Which metro area has the highest births per 1,000 women (15-50)?

Plainview, TX ranks #1 with 127.6 (2024 American Community Survey).

What are the top 5 metro areas by births per 1,000 women (15-50)?

Plainview, TX, Winnemucca, NV, Port Lavaca, TX, Elk City, OK, Decatur, IN.

How many metro areas are in this ranking?

925 metro areas qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is births per 1,000 women (15-50) measured?

Annual general fertility rate: women 15-50 who gave birth in the past 12 months, per 1,000 women. Source: ACS B13016. Source: US Census Bureau, American Community Survey 5-year estimates (2024).

RANKING · 2024 ACS · 425 SHOWN OF 925

Highest fertility rate, US metro areas

US metro areas ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS).

Flip the list · Lowest fertility rate, US metro areas →

All statesAll rankings

SAME RANKING BYCities Counties States ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000

501DuBois, PAPA78,10052.4–

502Owatonna, MNMN37,46452.3–

503McMinnville, TNTN43,71752.3–

504Augusta, GAGA641,23152.3–

505Wisconsin Rapids, WIWI74,06052.2–

506Hutchinson, MNMN36,63152.2–

507Cape Coral, FLFL875,60752.2–

508York, PAPA473,19752.2–

509Memphis, TNTN1,341,41252.1–

510Terre Haute, ININ169,24152.1–

511Thomaston, GAGA28,50052.1–

512Hagerstown, MDMD315,28052.0–

513Cedartown, GAGA45,51452.0–

514Peoria, ILIL363,50552.0–

515Payson, AZAZ53,80152.0–

516Edwards, COCO54,29152.0–

517Spokane, WAWA608,01252.0–

518Virginia Beach, VAVA1,797,21351.9–

519Fayetteville, ARAR622,17751.9–

520Tupelo, MSMS133,16751.8–

521Burlington, NCNC186,17751.8–

522Alpena, MIMI28,85351.8–

523Riverside, CACA4,769,00751.8–

524South Bend, ININ324,53851.8–

525Oxnard, CACA830,85151.8–

526Brenham, TXTX38,28851.8–

527Scranton, PAPA574,41851.8–

528Phoenix, AZAZ5,228,93851.7–

529Savannah, GAGA438,31451.7–

530Othello, WAWA21,48851.7–

531Plattsburgh, NYNY78,13851.5–

532Nogales, AZAZ50,02051.5–

533Wilmington, NCNC492,77251.5–

534Sweetwater, TXTX14,11751.4–

535Lexington, KYKY535,17451.4–

536Kingsport, TNTN314,83451.4–

537Flint, MIMI401,09351.4–

538Maryville, MOMO20,17451.3–

539Niles, MIMI152,44451.3–

540Glasgow, KYKY56,22451.2–

541Fairmont, WVWV55,58451.1–

542Morehead City, NCNC70,46951.1–

543Lawton, OKOK127,59051.1–

544Naples, FLFL417,13151.1–

545Hattiesburg, MSMS158,01451.1–

546Deming, NMNM25,40751.1–

547Jackson, MIMI159,55251.1–

548Gainesville, TXTX44,46151.0–

549Jonesboro, ARAR139,44051.0–

550Albany, OROR132,84351.0–

551Woodward, OKOK19,82750.9–

552Henderson, KYKY57,18450.9–

553Bemidji, MNMN47,05550.9–

554Auburn, ININ44,53550.8–

555Slidell, LALA279,10850.8–

556Lewisburg, PAPA42,31350.8–

557Americus, GAGA33,39450.8–

558Youngstown, OHOH423,67850.7–

559Marshall, MNMN25,68450.7–

560San Diego, CACA3,282,24850.7–

561New Castle, ININ49,13750.7–

562Fond du Lac, WIWI104,66950.7–

563Lynchburg, VAVA269,16950.7–

564Lewisburg, TNTN38,07150.6–

565Worcester, MAMA888,50250.6–

566Tullahoma, TNTN69,33950.5–

567Madisonville, KYKY45,12750.5–

568Dalton, GAGA147,81950.5–

569Brattleboro, VTVT45,20450.5–

570Calhoun, GAGA61,70150.5–

571LaGrange, GAGA107,09750.4–

572Augusta, MEME129,06750.4–

573Baton Rouge, LALA888,69950.4–

574Vernon, TXTX12,48150.3–

575Washington, DCDC6,465,72450.3–

576Columbia, SCSC879,91850.2–

577Sandpoint, IDID54,42050.2–

578Punta Gorda, FLFL217,21250.2–

579Brainerd, MNMN100,56250.2–

580Columbia, MOMO219,06250.2–

581Green Bay, WIWI336,75650.1–

582Sacramento, CACA2,477,27450.1–

583Kingsville, TXTX30,31550.1–

584Bedford, ININ45,56850.1–

585Le Mars, IAIA25,69749.9–

586Norwich, CTCT284,01549.9–

587Atlanta, GAGA6,482,18249.9–

588Beatrice, NENE21,71149.9–

589Rochester, NYNY1,056,14949.9–

590Canton, OHOH400,24649.9–

591Greenfield, MAMA70,69849.9–

592Mount Vernon, WAWA132,97549.8–

593Findlay, OHOH75,03449.8–

594Waycross, GAGA57,67049.8–

595Massena, NYNY105,48849.8–

596New York, NYNY20,112,44849.7–

597Greensboro, NCNC805,94549.6–

598Syracuse, NYNY652,27349.6–

599Modesto, CACA557,71949.6–

600Manchester, NHNH433,41549.5–

601Baltimore, MDMD2,857,78149.5–

602Rome, GAGA101,37849.5–

603St. Louis, MOMO2,814,42149.4–

604Grand Rapids, MIMI1,183,64549.4–

605Tucson, AZAZ1,074,68549.4–

606Santa Rosa, CACA486,44449.4–

607Natchitoches, LALA36,08949.4–

608Sterling, ILIL54,12149.4–

609Hood River, OROR23,72049.4–

610Decatur, ALAL160,32649.3–

611Huntington, WVWV365,96549.3–

612Bowling Green, KYKY197,18049.3–

613Pocatello, IDID91,59149.3–

614Tyler, TXTX252,54949.2–

615Michigan City, ININ111,29449.1–

616Bluefield, WVWV96,13849.1–

617Burlington, IAIA44,06149.1–

618Coeur d'Alene, IDID191,86449.1–

619Waco, TXTX308,80749.1–

620Las Vegas, NVNV2,407,22649.1–

621Davenport, IAIA380,45249.0–

622Rocky Mount, NCNC148,48649.0–

623East Stroudsburg, PAPA167,17949.0–

624McPherson, KSKS30,06449.0–

625Lubbock, TXTX368,43148.9–

626Charleston, ILIL46,60748.9–

627Murray, KYKY39,42148.9–

628Lufkin, TXTX88,15448.8–

629Huntsville, TXTX83,84248.8–

630Urbana, OHOH38,82048.8–

631Kalispell, MTMT115,42948.7–

632Binghamton, NYNY243,18948.7–

633Connersville, ININ23,53348.6–

634Elizabeth City, NCNC42,20148.6–

635Hermiston, OROR93,72148.6–

636Albuquerque, NMNM925,27948.6–

637Kankakee, ILIL105,52548.6–

638Bridgeport, CTCT978,17948.5–

639Morgan City, LALA46,55248.5–

640Winston-Salem, NCNC712,20648.4–

641Charlottesville, VAVA228,59748.3–

642Cleveland, TNTN134,05748.3–

643Pittsburgh, PAPA2,421,99248.3–

644Richmond, VAVA1,389,33848.2–

645Seattle, WAWA4,161,88348.2–

646Danville, ILIL71,25948.2–

647Philadelphia, PAPA6,329,11848.1–

648Quincy, ILIL74,14648.1–

649Chicago, ILIL9,434,12348.1–

650Birmingham, ALAL1,197,76648.1–

651Brownsville, TXTX433,94648.1–

652Lewiston, MEME116,48748.0–

653Denver, COCO3,092,03748.0–

654Lincoln, ILIL27,18248.0–

655Corsicana, TXTX57,18147.9–

656Helena, MTMT97,15347.9–

657Cedar City, UTUT67,14147.9–

658San Francisco, CACA4,630,04147.8–

659Farmington, NMNM120,34047.8–

660Russellville, ARAR84,93247.8–

661Amarillo, TXTX276,23547.8–

662Norwalk, OHOH58,25047.8–

663Weirton, WVWV112,46847.7–

664Austin, TXTX2,620,94547.7–

665Duluth, MNMN281,21947.7–

666Mitchell, SDSD25,91347.6–

667Salinas, CACA433,72947.6–

668Somerset, PAPA72,00447.5–

669Albany, NYNY915,83547.5–

670Staunton, VAVA129,69247.5–

671Rifle, COCO80,09947.4–

672Putnam, CTCT98,09647.4–

673Medford, OROR221,79547.4–

674Longview, TXTX297,31547.3–

675Starkville, MSMS62,06347.3–

676Harrisburg, PAPA617,42747.3–

677La Crosse, WIWI171,18247.3–

678Florence, ALAL156,60947.2–

679Corning, NYNY91,85547.2–

680Iron Mountain, MIMI30,57547.2–

681Springfield, MAMA464,33847.0–

682Elizabethtown, KYKY128,66647.0–

683Keene, NHNH78,26946.9–

684Lumberton, NCNC119,94146.8–

685Providence, RIRI1,708,16146.8–

686Durant, OKOK51,36746.7–

687Knoxville, TNTN968,13746.6–

688Winchester, VAVA152,33246.6–

689Richmond, KYKY131,80646.6–

690Allentown, PAPA887,61546.5–

691College Station, TXTX287,47646.5–

692Moberly, MOMO24,51346.5–

693Cumberland, MDMD93,64046.4–

694The Dalles, OROR26,31046.4–

695Brookhaven, MSMS35,01246.4–

696Oshkosh, WIWI174,21846.4–

697Bennington, VTVT36,63046.4–

698Mount Pleasant, MIMI64,69146.4–

699Buffalo, NYNY1,155,65346.3–

700Santa Maria, CACA442,06546.2–

701Palm Bay, FLFL663,98246.2–

702Salt Lake City, UTUT1,308,37746.2–

703Lafayette, ININ228,46846.2–

704Santa Cruz, CACA258,85246.1–

705Lincoln, NENE352,08146.1–

706Española, NMNM39,83246.1–

707Susanville, CACA28,11746.1–

708Williamsport, PAPA112,58746.0–

709Jackson, TNTN184,56946.0–

710Miami, FLFL6,391,07246.0–

711Cortland, NYNY45,85045.8–

712Tampa, FLFL3,418,89545.8–

713Racine, WIWI198,91945.8–

714Mountain Home, ARAR42,98245.7–

715Borger, TXTX19,63345.7–

716Heber, UTUT81,65545.7–

717Canton, ILIL32,90145.6–

718Santa Fe, NMNM156,90745.6–

719Johnstown, PAPA128,96845.6–

720Akron, OHOH701,78045.5–

721Milwaukee, WIWI1,575,01045.5–

722Kalamazoo, MIMI263,79545.3–

723Brownwood, TXTX38,71145.3–

724Bloomington, ILIL171,41945.3–

725Eau Claire, WIWI176,64745.2–

726Taylorville, ILIL33,44345.2–

727Orangeburg, SCSC83,17745.1–

728Gettysburg, PAPA107,59445.1–

729Hastings, NENE40,57745.0–

730Bozeman, MTMT128,74045.0–

731Selinsgrove, PAPA39,65545.0–

732Coos Bay, OROR63,99245.0–

733Walla Walla, WAWA62,36145.0–

734Tuscaloosa, ALAL281,85044.9–

735Boise City, IDID864,24344.7–

736Marion, ININ66,52444.7–

737Wichita Falls, TXTX149,44844.7–

738Portland, OROR2,542,28244.7–

739Bay City, MIMI102,12344.6–

740Fort Payne, ALAL74,08544.6–

741Deltona, FLFL746,93344.6–

742Altoona, PAPA119,54144.6–

743San Luis Obispo, CACA282,36744.6–

744Huntsville, ALAL556,44444.6–

745Madison, ININ33,27944.5–

746Salisbury, MDMD131,87244.5–

747Arkadelphia, ARAR20,93844.5–

748Martinsville, VAVA63,09144.4–

749Tallahassee, FLFL397,44244.4–

750Trenton, NJNJ399,28944.4–

751Morgantown, WVWV141,99544.4–

752Hartford, CTCT1,171,42644.3–

753Prescott Valley, AZAZ252,55244.3–

754Orlando, FLFL2,957,67244.3–

755Evansville, ININ273,78644.2–

756Nantucket, MAMA14,75844.2–

757Traverse City, MIMI156,97244.1–

758Martin, TNTN33,26144.1–

759Crescent City, CACA26,41044.1–

760Las Vegas, NMNM30,31144.1–

761Oxford, ALAL115,83444.0–

762Fort Collins, COCO377,29243.9–

763Hemlock Farms, PAPA62,80843.8–

764Boston, MAMA5,034,22143.8–

765Angola, ININ34,79943.8–

766Seneca Falls, NYNY32,88343.8–

767Concord, NHNH158,07843.7–

768Sebastian, FLFL172,79943.7–

769Asheville, NCNC422,34543.7–

770La Grande, OROR25,90043.6–

771Pella, IAIA34,19243.5–

772Plymouth, ININ46,59943.5–

773Napa, CACA132,94943.4–

774Pikeville, KYKY89,12243.4–

775Brookings, SDSD37,63543.4–

776Lakeland, FLFL874,79043.4–

777Dothan, ALAL156,26643.3–

778Kingston, NYNY183,33043.3–

779Hudson, NYNY60,16843.3–

780Weatherford, OKOK39,05943.1–

781Price, UTUT20,68043.0–

782Shreveport, LALA383,47443.0–

783Barnstable, MAMA233,53942.9–

784San Jose, CACA1,984,47342.9–

785Chambersburg, PAPA160,65242.9–

786Truckee, CACA101,91142.9–

787Chillicothe, OHOH76,42942.8–

788Los Angeles, CACA12,844,44142.7–

789Tiffin, OHOH54,52242.6–

790Lacey, WAWA304,26142.6–

791Greenwood, SCSC95,21542.5–

792Charleston, WVWV200,17042.5–

793Sturgis, MIMI60,96842.4–

794Muncie, ININ113,10642.4–

795Sault Ste. Marie, MIMI36,08142.4–

796Muskegon, MIMI177,90142.4–

797Daphne, ALAL267,76142.4–

798Watertown, WIWI86,50542.1–

799Harrison, ARAR45,65441.9–

800Seaford, DEDE277,14041.9–

801Rolla, MOMO45,24741.9–

802Dublin, GAGA60,35141.9–

803Port Townsend, WAWA33,97041.8–

804Myrtle Beach, SCSC427,55141.6–

805Riverton, WYWY39,46441.5–

806Escanaba, MIMI36,58241.5–

807Warrensburg, MOMO56,67041.4–

808Redding, CACA181,64841.4–

809Fort Leonard Wood, MOMO54,44241.3–

810Greenville, NCNC182,93641.3–

811North Port, FLFL948,15841.3–

812Jackson, WYWY36,58741.3–

813Iowa City, IAIA182,71141.3–

814Evanston, WYWY23,41541.0–

815Macomb, ILIL25,91641.0–

816Sevierville, TNTN101,34240.9–

817Madison, WIWI709,68540.7–

818Adrian, MIMI97,77940.7–

819Portland, MEME577,63540.6–

820Sanford, NCNC70,25840.6–

821Thomasville, GAGA72,95840.1–

822Scottsboro, ALAL54,28139.9–

823Pierre, SDSD20,58839.9–

824Lansing, MIMI479,72239.6–

825Clewiston, FLFL61,54639.5–

826Fallon, NVNV25,85139.3–

827Pueblo, COCO169,27739.3–

828Arcadia, FLFL37,07839.3–

829Rutland, VTVT59,65339.2–

830Chico, CACA209,21139.1–

831Gallup, NMNM68,11939.1–

832Lebanon, NHNH224,50039.0–

833Ann Arbor, MIMI370,21438.9–

834Union City, TNTN30,06738.8–

835Athens, GAGA224,14838.8–

836Wilson, NCNC81,15038.7–

837Durham, NCNC625,48538.5–

838Eugene, OROR381,58438.5–

839Alice, TXTX45,38338.3–

840Wheeling, WVWV134,08938.3–

841Grand Junction, COCO162,84538.2–

842Palestine, TXTX59,80538.2–

843Elko, NVNV56,68238.1–

844Watertown, SDSD29,56238.1–

845Williston, NDND41,76738.1–

846Dyersburg, TNTN36,32038.0–

847Whitewater, WIWI106,12737.6–

848Warner Robins, GAGA208,09137.5–

849Champaign, ILIL239,97937.3–

850Houghton, MIMI40,02837.1–

851New Haven, CTCT578,74137.1–

852Beckley, WVWV109,94037.1–

853Hailey, IDID32,43636.9–

854Winona, MNMN50,52336.8–

855Moscow, IDID41,84236.8–

856Alamogordo, NMNM70,36836.8–

857Rexburg, IDID69,38036.7–

858Burlington, VTVT227,80336.5–

859Johnson City, TNTN216,41636.4–

860Paducah, KYKY102,25936.4–

861Henderson, NCNC42,63836.3–

862Kill Devil Hills, NCNC38,24536.3–

863Grand Rapids, MNMN45,40436.2–

864Cape Girardeau, MOMO99,21536.1–

865Ludington, MIMI29,04035.7–

866Ruston, LALA48,36035.3–

867Blacksburg, VAVA181,61635.2–

868Ames, IAIA128,09035.2–

869Auburn, ALAL208,01334.8–

870Troy, ALAL33,68834.8–

871Sierra Vista, AZAZ126,33234.8–

872Missoula, MTMT128,69834.7–

873Laramie, WYWY38,55834.7–

874Minden, LALA34,94834.7–

875Gainesville, FLFL359,03634.6–

876Pittsfield, MAMA128,22434.5–

877Flagstaff, AZAZ144,36834.5–

878Harrisonburg, VAVA140,15534.5–

879Spearfish, SDSD29,45934.4–

880Wabash, ININ30,71334.2–

881Jacksonville, ILIL37,38134.1–

882Spencer, IAIA16,20234.1–

883Ellensburg, WAWA48,80333.8–

884Stevens Point, WIWI71,94333.8–

885Silver City, NMNM27,25233.7–

886Washington Court House, OHOH28,55233.4–

887Washington, NCNC44,67033.3–

888Pine Bluff, ARAR70,21133.2–

889Hot Springs, ARAR99,69533.1–

890Ketchikan, AKAK13,54933.0–

891Bradford, PAPA38,98432.8–

892Bainbridge, GAGA29,43232.6–

893Lawrence, KSKS120,92032.3–

894Paris, TNTN32,89632.3–

895Stillwater, OKOK83,88932.2–

896Bellingham, WAWA236,39232.0–

897Grants Pass, OROR87,86731.9–

898Marquette, MIMI68,06431.0–

899Roseburg, OROR111,95130.9–

900Fredericksburg, TXTX28,52730.9–

901State College, PAPA157,39330.5–

902Pullman, WAWA48,51230.3–

903Milledgeville, GAGA44,02930.1–

904Juneau city and, AKAK31,60930.1–

905Boulder, COCO328,56029.7–

906Barre, VTVT59,65229.6–

907Eureka, CACA131,64729.6–

908Greencastle, ININ37,87629.0–

909Oxford, MSMS71,97228.7–

910Cornelia, GAGA50,41628.6–

911Athens, OHOH63,19728.2–

912Bloomington, ININ165,23127.8–

913Breckenridge, COCO39,06927.2–

914Franklin, KYKY20,78826.3–

915Ithaca, NYNY104,04726.2–

916Vermillion, SDSD15,03124.3–

917Waynesville, NCNC63,36923.9–

918Corvallis, OROR97,72823.9–

919Bloomsburg, PAPA66,19322.2–

920Jamestown, NDND21,41421.1–

921Butte-Silver Bow, MTMT36,11819.5–

922Amherst, MAMA164,06518.8–

923Bishop, CACA18,15815.4–

924Boone, NCNC54,78615.4–

925Taos, NMNM34,56414.1–

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES