Panola County19.3
79Stephens County19.2
80Knox County19.2
81Angelina County19.2
82Hockley County19.1
83Jim Wells County19.1
84Reagan County19
85Wharton County19
86San Augustine County18.9
87Tyler County18.9
88Jack County18.9
89Uvalde County18.9
90Lipscomb County18.7
91Titus County18.7
92Limestone County18.7
93Bastrop County18.6
94Hutchinson County18.6
95Pecos County18.5
96Nueces County18.4
96Young County18.4
98Matagorda County18.4
99Gillespie County18.4
99Henderson County18.4
101Hemphill County18.4
101Palo Pinto County18.4
103Kerr County18.3
104Burnet County18.1
105Leon County18.1
106Gregg County18
107Baylor County18
108Kimble County17.8
109Lamar County17.8
110Polk County17.7
111Kinney County17.7
112Nolan County17.6
112Rains County17.6
114Hartley County17.5
115Mitchell County17.4
116Wise County17.3
117Howard County17.3
118Sutton County17.2
119Dickens County17.2
120Smith County17.2
120Van Zandt County17.2
122Eastland County17.1
123Sherman County17.1
124Stonewall County17.1
125Anderson County16.9
125Brown County16.9
127Crane County16.9
128Jones County16.9
129Foard County16.9
130Dawson County16.9
130Fannin County16.9
132Bosque County16.8
132Hill County16.8
134Archer County16.8
135Grayson County16.8
136Tarrant County16.8
137Victoria County16.7
138Nacogdoches County16.6
139Orange County16.6
140Frio County16.6
141San Patricio County16.5
142DeWitt County16.5
142Lee County16.5
144Refugio County16.5
145Hardin County16.4
146Mills County16.4
147Cooke County16.4
148Callahan County16.3
148Donley County16.3
150Johnson County16.3
151Hunt County16.3
152Colorado County16.2
153Jackson County16.2
154Roberts County16.2
155Midland County16.2
156Hansford County16.1
157Ellis County16.1
158Red River County16.1
159Aransas County16
160Upshur County16
161Grimes County16
162Hamilton County15.9
163Llano County15.9
163Wood County15.9
165Falls County15.9
166Karnes County15.9
167Comanche County15.7
168Bee County15.7
169King County15.7
170Bexar County15.6
171Houston County15.6
172Madison County15.5
173Austin County15.4
174Bandera County15.4
175Rusk County15.4
176Blanco County15.3
177Montague County15.3
178Harrison County15.3
179Franklin County15.1
180Kleberg County15.1
181Milam County15
182Live Oak County15
183Lampasas County15
184Wichita County14.9
185Ward County14.9
186Erath County14.9
187Taylor County14.8
188Cass County14.7
189Montgomery County14.7
190Bowie County14.7
191Lynn County14.6
192Irion County14.6
193Clay County14.4
194Walker County14.3
195Somervell County14.3
196Washington County14.2
197Chambers County14.2
198Dimmit County14.1
199Zavala County14.1
200McLennan County14
201Burleson County13.9
202Kaufman County13.9
202Medina County13.9
204Hays County13.9
205Bell County13.8
206Parker County13.8
207Hood County13.7
207Sabine County13.7
209Robertson County13.6
210Calhoun County13.6
211Lubbock County13.4
212Brazoria County13.4
213Coke County13.4
213Tom Green County13.4
215Runnels County13.3
216Galveston County13.2
217Wilson County13
218Brewster County12.7
219Coryell County12.6
220Cottle County12.6
221Wilbarger County12.6
222Mason County12.6
223Fisher County12.4
223Travis County12.4
225Kendall County12.4
226Hardeman County12.3
227Brazos County12.3
228Fort Bend County12.2
229Marion County12.2
230Garza County11.9
231Guadalupe County11.9
232Shackelford County11.7
233Fayette County11.7
234Freestone County11.6
235Morris County11.5
236Lavaca County11.4
237Goliad County11.3
238Comal County11.1
239Denton County10.9
240Terrell County10.6
241Collin County10.6
242Martin County10.5
243Carson County10.2
244Oldham County9.8
245Randall County9.7
246Williamson County9.6
247Delta County9.3
248Upton County8.9
249Rockwall County8.8
250Armstrong County8.5

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/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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_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 Texas 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/texas-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 Texas 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/texas-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/texas-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)?

Starr County, with 33.8% in 2021, according to the U.S. Census Bureau.

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

Loving County, with 0% 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 Texas: more rankings