Data / Rankings / Uninsured rate, all ages (US) / US states

US states by uninsured rate, all ages (US)

Texas had the highest uninsured rate, all ages (US) of 51 states in 2021, at 17.6%. Massachusetts had the lowest, at 2.8%. The median was 7.9% and the figure for the United States was 8.8%. Source: the U.S. Census Bureau.

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Highest17.6Texas
Lowest2.8Massachusetts
Median7.951 states
United States8.8History

Map of states, 2021

Alabama: 9.7 %Alaska: 12.2 %Arizona: 10.7 %Arkansas: 8.7 %California: 7.2 %Colorado: 7.9 %Connecticut: 5.2 %Delaware: 5.8 %District of Columbia: 3.4 %Florida: 12.6 %Georgia: 13.1 %Hawaii: 4 %Idaho: 10.2 %Illinois: 7 %Indiana: 8 %Iowa: 4.9 %Kansas: 8.9 %Kentucky: 5.8 %Louisiana: 8.3 %Maine: 7.4 %Maryland: 6 %Massachusetts: 2.8 %Michigan: 5.3 %Minnesota: 4.6 %Mississippi: 12.1 %Missouri: 9.5 %Montana: 8.6 %Nebraska: 8 %Nevada: 11.3 %New Hampshire: 5.9 %New Jersey: 7.6 %New Mexico: 9.7 %New York: 5.3 %North Carolina: 10.7 %North Dakota: 7.5 %Ohio: 6.3 %Oklahoma: 14.3 %Oregon: 6.7 %Pennsylvania: 5.6 %Rhode Island: 4.4 %South Carolina: 10.5 %South Dakota: 9.6 %Tennessee: 10.1 %Texas: 17.6 %Utah: 9 %Vermont: 4.1 %Virginia: 7.9 %Washington: 6.4 %West Virginia: 6.4 %Wisconsin: 5.5 %Wyoming: 11.7 %
  • Under 5.3
  • 5.3 to 6.4
  • 6.4 to 7.9
  • 7.9 to 9.2
  • 9.2 to 11
  • 11 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2021

Texas: 17.6 %Texas17.6Oklahoma: 14.3 %Oklahoma14.3Georgia: 13.1 %Georgia13.1Florida: 12.6 %Florida12.6Alaska: 12.2 %Alaska12.2Mississippi: 12.1 %Mississippi12.1Wyoming: 11.7 %Wyoming11.7Nevada: 11.3 %Nevada11.3North Carolina: 10.7 %North Carolina10.7Arizona: 10.7 %Arizona10.7South Carolina: 10.5 %South Carolina10.5Idaho: 10.2 %Idaho10.2Tennessee: 10.1 %Tennessee10.1Alabama: 9.7 %Alabama9.7New Mexico: 9.7 %New Mexico9.7South Dakota: 9.6 %South Dakota9.6Missouri: 9.5 %Missouri9.5Utah: 9 %Utah9Kansas: 8.9 %Kansas8.9Arkansas: 8.7 %Arkansas8.7Montana: 8.6 %Montana8.6Louisiana: 8.3 %Louisiana8.3Nebraska: 8 %Nebraska8Indiana: 8 %Indiana8Virginia: 7.9 %Virginia7.9Colorado: 7.9 %Colorado7.9New Jersey: 7.6 %New Jersey7.6North Dakota: 7.5 %North Dakota7.5Maine: 7.4 %Maine7.4California: 7.2 %California7.2Illinois: 7 %Illinois7Oregon: 6.7 %Oregon6.7West Virginia: 6.4 %West Virginia6.4Washington: 6.4 %Washington6.4Ohio: 6.3 %Ohio6.3Maryland: 6 %Maryland6New Hampshire: 5.9 %New Hampshire5.9Delaware: 5.8 %Delaware5.8Kentucky: 5.8 %Kentucky5.8Pennsylvania: 5.6 %Pennsylvania5.6Wisconsin: 5.5 %Wisconsin5.5New York: 5.3 %New York5.3Michigan: 5.3 %Michigan5.3Connecticut: 5.2 %Connecticut5.2Iowa: 4.9 %Iowa4.9Minnesota: 4.6 %Minnesota4.6Rhode Island: 4.4 %Rhode Island4.4Vermont: 4.1 %Vermont4.1Hawaii: 4 %Hawaii4District of Columbia: 3.4 %District of Columbia3.4Massachusetts: 2.8 %Massachusetts2.8Texas: 17.6 %Texas17.6Oklahoma: 14.3 %Oklahoma14.3Georgia: 13.1 %Georgia13.1Florida: 12.6 %Florida12.6Alaska: 12.2 %Alaska12.2Mississippi: 12.1 %Mississippi12.1Wyoming: 11.7 %Wyoming11.7Nevada: 11.3 %Nevada11.3North Carolina: 10.7 %North Carolina10.7Arizona: 10.7 %Arizona10.7South Carolina: 10.5 %South Carolina10.5Idaho: 10.2 %Idaho10.2Tennessee: 10.1 %Tennessee10.1Alabama: 9.7 %Alabama9.7New Mexico: 9.7 %New Mexico9.7South Dakota: 9.6 %South Dakota9.6Missouri: 9.5 %Missouri9.5Utah: 9 %Utah9Kansas: 8.9 %Kansas8.9Arkansas: 8.7 %Arkansas8.7Montana: 8.6 %Montana8.6Louisiana: 8.3 %Louisiana8.3Nebraska: 8 %Nebraska8Indiana: 8 %Indiana8Virginia: 7.9 %Virginia7.9Colorado: 7.9 %Colorado7.9New Jersey: 7.6 %New Jersey7.6North Dakota: 7.5 %North Dakota7.5Maine: 7.4 %Maine7.4California: 7.2 %California7.2Illinois: 7 %Illinois7Oregon: 6.7 %Oregon6.7West Virginia: 6.4 %West Virginia6.4Washington: 6.4 %Washington6.4Ohio: 6.3 %Ohio6.3Maryland: 6 %Maryland6New Hampshire: 5.9 %New Hampshire5.9Delaware: 5.8 %Delaware5.8Kentucky: 5.8 %Kentucky5.8Pennsylvania: 5.6 %Pennsylvania5.6Wisconsin: 5.5 %Wisconsin5.5New York: 5.3 %New York5.3Michigan: 5.3 %Michigan5.3Connecticut: 5.2 %Connecticut5.2Iowa: 4.9 %Iowa4.9Minnesota: 4.6 %Minnesota4.6Rhode Island: 4.4 %Rhode Island4.4Vermont: 4.1 %Vermont4.1Hawaii: 4 %Hawaii4District of Columbia: 3.4 %District of Columbia3.4Massachusetts: 2.8 %Massachusetts2.8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankStates2021 (%)
1Texas17.6
2Oklahoma14.3
3Georgia13.1
4Florida12.6
5Alaska12.2
6Mississippi12.1
7Wyoming11.7
8Nevada11.3
9North Carolina10.7
10Arizona10.7
11South Carolina10.5
12Idaho10.2
13Tennessee10.1
14Alabama9.7
15New Mexico9.7
16South Dakota9.6
17Missouri9.5
18Utah9
19Kansas8.9
20Arkansas8.7
21Montana8.6
22Louisiana8.3
23Nebraska8
24Indiana8
25Virginia7.9
26Colorado7.9
27New Jersey7.6
28North Dakota7.5
29Maine7.4
30California7.2
31Illinois7
32Oregon6.7
33West Virginia6.4
34Washington6.4
35Ohio6.3
36Maryland6
37New Hampshire5.9
38Delaware5.8
39Kentucky5.8
40Pennsylvania5.6
41Wisconsin5.5
42New York5.3
43Michigan5.3
44Connecticut5.2
45Iowa4.9
46Minnesota4.6
47Rhode Island4.4
48Vermont4.1
49Hawaii4
50District of Columbia3.4
51Massachusetts2.8

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 states 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 (US states 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 states 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-states?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 states 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-states?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 states 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-states?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_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 states 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-states?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 states 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-states?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/us-states?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 state has the highest uninsured rate, all ages (US)?

Texas, with 17.6% in 2021, according to the U.S. Census Bureau.

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

Massachusetts, with 2.8% 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

US states: more rankings