| 1. | Sullivan County, TN (Kingsport, Bristol, Bluff City-Piney Flats) (pop. 153,048) | 3.08 |
| 2. | George County, MS (Lucedale) (pop. 19,144) | 3.10 |
| 3. | Montgomery County, AL (Montgomery, Hope Hull, Mount Meigs) (pop. 223,510) | 3.11 |
| 4. | Hidalgo County, TX (McAllen, Southeast Hidalgo, Edinburg) (pop. 569,463) | 3.11 |
| 5. | Harrison County, MS (Gulfport, Biloxi, Long Beach) (pop. 189,601) | 3.12 |
| 6. | Stewart County, TN (Indian Mound-Bumpus Mills, Cumberland City-Carlisle, Dover) (pop. 12,370) | 3.12 |
| 7. | Laurens County, SC (Laurens, Clinton, Joanna) (pop. 69,567) | 3.13 |
| 8. | Ottawa County, OK (Miami, Commerce, Picher) (pop. 33,194) | 3.15 |
| 9. | El Paso County, TX (El Paso, Socorro, San Elizario) (pop. 679,622) | 3.15 |
| 10. | Pittsburg County, OK (McAlester, Twin Cities, North Central Pittsburg) (pop. 43,953) | 3.17 |
| 11. | Carter County, OK (Ardmore, Lone Grove, Healdton) (pop. 45,621) | 3.18 |
| 12. | Terrebonne Parish, LA (Houma, Bayou Cane, Schriever) (pop. 104,503) | 3.20 |
| 13. | Wyandotte County, KS (Kansas City, Bonner Springs, Edwardsville) (pop. 157,882) | 3.21 |
| 14. | Gaston County, NC (Gastonia, Mount Holly, Belmont) (pop. 190,365) | 3.22 |
| 15. | Jackson County, MS (Pascagoula, Ocean Springs, Moss Point) (pop. 131,420) | 3.22 |
| 16. | Tuscaloosa County, AL (Tuscaloosa, Northport, Big Sandy-Duncanville) (pop. 164,875) | 3.22 |
| 17. | Fayette County, PA (Uniontown, Connellsville, Masontown) (pop. 148,644) | 3.22 |
| 18. | Jefferson County, KY (Louisville, Jeffersontown, Pleasure Ridge Park) (pop. 693,604) | 3.23 |
| 19. | Sequoyah County, OK (Sallisaw, Muldrow, Roland) (pop. 38,972) | 3.23 |
| 20. | Cherokee County, OK (Tahlequah, South Cherokee, East Cherokee) (pop. 42,521) | 3.24 |
| 21. | Lake County, IN (Gary, Hammond, East Chicago) (pop. 484,564) | 3.25 |
| 22. | Pottawatomie County, OK (Shawnee, Tecumseh, McLoud) (pop. 65,521) | 3.25 |
| 23. | Bronx County, NY (Bronx) (pop. 1,332,650) | 3.25 |
| 24. | Philadelphia County, PA (Philadelphia) (pop. 1,517,550) | 3.25 |
| 25. | Garfield County, OK (Enid, South Garfield, North Garfield) (pop. 57,813) | 3.26 |
| 26. | Orangeburg County, SC (Orangeburg, Brookdale, Wilkinson Heights) (pop. 91,582) | 3.26 |
| 27. | Comanche County, OK (Lawton, Southeast Comanche, Sill) (pop. 114,996) | 3.27 |
| 28. | Mobile County, AL (Mobile, Tanner-Williams, Prichard) (pop. 399,843) | 3.27 |
| 29. | Stone County, MS (Wiggins) (pop. 13,622) | 3.27 |
| 30. | Vanderburgh County, IN (Evansville, Melody Hill, Darmstadt) (pop. 171,922) | 3.27 |
| 31. | Dakota County, NE (South Sioux City, Dakota City, Homer) (pop. 20,253) | 3.27 |
| 32. | Randolph County, NC (Asheboro, Archdale, Trinity) (pop. 130,454) | 3.27 |
| 33. | Kanawha County, WV (Charleston, South Charleston, St. Albans) (pop. 200,073) | 3.28 |
| 34. | Dona Ana County, NM (Las Cruces, Dona Ana-Hill, South Dona Ana) (pop. 174,682) | 3.28 |
| 35. | St. Louis city, MO (St. Louis) (pop. 348,189) | 3.28 |
| 36. | Wayne County, MI (Detroit, Livonia, Dearborn) (pop. 2,061,162) | 3.29 |
| 37. | Rapides Parish, LA (Alexandria, Pineville, Ball) (pop. 126,337) | 3.29 |
| 38. | Valencia County, NM (Los Lunas, Belen, El Cerro-Monterey Park) (pop. 66,152) | 3.30 |
| 39. | Horry County, SC (Myrtle Beach, Socastee, Conway) (pop. 196,629) | 3.30 |
| 40. | Wagoner County, OK (Wagoner, Coweta, South Wagoner) (pop. 57,491) | 3.30 |
| 41. | Yakima County, WA (Yakima, Sunnyside, West Valley) (pop. 222,581) | 3.30 |
| 42. | Cochise County, AZ (Sierra Vista, Sierra Vista Southeast, Douglas) (pop. 117,755) | 3.30 |
| 43. | Hancock County, MS (Bay St. Louis, Waveland, Diamondhead) (pop. 42,967) | 3.31 |
| 44. | Smith County, TX (Tyler, Whitehouse, Hideaway) (pop. 174,706) | 3.32 |
| 45. | Passaic County, NJ (Paterson, Clifton, Passaic) (pop. 489,049) | 3.32 |
| 46. | Spartanburg County, SC (Spartanburg, Pauline, Fairmont Mills) (pop. 253,791) | 3.32 |
| 47. | Yuma County, AZ (Yuma, Fortuna Foothills, San Luis) (pop. 160,026) | 3.32 |
| 48. | Hudson County, NJ (Jersey City, Union City, Bayonne) (pop. 608,975) | 3.32 |
| 49. | Knox County, TN (Knoxville, Concord, Farragut) (pop. 382,032) | 3.32 |
| 50. | Mahoning County, OH (Youngstown, Boardman, Austintown) (pop. 257,555) | 3.33 |
| 51. | Silver Bow County, MT (Butte-Silver Bow, Butte, Walkerville) (pop. 34,606) | 3.33 |
| 52. | Calcasieu Parish, LA (Lake Charles, Sulphur, Moss Bluff) (pop. 183,577) | 3.33 |
| 53. | Wichita County, TX (Wichita Falls, Burkburnett, Iowa Park) (pop. 131,664) | 3.33 |
| 54. | Cumberland County, NC (Fayetteville, Fort Bragg, Hope Mills) (pop. 302,963) | 3.33 |
| 55. | Scotts Bluff County, NE (Scottsbluff, Gering, Mitchell) (pop. 36,951) | 3.34 |
| 56. | Clayton County, GA (Forest Park, Riverdale, Irondale) (pop. 236,517) | 3.34 |
| 57. | Hinds County, MS (Jackson, Clinton, Byram) (pop. 250,800) | 3.34 |
| 58. | Johnston County, NC (Smithfield, Clayton, Selma) (pop. 121,965) | 3.34 |
| 59. | Washington County, OK (Bartlesville, Dewey, Copan) (pop. 48,996) | 3.34 |
| 60. | Lucas County, OH (Toledo, Oregon, Sylvania) (pop. 455,054) | 3.35 |
| 61. | Bristol County, MA (New Bedford, Fall River, Taunton) (pop. 534,678) | 3.35 |
| 62. | Berkeley County, SC (Goose Creek, Hanahan, Sangaree) (pop. 142,651) | 3.35 |
| 63. | Franklin County, WA (Pasco, West Pasco, Connell) (pop. 49,347) | 3.35 |
| 64. | Lincoln County, NE (North Platte, Sutherland, Hershey) (pop. 34,632) | 3.35 |
| 65. | Jefferson County, AL (Birmingham, Hoover, Bessemer) (pop. 662,047) | 3.35 |
| 66. | Ouachita Parish, LA (Monroe, West Monroe, Claiborne) (pop. 147,250) | 3.36 |
| 67. | Aiken County, SC (Aiken, North Augusta, Beech Island) (pop. 142,552) | 3.36 |
| 68. | Hampden County, MA (Springfield, Chicopee, Westfield) (pop. 456,228) | 3.36 |
| 69. | Coos County, NH (Berlin, Northumberland, Colebrook) (pop. 33,111) | 3.36 |
| 70. | Asotin County, WA (Clarkston, Clarkston Heights-Vineland, West Clarkston-Highland) (pop. 20,551) | 3.36 |
| 71. | Caddo Parish, LA (Shreveport, Vivian, Greenwood) (pop. 252,161) | 3.37 |
| 72. | San Juan County, NM (Farmington, Shiprock, Simpson-Chaco) (pop. 113,801) | 3.37 |
| 73. | Catawba County, NC (Hickory, Newton, St. Stephens) (pop. 141,685) | 3.37 |
| 74. | Montgomery County, OH (Dayton, Kettering, Huber Heights) (pop. 559,062) | 3.37 |
| 75. | Luzerne County, PA (Wilkes-Barre, Back Mountain, Hazleton) (pop. 319,250) | 3.37 |
| 76. | Osceola County, FL (Kissimmee, Buenaventura Lakes, Yeehaw Junction) (pop. 172,493) | 3.37 |
| 77. | Kings County, NY (Brooklyn) (pop. 2,465,326) | 3.37 |
| 78. | McKinley County, NM (Red Rock, Gallup, Reservation) (pop. 74,798) | 3.38 |
| 79. | Canadian County, OK (East Canadian, Yukon, El Reno) (pop. 87,697) | 3.38 |
| 80. | Oklahoma County, OK (Oklahoma City, Edmond, Midwest City) (pop. 660,448) | 3.38 |
| 81. | Queens County, NY (Queens) (pop. 2,229,379) | 3.38 |
| 82. | Hamilton County, TN (Chattanooga, East Ridge, East Brainerd) (pop. 307,896) | 3.38 |
| 83. | Rogers County, OK (Claremore, Catoosa, Oolagah-Talala) (pop. 70,641) | 3.38 |
| 84. | DeSoto County, MS (Southaven, Olive Branch, Horn Lake) (pop. 107,199) | 3.39 |
| 85. | Milwaukee County, WI (Milwaukee, West Allis, Wauwatosa) (pop. 940,164) | 3.39 |
| 86. | Marion County, OR (Salem, Keizer, Woodburn) (pop. 284,834) | 3.39 |
| 87. | Baltimore city, MD (Baltimore) (pop. 651,154) | 3.39 |
| 88. | Stark County, OH (Canton, Massillon, Alliance) (pop. 378,098) | 3.40 |
| 89. | Richmond County, GA (Augusta-Richmond County, Augusta, Gracewood) (pop. 199,775) | 3.40 |
| 90. | San Bernardino County, CA (San Bernardino, Ontario, Fontana) (pop. 1,709,434) | 3.40 |
| 91. | Yamhill County, OR (McMinnville, Newberg, Sheridan) (pop. 84,992) | 3.40 |
| 92. | Nez Perce County, ID (Lewiston, Lapwai, Leland) (pop. 37,410) | 3.40 |
| 93. | Marion County, IN (Indianapolis, Lawrence, Beech Grove) (pop. 860,454) | 3.40 |
| 94. | Rankin County, MS (Pearl, Brandon, Richland) (pop. 115,327) | 3.40 |
| 95. | Cuyahoga County, OH (Cleveland, Parma, Lakewood) (pop. 1,393,978) | 3.41 |
| 96. | Lubbock County, TX (Lubbock, Slaton, Abernathy) (pop. 242,628) | 3.41 |
| 97. | Pinal County, AZ (San Tan Valley, North Pinal, Apache Junction) (pop. 179,727) | 3.41 |
| 98. | Hall County, NE (Grand Island, Wood River, Cairo) (pop. 53,534) | 3.41 |
| 99. | Skamania County, WA (Wind River, Bonneville, Carson) (pop. 9,872) | 3.41 |
| 100. | Bexar County, TX (San Antonio, West Bexar, Southeast Bexar) (pop. 1,392,931) | 3.41 |
| 101. | Atlantic County, NJ (Atlantic City, Pleasantville, Ventnor City) (pop. 252,552) | 3.42 |