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 2023, at 43.5%. Harding County had the lowest, at 3.4%. The median was 7.9% and the figure for South Dakota was 9.3%. Source: the U.S. Census Bureau.
Map of counties, 2023
- Under 5
- 5 to 6.7
- 6.7 to 7.9
- 7.9 to 10
- 10 to 19
- 19 and over
Top 40 counties, 2023
Full ranking
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/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.Citation styles
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), 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 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), 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/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 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), 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/south-dakota-counties?period=2023.
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), 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/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 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), 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/south-dakota-counties?period=2023. 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/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 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), 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/south-dakota-counties?period=2023
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate/south-dakota-counties?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in South Dakota by uninsured rate, all ages (US) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate","level":"province","within":"South Dakota","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate&level=province&within=South%20Dakota&limit=10Questions
Which county has the highest uninsured rate, all ages (US)?
Oglala Lakota County, with 43.5% in 2023, according to the U.S. Census Bureau.
Which county has the lowest uninsured rate, all ages (US)?
Harding County, with 3.4% 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 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
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Counties in South Dakota: more rankings
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- Uninsured rate, ages 19 to 34 (US, ACS)
- Diagnosed diabetes in adults, local model estimate
- Net international migration, July to June
- Foreign-born population share
- Child poverty rate, under 18 (US official measure)
- Population aged 65 and over