Ranking of North Carolina Counties By Number of People and Percentage of Population With No Health Insurance Coverage in 2021 (ACS-5Yrs)
Updated on October 27, 2025.
Based on the US Census ACS-5Yrs estimates, in 2021, the percentage of the North Carolina population without a health insurance coverage was 10.74% (i.e. 1,092,162 people). Percentagewise, among all North Carolina counties, Swain County had the highest percentage of its population with no health insurance coverage (21.24%), followed by Hyde County (19.49%), and Greene County (17.22%).
In numerical terms, Mecklenburg County had the highest number of people without a health insurance coverage (127,475), followed by Wake County (94,564), and Guilford County (49,557).
The charts below shows the top 10 counties by the number of people and percentage of the population without a health insurance coverage. The tables below shows the ranking for all North Carolina counties.
You can see similar information for other types of health insurance coverages.
You can also see similar information for other states.
Related Topics: North Carolina ACS-5Yrs Estimates, 2021 Topic List.
Data Source: US Census - ACS 5-Year Estimates.
Ranking of North Carolina Counties By Percentage of Population With
No Health Insurance Coverage in 2021
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| Rank | County | Percentage of Population (%) |
|---|---|---|
| 1 | Swain County | 21.24 |
| 2 | Hyde County | 19.49 |
| 3 | Greene County | 17.22 |
| 4 | Duplin County | 16.41 |
| 5 | Graham County | 16.33 |
| 6 | Avery County | 15.89 |
| 7 | Cherokee County | 15.74 |
| 8 | Jackson County | 15.21 |
| 9 | Clay County | 14.73 |
| 10 | Sampson County | 14.67 |
| 11 | Robeson County | 14.62 |
| 12 | Columbus County | 14.53 |
| 13 | Macon County | 14.45 |
| 14 | Transylvania County | 14.34 |
| 15 | Jones County | 14.09 |
| 16 | Lee County | 13.41 |
| 17 | Randolph County | 13.29 |
| 18 | Montgomery County | 13.26 |
| 19 | Rutherford County | 12.87 |
| 20 | Scotland County | 12.76 |
| 21 | Currituck County | 12.73 |
| 22 | Alleghany County | 12.64 |
| 23 | Henderson County | 12.61 |
| 23 | Surry County | 12.61 |
| 24 | Wilson County | 12.57 |
| 25 | Wilkes County | 12.56 |
| 26 | Yadkin County | 12.46 |
| 27 | Yancey County | 12.39 |
| 28 | Wayne County | 12.32 |
| 29 | Beaufort County | 12.27 |
| 30 | Haywood County | 12.18 |
| 31 | Halifax County | 12.09 |
| 32 | Northampton County | 12.08 |
| 33 | McDowell County | 11.89 |
| 34 | Hoke County | 11.87 |
| 34 | Johnston County | 11.87 |
| 35 | Durham County | 11.85 |
| 36 | Burke County | 11.82 |
| 37 | Stanly County | 11.81 |
| 38 | Tyrrell County | 11.74 |
| 39 | Rowan County | 11.71 |
| 40 | Catawba County | 11.68 |
| 41 | Bertie County | 11.65 |
| 42 | Mecklenburg County | 11.64 |
| 43 | Nash County | 11.46 |
| 44 | Ashe County | 11.44 |
| 45 | Washington County | 11.42 |
| 46 | Cleveland County | 11.41 |
| 47 | Davidson County | 11.39 |
| 48 | Lenoir County | 11.38 |
| 49 | Dare County | 11.34 |
| 50 | Buncombe County | 11.32 |
| 50 | Caldwell County | 11.32 |
| 50 | Mitchell County | 11.32 |
| 51 | Stokes County | 11.15 |
| 52 | Davie County | 11.04 |
| 53 | Harnett County | 10.93 |
| 54 | Anson County | 10.88 |
| 55 | Vance County | 10.73 |
| 56 | Bladen County | 10.68 |
| 56 | Cumberland County | 10.68 |
| 57 | Forsyth County | 10.66 |
| 58 | Pasquotank County | 10.64 |
| 59 | Carteret County | 10.53 |
| 60 | Alamance County | 10.52 |
| 61 | New Hanover County | 10.47 |
| 62 | Richmond County | 10.46 |
| 63 | Polk County | 10.43 |
| 64 | Gaston County | 10.41 |
| 65 | Franklin County | 10.39 |
| 66 | Onslow County | 10.27 |
| 67 | Edgecombe County | 10.24 |
| 68 | Craven County | 10.08 |
| 69 | Warren County | 10.07 |
| 70 | Granville County | 9.99 |
| 71 | Perquimans County | 9.87 |
| 72 | Pitt County | 9.86 |
| 73 | Rockingham County | 9.79 |
| 74 | Hertford County | 9.71 |
| 75 | Alexander County | 9.68 |
| 76 | Chatham County | 9.64 |
| 76 | Lincoln County | 9.64 |
| 77 | Pender County | 9.56 |
| 78 | Madison County | 9.55 |
| 79 | Person County | 9.38 |
| 80 | Iredell County | 9.35 |
| 81 | Pamlico County | 9.34 |
| 82 | Guilford County | 9.29 |
| 83 | Caswell County | 8.99 |
| 84 | Watauga County | 8.95 |
| 85 | Brunswick County | 8.93 |
| 86 | Union County | 8.66 |
| 87 | Martin County | 8.65 |
| 88 | Moore County | 8.61 |
| 89 | Wake County | 8.56 |
| 90 | Cabarrus County | 8.46 |
| 91 | Gates County | 8.32 |
| 92 | Chowan County | 7.56 |
| 93 | Orange County | 6.40 |
| 94 | Camden County | 5.98 |
Ranking of North Carolina Counties By Number of People With
NO Health Insurance Coverage in 2021
Items per page:
25
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| Rank | County | Number of People |
|---|---|---|
| 1 | Mecklenburg County | 127475 |
| 2 | Wake County | 94564 |
| 3 | Guilford County | 49557 |
| 4 | Forsyth County | 40270 |
| 5 | Durham County | 37369 |
| 6 | Cumberland County | 32167 |
| 7 | Buncombe County | 29837 |
| 8 | Johnston County | 24908 |
| 9 | Gaston County | 23324 |
| 10 | New Hanover County | 23321 |
| 11 | Union County | 20307 |
| 12 | Davidson County | 18966 |
| 13 | Randolph County | 18945 |
| 14 | Cabarrus County | 18600 |
| 15 | Catawba County | 18503 |
| 16 | Alamance County | 17694 |
| 17 | Robeson County | 17147 |
| 18 | Iredell County | 17109 |
| 19 | Rowan County | 16838 |
| 20 | Pitt County | 16683 |
| 21 | Onslow County | 16586 |
| 22 | Henderson County | 14458 |
| 23 | Wayne County | 13970 |
| 24 | Harnett County | 13900 |
| 25 | Brunswick County | 11861 |
| 26 | Cleveland County | 11254 |
| 27 | Nash County | 10722 |
| 28 | Burke County | 10138 |
| 29 | Wilson County | 9800 |
| 30 | Craven County | 9534 |
| 31 | Orange County | 9398 |
| 32 | Caldwell County | 9045 |
| 33 | Surry County | 8925 |
| 34 | Rockingham County | 8804 |
| 35 | Sampson County | 8599 |
| 36 | Lee County | 8264 |
| 37 | Wilkes County | 8235 |
| 38 | Lincoln County | 8205 |
| 39 | Rutherford County | 8199 |
| 40 | Duplin County | 8128 |
| 41 | Moore County | 8111 |
| 42 | Haywood County | 7471 |
| 43 | Chatham County | 7187 |
| 44 | Stanly County | 7181 |
| 45 | Columbus County | 7096 |
| 46 | Carteret County | 7007 |
| 47 | Franklin County | 6940 |
| 48 | Jackson County | 6504 |
| 49 | Lenoir County | 6184 |
| 50 | Halifax County | 5837 |
| 51 | Granville County | 5807 |
| 52 | Hoke County | 5769 |
| 53 | Pender County | 5598 |
| 54 | Beaufort County | 5466 |
| 55 | Macon County | 5257 |
| 56 | McDowell County | 5186 |
| 57 | Edgecombe County | 5027 |
| 58 | Stokes County | 4920 |
| 59 | Watauga County | 4817 |
| 60 | Transylvania County | 4670 |
| 61 | Davie County | 4668 |
| 62 | Yadkin County | 4595 |
| 63 | Vance County | 4535 |
| 64 | Cherokee County | 4439 |
| 65 | Richmond County | 4402 |
| 66 | Scotland County | 4199 |
| 67 | Dare County | 4138 |
| 68 | Pasquotank County | 4117 |
| 69 | Person County | 3626 |
| 70 | Currituck County | 3462 |
| 71 | Alexander County | 3421 |
| 72 | Montgomery County | 3312 |
| 73 | Bladen County | 3182 |
| 74 | Greene County | 3139 |
| 75 | Ashe County | 3017 |
| 76 | Swain County | 2974 |
| 77 | Avery County | 2450 |
| 78 | Anson County | 2273 |
| 79 | Yancey County | 2257 |
| 80 | Northampton County | 2080 |
| 81 | Madison County | 2008 |
| 82 | Hertford County | 2007 |
| 83 | Polk County | 2000 |
| 84 | Caswell County | 1959 |
| 85 | Bertie County | 1958 |
| 86 | Martin County | 1912 |
| 87 | Warren County | 1828 |
| 88 | Mitchell County | 1684 |
| 89 | Clay County | 1613 |
| 90 | Alleghany County | 1367 |
| 91 | Graham County | 1307 |
| 92 | Jones County | 1302 |
| 93 | Perquimans County | 1275 |
| 94 | Washington County | 1262 |
| 95 | Pamlico County | 1086 |
| 96 | Chowan County | 1026 |
| 97 | Gates County | 877 |
| 98 | Hyde County | 825 |
| 99 | Camden County | 617 |
| 100 | Tyrrell County | 319 |