US Counties With the Highest Motor Vehicle Crash Deaths

2,491 US counties ranked by motor vehicle crash deaths, from highest to lowest. First are Big Horn County, MT (90), Oglala Lakota County, SD (86.4) and Todd County, SD (80.6). The middle one of the 2,491 has 18.1.

What this measures

Deaths in car and other motor vehicle crashes per 100,000 people. Source: County Health Rankings.

For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.

The 100 highest counties

Rank	County	deaths per 100,000
1	Big Horn County, MT	90
2	Oglala Lakota County, SD	86.4
3	Todd County, SD	80.6
4	Jackson County, SD	76.3
5	Dewey County, SD	68.3
6	Owsley County, KY	66.6
7	Meade County, KS	62.8
8	Apache County, AZ	61.5
9	Jefferson Davis County, MS	60.1
10	Rosebud County, MT	60.1
11	Johnston County, OK	59.4
12	Winkler County, TX	57.6
13	Benton County, MS	54.7
14	Bullock County, AL	54.6
15	Mountrail County, ND	53.8
16	St. Helena Parish, LA	53.4
17	Beaver County, OK	52
18	Mora County, NM	51.7
19	San Juan County, UT	51.3
20	Lawrence County, AR	51.3
21	Mineral County, NV	50.7
22	Choctaw County, AL	50.7
23	Nicholas County, KY	50.6
24	Jefferson County, MS	50.1
25	Coal County, OK	49.4
26	Pushmataha County, OK	49.3
27	Perry County, TN	48.8
28	Trinity County, CA	48.7
29	Hancock County, GA	48.7
30	Yalobusha County, MS	48.7
31	Reynolds County, MO	48.2
32	Sioux County, ND	48.2
33	Calhoun County, AR	48
34	Leon County, TX	47.9
35	Colleton County, SC	47.9
36	Red River County, TX	47.8
37	Holmes County, MS	47.6
38	Rolette County, ND	47
39	Polk County, NE	46.5
40	Marshall County, MS	46.5
41	Wilcox County, AL	46.3
42	Benson County, ND	45.8
43	San Augustine County, TX	45.6
44	Putnam County, FL	45.5
45	Shannon County, MO	45.2
46	Fairfield County, SC	45
47	Hughes County, OK	45
48	Wilkinson County, MS	44.9
49	Charlotte County, VA	44.7
50	Claiborne County, MS	44.7
51	Miller County, GA	44.4
52	La Paz County, AZ	44.4
53	Jenkins County, GA	44.2
54	Sabine County, TX	44.1
55	Washington County, CO	43.8
56	Sumter County, AL	43.6
57	Crosby County, TX	43.5
58	Trinity County, TX	43.5
59	Williamsburg County, SC	43.4
60	Scott County, MS	43.3
61	Bladen County, NC	43.1
62	Yoakum County, TX	43
63	Breathitt County, KY	42.8
64	Covington County, MS	42.7
65	George County, MS	42.7
66	Thurston County, NE	42.7
67	Sussex County, VA	42.5
68	Norton County, KS	42.4
69	McKinley County, NM	42.3
70	Dewey County, OK	42.3
71	Gates County, NC	42.1
72	Panola County, MS	42
73	Brown County, KS	41.9
74	Coosa County, AL	41.9
75	Hickory County, MO	41.8
76	Lee County, SC	41.5
77	Robeson County, NC	41.4
78	Hartley County, TX	41.4
79	Tallahatchie County, MS	41.3
80	Wolfe County, KY	41
81	Greene County, AL	41
82	Jasper County, MS	41
83	Calhoun County, MS	40.8
84	Sanders County, MT	40.8
85	Scott County, AR	40.8
86	Candler County, GA	40.6
87	Rooks County, KS	40.6
88	Quitman County, MS	40.5
89	Calhoun County, SC	40.4
90	Allendale County, SC	40.4
91	Panola County, TX	40.2
92	Navajo County, AZ	40.2
93	Lewis County, KY	40
94	Ballard County, KY	39.9
95	Wilson County, KS	39.9
96	Oregon County, MO	39.9
97	Monroe County, AR	39.8
98	Breckinridge County, KY	39.8
99	Montgomery County, GA	39.8
100	Noxubee County, MS	39.7

Every state, highest first

Each state’s own published figure, not an average of its counties.

Rank	State	deaths per 100,000
1	Mississippi	25.5
2	South Carolina	20.8
3	Alabama	20.7
4	Arkansas	19.8
5	New Mexico	19.8
6	Louisiana	18
7	Montana	17.9
8	Oklahoma	17.9
9	Kentucky	17.4
10	Tennessee	17.2
11	Wyoming	17
12	South Dakota	16.6
13	West Virginia	15.9
14	Missouri	15.9
15	Florida	15.7
16	North Carolina	15.6
17	Georgia	15.6
18	Arizona	14.9
19	Kansas	14.3
20	Idaho	13.8
21	North Dakota	13.8
22	Texas	13.8
23	Indiana	13.2
24	Delaware	13.2
25	Maine	12.6
26	Nebraska	12.5
27	Oregon	12.4
28	Colorado	11.8
29	Nevada	11.6
30	Iowa	11.4
31	Alaska	11.2
32	Ohio	11.1
33	California	10.9
34	Michigan	10.9
35	Virginia	10.7
36	Wisconsin	10.5
37	Vermont	10.4
38	Illinois	9.63
39	Maryland	9.5
40	Pennsylvania	9.46
41	New Hampshire	9.05
42	Washington	8.78
43	Utah	8.72
44	Connecticut	8.54
45	Minnesota	8.2
46	Hawaii	7.56
47	New Jersey	6.98
48	Rhode Island	6.89
49	District of Columbia	6.39
50	Massachusetts	6.01
51	New York	5.9

More on motor vehicle crash deaths

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.