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RANKING · 2024 ACS · 93 SHOWN OF 93

Highest fertility rate, Nebraska counties

Nebraska counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 93 counties in Nebraska that qualify, ranked against each other statewide.

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RELATEDOldest by median ageYoungest by median ageMost foreign-born residentsHighest uninsured rateMost womenMost men
YEAR20102024
Highest fertility rate by state
RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000
01Deuel County, NENE1,862182.7
02Boone County, NENE5,355145.5
03Hitchcock County, NENE2,467137.0
04Furnas County, NENE4,524136.0
05Howard County, NENE6,538135.9
06Hayes County, NENE821133.3
07Boyd County, NENE1,674126.1
08Keith County, NENE8,100123.7
09Kimball County, NENE3,391113.1
10Rock County, NENE1,259111.1
11Clay County, NENE6,170107.5
12Dundy County, NENE1,568105.7
13Greeley County, NENE2,154105.4
14Phelps County, NENE8,994105.2
15Valley County, NENE4,094102.6
16Sheridan County, NENE4,809100.2
17Red Willow County, NENE10,30799.3
18Box Butte County, NENE10,49498.8
19Polk County, NENE5,27097.2
20Custer County, NENE10,50096.7
21Pierce County, NENE7,37895.1
22Fillmore County, NENE5,45889.8
23Hall County, NENE63,63389.4
24Cheyenne County, NENE9,52888.8
25Grant County, NENE56184.1
26Platte County, NENE35,64983.4
27Webster County, NENE3,33682.3
28Stanton County, NENE5,74482.3
29Jefferson County, NENE7,07080.3
30Garden County, NENE1,80478.9
31Chase County, NENE3,71875.8
32Burt County, NENE6,67872.9
33Knox County, NENE8,33571.5
34Arthur County, NENE39670.7
35Cedar County, NENE8,37369.9
36Colfax County, NENE10,93469.6
37Brown County, NENE2,82669.5
38Kearney County, NENE6,79068.4
39Cass County, NENE27,65768.1
40Lincoln County, NENE33,30367.2
41Scotts Bluff County, NENE35,58667.1
42Frontier County, NENE2,65566.9
43Keya Paha County, NENE79266.7
44Otoe County, NENE16,53166.1
45Dawson County, NENE24,45265.8
46Butler County, NENE8,50764.6
47Sherman County, NENE2,92464.5
48Thayer County, NENE4,84264.0
49Thurston County, NENE6,75261.6
50Cherry County, NENE5,56161.3
51Morrill County, NENE4,40460.5
52Douglas County, NENE606,46059.7
53Hamilton County, NENE9,67859.4
54Holt County, NENE10,06759.3
55Nemaha County, NENE7,10258.4
56Madison County, NENE36,10658.3
57Dodge County, NENE38,05757.3
58Saunders County, NENE23,70257.3
59Dakota County, NENE21,68757.3
60Wayne County, NENE10,02056.3
61Cuming County, NENE8,82354.8
62Buffalo County, NENE51,17253.8
63Seward County, NENE18,03253.7
64Sioux County, NENE1,18853.4
65Gosper County, NENE1,80352.8
66Johnson County, NENE5,21850.8
67Antelope County, NENE6,35250.1
68Gage County, NENE21,71149.9
69Hooker County, NENE68649.0
70Pawnee County, NENE2,51048.2
71Loup County, NENE57047.6
72Dixon County, NENE5,60247.6
73Merrick County, NENE7,90547.0
74Sarpy County, NENE208,30346.8
75Lancaster County, NENE334,04945.7
76Washington County, NENE21,30245.3
77Logan County, NENE66943.5
78York County, NENE14,56443.4
79Franklin County, NENE2,79539.2
80Thomas County, NENE63938.8
81Saline County, NENE14,99638.8
82Perkins County, NENE2,84938.0
83Nance County, NENE3,29037.0
84Wheeler County, NENE78934.8
85Harlan County, NENE3,00034.6
86Nuckolls County, NENE4,10028.9
87Adams County, NENE31,07128.8
88Richardson County, NENE7,53026.8
89Dawes County, NENE7,85812.7
90McPherson County, NENE36911.8
91Garfield County, NENE1,7108.8
92Banner County, NENE6860.0
93Blaine County, NENE4580.0
SHOWING 1–93 OF 93
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES