RANKING · 2024 ACS · 100 SHOWN OF 100

Highest uninsured rate, North Carolina counties

North Carolina counties ranked by the share of residents without health insurance (2024 ACS). This list covers the 100 counties in North Carolina that qualify, ranked against each other statewide.

North CarolinaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Swain County, NCNC14,02423.8%+1.5 pts

02Greene County, NCNC20,70016.6%+1.4 pts

03Clay County, NCNC12,23915.9%+1.1 pts

04Jackson County, NCNC45,03915.8%+1.4 pts

05Hyde County, NCNC4,55415.6%−3.9 pts

06Sampson County, NCNC61,50415.6%+0.1 pts

07Duplin County, NCNC51,57115.0%−1.7 pts

08Robeson County, NCNC119,94114.2%+0.0 pts

09Tyrrell County, NCNC3,53713.9%+1.4 pts

10Alleghany County, NCNC11,47913.8%+3.2 pts

11Macon County, NCNC39,23213.7%+0.3 pts

12Anson County, NCNC21,75813.3%+3.0 pts

13Vance County, NCNC42,63813.2%+3.2 pts

14Columbus County, NCNC50,48712.7%−0.9 pts

15Avery County, NCNC18,11012.5%−2.2 pts

16Cherokee County, NCNC30,83012.5%−3.0 pts

17Graham County, NCNC8,19012.5%−0.9 pts

18Montgomery County, NCNC26,40312.5%+0.1 pts

19Henderson County, NCNC122,37512.4%+0.2 pts

20Wilson County, NCNC81,15012.2%+0.3 pts

21Lee County, NCNC70,25812.2%−0.9 pts

22Wayne County, NCNC122,27812.1%−0.9 pts

23Rutherford County, NCNC65,74512.0%−0.9 pts

24Yadkin County, NCNC38,32512.0%+0.8 pts

25Richmond County, NCNC42,04111.6%+1.2 pts

26Mecklenburg County, NCNC1,233,38311.5%+0.1 pts

27McDowell County, NCNC45,19811.5%+0.3 pts

28Nash County, NCNC99,36511.4%+0.9 pts

29Haywood County, NCNC63,36911.4%+0.3 pts

30Transylvania County, NCNC34,21111.3%−2.9 pts

31Randolph County, NCNC149,51611.1%−2.0 pts

32Burke County, NCNC88,65511.0%−0.9 pts

33Edgecombe County, NCNC49,12111.0%+0.9 pts

34Pasquotank County, NCNC42,20111.0%−0.8 pts

35Buncombe County, NCNC277,41710.9%−0.2 pts

36Surry County, NCNC72,28710.8%−1.6 pts

37Warren County, NCNC18,89810.8%+0.7 pts

38Durham County, NCNC347,24010.8%−1.0 pts

39Gaston County, NCNC246,55810.7%+0.4 pts

40Catawba County, NCNC170,17210.6%−0.7 pts

41Caldwell County, NCNC81,10510.5%−1.5 pts

42Wilkes County, NCNC66,23310.5%−1.0 pts

43Johnston County, NCNC256,44810.4%−1.5 pts

44Hoke County, NCNC56,93910.3%−2.3 pts

45Bladen County, NCNC30,00710.2%−1.3 pts

46Alamance County, NCNC186,17710.2%−0.7 pts

47Lenoir County, NCNC55,83710.1%−1.1 pts

48Pitt County, NCNC182,93610.0%−0.1 pts

49Bertie County, NCNC17,0869.9%−2.5 pts

50Polk County, NCNC20,5339.9%−0.7 pts

51Scotland County, NCNC33,3229.9%−1.7 pts

52Ashe County, NCNC27,5149.8%−1.5 pts

53Caswell County, NCNC22,5639.8%+1.7 pts

54Forsyth County, NCNC401,7189.8%−0.8 pts

55Perquimans County, NCNC13,4909.7%+0.7 pts

56Harnett County, NCNC150,1379.7%−1.3 pts

57New Hanover County, NCNC245,9599.6%−0.9 pts

58Cumberland County, NCNC338,4739.5%−0.9 pts

59Onslow County, NCNC217,1759.5%+0.1 pts

60Chatham County, NCNC85,1119.4%−0.5 pts

61Davidson County, NCNC180,1829.4%−2.3 pts

62Person County, NCNC40,6369.4%+0.3 pts

63Cleveland County, NCNC103,3259.3%−2.1 pts

64Granville County, NCNC61,4219.3%−0.6 pts

65Mitchell County, NCNC15,0629.3%−1.2 pts

66Rowan County, NCNC155,0969.3%−2.1 pts

67Watauga County, NCNC54,7869.3%−0.8 pts

68Franklin County, NCNC82,0379.2%−1.2 pts

69Jones County, NCNC9,5759.2%−5.8 pts

70Washington County, NCNC10,6389.2%−3.6 pts

71Rockingham County, NCNC94,1959.1%−0.3 pts

72Halifax County, NCNC46,5349.1%−3.5 pts

73Beaufort County, NCNC44,6709.0%−2.9 pts

74Iredell County, NCNC211,7989.0%−0.5 pts

75Stanly County, NCNC68,8309.0%−2.2 pts

76Currituck County, NCNC33,1588.8%−3.5 pts

77Davie County, NCNC45,8558.8%−2.4 pts

78Pender County, NCNC72,1118.8%−0.2 pts

79Lincoln County, NCNC98,6548.7%−0.3 pts

80Dare County, NCNC38,2458.6%−3.9 pts

81Northampton County, NCNC16,4918.6%−3.6 pts

82Hertford County, NCNC19,0158.6%−1.6 pts

83Guilford County, NCNC562,2348.4%−0.8 pts

84Madison County, NCNC22,5538.4%−2.8 pts

85Pamlico County, NCNC12,7588.4%−2.0 pts

86Chowan County, NCNC14,0828.2%−1.2 pts

87Carteret County, NCNC70,4698.1%−2.0 pts

88Alexander County, NCNC36,9588.1%−0.9 pts

89Cabarrus County, NCNC249,7257.9%+0.0 pts

90Craven County, NCNC105,0257.8%−2.6 pts

91Union County, NCNC267,6747.7%−1.0 pts

92Stokes County, NCNC46,1267.6%−2.9 pts

93Moore County, NCNC110,6197.6%−0.9 pts

94Wake County, NCNC1,257,2357.5%−1.0 pts

95Brunswick County, NCNC174,7027.5%−2.2 pts

96Yancey County, NCNC19,0847.2%−5.3 pts

97Martin County, NCNC21,6017.1%−1.8 pts

98Orange County, NCNC152,4986.5%−0.2 pts

99Gates County, NCNC10,2346.2%−2.1 pts

100Camden County, NCNC11,3154.5%−2.7 pts

SHOWING 1–100 OF 100

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