RANKING · 2024 ACS · 93 SHOWN OF 93

Most uninsured people, Nebraska counties

Nebraska 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 93 counties in Nebraska that qualify, ranked against each other statewide. The median across all 93 is 424. Biggest climber in the top 100 since 2020: Wayne County, NE, up 21 places to #35.

NebraskaAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Douglas County, NENE606,46048,442−8%

02Lancaster County, NENE334,04919,018−16%

03Sarpy County, NENE208,3039,087−11%

04Hall County, NENE63,6338,006+12%

05▲1Scotts Bluff County, NENE35,5863,597+9%

06▼1Buffalo County, NENE51,1723,472−10%

07▲3Madison County, NENE36,1062,626−8%

08▲1Platte County, NENE35,6492,525−19%

09▼1Dodge County, NENE38,0572,403−24%

10▲1Dawson County, NENE24,4522,368−7%

11▼4Lincoln County, NENE33,3032,222−32%

12▲1Adams County, NENE31,0711,780−7%

13▼1Dakota County, NENE21,6871,718−17%

14▲1Cass County, NENE27,6571,618+4%

15▼1Saline County, NENE14,9961,390−15%

16▲2Colfax County, NENE10,9341,286+23%

17Gage County, NENE21,7111,085−13%

18▲3Seward County, NENE18,0321,057+13%

19▲4Saunders County, NENE23,702959+14%

20▲2Red Willow County, NENE10,307925−1%

21▼1Washington County, NENE21,302872−9%

22▲2Dawes County, NENE7,858778−6%

23▲2Custer County, NENE10,500743−6%

24▲5York County, NENE14,564743+1%

25▲8Cuming County, NENE8,823734+17%

26▲1Box Butte County, NENE10,494721−7%

27▲9Nemaha County, NENE7,102709+19%

28▲9Holt County, NENE10,067660+13%

29▲3Cheyenne County, NENE9,528640−2%

30▼11Otoe County, NENE16,531624−35%

31▼15Thurston County, NENE6,752612−60%

32▲6Jefferson County, NENE7,070596+6%

33▲8Knox County, NENE8,335576+14%

34▲5Hamilton County, NENE9,678570+7%

35▲21Wayne County, NENE10,020566+77%

36▲7Phelps County, NENE8,994546+15%

37▼6Keith County, NENE8,100540−20%

38▼8Sheridan County, NENE4,809534−23%

39▲7Cherry County, NENE5,561512+17%

40▲14Dixon County, NENE5,602503+48%

41▼15Burt County, NENE6,678497−36%

42Cedar County, NENE8,373492+1%

43▼15Richardson County, NENE7,530474−38%

44▼4Kimball County, NENE3,391458−10%

45▲2Antelope County, NENE6,352452+6%

46▲16Howard County, NENE6,538441+60%

47▲2Butler County, NENE8,507424+16%

48▼13Merrick County, NENE7,905407−32%

49▲2Kearney County, NENE6,790405+17%

50▲8Chase County, NENE3,718403+31%

51▼7Clay County, NENE6,170394−16%

52▲3Nuckolls County, NENE4,100375+18%

53▼3Morrill County, NENE4,404371+2%

54▲3Stanton County, NENE5,744349+11%

55▼10Pierce County, NENE7,378327−25%

56▼8Pawnee County, NENE2,510323−18%

57▼23Polk County, NENE5,270281−55%

58▼6Furnas County, NENE4,524255−26%

59▲1Thayer County, NENE4,842248−14%

60▲11Harlan County, NENE3,000239+13%

61▼8Valley County, NENE4,094224−35%

62▲1Fillmore County, NENE5,458219−19%

63▲5Johnson County, NENE5,218216−12%

64▲10Nance County, NENE3,290216+23%

65Brown County, NENE2,826212−20%

66▲3Webster County, NENE3,336190−21%

67▲13Gosper County, NENE1,803189+62%

68▼7Boone County, NENE5,355181−36%

69▼3Deuel County, NENE1,862168−34%

70Frontier County, NENE2,655164−28%

71▲6Perkins County, NENE2,849157+3%

72▼5Garden County, NENE1,804155−39%

73▼14Hitchcock County, NENE2,467142−51%

74▼2Franklin County, NENE2,795124−33%

75▲1Boyd County, NENE1,674122−23%

76▼12Sherman County, NENE2,924121−55%

77▲2Greeley County, NENE2,154106−23%

78▼3Sioux County, NENE1,18899−40%

79▼6Dundy County, NENE1,56894−48%

80▲10Keya Paha County, NENE79281+84%

81▲4Wheeler County, NENE78976+13%

82▲9Banner County, NENE68672+177%

83▼2Grant County, NENE56166−27%

84▼6Rock County, NENE1,25964−55%

85▼1Garfield County, NENE1,71060−20%

86▼4Hooker County, NENE68659−32%

87▼4Logan County, NENE66955−35%

88▲1Loup County, NENE57055+17%

89▼3Hayes County, NENE82147−20%

90▼2Arthur County, NENE39633−34%

91▲1Thomas County, NENE63928+100%

92▼5Blaine County, NENE45821−62%

93McPherson County, NENE36916+14%

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