Counties in South Dakota by uninsured rate, ages 18 to 64 (US model-based estimate)

Buffalo County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 66 counties in 2015, at 30%. Lincoln County had the lowest, at 6.9%. The median was 13.7% and the figure for South Dakota was 13.9%. Source: the U.S. Census Bureau.

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Median13.766 counties
South Dakota13.9History

Map of counties, 2015

Aurora County: 16.1 %Beadle County: 17.8 %Bennett County: 29.7 %Bon Homme County: 13.9 %Brookings County: 12.2 %Brown County: 11.9 %Brule County: 20.4 %Buffalo County: 30 %Butte County: 16.7 %Campbell County: 11.7 %Charles Mix County: 23.9 %Clark County: 14.9 %Clay County: 13.1 %Codington County: 12.2 %Corson County: 26.2 %Custer County: 13.8 %Davison County: 12 %Day County: 18.5 %Deuel County: 12.8 %Dewey County: 29.9 %Douglas County: 14 %Edmunds County: 12 %Fall River County: 14 %Faulk County: 9.7 %Grant County: 12.3 %Gregory County: 18.9 %Haakon County: 13.4 %Hamlin County: 13.2 %Hand County: 11 %Hanson County: 12.8 %Harding County: 13.9 %Hughes County: 12.7 %Hutchinson County: 12.8 %Hyde County: 13.6 %Jackson County: 28.3 %Jerauld County: 12.3 %Jones County: 18.4 %Kingsbury County: 9.7 %Lake County: 10.6 %Lawrence County: 13.4 %Lincoln County: 6.9 %Lyman County: 22.1 %McCook County: 11.5 %McPherson County: 14.6 %Marshall County: 18.6 %Meade County: 13.2 %Mellette County: 23.1 %Miner County: 10.5 %Minnehaha County: 12.5 %Moody County: 16.2 %Oglala Lakota County: 25.8 %Pennington County: 15.6 %Perkins County: 15.6 %Potter County: 12.8 %Roberts County: 21.6 %Sanborn County: 13.3 %Spink County: 13.3 %Stanley County: 13.6 %Sully County: 14.6 %Todd County: 26.3 %Tripp County: 18.8 %Turner County: 11.9 %Union County: 7.8 %Walworth County: 17.1 %Yankton County: 12 %Ziebach County: 24.2 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 16
  • 16 to 22
  • 22 and over
%, 2015. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2015

Buffalo County: 30 %Buffalo County30Dewey County: 29.9 %Dewey County29.9Bennett County: 29.7 %Bennett County29.7Jackson County: 28.3 %Jackson County28.3Todd County: 26.3 %Todd County26.3Corson County: 26.2 %Corson County26.2Oglala Lakota County: 25.8 %Oglala Lakota County25.8Ziebach County: 24.2 %Ziebach County24.2Charles Mix County: 23.9 %Charles Mix County23.9Mellette County: 23.1 %Mellette County23.1Lyman County: 22.1 %Lyman County22.1Roberts County: 21.6 %Roberts County21.6Brule County: 20.4 %Brule County20.4Gregory County: 18.9 %Gregory County18.9Tripp County: 18.8 %Tripp County18.8Marshall County: 18.6 %Marshall County18.6Day County: 18.5 %Day County18.5Jones County: 18.4 %Jones County18.4Beadle County: 17.8 %Beadle County17.8Walworth County: 17.1 %Walworth County17.1Butte County: 16.7 %Butte County16.7Moody County: 16.2 %Moody County16.2Aurora County: 16.1 %Aurora County16.1Pennington County: 15.6 %Pennington County15.6Perkins County: 15.6 %Perkins County15.6Clark County: 14.9 %Clark County14.9McPherson County: 14.6 %McPherson County14.6Sully County: 14.6 %Sully County14.6Douglas County: 14 %Douglas County14Fall River County: 14 %Fall River County14Bon Homme County: 13.9 %Bon Homme County13.9Harding County: 13.9 %Harding County13.9Custer County: 13.8 %Custer County13.8Hyde County: 13.6 %Hyde County13.6Stanley County: 13.6 %Stanley County13.6Haakon County: 13.4 %Haakon County13.4Lawrence County: 13.4 %Lawrence County13.4Sanborn County: 13.3 %Sanborn County13.3Spink County: 13.3 %Spink County13.3Hamlin County: 13.2 %Hamlin County13.2Buffalo County: 30 %Buffalo County30Dewey County: 29.9 %Dewey County29.9Bennett County: 29.7 %Bennett County29.7Jackson County: 28.3 %Jackson County28.3Todd County: 26.3 %Todd County26.3Corson County: 26.2 %Corson County26.2Oglala Lakota County: 25.8 %Oglala Lakota County25.8Ziebach County: 24.2 %Ziebach County24.2Charles Mix County: 23.9 %Charles Mix County23.9Mellette County: 23.1 %Mellette County23.1Lyman County: 22.1 %Lyman County22.1Roberts County: 21.6 %Roberts County21.6Brule County: 20.4 %Brule County20.4Gregory County: 18.9 %Gregory County18.9Tripp County: 18.8 %Tripp County18.8Marshall County: 18.6 %Marshall County18.6Day County: 18.5 %Day County18.5Jones County: 18.4 %Jones County18.4Beadle County: 17.8 %Beadle County17.8Walworth County: 17.1 %Walworth County17.1Butte County: 16.7 %Butte County16.7Moody County: 16.2 %Moody County16.2Aurora County: 16.1 %Aurora County16.1Pennington County: 15.6 %Pennington County15.6Perkins County: 15.6 %Perkins County15.6Clark County: 14.9 %Clark County14.9McPherson County: 14.6 %McPherson County14.6Sully County: 14.6 %Sully County14.6Douglas County: 14 %Douglas County14Fall River County: 14 %Fall River County14Bon Homme County: 13.9 %Bon Homme County13.9Harding County: 13.9 %Harding County13.9Custer County: 13.8 %Custer County13.8Hyde County: 13.6 %Hyde County13.6Stanley County: 13.6 %Stanley County13.6Haakon County: 13.4 %Haakon County13.4Lawrence County: 13.4 %Lawrence County13.4Sanborn County: 13.3 %Sanborn County13.3Spink County: 13.3 %Spink County13.3Hamlin County: 13.2 %Hamlin County13.2
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2015 (%)Change on 2014
1Buffalo County30+2.8 pts
2Dewey County29.9+0.9 pts
3Bennett County29.7+2.2 pts
4Jackson County28.3-2.5 pts
5Todd County26.3+1.5 pts
6Corson County26.2-2 pts
7Oglala Lakota County25.8-1.6 pts
8Ziebach County24.2-5 pts
9Charles Mix County23.9+0.3 pts
10Mellette County23.1-3.7 pts
11Lyman County22.1-1.9 pts
12Roberts County21.6-0.1 pts
13Brule County20.4+3.1 pts
14Gregory County18.9-1 pts
15Tripp County18.8-2 pts
16Marshall County18.6-0.1 pts
17Day County18.50 pts
18Jones County18.4-3.8 pts
19Beadle County17.80 pts
20Walworth County17.1+2.4 pts
21Butte County16.7-1.2 pts
22Moody County16.2+0.2 pts
23Aurora County16.1+0.9 pts
24Pennington County15.6+0.1 pts
24Perkins County15.6-3.9 pts
26Clark County14.9-2 pts
27McPherson County14.6-2.1 pts
27Sully County14.6+1.3 pts
29Douglas County14-3.2 pts
29Fall River County14-1.2 pts
31Bon Homme County13.90 pts
31Harding County13.9-4.5 pts
33Custer County13.8+0.3 pts
34Hyde County13.6-0.9 pts
34Stanley County13.6-1.8 pts
36Haakon County13.4-3.2 pts
36Lawrence County13.4-1.9 pts
38Sanborn County13.3-3.6 pts
38Spink County13.3+0.3 pts
40Hamlin County13.2-0.7 pts
40Meade County13.2-1.3 pts
42Clay County13.1-1.8 pts
43Deuel County12.8-0.5 pts
43Hanson County12.8-1.3 pts
43Hutchinson County12.8-1.9 pts
43Potter County12.8-1.7 pts
47Hughes County12.70 pts
48Minnehaha County12.5+0.7 pts
49Grant County12.3-1.2 pts
49Jerauld County12.3-1.8 pts
51Brookings County12.20 pts
51Codington County12.2+0.4 pts
53Davison County12-0.8 pts
53Edmunds County12+0.3 pts
53Yankton County12-0.9 pts
56Brown County11.9+0.7 pts
56Turner County11.9-1 pts
58Campbell County11.7-0.4 pts
59McCook County11.50 pts
60Hand County11-0.5 pts
61Lake County10.6-0.2 pts
62Miner County10.5-1.1 pts
63Faulk County9.7-0.4 pts
63Kingsbury County9.7-1.2 pts
65Union County7.8-0.8 pts
66Lincoln County6.9-0.4 pts

Other periods

About this ranking

People aged 18 to 64 without health insurance coverage of any kind, as a percentage of all people aged 18 to 64. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Working-age adults; the rate for everyone under 65 is uninsured_rate_under_65.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties (Counties in South Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in South Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-dakota-counties?period=2015. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Counties in South Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-dakota-counties?period=2015.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in South Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-dakota-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_2015,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in South Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-dakota-counties?period=2015. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in South Dakota by uninsured rate, ages 18 to 64 (US model-based estimate), 2015
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-dakota-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/south-dakota-counties?period=2015.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?

Buffalo County, with 30% in 2015, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

Lincoln County, with 6.9% in 2015.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, ages 18 to 64 (US model-based estimate): other rankings

Counties in South Dakota: more rankings