RANKING · 2024 ACS · 175 SHOWN OF 175

Highest uninsured rate, North Carolina cities

North Carolina cities ranked by the share of residents without health insurance (2024 ACS). This list covers the 175 cities in North Carolina that qualify, ranked against each other statewide. The median across all 175 is 8.8%. Biggest climber in the top 100 since 2020: Shallotte, NC, up 137 places to #12.

North CarolinaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01▲1Siler City, NCNC8,15535.9%+10.4 pts

02▼1East Flat Rock, NCNC6,32322.4%−11.2 pts

03▲5Long View, NCNC5,38718.5%0.0 pts

04▲12Morganton, NCNC17,84918.4%+1.5 pts

05▲24Kings Grant, NCNC9,00317.9%+4.8 pts

06▲8Holly Ridge, NCNC5,90817.8%+0.2 pts

07▼4Zebulon, NCNC11,93317.8%−6.8 pts

08▲9Marion, NCNC7,44017.0%+0.7 pts

09▲3Monroe, NCNC42,64416.3%−1.5 pts

10▼3Roxboro, NCNC8,38015.9%−3.2 pts

11▲13Sanford, NCNC34,13815.6%+1.6 pts

12▲137Shallotte, NCNC5,33515.6%+10.5 pts

13▲13Waynesville, NCNC11,00615.3%+2.0 pts

14▲38Lumberton, NCNC18,95514.8%+3.3 pts

15▼10Lexington, NCNC20,23814.6%−5.4 pts

16▲47Hendersonville, NCNC15,86714.3%+3.4 pts

17▲51Conover, NCNC8,93814.2%+3.7 pts

18▼9Asheboro, NCNC27,99014.2%−4.2 pts

19▲4Forest City, NCNC7,41014.1%+0.1 pts

20▲20Statesville, NCNC32,18114.1%+1.8 pts

21▲49Butner, NCNC8,11214.0%+3.6 pts

22▲12Clinton, NCNC8,46613.8%+1.0 pts

23▼13Sawmills, NCNC5,10513.8%−4.3 pts

24▲36Northchase, NCNC5,89613.6%+2.6 pts

25▲107Etowah, NCNC7,96813.5%+7.3 pts

26▲102Walkertown, NCNC6,12013.4%+6.9 pts

27▲38Henderson, NCNC15,01313.2%+2.4 pts

28▼9Elizabeth City, NCNC19,62213.0%−3.1 pts

29▲52Gastonia, NCNC87,06712.9%+3.2 pts

30▼12Thomasville, NCNC27,73312.9%−3.4 pts

31▲6Charlotte, NCNC964,78412.8%+0.3 pts

32▲24Rockingham, NCNC8,81512.8%+1.5 pts

33▼2Wadesboro, NCNC5,03512.7%−0.3 pts

34▲8Wilson, NCNC49,57212.6%+0.6 pts

35▲11Lincolnton, NCNC12,46512.5%+0.7 pts

36▼15Lenoir, NCNC18,37212.5%−2.8 pts

37▼10Kill Devil Hills, NCNC7,73111.9%−1.3 pts

38▼23Bessemer City, NCNC5,83411.9%−5.5 pts

39▲15Asheville, NCNC93,52311.8%+0.5 pts

40▼2Graham, NCNC20,13111.8%−0.6 pts

41▼8Wrightsboro, NCNC6,28711.6%−1.2 pts

42▼31Woodfin, NCNC8,22911.6%−6.3 pts

43▲88Hampstead, NCNC9,29211.5%+5.3 pts

44▼40Swannanoa, NCNC6,90111.4%−9.4 pts

45▼39Selma, NCNC7,40611.4%−8.0 pts

46▲29Rocky Mount, NCNC55,12011.3%+1.3 pts

47▼12Burlington, NCNC61,49611.3%−1.5 pts

48▼7Winston-Salem, NCNC257,27111.2%−0.9 pts

49▲8Silver Lake, NCNC6,56311.1%−0.1 pts

50▲98Garner, NCNC41,56211.0%+5.9 pts

51▼7Winterville, NCNC10,97310.9%−1.0 pts

52▼1Hickory, NCNC45,97510.9%−0.6 pts

53▲18Fletcher, NCNC8,37310.9%+0.7 pts

54▲4Wilmington, NCNC126,80910.9%−0.3 pts

55▲18King, NCNC7,97710.8%+0.7 pts

56▼43Carolina Beach, NCNC6,87010.8%−6.9 pts

57▲5High Point, NCNC120,57110.7%−0.2 pts

58▼19Durham, NCNC305,56110.7%−1.6 pts

59▼31Mount Airy, NCNC10,68210.5%−2.7 pts

60▲19Havelock, NCNC17,43010.5%+0.7 pts

61▲37Eden, NCNC15,50010.4%+1.5 pts

62▲100Creedmoor, NCNC5,04610.3%+6.3 pts

63▼14Oxford, NCNC8,98510.3%−1.4 pts

64▼3Albemarle, NCNC17,76910.3%−0.7 pts

65Barbecue, NCNC5,91010.1%–

66▲52Mint Hill, NCNC29,47610.1%+2.7 pts

67▲33Morehead City, NCNC10,43410.0%+1.2 pts

68▼43Smithfield, NCNC13,11410.0%−3.7 pts

69Fayetteville, NCNC209,1209.9%−0.6 pts

70▲27Jacksonville, NCNC72,7329.9%+0.9 pts

71▲19Mills River, NCNC7,5049.9%+0.5 pts

72▼5Laurinburg, NCNC14,5829.8%−0.8 pts

73▲30Williamston, NCNC5,0869.8%+1.1 pts

74▲32Greenville, NCNC96,4439.5%+1.0 pts

75▼22Dunn, NCNC8,8149.4%−2.0 pts

76▲13Kinston, NCNC19,7059.4%0.0 pts

77▼5Raleigh, NCNC506,3069.3%−0.8 pts

78▲31Dallas, NCNC6,3929.3%+1.1 pts

79▲14Boiling Spring Lakes, NCNC6,8759.3%0.0 pts

80▲67Cullowhee, NCNC7,9739.1%+4.0 pts

81▼31Newton, NCNC13,8229.1%−2.5 pts

82▲31Spring Lake, NCNC11,2529.1%+1.2 pts

83Half Moon, NCNC7,3789.0%−0.5 pts

84▼4Kannapolis, NCNC61,7088.9%−0.9 pts

85▼3Surf City, NCNC5,1428.8%−0.8 pts

86▲38Wendell, NCNC19,6878.8%+2.1 pts

87▲15Reidsville, NCNC14,6928.8%+0.1 pts

88▼45Brevard, NCNC8,0988.8%−3.2 pts

89▲40Ayden, NCNC5,2638.7%+2.4 pts

90▼12St. Stephens, NCNC9,4578.6%−1.2 pts

91▲5Concord, NCNC114,5988.6%−0.4 pts

92▼5Archdale, NCNC12,2548.4%−1.0 pts

93▼1Greensboro, NCNC308,6678.4%−0.9 pts

94▲5Pineville, NCNC11,8518.3%−0.5 pts

95▼9Lewisville, NCNC14,4218.2%−1.2 pts

96▲43Piney Green, NCNC14,0788.2%+2.3 pts

97▼6Trinity, NCNC7,2748.2%−1.1 pts

98▼66Clayton, NCNC32,6338.0%−4.9 pts

99▼44Locust, NCNC6,1207.9%−3.4 pts

100▲8Washington, NCNC9,9107.9%−0.6 pts

101▼37Goldsboro, NCNC35,0127.9%−2.9 pts

102▲3Murraysville, NCNC16,3397.8%−0.7 pts

103▼73Kings Mountain, NCNC12,1177.8%−5.2 pts

104▼16Archer Lodge, NCNC5,6497.8%−1.6 pts

105▼4Mooresville, NCNC55,8427.7%−1.0 pts

106▼61Salisbury, NCNC36,8797.7%−4.2 pts

107▼48Roanoke Rapids, NCNC14,3867.6%−3.5 pts

108▲4Cramerton, NCNC5,7137.6%−0.4 pts

109▼15Aberdeen, NCNC10,0667.5%−1.7 pts

110▼63Mount Holly, NCNC19,0337.5%−4.3 pts

111▲23Wesley Chapel, NCNC9,5667.5%+1.3 pts

112▼27Hope Mills, NCNC18,3247.4%−2.0 pts

113▼18Kernersville, NCNC29,1287.3%−1.9 pts

114▲38Harrisburg, NCNC20,7427.3%+2.3 pts

115▼93Lillington, NCNC5,0407.1%−7.6 pts

116▼68New Bern, NCNC34,7247.0%−4.7 pts

117▼97Angier, NCNC9,4107.0%−8.3 pts

118▼52Anderson Creek, NCNC13,9276.9%−3.7 pts

119▲16Boone, NCNC19,9296.9%+0.8 pts

120▼46Mocksville, NCNC6,2826.8%−3.3 pts

121▼17Unionville, NCNC7,3226.8%−1.8 pts

122▼6Porters Neck, NCNC7,6546.7%−1.0 pts

123▲2Lake Norman of Catawba, NCNC9,9066.6%0.0 pts

124▼48Shelby, NCNC23,3096.4%−3.5 pts

125▲25Mebane, NCNC21,9526.3%+1.2 pts

126▼5Carrboro, NCNC20,9626.2%−0.8 pts

127▼1Matthews, NCNC32,7696.1%−0.5 pts

128▲13Tarboro, NCNC10,9796.1%+0.4 pts

129▼9Myrtle Grove, NCNC12,6375.9%−1.3 pts

130Black Mountain, NCNC8,4915.9%−0.4 pts

131▼9Cherryville, NCNC6,5235.8%−0.9 pts

132▲19Spout Springs, NCNC11,2425.5%+0.5 pts

133▼97Midland, NCNC5,1515.5%−7.1 pts

134▲31Nashville, NCNC5,9115.3%+1.6 pts

135▼8Moyock, NCNC5,6845.2%−1.4 pts

136▼3Stallings, NCNC17,7605.2%−1.0 pts

137▲23Chapel Hill, NCNC63,5655.1%+0.7 pts

138▼1Clemmons, NCNC22,8085.1%−0.9 pts

139▲33Rolesville, NCNC12,8395.1%+3.5 pts

140▼56Southern Pines, NCNC17,3575.1%−4.4 pts

141▼26Hamlet, NCNC5,8705.0%−2.7 pts

142▼28Knightdale, NCNC23,1445.0%−2.9 pts

143▼1Leland, NCNC35,7315.0%−0.7 pts

144Cary, NCNC183,5824.9%−0.6 pts

145Huntersville, NCNC68,5354.9%−0.3 pts

146▼10Indian Trail, NCNC44,3034.9%−1.2 pts

147▼70Midway, NCNC5,1044.9%−5.0 pts

148▼8Cornelius, NCNC35,0944.8%−1.0 pts

149▲14Waxhaw, NCNC23,1404.8%+0.8 pts

150▼4Wake Forest, NCNC58,1474.7%−0.5 pts

151▼44Hillsborough, NCNC9,7784.6%−3.9 pts

152▼14Fuquay-Varina, NCNC48,5364.4%−1.6 pts

153▼42Gibsonville, NCNC9,8764.4%−3.7 pts

154▼31Belmont, NCNC16,4154.2%−2.5 pts

155▼2Carolina Shores, NCNC5,5404.1%−0.9 pts

156▼39Oak Island, NCNC9,3374.0%−3.5 pts

157▲10Weddington, NCNC14,5174.0%+1.0 pts

158▲10Pleasant Garden, NCNC5,1653.9%+1.0 pts

159▲2Summerfield, NCNC11,3273.9%−0.3 pts

160▼1Ogden, NCNC8,2493.6%−0.9 pts

161▲9Marvin, NCNC7,0403.5%+1.4 pts

162▼5Apex, NCNC80,4193.5%−1.1 pts

163▼8Holly Springs, NCNC50,2883.4%−1.4 pts

164▼8Davidson, NCNC16,6623.4%−1.3 pts

165▼46Stokesdale, NCNC6,1333.4%−3.9 pts

166▼12Morrisville, NCNC32,4663.3%−1.6 pts

167▼24Elon, NCNC11,3663.1%−2.5 pts

168▼10Oak Ridge, NCNC7,8963.0%−1.5 pts

169Pinehurst, NCNC18,6702.9%+0.6 pts

170▼6Lake Norman of Iredell, NCNC12,4942.3%−1.4 pts

171▼5Westport, NCNC5,9152.0%−1.0 pts

172▼62Pittsboro, NCNC5,0541.9%−6.3 pts

173▼2Whispering Pines, NCNC5,5051.8%−0.1 pts

174▼1St. James, NCNC7,3180.9%−0.1 pts

175▼1Briar Chapel, NCNC6,0490.0%0.0 pts

SHOWING 1–175 OF 175

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES