RANKING · 2020 CENSUS · 51 SHOWN OF 51

Highest uninsured rate, US states · 2020

US states ranked by the share of residents without health insurance (2023 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 2000

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

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

Frequently asked

Which state has the highest uninsured?

Texas ranks #1 with 17.3% (2020 American Community Survey).

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 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).