At a Glance
Pros & Cons
Spearfish
Sioux Falls
Advantages
Violent crime per capita reached a five-year low in 2025, and property crime decreased by 26% from 2024 to 2025.
The cost of living in Sioux Falls is approximately 12.5% lower than the national average, with housing costs being 24.1% cheaper.
Sioux Falls was ranked the third-least-stressed city in America for 2025.
The unemployment rate in Sioux Falls was 2.00% in June 2026, significantly lower than the national average.
Sanford USD Medical Center was ranked the #1 hospital in South Dakota for 2024-2025 and recognized among the World's Best Hospitals.
Drawbacks
Despite overall crime decreases, the city's safety grade was D in 2024, with a violent crime rate of 526.7 per 100K residents.
The city has minimal public transportation options and a low walkability score of 38, indicating high car dependency for most errands.
Healthcare costs are slightly higher than the national average, at 3.9% more.
While overall job growth is strong, the Sioux Falls area gained an average of only 50 jobs per month in 2025, which was the lowest since 2025 (excluding pandemic years).
Average home care costs are high, with in-home support listed at $8,389 per month in 2024.
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