US counties by uninsured rate, all ages (US)

LaGrange County had the highest uninsured rate, all ages (US) of 3135 counties in 2021, at 44.9%. Loving County had the lowest, at 0%. The median was 8.6% and the figure for the United States was 8.8%. Source: the U.S. Census Bureau.

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Highest44.9LaGrange County
Median8.63135 counties
United States8.8History

Map of counties, 2021

%, 2021. Hatched areas have no value for this period. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

LaGrange County: 44.9 %LaGrange County44.9Oglala Lakota County: 41.9 %Oglala Lakota County41.9Holmes County: 41.9 %Holmes County41.9Buffalo County: 41.6 %Buffalo County41.6Aleutians East Borough: 40 %Aleutians East Borough40Mellette County: 38.1 %Mellette County38.1Glacier County: 37 %Glacier County37Scotland County: 34.7 %Scotland County34.7Starr County: 33.8 %Starr County33.8Sioux County: 33.3 %Sioux County33.3Bailey County: 32.4 %Bailey County32.4Ziebach County: 30.9 %Ziebach County30.9Hidalgo County: 30.8 %Hidalgo County30.8Gaines County: 30.5 %Gaines County30.5Roosevelt County: 29.7 %Roosevelt County29.7Dallam County: 29.5 %Dallam County29.5Davis County: 29.4 %Davis County29.4Presidio 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 County27.9Rolette County: 27.8 %Rolette County27.8Todd County: 27.5 %Todd County27.5Sterling County: 27.1 %Sterling County27.1Jackson County: 26.9 %Jackson County26.9Apache County: 26.8 %Apache County26.8Menard County: 26.7 %Menard County26.7Big Horn County: 26.4 %Big Horn County26.4Edwards County: 26.1 %Edwards County26.1Briscoe County: 26.1 %Briscoe County26.1Zapata County: 26 %Zapata County26Echols County: 25.9 %Echols County25.9Schleicher County: 25.8 %Schleicher County25.8Daviess County: 25.7 %Daviess County25.7Collingsworth County: 25.3 %Collingsworth County25.3Adair County: 25.2 %Adair County25.2Lake and Peninsula Borough: 25.2 %Lake and Peninsula Borough25.2LaGrange County: 44.9 %LaGrange County44.9Oglala Lakota County: 41.9 %Oglala Lakota County41.9Holmes County: 41.9 %Holmes County41.9Buffalo County: 41.6 %Buffalo County41.6Aleutians East Borough: 40 %Aleutians East Borough40Mellette County: 38.1 %Mellette County38.1Glacier County: 37 %Glacier County37Scotland County: 34.7 %Scotland County34.7Starr County: 33.8 %Starr County33.8Sioux County: 33.3 %Sioux County33.3Bailey County: 32.4 %Bailey County32.4Ziebach County: 30.9 %Ziebach County30.9Hidalgo County: 30.8 %Hidalgo County30.8Gaines County: 30.5 %Gaines County30.5Roosevelt County: 29.7 %Roosevelt County29.7Dallam County: 29.5 %Dallam County29.5Davis County: 29.4 %Davis County29.4Presidio 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 County27.9Rolette County: 27.8 %Rolette County27.8Todd County: 27.5 %Todd County27.5Sterling County: 27.1 %Sterling County27.1Jackson County: 26.9 %Jackson County26.9Apache County: 26.8 %Apache County26.8Menard County: 26.7 %Menard County26.7Big Horn County: 26.4 %Big Horn County26.4Edwards County: 26.1 %Edwards County26.1Briscoe County: 26.1 %Briscoe County26.1Zapata County: 26 %Zapata County26Echols County: 25.9 %Echols County25.9Schleicher County: 25.8 %Schleicher County25.8Daviess County: 25.7 %Daviess County25.7Collingsworth County: 25.3 %Collingsworth County25.3Adair County: 25.2 %Adair County25.2Lake and Peninsula Borough: 25.2 %Lake and Peninsula Borough25.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1LaGrange County44.9
2Oglala Lakota County41.9
3Holmes County41.9
4Buffalo County41.6
5Aleutians East Borough40
6Mellette County38.1
7Glacier County37
8Scotland County34.7
9Starr County33.8
10Sioux County33.3
11Bailey County32.4
12Ziebach County30.9
13Hidalgo County30.8
14Gaines County30.5
15Roosevelt County29.7
16Dallam County29.5
17Davis County29.4
18Presidio County29.3
19Willacy County29.1
20Maverick County28.7
21Webb County28.6
22Cameron County28.5
23Culberson County28
24Glasscock County27.9
25Rolette County27.8
26Todd County27.5
27Sterling County27.1
28Jackson County26.9
29Apache County26.8
30Menard County26.7
31Big Horn County26.4
32Edwards County26.1
33Briscoe County26.1
34Zapata County26
35Echols County25.9
36Schleicher County25.8
37Daviess County25.7
38Collingsworth County25.3
39Adair County25.2
40Lake and Peninsula Borough25.2
41Wheeler County24.7
42Yoakum County24.7
43Menominee County24.3
44Dewey County24.2
44Yakutat City and Borough24.2
46Coleman County24.2
47Knox County24.2
48McMullen County24.1
49Caldwell County24.1
50Liberty County24
51Corson County23.8
52Hendry County23.8
53Floyd County23.8
54Coal County23.8
55Morgan County23.7
56Andrews County23.7
57McIntosh County23.7
58Lamb County23.6
59Jim Hogg County23.6
60Deaf Smith County23.3
61San Saba County23.1
62Hamilton County23.1
63Quitman County23
64Hale County23
65Bennett County22.9
66Brooks County22.7
67Clark County22.7
68Throckmorton County22.6
69Real County22.5
70Cochran County22.4
70Northwest Arctic Borough22.4
72Yukon-Koyukuk Census Area22.4
73Castro County22.3
74Winkler County22.3
75Terry County22.1
76Hall County22.1
77Duval County22
78Colquitt County21.9
79Childress County21.9
80Cherokee County21.9
81Ochiltree County21.8
82Potter County21.8
83McCurtain County21.8
84Swisher County21.8
85Berrien County21.7
86Wheeler County21.6
87Ector County21.6
87Mitchell County21.6
89Clinch County21.6
90Newton County21.6
91Owyhee County21.5
92Seminole County21.4
93Val Verde County21.4
94Dallas County21.4
95Webster County21.3
96Hudspeth County21.3
97El Paso County21.3
98Parmer County21.2
98Swain County21.2
100Latimer County21.2
101McKinley County21.1
102Copper River Census Area21.1
103Harris County21.1
104Roberts County21.1
105Hoonah-Angoon Census Area21.1
106La Salle County21.1
107Crosby County21
107Jefferson County21
109Prince of Wales-Hyder Census Area21
109Pushmataha County21
111Glades County20.9
112Jeff Davis County20.9
113McDonald County20.8
114Cherokee County20.7
115Kenedy County20.7
116Todd County20.7
117Gray County20.7
118Macon County20.6
119Scurry County20.6
120Shelby County20.6
121Clark County20.5
122Atoka County20.4
122Camp County20.4
124Crockett County20.4
124Grady County20.4
126Gonzales County20.3
126Okfuskee County20.3
128Jeff Davis County20.1
129Garfield County20.1
130Lyman County19.9
130Moore County19.9
132Bryan County19.9
133Sequoyah County19.8
134Harmon County19.8
134Haskell County19.8
134Rosebud County19.8
137Atkinson County19.8
138Waller County19.7
139McCulloch County19.7
139Reeves County19.7
141Hughes County19.7
142Dunn County19.7
143San Jacinto County19.6
144Aleutians West Census Area19.6
145Sevier County19.6
146Navarro County19.6
147Hopkins County19.6
148Adams County19.5
149Fremont County19.5
150Hyde County19.5
151Atascosa County19.5
152San Juan County19.4
153Jasper County19.4
154Trinity County19.3
155Motley County19.3
156Panola County19.3
157Ben Hill County19.2
158Stephens County19.2
159Bacon County19.2
160Knox County19.2
161Angelina County19.2
162Hockley County19.1
163Choctaw County19.1
164Jim Wells County19.1
165Jenkins County19
166Reagan County19
167Wharton County19
168Le Flore County19
169San Augustine County18.9
170Treutlen County18.9
171Tyler County18.9
172Jack County18.9
173Terrell County18.9
173Uvalde County18.9
175Claiborne County18.9
176Cook County18.8
177Lipscomb County18.7
178Titus County18.7
179Limestone County18.7
180Cimarron County18.6
180Seminole County18.6
182Texas County18.6
183Bastrop County18.6
184Holmes County18.6
185Hutchinson County18.6
185Marshall County18.6
187Caddo County18.5
188Haskell County18.5
189Pecos County18.5
190Greene County18.5
191Brooks County18.5
192Franklin County18.4
193Calhoun County18.4
193Nueces County18.4
193Young County18.4
196Matagorda County18.4
197Gillespie County18.4
197Henderson County18.4
199Hemphill County18.4
199Palo Pinto County18.4
199Van Buren County18.4
202Carter County18.3
203Nowata County18.3
203Sharkey County18.3
205Clayton County18.3
206Kerr County18.3
207Dooly County18.2
207Hamilton County18.2
209Gooding County18.2
210Delaware County18.2
211Evans County18.2
212Burnet County18.1
213Bledsoe County18.1
213Leon County18.1
215Thurston County18
216Dewey County18
217Greene County18
217Whitfield County18
219Gregg County18
220Baylor County18
221DeSoto County17.9
222McKenzie County17.9
223Charles Mix County17.9
223Dallas County17.9
225Oregon County17.8
226Kimble County17.8
227Wilcox County17.8
228Lamar County17.8
228Ottawa County17.8
230Polk County17.7
231Candler County17.7
232Manassas Park city17.7
233Kinney County17.7
234Nolan County17.6
234Pittsburg County17.6
234Rains County17.6
234Saluda County17.6
238Garvin County17.6
238Mayes County17.6
240Wayne County17.5
241Crisp County17.5
241Hartley County17.5
241Shannon County17.5
244Manassas city17.5
245Grundy County17.4
246Irwin County17.4
246Minidoka County17.4
246Mitchell County17.4
249Haskell County17.4
250Coffee County17.4

Showing the top 250 of 3135. 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. 9 counties 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. 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 (US counties 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 counties 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-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. US counties 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-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, US counties 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-counties?period=2021 (Accessed: 12 October 2026).

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

LaGrange County, with 44.9% 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. 9 counties have no value for 2021 and are not ranked.

Uninsured rate, all ages (US): other rankings

US counties: more rankings