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Uninsured rate by state

Texas has the highest estimate (16.7%); Massachusetts has the lowest (2.8%). Source: U.S. Census Bureau, ACS 1-year, 2024.

Data year: 2024Source released Sept. 11, 2025Last updated Oct. 23, 2026GCT2701

50 ranked states; DC and Puerto Rico appear as reference rows where the source supplies them. Highest does not mean best. Ranks reflect point estimates; close values may not differ statistically.

Lowest state estimate 2.8% Massachusetts
Highest state estimate 16.7% Texas
Texas: 16.7% Georgia: 12.0% Oklahoma: 11.5% Nevada: 11.4% Alaska: 11.0% Florida: 10.9% Arizona: 10.3% Wyoming: 10.3% New Mexico: 10.1% Mississippi: 9.7% Tennessee: 9.7% Arkansas: 9.4% Idaho: 9.2% South Carolina: 9.0% Montana: 8.8% North Carolina: 8.6% Kansas: 8.5% Utah: 8.3% Alabama: 8.2% South Dakota: 8.1% Colorado: 7.9% Louisiana: 7.7% Missouri: 7.7% New Jersey: 7.7% Indiana: 7.5% Nebraska: 7.1% Delaware: 6.9% Illinois: 6.9% Virginia: 6.9% Kentucky: 6.8% Ohio: 6.7% Washington: 6.5% Maryland: 6.3% North Dakota: 6.1% California: 5.9% Connecticut: 5.8% Pennsylvania: 5.8% West Virginia: 5.8% Maine: 5.5% Iowa: 5.4% Wisconsin: 5.3% Oregon: 5.2% Michigan: 5.1% Minnesota: 5.1% New York: 5.0% Rhode Island: 4.6% New Hampshire: 4.5% Vermont: 4.2% Hawaii: 3.5% Massachusetts: 2.8%
Each dot is a state. The scale runs from the lowest to highest estimate; intervals are not shown here. Read about uncertainty.

State distribution and comparisons

The middle of the 50-state distribution is 7.3%: the average of the 25th and 26th ordered state estimates. This treats each state equally, so it answers a different question from a population-weighted national estimate.

No other state is statistically tied with Texas at 90% confidence. Every other state differs from the highest point estimate under this pairwise test. This is not a confidence interval for rank, and testing multiple pairs increases false-positive risk.

See the top ten estimates with their 90% margins of error2.6%16.9%TexasGeorgiaOklahomaNevadaAlaskaFloridaArizonaWyomingNew MexicoMississippi

Shared axis spans the complete 50-state estimate ± MOE range. Intervals describe individual estimates; overlapping intervals alone are not our significance test.

How does this compare with uninsured children?

These states’ ranks change the most between uninsured rate and uninsured children. These comparisons identify different questions worth investigating; a rank gap does not measure a causal effect or a statistical difference between unlike units.

StateUninsured rateUninsured children
North Dakota6.1% · #346.7% · #14
Alabama8.2% · #194.3% · #33
Louisiana7.7% · #224.1% · #35

Inspect these states, definitions and pairwise differences.

Values over time

Annual ACS 1-year estimates, 2021–2024. Each year is a separate published survey release; 2020 is excluded because the Census Bureau did not release standard 1-year estimates for that year. Ranks are recalculated among the same 50 states for each year.

The state-by-state view

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Ranked among 50 states; District of Columbia and Puerto Rico shown for reference. Rank 1 = highest value.

Uninsured rate · 2024 · Percent
RankState / jurisdictionValue90% margin of errorDifference from previous rank
1Texas16.7%± 0.2%Highest estimate
2Georgia12.0%± 0.3%Different at 90%
3Oklahoma11.5%± 0.3%Different at 90%
4Nevada11.4%± 0.5%Not distinguishable at 90%
5Alaska11.0%± 0.8%Not distinguishable at 90%
6Florida10.9%± 0.2%Not distinguishable at 90%
7Arizona10.3%± 0.4%Different at 90%
7Wyoming10.3%± 1.0%Not distinguishable at 90%
9New Mexico10.1%± 0.6%Not distinguishable at 90%
10Mississippi9.7%± 0.4%Not distinguishable at 90%
10Tennessee9.7%± 0.3%Not distinguishable at 90%
12Arkansas9.4%± 0.5%Not distinguishable at 90%
13Idaho9.2%± 0.6%Not distinguishable at 90%
14South Carolina9.0%± 0.3%Not distinguishable at 90%
15Montana8.8%± 0.6%Not distinguishable at 90%
16North Carolina8.6%± 0.2%Not distinguishable at 90%
17Kansas8.5%± 0.4%Not distinguishable at 90%
18Utah8.3%± 0.5%Not distinguishable at 90%
19Alabama8.2%± 0.3%Not distinguishable at 90%
20South Dakota8.1%± 0.7%Not distinguishable at 90%
21Colorado7.9%± 0.3%Not distinguishable at 90%
22Louisiana7.7%± 0.3%Not distinguishable at 90%
22Missouri7.7%± 0.3%Not distinguishable at 90%
22New Jersey7.7%± 0.3%Not distinguishable at 90%
25Indiana7.5%± 0.3%Not distinguishable at 90%
26Nebraska7.1%± 0.5%Not distinguishable at 90%
27Delaware6.9%± 0.7%Not distinguishable at 90%
27Illinois6.9%± 0.2%Not distinguishable at 90%
27Virginia6.9%± 0.3%Not distinguishable at 90%
30Kentucky6.8%± 0.3%Not distinguishable at 90%
31Ohio6.7%± 0.2%Not distinguishable at 90%
32Washington6.5%± 0.2%Not distinguishable at 90%
33Maryland6.3%± 0.3%Not distinguishable at 90%
34North Dakota6.1%± 0.7%Not distinguishable at 90%
35California5.9%± 0.1%Not distinguishable at 90%
36Connecticut5.8%± 0.3%Not distinguishable at 90%
36Pennsylvania5.8%± 0.2%Not distinguishable at 90%
36West Virginia5.8%± 0.4%Not distinguishable at 90%
39Maine5.5%± 0.4%Not distinguishable at 90%
40Iowa5.4%± 0.3%Not distinguishable at 90%
41Wisconsin5.3%± 0.2%Not distinguishable at 90%
42Oregon5.2%± 0.2%Not distinguishable at 90%
43Michigan5.1%± 0.2%Not distinguishable at 90%
43Minnesota5.1%± 0.2%Not distinguishable at 90%
45New York5.0%± 0.1%Not distinguishable at 90%
46Rhode Island4.6%± 0.6%Not distinguishable at 90%
47New Hampshire4.5%± 0.4%Not distinguishable at 90%
48Vermont4.2%± 0.6%Not distinguishable at 90%
49Hawaii3.5%± 0.4%Not distinguishable at 90%
50Massachusetts2.8%± 0.2%Different at 90%
Ref.District of ColumbiaNot ranked among states4.5%± 0.7%Reference jurisdiction
Ref.Puerto RicoNot ranked among states5.6%± 0.3%Reference jurisdiction

50 states plus 2 reference rows.

What this ranking measures

People without health insurance in the civilian noninstitutionalized population.

Insurance status is measured at the time of the survey. Coverage does not necessarily imply affordable or timely care.

The size of the gap

The difference between the highest and lowest state estimates is 13.9 percentage points. The U.S. benchmark is 8.2%. It is not a simple average of the states.

18 states have point estimates above the U.S. benchmark and 31 below it, with 1 equal to it. These counts do not establish statistical significance.

How much should you read into a rank?

Each estimate has a 90% margin of error published by the Census Bureau. For two different states, we flag a difference only when its absolute size exceeds the square root of the sum of their squared margins of error. The comparison tool applies this check to every selected pair.

Non-significance is not proof of equality. These pairwise tests are not adjusted for multiple comparisons and do not form ranking confidence intervals. Statistical method and limitations.

Ranks use the full precision of the source file, so only truly equal values share a rank (1, 2, 2, 4).

Keep exploring

Read the ranking methodology.

Explore the same states in a side-by-side comparison, or combine this measure with others in the custom ranking tool.

Source and method

Producer
U.S. Census Bureau
Product / file
ACS 1-year · GCT2701
Period
2024
Unit
Percent
Calculation
Published estimate; no transformation of the value. Rank = 1 + number of eligible jurisdictions with a higher value.
Coverage
The 50 states are ranked. Washington, D.C., can be added with the toggle above the table; Puerto Rico is shown for reference only, where the source covers it.
Cadence
Annual. 2025 ACS 1-year estimates scheduled for October 29, 2026 (Census ACS updates page); adoption follows editorial review.
Independence
Rank the States is independent. The agencies that produce the source data do not endorse these rankings.

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Download the default full table (CSV) or use the download above for the table’s current filter and order. Data dictionary and source metadata

Updates and corrections

Last updated Oct. 23, 2026. Earlier editions stay available on the data page, and every change is listed in the update log. If a number or definition looks wrong, report an error with the state, value, and source you checked.

Related rankings

State distributions: each mark is one state, from lowest to highest. Each row uses its own scale.

01

Uninsured children

2024 · Census ACS

13.6% Texas · highest estimate

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