RANKING · 2020 CENSUS · 100 SHOWN OF 100

Most uninsured people, North Carolina counties · 2020

North Carolina counties with the most residents lacking health insurance, as of the 2020 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.

North CarolinaAll states All rankings

SAME RANKING BYCities States Metros

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Largest senior population Most unmarried people Most unmarried men

RANKPLACESTATEPOPUNINSURED RESIDENTSVS –

01Mecklenburg County, NCNC1,233,383124,453–

02Wake County, NCNC1,257,23591,582–

03Guilford County, NCNC562,23448,567–

04Forsyth County, NCNC401,71839,672–

05Durham County, NCNC347,24036,869–

06Cumberland County, NCNC338,47331,417–

07Buncombe County, NCNC277,41728,505–

08New Hanover County, NCNC245,95924,037–

09Johnston County, NCNC256,44824,018–

10Gaston County, NCNC246,55822,741–

11Union County, NCNC267,67420,499–

12Davidson County, NCNC180,18219,347–

13Randolph County, NCNC149,51618,558–

14Robeson County, NCNC119,94118,507–

15Pitt County, NCNC182,93618,060–

16Alamance County, NCNC186,17717,902–

17Catawba County, NCNC170,17217,766–

18Iredell County, NCNC211,79816,844–

19Cabarrus County, NCNC249,72516,552–

20Rowan County, NCNC155,09615,808–

21Wayne County, NCNC122,27815,514–

22Onslow County, NCNC217,17514,935–

23Harnett County, NCNC150,13714,096–

24Henderson County, NCNC122,37514,094–

25Brunswick County, NCNC174,70213,222–

26Cleveland County, NCNC103,32511,163–

27Burke County, NCNC88,65510,471–

28Craven County, NCNC105,0259,914–

29Duplin County, NCNC51,5719,813–

30Nash County, NCNC99,3659,797–

31Caldwell County, NCNC81,1059,725–

32Orange County, NCNC152,4989,719–

33Sampson County, NCNC61,5049,691–

34Wilson County, NCNC81,1509,562–

35Surry County, NCNC72,2878,808–

36Rutherford County, NCNC65,7458,505–

37Rockingham County, NCNC94,1958,491–

38Moore County, NCNC110,6198,101–

39Lee County, NCNC70,2587,852–

40Wilkes County, NCNC66,2337,752–

41Lincoln County, NCNC98,6547,597–

42Chatham County, NCNC85,1117,174–

43Columbus County, NCNC50,4877,164–

44Franklin County, NCNC82,0377,002–

45Carteret County, NCNC70,4696,856–

46Haywood County, NCNC63,3696,813–

47Stanly County, NCNC68,8306,772–

48Hoke County, NCNC56,9396,377–

49Jackson County, NCNC45,0396,241–

50Halifax County, NCNC46,5346,218–

51Lenoir County, NCNC55,8376,204–

52Granville County, NCNC61,4215,648–

53Watauga County, NCNC54,7865,618–

54Beaufort County, NCNC44,6705,558–

55Pender County, NCNC72,1115,421–

56Edgecombe County, NCNC49,1215,205–

57McDowell County, NCNC45,1984,983–

58Stokes County, NCNC46,1264,766–

59Transylvania County, NCNC34,2114,751–

60Davie County, NCNC45,8554,712–

61Macon County, NCNC39,2324,701–

62Dare County, NCNC38,2454,574–

63Pasquotank County, NCNC42,2014,517–

64Richmond County, NCNC42,0414,495–

65Vance County, NCNC42,6384,411–

66Cherokee County, NCNC30,8304,363–

67Yadkin County, NCNC38,3254,196–

68Scotland County, NCNC33,3223,880–

69Bladen County, NCNC30,0073,770–

70Person County, NCNC40,6363,553–

71Currituck County, NCNC33,1583,286–

72Alexander County, NCNC36,9583,240–

73Montgomery County, NCNC26,4033,235–

74Swain County, NCNC14,0243,135–

75Ashe County, NCNC27,5143,029–

76Greene County, NCNC20,7002,821–

77Madison County, NCNC22,5532,387–

78Anson County, NCNC21,7582,341–

79Hertford County, NCNC19,0152,292–

80Northampton County, NCNC16,4912,292–

81Yancey County, NCNC19,0842,218–

82Avery County, NCNC18,1102,195–

83Bertie County, NCNC17,0862,193–

84Polk County, NCNC20,5332,154–

85Martin County, NCNC21,6012,006–

86Warren County, NCNC18,8981,917–

87Caswell County, NCNC22,5631,750–

88Clay County, NCNC12,2391,649–

89Mitchell County, NCNC15,0621,558–

90Washington County, NCNC10,6381,486–

91Jones County, NCNC9,5751,402–

92Chowan County, NCNC14,0821,290–

93Pamlico County, NCNC12,7581,245–

94Perquimans County, NCNC13,4901,214–

95Alleghany County, NCNC11,4791,166–

96Graham County, NCNC8,1901,126–

97Gates County, NCNC10,234956–

98Hyde County, NCNC4,554889–

99Camden County, NCNC11,315760–

100Tyrrell County, NCNC3,537402–

SHOWING 1–100 OF 100

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