Counties in South Dakota by uninsured rate, all ages (US)

Oglala Lakota County had the highest uninsured rate, all ages (US) of 66 counties in 2022, at 42.8%. Harding County had the lowest, at 3.9%. The median was 8% and the figure for South Dakota was 9.5%. Source: the U.S. Census Bureau.

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Median866 counties
South Dakota9.5History

Map of counties, 2022

Aurora County: 6.9 %Beadle County: 5.4 %Bennett County: 25.9 %Bon Homme County: 6 %Brookings County: 4.7 %Brown County: 6.9 %Brule County: 9.4 %Buffalo County: 39.6 %Butte County: 15 %Campbell County: 4.5 %Charles Mix County: 17.8 %Clark County: 7.6 %Clay County: 7.9 %Codington County: 7.3 %Corson County: 20.4 %Custer County: 10.8 %Davison County: 8 %Day County: 8.2 %Deuel County: 7.2 %Dewey County: 23.6 %Douglas County: 20.7 %Edmunds County: 4.9 %Fall River County: 15.2 %Faulk County: 4.3 %Grant County: 9 %Gregory County: 7.2 %Haakon County: 10.6 %Hamlin County: 9.4 %Hand County: 3.9 %Hanson County: 4 %Harding County: 3.9 %Hughes County: 6.6 %Hutchinson County: 4.5 %Hyde County: 5.2 %Jackson County: 24.8 %Jerauld County: 5.4 %Jones County: 12.5 %Kingsbury County: 5.6 %Lake County: 4 %Lawrence County: 10.8 %Lincoln County: 4.2 %Lyman County: 20.6 %McCook County: 9 %McPherson County: 7.1 %Marshall County: 5.3 %Meade County: 9.9 %Mellette County: 28.9 %Miner County: 8.1 %Minnehaha County: 8.2 %Moody County: 8 %Oglala Lakota County: 42.8 %Pennington County: 11.1 %Perkins County: 9 %Potter County: 7.1 %Roberts County: 18.7 %Sanborn County: 7.1 %Spink County: 6.8 %Stanley County: 6.1 %Sully County: 8.6 %Todd County: 27.6 %Tripp County: 10.9 %Turner County: 5.3 %Union County: 5.1 %Walworth County: 11.7 %Yankton County: 7.7 %Ziebach County: 31.7 %
  • Under 5.2
  • 5.2 to 6.9
  • 6.9 to 8
  • 8 to 10
  • 10 to 19
  • 19 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

Oglala Lakota County: 42.8 %Oglala Lakota County42.8Buffalo County: 39.6 %Buffalo County39.6Ziebach County: 31.7 %Ziebach County31.7Mellette County: 28.9 %Mellette County28.9Todd County: 27.6 %Todd County27.6Bennett County: 25.9 %Bennett County25.9Jackson County: 24.8 %Jackson County24.8Dewey County: 23.6 %Dewey County23.6Douglas County: 20.7 %Douglas County20.7Lyman County: 20.6 %Lyman County20.6Corson County: 20.4 %Corson County20.4Roberts County: 18.7 %Roberts County18.7Charles Mix County: 17.8 %Charles Mix County17.8Fall River County: 15.2 %Fall River County15.2Butte County: 15 %Butte County15Jones County: 12.5 %Jones County12.5Walworth County: 11.7 %Walworth County11.7Pennington County: 11.1 %Pennington County11.1Tripp County: 10.9 %Tripp County10.9Lawrence County: 10.8 %Lawrence County10.8Custer County: 10.8 %Custer County10.8Haakon County: 10.6 %Haakon County10.6Meade County: 9.9 %Meade County9.9Hamlin County: 9.4 %Hamlin County9.4Brule County: 9.4 %Brule County9.4Perkins County: 9 %Perkins County9McCook County: 9 %McCook County9Grant County: 9 %Grant County9Sully County: 8.6 %Sully County8.6Day County: 8.2 %Day County8.2Minnehaha County: 8.2 %Minnehaha County8.2Miner County: 8.1 %Miner County8.1Davison County: 8 %Davison County8Moody County: 8 %Moody County8Clay County: 7.9 %Clay County7.9Yankton County: 7.7 %Yankton County7.7Clark County: 7.6 %Clark County7.6Codington County: 7.3 %Codington County7.3Gregory County: 7.2 %Gregory County7.2Deuel County: 7.2 %Deuel County7.2Oglala Lakota County: 42.8 %Oglala Lakota County42.8Buffalo County: 39.6 %Buffalo County39.6Ziebach County: 31.7 %Ziebach County31.7Mellette County: 28.9 %Mellette County28.9Todd County: 27.6 %Todd County27.6Bennett County: 25.9 %Bennett County25.9Jackson County: 24.8 %Jackson County24.8Dewey County: 23.6 %Dewey County23.6Douglas County: 20.7 %Douglas County20.7Lyman County: 20.6 %Lyman County20.6Corson County: 20.4 %Corson County20.4Roberts County: 18.7 %Roberts County18.7Charles Mix County: 17.8 %Charles Mix County17.8Fall River County: 15.2 %Fall River County15.2Butte County: 15 %Butte County15Jones County: 12.5 %Jones County12.5Walworth County: 11.7 %Walworth County11.7Pennington County: 11.1 %Pennington County11.1Tripp County: 10.9 %Tripp County10.9Lawrence County: 10.8 %Lawrence County10.8Custer County: 10.8 %Custer County10.8Haakon County: 10.6 %Haakon County10.6Meade County: 9.9 %Meade County9.9Hamlin County: 9.4 %Hamlin County9.4Brule County: 9.4 %Brule County9.4Perkins County: 9 %Perkins County9McCook County: 9 %McCook County9Grant County: 9 %Grant County9Sully County: 8.6 %Sully County8.6Day County: 8.2 %Day County8.2Minnehaha County: 8.2 %Minnehaha County8.2Miner County: 8.1 %Miner County8.1Davison County: 8 %Davison County8Moody County: 8 %Moody County8Clay County: 7.9 %Clay County7.9Yankton County: 7.7 %Yankton County7.7Clark County: 7.6 %Clark County7.6Codington County: 7.3 %Codington County7.3Gregory County: 7.2 %Gregory County7.2Deuel County: 7.2 %Deuel County7.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Oglala Lakota County42.8+0.9 pts
2Buffalo County39.6-2 pts
3Ziebach County31.7+0.7 pts
4Mellette County28.9-9.2 pts
5Todd County27.6+0.1 pts
6Bennett County25.9+3 pts
7Jackson County24.8-2.1 pts
8Dewey County23.6-0.6 pts
9Douglas County20.7+5.3 pts
10Lyman County20.6+0.7 pts
11Corson County20.4-3.4 pts
12Roberts County18.7-2.3 pts
13Charles Mix County17.8-0.1 pts
14Fall River County15.2+3.6 pts
15Butte County15+1.2 pts
16Jones County12.5+3.7 pts
17Walworth County11.7+1 pts
18Pennington County11.1-0.2 pts
19Tripp County10.9+1 pts
20Lawrence County10.8+0.2 pts
21Custer County10.8+0.3 pts
22Haakon County10.6-2.4 pts
23Meade County9.9-1.5 pts
24Hamlin County9.4-0.5 pts
25Brule County9.4+0.7 pts
26Perkins County9-0.1 pts
27McCook County9+1.2 pts
28Grant County9-1.1 pts
29Sully County8.6+3.3 pts
30Day County8.2-1 pts
30Minnehaha County8.2+0.1 pts
32Miner County8.1+1 pts
33Davison County8+0.4 pts
33Moody County8+0.6 pts
35Clay County7.9+1.5 pts
36Yankton County7.70 pts
37Clark County7.6+0.7 pts
38Codington County7.3+0.5 pts
39Gregory County7.2-0.4 pts
40Deuel County7.2-0.4 pts
41Sanborn County7.1-1.8 pts
42McPherson County7.1-0.4 pts
43Potter County7.1-0.8 pts
44Aurora County6.9-1.9 pts
44Brown County6.9-0.6 pts
46Spink County6.8-1 pts
47Hughes County6.6-0.5 pts
48Stanley County6.1-0.3 pts
49Bon Homme County6-1.3 pts
50Kingsbury County5.6+0.3 pts
51Jerauld County5.4+0.2 pts
52Beadle County5.4+0.5 pts
53Marshall County5.3-1.5 pts
54Turner County5.3-1.5 pts
55Hyde County5.2+1.1 pts
56Union County5.1-0.9 pts
57Edmunds County4.9-0.4 pts
58Brookings County4.7-0.6 pts
59Campbell County4.5+0.7 pts
60Hutchinson County4.5+0.1 pts
61Faulk County4.3+0.4 pts
62Lincoln County4.2+0.1 pts
63Hanson County4-1 pts
64Lake County4-0.2 pts
65Hand County3.9+0.9 pts
66Harding County3.9-3.3 pts

Other periods

About this ranking

People without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population. 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 with no health insurance coverage as a percentage of the civilian noninstitutionalized population, 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 with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs (Counties in South Dakota by uninsured rate, all ages (US), 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 with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, Counties in South Dakota by uninsured rate, all ages (US), 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/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 with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs. Counties in South Dakota by uninsured rate, all ages (US), 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/south-dakota-counties?period=2022.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs, Counties in South Dakota by uninsured rate, all ages (US), 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/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 with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs: Counties in South Dakota by uninsured rate, all ages (US), 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/south-dakota-counties?period=2022. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, 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 with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs: Counties in South Dakota by uninsured rate, all ages (US), 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/south-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/south-dakota-counties?period=2022.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people with no health insurance coverage as a percentage of the civilian noninstitutionalized population, 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, all ages (US)?

Oglala Lakota County, with 42.8% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, all ages (US)?

Harding County, with 3.9% 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 with no health insurance coverage as a percentage of the civilian noninstitutionalized population, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, all ages (US): other rankings

Counties in South Dakota: more rankings