| Rank |
County |
Median Household Income |
| 1 | Buffalo County, South Dakota | $21,658 |
| 2 | Holmes County, Mississippi | $22,640 |
| 3 | Owsley County, Kentucky | $23,047 |
| 4 | Wilcox County, Alabama | $24,035 |
| 5 | McCreary County, Kentucky | $24,265 |
| 6 | McDowell County, West Virginia | $24,707 |
| 7 | Bell County, Kentucky | $24,868 |
| 8 | Clay County, Kentucky | $25,215 |
| 9 | East Carroll Parish, Louisiana | $25,402 |
| 10 | Sumter County, Alabama | $25,413 |
| 11 | Lee County, Kentucky | $25,473 |
| 12 | Allendale County, South Carolina | $25,530 |
| 13 | Humphreys County, Mississippi | $25,562 |
| 14 | Wolfe County, Kentucky | $25,768 |
| 15 | Randolph County, Georgia | $25,807 |
| 16 | Knox County, Kentucky | $26,048 |
| 17 | Claiborne County, Mississippi | $26,083 |
| 18 | Quitman County, Mississippi | $26,204 |
| 19 | Hancock County, Georgia | $26,309 |
| 20 | Zavala County, Texas | $26,336 |
| 21 | Harlan County, Kentucky | $26,351 |
| 22 | Jefferson County, Mississippi | $26,408 |
| 23 | Leflore County, Mississippi | $26,439 |
| 24 | Greene County, Alabama | $26,504 |
| 25 | Bullock County, Alabama | $26,580 |
| 26 | Dallas County, Alabama | $26,602 |
| 27 | Starr County, Texas | $26,699 |
| 28 | Madison Parish, Louisiana | $26,732 |
| 29 | Shannon County, South Dakota | $27,244 |
| 30 | Luna County, New Mexico | $27,268 |
| 31 | Hancock County, Tennessee | $27,323 |
| 32 | Shannon County, Missouri | $27,382 |
| 33 | Perry County, Alabama | $27,403 |
| 34 | Todd County, South Dakota | $27,481 |
| 35 | Martin County, Kentucky | $27,484 |
| 36 | Clay County, Georgia | $27,512 |
| 37 | Tensas Parish, Louisiana | $27,522 |
| 38 | Wilkinson County, Mississippi | $27,596 |
| 39 | Mora County, New Mexico | $27,627 |
| 40 | Stewart County, Georgia | $27,635 |
| 41 | Knott County, Kentucky | $27,709 |
| 42 | Leslie County, Kentucky | $27,777 |
| 43 | Brooks County, Texas | $27,875 |
| 44 | Sharkey County, Mississippi | $27,877 |
| 45 | Costilla County, Colorado | $27,882 |
| 46 | Lee County, Arkansas | $28,006 |
| 47 | Grundy County, Tennessee | $28,086 |
| 48 | Phillips County, Arkansas | $28,171 |
| 49 | Jefferson Davis County, Mississippi | $28,271 |
| 50 | Clinton County, Kentucky | $28,341 |
| 51 | Tallahatchie County, Mississippi | $28,456 |
| 52 | Macon County, Alabama | $28,518 |
| 53 | Lake County, Tennessee | $28,524 |
| 54 | Letcher County, Kentucky | $28,574 |
| 55 | Breathitt County, Kentucky | $28,647 |
| 56 | Coahoma County, Mississippi | $28,647 |
| 57 | Taliaferro County, Georgia | $28,716 |
| 58 | Noxubee County, Mississippi | $28,730 |
| 59 | Sierra County, New Mexico | $29,036 |
| 60 | Cumberland County, Kentucky | $29,067 |
| 61 | Quay County, New Mexico | $29,069 |
| 62 | Jackson County, Kentucky | $29,090 |
| 63 | Conecuh County, Alabama | $29,101 |
| 64 | Guadalupe County, New Mexico | $29,147 |
| 65 | Sunflower County, Mississippi | $29,227 |
| 66 | Telfair County, Georgia | $29,244 |
| 67 | Bolivar County, Mississippi | $29,297 |
| 68 | Webster County, West Virginia | $29,331 |
| 69 | Casey County, Kentucky | $29,344 |
| 70 | Oregon County, Missouri | $29,415 |
| 71 | Magoffin County, Kentucky | $29,421 |
| 72 | Macon County, Georgia | $29,430 |
| 73 | Quitman County, Georgia | $29,477 |
| 74 | McKinley County, New Mexico | $29,497 |
| 75 | Chicot County, Arkansas | $29,541 |
| 76 | Williamsburg County, South Carolina | $29,609 |
| 77 | Choctaw County, Oklahoma | $29,652 |
| 78 | Washington Parish, Louisiana | $29,749 |
| 79 | Willacy County, Texas | $29,782 |
| 80 | Johnson County, Georgia | $29,818 |
| 81 | Mingo County, West Virginia | $29,839 |
| 82 | Woodruff County, Arkansas | $29,969 |
| 83 | Martinsville, Virginia | $29,971 |
| 84 | Stone County, Arkansas | $30,010 |
| 85 | Ripley County, Missouri | $30,019 |
| 86 | Hertford County, North Carolina | $30,056 |
| 87 | Pike County, Mississippi | $30,078 |
| 88 | Emanuel County, Georgia | $30,119 |
| 89 | Floyd County, Kentucky | $30,127 |
| 90 | Monroe County, Kentucky | $30,172 |
| 91 | Lewis County, Kentucky | $30,217 |
| 92 | Wheeler County, Georgia | $30,264 |
| 93 | Washington County, Mississippi | $30,292 |
| 94 | Fentress County, Tennessee | $30,299 |
| 95 | Yazoo County, Mississippi | $30,313 |
| 96 | Estill County, Kentucky | $30,333 |
| 97 | Bamberg County, South Carolina | $30,349 |
| 98 | Robeson County, North Carolina | $30,414 |
| 99 | Metcalfe County, Kentucky | $30,460 |
| 100 | St. Francis County, Arkansas | $30,489 |