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%+7%

02Greene County, NCNC20,70016.6%+9%

03Clay County, NCNC12,23915.9%+7%

04Jackson County, NCNC45,03915.8%+10%

05Hyde County, NCNC4,55415.6%−20%

06Sampson County, NCNC61,50415.6%+1%

07Duplin County, NCNC51,57115.0%−10%

08Robeson County, NCNC119,94114.2%+0%

09Tyrrell County, NCNC3,53713.9%+11%

10Alleghany County, NCNC11,47913.8%+30%

11Macon County, NCNC39,23213.7%+2%

12Anson County, NCNC21,75813.3%+29%

13Vance County, NCNC42,63813.2%+32%

14Columbus County, NCNC50,48712.7%−7%

15Avery County, NCNC18,11012.5%−15%

16Cherokee County, NCNC30,83012.5%−19%

17Graham County, NCNC8,19012.5%−7%

18Montgomery County, NCNC26,40312.5%+1%

19Henderson County, NCNC122,37512.4%+2%

20Wilson County, NCNC81,15012.2%+3%

21Lee County, NCNC70,25812.2%−7%

22Wayne County, NCNC122,27812.1%−7%

23Rutherford County, NCNC65,74512.0%−7%

24Yadkin County, NCNC38,32512.0%+7%

25Richmond County, NCNC42,04111.6%+12%

26Mecklenburg County, NCNC1,233,38311.5%+1%

27McDowell County, NCNC45,19811.5%+3%

28Nash County, NCNC99,36511.4%+9%

29Haywood County, NCNC63,36911.4%+3%

30Transylvania County, NCNC34,21111.3%−20%

31Randolph County, NCNC149,51611.1%−15%

32Burke County, NCNC88,65511.0%−8%

33Edgecombe County, NCNC49,12111.0%+9%

34Pasquotank County, NCNC42,20111.0%−7%

35Buncombe County, NCNC277,41710.9%−2%

36Surry County, NCNC72,28710.8%−13%

37Warren County, NCNC18,89810.8%+7%

38Durham County, NCNC347,24010.8%−8%

39Gaston County, NCNC246,55810.7%+4%

40Catawba County, NCNC170,17210.6%−6%

41Caldwell County, NCNC81,10510.5%−13%

42Wilkes County, NCNC66,23310.5%−9%

43Johnston County, NCNC256,44810.4%−13%

44Hoke County, NCNC56,93910.3%−18%

45Bladen County, NCNC30,00710.2%−11%

46Alamance County, NCNC186,17710.2%−6%

47Lenoir County, NCNC55,83710.1%−10%

48Pitt County, NCNC182,93610.0%−1%

49Bertie County, NCNC17,0869.9%−20%

50Polk County, NCNC20,5339.9%−7%

51Scotland County, NCNC33,3229.9%−15%

52Ashe County, NCNC27,5149.8%−13%

53Caswell County, NCNC22,5639.8%+21%

54Forsyth County, NCNC401,7189.8%−8%

55Perquimans County, NCNC13,4909.7%+8%

56Harnett County, NCNC150,1379.7%−12%

57New Hanover County, NCNC245,9599.6%−9%

58Cumberland County, NCNC338,4739.5%−9%

59Onslow County, NCNC217,1759.5%+1%

60Chatham County, NCNC85,1119.4%−5%

61Davidson County, NCNC180,1829.4%−20%

62Person County, NCNC40,6369.4%+3%

63Cleveland County, NCNC103,3259.3%−18%

64Granville County, NCNC61,4219.3%−6%

65Mitchell County, NCNC15,0629.3%−11%

66Rowan County, NCNC155,0969.3%−18%

67Watauga County, NCNC54,7869.3%−8%

68Franklin County, NCNC82,0379.2%−12%

69Jones County, NCNC9,5759.2%−39%

70Washington County, NCNC10,6389.2%−28%

71Rockingham County, NCNC94,1959.1%−3%

72Halifax County, NCNC46,5349.1%−28%

73Beaufort County, NCNC44,6709.0%−24%

74Iredell County, NCNC211,7989.0%−5%

75Stanly County, NCNC68,8309.0%−20%

76Currituck County, NCNC33,1588.8%−28%

77Davie County, NCNC45,8558.8%−21%

78Pender County, NCNC72,1118.8%−2%

79Lincoln County, NCNC98,6548.7%−3%

80Dare County, NCNC38,2458.6%−31%

81Northampton County, NCNC16,4918.6%−30%

82Hertford County, NCNC19,0158.6%−16%

83Guilford County, NCNC562,2348.4%−9%

84Madison County, NCNC22,5538.4%−25%

85Pamlico County, NCNC12,7588.4%−19%

86Chowan County, NCNC14,0828.2%−13%

87Carteret County, NCNC70,4698.1%−20%

88Alexander County, NCNC36,9588.1%−10%

89Cabarrus County, NCNC249,7257.9%+0%

90Craven County, NCNC105,0257.8%−25%

91Union County, NCNC267,6747.7%−11%

92Stokes County, NCNC46,1267.6%−28%

93Moore County, NCNC110,6197.6%−11%

94Wake County, NCNC1,257,2357.5%−12%

95Brunswick County, NCNC174,7027.5%−23%

96Yancey County, NCNC19,0847.2%−42%

97Martin County, NCNC21,6017.1%−20%

98Orange County, NCNC152,4986.5%−3%

99Gates County, NCNC10,2346.2%−25%

100Camden County, NCNC11,3154.5%−38%

SHOWING 1–100 OF 100

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES