RANKING · 2020 CENSUS · 66 SHOWN OF 66

Highest uninsured rate, South Dakota counties · 2020

South Dakota counties ranked by the share of residents without health insurance (2023 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

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2000

01Buffalo County, SDSD1,80240.4%–

02Oglala Lakota County, SDSD13,33837.7%–

03Mellette County, SDSD2,13737.1%–

04Todd County, SDSD8,86329.1%–

05Ziebach County, SDSD2,38928.7%–

06Jackson County, SDSD2,66626.9%–

07Dewey County, SDSD5,41925.8%–

08Corson County, SDSD3,78124.1%–

09Bennett County, SDSD3,30723.9%–

10Roberts County, SDSD10,25520.8%–

11Charles Mix County, SDSD9,30319.3%–

12Lyman County, SDSD3,69416.6%–

13Douglas County, SDSD2,88815.6%–

14Butte County, SDSD10,85614.2%–

15Meade County, SDSD30,71111.7%–

16Fall River County, SDSD7,46711.5%–

17Pennington County, SDSD116,79211.1%–

18Jones County, SDSD91311.0%–

19Lawrence County, SDSD29,4599.8%–

20Day County, SDSD5,4849.6%–

21Gregory County, SDSD4,0379.6%–

22Beadle County, SDSD19,6249.3%–

23Perkins County, SDSD2,8539.2%–

24Haakon County, SDSD1,8029.1%–

25Aurora County, SDSD2,8018.7%–

26McCook County, SDSD5,9648.7%–

27Walworth County, SDSD5,2178.6%–

28Grant County, SDSD7,5348.5%–

29Yankton County, SDSD23,6358.5%–

30Hamlin County, SDSD6,9008.4%–

31Tripp County, SDSD5,7088.4%–

32Sanborn County, SDSD2,3887.9%–

33Minnehaha County, SDSD212,6917.7%–

34Davison County, SDSD20,0697.6%–

35Deuel County, SDSD4,4087.6%–

36Moody County, SDSD6,6327.5%–

37Custer County, SDSD9,4317.3%–

38McPherson County, SDSD2,3477.3%–

39Marshall County, SDSD4,4267.3%–

40Clay County, SDSD15,0317.2%–

41Codington County, SDSD29,5627.2%–

42Brown County, SDSD37,5617.1%–

43Harding County, SDSD1,3317.0%–

44Brule County, SDSD5,2786.6%–

45Potter County, SDSD2,3776.4%–

46Hughes County, SDSD17,5706.3%–

47Union County, SDSD17,4026.2%–

48Bon Homme County, SDSD7,2446.1%–

49Faulk County, SDSD2,1786.0%–

50Turner County, SDSD9,3145.9%–

51Edmunds County, SDSD4,0225.8%–

52Miner County, SDSD2,2815.8%–

53Clark County, SDSD4,0315.7%–

54Spink County, SDSD6,1555.6%–

55Brookings County, SDSD37,6355.5%–

56Kingsbury County, SDSD5,2845.4%–

57Jerauld County, SDSD1,6545.2%–

58Lake County, SDSD10,9935.0%–

59Hutchinson County, SDSD7,4134.9%–

60Lincoln County, SDSD77,1454.7%–

61Hanson County, SDSD3,4564.5%–

62Hyde County, SDSD1,1914.2%–

63Stanley County, SDSD3,0184.1%–

64Hand County, SDSD3,1213.1%–

65Sully County, SDSD1,4792.9%–

66Campbell County, SDSD1,3771.5%–

SHOWING 1–66 OF 66

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES