RANKING · 2024 ACS · 19 SHOWN OF 19

Highest fertility rate, South Dakota cities

South Dakota 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 19 cities in South Dakota that qualify, ranked against each other statewide. The median across all 19 is 47.3.

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South DakotaAll 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

01Harrisburg, SDSD10,405128.5+65%

02Box Elder, SDSD13,936124.9+76%

03Madison, SDSD6,065113.4+225%

04Huron, SDSD14,607106.6+28%

05Belle Fourche, SDSD5,79178.1−29%

06Yankton, SDSD15,81676.7−6%

07Sioux Falls, SDSD213,74870.4+22%

08Rapid Valley, SDSD6,97567.6+29%

09Aberdeen, SDSD27,96161.7+10%

10Rapid City, SDSD80,58947.3−36%

11Sturgis, SDSD6,92247.2−26%

12Spearfish, SDSD14,15441.9−5%

13Tea, SDSD8,01941.9−66%

14Pierre, SDSD13,84839.8−42%

15Mitchell, SDSD15,75636.0−54%

16Brookings, SDSD25,35531.4−28%

17Watertown, SDSD23,73628.5−58%

18Vermillion, SDSD11,72026.5+46%

19Brandon, SDSD11,30615.9−75%

SHOWING 1–19 OF 19

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