RANKING · 2020 CENSUS · 500 SHOWN OF 918
Highest uninsured rate, US metro areas · 2020
US metro areas ranked by the share of residents without health insurance (2020 ACS). Rio Grande City-Roma, TX leads at 33.4%. 918 metro areas qualify in total. Texas carries 19 of the top 25 entries.
All statesAll rankings
RANKPLACESTATEPOPUNINSUREDVS –
USUnited States331,449,2818.8%–
UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS
Frequently asked
Which metro area has the highest uninsured?
Rio Grande City-Roma, TX ranks #1 with 33.4% (2020 Decennial Census).
What are the top 5 metro areas by uninsured?
Rio Grande City-Roma, TX, McAllen-Edinburg-Mission, TX, Eagle Pass, TX, Laredo, TX, Brownsville-Harlingen, TX.
How many metro areas are in this ranking?
918 metro areas qualify after filtering for population minimums and data availability. The ranking covers 2020 Decennial Census data.
How is uninsured measured?
Share of residents without health insurance. Source: US Census Bureau, 2020 Decennial Census.