US cities by uninsured rate, all ages (US)
Alton, TX had the highest uninsured rate, all ages (US) of 3211 cities in 2021, at 38.8%. Norwalk, IA had the lowest, at 0.2%. The median was 7.1% and the figure for the United States was 8.8%. Source: the U.S. Census Bureau.
Top 40 cities, 2021
Full ranking
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 cities are compared on one definition. 8 cities with data in other periods have no value for 2021 and are left out rather than filled from another source. 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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.Citation styles
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, US cities (incorporated places of 10,000 or more) (US cities 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, US cities (incorporated places of 10,000 or more), US cities 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/us-cities?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, US cities (incorporated places of 10,000 or more). US cities 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/us-cities?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, US cities (incorporated places of 10,000 or more), US cities 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/us-cities?period=2021 (Accessed: 12 October 2026).
BibTeX
@misc{census_us_cities_by_uninsured_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, US cities (incorporated places of 10,000 or more): US cities 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/us-cities?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, US cities (incorporated places of 10,000 or more). 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, US cities (incorporated places of 10,000 or more): US cities 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/us-cities?period=2021
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/us-cities?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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank US cities by uninsured rate, all ages (US) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate","level":"municipality","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate&level=municipality&within=United%20States&limit=10Questions
Which city has the highest uninsured rate, all ages (US)?
Alton, TX, with 38.8% in 2021, according to the U.S. Census Bureau.
Which city has the lowest uninsured rate, all ages (US)?
Norwalk, IA, with 0.2% 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, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12. 8 cities have no value for 2021 and are not ranked.
Uninsured rate, all ages (US): other rankings
- Cities in Kansas
- Cities in Louisiana
- Cities in Georgia
- Counties in Arkansas
- Counties in North Dakota
- Counties in Michigan
US cities: more rankings
- Adult obesity rate, local model estimate
- COPD in adults, local model estimate
- Uninsured rate, under 19 (US, ACS)
- Adult cigarette smoking rate, local model estimate
- Residents who moved from another state in the past year
- Black or African American population share
- Bachelor's degree or higher, population 25 and over
- Asian population share