RANKING · 2024 ACS · 27 SHOWN OF 27

Highest fertility rate, Montana cities

Montana cities ranked by general fertility rate, meaning births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 27 cities in Montana that qualify, ranked against each other statewide. The median across all 27 is 53.6.

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MontanaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Laurel, MTMT7,205134.9+97%

02Miles City, MTMT8,450105.7+55%

03Lewistown, MTMT6,17986.5−5%

04Great Falls, MTMT60,20881.9+29%

05Sidney, MTMT6,21773.7−63%

06Helena Valley Northwest, MTMT5,18370.3+10%

07Livingston, MTMT9,29070.3+36%

08Billings, MTMT121,23969.5−17%

09Four Corners, MTMT5,79169.0+219%

10Anaconda-Deer Lodge County, MTMT9,70967.0+57%

11Polson, MTMT5,65366.5−28%

12Kalispell, MTMT31,85159.9−20%

13Evergreen, MTMT9,61157.3−14%

14Belgrade, MTMT13,10753.6−12%

15Helena Valley Southeast, MTMT9,10852.9−27%

16Helena, MTMT35,13846.8−18%

17Havre, MTMT9,26443.7−30%

18Helena Valley West Central, MTMT8,05640.9−54%

19Columbia Falls, MTMT5,75340.7−25%

20Orchard Homes, MTMT5,58833.1−50%

21Lockwood, MTMT7,18133.0+70%

22Bozeman, MTMT58,81431.1−21%

23Whitefish, MTMT9,35828.5−44%

24Missoula, MTMT78,90324.8−24%

25Butte-Silver Bow, MTMT35,46920.0−56%

26Hamilton, MTMT5,45119.8−87%

27Bigfork, MTMT5,56519.8−72%

SHOWING 1–27 OF 27

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