RANKING · 2010 CENSUS · 500 SHOWN OF 918

Highest fertility rate, US metro areas · 2010

US metro areas ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). Zapata, TX leads at 145.8. 918 metro areas qualify in total. Texas carries 8 of the top 25 entries.

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All statesAll rankings

SAME RANKING BYCities Counties States ZIP codes

YEAR2010 2024

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

01Zapata, TXTX13,753145.8–

02Town of Pecos, TXTX12,138139.6–

03Hereford, TXTX18,626133.4–

04Othello, WAWA21,488122.7–

05Vernon, TXTX12,481115.4–

06Big Spring, TXTX30,504113.6–

07Snyder, TXTX16,162112.0–

08Sterling, COCO20,65499.8–

09Grenada, MSMS30,22298.5–

10Dyersburg, TNTN36,32098.0–

11Nantucket, MAMA14,75897.7–

12Liberal, KSKS21,07397.2–

13St. George, UTUT213,67096.2–

14Jacksonville, NCNC217,17595.0–

15Bishop, CACA18,15894.0–

16Pampa, TXTX21,78693.3–

17North Platte, NENE33,97291.2–

18Decatur, ININ36,65090.6–

19Provo, UTUT773,42690.5–

20Oskaloosa, IAIA21,88089.5–

21Moberly, MOMO24,51389.0–

22Eagle Pass, TXTX58,82388.9–

23Memphis, TNTN1,341,41288.7–

24Dodge City, KSKS33,99388.6–

25Burley, IDID49,30888.6–

26Sikeston, MOMO49,97887.0–

27Ogden, UTUT672,78486.7–

28Vernal, UTUT38,27886.5–

29Riverton, WYWY39,46486.4–

30New Iberia, LALA66,84686.0–

31Del Rio, TXTX47,83585.4–

32Celina, OHOH42,73785.1–

33McAllen, TXTX921,54984.7–

34Rio Grande City, TXTX66,31984.3–

35Plymouth, ININ46,59984.3–

36Bay City, TXTX36,46384.3–

37Elk City, OKOK22,15984.1–

38Brenham, TXTX38,28883.9–

39Brigham City, UTUT70,40583.8–

40Garden City, KSKS37,50583.1–

41Logan, UTUT160,88982.6–

42Visalia, CACA485,14682.6–

43Great Bend, KSKS24,79082.6–

44Camden, ARAR26,36382.2–

45Odessa, TXTX173,80181.9–

46Merced, CACA297,26081.6–

47Bradford, PAPA38,98481.1–

48Cañon City, COCO50,03980.5–

49Mount Pleasant, TXTX57,07680.5–

50Mineral Wells, TXTX30,79180.5–

51Hannibal, MOMO38,96980.4–

52Idaho Falls, IDID173,85180.3–

53Pocatello, IDID91,59179.7–

54Yakima, WAWA259,18579.6–

55Blytheville, ARAR37,82879.5–

56Carroll, IAIA20,30379.5–

57Victoria, TXTX99,86479.4–

58Mountain Home, IDID29,46579.4–

59Eufaula, ALAL26,86179.3–

60Winnemucca, NVNV17,26779.2–

61Red Bluff, CACA64,66579.1–

62Moses Lake, WAWA105,72779.1–

63Clovis, NMNM65,27078.9–

64Blackfoot, IDID51,15378.8–

65Monticello, ININ25,16478.7–

66Elko, NVNV56,68278.7–

67Wahpeton, NDND23,01978.5–

68Roswell, NMNM63,36478.5–

69Heber, UTUT81,65578.4–

70Yuma, AZAZ224,44978.0–

71Rexburg, IDID69,38077.7–

72Clarksville, TNTN349,00177.6–

73Dumas, TXTX21,89177.2–

74Susanville, CACA28,11777.2–

75Greenwood, MSMS34,91277.1–

76Ludington, MIMI29,04077.0–

77Bemidji, MNMN47,05577.0–

78Juneau city and, AKAK31,60976.9–

79Gainesville, GAGA226,56876.9–

80Lumberton, NCNC119,94176.5–

81Dubuque, IAIA99,38176.5–

82Kennewick, WAWA324,33476.4–

83Kendallville, ININ47,93776.3–

84Weatherford, OKOK39,05976.2–

85Minden, LALA34,94876.2–

86Marion, NCNC45,19876.1–

87Cedar City, UTUT67,14176.1–

88Alice, TXTX45,38375.9–

89Monticello, NYNY80,58675.7–

90Safford, AZAZ40,15775.6–

91Brownsville, TXTX433,94675.4–

92Farmington, NMNM120,34075.3–

93Lawton, OKOK127,59075.2–

94Klamath Falls, OROR70,27475.2–

95Detroit Lakes, MNMN35,49775.1–

96Meridian, MSMS85,41974.9–

97Sebring, FLFL111,12274.9–

98Rock Springs, WYWY41,26774.8–

99Summerville, GAGA25,30074.5–

100Beeville, TXTX32,51574.4–

101Dalton, GAGA147,81974.3–

102Coldwater, MIMI45,99374.2–

103Bakersfield, CACA927,06874.2–

104Wapakoneta, OHOH45,90973.9–

105Mount Vernon, WAWA132,97573.6–

106Wilmington, OHOH42,30173.5–

107Centralia, ILIL36,38273.5–

108Montrose, COCO44,59173.5–

109Tifton, GAGA51,23773.3–

110Fort Leonard Wood, MOMO54,44273.2–

111Anchorage, AKAK405,82173.2–

112Scottsbluff, NENE36,27273.0–

113Edwards, COCO54,29172.9–

114Boise City, IDID864,24372.9–

115Jonesboro, ARAR139,44072.7–

116Spirit Lake, IAIA18,07772.7–

117Corsicana, TXTX57,18172.6–

118Grand Island, NENE78,07672.5–

119Killeen, TXTX511,49772.4–

120Watertown, NYNY111,54072.2–

121Austin, MNMN40,97172.1–

122Valdosta, GAGA153,27672.1–

123Fayetteville, TNTN36,85372.0–

124Yuba City, CACA187,47871.9–

125Payson, AZAZ53,80171.8–

126Connersville, ININ23,53371.8–

127Glasgow, KYKY56,22471.8–

128Cedartown, GAGA45,51471.7–

129Fayetteville, NCNC395,41271.6–

130Effingham, ILIL44,72771.6–

131Laredo, TXTX281,22471.4–

132Cleveland, TNTN134,05771.4–

133Twin Falls, IDID123,90171.4–

134Alamogordo, NMNM70,36871.0–

135Sierra Vista, AZAZ126,33270.7–

136Sandpoint, IDID54,42070.7–

137Salt Lake City, UTUT1,308,37770.7–

138Ponca City, OKOK43,49070.6–

139Lewisburg, TNTN38,07170.5–

140Roanoke Rapids, NCNC63,02570.4–

141Goldsboro, NCNC122,27870.4–

142Hobbs, NMNM74,74970.3–

143Hutchinson, KSKS61,53970.3–

144Port Lavaca, TXTX19,59970.1–

145Selinsgrove, PAPA39,65570.1–

146Middlesborough, KYKY22,82970.1–

147Hilton Head Island, SCSC242,96669.9–

148Arcadia, FLFL37,07869.9–

149Evanston, WYWY23,41569.9–

150Frankfort, ININ33,32269.8–

151Magnolia, ARAR21,89469.7–

152Kingsland, GAGA60,14369.6–

153Picayune, MSMS59,36369.6–

154Coeur d'Alene, IDID191,86469.5–

155Pine Bluff, ARAR70,21169.5–

156Lewiston, IDID65,45069.4–

157Fresno, CACA1,203,38369.4–

158Huron, SDSD19,62469.4–

159McAlester, OKOK43,32069.3–

160Shawano, WIWI45,75969.3–

161El Centro, CACA181,41169.3–

162Jesup, GAGA32,48169.2–

163Gainesville, TXTX44,46169.2–

164Kearney, NENE57,96269.2–

165Ontario, OROR60,08569.1–

166Williston, NDND41,76769.0–

167Sheridan, WYWY33,24169.0–

168Fredericksburg, TXTX28,52768.9–

169Kingsville, TXTX30,31568.9–

170St. Joseph, MOMO119,17068.8–

171Oxford, ALAL115,83468.8–

172Wisconsin Rapids, WIWI74,06068.7–

173Pontiac, ILIL35,05768.7–

174Marshalltown, IAIA39,89068.6–

175Amarillo, TXTX276,23568.6–

176Wichita Falls, TXTX149,44868.4–

177Minot, NDND75,69468.3–

178Stockton, CACA823,81568.3–

179Opelousas, LALA80,76568.3–

180Billings, MTMT193,60368.3–

181Albany, OROR132,84368.2–

182Mitchell, SDSD25,91368.2–

183Lexington, NENE26,25568.2–

184Great Falls, MTMT85,02968.1–

185Oak Harbor, WAWA85,65768.1–

186Elkhart, ININ208,77468.0–

187Lincoln, NENE352,08168.0–

188Wichita, KSKS663,80967.9–

189Atchison, KSKS16,17267.9–

190LaGrange, GAGA107,09767.8–

191Scottsboro, ALAL54,28167.8–

192Lufkin, TXTX88,15467.7–

193Pierre, SDSD20,58867.5–

194Bismarck, NDND139,75067.5–

195Muskegon, MIMI177,90167.4–

196Texarkana, TXTX146,81667.4–

197Longview, WAWA114,88567.3–

198Washington, ININ34,20967.3–

199Decatur, ILIL99,30067.2–

200Sterling, ILIL54,12167.2–

201Storm Lake, IAIA20,44967.0–

202Salem, OROR445,81466.9–

203Lacey, WAWA304,26166.7–

204Topeka, KSKS233,05266.7–

205Jefferson, GAGA99,26566.7–

206Show Low, AZAZ109,94666.6–

207San Angelo, TXTX122,06566.5–

208Warsaw, ININ80,89266.5–

209Greenville, MSMS40,44666.4–

210Alexandria, LALA147,95266.2–

211Ottumwa, IAIA35,21066.2–

212Houston, TXTX7,904,62766.1–

213Sioux City, IAIA145,73866.1–

214Brookhaven, MSMS35,01266.1–

215Omaha, NENE1,009,83666.1–

216Vallejo, CACA455,37666.0–

217Fairbanks, AKAK93,97266.0–

218Rapid City, SDSD156,93466.0–

219Española, NMNM39,83265.9–

220Paducah, KYKY102,25965.9–

221Norfolk, NENE49,22865.9–

222Washington Court House, OHOH28,55265.7–

223Gillette, WYWY48,14565.6–

224Sanford, NCNC70,25865.6–

225Manhattan, KSKS136,12265.6–

226Daphne, ALAL267,76165.5–

227Alamosa, COCO27,89665.5–

228Hanford, CACA154,32765.5–

229Ocean Pines, MDMD54,45965.5–

230Lakeland, FLFL874,79065.5–

231Holland, MIMI123,18865.4–

232Palestine, TXTX59,80565.3–

233Taylorville, ILIL33,44365.2–

234Seneca Falls, NYNY32,88365.2–

235Tullahoma, TNTN69,33965.1–

236Bowling Green, KYKY197,18065.1–

237Hermiston, OROR93,72165.1–

238Salina, KSKS59,12165.0–

239Hinesville, GAGA91,87065.0–

240Cody, WYWY31,17165.0–

241Modesto, CACA557,71964.9–

242Ozark, ALAL49,91264.9–

243Chambersburg, PAPA160,65264.9–

244Winchester, TNTN45,57964.8–

245Kapaa, HIHI73,40064.8–

246Watertown, SDSD29,56264.7–

247Hailey, IDID32,43664.7–

248Gallipolis, OHOH29,07264.7–

249Nacogdoches, TXTX66,03564.7–

250Crestview, FLFL315,09864.6–

251El Paso, TXTX881,29164.5–

252Fort Morgan, COCO30,30664.3–

253Orangeburg, SCSC83,17764.3–

254Uvalde, TXTX24,96364.2–

255Emporia, KSKS34,83864.2–

256Brainerd, MNMN100,56264.2–

257Mount Vernon, ILIL36,14764.2–

258Jacksonville, TXTX53,33764.1–

259Jackson, MSMS609,84764.1–

260Alexandria, MNMN40,12064.1–

261Lancaster, PAPA563,15964.0–

262Burlington, IAIA44,06164.0–

263Phoenix, AZAZ5,228,93863.9–

264Midland, TXTX193,13963.8–

265Salinas, CACA433,72963.8–

266Carlsbad, NMNM62,50963.6–

267Mansfield, OHOH124,89363.6–

268Bedford, ININ45,56863.6–

269Panama City, FLFL231,17463.6–

270San Antonio, TXTX2,813,14063.6–

271Cambridge, OHOH38,37963.6–

272Altus, OKOK24,76463.6–

273Albany, GAGA145,51063.5–

274Shelbyville, TNTN55,27363.5–

275Terre Haute, ININ169,24163.5–

276Kankakee, ILIL105,52563.4–

277Athens, TXTX88,59563.3–

278Mason City, IAIA49,71063.3–

279Oklahoma City, OKOK1,512,81363.3–

280Dallas, TXTX8,477,15763.2–

281Beaumont, TXTX399,31063.2–

282Jackson, MIMI159,55263.1–

283Kahului, HIHI160,67463.1–

284Washington, NCNC44,67063.1–

285Baraboo, WIWI66,65263.1–

286Henderson, KYKY57,18463.1–

287Centralia, WAWA88,06263.1–

288Lewiston, MEME116,48762.9–

289Alexander City, ALAL40,95362.9–

290Spartanburg, SCSC407,65662.9–

291Hastings, NENE40,57762.8–

292Vineland, NJNJ157,14862.8–

293Hutchinson, MNMN36,63162.8–

294Ardmore, OKOK48,91062.8–

295Tyler, TXTX252,54962.7–

296Warner Robins, GAGA208,09162.7–

297Muskogee, OKOK66,70862.6–

298Worthington, MNMN22,33862.6–

299Bogalusa, LALA44,93762.6–

300Niles, MIMI152,44462.5–

301Clarksburg, WVWV88,14262.5–

302Yankton, SDSD23,63562.3–

303Cleveland, MSMS28,26262.3–

304Olean, NYNY75,39062.2–

305Janesville, WIWI166,47262.2–

306Beatrice, NENE21,71162.2–

307Fort Payne, ALAL74,08562.0–

308New Bern, NCNC127,35862.0–

309Laurinburg, NCNC33,32262.0–

310Fremont, NENE38,05761.9–

311Elizabeth City, NCNC42,20161.9–

312Spencer, IAIA16,20261.9–

313Grand Junction, COCO162,84561.8–

314Fort Wayne, ININ466,25861.8–

315Rochester, MNMN231,18461.8–

316Crescent City, CACA26,41061.8–

317Baker City, OROR16,65861.8–

318Las Vegas, NVNV2,407,22661.8–

319Hammond, LALA141,34661.7–

320Longview, TXTX297,31561.7–

321Abilene, TXTX185,42961.7–

322Las Cruces, NMNM229,09161.5–

323Moultrie, GAGA47,43861.4–

324Riverside, CACA4,769,00761.4–

325Norwalk, OHOH58,25061.4–

326Richmond, ININ66,16961.3–

327Kalispell, MTMT115,42961.3–

328Cedar Rapids, IAIA279,28561.2–

329Poplar Bluff, MOMO41,90461.2–

330Sparta, WIWI46,57261.0–

331Plainview, TXTX36,70061.0–

332Asheville, NCNC422,34561.0–

333San Jose, CACA1,984,47361.0–

334Houma, LALA199,66860.9–

335Lafayette, LALA423,75860.9–

336Chillicothe, OHOH76,42960.8–

337Minneapolis, MNMN3,790,29560.8–

338Le Mars, IAIA25,69760.7–

339Decatur, ALAL160,32660.7–

340Lubbock, TXTX368,43160.7–

341Wenatchee, WAWA128,41460.6–

342Lima, OHOH100,88160.6–

343Greeley, COCO378,42660.5–

344Saginaw, MIMI187,68860.5–

345Dothan, ALAL156,26660.4–

346Colorado Springs, COCO781,79660.4–

347Jackson, TNTN184,56960.4–

348The Dalles, OROR26,31060.4–

349Bremerton, WAWA283,37460.3–

350Bellefontaine, OHOH46,30260.2–

351Florence, ALAL156,60960.2–

352Salem, OHOH99,37760.1–

353Ocala, FLFL442,66060.1–

354Fayetteville, ARAR622,17760.0–

355Prescott Valley, AZAZ252,55260.0–

356Vidalia, GAGA36,18060.0–

357Austin, TXTX2,620,94560.0–

358Elizabethtown, KYKY128,66660.0–

359Athens, TNTN71,59059.9–

360Savannah, GAGA438,31459.9–

361Platteville, WIWI52,44659.7–

362Columbus, NENE46,58359.7–

363St. Cloud, MNMN205,85459.7–

364McMinnville, TNTN43,71759.7–

365Springfield, MOMO500,69459.6–

366Green Bay, WIWI336,75659.6–

367DeRidder, LALA36,67359.6–

368Columbus, OHOH2,242,02859.6–

369Racine, WIWI198,91959.5–

370Rocky Mount, NCNC148,48659.5–

371Enid, OKOK61,77959.4–

372Faribault, MNMN69,93959.3–

373Eureka, CACA131,64759.3–

374Albertville, ALAL103,53759.3–

375Sioux Falls, SDSD314,63859.3–

376Waterloo, IAIA169,18959.3–

377Urbana, OHOH38,82059.2–

378Ada, OKOK38,52859.2–

379Honolulu, HIHI988,70359.2–

380Greenwood, SCSC95,21559.2–

381Shreveport, LALA383,47459.1–

382Sweetwater, TXTX14,11759.1–

383Columbus, GAGA324,83059.1–

384Batavia, NYNY58,41658.9–

385Corpus Christi, TXTX451,19158.8–

386Napa, CACA132,94958.8–

387Talladega, ALAL91,76458.8–

388Albuquerque, NMNM925,27958.7–

389Waco, TXTX308,80758.7–

390Americus, GAGA33,39458.7–

391Brookings, OROR22,62158.7–

392Wabash, ININ30,71358.7–

393Baton Rouge, LALA888,69958.6–

394Indianapolis, ININ2,205,69558.6–

395Alpena, MIMI28,85358.5–

396Kennett, MOMO26,85558.4–

397Greenville, OHOH51,52058.3–

398Redding, CACA181,64858.3–

399Gulfport, MSMS431,32958.2–

400Kirksville, MOMO29,82458.2–

401Paragould, ARAR47,41158.2–

402Kansas City, MOMO2,270,68258.1–

403Mankato, MNMN104,90758.1–

404Miami, OKOK30,43858.1–

405Des Moines, IAIA758,53958.1–

406Pueblo, COCO169,27758.1–

407Shelton, WAWA71,16558.0–

408Okeechobee, FLFL42,60857.9–

409Fitzgerald, GAGA17,09957.8–

410Grand Rapids, MIMI1,183,64557.8–

411Campbellsville, KYKY38,40757.8–

412Louisville, KYKY1,402,50957.7–

413Slidell, LALA279,10857.7–

414Lake Havasu City, AZAZ228,10257.6–

415Denver, COCO3,092,03757.6–

416Montgomery, ALAL388,74757.6–

417Cincinnati, OHOH2,312,85857.6–

418Silver City, NMNM27,25257.5–

419Marion, ININ66,52457.5–

420Aberdeen, SDSD41,58357.5–

421Durham, NCNC625,48557.5–

422Guymon, OKOK20,32257.4–

423Chicago, ILIL9,434,12357.4–

424Selma, ALAL35,14057.4–

425Monroe, LALA222,39057.3–

426Key West, FLFL80,40657.3–

427Hot Springs, ARAR99,69557.2–

428Farmington, MOMO67,80957.1–

429Willmar, MNMN44,72057.1–

430Fremont, OHOH58,65557.1–

431Lexington Park, MDMD211,17657.1–

432Reno, NVNV578,73457.1–

433Columbia, SCSC879,91857.0–

434Grand Forks, NDND105,04657.0–

435Ashland, OHOH52,52357.0–

436Atlanta, GAGA6,482,18257.0–

437Chattanooga, TNTN594,53056.9–

438Lebanon, PAPA146,38056.9–

439Ottawa, KSKS26,29956.9–

440Watertown, WIWI86,50556.9–

441Manitowoc, WIWI81,71056.9–

442Laurel, MSMS82,28156.9–

443Flint, MIMI401,09356.8–

444Hagerstown, MDMD315,28056.8–

445Sturgis, MIMI60,96856.7–

446Raleigh, NCNC1,595,72056.7–

447Battle Creek, MIMI133,40856.7–

448Gettysburg, PAPA107,59456.6–

449Washington, DCDC6,465,72456.6–

450Albemarle, NCNC68,83056.5–

451DuBois, PAPA78,10056.5–

452Warren, PAPA37,03856.4–

453Seymour, ININ47,37056.4–

454Casper, WYWY80,52656.4–

455New Philadelphia, OHOH92,37356.3–

456Charleston, SCSC889,26356.3–

457Starkville, MSMS62,06356.3–

458Owatonna, MNMN37,46456.2–

459McComb, MSMS52,64056.2–

460Winona, MNMN50,52356.2–

461Dover, DEDE194,78656.2–

462Sunbury, PAPA107,78856.2–

463Davenport, IAIA380,45256.2–

464Huntington, ININ37,22456.2–

465Jasper, ININ44,01656.1–

466Enterprise, ALAL56,95356.1–

467Winchester, VAVA152,33255.9–

468San Diego, CACA3,282,24855.9–

469Wausau, WIWI139,43255.8–

470College Station, TXTX287,47655.8–

471Fort Madison, IAIA32,30655.8–

472Searcy, ARAR80,08555.8–

473Beaver Dam, WIWI89,09755.8–

474Kinston, NCNC55,83755.8–

475Cape Coral, FLFL875,60755.7–

476Seattle, WAWA4,161,88355.7–

477Danville, KYKY56,98555.7–

478Portland, OROR2,542,28255.6–

479Wilson, NCNC81,15055.6–

480Milwaukee, WIWI1,575,01055.6–

481Fort Smith, ARAR234,14055.5–

482Charlotte, NCNC2,938,83055.5–

483Nashville, TNTN2,197,41655.4–

484Arkansas City, KSKS34,38255.4–

485Kiryas Joel, NYNY718,37755.3–

486Freeport, ILIL43,22055.2–

487Quincy, ILIL74,14655.2–

488Baltimore, MDMD2,857,78155.1–

489Kenosha, WIWI168,44855.0–

490Sonora, CACA53,16055.0–

491Calhoun, GAGA61,70155.0–

492New Orleans, LALA970,84955.0–

493Augusta, GAGA641,23155.0–

494St. Louis, MOMO2,814,42155.0–

495New Ulm, MNMN25,51755.0–

496Steamboat Springs, COCO38,45155.0–

497Virginia Beach, VAVA1,797,21354.9–

498Oxnard, CACA830,85154.9–

499Pensacola, FLFL544,94954.9–

500Hattiesburg, MSMS158,01454.9–

SHOWING 1–500 OF 918

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

Frequently asked

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

Zapata, TX ranks #1 with 145.8 (2010 American Community Survey).

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

Zapata, TX, Town of Pecos, TX, Hereford, TX, Othello, WA, Vernon, TX.

How many metro areas are in this ranking?

918 metro areas qualify after filtering for population minimums and data availability. The ranking covers 2010 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 (2010).