Childcare Affordability in Iowa
All 99 counties ranked by childcare cost as a percentage of median household income. No counties exceed the 20% desert threshold.
| # | County | Infant Cost | % of Income |
|---|---|---|---|
| 1 | Jefferson County | $8,322 | 15.9% |
| 2 | Appanoose County | $8,062 | 15.9% |
| 3 | Wapello County | $8,560 | 15.2% |
| 4 | Audubon County | $8,274 | 15.1% |
| 5 | Fayette County | $8,425 | 15% |
| 6 | Greene County | $8,310 | 14.6% |
| 7 | Des Moines County | $8,483 | 14.6% |
| 8 | Decatur County | $7,911 | 14.1% |
| 9 | Lee County | $8,170 | 14.1% |
| 10 | Union County | $7,945 | 14.1% |
| 11 | Black Hawk County | $8,747 | 14% |
| 12 | Monona County | $8,379 | 14% |
| 13 | Keokuk County | $8,325 | 13.9% |
| 14 | Page County | $8,046 | 13.8% |
| 15 | Van Buren County | $8,050 | 13.8% |
| 16 | Wright County | $8,012 | 13.8% |
| 17 | Clayton County | $8,308 | 13.7% |
| 18 | Poweshiek County | $8,396 | 13.7% |
| 19 | Wayne County | $7,939 | 13.6% |
| 20 | Pocahontas County | $8,302 | 13.5% |
| 21 | Clinton County | $8,223 | 13.5% |
| 22 | Story County | $8,858 | 13.4% |
| 23 | Kossuth County | $8,301 | 13.3% |
| 24 | Tama County | $8,623 | 13.2% |
| 25 | Cerro Gordo County | $8,285 | 13.1% |
| 26 | Crawford County | $8,027 | 13.1% |
| 27 | Clay County | $8,092 | 13.1% |
| 28 | Adams County | $8,484 | 13.1% |
| 29 | Adair County | $8,271 | 13.1% |
| 30 | Buena Vista County | $8,186 | 13.1% |
| 31 | Montgomery County | $7,983 | 13% |
| 32 | Cass County | $7,922 | 13% |
| 33 | Hardin County | $8,370 | 12.9% |
| 34 | Allamakee County | $8,267 | 12.9% |
| 35 | Muscatine County | $8,691 | 12.9% |
| 36 | Lucas County | $8,164 | 12.9% |
| 37 | Henry County | $8,016 | 12.9% |
| 38 | Franklin County | $7,953 | 12.8% |
| 39 | Pottawattamie County | $8,758 | 12.7% |
| 40 | Butler County | $8,365 | 12.7% |
| 41 | Ida County | $8,022 | 12.7% |
| 42 | Woodbury County | $8,623 | 12.6% |
| 43 | Johnson County | $9,183 | 12.6% |
| 44 | Clarke County | $7,938 | 12.6% |
| 45 | Mahaska County | $8,171 | 12.5% |
| 46 | Hamilton County | $8,356 | 12.5% |
| 47 | Hancock County | $8,481 | 12.5% |
| 48 | Calhoun County | $8,194 | 12.5% |
| 49 | Winnebago County | $7,836 | 12.5% |
| 50 | Howard County | $7,963 | 12.5% |
| 51 | Emmet County | $8,015 | 12.4% |
| 52 | Webster County | $8,091 | 12.4% |
| 53 | Floyd County | $7,703 | 12.4% |
| 54 | Jasper County | $8,304 | 12.3% |
| 55 | Cherokee County | $7,796 | 12.3% |
| 56 | Osceola County | $8,269 | 12.2% |
| 57 | O'Brien County | $7,914 | 12.2% |
| 58 | Taylor County | $8,001 | 12.1% |
| 59 | Shelby County | $8,524 | 12.1% |
| 60 | Mitchell County | $8,009 | 12.1% |
| 61 | Ringgold County | $8,213 | 12.1% |
| 62 | Winneshiek County | $8,151 | 12% |
| 63 | Scott County | $8,750 | 12% |
| 64 | Iowa County | $8,328 | 11.9% |
| 65 | Fremont County | $8,251 | 11.9% |
| 66 | Dickinson County | $8,605 | 11.9% |
| 67 | Washington County | $8,433 | 11.9% |
| 68 | Marshall County | $8,379 | 11.8% |
| 69 | Dubuque County | $8,640 | 11.8% |
| 70 | Humboldt County | $7,830 | 11.8% |
| 71 | Worth County | $8,176 | 11.7% |
| 72 | Polk County | $9,220 | 11.7% |
| 73 | Carroll County | $7,946 | 11.7% |
| 74 | Sac County | $7,968 | 11.6% |
| 75 | Louisa County | $8,388 | 11.6% |
| 76 | Jones County | $7,936 | 11.5% |
| 77 | Jackson County | $8,043 | 11.5% |
| 78 | Chickasaw County | $8,382 | 11.5% |
| 79 | Lyon County | $8,486 | 11.5% |
| 80 | Palo Alto County | $7,736 | 11.5% |
| 81 | Linn County | $8,631 | 11.4% |
| 82 | Harrison County | $8,634 | 11.4% |
| 83 | Marion County | $8,434 | 11.4% |
| 84 | Cedar County | $8,675 | 11.3% |
| 85 | Davis County | $8,692 | 11.3% |
| 86 | Guthrie County | $8,534 | 11.3% |
| 87 | Buchanan County | $8,252 | 11.2% |
| 88 | Boone County | $8,462 | 11.2% |
| 89 | Delaware County | $8,353 | 11% |
| 90 | Benton County | $8,479 | 10.7% |
| 91 | Monroe County | $8,061 | 10.6% |
| 92 | Plymouth County | $8,367 | 10.5% |
| 93 | Grundy County | $8,406 | 10.4% |
| 94 | Mills County | $8,459 | 10.3% |
| 95 | Sioux County | $8,309 | 10.1% |
| 96 | Madison County | $8,763 | 9.9% |
| 97 | Warren County | $8,804 | 9.8% |
| 98 | Bremer County | $8,283 | 9.8% |
| 99 | Dallas County | $9,642 | 9.7% |
Reading the Iowa Affordability Picture
Across Iowa's 99 counties with NDCP data, the average cost burden for center-based infant care is 12.5% of median household income, versus the national benchmark of 15.2%. The HHS affordability threshold sits at 7% — meaning any county above that line charges families more than the federal government's own working definition of affordable. Jefferson County leads the state with a 15.9% burden, where infant center care costs $8,322/year against a median household income of $52,210. The 20% "affordability desert" cutoff used on this page identifies counties where childcare competes directly with housing, healthcare, and transportation for household budget share — in practice, families in desert counties either leave the workforce, rely on unpaid family caregivers, or pursue subsidized care through CCDF or Head Start.
The burden percentages here reflect a structural reality of Iowa licensing: center-based care operates under staff-to-child ratio rules (typically 1:3 or 1:4 for infants, 1:10 for preschoolers) that cap how much a facility can earn per teacher. Teacher wages in Iowa have risen to compete with public-sector salary floors, but tuition has risen faster — families now absorb the squeeze between rising operating costs and stagnant median wages. Counties appearing as deserts on this table are not outliers in licensing quality (the state applies uniform rules statewide) but in market dynamics: high rent for center facilities, limited licensed-slot supply relative to demand, and a shortage of family child care homes (which historically offered a lower-cost alternative but have declined nationally by roughly one-third over the past decade).
Families in desert counties should prioritize Iowa's CCDF subsidy program as the first cost-offset tool — eligibility typically extends to households earning up to a defined share of state median income, and parent copayments follow a sliding scale rather than the full market rate. Head Start slots (free for families under 100% of federal poverty line) cover the 3-5 age band at no cost. Employer-offered Dependent Care FSAs allow up to $5,000/year in pre-tax spending; the federal CDCTC credit covers 20-35% of up to $3,000 per child ($6,000 for two or more). For infant and toddler ages where no federal free-care program exists, nanny-shares (splitting one caregiver across two families) and licensed family child care homes typically run 15-30% below center rates. Use the county links in the table to see age-group pricing and historical trends before enrolling — and contact the Iowa Child Care Resource and Referral agency for subsidy-eligible provider lists with open slots.
Source: U.S. Department of Labor, Women's Bureau — National Database of Childcare Prices (2022). HHS affordable childcare benchmark: 7% of family income. Desert threshold: 20%+ of median income U.S. Department of Labor, Women's Bureau — National Database of Childcare Prices (2022). HHS affordable childcare benchmark: 7% of family income. Desert threshold: 20%+ of median income
Read our methodology — how this data is sourced, computed, and verified.