Which state is the healthiest in America?

Rhode Island ranks as the healthiest state with an average county health score of 92/100. Massachusetts, Minnesota, Colorado, and Connecticut also consistently rank among the healthiest states.

Which state has the worst health outcomes?

Mississippi ranks lowest with an average county health score of 18/100. Mississippi, Louisiana, Arkansas, and Alabama also face significant health challenges.

How are state health rankings calculated?

State health rankings are calculated by averaging county-level health scores from the CDC County Health Rankings & Roadmaps. Each county receives a 0-100 score based on life expectancy, poor/fair health rates, uninsured rates, and provider access. State averages reflect the mean of all county scores within that state.

What is the national average health score?

The national average county health score is approximately 50/100, meaning the typical US county has average health outcomes relative to all 3,100+ counties. Scores above 60 indicate above-average health, while scores below 40 indicate significant health challenges.

Health Rankings by State

Compare health outcomes and healthcare access across all 50 states and DC, ranked by average county health score.

Looking for chronic-disease rankings by measure? See /rankings for 40 CDC PLACES rankings covering obesity, diabetes, depression, screening rates, and 36 more — all 3,144 US counties.

Rank	State	Health Score	Life Expectancy	Uninsured Rate	Poor / Fair Health	PCP per 100K	Rating
1	Rhode Island5 counties	92/100	79.9 yr	4.2%	13.3%	109	Above Average
2	Massachusetts14 counties	91/100	79.7 yr	3.0%	14.0%	88	Above Average
3	Vermont14 counties	88/100	78.2 yr	5.1%	13.0%	89	Above Average
4	District of Columbia1 counties	86/100	76.5 yr	3.1%	12.8%	129	Above Average
5	Connecticut9 counties	84/100	N/A	6.0%	14.8%	N/A	Above Average
6	Hawaii5 counties	84/100	81.3 yr	4.8%	16.0%	84	Above Average
7	Minnesota87 counties	83/100	78.7 yr	6.0%	14.8%	67	Above Average
8	New Hampshire10 counties	82/100	78.3 yr	6.7%	14.0%	90	Above Average
9	New York62 counties	81/100	77.9 yr	5.3%	15.5%	60	Above Average
10	Iowa99 counties	78/100	77.7 yr	5.7%	15.8%	54	Above Average
11	New Jersey21 counties	76/100	78.5 yr	7.5%	15.0%	72	Above Average
12	Wisconsin72 counties	74/100	77.8 yr	7.0%	16.2%	65	Above Average
13	Maryland24 counties	73/100	77.0 yr	6.4%	16.0%	66	Above Average
14	North Dakota53 counties	72/100	77.5 yr	7.5%	16.4%	73	Above Average
15	Nebraska93 counties	71/100	77.5 yr	8.1%	15.6%	66	Above Average
16	Delaware3 counties	69/100	76.4 yr	7.3%	16.1%	66	Above Average
17	Michigan83 counties	69/100	76.3 yr	6.4%	16.8%	58	Above Average
18	California58 counties	67/100	78.5 yr	7.2%	18.9%	69	Above Average
19	Illinois102 counties	66/100	76.0 yr	6.3%	17.9%	47	Above Average
20	Maine16 counties	66/100	76.7 yr	9.4%	14.9%	91	Above Average
21	Pennsylvania67 counties	65/100	76.4 yr	7.0%	18.1%	68	Above Average
22	Washington39 counties	65/100	78.1 yr	9.0%	17.5%	66	Above Average
23	Colorado64 counties	63/100	78.2 yr	9.7%	16.0%	70	Above Average
24	Utah29 counties	62/100	77.9 yr	10.2%	16.4%	55	Above Average
25	Oregon36 counties	61/100	77.0 yr	8.1%	18.8%	78	Above Average
26	South Dakota66 counties	60/100	75.4 yr	11.1%	16.0%	62	Above Average
27	Virginia133 counties	56/100	75.1 yr	7.9%	18.6%	59	Average
28	Idaho44 counties	55/100	77.5 yr	11.7%	17.7%	53	Average
29	Ohio88 counties	55/100	74.8 yr	7.5%	19.6%	48	Average
30	Indiana92 counties	54/100	75.1 yr	8.4%	18.9%	49	Average
31	Kansas105 counties	54/100	75.4 yr	11.5%	16.7%	66	Average
32	Montana56 counties	54/100	76.3 yr	11.9%	17.2%	68	Average
33	Wyoming23 counties	54/100	77.0 yr	14.8%	15.4%	71	Average
34	Florida67 counties	42/100	75.8 yr	14.4%	19.6%	52	Below Average
35	Nevada17 counties	42/100	75.2 yr	11.7%	20.1%	51	Below Average
36	Kentucky120 counties	41/100	72.2 yr	7.0%	23.9%	42	Below Average
37	North Carolina100 counties	41/100	74.4 yr	12.5%	19.1%	52	Below Average
38	Alaska30 counties	40/100	75.6 yr	15.9%	19.1%	116	Below Average
39	Missouri115 counties	38/100	74.3 yr	12.5%	20.4%	43	Below Average
40	New Mexico33 counties	38/100	73.7 yr	10.2%	22.2%	53	Below Average
41	West Virginia55 counties	37/100	72.2 yr	7.6%	24.7%	54	Below Average
42	Louisiana64 counties	36/100	72.5 yr	8.1%	24.2%	44	Below Average
43	South Carolina46 counties	36/100	72.5 yr	11.6%	20.1%	49	Below Average
44	Arizona15 counties	35/100	74.0 yr	14.0%	21.8%	53	Below Average
45	Arkansas75 counties	29/100	72.3 yr	9.9%	25.3%	46	Below Average
46	Tennessee95 counties	29/100	72.4 yr	11.9%	22.4%	44	Below Average
47	Alabama67 counties	28/100	72.1 yr	11.1%	23.9%	44	Below Average
48	Georgia159 counties	28/100	73.3 yr	15.0%	21.9%	45	Below Average
49	Texas254 counties	25/100	74.3 yr	19.8%	23.6%	45	Below Average
50	Oklahoma77 counties	24/100	72.7 yr	15.3%	22.7%	38	Below Average
51	Mississippi82 counties	18/100	70.9 yr	13.9%	25.5%	39	Below Average

Health Rankings by State

All States Ranked by Health Score

Healthiest States

States with Greatest Health Challenges