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

Buffalo County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 66 counties in 2023, at 55.9%. Stanley County had the lowest, at 1.9%. The median was 10% and the figure for South Dakota was 10.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest55.9Buffalo County
Median1066 counties
South Dakota10.7History

Map of counties, 2023

Aurora County: 7.4 %Beadle County: 5.6 %Bennett County: 22.6 %Bon Homme County: 6.9 %Brookings County: 4.7 %Brown County: 8.9 %Brule County: 4.7 %Buffalo County: 55.9 %Butte County: 18.6 %Campbell County: 6 %Charles Mix County: 19.9 %Clark County: 10.4 %Clay County: 9.6 %Codington County: 8.2 %Corson County: 23.2 %Custer County: 13.7 %Davison County: 8.9 %Day County: 12.2 %Deuel County: 11.7 %Dewey County: 30.4 %Douglas County: 19.5 %Edmunds County: 8 %Fall River County: 20.5 %Faulk County: 2.4 %Grant County: 13.5 %Gregory County: 12 %Haakon County: 14.5 %Hamlin County: 10.8 %Hand County: 5.3 %Hanson County: 6.3 %Harding County: 2.7 %Hughes County: 5.3 %Hutchinson County: 7.9 %Hyde County: 8.2 %Jackson County: 33.6 %Jerauld County: 9.7 %Jones County: 13.8 %Kingsbury County: 6 %Lake County: 4.7 %Lawrence County: 10.9 %Lincoln County: 3.9 %Lyman County: 23.1 %McCook County: 11.3 %McPherson County: 8.9 %Marshall County: 4.7 %Meade County: 13 %Mellette County: 45.1 %Miner County: 15.7 %Minnehaha County: 9.2 %Moody County: 10.5 %Oglala Lakota County: 54.5 %Pennington County: 11.9 %Perkins County: 11.3 %Potter County: 5.4 %Roberts County: 24.8 %Sanborn County: 7.9 %Spink County: 11.8 %Stanley County: 1.9 %Sully County: 4 %Todd County: 37.4 %Tripp County: 14.2 %Turner County: 7.7 %Union County: 5.8 %Walworth County: 5.5 %Yankton County: 8.1 %Ziebach County: 31.7 %
  • Under 5.4
  • 5.4 to 7.9
  • 7.9 to 10
  • 10 to 12
  • 12 to 21
  • 21 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Buffalo County: 55.9 %Buffalo County55.9Oglala Lakota County: 54.5 %Oglala Lakota County54.5Mellette County: 45.1 %Mellette County45.1Todd County: 37.4 %Todd County37.4Jackson County: 33.6 %Jackson County33.6Ziebach County: 31.7 %Ziebach County31.7Dewey County: 30.4 %Dewey County30.4Roberts County: 24.8 %Roberts County24.8Corson County: 23.2 %Corson County23.2Lyman County: 23.1 %Lyman County23.1Bennett County: 22.6 %Bennett County22.6Fall River County: 20.5 %Fall River County20.5Charles Mix County: 19.9 %Charles Mix County19.9Douglas County: 19.5 %Douglas County19.5Butte County: 18.6 %Butte County18.6Miner County: 15.7 %Miner County15.7Haakon County: 14.5 %Haakon County14.5Tripp County: 14.2 %Tripp County14.2Jones County: 13.8 %Jones County13.8Custer County: 13.7 %Custer County13.7Grant County: 13.5 %Grant County13.5Meade County: 13 %Meade County13Day County: 12.2 %Day County12.2Gregory County: 12 %Gregory County12Pennington County: 11.9 %Pennington County11.9Spink County: 11.8 %Spink County11.8Deuel County: 11.7 %Deuel County11.7McCook County: 11.3 %McCook County11.3Perkins County: 11.3 %Perkins County11.3Lawrence County: 10.9 %Lawrence County10.9Hamlin County: 10.8 %Hamlin County10.8Moody County: 10.5 %Moody County10.5Clark County: 10.4 %Clark County10.4Jerauld County: 9.7 %Jerauld County9.7Clay County: 9.6 %Clay County9.6Minnehaha County: 9.2 %Minnehaha County9.2Davison County: 8.9 %Davison County8.9Brown County: 8.9 %Brown County8.9McPherson County: 8.9 %McPherson County8.9Codington County: 8.2 %Codington County8.2Buffalo County: 55.9 %Buffalo County55.9Oglala Lakota County: 54.5 %Oglala Lakota County54.5Mellette County: 45.1 %Mellette County45.1Todd County: 37.4 %Todd County37.4Jackson County: 33.6 %Jackson County33.6Ziebach County: 31.7 %Ziebach County31.7Dewey County: 30.4 %Dewey County30.4Roberts County: 24.8 %Roberts County24.8Corson County: 23.2 %Corson County23.2Lyman County: 23.1 %Lyman County23.1Bennett County: 22.6 %Bennett County22.6Fall River County: 20.5 %Fall River County20.5Charles Mix County: 19.9 %Charles Mix County19.9Douglas County: 19.5 %Douglas County19.5Butte County: 18.6 %Butte County18.6Miner County: 15.7 %Miner County15.7Haakon County: 14.5 %Haakon County14.5Tripp County: 14.2 %Tripp County14.2Jones County: 13.8 %Jones County13.8Custer County: 13.7 %Custer County13.7Grant County: 13.5 %Grant County13.5Meade County: 13 %Meade County13Day County: 12.2 %Day County12.2Gregory County: 12 %Gregory County12Pennington County: 11.9 %Pennington County11.9Spink County: 11.8 %Spink County11.8Deuel County: 11.7 %Deuel County11.7McCook County: 11.3 %McCook County11.3Perkins County: 11.3 %Perkins County11.3Lawrence County: 10.9 %Lawrence County10.9Hamlin County: 10.8 %Hamlin County10.8Moody County: 10.5 %Moody County10.5Clark County: 10.4 %Clark County10.4Jerauld County: 9.7 %Jerauld County9.7Clay County: 9.6 %Clay County9.6Minnehaha County: 9.2 %Minnehaha County9.2Davison County: 8.9 %Davison County8.9Brown County: 8.9 %Brown County8.9McPherson County: 8.9 %McPherson County8.9Codington County: 8.2 %Codington County8.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Buffalo County55.9+4.5 pts
2Oglala Lakota County54.5-1.2 pts
3Mellette County45.1+1.1 pts
4Todd County37.4-4.8 pts
5Jackson County33.6+5.1 pts
6Ziebach County31.7-9.2 pts
7Dewey County30.4-1.7 pts
8Roberts County24.8+1.1 pts
9Corson County23.2-2.7 pts
10Lyman County23.1-2.2 pts
11Bennett County22.6+3.4 pts
12Fall River County20.5-1.7 pts
13Charles Mix County19.9+0.6 pts
14Douglas County19.5-2.7 pts
15Butte County18.6+3.9 pts
16Miner County15.7+0.3 pts
17Haakon County14.5+0.6 pts
18Tripp County14.2-0.2 pts
19Jones County13.8-3 pts
20Custer County13.7+0.7 pts
21Grant County13.5+2.7 pts
22Meade County13-0 pts
23Day County12.2-1 pts
24Gregory County12+1.1 pts
25Pennington County11.9-0.1 pts
26Spink County11.8+2.5 pts
27Deuel County11.7+0.3 pts
28McCook County11.3-0.1 pts
29Perkins County11.3+2 pts
30Lawrence County10.9-1.2 pts
31Hamlin County10.8+2.8 pts
32Moody County10.5+2.2 pts
33Clark County10.4-0.6 pts
34Jerauld County9.7+2 pts
35Clay County9.6+0.8 pts
36Minnehaha County9.2-0.4 pts
37Davison County8.9+0.2 pts
38Brown County8.9-0 pts
38McPherson County8.9-4.3 pts
40Codington County8.2-1.3 pts
41Hyde County8.2+3 pts
42Yankton County8.1-2.5 pts
43Edmunds County8-2 pts
44Sanborn County7.9+1.1 pts
45Hutchinson County7.9-0.5 pts
46Turner County7.7+0.7 pts
47Aurora County7.4-0.1 pts
48Bon Homme County6.9-0.9 pts
49Hanson County6.3+3.1 pts
50Kingsbury County6+0.3 pts
51Campbell County6-3.9 pts
52Union County5.80 pts
53Beadle County5.6+0.2 pts
54Walworth County5.5-1.9 pts
55Potter County5.4-0.5 pts
56Hand County5.3-0.1 pts
57Hughes County5.3+0.7 pts
58Marshall County4.7-2.9 pts
59Lake County4.7+0.1 pts
60Brule County4.7-2.3 pts
61Brookings County4.7-0.7 pts
62Sully County4-0.5 pts
63Lincoln County3.9-0.4 pts
64Harding County2.7+0.4 pts
65Faulk County2.4+0.3 pts
66Stanley County1.9-7.3 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties?period=2023. 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/south-dakota-counties?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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 55.9% in 2023, according to the U.S. Census Bureau.

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

Stanley County, with 1.9% in 2023.

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