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. The median across all 100 is 9.9%. Biggest climber in the top 100 since 2020: Vance County, NC, up 65 places to #13.

North CarolinaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Swain County, NCNC14,02423.8%+1.5 pts

02▲4Greene County, NCNC20,70016.6%+1.4 pts

03▲5Clay County, NCNC12,23915.9%+1.1 pts

04▲6Jackson County, NCNC45,03915.8%+1.4 pts

05▼3Hyde County, NCNC4,55415.6%−3.9 pts

06▼1Sampson County, NCNC61,50415.6%+0.1 pts

07▼4Duplin County, NCNC51,57115.0%−1.7 pts

08▲3Robeson County, NCNC119,94114.2%0.0 pts

09▲15Tyrrell County, NCNC3,53713.9%+1.4 pts

10▲48Alleghany County, NCNC11,47913.8%+3.2 pts

11▲4Macon County, NCNC39,23213.7%+0.3 pts

12▲58Anson County, NCNC21,75813.3%+3.0 pts

13▲65Vance County, NCNC42,63813.2%+3.2 pts

14▼1Columbus County, NCNC50,48712.7%−0.9 pts

15▼6Avery County, NCNC18,11012.5%−2.2 pts

16▼12Cherokee County, NCNC30,83012.5%−3.0 pts

17▼3Graham County, NCNC8,19012.5%−0.9 pts

18▲9Montgomery County, NCNC26,40312.5%+0.1 pts

19▲12Henderson County, NCNC122,37512.4%+0.2 pts

20▲16Wilson County, NCNC81,15012.2%+0.3 pts

21▼4Lee County, NCNC70,25812.2%−0.9 pts

22▼4Wayne County, NCNC122,27812.1%−0.9 pts

23▼4Rutherford County, NCNC65,74512.0%−0.9 pts

24▲26Yadkin County, NCNC38,32512.0%+0.8 pts

25▲44Richmond County, NCNC42,04111.6%+1.2 pts

26▲19Mecklenburg County, NCNC1,233,38311.5%+0.1 pts

27▲25McDowell County, NCNC45,19811.5%+0.3 pts

28▲34Nash County, NCNC99,36511.4%+0.9 pts

29▲26Haywood County, NCNC63,36911.4%+0.3 pts

30▼18Transylvania County, NCNC34,21111.3%−2.9 pts

31▼15Randolph County, NCNC149,51611.1%−2.0 pts

32▲2Burke County, NCNC88,65511.0%−0.9 pts

33▲41Edgecombe County, NCNC49,12111.0%+0.9 pts

34▲3Pasquotank County, NCNC42,20111.0%−0.8 pts

35▲19Buncombe County, NCNC277,41710.9%−0.2 pts

36▼8Surry County, NCNC72,28710.8%−1.6 pts

37▲39Warren County, NCNC18,89810.8%+0.7 pts

38Durham County, NCNC347,24010.8%−1.0 pts

39▲32Gaston County, NCNC246,55810.7%+0.4 pts

40▲7Catawba County, NCNC170,17210.6%−0.7 pts

41▼9Caldwell County, NCNC81,10510.5%−1.5 pts

42Wilkes County, NCNC66,23310.5%−1.0 pts

43▼8Johnston County, NCNC256,44810.4%−1.5 pts

44▼23Hoke County, NCNC56,93910.3%−2.3 pts

45▼4Bladen County, NCNC30,00710.2%−1.3 pts

46▲11Alamance County, NCNC186,17710.2%−0.7 pts

47▲4Lenoir County, NCNC55,83710.1%−1.1 pts

48▲27Pitt County, NCNC182,93610.0%−0.1 pts

49▼23Bertie County, NCNC17,0869.9%−2.5 pts

50▲10Polk County, NCNC20,5339.9%−0.7 pts

51▼11Scotland County, NCNC33,3229.9%−1.7 pts

52▼6Ashe County, NCNC27,5149.8%−1.5 pts

53▲44Caswell County, NCNC22,5639.8%+1.7 pts

54▲5Forsyth County, NCNC401,7189.8%−0.8 pts

55▲34Perquimans County, NCNC13,4909.7%+0.7 pts

56Harnett County, NCNC150,1379.7%−1.3 pts

57▲6New Hanover County, NCNC245,9599.6%−0.9 pts

58▲8Cumberland County, NCNC338,4739.5%−0.9 pts

59▲25Onslow County, NCNC217,1759.5%+0.1 pts

60▲19Chatham County, NCNC85,1119.4%−0.5 pts

61▼22Davidson County, NCNC180,1829.4%−2.3 pts

62▲25Person County, NCNC40,6369.4%+0.3 pts

63▼20Cleveland County, NCNC103,3259.3%−2.1 pts

64▲16Granville County, NCNC61,4219.3%−0.6 pts

65▼4Mitchell County, NCNC15,0629.3%−1.2 pts

66▼22Rowan County, NCNC155,0969.3%−2.1 pts

67▲10Watauga County, NCNC54,7869.3%−0.8 pts

68▼1Franklin County, NCNC82,0379.2%−1.2 pts

69▼62Jones County, NCNC9,5759.2%−5.8 pts

70▼50Washington County, NCNC10,6389.2%−3.6 pts

71▲14Rockingham County, NCNC94,1959.1%−0.3 pts

72▼50Halifax County, NCNC46,5349.1%−3.5 pts

73▼40Beaufort County, NCNC44,6709.0%−2.9 pts

74▲8Iredell County, NCNC211,7989.0%−0.5 pts

75▼22Stanly County, NCNC68,8309.0%−2.2 pts

76▼47Currituck County, NCNC33,1588.8%−3.5 pts

77▼29Davie County, NCNC45,8558.8%−2.4 pts

78▲10Pender County, NCNC72,1118.8%−0.2 pts

79▲12Lincoln County, NCNC98,6548.7%−0.3 pts

80▼57Dare County, NCNC38,2458.6%−3.9 pts

81▼51Northampton County, NCNC16,4918.6%−3.6 pts

82▼10Hertford County, NCNC19,0158.6%−1.6 pts

83▲3Guilford County, NCNC562,2348.4%−0.8 pts

84▼35Madison County, NCNC22,5538.4%−2.8 pts

85▼17Pamlico County, NCNC12,7588.4%−2.0 pts

86▼3Chowan County, NCNC14,0828.2%−1.2 pts

87▼14Carteret County, NCNC70,4698.1%−2.0 pts

88▲2Alexander County, NCNC36,9588.1%−0.9 pts

89▲9Cabarrus County, NCNC249,7257.9%0.0 pts

90▼25Craven County, NCNC105,0257.8%−2.6 pts

91▲2Union County, NCNC267,6747.7%−1.0 pts

92▼28Stokes County, NCNC46,1267.6%−2.9 pts

93▲2Moore County, NCNC110,6197.6%−0.9 pts

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

95▼14Brunswick County, NCNC174,7027.5%−2.2 pts

96▼71Yancey County, NCNC19,0847.2%−5.3 pts

97▼5Martin County, NCNC21,6017.1%−1.8 pts

98▲2Orange County, NCNC152,4986.5%−0.2 pts

99▼3Gates County, NCNC10,2346.2%−2.1 pts

100▼1Camden County, NCNC11,3154.5%−2.7 pts

SHOWING 1–100 OF 100

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