| 1. | McIntosh County, ND (Wishek, Ashley, Zeeland) (pop. 3,390) | 20.6 |
| 2. | Eddy County, ND (New Rockford, Sheyenne) (pop. 2,757) | 19.8 |
| 3. | Nelson County, ND (Lakota, McVille, Michigan City) (pop. 3,715) | 19.6 |
| 4. | Sierra County, NM (Truth or Consequences, Elephant Butte, Williamsburg) (pop. 13,270) | 19.6 |
| 5. | Lancaster County, VA (Kilmarnock, Irvington, White Stone) (pop. 11,567) | 17.7 |
| 6. | Mineral County, NV (Hawthorne, Walker River, Schurz) (pop. 5,071) | 17.4 |
| 7. | Decatur County, KS (Oberlin, Norcatur, Jennings) (pop. 3,472) | 17.4 |
| 8. | McDowell County, WV (Welch, Gary, War) (pop. 27,329) | 17.1 |
| 9. | Sheridan County, MT (Plentywood, Medicine Lake, Westby) (pop. 4,105) | 17.1 |
| 10. | Wells County, ND (Harvey, Fessenden, Sykeston) (pop. 5,102) | 17.0 |
| 11. | Baca County, CO (Springfield, Walsh, Campo) (pop. 4,517) | 16.9 |
| 12. | Comanche County, KS (Coldwater, Protection, Wilmore) (pop. 1,967) | 16.9 |
| 13. | Republic County, KS (Belleville, Scandia, Courtland) (pop. 5,835) | 16.8 |
| 14. | Woodson County, KS (Yates Center, Toronto, Neosho Falls) (pop. 3,788) | 16.8 |
| 15. | Smith County, KS (Smith Center, Kensington, Lebanon) (pop. 4,536) | 16.7 |
| 16. | Monona County, IA (Onawa, Mapleton, Whiting) (pop. 10,020) | 16.6 |
| 17. | Citrus County, FL (Homosassa Springs, Beverly Hills, Hernando) (pop. 118,085) | 16.4 |
| 18. | Sullivan County, PA (Dushore, Laporte, Eagles Mere) (pop. 6,556) | 16.4 |
| 19. | Coke County, TX (Robert Lee, Bronte) (pop. 3,864) | 16.4 |
| 20. | Baxter County, AR (Mountain Home, Gassville, Midway) (pop. 38,386) | 16.3 |
| 21. | Montmorency County, MI (Lewiston, Atlanta, Hillman) (pop. 10,315) | 16.3 |
| 22. | Baylor County, TX (Seymour, Seymour Rural) (pop. 4,093) | 16.2 |
| 23. | Curry County, OR (Brookings, Harbor, Gold Beach) (pop. 21,137) | 16.2 |
| 24. | Garden County, NE (Oshkosh, Lewellen, Cisco) (pop. 2,292) | 16.2 |
| 25. | Martinsville city, VA (pop. 15,416) | 16.1 |
| 26. | Owsley County, KY (Sturgeon, Cowcreek, Booneville) (pop. 4,858) | 16.1 |
| 27. | Alcona County, MI (Hubbard Lake, Harrisville, Lincoln) (pop. 11,719) | 16.1 |
| 28. | Iron County, MI (Iron River, Crystal Falls, Stambaugh) (pop. 13,138) | 16.1 |
| 29. | Chautauqua County, KS (Sedan, Cedar Vale, Peru) (pop. 4,359) | 16.0 |
| 30. | Potter County, SD (Gettysburg, Hoven, Lebanon) (pop. 2,693) | 16.0 |
| 31. | San Augustine County, TX (San Augustine, Broaddus) (pop. 8,946) | 16.0 |
| 32. | Gregory County, SD (Gregory, Burke, Bonesteel) (pop. 4,792) | 15.9 |
| 33. | Thayer County, NE (Hebron, Deshler, Davenport) (pop. 6,055) | 15.8 |
| 34. | Pawnee County, NE (Pawnee City, Table Rock, Du Bois) (pop. 3,087) | 15.8 |
| 35. | Fulton County, KY (Fulton, Hickman, Cayce) (pop. 7,752) | 15.8 |
| 36. | Griggs County, ND (Cooperstown, Binford, Hannaford) (pop. 2,754) | 15.8 |
| 37. | Webster County, NE (Red Cloud, Blue Hill, Bladen) (pop. 4,061) | 15.8 |
| 38. | Traverse County, MN (Wheaton, Browns Valley, Dumont) (pop. 4,134) | 15.7 |
| 39. | Danville city, VA (Danville) (pop. 48,411) | 15.7 |
| 40. | Ontonagon County, MI (Ontonagon, White Pine) (pop. 7,818) | 15.7 |
| 41. | Osborne County, KS (Osborne, Downs, Natoma) (pop. 4,452) | 15.7 |
| 42. | Sabine County, TX (Milam, Hemphill, Pineland) (pop. 10,469) | 15.7 |
| 43. | Fall River County, SD (Hot Springs, Edgemont, Oelrichs) (pop. 7,453) | 15.7 |
| 44. | Roscommon County, MI (Houghton Lake, St. Helen, Prudenville) (pop. 25,469) | 15.7 |
| 45. | Garfield County, NE (Burwell) (pop. 1,902) | 15.6 |
| 46. | Harper County, KS (Anthony, Harper, Attica) (pop. 6,536) | 15.6 |
| 47. | Huerfano County, CO (Walsenburg, La Veta, Gardner) (pop. 7,862) | 15.6 |
| 48. | Emporia city, VA (pop. 5,665) | 15.5 |
| 49. | Elk County, KS (Howard, Moline, Longton) (pop. 3,261) | 15.4 |
| 50. | Kittson County, MN (Hallock, Karlstad, Lancaster) (pop. 5,285) | 15.3 |
| 51. | Menard County, TX (Menard) (pop. 2,360) | 15.3 |
| 52. | Cumberland County, KY (Burkesville, Marrowbone) (pop. 7,147) | 15.3 |
| 53. | Northampton County, VA (Exmore, Cape Charles, Nassawadox) (pop. 13,093) | 15.3 |
| 54. | McIntosh County, OK (Checotah, Eufaula, Texanna) (pop. 19,456) | 15.3 |
| 55. | Benton County, TN (Camden, Holladay, Big Sandy) (pop. 16,537) | 15.3 |
| 56. | Kiowa County, OK (Hobart, Snyder, Mountain View) (pop. 10,227) | 15.2 |
| 57. | Red River County, TX (Clarksville, Bogata, Manchester) (pop. 14,314) | 15.2 |
| 58. | Robertson County, KY (Mount Olivet) (pop. 2,266) | 15.2 |
| 59. | Trego County, KS (WaKeeney, Collyer) (pop. 3,319) | 15.2 |
| 60. | Atchison County, MO (Tarkio, Rock Port, Fairfax) (pop. 6,430) | 15.2 |
| 61. | Iosco County, MI (East Tawas, Tawas City, Au Sable) (pop. 27,339) | 15.2 |
| 62. | Hamilton County, TX (Hamilton, Hico) (pop. 8,229) | 15.2 |
| 63. | Jefferson County, NE (Fairbury, Plymouth, Diller) (pop. 8,333) | 15.2 |
| 64. | Marion County, TX (Jefferson, Pine Harbor) (pop. 10,941) | 15.1 |
| 65. | Clay County, GA (Fort Gaines, Bluffton) (pop. 3,357) | 15.1 |
| 66. | Haskell County, TX (Haskell, Rule, Rochester) (pop. 6,093) | 15.1 |
| 67. | Gallatin County, IL (Shawneetown, Ridgway, Equality) (pop. 6,445) | 15.1 |
| 68. | Trinity County, TX (Trinity, Apple Springs, Glendale) (pop. 13,779) | 15.1 |
| 69. | Cheyenne County, KS (St. Francis, Bird City) (pop. 3,165) | 15.1 |
| 70. | Woodruff County, AR (Augusta, McCrory, Cotton Plant) (pop. 8,741) | 15.0 |
| 71. | Nuckolls County, NE (Superior, Nelson, Lawrence) (pop. 5,057) | 15.0 |
| 72. | Dewey County, OK (Seiling, Vici, Taloga) (pop. 4,743) | 15.0 |
| 73. | Jefferson County, OK (Waurika, South Jefferson, Ringling) (pop. 6,818) | 15.0 |
| 74. | Llano County, TX (Kingsland, Horseshoe Bay, Llano) (pop. 17,044) | 15.0 |
| 75. | Big Stone County, MN (Ortonville, Graceville, Clinton) (pop. 5,820) | 15.0 |
| 76. | Bedford city, VA (pop. 6,299) | 14.9 |
| 77. | Clay County, AR (Piggott, Corning, Rector) (pop. 17,609) | 14.9 |
| 78. | Mitchell County, KS (Beloit, Cawker City, Glen Elder) (pop. 6,932) | 14.9 |
| 79. | Pierce County, ND (Rugby, Balta, Wolford) (pop. 4,675) | 14.8 |
| 80. | Iron County, WI (Hurley, Mercer, Montreal) (pop. 6,861) | 14.8 |
| 81. | Dundy County, NE (Benkelman, Haigler, Max) (pop. 2,292) | 14.8 |
| 82. | Cloud County, KS (Concordia, Clyde, Glasco) (pop. 10,268) | 14.8 |
| 83. | White County, IL (Carmi, Norris City, Crossville) (pop. 15,371) | 14.8 |
| 84. | Rawlins County, KS (Atwood, McDonald, Herndon) (pop. 2,966) | 14.8 |
| 85. | Franklin city, VA (Franklin) (pop. 8,346) | 14.8 |
| 86. | Hutchinson County, SD (Parkston, Freeman, Menno) (pop. 8,075) | 14.8 |
| 87. | Real County, TX (Camp Wood, Leakey) (pop. 3,047) | 14.8 |
| 88. | Douglas County, SD (Armour, Corsica, Delmont) (pop. 3,458) | 14.8 |
| 89. | Bristol city, VA (Bristol) (pop. 17,367) | 14.7 |
| 90. | Gove County, KS (Quinter, Grinnell, Grainfield) (pop. 3,068) | 14.7 |
| 91. | Perkins County, SD (Lemmon, Bison, Prairie City) (pop. 3,363) | 14.7 |
| 92. | Bienville Parish, LA (Arcadia, Ringgold, Gibsland) (pop. 15,752) | 14.7 |
| 93. | Ringgold County, IA (Mount Ayr, Kellerton, Diagonal) (pop. 5,469) | 14.7 |
| 94. | Fillmore County, NE (Geneva, Exeter, Fairmont) (pop. 6,634) | 14.7 |
| 95. | Sharp County, AR (Cherokee Village, Cave City, Highland) (pop. 17,119) | 14.6 |
| 96. | Wayne County, IA (Corydon, Seymour, Allerton) (pop. 6,730) | 14.6 |
| 97. | Donley County, TX (Clarendon, Howardwick, Hedley) (pop. 3,828) | 14.6 |
| 98. | Hickory County, MO (Weaubleau, Hermitage, Wheatland) (pop. 8,940) | 14.6 |
| 99. | Rush County, KS (La Crosse, Otis, Bison) (pop. 3,551) | 14.6 |
| 100. | Richardson County, NE (Falls City, Humboldt, Shubert) (pop. 9,531) | 14.6 |
| 101. | Emmons County, ND (Linton, Strasburg, Hazelton) (pop. 4,331) | 14.6 |