There are also not nearly as many tests being run as there are patients with suspect symptoms. Yes, the number of confirmed COVID-19 patients may be low, but that doesn't mean that the number of people with the disease is low.

According to the CDC[1], you can contact your healthcare provider for the possibility of a test if (and only if) you are in close contact with someone with the disease or if you're in a community where there's ongoing spread. That's still a very limited subset of people who might have the disease.

There's very limited insight into who does or does not have the disease in the US.

[1]https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/t...