Childcare Affordability Deserts

Counties where center-based infant care costs exceed 20% of median household income, based on childcare price data and U.S. Census median-income figures across all 50 states. The HHS considers childcare affordable at 7% of income — these counties are nearly 3x that threshold.

351
Desert Counties
of 2,662 total
15.2%
Avg Cost Burden
national average
35.7%
Worst Burden
7%
HHS Threshold
affordable benchmark

Counties with Highest Cost Burden

# County Infant Cost % of Income
1 Piute County $11,895 35.7%
2 Suffolk County $30,680 35%
3 Issaquena County $6,190 34.6%
4 Bronx County $15,600 33.2%
5 Humboldt County $19,044 32.9%
6 Knox County $16,161 32.2%
7 Fresno County $21,611 31.9%
8 Pacific County $18,580 31.6%
9 Athens County $15,340 31.5%
10 Grays Harbor County $18,580 31.4%
11 Wahkiakum County $18,580 31.4%
12 Apache County $11,700 31.2%
13 Stearns County $22,395 30.6%
14 Jackson County $13,734 30.6%
15 Huerfano County $14,825 29.9%
16 Inyo County $18,765 29.6%
17 Jefferson County $15,340 28.9%
18 San Miguel County $20,961 28.8%
19 Kern County $18,337 28.7%
20 Jefferson County $18,580 28.7%
21 Trumbull County $15,340 28.7%
22 Yuba County $18,987 28.5%
23 Clallam County $18,580 28.1%
24 Holmes County $8,046 27.9%
25 Klickitat County $18,580 27.9%
26 Butte County $18,410 27.9%
27 Marion County $15,340 27.8%
28 Monroe County $15,340 27.7%
29 Lewis County $18,580 27.6%
30 McDowell County $7,788 27.6%
31 Costilla County $9,521 27.5%
32 Belmont County $15,340 26.9%
33 Richmond City $16,037 26.9%
34 Lucas County $15,340 26.8%
35 Estill County $10,603 26.5%
36 Prairie County $11,646 26.4%
37 Powell County $10,126 26.4%
38 Champaign County $16,092 26.3%
39 Lane County $17,131 26.3%
40 Glacier County $10,786 26.3%
41 Cowlitz County $18,580 26.2%
42 Lincoln County $11,651 26.1%
43 Denver County $22,357 26%
44 Brooks County $7,956 26%
45 Ramsey County $20,280 26%
46 San Bernardino County $19,981 25.8%
47 Hampden County $17,160 25.8%
48 Milwaukee County $15,236 25.7%
49 Wayne County $13,734 25.7%
50 Sitka City and Borough $24,413 25.6%
51 Siskiyou County $13,802 25.6%
52 Cuyahoga County $15,340 25.5%
53 Santa Barbara County $23,532 25.5%
54 Essex County $24,001 25.4%
55 Coos County $13,992 25.3%
56 Multnomah County $21,168 25.3%
57 Fairbanks North Star Borough $20,551 25.2%
58 White County $13,734 25.2%
59 District of Columbia $25,480 25%
60 Calhoun County $10,400 25%
61 Whitman County $12,326 25%
62 Mason County $18,580 25%
63 Riverside County $21,043 24.9%
64 Sioux County $10,215 24.8%
65 Montgomery County $15,340 24.8%
66 Dimmit County $6,760 24.7%
67 Trinity County $11,670 24.7%
68 Berkshire County $17,160 24.6%
69 San Juan County $18,868 24.6%
70 Latimer County $10,469 24.5%
71 Ferry County $12,326 24.4%
72 Franklin County $17,160 24.4%
73 Whatcom County $18,868 24.3%
74 Greenwood County $11,558 24.3%
75 San Joaquin County $20,108 24.3%
76 Benton County $17,690 24.3%
77 Esmeralda County $9,858 24.2%
78 Josephine County $13,582 24.2%
79 Emporia City $10,028 24.2%
80 Lake County $13,594 24.2%
81 Ouray County $18,996 24.1%
82 Seminole County $10,347 23.9%
83 Jackson County $6,240 23.9%
84 Norfolk County $28,860 23.9%
85 Cumberland County $14,891 23.9%
86 Pushmataha County $10,074 23.8%
87 Wheatland County $11,495 23.8%
88 McIntosh County $10,348 23.8%
89 Santa Cruz County $24,798 23.8%
90 Winnebago County $14,647 23.7%
91 Manassas Park City $21,716 23.7%
92 Moffat County $15,153 23.7%
93 Yolo County $20,135 23.7%
94 Carter County $10,992 23.6%
95 Adams County $20,405 23.6%
96 Liberty County $11,347 23.6%
97 Park County $20,077 23.6%
98 Sanders County $11,114 23.6%
99 El Dorado County $23,398 23.6%
100 Mendocino County $14,459 23.6%

Cost Burden by State

Average childcare cost as a percentage of median income. States with higher burden have more families struggling to afford care.

District of Columbia 25%
1 desert counties (100%)
Worst: 25% · 1 counties
Massachusetts 22.5%
10 desert counties (71.4%)
Worst: 35% · 14 counties
Washington 22.4%
27 desert counties (69.2%)
Worst: 31.6% · 39 counties
California 21.9%
37 desert counties (63.8%)
Worst: 32.9% · 58 counties
Arizona 19.5%
5 desert counties (33.3%)
Worst: 31.2% · 15 counties
Montana 19.5%
20 desert counties (35.7%)
Worst: 26.4% · 56 counties
Connecticut 19.4%
4 desert counties (50%)
Worst: 23% · 8 counties
New York 19.4%
26 desert counties (41.9%)
Worst: 33.2% · 62 counties
Oklahoma 19.3%
29 desert counties (37.7%)
Worst: 24.5% · 77 counties
Oregon 19%
11 desert counties (30.6%)
Worst: 26.3% · 36 counties
New Hampshire 18.7%
2 desert counties (20%)
Worst: 25.3% · 10 counties
Ohio 18.4%
27 desert counties (30.7%)
Worst: 31.5% · 88 counties
Illinois 18.2%
16 desert counties (27.6%)
Worst: 32.2% · 58 counties
Maine 18.1%
2 desert counties (12.5%)
Worst: 23% · 16 counties
Alaska 18%
2 desert counties (25%)
Worst: 25.6% · 8 counties
Colorado 17.8%
19 desert counties (30.6%)
Worst: 29.9% · 62 counties
West Virginia 17.7%
12 desert counties (21.8%)
Worst: 27.6% · 55 counties
Rhode Island 17.1%
1 desert counties (20%)
Worst: 20.7% · 5 counties
Hawaii 17%
No desert counties
Worst: 19.1% · 4 counties
New Jersey 16.9%
4 desert counties (19%)
Worst: 23.9% · 21 counties
Utah 16.8%
5 desert counties (17.2%)
Worst: 35.7% · 29 counties
Maryland 16.7%
4 desert counties (16.7%)
Worst: 22.4% · 24 counties
Florida 16.5%
5 desert counties (9.4%)
Worst: 25% · 53 counties
North Carolina 16.5%
12 desert counties (12.1%)
Worst: 23.1% · 99 counties
Wisconsin 16.5%
7 desert counties (9.7%)
Worst: 25.7% · 72 counties
Minnesota 16.1%
9 desert counties (10.3%)
Worst: 30.6% · 87 counties
North Dakota 15.8%
2 desert counties (3.8%)
Worst: 24.8% · 53 counties
Nebraska 15.8%
3 desert counties (3.2%)
Worst: 22.5% · 93 counties
Virginia 15%
11 desert counties (8.2%)
Worst: 26.9% · 134 counties
Nevada 14.8%
3 desert counties (17.6%)
Worst: 24.2% · 17 counties
Louisiana 14.7%
3 desert counties (4.7%)
Worst: 22% · 64 counties
Mississippi 14.7%
3 desert counties (3.7%)
Worst: 34.6% · 82 counties
Delaware 14.4%
No desert counties
Worst: 17.1% · 3 counties
South Carolina 14.2%
1 desert counties (2.2%)
Worst: 24.3% · 46 counties
Tennessee 14.2%
6 desert counties (6.3%)
Worst: 22.9% · 95 counties
Alabama 14%
6 desert counties (9%)
Worst: 22.7% · 67 counties
Kentucky 13.8%
7 desert counties (5.8%)
Worst: 26.5% · 120 counties
Texas 12.7%
6 desert counties (2.4%)
Worst: 26% · 254 counties
Iowa 12.5%
No desert counties
Worst: 15.9% · 99 counties
Michigan 12.3%
No desert counties
Worst: 19.7% · 83 counties
Wyoming 11.9%
1 desert counties (4.8%)
Worst: 21.5% · 21 counties
Georgia 11.8%
1 desert counties (0.6%)
Worst: 22.9% · 159 counties
Idaho 11.8%
No desert counties
Worst: 17.7% · 44 counties
South Dakota 10.8%
1 desert counties (1.5%)
Worst: 23.9% · 66 counties
Kansas 9.5%
No desert counties
Worst: 18.3% · 105 counties

About Affordability Deserts

The U.S. Department of Health and Human Services (HHS) defines childcare as "affordable" when it costs no more than 7% of a family's income. In practice, most American families spend far more.

We flag counties as "affordability deserts" when center-based infant care exceeds 20% of median household income — nearly 3x the HHS benchmark. These are areas where families face extreme financial pressure to access childcare.

  • <10% — Relatively affordable
  • 10-20% — Moderate cost burden
  • >20% — Affordability desert

Source: U.S. Department of Labor, Women's Bureau — National Database of Childcare Prices (2022). Costs are annual center-based infant care. Income is county median household income U.S. Department of Labor, Women's Bureau — National Database of Childcare Prices (2022). Costs are annual center-based infant care. Income is county median household income