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RANKING · 2024 ACS · 53 SHOWN OF 53

Highest uninsured rate, North Dakota counties

North Dakota counties ranked by the share of residents without health insurance (2024 ACS). This list covers the 53 counties in North Dakota that qualify, ranked against each other statewide. The median across all 53 is 5.5%. Biggest climber in the top 100 since 2020: McHenry County, ND, up 38 places to #10.

Highest uninsured rate by state
RANKPLACESTATEPOPUNINSUREDVS 2020
01▲1Rolette County, NDND11,68822.1%−3.7 pts
02▼1Sioux County, NDND3,66721.1%−11.9 pts
03▲1Mountrail County, NDND9,39515.9%−0.8 pts
04▼1Dunn County, NDND4,05814.8%−4.3 pts
05▲2Williams County, NDND41,76711.5%−1.7 pts
06▼1McKenzie County, NDND15,19210.9%−4.8 pts
07▲6Benson County, NDND5,75910.4%+1.5 pts
08▲1Divide County, NDND2,11010.0%−0.3 pts
09▲37Bottineau County, NDND6,2848.4%+4.7 pts
10▲38McHenry County, NDND5,1308.3%+5.2 pts
11Ramsey County, NDND11,5308.3%−1.7 pts
12▲23Walsh County, NDND10,1798.0%+2.8 pts
13▲37Pierce County, NDND3,8387.8%+4.9 pts
14▲10Dickey County, NDND4,8957.7%+1.7 pts
15▼9Mercer County, NDND8,4417.6%−5.9 pts
16▲6Bowman County, NDND2,7627.2%+0.6 pts
17▲1Pembina County, NDND6,5687.0%−0.8 pts
18▲20Richland County, NDND16,7316.7%+2.3 pts
19▼7Stark County, NDND34,0136.5%−2.7 pts
20▲24Steele County, NDND1,7976.4%+2.3 pts
21▲6Ward County, NDND68,2336.4%+0.5 pts
22▲11Emmons County, NDND3,2156.3%+1.1 pts
23▼6Sheridan County, NDND1,2966.3%−1.8 pts
24▲23Billings County, NDND1,0716.0%+2.7 pts
25▲11Morton County, NDND34,6015.6%+0.8 pts
26▲3Cass County, NDND201,7945.5%−0.2 pts
27▼13Stutsman County, NDND21,4145.5%−2.8 pts
28▲4Renville County, NDND2,3315.4%0.0 pts
29▼13Adams County, NDND2,2755.3%−2.8 pts
30▲15Griggs County, NDND2,2395.2%+1.4 pts
31▲18Sargent County, NDND3,7115.2%+2.1 pts
32▼22Hettinger County, NDND2,4925.0%−5.0 pts
33▲6LaMoure County, NDND4,1355.0%+0.7 pts
34▼4Eddy County, NDND2,3294.9%−0.6 pts
35▲6Foster County, NDND3,2124.9%+0.7 pts
36▼15McIntosh County, NDND2,4514.9%−2.0 pts
37▼17Oliver County, NDND1,8984.7%−2.5 pts
38▼23Towner County, NDND2,0404.6%−3.6 pts
39▼11Grand Forks County, NDND74,5014.5%−1.3 pts
40▼3Barnes County, NDND10,5734.5%−0.1 pts
41▼7Burleigh County, NDND103,2514.5%−0.7 pts
42▼11Traill County, NDND7,9204.5%−1.0 pts
43▼1Burke County, NDND2,1324.4%+0.2 pts
44▼1McLean County, NDND9,7404.4%+0.2 pts
45▲8Slope County, NDND6284.4%+3.9 pts
46▼27Cavalier County, NDND3,4974.3%−3.0 pts
47▼24Grant County, NDND2,2064.3%−2.0 pts
48▼22Nelson County, NDND2,9634.0%−1.9 pts
49▲2Wells County, NDND3,7293.7%+0.8 pts
50▲2Logan County, NDND1,8592.9%+0.7 pts
51▼11Ransom County, NDND5,6172.8%−1.5 pts
52▼44Kidder County, NDND2,3932.3%−10.6 pts
53▼28Golden Valley County, NDND1,8082.2%−3.8 pts
SHOWING 1–53 OF 53

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