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. The median across all 19 is 8.1%. Biggest climber in the top 100 since 2020: Vermillion, SD, up 9 places to #4.

South DakotaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01▲1Belle Fourche, SDSD5,79114.1%−4.6 pts

02▲4Box Elder, SDSD13,93610.0%−0.5 pts

03Rapid City, SDSD80,5899.8%−2.3 pts

04▲9Vermillion, SDSD11,7209.5%+2.5 pts

05▼4Sturgis, SDSD6,9229.0%−9.9 pts

06▼2Rapid Valley, SDSD6,9758.8%−2.3 pts

07▼2Huron, SDSD14,6078.7%−2.2 pts

08▼1Mitchell, SDSD15,7568.5%−0.5 pts

09▲5Spearfish, SDSD14,1548.4%+1.7 pts

10▲1Sioux Falls, SDSD213,7488.1%+0.4 pts

11▲4Pierre, SDSD13,8487.4%+0.8 pts

12▼3Watertown, SDSD23,7367.0%−0.9 pts

13▼5Yankton, SDSD15,8166.1%−2.2 pts

14▼4Aberdeen, SDSD27,9615.5%−2.2 pts

15▲1Brookings, SDSD25,3555.5%0.0 pts

16▼4Madison, 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 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES