RANKING · 2020 CENSUS · 100 SHOWN OF 100

Highest uninsured rate, North Carolina counties · 2020

North Carolina counties ranked by the share of residents without health insurance (2023 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 2000

01Swain County, NCNC14,02422.3%–

02Hyde County, NCNC4,55419.5%–

03Duplin County, NCNC51,57116.7%–

04Cherokee County, NCNC30,83015.5%–

05Sampson County, NCNC61,50415.5%–

06Greene County, NCNC20,70015.2%–

07Jones County, NCNC9,57515.0%–

08Clay County, NCNC12,23914.8%–

09Avery County, NCNC18,11014.7%–

10Jackson County, NCNC45,03914.4%–

11Robeson County, NCNC119,94114.2%–

12Transylvania County, NCNC34,21114.2%–

13Columbus County, NCNC50,48713.6%–

14Graham County, NCNC8,19013.4%–

15Macon County, NCNC39,23213.4%–

16Randolph County, NCNC149,51613.1%–

17Lee County, NCNC70,25813.1%–

18Wayne County, NCNC122,27813.0%–

19Rutherford County, NCNC65,74512.9%–

20Washington County, NCNC10,63812.8%–

21Hoke County, NCNC56,93912.6%–

22Halifax County, NCNC46,53412.6%–

23Dare County, NCNC38,24512.5%–

24Tyrrell County, NCNC3,53712.5%–

25Yancey County, NCNC19,08412.5%–

26Bertie County, NCNC17,08612.4%–

27Montgomery County, NCNC26,40312.4%–

28Surry County, NCNC72,28712.4%–

29Currituck County, NCNC33,15812.3%–

30Northampton County, NCNC16,49112.2%–

31Henderson County, NCNC122,37512.2%–

32Caldwell County, NCNC81,10512.0%–

33Beaufort County, NCNC44,67011.9%–

34Burke County, NCNC88,65511.9%–

35Johnston County, NCNC256,44811.9%–

36Wilson County, NCNC81,15011.9%–

37Pasquotank County, NCNC42,20111.8%–

38Durham County, NCNC347,24011.8%–

39Davidson County, NCNC180,18211.7%–

40Scotland County, NCNC33,32211.6%–

41Bladen County, NCNC30,00711.5%–

42Wilkes County, NCNC66,23311.5%–

43Cleveland County, NCNC103,32511.4%–

44Rowan County, NCNC155,09611.4%–

45Mecklenburg County, NCNC1,233,38311.4%–

46Ashe County, NCNC27,51411.3%–

47Catawba County, NCNC170,17211.3%–

48Davie County, NCNC45,85511.2%–

49Madison County, NCNC22,55311.2%–

50Yadkin County, NCNC38,32511.2%–

51Lenoir County, NCNC55,83711.2%–

52McDowell County, NCNC45,19811.2%–

53Stanly County, NCNC68,83011.2%–

54Buncombe County, NCNC277,41711.1%–

55Haywood County, NCNC63,36911.1%–

56Harnett County, NCNC150,13711.0%–

57Alamance County, NCNC186,17710.9%–

58Alleghany County, NCNC11,47910.6%–

59Forsyth County, NCNC401,71810.6%–

60Polk County, NCNC20,53310.6%–

61Mitchell County, NCNC15,06210.5%–

62Nash County, NCNC99,36510.5%–

63New Hanover County, NCNC245,95910.5%–

64Stokes County, NCNC46,12610.5%–

65Craven County, NCNC105,02510.4%–

66Cumberland County, NCNC338,47310.4%–

67Franklin County, NCNC82,03710.4%–

68Pamlico County, NCNC12,75810.4%–

69Richmond County, NCNC42,04110.4%–

70Anson County, NCNC21,75810.3%–

71Gaston County, NCNC246,55810.3%–

72Hertford County, NCNC19,01510.2%–

73Carteret County, NCNC70,46910.1%–

74Edgecombe County, NCNC49,12110.1%–

75Pitt County, NCNC182,93610.1%–

76Warren County, NCNC18,89810.1%–

77Watauga County, NCNC54,78610.1%–

78Vance County, NCNC42,63810.0%–

79Chatham County, NCNC85,1119.9%–

80Granville County, NCNC61,4219.9%–

81Brunswick County, NCNC174,7029.7%–

82Iredell County, NCNC211,7989.5%–

83Chowan County, NCNC14,0829.4%–

84Onslow County, NCNC217,1759.4%–

85Rockingham County, NCNC94,1959.4%–

86Guilford County, NCNC562,2349.2%–

87Person County, NCNC40,6369.1%–

88Pender County, NCNC72,1119.0%–

89Perquimans County, NCNC13,4909.0%–

90Alexander County, NCNC36,9589.0%–

91Lincoln County, NCNC98,6549.0%–

92Martin County, NCNC21,6018.9%–

93Union County, NCNC267,6748.7%–

94Wake County, NCNC1,257,2358.5%–

95Moore County, NCNC110,6198.5%–

96Gates County, NCNC10,2348.3%–

97Caswell County, NCNC22,5638.1%–

98Cabarrus County, NCNC249,7257.9%–

99Camden County, NCNC11,3157.2%–

100Orange County, NCNC152,4986.7%–

SHOWING 1–100 OF 100

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES