RANKING · 2020 CENSUS · 133 SHOWN OF 133

Highest uninsured rate, Virginia counties · 2020

Virginia counties ranked by the share of residents without health insurance (2023 ACS). This list covers the 133 counties in Virginia that qualify, ranked against each other statewide.

VirginiaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

RELATEDOldest by median age Youngest by median age Most foreign-born residents Most women Most men Highest disability rate

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2000

01Galax, VAVA6,67020.4%–

02Manassas Park, VAVA16,56017.2%–

03Manassas, VAVA44,33216.7%–

04Accomack County, VAVA33,85914.0%–

05Nottoway County, VAVA15,79613.7%–

06Rappahannock County, VAVA7,43913.5%–

07Grayson County, VAVA15,23012.6%–

08Lee County, VAVA21,64212.4%–

09Page County, VAVA23,76212.3%–

10Westmoreland County, VAVA19,71512.3%–

11Petersburg, VAVA33,73412.3%–

12Emporia, VAVA5,44711.9%–

13Charlotte County, VAVA11,40111.8%–

14Cumberland County, VAVA10,35211.7%–

15Richmond, VAVA237,25711.5%–

16Carroll County, VAVA29,29911.4%–

17Norfolk, VAVA231,01311.4%–

18Bristol, VAVA16,41811.3%–

19Harrisonburg, VAVA50,83911.3%–

20Roanoke, VAVA99,11111.1%–

21Wise County, VAVA34,82410.9%–

22Greensville County, VAVA11,18110.9%–

23Mathews County, VAVA8,52910.9%–

24Greene County, VAVA21,95810.9%–

25Prince William County, VAVA502,96610.7%–

26Newport News, VAVA183,23010.7%–

27Winchester, VAVA28,27210.6%–

28Buckingham County, VAVA17,13710.4%–

29Warren County, VAVA42,74010.3%–

30Essex County, VAVA10,65410.2%–

31Rockingham County, VAVA89,31610.1%–

32Martinsville, VAVA13,84910.1%–

33Buchanan County, VAVA18,49210.0%–

34Danville, VAVA41,64710.0%–

35Waynesboro, VAVA23,95110.0%–

36Northampton County, VAVA11,8799.9%–

37Fredericksburg, VAVA30,3939.9%–

38Northumberland County, VAVA12,5579.8%–

39Bath County, VAVA4,0769.7%–

40Culpeper County, VAVA57,6669.6%–

41Alexandria, VAVA160,6629.6%–

42Franklin County, VAVA55,5269.5%–

43Henry County, VAVA49,2429.5%–

44Lancaster County, VAVA10,9959.5%–

45Surry County, VAVA6,6039.4%–

46Portsmouth, VAVA96,7779.4%–

47Staunton, VAVA26,8019.4%–

48Buena Vista, VAVA6,6729.3%–

49Floyd County, VAVA15,7898.9%–

50Smyth County, VAVA28,8828.9%–

51Sussex County, VAVA10,7558.9%–

52Scott County, VAVA21,2008.9%–

53Dinwiddie County, VAVA28,8968.8%–

54Louisa County, VAVA42,9248.8%–

55Washington County, VAVA53,8988.8%–

56Amherst County, VAVA31,9628.7%–

57Clarke County, VAVA15,6098.7%–

58Prince Edward County, VAVA22,3918.7%–

59Patrick County, VAVA17,4248.6%–

60Hopewell, VAVA23,2618.5%–

61Lynchburg, VAVA81,3478.5%–

62Dickenson County, VAVA13,2368.4%–

63Mecklenburg County, VAVA30,7478.4%–

64Williamsburg, VAVA15,8618.4%–

65Fluvanna County, VAVA28,9758.3%–

66Frederick County, VAVA99,9558.3%–

67Tazewell County, VAVA38,6358.3%–

68Brunswick County, VAVA15,7278.2%–

69Middlesex County, VAVA10,8418.2%–

70Nelson County, VAVA14,9208.2%–

71Campbell County, VAVA55,6298.2%–

72Fairfax County, VAVA1,167,8738.1%–

73Russell County, VAVA25,3328.1%–

74Charlottesville, VAVA44,3888.1%–

75Giles County, VAVA16,5648.1%–

76Wythe County, VAVA27,9838.0%–

77Charles City County, VAVA6,6237.9%–

78Fauquier County, VAVA76,5037.9%–

79Highland County, VAVA2,3187.9%–

80Lunenburg County, VAVA12,0587.9%–

81Orange County, VAVA40,0837.9%–

82Pittsylvania County, VAVA59,4907.8%–

83Stafford County, VAVA170,8037.8%–

84Appomattox County, VAVA17,1727.7%–

85Spotsylvania County, VAVA155,3887.6%–

86Bland County, VAVA6,1517.5%–

87Chesterfield County, VAVA397,1487.5%–

88Hampton, VAVA137,3157.5%–

89Norton, VAVA3,4777.5%–

90Augusta County, VAVA78,9407.4%–

91Madison County, VAVA14,2377.4%–

92Shenandoah County, VAVA45,8397.4%–

93Colonial Heights, VAVA18,7387.4%–

94Virginia Beach, VAVA453,7377.4%–

95Halifax County, VAVA33,4477.3%–

96Isle of Wight County, VAVA41,3217.3%–

97Henrico County, VAVA342,7757.3%–

98Covington, VAVA5,6807.2%–

99Rockbridge County, VAVA22,6637.0%–

100Radford, VAVA17,2436.9%–

101Amelia County, VAVA13,6326.8%–

102Chesapeake, VAVA255,3326.8%–

103Fairfax, VAVA26,7726.7%–

104Suffolk, VAVA104,6996.7%–

105Albemarle County, VAVA118,3566.4%–

106Pulaski County, VAVA33,5866.4%–

107Bedford County, VAVA83,0596.3%–

108Richmond County, VAVA9,2946.3%–

109Caroline County, VAVA34,4136.3%–

110Gloucester County, VAVA40,0976.2%–

111Arlington County, VAVA243,9316.0%–

112Southampton County, VAVA18,1106.0%–

113Salem, VAVA25,8166.0%–

114Montgomery County, VAVA98,4345.9%–

115New Kent County, VAVA28,0225.6%–

116Alleghany County, VAVA14,5465.5%–

117Loudoun County, VAVA449,7495.5%–

118James City County, VAVA83,3265.4%–

119Powhatan County, VAVA32,5915.3%–

120Craig County, VAVA4,8005.2%–

121King William County, VAVA19,6175.2%–

122Prince George County, VAVA43,9365.2%–

123Roanoke County, VAVA97,1505.1%–

124King and Queen County, VAVA6,7435.1%–

125Botetourt County, VAVA34,1445.0%–

126Hanover County, VAVA116,4234.9%–

127Lexington, VAVA7,7694.8%–

128King George County, VAVA29,6464.7%–

129Franklin, VAVA8,4784.7%–

130Goochland County, VAVA29,1873.8%–

131York County, VAVA71,3743.5%–

132Poquoson, VAVA13,2923.2%–

133Falls Church, VAVA15,1592.6%–

SHOWING 1–133 OF 133

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