Counties in South Dakota by uninsured rate, under 19 (US, ACS)

Douglas County had the highest uninsured rate, under 19 (US, ACS) of 66 counties in 2022, at 31.2%. Stanley County had the lowest, at 0%. The median was 6.1% and the figure for South Dakota was 6.8%. Source: the U.S. Census Bureau.

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Highest31.2Douglas County
Median6.166 counties
South Dakota6.8History

Map of counties, 2022

Aurora County: 5.2 %Beadle County: 6.7 %Bennett County: 25.4 %Bon Homme County: 6.3 %Brookings County: 3.5 %Brown County: 3.4 %Brule County: 8.5 %Buffalo County: 23.7 %Butte County: 13.9 %Campbell County: 1.1 %Charles Mix County: 17.1 %Clark County: 2 %Clay County: 2.1 %Codington County: 5.5 %Corson County: 10.2 %Custer County: 18.1 %Davison County: 5.1 %Day County: 5.4 %Deuel County: 4.9 %Dewey County: 12.8 %Douglas County: 31.2 %Edmunds County: 0.1 %Fall River County: 16 %Faulk County: 4.2 %Grant County: 6.7 %Gregory County: 2.6 %Haakon County: 4.8 %Hamlin County: 10.3 %Hand County: 6.3 %Hanson County: 6.1 %Harding County: 1.6 %Hughes County: 6.8 %Hutchinson County: 2.2 %Hyde County: 6.4 %Jackson County: 12.7 %Jerauld County: 3.3 %Jones County: 15.8 %Kingsbury County: 4.1 %Lake County: 1.1 %Lawrence County: 6.6 %Lincoln County: 1.9 %Lyman County: 21.2 %McCook County: 4.6 %McPherson County: 5.7 %Marshall County: 1.5 %Meade County: 6 %Mellette County: 3.7 %Miner County: 4.8 %Minnehaha County: 5.7 %Moody County: 8.3 %Oglala Lakota County: 27.1 %Pennington County: 7.2 %Perkins County: 8.3 %Potter County: 10.9 %Roberts County: 16.2 %Sanborn County: 6 %Spink County: 3.4 %Stanley County: 0 %Sully County: 4.2 %Todd County: 8.2 %Tripp County: 6.8 %Turner County: 3.9 %Union County: 4.9 %Walworth County: 11.7 %Yankton County: 6.9 %Ziebach County: 12.5 %
  • Under 3.2
  • 3.2 to 4.8
  • 4.8 to 6.1
  • 6.1 to 7.6
  • 7.6 to 13
  • 13 and over
%, 2022. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Douglas County: 31.2 %Douglas County31.2Oglala Lakota County: 27.1 %Oglala Lakota County27.1Bennett County: 25.4 %Bennett County25.4Buffalo County: 23.7 %Buffalo County23.7Lyman County: 21.2 %Lyman County21.2Custer County: 18.1 %Custer County18.1Charles Mix County: 17.1 %Charles Mix County17.1Roberts County: 16.2 %Roberts County16.2Fall River County: 16 %Fall River County16Jones County: 15.8 %Jones County15.8Butte County: 13.9 %Butte County13.9Dewey County: 12.8 %Dewey County12.8Jackson County: 12.7 %Jackson County12.7Ziebach County: 12.5 %Ziebach County12.5Walworth County: 11.7 %Walworth County11.7Potter County: 10.9 %Potter County10.9Hamlin County: 10.3 %Hamlin County10.3Corson County: 10.2 %Corson County10.2Brule County: 8.5 %Brule County8.5Moody County: 8.3 %Moody County8.3Perkins County: 8.3 %Perkins County8.3Todd County: 8.2 %Todd County8.2Pennington County: 7.2 %Pennington County7.2Yankton County: 6.9 %Yankton County6.9Hughes County: 6.8 %Hughes County6.8Tripp County: 6.8 %Tripp County6.8Beadle County: 6.7 %Beadle County6.7Grant County: 6.7 %Grant County6.7Lawrence County: 6.6 %Lawrence County6.6Hyde County: 6.4 %Hyde County6.4Bon Homme County: 6.3 %Bon Homme County6.3Hand County: 6.3 %Hand County6.3Hanson County: 6.1 %Hanson County6.1Sanborn County: 6 %Sanborn County6Meade County: 6 %Meade County6McPherson County: 5.7 %McPherson County5.7Minnehaha County: 5.7 %Minnehaha County5.7Codington County: 5.5 %Codington County5.5Day County: 5.4 %Day County5.4Aurora County: 5.2 %Aurora County5.2Douglas County: 31.2 %Douglas County31.2Oglala Lakota County: 27.1 %Oglala Lakota County27.1Bennett County: 25.4 %Bennett County25.4Buffalo County: 23.7 %Buffalo County23.7Lyman County: 21.2 %Lyman County21.2Custer County: 18.1 %Custer County18.1Charles Mix County: 17.1 %Charles Mix County17.1Roberts County: 16.2 %Roberts County16.2Fall River County: 16 %Fall River County16Jones County: 15.8 %Jones County15.8Butte County: 13.9 %Butte County13.9Dewey County: 12.8 %Dewey County12.8Jackson County: 12.7 %Jackson County12.7Ziebach County: 12.5 %Ziebach County12.5Walworth County: 11.7 %Walworth County11.7Potter County: 10.9 %Potter County10.9Hamlin County: 10.3 %Hamlin County10.3Corson County: 10.2 %Corson County10.2Brule County: 8.5 %Brule County8.5Moody County: 8.3 %Moody County8.3Perkins County: 8.3 %Perkins County8.3Todd County: 8.2 %Todd County8.2Pennington County: 7.2 %Pennington County7.2Yankton County: 6.9 %Yankton County6.9Hughes County: 6.8 %Hughes County6.8Tripp County: 6.8 %Tripp County6.8Beadle County: 6.7 %Beadle County6.7Grant County: 6.7 %Grant County6.7Lawrence County: 6.6 %Lawrence County6.6Hyde County: 6.4 %Hyde County6.4Bon Homme County: 6.3 %Bon Homme County6.3Hand County: 6.3 %Hand County6.3Hanson County: 6.1 %Hanson County6.1Sanborn County: 6 %Sanborn County6Meade County: 6 %Meade County6McPherson County: 5.7 %McPherson County5.7Minnehaha County: 5.7 %Minnehaha County5.7Codington County: 5.5 %Codington County5.5Day County: 5.4 %Day County5.4Aurora County: 5.2 %Aurora County5.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Douglas County31.2+11.8 pts
2Oglala Lakota County27.1+2.2 pts
3Bennett County25.4+7 pts
4Buffalo County23.7-3.4 pts
5Lyman County21.2+0.3 pts
6Custer County18.1+0.6 pts
7Charles Mix County17.1+3.6 pts
8Roberts County16.2-4.3 pts
9Fall River County16+8.1 pts
10Jones County15.8+9.3 pts
11Butte County13.9+4.2 pts
12Dewey County12.8+1.3 pts
13Jackson County12.7-2.6 pts
14Ziebach County12.5-0.4 pts
15Walworth County11.7+4.9 pts
16Potter County10.9-0.6 pts
17Hamlin County10.3+0.3 pts
18Corson County10.2-2.3 pts
19Brule County8.5+0.5 pts
20Moody County8.3+1.2 pts
21Perkins County8.3-0.3 pts
22Todd County8.2-0.7 pts
23Pennington County7.2+0.5 pts
24Yankton County6.9+0.3 pts
25Hughes County6.8+1.9 pts
26Tripp County6.8+3.1 pts
27Beadle County6.7+1.3 pts
28Grant County6.7-0.9 pts
29Lawrence County6.60 pts
30Hyde County6.4+1.4 pts
31Bon Homme County6.3-2 pts
32Hand County6.3+2.1 pts
33Hanson County6.1+1.7 pts
34Sanborn County6+0.7 pts
35Meade County6-3.7 pts
36McPherson County5.7+0.3 pts
37Minnehaha County5.7+0.1 pts
38Codington County5.5+0.8 pts
39Day County5.4-3.2 pts
40Aurora County5.2+1.1 pts
41Davison County5.1-0.3 pts
42Deuel County4.9+1 pts
43Union County4.9+0.2 pts
44Miner County4.8+0.5 pts
45Haakon County4.8-5.8 pts
46McCook County4.6+0.5 pts
47Sully County4.2-1.4 pts
48Faulk County4.2+3.1 pts
49Kingsbury County4.1+1.6 pts
50Turner County3.9-0.4 pts
51Mellette County3.7-16.7 pts
52Brookings County3.5+0.4 pts
53Brown County3.4-1.3 pts
54Spink County3.4-0.1 pts
55Jerauld County3.3+0.6 pts
56Gregory County2.6+1.1 pts
57Hutchinson County2.2+0.2 pts
58Clay County2.1+0.5 pts
59Clark County2-0.8 pts
60Lincoln County1.9-0.4 pts
61Harding County1.6+0.3 pts
62Marshall County1.5-1.2 pts
63Lake County1.1-0.2 pts
64Campbell County1.1+1.1 pts
65Edmunds County0.1-0.8 pts
66Stanley County00 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population under 19. 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs (Counties in South Dakota by uninsured rate, under 19 (US, ACS), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in South Dakota by uninsured rate, under 19 (US, ACS), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/south-dakota-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Counties in South Dakota by uninsured rate, under 19 (US, ACS), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/south-dakota-counties?period=2022.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in South Dakota by uninsured rate, under 19 (US, ACS), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/south-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_2022,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in South Dakota by uninsured rate, under 19 (US, ACS), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/south-dakota-counties?period=2022. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in South Dakota by uninsured rate, under 19 (US, ACS), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/south-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/south-dakota-counties?period=2022.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, under 19 (US, ACS)?

Douglas County, with 31.2% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US, ACS)?

Stanley County, with 0% in 2022.

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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, under 19 (US, ACS): other rankings

Counties in South Dakota: more rankings