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.

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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%+6.9 pts

02Buffalo County, SDSD1,80243.0%+2.6 pts

03Bennett County, SDSD3,30727.7%+3.8 pts

04Jackson County, SDSD2,66627.4%+0.5 pts

05Ziebach County, SDSD2,38926.0%−2.7 pts

06Mellette County, SDSD2,13725.0%−12.1 pts

07Todd County, SDSD8,86322.8%−6.3 pts

08Lyman County, SDSD3,69421.3%+4.7 pts

09Dewey County, SDSD5,41921.2%−4.6 pts

10Roberts County, SDSD10,25518.2%−2.6 pts

11Charles Mix County, SDSD9,30317.1%−2.2 pts

12Corson County, SDSD3,78116.9%−7.2 pts

13Douglas County, SDSD2,88816.0%+0.4 pts

14Tripp County, SDSD5,70814.1%+5.7 pts

15Fall River County, SDSD7,46713.2%+1.7 pts

16Butte County, SDSD10,85611.5%−2.7 pts

17Moody County, SDSD6,63211.0%+3.5 pts

18Custer County, SDSD9,43110.8%+3.5 pts

19Perkins County, SDSD2,85310.7%+1.5 pts

20Walworth County, SDSD5,21710.6%+2.0 pts

21Pennington County, SDSD116,79210.2%−0.9 pts

22Hanson County, SDSD3,4569.8%+5.3 pts

23Meade County, SDSD30,7119.4%−2.3 pts

24Spink County, SDSD6,1559.4%+3.8 pts

25Clay County, SDSD15,0319.1%+1.9 pts

26Lawrence County, SDSD29,4598.9%−0.9 pts

27Jones County, SDSD9138.7%−2.3 pts

28Day County, SDSD5,4848.5%−1.1 pts

29Gregory County, SDSD4,0378.3%−1.3 pts

30Minnehaha County, SDSD212,6918.2%+0.5 pts

31Davison County, SDSD20,0698.0%+0.4 pts

32Grant County, SDSD7,5347.8%−0.7 pts

33McCook County, SDSD5,9647.8%−0.9 pts

34Hamlin County, SDSD6,9007.7%−0.7 pts

35Beadle County, SDSD19,6247.4%−1.9 pts

36Clark County, SDSD4,0317.0%+1.3 pts

37Turner County, SDSD9,3147.0%+1.1 pts

38Deuel County, SDSD4,4086.9%−0.7 pts

39Brule County, SDSD5,2786.8%+0.2 pts

40Haakon County, SDSD1,8026.7%−2.4 pts

41Hughes County, SDSD17,5706.7%+0.4 pts

42Sully County, SDSD1,4796.6%+3.7 pts

43Codington County, SDSD29,5626.3%−0.9 pts

44Faulk County, SDSD2,1786.3%+0.3 pts

45Hyde County, SDSD1,1916.1%+1.9 pts

46Miner County, SDSD2,2815.9%+0.1 pts

47Brown County, SDSD37,5615.7%−1.4 pts

48Yankton County, SDSD23,6355.6%−2.9 pts

49Kingsbury County, SDSD5,2845.3%−0.1 pts

50Sanborn County, SDSD2,3885.3%−2.6 pts

51Aurora County, SDSD2,8015.2%−3.5 pts

52Bon Homme County, SDSD7,2445.2%−0.9 pts

53Brookings County, SDSD37,6355.1%−0.4 pts

54Hutchinson County, SDSD7,4135.1%+0.2 pts

55Union County, SDSD17,4025.1%−1.1 pts

56Hand County, SDSD3,1215.0%+1.9 pts

57Campbell County, SDSD1,3774.8%+3.3 pts

58Edmunds County, SDSD4,0224.4%−1.4 pts

59Potter County, SDSD2,3774.3%−2.1 pts

60Lincoln County, SDSD77,1454.1%−0.6 pts

61Lake County, SDSD10,9934.0%−1.0 pts

62Marshall County, SDSD4,4263.9%−3.4 pts

63Jerauld County, SDSD1,6543.4%−1.8 pts

64Stanley County, SDSD3,0183.4%−0.7 pts

65Harding County, SDSD1,3312.8%−4.2 pts

66McPherson County, SDSD2,3471.9%−5.4 pts

SHOWING 1–66 OF 66

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