RANKING · 2024 ACS · 100 SHOWN OF 100

Most uninsured people, North Carolina counties

North Carolina counties with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 100 counties in North Carolina that qualify, ranked against each other statewide. The median across all 100 is 5,499. Biggest climber in the top 100 since 2020: Vance County, NC, up 16 places to #49.

North CarolinaAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Mecklenburg County, NCNC1,233,383132,127+6%

02Wake County, NCNC1,257,23588,222−4%

03Guilford County, NCNC562,23445,704−6%

04Forsyth County, NCNC401,71837,873−5%

05Durham County, NCNC347,24035,571−4%

06▲1Buncombe County, NCNC277,41729,382+3%

07▼1Cumberland County, NCNC338,47328,811−8%

08▲2Gaston County, NCNC246,55824,995+10%

09Johnston County, NCNC256,44824,1310%

10▼2New Hanover County, NCNC245,95922,445−7%

11Union County, NCNC267,67419,197−6%

12▲7Cabarrus County, NCNC249,72518,433+11%

13▲3Alamance County, NCNC186,17717,9390%

14▲4Iredell County, NCNC211,79817,588+4%

15Pitt County, NCNC182,93617,454−3%

16▲1Catawba County, NCNC170,17217,130−4%

17▼3Robeson County, NCNC119,94116,309−12%

18▼5Randolph County, NCNC149,51616,185−13%

19▼7Davidson County, NCNC180,18216,073−17%

20▲2Onslow County, NCNC217,17516,018+7%

21▲3Henderson County, NCNC122,37514,594+4%

22▼2Rowan County, NCNC155,09613,795−13%

23▼2Wayne County, NCNC122,27813,715−12%

24▼1Harnett County, NCNC150,13712,917−8%

25Brunswick County, NCNC174,70211,413−14%

26▲4Nash County, NCNC99,36510,862+11%

27▲5Orange County, NCNC152,4989,7270%

28▲6Wilson County, NCNC81,1509,5490%

29▼2Burke County, NCNC88,6559,430−10%

30▼4Cleveland County, NCNC103,3259,362−16%

31▲2Sampson County, NCNC61,5049,105−6%

32▼1Caldwell County, NCNC81,1058,358−14%

33▲4Rockingham County, NCNC94,1958,281−2%

34▲7Lincoln County, NCNC98,6548,029+6%

35▲4Lee County, NCNC70,2587,919+1%

36Rutherford County, NCNC65,7457,683−10%

37▲1Moore County, NCNC110,6197,626−6%

38▼3Surry County, NCNC72,2877,594−14%

39▲3Chatham County, NCNC85,1117,427+4%

40▼12Craven County, NCNC105,0257,422−25%

41▼12Duplin County, NCNC51,5717,336−25%

42▲4Haywood County, NCNC63,3697,081+4%

43▲6Jackson County, NCNC45,0396,865+10%

44▼4Wilkes County, NCNC66,2336,792−12%

45▼1Franklin County, NCNC82,0376,773−3%

46▼3Columbus County, NCNC50,4876,073−15%

47Stanly County, NCNC68,8305,693−16%

48▲7Pender County, NCNC72,1115,608+3%

49▲16Vance County, NCNC42,6385,528+25%

50▼5Carteret County, NCNC70,4695,499−20%

51Lenoir County, NCNC55,8375,461−12%

52Granville County, NCNC61,4215,309−6%

53▲3Edgecombe County, NCNC49,1215,308+2%

54▼6Hoke County, NCNC56,9395,178−19%

55▲6Macon County, NCNC39,2325,159+10%

56▼3Watauga County, NCNC54,7865,119−9%

57McDowell County, NCNC45,1985,037+1%

58▲6Richmond County, NCNC42,0414,801+7%

59▲8Yadkin County, NCNC38,3254,463+6%

60▲3Pasquotank County, NCNC42,2014,343−4%

61▼11Halifax County, NCNC46,5344,232−32%

62▼8Beaufort County, NCNC44,6703,983−28%

63▼3Davie County, NCNC45,8553,856−18%

64▼5Transylvania County, NCNC34,2113,766−21%

65▲5Person County, NCNC40,6363,704+4%

66Cherokee County, NCNC30,8303,668−16%

67▼9Stokes County, NCNC46,1263,392−29%

68▲6Swain County, NCNC14,0243,285+5%

69▼7Dare County, NCNC38,2453,246−29%

70▲3Montgomery County, NCNC26,4033,157−2%

71▼3Scotland County, NCNC33,3223,152−19%

72▼3Bladen County, NCNC30,0073,001−20%

73▲3Greene County, NCNC20,7002,996+6%

74▼2Alexander County, NCNC36,9582,824−13%

75▲3Anson County, NCNC21,7582,756+18%

76▼5Currituck County, NCNC33,1582,647−19%

77▼2Ashe County, NCNC27,5142,619−14%

78▲9Caswell County, NCNC22,5632,088+19%

79▲3Avery County, NCNC18,1102,005−9%

80▲6Warren County, NCNC18,8981,958+2%

81▲3Polk County, NCNC20,5331,931−10%

82▲6Clay County, NCNC12,2391,825+11%

83▼6Madison County, NCNC22,5531,810−24%

84▼4Hertford County, NCNC19,0151,643−28%

85▼2Bertie County, NCNC17,0861,548−29%

86▲9Alleghany County, NCNC11,4791,534+32%

87▼2Martin County, NCNC21,6011,518−24%

88▼9Northampton County, NCNC16,4911,415−38%

89Mitchell County, NCNC15,0621,391−11%

90▼9Yancey County, NCNC19,0841,341−40%

91▲3Perquimans County, NCNC13,4901,283+6%

92Chowan County, NCNC14,0821,113−14%

93▲3Graham County, NCNC8,190992−12%

94▼4Washington County, NCNC10,638981−34%

95▼2Pamlico County, NCNC12,758980−21%

96▼5Jones County, NCNC9,575838−40%

97Gates County, NCNC10,234633−34%

98Hyde County, NCNC4,554611−31%

99Camden County, NCNC11,315490−36%

100Tyrrell County, NCNC3,537419+4%

SHOWING 1–100 OF 100

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES