RANKING · 2024 ACS · 19 SHOWN OF 19

Highest employer health coverage, South Dakota cities

South Dakota cities ranked by the share of people with employer-based health insurance, alone or in combination with other coverage (2024 ACS). This list covers the 19 cities in South Dakota that qualify, ranked against each other statewide. The median across all 19 is 58.4%. Biggest climber in the top 100 since 2020: Sturgis, SD, up 6 places to #12.

South DakotaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPEMPLOYER-BASED INSURANCEVS 2020

01Tea, SDSD8,01981.9%−0.1 pts

02▲1Harrisburg, SDSD10,40576.7%+1.1 pts

03▼1Brandon, SDSD11,30673.4%−3.6 pts

04Brookings, SDSD25,35567.2%+0.1 pts

05▲1Sioux Falls, SDSD213,74864.5%+0.2 pts

06▲3Rapid Valley, SDSD6,97562.2%+4.5 pts

07Pierre, SDSD13,84860.2%−2.1 pts

08▲4Watertown, SDSD23,73659.8%+6.1 pts

09▼1Aberdeen, SDSD27,96159.3%+0.7 pts

10▼5Vermillion, SDSD11,72058.4%−6.1 pts

11▼1Yankton, SDSD15,81656.9%−0.2 pts

12▲6Sturgis, SDSD6,92253.5%+9.9 pts

13▲3Rapid City, SDSD80,58953.3%+4.5 pts

14▼1Madison, SDSD6,06553.3%+1.2 pts

15▼1Huron, SDSD14,60751.7%−0.2 pts

16▼5Spearfish, SDSD14,15450.6%−5.0 pts

17▼2Mitchell, SDSD15,75650.4%−0.4 pts

18▲1Belle Fourche, SDSD5,79149.2%+5.9 pts

19▼2Box Elder, SDSD13,93642.2%−2.7 pts

SHOWING 1–19 OF 19

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