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 (2023 ACS). Rio Grande City-Roma, TX leads at 33.4%. 918 metro areas qualify in total. Texas carries 19 of the top 25 entries.
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RANKPLACESTATEPOPUNINSUREDVS 2000
UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES
Frequently asked
Which metro area has the highest uninsured?
Rio Grande City-Roma, TX ranks #1 with 33.4% (2020 American Community Survey).
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 ACS 5-year data.
How is uninsured measured?
Share of residents without health insurance. Source: US Census Bureau, American Community Survey 5-year estimates (2020).