🩺 Health insurance cost in South Dakota (2026)
The estimated average is $588 per month — above the national average (+5% vs. the U.S. average of $560).
South Dakota is home to about 0.9 million people, and health insurance here runs above the national average. Below, estimate a price for your own profile, then drill into your city — rates in a large metro like Sioux Falls typically differ from smaller towns.
Estimate your health insurance in South Dakota
South Dakota health insurance estimator
Starts from the South Dakota average. Estimate only — get quotes to confirm.
Health insurance cost in South Dakota cities
| City | Population | Est. health insurance |
|---|---|---|
| Sioux Falls | 202,078 | $588 |
| Rapid City | 76,184 | $579 |
South Dakota health insurance FAQ
How much is health insurance in South Dakota?
The estimated average health insurance in South Dakota is $588 per month, which is above the national average (+5% vs. the U.S. average of $560). South Dakota ranks 9 of 51 states from most to least expensive.
Why is health insurance expensive in South Dakota?
Health insurance pricing in South Dakota reflects local risk factors — weather and catastrophe exposure, accident/claim frequency, repair and medical costs, and state regulation. That’s why costs differ across the Midwest.
How can I save on health insurance in South Dakota?
Compare at least three quotes from insurers active in South Dakota, bundle policies, and re-shop every year. Use the calculator above to see how your profile changes the price.