This article includes a list of U.S. states sorted by birth and death rate, expressed per 1,000 inhabitants, for 2021, using the most recent data available from the U.S. National Center for Health Statistics.
| 2021 rank |
State | Birth rate (per 1,000 people)[1] |
Death rate (per 1,000 people)[1] |
Rate of natural increase (per 1,000 people) |
|---|---|---|---|---|
| 1 |  Guam
|
15.5 | 7.6 | 7.9 |
| 2 |  American Samoa
|
- | - | - |
| 3 |  Utah
|
14.0 | 6.8 | 7.2 |
| 4 |  Northern Marianas
|
11.0 | 5.1 | 5.9 |
| 5 |  Alaska
|
12.8 | 8.5 | 4.3 |
| 6 |  District of Columbia
|
12.9 | 8.7 | 4.2 |
| 7 |  North Dakota
|
13.0 | 9.4 | 3.6 |
| 8 |  Texas
|
12.7 | 9.1 | 3.6 |
| 9 |  Nebraska
|
12.5 | 9.6 | 2.9 |
| 10 |  Colorado
|
10.8 | 8.3 | 2.5 |
| 11 |  South Dakota
|
12.7 | 10.3 | 2.4 |
| 12 |  Minnesota
|
11.3 | 9.0 | 2.3 |
| 13 |  California
|
10.7 | 8.5 | 2.2 |
| 14 |  Idaho
|
11.8 | 9.7 | 2.1 |
| 15 |  New Jersey
|
11.0 | 9.1 | 1.9 |
| 16 |  Washington
|
10.8 | 8.9 | 1.9 |
| 17 |  Hawaii
|
10.8 | 8.9 | 1.9 |
| 18 |  Maryland
|
11.1 | 9.4 | 1.7 |
| 19 |  New York
|
10.6 | 9.1 | 1.5 |
| 20 |  Virginia
|
11.1 | 9.9 | 1.2 |
| 21 |  Georgia
|
11.5 | 10.4 | 1.1 |
| 22 |  Kansas
|
11.8 | 10.9 | 0.9 |
| 23 |  Massachusetts
|
9.9 | 9.0 | 0.9 |
| 24 |  Iowa
|
11.5 | 10.7 | 0.8 |
| 25 |  Illinois
|
10.4 | 9.9 | 0.5 |
| 26 |  Connecticut
|
9.9 | 9.5 | 0.4 |
| 27 |  Indiana
|
11.7 | 11.5 | 0.2 |
| 28 |  North Carolina
|
11.4 | 11.2 | 0.2 |
| 29 |  Nevada
|
10.7 | 10.5 | 0.2 |
| 30 |  Wisconsin
|
10.5 | 10.3 | 0.2 |
| 31 |  Louisiana
|
12.4 | 12.4 | −0.0 |
| 32 |  Arizona
|
10.7 | 11.2 | −0.5 |
| 33 |  Wyoming
|
10.8 | 11.4 | −0.6 |
| 34 |  Oklahoma
|
12.1 | 12.8 | −0.7 |
| 35 |  Missouri
|
11.3 | 12.0 | −0.7 |
| 36 |  Rhode Island
|
9.6 | 10.3 | −0.7 |
| 37 |  Delaware
|
10.4 | 11.3 | −0.9 |
| 38 |  Oregon
|
9.6 | 10.6 | −1.0 |
| 39 |  New Hampshire
|
9.1 | 10.2 | −1.1 |
| 40 |  Arkansas
|
11.9 | 13.2 | −1.3 |
| 41 |  Michigan
|
10.4 | 11.7 | −1.3 |
| 42 |  Montana
|
10.2 | 11.5 | −1.3 |
| 43 |  Tennessee
|
11.7 | 13.1 | −1.4 |
| 44 |  Ohio
|
11.0 | 12.5 | −1.5 |
| 45 |  South Carolina
|
11.0 | 12.6 | −1.6 |
| 46 |  Kentucky
|
11.6 | 13.4 | −1.8 |
| 47 |  Pennsylvania
|
10.2 | 12.0 | −1.8 |
| 48 |  New Mexico
|
10.1 | 12.0 | −1.9 |
| 49 |  Mississippi
|
11.9 | 13.9 | −2.0 |
| 50 |  Florida
|
9.9 | 12.0 | −2.1 |
| 51 |  Alabama
|
11.5 | 13.7 | −2.2 |
| 52 |  Vermont
|
8.3 | 10.7 | −2.4 |
| 53 |  Maine
|
8.7 | 12.6 | −3.9 |
| 54 |  Puerto Rico
|
5.9 | 10.1 | −4.2 |
| 55 |  West Virginia
|
9.6 | 16.5 | −6.9 |
| — |  United States
|
11.0 | 10.5 | 0.5 |
