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

Buffalo County had the highest uninsured rate, under 19 (US, ACS) of 66 counties in 2023, at 33%. Stanley County had the lowest, at 0%. The median was 6.1% and the figure for South Dakota was 7.2%. Source: the U.S. Census Bureau.

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Median6.166 counties
South Dakota7.2History

Map of counties, 2023

Aurora County: 2.4 %Beadle County: 8.2 %Bennett County: 24.9 %Bon Homme County: 6.9 %Brookings County: 2.6 %Brown County: 4.6 %Brule County: 6.9 %Buffalo County: 33 %Butte County: 17 %Campbell County: 5.6 %Charles Mix County: 18.3 %Clark County: 2.8 %Clay County: 3.3 %Codington County: 5.8 %Corson County: 9.9 %Custer County: 19.1 %Davison County: 5.9 %Day County: 3.6 %Deuel County: 5.3 %Dewey County: 15.1 %Douglas County: 27.9 %Edmunds County: 1.4 %Fall River County: 13.7 %Faulk County: 4 %Grant County: 5.4 %Gregory County: 3.2 %Haakon County: 5.5 %Hamlin County: 10.1 %Hand County: 6.2 %Hanson County: 15.4 %Harding County: 1.7 %Hughes County: 6.3 %Hutchinson County: 2.4 %Hyde County: 6.9 %Jackson County: 13.7 %Jerauld County: 3 %Jones County: 13.7 %Kingsbury County: 3.8 %Lake County: 0.3 %Lawrence County: 10.1 %Lincoln County: 1.5 %Lyman County: 23.8 %McCook County: 4.8 %McPherson County: 5.2 %Marshall County: 2.6 %Meade County: 5.5 %Mellette County: 2.6 %Miner County: 10 %Minnehaha County: 6.1 %Moody County: 9.6 %Oglala Lakota County: 28.8 %Pennington County: 7.2 %Perkins County: 8.8 %Potter County: 12.6 %Roberts County: 20.6 %Sanborn County: 4.7 %Spink County: 3.7 %Stanley County: 0 %Sully County: 7.4 %Todd County: 6.3 %Tripp County: 13.6 %Turner County: 6 %Union County: 4.8 %Walworth County: 11.6 %Yankton County: 5.7 %Ziebach County: 10 %
  • Under 2.9
  • 2.9 to 5.1
  • 5.1 to 6.1
  • 6.1 to 9.7
  • 9.7 to 14
  • 14 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: 33 %Buffalo County33Oglala Lakota County: 28.8 %Oglala Lakota County28.8Douglas County: 27.9 %Douglas County27.9Bennett County: 24.9 %Bennett County24.9Lyman County: 23.8 %Lyman County23.8Roberts County: 20.6 %Roberts County20.6Custer County: 19.1 %Custer County19.1Charles Mix County: 18.3 %Charles Mix County18.3Butte County: 17 %Butte County17Hanson County: 15.4 %Hanson County15.4Dewey County: 15.1 %Dewey County15.1Jackson County: 13.7 %Jackson County13.7Jones County: 13.7 %Jones County13.7Fall River County: 13.7 %Fall River County13.7Tripp County: 13.6 %Tripp County13.6Potter County: 12.6 %Potter County12.6Walworth County: 11.6 %Walworth County11.6Hamlin County: 10.1 %Hamlin County10.1Lawrence County: 10.1 %Lawrence County10.1Miner County: 10 %Miner County10Ziebach County: 10 %Ziebach County10Corson County: 9.9 %Corson County9.9Moody County: 9.6 %Moody County9.6Perkins County: 8.8 %Perkins County8.8Beadle County: 8.2 %Beadle County8.2Sully County: 7.4 %Sully County7.4Pennington County: 7.2 %Pennington County7.2Bon Homme County: 6.9 %Bon Homme County6.9Hyde County: 6.9 %Hyde County6.9Brule County: 6.9 %Brule County6.9Hughes County: 6.3 %Hughes County6.3Todd County: 6.3 %Todd County6.3Hand County: 6.2 %Hand County6.2Minnehaha County: 6.1 %Minnehaha County6.1Turner County: 6 %Turner County6Davison County: 5.9 %Davison County5.9Codington County: 5.8 %Codington County5.8Yankton County: 5.7 %Yankton County5.7Campbell County: 5.6 %Campbell County5.6Meade County: 5.5 %Meade County5.5Buffalo County: 33 %Buffalo County33Oglala Lakota County: 28.8 %Oglala Lakota County28.8Douglas County: 27.9 %Douglas County27.9Bennett County: 24.9 %Bennett County24.9Lyman County: 23.8 %Lyman County23.8Roberts County: 20.6 %Roberts County20.6Custer County: 19.1 %Custer County19.1Charles Mix County: 18.3 %Charles Mix County18.3Butte County: 17 %Butte County17Hanson County: 15.4 %Hanson County15.4Dewey County: 15.1 %Dewey County15.1Jackson County: 13.7 %Jackson County13.7Jones County: 13.7 %Jones County13.7Fall River County: 13.7 %Fall River County13.7Tripp County: 13.6 %Tripp County13.6Potter County: 12.6 %Potter County12.6Walworth County: 11.6 %Walworth County11.6Hamlin County: 10.1 %Hamlin County10.1Lawrence County: 10.1 %Lawrence County10.1Miner County: 10 %Miner County10Ziebach County: 10 %Ziebach County10Corson County: 9.9 %Corson County9.9Moody County: 9.6 %Moody County9.6Perkins County: 8.8 %Perkins County8.8Beadle County: 8.2 %Beadle County8.2Sully County: 7.4 %Sully County7.4Pennington County: 7.2 %Pennington County7.2Bon Homme County: 6.9 %Bon Homme County6.9Hyde County: 6.9 %Hyde County6.9Brule County: 6.9 %Brule County6.9Hughes County: 6.3 %Hughes County6.3Todd County: 6.3 %Todd County6.3Hand County: 6.2 %Hand County6.2Minnehaha County: 6.1 %Minnehaha County6.1Turner County: 6 %Turner County6Davison County: 5.9 %Davison County5.9Codington County: 5.8 %Codington County5.8Yankton County: 5.7 %Yankton County5.7Campbell County: 5.6 %Campbell County5.6Meade County: 5.5 %Meade County5.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Buffalo County33+9.3 pts
2Oglala Lakota County28.8+1.8 pts
3Douglas County27.9-3.3 pts
4Bennett County24.9-0.5 pts
5Lyman County23.8+2.5 pts
6Roberts County20.6+4.4 pts
7Custer County19.1+1 pts
8Charles Mix County18.3+1.1 pts
9Butte County17+3.1 pts
10Hanson County15.4+9.3 pts
11Dewey County15.1+2.3 pts
12Jackson County13.7+1 pts
12Jones County13.7-2 pts
14Fall River County13.7-2.3 pts
15Tripp County13.6+6.9 pts
16Potter County12.6+1.7 pts
17Walworth County11.6-0.1 pts
18Hamlin County10.1-0.2 pts
19Lawrence County10.1+3.5 pts
20Miner County10+5.2 pts
21Ziebach County10-2.5 pts
22Corson County9.9-0.3 pts
23Moody County9.6+1.2 pts
24Perkins County8.8+0.6 pts
25Beadle County8.2+1.4 pts
26Sully County7.4+3.2 pts
27Pennington County7.2-0.1 pts
28Bon Homme County6.9+0.6 pts
29Hyde County6.9+0.5 pts
30Brule County6.9-1.6 pts
31Hughes County6.3-0.6 pts
31Todd County6.3-2 pts
33Hand County6.2-0.1 pts
34Minnehaha County6.1+0.4 pts
35Turner County6+2.1 pts
36Davison County5.9+0.9 pts
37Codington County5.8+0.3 pts
38Yankton County5.7-1.2 pts
39Campbell County5.6+4.5 pts
40Meade County5.5-0.4 pts
41Haakon County5.5+0.7 pts
42Grant County5.4-1.3 pts
43Deuel County5.3+0.4 pts
44McPherson County5.2-0.5 pts
45McCook County4.8+0.2 pts
46Union County4.8-0.1 pts
47Sanborn County4.7-1.3 pts
48Brown County4.6+1.2 pts
49Faulk County4-0.2 pts
50Kingsbury County3.8-0.3 pts
51Spink County3.7+0.4 pts
52Day County3.6-1.8 pts
53Clay County3.3+1.1 pts
54Gregory County3.2+0.6 pts
55Jerauld County3-0.3 pts
56Clark County2.8+0.8 pts
57Marshall County2.6+1.1 pts
58Mellette County2.6-1.1 pts
59Brookings County2.6-0.9 pts
60Aurora County2.4-2.8 pts
60Hutchinson County2.4+0.2 pts
62Harding County1.70 pts
63Lincoln County1.5-0.4 pts
64Edmunds County1.4+1.3 pts
65Lake County0.3-0.9 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/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 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), 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 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), 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-under-19-acs/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 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), 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-under-19-acs/south-dakota-counties?period=2023.

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), 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-under-19-acs/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 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), 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-under-19-acs/south-dakota-counties?period=2023. 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/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 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), 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-under-19-acs/south-dakota-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/south-dakota-counties?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Counties in South Dakota by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
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Questions

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

Buffalo County, with 33% in 2023, according to the U.S. Census Bureau.

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

Stanley County, with 0% 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 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