RANKING · 2024 ACS · 133 SHOWN OF 133

Highest uninsured rate, Virginia counties

Virginia counties ranked by the share of residents without health insurance (2024 ACS). This list covers the 133 counties in Virginia that qualify, ranked against each other statewide.

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SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Manassas Park, VAVA16,56022.1%+28%

02Manassas, VAVA44,33219.2%+15%

03Winchester, VAVA28,27212.3%+16%

04Culpeper County, VAVA57,66611.9%+24%

05Accomack County, VAVA33,85911.0%−21%

06Bristol, VAVA16,41811.0%−3%

07Rappahannock County, VAVA7,43910.8%−20%

08Rockingham County, VAVA89,31610.6%+5%

09Harrisonburg, VAVA50,83910.5%−7%

10Nottoway County, VAVA15,79610.3%−25%

11Norton, VAVA3,47710.3%+37%

12Waynesboro, VAVA23,95110.3%+3%

13Northampton County, VAVA11,87910.1%+2%

14Lunenburg County, VAVA12,05810.0%+27%

15Prince William County, VAVA502,96610.0%−7%

16Roanoke, VAVA99,1119.8%−12%

17Buckingham County, VAVA17,1379.2%−12%

18Norfolk, VAVA231,0139.1%−20%

19Carroll County, VAVA29,2999.0%−21%

20Warren County, VAVA42,7409.0%−13%

21Essex County, VAVA10,6548.8%−14%

22Alexandria, VAVA160,6628.8%−8%

23Richmond, VAVA237,2578.8%−23%

24Sussex County, VAVA10,7558.6%−3%

25Fairfax, VAVA26,7728.5%+27%

26Martinsville, VAVA13,8498.3%−18%

27Newport News, VAVA183,2308.3%−22%

28Westmoreland County, VAVA19,7158.2%−33%

29Page County, VAVA23,7628.0%−35%

30Danville, VAVA41,6478.0%−20%

31Hopewell, VAVA23,2617.9%−7%

32Amelia County, VAVA13,6327.7%+13%

33Fredericksburg, VAVA30,3937.7%−22%

34Grayson County, VAVA15,2307.6%−40%

35Colonial Heights, VAVA18,7387.6%+3%

36Shenandoah County, VAVA45,8397.4%+0%

37Portsmouth, VAVA96,7777.4%−21%

38Floyd County, VAVA15,7897.3%−18%

39Fairfax County, VAVA1,167,8737.1%−12%

40Nelson County, VAVA14,9207.1%−13%

41Lee County, VAVA21,6427.0%−44%

42Covington, VAVA5,6807.0%−3%

43Hampton, VAVA137,3157.0%−7%

44Caroline County, VAVA34,4136.9%+10%

45Amherst County, VAVA31,9626.8%−22%

46Franklin County, VAVA55,5266.8%−28%

47Halifax County, VAVA33,4476.8%−7%

48Mathews County, VAVA8,5296.8%−38%

49Greene County, VAVA21,9586.8%−38%

50Galax, VAVA6,6706.8%−67%

51Fluvanna County, VAVA28,9756.7%−19%

52Washington County, VAVA53,8986.7%−24%

53Alleghany County, VAVA14,5466.6%+20%

54Appomattox County, VAVA17,1726.6%−14%

55Augusta County, VAVA78,9406.6%−11%

56Northumberland County, VAVA12,5576.6%−33%

57Spotsylvania County, VAVA155,3886.6%−13%

58Wise County, VAVA34,8246.5%−40%

59Chesterfield County, VAVA397,1486.5%−13%

60Lancaster County, VAVA10,9956.5%−32%

61Giles County, VAVA16,5646.5%−20%

62Petersburg, VAVA33,7346.5%−47%

63Charlotte County, VAVA11,4016.4%−46%

64Frederick County, VAVA99,9556.4%−23%

65Stafford County, VAVA170,8036.4%−18%

66Staunton, VAVA26,8016.4%−32%

67Suffolk, VAVA104,6996.4%−4%

68Henry County, VAVA49,2426.3%−34%

69Henrico County, VAVA342,7756.3%−14%

70Virginia Beach, VAVA453,7376.3%−15%

71Fauquier County, VAVA76,5036.2%−22%

72Prince Edward County, VAVA22,3916.2%−29%

73Williamsburg, VAVA15,8616.2%−26%

74Dinwiddie County, VAVA28,8966.0%−32%

75Orange County, VAVA40,0836.0%−24%

76Wythe County, VAVA27,9836.0%−25%

77Lynchburg, VAVA81,3476.0%−29%

78Albemarle County, VAVA118,3565.9%−8%

79Scott County, VAVA21,2005.9%−34%

80Mecklenburg County, VAVA30,7475.8%−31%

81Chesapeake, VAVA255,3325.8%−15%

82King and Queen County, VAVA6,7435.8%+14%

83Bedford County, VAVA83,0595.7%−10%

84Pittsylvania County, VAVA59,4905.7%−27%

85Middlesex County, VAVA10,8415.6%−32%

86Brunswick County, VAVA15,7275.5%−33%

87Pulaski County, VAVA33,5865.5%−14%

88Smyth County, VAVA28,8825.5%−38%

89Loudoun County, VAVA449,7495.4%−2%

90Louisa County, VAVA42,9245.4%−39%

91Patrick County, VAVA17,4245.4%−37%

92Arlington County, VAVA243,9315.3%−12%

93Clarke County, VAVA15,6095.3%−39%

94King William County, VAVA19,6175.3%+2%

95Prince George County, VAVA43,9365.3%+2%

96Lexington, VAVA7,7695.3%+10%

97Richmond County, VAVA9,2945.2%−17%

98Bland County, VAVA6,1515.0%−33%

99Botetourt County, VAVA34,1445.0%+0%

100Madison County, VAVA14,2375.0%−32%

101Gloucester County, VAVA40,0974.9%−21%

102Southampton County, VAVA18,1104.9%−18%

103Radford, VAVA17,2434.9%−29%

104Buchanan County, VAVA18,4924.8%−52%

105Montgomery County, VAVA98,4344.8%−19%

106Rockbridge County, VAVA22,6634.8%−31%

107James City County, VAVA83,3264.7%−13%

108Russell County, VAVA25,3324.7%−42%

109Emporia, VAVA5,4474.7%−61%

110Isle of Wight County, VAVA41,3214.7%−36%

111Campbell County, VAVA55,6294.7%−43%

112Greensville County, VAVA11,1814.6%−58%

113Charles City County, VAVA6,6234.5%−43%

114Charlottesville, VAVA44,3884.5%−44%

115Hanover County, VAVA116,4234.4%−10%

116New Kent County, VAVA28,0224.4%−21%

117Dickenson County, VAVA13,2364.3%−49%

118Powhatan County, VAVA32,5914.3%−19%

119Buena Vista, VAVA6,6724.3%−54%

120Salem, VAVA25,8164.3%−28%

121Tazewell County, VAVA38,6354.1%−51%

122Cumberland County, VAVA10,3524.0%−66%

123Highland County, VAVA2,3183.9%−51%

124Roanoke County, VAVA97,1503.9%−24%

125York County, VAVA71,3743.6%+3%

126King George County, VAVA29,6463.3%−30%

127Surry County, VAVA6,6033.1%−67%

128Craig County, VAVA4,8003.1%−40%

129Franklin, VAVA8,4782.9%−38%

130Goochland County, VAVA29,1872.6%−32%

131Bath County, VAVA4,0762.5%−74%

132Poquoson, VAVA13,2922.3%−28%

133Falls Church, VAVA15,1591.7%−35%

SHOWING 1–133 OF 133

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