Counties in South Dakota by uninsured rate, ages 35 to 64 (US, ACS), 2024

Buffalo County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 66 counties in 2024, at 50.5%. McPherson County had the lowest, at 2.4%. The median was 9.2% and the figure for South Dakota was 10.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest50.5Buffalo County
Median9.266 counties
South Dakota10.2History

Map of counties, 2024

Aurora County: 6.4 %Beadle County: 6.7 %Bennett County: 21.6 %Bon Homme County: 6.4 %Brookings County: 5.7 %Brown County: 6 %Brule County: 6.1 %Buffalo County: 50.5 %Butte County: 13.3 %Campbell County: 5.8 %Charles Mix County: 18.1 %Clark County: 10.1 %Clay County: 8.8 %Codington County: 7.3 %Corson County: 20.7 %Custer County: 15 %Davison County: 11.6 %Day County: 12.1 %Deuel County: 11 %Dewey County: 28.1 %Douglas County: 15.7 %Edmunds County: 8 %Fall River County: 16.3 %Faulk County: 2.9 %Grant County: 10.8 %Gregory County: 12.2 %Haakon County: 9.2 %Hamlin County: 9.2 %Hand County: 8.5 %Hanson County: 8.6 %Harding County: 2.5 %Hughes County: 6.1 %Hutchinson County: 9.1 %Hyde County: 7.6 %Jackson County: 33.3 %Jerauld County: 6.2 %Jones County: 13 %Kingsbury County: 5.6 %Lake County: 5.5 %Lawrence County: 9.4 %Lincoln County: 3.7 %Lyman County: 19.9 %McCook County: 8 %McPherson County: 2.4 %Marshall County: 6.2 %Meade County: 13.6 %Mellette County: 40.1 %Miner County: 10.3 %Minnehaha County: 9.5 %Moody County: 9.9 %Oglala Lakota County: 47.9 %Pennington County: 10.8 %Perkins County: 17.1 %Potter County: 5.7 %Roberts County: 22.9 %Sanborn County: 6.4 %Spink County: 12.7 %Stanley County: 2.7 %Sully County: 3.8 %Todd County: 38.4 %Tripp County: 17.8 %Turner County: 6.3 %Union County: 5.4 %Walworth County: 5.1 %Yankton County: 7.2 %Ziebach County: 31.7 %
  • Under 5.7
  • 5.7 to 6.6
  • 6.6 to 9.2
  • 9.2 to 12
  • 12 to 18
  • 18 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Buffalo County: 50.5 %Buffalo County50.5Oglala Lakota County: 47.9 %Oglala Lakota County47.9Mellette County: 40.1 %Mellette County40.1Todd County: 38.4 %Todd County38.4Jackson County: 33.3 %Jackson County33.3Ziebach County: 31.7 %Ziebach County31.7Dewey County: 28.1 %Dewey County28.1Roberts County: 22.9 %Roberts County22.9Bennett County: 21.6 %Bennett County21.6Corson County: 20.7 %Corson County20.7Lyman County: 19.9 %Lyman County19.9Charles Mix County: 18.1 %Charles Mix County18.1Tripp County: 17.8 %Tripp County17.8Perkins County: 17.1 %Perkins County17.1Fall River County: 16.3 %Fall River County16.3Douglas County: 15.7 %Douglas County15.7Custer County: 15 %Custer County15Meade County: 13.6 %Meade County13.6Butte County: 13.3 %Butte County13.3Jones County: 13 %Jones County13Spink County: 12.7 %Spink County12.7Gregory County: 12.2 %Gregory County12.2Day County: 12.1 %Day County12.1Davison County: 11.6 %Davison County11.6Deuel County: 11 %Deuel County11Grant County: 10.8 %Grant County10.8Pennington County: 10.8 %Pennington County10.8Miner County: 10.3 %Miner County10.3Clark County: 10.1 %Clark County10.1Moody County: 9.9 %Moody County9.9Minnehaha County: 9.5 %Minnehaha County9.5Lawrence County: 9.4 %Lawrence County9.4Haakon County: 9.2 %Haakon County9.2Hamlin County: 9.2 %Hamlin County9.2Hutchinson County: 9.1 %Hutchinson County9.1Clay County: 8.8 %Clay County8.8Hanson County: 8.6 %Hanson County8.6Hand County: 8.5 %Hand County8.5McCook County: 8 %McCook County8Edmunds County: 8 %Edmunds County8Buffalo County: 50.5 %Buffalo County50.5Oglala Lakota County: 47.9 %Oglala Lakota County47.9Mellette County: 40.1 %Mellette County40.1Todd County: 38.4 %Todd County38.4Jackson County: 33.3 %Jackson County33.3Ziebach County: 31.7 %Ziebach County31.7Dewey County: 28.1 %Dewey County28.1Roberts County: 22.9 %Roberts County22.9Bennett County: 21.6 %Bennett County21.6Corson County: 20.7 %Corson County20.7Lyman County: 19.9 %Lyman County19.9Charles Mix County: 18.1 %Charles Mix County18.1Tripp County: 17.8 %Tripp County17.8Perkins County: 17.1 %Perkins County17.1Fall River County: 16.3 %Fall River County16.3Douglas County: 15.7 %Douglas County15.7Custer County: 15 %Custer County15Meade County: 13.6 %Meade County13.6Butte County: 13.3 %Butte County13.3Jones County: 13 %Jones County13Spink County: 12.7 %Spink County12.7Gregory County: 12.2 %Gregory County12.2Day County: 12.1 %Day County12.1Davison County: 11.6 %Davison County11.6Deuel County: 11 %Deuel County11Grant County: 10.8 %Grant County10.8Pennington County: 10.8 %Pennington County10.8Miner County: 10.3 %Miner County10.3Clark County: 10.1 %Clark County10.1Moody County: 9.9 %Moody County9.9Minnehaha County: 9.5 %Minnehaha County9.5Lawrence County: 9.4 %Lawrence County9.4Haakon County: 9.2 %Haakon County9.2Hamlin County: 9.2 %Hamlin County9.2Hutchinson County: 9.1 %Hutchinson County9.1Clay County: 8.8 %Clay County8.8Hanson County: 8.6 %Hanson County8.6Hand County: 8.5 %Hand County8.5McCook County: 8 %McCook County8Edmunds County: 8 %Edmunds County8
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Buffalo County50.5-5.4 pts
2Oglala Lakota County47.9-6.6 pts
3Mellette County40.1-5 pts
4Todd County38.4+1 pts
5Jackson County33.3-0.3 pts
6Ziebach County31.7-0 pts
7Dewey County28.1-2.3 pts
8Roberts County22.9-1.8 pts
9Bennett County21.6-1.1 pts
10Corson County20.7-2.6 pts
11Lyman County19.9-3.1 pts
12Charles Mix County18.1-1.8 pts
13Tripp County17.8+3.7 pts
14Perkins County17.1+5.9 pts
15Fall River County16.3-4.3 pts
16Douglas County15.7-3.8 pts
17Custer County15+1.3 pts
18Meade County13.6+0.6 pts
19Butte County13.3-5.2 pts
20Jones County13-0.9 pts
21Spink County12.7+0.9 pts
22Gregory County12.2+0.2 pts
23Day County12.1-0.1 pts
24Davison County11.6+2.7 pts
25Deuel County11-0.7 pts
26Grant County10.8-2.7 pts
26Pennington County10.8-1.1 pts
28Miner County10.3-5.4 pts
29Clark County10.1-0.3 pts
30Moody County9.9-0.5 pts
31Minnehaha County9.5+0.4 pts
32Lawrence County9.4-1.5 pts
33Haakon County9.2-5.3 pts
34Hamlin County9.2-1.6 pts
35Hutchinson County9.1+1.2 pts
36Clay County8.8-0.9 pts
37Hanson County8.6+2.3 pts
38Hand County8.5+3.2 pts
39McCook County8-3.3 pts
40Edmunds County8-0 pts
41Hyde County7.6-0.6 pts
42Codington County7.3-1 pts
43Yankton County7.2-0.9 pts
44Beadle County6.7+1.2 pts
45Bon Homme County6.4-0.5 pts
46Sanborn County6.4-1.6 pts
47Aurora County6.4-1.1 pts
48Turner County6.3-1.4 pts
49Marshall County6.2+1.5 pts
50Jerauld County6.2-3.5 pts
51Hughes County6.1+0.8 pts
52Brule County6.1+1.3 pts
53Brown County6-2.9 pts
54Campbell County5.8-0.1 pts
55Brookings County5.7+1 pts
56Potter County5.7+0.3 pts
57Kingsbury County5.6-0.4 pts
58Lake County5.5+0.8 pts
59Union County5.4-0.4 pts
60Walworth County5.1-0.4 pts
61Sully County3.8-0.2 pts
62Lincoln County3.7-0.2 pts
63Faulk County2.9+0.5 pts
64Stanley County2.7+0.8 pts
65Harding County2.5-0.2 pts
66McPherson County2.4-6.4 pts

Other periods

About this ranking

People aged 35 to 64 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 35 to 64. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

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. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. 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). American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs (Counties in South Dakota by uninsured rate, ages 35 to 64 (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, Counties in South Dakota by uninsured rate, ages 35 to 64 (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. Counties in South Dakota by uninsured rate, ages 35 to 64 (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, Counties in South Dakota by uninsured rate, ages 35 to 64 (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs: Counties in South Dakota by uninsured rate, ages 35 to 64 (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs: Counties in South Dakota by uninsured rate, ages 35 to 64 (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, ages 35 to 64 (US, ACS)?

Buffalo County, with 50.5% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 35 to 64 (US, ACS)?

McPherson County, with 2.4% in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, ages 35 to 64 (US, ACS): other rankings

Counties in South Dakota: more rankings