RANKING · 2024 ACS · 500 SHOWN OF 3,144

Highest uninsured rate, US counties

US counties ranked by the share of residents without health insurance (2024 ACS). Oglala Lakota County, South Dakota leads at 44.6%. 3,144 counties qualify in total. Texas carries 14 of the top 25 entries.

All statesAll rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

USUnited States334,922,4998.4%–

01Oglala Lakota County, SDSD13,33844.6%+6.9 pts

02LaGrange County, ININ41,30544.4%+1.8 pts

03Buffalo County, SDSD1,80243.0%+2.6 pts

04Holmes County, OHOH44,97041.5%−0.3 pts

05Scotland County, MOMO4,79639.0%+5.3 pts

06Gaines County, TXTX23,95636.7%+6.8 pts

07Aleutians East, AKAK3,47935.6%−4.1 pts

08Presidio County, TXTX5,43333.6%+8.4 pts

09Lake and Peninsula, AKAK1,35732.2%+6.3 pts

10Hudspeth County, TXTX3,43331.4%+0.8 pts

11Jim Hogg County, TXTX4,55529.0%+10.5 pts

12Starr County, TXTX66,31928.9%−4.5 pts

13Bailey County, TXTX6,96328.6%−3.7 pts

14Hidalgo County, TXTX921,54928.2%−2.4 pts

15Bennett County, SDSD3,30727.7%+3.8 pts

16Zapata County, TXTX13,75327.6%+1.7 pts

17Jackson County, SDSD2,66627.4%+0.5 pts

18Webb County, TXTX281,22427.3%−1.4 pts

19Cochran County, TXTX2,54627.2%+3.8 pts

20San Saba County, TXTX5,78727.0%+2.5 pts

21Terry County, TXTX11,72026.9%+1.9 pts

22Sterling County, TXTX1,34926.4%−8.8 pts

23Liberty County, TXTX121,36426.2%+2.8 pts

24Atkinson County, GAGA8,45426.1%+5.2 pts

25Ziebach County, SDSD2,38926.0%−2.7 pts

26Cameron County, TXTX433,94625.8%−2.8 pts

27Stanton County, KSKS1,98625.8%+6.2 pts

28Ochiltree County, TXTX9,28425.6%+2.0 pts

29Knox County, MOMO3,72825.5%+5.3 pts

30Hamilton County, KSKS2,50025.4%+0.9 pts

31Roosevelt County, MTMT10,24225.2%−2.0 pts

32Glasscock County, TXTX1,12825.1%+3.2 pts

33Lamb County, TXTX12,57925.1%+1.4 pts

34Davis County, IAIA9,23025.1%−0.5 pts

35Mellette County, SDSD2,13725.0%−12.1 pts

36Yakutat, AKAK67224.9%+5.1 pts

37Kenedy County, TXTX31924.8%−2.6 pts

38Macon County, GAGA11,75624.7%+3.9 pts

39Yukon-Koyukuk Census Area, AKAK5,02824.5%+1.8 pts

40Dallam County, TXTX7,50824.4%−3.1 pts

41Parmer County, TXTX9,67824.1%+7.8 pts

42Morgan County, MOMO22,41824.0%+0.8 pts

43Willacy County, TXTX19,97123.9%−3.2 pts

44Swain County, NCNC14,02423.8%+1.5 pts

45Glacier County, MTMT13,46323.6%−13.5 pts

46Menard County, TXTX1,95623.6%−7.2 pts

47Wheeler County, GAGA7,57023.6%+5.3 pts

48Maverick County, TXTX58,82323.4%−5.8 pts

49Swisher County, TXTX6,70323.3%+1.6 pts

50Floyd County, TXTX4,88123.3%+0.0 pts

51Golden Valley County, MTMT84422.9%+12.9 pts

52Todd County, SDSD8,86322.8%−6.3 pts

53Moore County, TXTX21,89122.8%+3.2 pts

54Schleicher County, TXTX2,24522.8%−2.8 pts

55Glades County, FLFL13,27022.8%+2.3 pts

56Stewart County, GAGA4,63122.6%+10.1 pts

57Yoakum County, TXTX7,43822.5%−3.1 pts

58Clark County, WIWI35,05222.5%+2.1 pts

59Dawson County, TXTX11,77622.5%+6.4 pts

60Coal County, OKOK5,43622.4%+1.3 pts

61Andrews County, TXTX18,91422.4%+2.3 pts

62Duval County, TXTX9,40222.2%+2.8 pts

63Castro County, TXTX7,29522.2%−0.7 pts

64Rolette County, NDND11,68822.1%−3.7 pts

65Ector County, TXTX173,80122.1%+1.9 pts

66Collingsworth County, TXTX2,48722.1%−1.5 pts

67Manassas Park, VAVA16,56022.1%+4.9 pts

68Clinch County, GAGA6,84722.0%+0.7 pts

69Jeff Davis County, GAGA15,21921.9%+3.0 pts

70Owyhee County, IDID12,66121.9%−0.2 pts

71Daviess County, ININ34,20921.9%−3.7 pts

72Bastrop County, TXTX118,90821.8%+4.3 pts

73Big Horn County, MTMT12,75221.7%−6.0 pts

74Kinney County, TXTX3,12821.7%+4.4 pts

75Hendry County, FLFL48,27621.7%−2.6 pts

76El Paso County, TXTX877,85821.6%+1.1 pts

77Titus County, TXTX31,56321.5%+3.4 pts

78Webster County, GAGA2,36921.5%+3.5 pts

79Platte County, WYWY8,63421.5%+12.1 pts

80Dallas County, TXTX2,661,39721.5%+0.7 pts

81Brooks County, TXTX6,57921.4%−4.2 pts

82Caldwell County, TXTX55,15021.4%−0.1 pts

83Lyman County, SDSD3,69421.3%+4.7 pts

84Hansford County, TXTX4,94421.3%+3.8 pts

85Coleman County, TXTX7,91521.3%−3.5 pts

86Dewey County, SDSD5,41921.2%−4.6 pts

87Wheeler County, TXTX4,77321.2%+0.1 pts

88Sioux County, NDND3,66721.1%−11.9 pts

89Echols County, GAGA3,68521.1%−4.2 pts

90Deaf Smith County, TXTX18,62621.0%−1.1 pts

91Hale County, TXTX31,81921.0%−1.8 pts

92Harris County, TXTX5,045,02620.9%+0.5 pts

93Jim Wells County, TXTX38,80420.9%+4.3 pts

94Shelby County, TXTX24,28620.9%−0.8 pts

95Bristol Bay, AKAK84720.8%+4.7 pts

96Comanche County, TXTX14,43220.7%+7.1 pts

97Motley County, TXTX1,04320.7%+1.8 pts

98Telfair County, GAGA11,19520.7%+11.1 pts

99Adams County, ININ36,65020.7%+1.2 pts

100Baylor County, TXTX3,47220.6%+5.9 pts

101Jefferson County, TXTX254,32120.6%+0.8 pts

102Throckmorton County, TXTX1,55420.6%+5.9 pts

103Colquitt County, GAGA47,43820.5%−1.6 pts

104Menominee County, WIWI4,19920.5%−4.9 pts

105Todd County, KYKY12,97220.4%+0.8 pts

106Crosby County, TXTX4,85220.2%−0.1 pts

107Hardee County, FLFL25,93220.1%+8.4 pts

108Brantley County, GAGA18,93620.1%+3.4 pts

109Waller County, TXTX69,85820.1%+0.3 pts

110Wayne County, GAGA32,48120.0%+3.8 pts

111Cherokee County, TXTX53,33719.9%−0.9 pts

112DeSoto County, FLFL37,07819.9%+0.6 pts

113Cimarron County, OKOK2,05919.8%+7.2 pts

114Briscoe County, TXTX1,47419.8%−1.9 pts

115McCulloch County, TXTX7,47219.8%+0.7 pts

116Yates County, NYNY24,54719.7%+3.0 pts

117Atascosa County, TXTX53,59019.5%+0.8 pts

118Camp County, TXTX13,38019.5%+1.9 pts

119Irwin County, GAGA9,02019.5%+1.4 pts

120San Augustine County, TXTX7,72219.4%+4.2 pts

121Jones County, TXTX20,86119.3%+1.8 pts

122Potter County, TXTX114,45319.3%−2.8 pts

123Lamar County, TXTX51,50319.3%+2.4 pts

124Atoka County, OKOK14,60919.2%+0.9 pts

125Culberson County, TXTX2,26719.2%−7.5 pts

126Edwards County, TXTX1,37019.2%−1.8 pts

127Newton County, TXTX11,95419.2%−2.0 pts

128Manassas, VAVA44,33219.2%+2.5 pts

129Hockley County, TXTX21,60019.1%+0.4 pts

130Gooding County, IDID16,44619.1%+1.4 pts

131Foard County, TXTX1,04419.1%+4.6 pts

132Hoonah-Angoon Census Area, AKAK2,27119.0%−3.9 pts

133Reagan County, TXTX3,16619.0%−3.1 pts

134Winkler County, TXTX7,54019.0%−5.8 pts

135Baker County, GAGA2,72519.0%+5.4 pts

136Ben Hill County, GAGA17,09919.0%−1.1 pts

137Oldham County, TXTX1,78318.9%+7.7 pts

138Burnet County, TXTX57,01518.9%+1.8 pts

139Ward County, TXTX11,12518.9%+2.9 pts

140Bee County, TXTX32,51518.8%+0.2 pts

141Jasper County, TXTX33,07518.8%−0.2 pts

142Upton County, TXTX3,13118.8%+11.3 pts

143Bryan County, OKOK51,36718.7%−0.3 pts

144Harmon County, OKOK2,32718.7%+1.3 pts

145Hopkins County, TXTX39,06318.7%+0.1 pts

146San Patricio County, TXTX72,05318.7%+2.3 pts

147Uvalde County, TXTX24,96318.7%−1.5 pts

148Moniteau County, MOMO15,42818.6%+3.2 pts

149Crane County, TXTX4,55418.6%+0.0 pts

150Hill County, TXTX39,50318.6%+2.0 pts

151Young County, TXTX18,15418.6%−0.4 pts

152Aleutians West Census Area, AKAK5,24018.5%+1.3 pts

153Adair County, OKOK19,82818.5%−7.5 pts

154Pushmataha County, OKOK10,80718.5%−1.0 pts

155Anderson County, TXTX59,80518.5%+4.0 pts

156McDonald County, MOMO23,99218.4%−2.8 pts

157McIntosh County, OKOK19,75818.4%−3.7 pts

158Hemphill County, TXTX3,08318.4%−4.2 pts

159Navarro County, TXTX57,18118.4%+0.8 pts

160Van Zandt County, TXTX66,13018.4%+0.9 pts

161Blaine County, MTMT6,86018.3%+3.0 pts

162Grimes County, TXTX34,25218.3%+3.1 pts

163Live Oak County, TXTX11,92918.3%+0.6 pts

164Franklin County, GAGA25,94818.3%+3.1 pts

165Apache County, AZAZ64,44518.2%−8.0 pts

166Cherokee County, OKOK49,19618.2%−3.8 pts

167Roberts County, SDSD10,25518.2%−2.6 pts

168Palo Pinto County, TXTX30,79118.2%+1.2 pts

169Northwest Arctic, AKAK7,09518.1%−5.1 pts

170Marshall County, OKOK16,25518.1%+1.4 pts

171Lipscomb County, TXTX2,95518.1%−1.1 pts

172Grady County, GAGA26,59018.1%−1.0 pts

173Whitfield County, GAGA106,21218.1%+0.4 pts

174Garza County, TXTX4,51018.0%+8.5 pts

175Gonzales County, TXTX20,15918.0%+0.0 pts

176Jack County, TXTX9,56318.0%+2.1 pts

177Wheatland County, MTMT2,10017.9%+4.1 pts

178Saluda County, SCSC19,68017.9%+1.8 pts

179Matagorda County, TXTX36,46317.9%+0.5 pts

180Donley County, TXTX3,21317.9%+2.5 pts

181Coffee County, GAGA44,40717.9%+2.3 pts

182Mitchell County, GAGA20,46717.9%−2.1 pts

183Choctaw County, OKOK14,05917.7%−3.5 pts

184Angelina County, TXTX88,15417.7%−0.9 pts

185Gray County, TXTX20,91917.7%−3.1 pts

186San Jacinto County, TXTX29,48817.7%−0.9 pts

187Limestone County, TXTX22,84917.7%−1.2 pts

188Knox County, TXTX3,19217.7%+1.2 pts

189Bosque County, TXTX18,91817.6%+0.7 pts

190Clay County, TXTX10,76417.6%+4.9 pts

191Nueces County, TXTX352,99217.6%−0.1 pts

192Calhoun County, FLFL13,28917.6%+1.5 pts

193La Salle County, TXTX6,51717.5%−5.8 pts

194Mitchell County, TXTX8,94717.5%+0.2 pts

195Rains County, TXTX13,54217.5%−0.6 pts

196Reeves County, TXTX12,13817.5%−3.8 pts

197Fremont County, WYWY39,46417.5%−1.8 pts

198Val Verde County, TXTX47,83517.5%−4.3 pts

199San Juan County, UTUT14,54217.5%−2.7 pts

200Le Flore County, OKOK50,19617.4%−1.8 pts

201Concho County, TXTX3,60717.4%+10.8 pts

202Van Buren County, IAIA7,13117.4%+6.1 pts

203Haskell County, KSKS3,59917.4%−0.6 pts

204Bledsoe County, TNTN15,92017.3%+0.9 pts

205Kerr County, TXTX54,03717.3%+0.1 pts

206Marion County, GAGA7,67617.3%+4.6 pts

207Leon County, TXTX16,89417.2%−1.9 pts

208Okeechobee County, FLFL42,60817.2%+1.9 pts

209Victoria County, TXTX92,65617.2%−0.1 pts

210Daviess County, MOMO8,55817.1%+2.2 pts

211Seminole County, OKOK23,44117.1%−3.8 pts

212Charles Mix County, SDSD9,30317.1%−2.2 pts

213Martin County, TXTX5,28417.1%+8.9 pts

214Wood County, TXTX49,68817.1%+1.3 pts

215Dixie County, FLFL18,03817.1%+0.1 pts

216Lanier County, GAGA10,62317.1%+4.4 pts

217Clark County, IDID78317.1%−9.1 pts

218Prince of Wales-Hyder Census Area, AKAK5,77717.0%−5.0 pts

219DeWitt County, TXTX20,30917.0%+2.9 pts

220Hunt County, TXTX123,33617.0%+1.0 pts

221Panola County, TXTX23,01817.0%+0.7 pts

222Clayton County, GAGA297,47117.0%−1.3 pts

223Jefferson County, GAGA15,01117.0%+4.4 pts

224Wyandotte County, KSKS170,59717.0%−0.1 pts

225Sharkey County, MSMS3,09716.9%−0.7 pts

226Corson County, SDSD3,78116.9%−7.2 pts

227Falls County, TXTX17,86916.9%+2.3 pts

228Smith County, TXTX252,54916.9%+0.4 pts

229Ware County, GAGA36,90616.8%+1.1 pts

230McKinley County, NMNM68,11916.8%−3.1 pts

231Caddo County, OKOK26,13016.8%−0.9 pts

232Jackson County, TXTX15,39316.8%−1.2 pts

233Scurry County, TXTX16,16216.8%−2.9 pts

234Appling County, GAGA19,10016.8%+4.5 pts

235Austin County, TXTX33,62516.7%+2.1 pts

236Henderson County, TXTX88,59516.7%−1.9 pts

237Runnels County, TXTX9,69316.7%+3.7 pts

238Tarrant County, TXTX2,248,46616.7%+0.3 pts

239Franklin County, FLFL13,02916.7%−2.1 pts

240Greene County, NCNC20,70016.6%+1.4 pts

241Gregg County, TXTX126,09516.5%−1.3 pts

242Hartley County, TXTX4,90416.5%−2.2 pts

243Pecos County, TXTX14,56016.5%−2.6 pts

244Red River County, TXTX11,81616.5%+1.9 pts

245Hall County, GAGA226,56816.5%−0.3 pts

246Oregon County, MOMO8,70916.3%+0.8 pts

247Johnson County, TXTX218,04816.3%−0.4 pts

248Sherman County, TXTX2,78116.3%−1.0 pts

249Pontotoc County, OKOK38,52816.3%−1.1 pts

250Fergus County, MTMT11,82516.2%+5.4 pts

251Rosebud County, MTMT8,25316.2%−0.4 pts

252Haskell County, TXTX5,49916.2%−1.6 pts

253Real County, TXTX2,74516.2%−6.5 pts

254Kleberg County, TXTX30,31516.2%+0.7 pts

255Grundy County, MOMO9,74416.2%−1.3 pts

256Charlton County, GAGA13,12116.2%−1.4 pts

257Grant County, KSKS7,02816.2%+0.6 pts

258Garvin County, OKOK26,37716.1%−1.5 pts

259Haskell County, OKOK11,78716.1%−1.8 pts

260Cooke County, TXTX44,46116.1%+0.8 pts

261Lee County, TXTX18,72916.1%+0.8 pts

262Refugio County, TXTX6,65716.1%+1.9 pts

263Brooks County, GAGA16,10116.1%+0.7 pts

264Douglas County, SDSD2,88816.0%+0.4 pts

265Bexar County, TXTX2,160,08816.0%+0.1 pts

266Trinity County, TXTX14,38416.0%−3.2 pts

267Emanuel County, GAGA23,14716.0%−2.8 pts

268Toombs County, GAGA27,54516.0%−1.9 pts

269Adams County, WAWA21,48816.0%+0.1 pts

270Dillingham Census Area, AKAK4,48315.9%−2.8 pts

271Navajo County, AZAZ109,94615.9%+2.4 pts

272Dallas County, MOMO18,02515.9%+0.4 pts

273Wilkinson County, MSMS7,58215.9%+1.3 pts

274Clay County, NCNC12,23915.9%+1.1 pts

275Mountrail County, NDND9,39515.9%−0.8 pts

276Ottawa County, OKOK30,43815.9%−1.6 pts

277Chambers County, TXTX57,59415.9%+4.7 pts

278Hardin County, TXTX58,72315.9%−0.1 pts

279Ford County, KSKS33,99315.9%+3.5 pts

280Noxubee County, MSMS9,79815.8%−0.4 pts

281Perry County, MSMS11,57715.8%+1.4 pts

282Jackson County, NCNC45,03915.8%+1.4 pts

283Karnes County, TXTX15,01815.8%+1.0 pts

284Llano County, TXTX23,35315.8%−0.9 pts

285Sutton County, TXTX3,20315.8%−1.5 pts

286Grayson County, TXTX153,61315.7%−0.2 pts

287Milam County, TXTX26,25815.7%+0.0 pts

288Tyler County, TXTX20,44315.7%−1.5 pts

289Yuma County, COCO9,89615.7%+3.8 pts

290Gadsden County, FLFL44,29815.7%+2.8 pts

291Evans County, GAGA11,02815.7%−2.1 pts

292Dent County, MOMO14,58415.6%+0.1 pts

293Ripley County, MOMO10,71715.6%−0.2 pts

294Hyde County, NCNC4,55415.6%−3.9 pts

295Sampson County, NCNC61,50415.6%+0.1 pts

296Hall County, TXTX2,73715.6%−6.3 pts

297Garfield County, COCO63,47415.6%−2.2 pts

298Madison County, GAGA32,91915.6%+1.2 pts

299Hardeman County, TXTX3,29215.6%+2.5 pts

300Wichita County, TXTX129,55515.6%+0.8 pts

301DeKalb County, ALAL74,08515.5%+1.8 pts

302Greene County, MSMS13,70715.5%+3.7 pts

303Leake County, MSMS21,66215.5%+1.7 pts

304Schuyler County, MOMO4,14015.5%−0.1 pts

305Webster County, MOMO43,05415.5%+0.0 pts

306Latimer County, OKOK9,64515.5%−4.0 pts

307Callahan County, TXTX14,49115.5%−2.5 pts

308Tom Green County, TXTX120,60215.5%+2.2 pts

309Brown County, TXTX38,71115.5%+0.8 pts

310Kemper County, MSMS8,60015.4%+2.6 pts

311Nacogdoches County, TXTX66,03515.4%−2.4 pts

312Brewster County, TXTX9,45815.4%−2.8 pts

313Barrow County, GAGA99,77315.4%+0.1 pts

314Gordon County, GAGA61,70115.4%−1.1 pts

315Douglas County, ILIL19,88015.4%−0.5 pts

316Walker County, TXTX83,84215.4%+3.1 pts

317Lake County, TNTN6,24915.3%−0.3 pts

318Eastland County, TXTX18,14315.3%−1.4 pts

319Cook County, GAGA18,23215.3%−3.6 pts

320Wilkes County, GAGA9,54015.3%+2.1 pts

321Santa Cruz County, AZAZ50,02015.2%+3.5 pts

322Wayne County, MSMS19,80715.2%+1.5 pts

323Nowata County, OKOK9,52215.2%−2.3 pts

324Erath County, TXTX43,91115.2%+0.3 pts

325Terrell County, TXTX70215.2%+5.5 pts

326San Miguel County, COCO7,75315.2%+5.6 pts

327Gwinnett County, GAGA1,018,09915.2%−0.5 pts

328Beaver County, UTUT7,30115.2%+4.9 pts

329Van Buren County, TNTN6,87415.1%+0.9 pts

330Claiborne County, MSMS8,05815.1%−3.9 pts

331Dunklin County, MOMO26,85515.1%−1.8 pts

332Sequoyah County, OKOK40,84215.1%−5.1 pts

333Montgomery County, TXTX781,19415.1%+0.4 pts

334Candler County, GAGA11,27515.1%−3.3 pts

335Frio County, TXTX18,82315.1%−4.3 pts

336McCurtain County, OKOK30,74415.0%−7.1 pts

337Colleton County, SCSC39,38215.0%+2.3 pts

338Ellis County, TXTX240,86715.0%−0.7 pts

339McMullen County, TXTX54415.0%−9.9 pts

340Duplin County, NCNC51,57115.0%−1.7 pts

341Kaufman County, TXTX209,23515.0%+1.6 pts

342Vernon County, WIWI31,44315.0%+0.9 pts

343Franklin County, TXTX10,99415.0%−0.5 pts

344Sevier County, ARAR15,75814.9%−1.2 pts

345Bacon County, GAGA11,07014.9%−4.2 pts

346Tallahatchie County, MSMS10,87714.9%+0.8 pts

347Lincoln County, MTMT22,32814.9%+5.4 pts

348Lea County, NMNM74,74914.9%+1.8 pts

349Craig County, OKOK14,51814.9%−0.8 pts

350Mayes County, OKOK40,41614.9%−1.6 pts

351Polk County, TNTN18,59214.9%+0.9 pts

352Orange County, TXTX86,26614.9%−1.3 pts

353Wise County, TXTX83,77814.9%−2.2 pts

354Zavala County, TXTX9,03714.9%−1.3 pts

355Berrien County, GAGA18,93214.9%−6.8 pts

356Power County, IDID8,24614.9%+0.5 pts

357Parke County, ININ16,64214.9%+1.4 pts

358Okanogan County, WAWA45,23014.9%+3.6 pts

359Southeast Fairbanks Census Area, AKAK7,27014.8%−2.0 pts

360Irion County, TXTX1,46314.8%+0.1 pts

361Pittsburg County, OKOK43,32014.8%−1.5 pts

362Quitman County, GAGA2,25414.8%−9.8 pts

363Cedar County, MOMO14,88814.8%−2.0 pts

364Dunn County, NDND4,05814.8%−4.3 pts

365Bartow County, GAGA120,80014.8%−0.1 pts

366Seminole County, GAGA9,16214.8%−3.4 pts

367Jerome County, IDID26,36214.8%−3.5 pts

368Johnston County, OKOK10,44814.7%+0.0 pts

369Blanco County, TXTX13,58114.7%+0.2 pts

370Walton County, FLFL93,28814.7%+0.3 pts

371Carter County, MOMO5,41814.6%−3.4 pts

372Taney County, MOMO57,00114.6%−1.2 pts

373Bedford County, TNTN55,27314.6%+3.3 pts

374Dodge County, GAGA19,66314.6%+4.0 pts

375Gilmer County, GAGA33,89414.6%−4.1 pts

376Jenkins County, GAGA8,84314.6%−3.7 pts

377Stephens County, GAGA27,85414.6%−0.4 pts

378Twiggs County, GAGA7,59714.6%+4.3 pts

379Lake County, MTMT33,39214.5%+0.9 pts

380Jasper County, SCSC38,53314.5%−1.2 pts

381Jeff Davis County, TXTX1,71114.5%−9.6 pts

382Midland County, TXTX187,85514.5%−2.3 pts

383Montague County, TXTX21,96614.5%−0.7 pts

384Dimmit County, TXTX8,02414.5%−6.8 pts

385Terrell County, GAGA8,65614.5%−3.4 pts

386Hamilton County, FLFL14,18014.5%−1.8 pts

387Crisp County, GAGA19,23714.5%−4.4 pts

388Habersham County, GAGA50,41614.5%−0.2 pts

389Tift County, GAGA42,25414.5%−3.8 pts

390Teton County, IDID13,25414.5%+5.0 pts

391Washington County, TXTX38,28814.5%+2.8 pts

392Polk County, TXTX53,43414.4%−3.4 pts

393Kimball County, NENE3,39114.4%+0.0 pts

394Hughes County, OKOK13,45514.4%−5.1 pts

395Vernon County, MOMO19,94614.4%−0.4 pts

396Bay County, FLFL204,47914.4%+0.8 pts

397Fannin County, GAGA26,11114.4%+2.6 pts

398Carter County, OKOK48,91014.3%−2.0 pts

399Lawrence County, TNTN46,91414.3%+0.1 pts

400Lewis County, TNTN13,48714.3%+4.5 pts

401Fannin County, TXTX39,26514.3%−3.2 pts

402Marion County, TXTX9,89614.3%+4.3 pts

403Lowndes County, GAGA122,86714.3%−0.9 pts

404Benewah County, IDID10,50814.3%+3.1 pts

405Carroll County, ARAR29,26314.2%+2.7 pts

406Robeson County, NCNC119,94114.2%+0.0 pts

407Childress County, TXTX6,64314.2%−2.8 pts

408Hood County, TXTX70,50114.2%+0.6 pts

409McLennan County, TXTX272,02014.2%−0.1 pts

410Idaho County, IDID17,87414.2%+1.2 pts

411Calhoun County, GAGA5,41314.2%−1.1 pts

412Elkhart County, ININ208,77414.2%−0.8 pts

413Stevens County, KSKS4,98414.2%−2.3 pts

414Hardin County, TNTN27,98314.2%+2.0 pts

415Wharton County, TXTX42,06014.2%−5.0 pts

416Polk County, MOMO33,60414.1%+0.1 pts

417Harper County, OKOK3,17214.1%−0.2 pts

418Tripp County, SDSD5,70814.1%+5.7 pts

419Taylor County, TXTX150,07714.1%−0.1 pts

420Harrison County, TXTX71,95614.1%−1.5 pts

421Putnam County, FLFL77,73414.1%−2.3 pts

422Washington County, FLFL26,69514.1%−1.8 pts

423Moultrie County, ILIL14,37114.1%−0.1 pts

424Nome Census Area, AKAK9,83014.0%−5.1 pts

425Yuma County, AZAZ224,44914.0%+1.4 pts

426Lawrence County, MOMO39,40114.0%+0.2 pts

427Jefferson County, OKOK5,43114.0%−1.1 pts

428Bell County, TXTX402,24814.0%+0.5 pts

429Sumter County, GAGA28,80114.0%+1.8 pts

430Boundary County, IDID13,99714.0%−4.6 pts

431Rabun County, GAGA17,76413.9%−2.8 pts

432Gentry County, MOMO6,38413.9%+2.5 pts

433Tyrrell County, NCNC3,53713.9%+1.4 pts

434Wayne County, OHOH116,75813.9%+1.1 pts

435Muskogee County, OKOK66,70813.9%−2.5 pts

436Archer County, TXTX9,12913.9%−1.2 pts

437Gillespie County, TXTX28,52713.9%−6.0 pts

438Lubbock County, TXTX328,90613.9%+0.6 pts

439Greene County, GAGA21,36713.9%−2.6 pts

440Tattnall County, GAGA24,37613.9%−1.3 pts

441Alleghany County, NCNC11,47913.8%+3.2 pts

442Stephens County, TXTX9,38013.8%−6.3 pts

443Upshur County, TXTX44,41013.8%−1.3 pts

444Weston County, WYWY6,84013.8%+2.0 pts

445Highlands County, FLFL111,12213.8%+1.5 pts

446Burke County, GAGA24,40813.8%+3.7 pts

447Decatur County, GAGA29,43213.8%−2.5 pts

448Heard County, GAGA12,14913.8%+1.8 pts

449Johnson County, GAGA9,31013.8%−1.3 pts

450Murray County, GAGA41,60713.8%−1.2 pts

451Juniata County, PAPA23,40313.8%+2.3 pts

452Greene County, ALAL7,06713.7%−2.9 pts

453Sierra County, CACA3,09813.7%+6.3 pts

454Lake County, COCO7,55213.7%−1.4 pts

455Early County, GAGA10,45513.7%−5.7 pts

456Audrain County, MOMO24,52813.7%+2.4 pts

457Sanders County, MTMT14,06213.7%+4.0 pts

458Macon County, NCNC39,23213.7%+0.3 pts

459Delaware County, OKOK41,91013.7%−5.2 pts

460Marion County, SCSC28,24213.7%−0.1 pts

461Kimble County, TXTX4,43813.7%−6.0 pts

462Rusk County, TXTX54,85413.7%−3.0 pts

463Oklahoma County, OKOK822,12513.7%−0.4 pts

464Montgomery County, GAGA8,63513.7%−2.0 pts

465Union County, GAGA27,85913.7%+0.5 pts

466Wilcox County, GAGA8,79713.7%−3.2 pts

467Harrison County, MOMO8,28113.6%+4.7 pts

468Okfuskee County, OKOK11,45113.6%−7.5 pts

469Conejos County, COCO7,52913.6%+2.0 pts

470Miami-Dade County, FLFL2,802,02913.6%−2.6 pts

471Bibb County, GAGA157,55613.6%+1.5 pts

472Grant County, WAWA105,72713.6%+1.8 pts

473Galveston County, TXTX372,20713.6%+0.6 pts

474Howard County, TXTX30,50413.6%−3.2 pts

475North Slope, AKAK10,58213.5%−6.0 pts

476Marion County, MSMS24,00113.5%−1.6 pts

477Wayne County, MOMO10,78213.5%+0.5 pts

478Wright County, MOMO19,67113.5%−3.3 pts

479Cass County, TXTX28,65113.5%−0.1 pts

480Hamilton County, TXTX8,68013.5%−2.9 pts

481Mason County, TXTX3,99013.5%−1.0 pts

482Floyd County, GAGA101,37813.5%−1.4 pts

483Washington County, GAGA19,45313.5%+2.3 pts

484Copper River Census Area, AKAK2,66613.4%−6.5 pts

485Johnson County, TNTN18,71813.4%+0.7 pts

486Perry County, TNTN9,12613.4%−1.6 pts

487Bowie County, TXTX92,69613.4%−0.2 pts

488Goliad County, TXTX7,20813.4%+3.6 pts

489Shackelford County, TXTX3,19713.4%−1.7 pts

490Minidoka County, IDID22,91113.4%−5.1 pts

491Sevier County, TNTN101,34213.3%−0.5 pts

492Clarke County, MSMS15,10213.3%+0.5 pts

493Texas County, MOMO25,99413.3%−4.6 pts

494Hidalgo County, NMNM3,92913.3%+8.8 pts

495Anson County, NCNC21,75813.3%+3.0 pts

496Tulsa County, OKOK698,78213.3%−0.8 pts

497Nolan County, TXTX14,11713.3%−3.8 pts

498Pike County, GAGA20,93213.3%+1.4 pts

499Montrose County, COCO44,59113.3%+1.7 pts

500Bandera County, TXTX22,87613.3%−3.8 pts

SHOWING 1–500 OF 3,144

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Download CSV (full list, 3,144 rows)

UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which county has the highest uninsured?

Oglala Lakota County, South Dakota ranks #1 with 44.6% (2024 American Community Survey).

What are the top 5 counties by uninsured?

Oglala Lakota County, South Dakota, LaGrange County, Indiana, Buffalo County, South Dakota, Holmes County, Ohio, Scotland County, Missouri.

How many counties are in this ranking?

3,144 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is uninsured measured?

Share of residents without health insurance. Source: US Census Bureau, American Community Survey 5-year estimates (2024).