RANKING · 2020 CENSUS · 51 SHOWN OF 51

Highest uninsured rate, US states · 2020

US states ranked by the share of residents without health insurance (2020 ACS). Texas leads at 17.3%. 51 states qualify in total. The top 25 average 10.5%, against an all-states median of 7.8%.

All statesAll rankings

SAME RANKING BYCities Counties Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS –

USUnited States331,449,2818.8%–

01Texas, TXTX30,188,42417.3%–

02Oklahoma, OKOK4,028,63414.4%–

03Georgia, GAGA10,940,40713.0%–

04Florida, FLFL22,416,07712.7%–

05Alaska, AKAK735,70612.6%–

06Mississippi, MSMS2,946,77912.0%–

07Wyoming, WYWY582,39711.4%–

08Nevada, NVNV3,184,61211.2%–

09North Carolina, NCNC10,730,40410.7%–

10Arizona, AZAZ7,378,83810.6%–

11Idaho, IDID1,934,26210.4%–

12South Carolina, SCSC5,296,22510.4%–

13Tennessee, TNTN7,066,3839.7%–

14South Dakota, SDSD907,4289.6%–

15New Mexico, NMNM2,120,2469.5%–

16Alabama, ALAL5,086,7689.5%–

17Missouri, MOMO6,191,8149.4%–

18Utah, UTUT3,392,3319.0%–

19Kansas, KSKS2,947,1978.7%–

20Louisiana, LALA4,611,9618.7%–

21Montana, MTMT1,116,8758.4%–

22Arkansas, ARAR3,049,3918.3%–

23Virginia, VAVA8,705,1708.2%–

24Nebraska, NENE1,978,7078.1%–

25Indiana, ININ6,851,0738.0%–

26Colorado, COCO5,862,1897.8%–

27Maine, MEME1,387,8177.6%–

28New Jersey, NJNJ9,343,8097.6%–

29North Dakota, NDND784,8417.2%–

30California, CACA39,287,3777.2%–

31Illinois, ILIL12,694,7986.8%–

32Oregon, OROR4,254,2936.6%–

33West Virginia, WVWV1,778,3736.2%–

34Washington, WAWA7,816,1166.2%–

35Ohio, OHOH11,810,2936.2%–

36New Hampshire, NHNH1,394,8686.0%–

37Maryland, MDMD6,206,0115.9%–

38Delaware, DEDE1,021,1915.8%–

39Kentucky, KYKY4,534,8245.6%–

40Pennsylvania, PAPA13,018,6395.6%–

41Wisconsin, WIWI5,914,8725.5%–

42Michigan, MIMI10,077,7615.4%–

43New York, NYNY19,852,3665.4%–

44Connecticut, CTCT3,624,5085.1%–

45Iowa, IAIA3,210,5074.7%–

46Minnesota, MNMN5,739,4454.5%–

47Rhode Island, RIRI1,101,8014.3%–

48Vermont, VTVT647,1064.0%–

49Hawaii, HIHI1,445,2353.9%–

50District of Columbia, DCDC681,2943.7%–

51Massachusetts, MAMA7,044,0562.7%–

SHOWING 1–51 OF 51

Download CSV (full list, 51 rows)

UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS

Frequently asked

Which state has the highest uninsured?

Texas ranks #1 with 17.3% (2020 Decennial Census).

What are the top 5 states by uninsured?

Texas, Oklahoma, Georgia, Florida, Alaska.

How many states are in this ranking?

51 states 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.