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. The median across all 66 is 7.8%. Biggest climber in the top 100 since 2020: Hanson County, SD, up 39 places to #22.

South DakotaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01▲1Oglala Lakota County, SDSD13,33844.6%+6.9 pts

02▼1Buffalo County, SDSD1,80243.0%+2.6 pts

03▲6Bennett County, SDSD3,30727.7%+3.8 pts

04▲2Jackson County, SDSD2,66627.4%+0.5 pts

05Ziebach County, SDSD2,38926.0%−2.7 pts

06▼3Mellette County, SDSD2,13725.0%−12.1 pts

07▼3Todd County, SDSD8,86322.8%−6.3 pts

08▲4Lyman County, SDSD3,69421.3%+4.7 pts

09▼2Dewey County, SDSD5,41921.2%−4.6 pts

10Roberts County, SDSD10,25518.2%−2.6 pts

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

12▼4Corson County, SDSD3,78116.9%−7.2 pts

13Douglas County, SDSD2,88816.0%+0.4 pts

14▲17Tripp County, SDSD5,70814.1%+5.7 pts

15▲1Fall River County, SDSD7,46713.2%+1.7 pts

16▼2Butte County, SDSD10,85611.5%−2.7 pts

17▲19Moody County, SDSD6,63211.0%+3.5 pts

18▲19Custer County, SDSD9,43110.8%+3.5 pts

19▲4Perkins County, SDSD2,85310.7%+1.5 pts

20▲7Walworth County, SDSD5,21710.6%+2.0 pts

21▼4Pennington County, SDSD116,79210.2%−0.9 pts

22▲39Hanson County, SDSD3,4569.8%+5.3 pts

23▼8Meade County, SDSD30,7119.4%−2.3 pts

24▲30Spink County, SDSD6,1559.4%+3.8 pts

25▲15Clay County, SDSD15,0319.1%+1.9 pts

26▼7Lawrence County, SDSD29,4598.9%−0.9 pts

27▼9Jones County, SDSD9138.7%−2.3 pts

28▼8Day County, SDSD5,4848.5%−1.1 pts

29▼8Gregory County, SDSD4,0378.3%−1.3 pts

30▲3Minnehaha County, SDSD212,6918.2%+0.5 pts

31▲3Davison County, SDSD20,0698.0%+0.4 pts

32▼4Grant County, SDSD7,5347.8%−0.7 pts

33▼7McCook County, SDSD5,9647.8%−0.9 pts

34▼4Hamlin County, SDSD6,9007.7%−0.7 pts

35▼13Beadle County, SDSD19,6247.4%−1.9 pts

36▲17Clark County, SDSD4,0317.0%+1.3 pts

37▲13Turner County, SDSD9,3147.0%+1.1 pts

38▼3Deuel County, SDSD4,4086.9%−0.7 pts

39▲5Brule County, SDSD5,2786.8%+0.2 pts

40▼16Haakon County, SDSD1,8026.7%−2.4 pts

41▲5Hughes County, SDSD17,5706.7%+0.4 pts

42▲23Sully County, SDSD1,4796.6%+3.7 pts

43▼2Codington County, SDSD29,5626.3%−0.9 pts

44▲5Faulk County, SDSD2,1786.3%+0.3 pts

45▲17Hyde County, SDSD1,1916.1%+1.9 pts

46▲6Miner County, SDSD2,2815.9%+0.1 pts

47▼5Brown County, SDSD37,5615.7%−1.4 pts

48▼19Yankton County, SDSD23,6355.6%−2.9 pts

49▲7Kingsbury County, SDSD5,2845.3%−0.1 pts

50▼18Sanborn County, SDSD2,3885.3%−2.6 pts

51▼26Aurora County, SDSD2,8015.2%−3.5 pts

52▼4Bon Homme County, SDSD7,2445.2%−0.9 pts

53▲2Brookings County, SDSD37,6355.1%−0.4 pts

54▲5Hutchinson County, SDSD7,4135.1%+0.2 pts

55▼8Union County, SDSD17,4025.1%−1.1 pts

56▲8Hand County, SDSD3,1215.0%+1.9 pts

57▲9Campbell County, SDSD1,3774.8%+3.3 pts

58▼7Edmunds County, SDSD4,0224.4%−1.4 pts

59▼14Potter County, SDSD2,3774.3%−2.1 pts

60Lincoln County, SDSD77,1454.1%−0.6 pts

61▼3Lake County, SDSD10,9934.0%−1.0 pts

62▼23Marshall County, SDSD4,4263.9%−3.4 pts

63▼6Jerauld County, SDSD1,6543.4%−1.8 pts

64▼1Stanley County, SDSD3,0183.4%−0.7 pts

65▼22Harding County, SDSD1,3312.8%−4.2 pts

66▼28McPherson County, SDSD2,3471.9%−5.4 pts

SHOWING 1–66 OF 66

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES