RANKING · 2024 ACS · 19 SHOWN OF 19

Highest uninsured rate, South Dakota cities

South Dakota cities ranked by the share of residents without health insurance (2024 ACS). This list covers the 19 cities in South Dakota that qualify, ranked against each other statewide.

South DakotaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Belle Fourche, SDSD5,79114.1%−4.6 pts

02Box Elder, SDSD13,93610.0%−0.5 pts

03Rapid City, SDSD80,5899.8%−2.3 pts

04Vermillion, SDSD11,7209.5%+2.5 pts

05Sturgis, SDSD6,9229.0%−9.9 pts

06Rapid Valley, SDSD6,9758.8%−2.3 pts

07Huron, SDSD14,6078.7%−2.2 pts

08Mitchell, SDSD15,7568.5%−0.5 pts

09Spearfish, SDSD14,1548.4%+1.7 pts

10Sioux Falls, SDSD213,7488.1%+0.4 pts

11Pierre, SDSD13,8487.4%+0.8 pts

12Watertown, SDSD23,7367.0%−0.9 pts

13Yankton, SDSD15,8166.1%−2.2 pts

14Aberdeen, SDSD27,9615.5%−2.2 pts

15Brookings, SDSD25,3555.5%+0.0 pts

16Madison, SDSD6,0654.6%−2.6 pts

17Brandon, SDSD11,3064.6%+0.2 pts

18Harrisburg, SDSD10,4053.1%−0.8 pts

19Tea, SDSD8,0193.0%+0.2 pts

SHOWING 1–19 OF 19

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES