Childcare Affordability in North Dakota

All 53 counties ranked by childcare cost as a percentage of median household income. 2 counties exceed the 20% desert threshold.

2
Desert Counties
15.8%
Avg Cost Burden
national: 15.2%
24.8%
Worst Burden
Sioux County
53
Counties
# County Infant Cost % of Income
1 Sioux County $10,215 24.8%
2 Eddy County $10,145 20.1%
3 Rolette County $10,244 19%
4 Logan County $11,027 18.5%
5 Pierce County $10,892 18.3%
6 Grant County $10,393 18.2%
7 Stutsman County $10,727 18.1%
8 Kidder County $10,310 18%
9 Adams County $10,285 17.7%
10 Cavalier County $10,771 17.6%
11 Dickey County $10,558 17.5%
12 Wells County $10,338 17.3%
13 Towner County $10,443 17%
14 Grand Forks County $11,029 17%
15 Ramsey County $10,449 17%
16 Barnes County $10,843 16.8%
17 Hettinger County $11,163 16.7%
18 Nelson County $10,350 16.6%
19 Pembina County $10,600 16.5%
20 Benson County $10,337 16.4%
21 Emmons County $10,370 16.3%
22 Ransom County $11,528 16.1%
23 Richland County $10,813 16.1%
24 McIntosh County $10,369 16.1%
25 Griggs County $10,417 15.6%
26 Walsh County $10,576 15.5%
27 Sheridan County $10,432 15.2%
28 Cass County $11,118 15.2%
29 Sargent County $11,471 15.2%
30 Slope County $10,635 15.1%
31 Oliver County $10,369 14.9%
32 McKenzie County $12,464 14.9%
33 Renville County $11,407 14.8%
34 LaMoure County $10,308 14.7%
35 Ward County $11,444 14.6%
36 Morton County $11,604 14.6%
37 Stark County $11,415 14.5%
38 Bowman County $11,425 14.3%
39 Billings County $10,556 14.3%
40 Bottineau County $11,357 14.2%
41 McHenry County $11,063 14.2%
42 Mercer County $11,630 14.2%
43 Burleigh County $11,468 14%
44 Williams County $11,977 13.9%
45 McLean County $11,184 13.9%
46 Foster County $10,879 13.9%
47 Mountrail County $11,238 13.7%
48 Traill County $10,889 13.4%
49 Golden Valley County $11,285 13.3%
50 Dunn County $11,967 13%
51 Divide County $12,484 13%
52 Steele County $10,556 12.3%
53 Burke County $11,249 11.9%

Reading the North Dakota Affordability Picture

Across North Dakota's 53 counties with NDCP data, the average cost burden for center-based infant care is 15.8% 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. Sioux County leads the state with a 24.8% burden, where infant center care costs $10,215/year against a median household income of $41,201. 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 North Dakota 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 North Dakota 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 North Dakota'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 North Dakota 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