RANKING · 2024 ACS · 66 SHOWN OF 66

Highest uninsured rate, South Dakota counties

South Dakota counties ranked by the share of residents without health insurance (2024 ACS). This list covers the 66 counties in South Dakota that qualify, ranked against each other statewide.

South DakotaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01Oglala Lakota County, SDSD13,33844.6%+18%

02Buffalo County, SDSD1,80243.0%+6%

03Bennett County, SDSD3,30727.7%+16%

04Jackson County, SDSD2,66627.4%+2%

05Ziebach County, SDSD2,38926.0%−9%

06Mellette County, SDSD2,13725.0%−33%

07Todd County, SDSD8,86322.8%−22%

08Lyman County, SDSD3,69421.3%+28%

09Dewey County, SDSD5,41921.2%−18%

10Roberts County, SDSD10,25518.2%−13%

11Charles Mix County, SDSD9,30317.1%−11%

12Corson County, SDSD3,78116.9%−30%

13Douglas County, SDSD2,88816.0%+3%

14Tripp County, SDSD5,70814.1%+68%

15Fall River County, SDSD7,46713.2%+15%

16Butte County, SDSD10,85611.5%−19%

17Moody County, SDSD6,63211.0%+47%

18Custer County, SDSD9,43110.8%+48%

19Perkins County, SDSD2,85310.7%+16%

20Walworth County, SDSD5,21710.6%+23%

21Pennington County, SDSD116,79210.2%−8%

22Hanson County, SDSD3,4569.8%+118%

23Meade County, SDSD30,7119.4%−20%

24Spink County, SDSD6,1559.4%+68%

25Clay County, SDSD15,0319.1%+26%

26Lawrence County, SDSD29,4598.9%−9%

27Jones County, SDSD9138.7%−21%

28Day County, SDSD5,4848.5%−11%

29Gregory County, SDSD4,0378.3%−14%

30Minnehaha County, SDSD212,6918.2%+6%

31Davison County, SDSD20,0698.0%+5%

32Grant County, SDSD7,5347.8%−8%

33McCook County, SDSD5,9647.8%−10%

34Hamlin County, SDSD6,9007.7%−8%

35Beadle County, SDSD19,6247.4%−20%

36Clark County, SDSD4,0317.0%+23%

37Turner County, SDSD9,3147.0%+19%

38Deuel County, SDSD4,4086.9%−9%

39Brule County, SDSD5,2786.8%+3%

40Haakon County, SDSD1,8026.7%−26%

41Hughes County, SDSD17,5706.7%+6%

42Sully County, SDSD1,4796.6%+128%

43Codington County, SDSD29,5626.3%−13%

44Faulk County, SDSD2,1786.3%+5%

45Hyde County, SDSD1,1916.1%+45%

46Miner County, SDSD2,2815.9%+2%

47Brown County, SDSD37,5615.7%−20%

48Yankton County, SDSD23,6355.6%−34%

49Kingsbury County, SDSD5,2845.3%−2%

50Sanborn County, SDSD2,3885.3%−33%

51Aurora County, SDSD2,8015.2%−40%

52Bon Homme County, SDSD7,2445.2%−15%

53Brookings County, SDSD37,6355.1%−7%

54Hutchinson County, SDSD7,4135.1%+4%

55Union County, SDSD17,4025.1%−18%

56Hand County, SDSD3,1215.0%+61%

57Campbell County, SDSD1,3774.8%+220%

58Edmunds County, SDSD4,0224.4%−24%

59Potter County, SDSD2,3774.3%−33%

60Lincoln County, SDSD77,1454.1%−13%

61Lake County, SDSD10,9934.0%−20%

62Marshall County, SDSD4,4263.9%−47%

63Jerauld County, SDSD1,6543.4%−35%

64Stanley County, SDSD3,0183.4%−17%

65Harding County, SDSD1,3312.8%−60%

66McPherson County, SDSD2,3471.9%−74%

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES