Madison County, Illinois

IL · FIPS 17119 Republican

Located in Illinois, Madison County has a population of 264,238 residents and a median age of 40.2 years, making it the #274 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 11.1%. The median home value is $173,000, and the median household income is $75,793, which is 1% above the national median.

264,238
Population
#274 of 3,222
$75,793
Median Income
+0.9% #789 of 3,222
40.2 years
Median Age
+3.3% #2,054 of 3,222
11.1%
Poverty Rate
-12.2% #1,021 of 3,222

Demographics

Madison County has a population of 264,238, making it the #274 most populous county in the US. The median age is 40.2 years, which is 3.3% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

97.8%
Native Born
2.2%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Madison County is $75,793, ranking #789 out of 3,222 counties — 0.9% above the national median. The poverty rate is 11.1% and unemployment stands at 4.6%.

Income#789
$75,793
+0.9%
vs nation
76th percentile
Per Capita#662
$41,560
+0.7%
vs nation
79th percentile
Poverty#1,021
11.1%
-12.2%
vs nation
68th percentile
Unemployment#1,725
4.6%
-13.5%
vs nation
46th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Madison County is $173,000 (-38.6% vs national). Renters pay a median of $1,024/mo and the homeownership rate is 74.2%.

Home Value#1,743
$173,000
-38.6%
vs nation
46th percentile
Rent#918
$1,024
-12.0%
vs nation
71th percentile
Homeownership#1,670
74.2%
+15.2%
vs nation
48th percentile

Household Type

Education

In Madison County, 31.0% of adults age 25+ hold a bachelor's degree or higher, which is 8.0% below the national average, ranking #700 out of 3,222 counties.

Bachelor's Degree or Higher
31.0% −8.0% vs nation
Rank #700 of 3,222
78th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Madison County is 75.4 years. 15.4% of adults report poor or fair health and 5.5% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#1,489
75.4
+0.3%
vs nation
51th percentile
Poor/Fair Health#636
15.4%
-21.3%
vs nation
80th percentile
Diabetes#690
9.3%
-16.5%
vs nation
78th percentile
Insufficient Sleep#1,294
36.5%
-2.2%
vs nation
59th percentile
Poor Mental Health Days#1,163
5.5
-3.2%
vs nation
63th percentile
Poor Physical Health Days#1,400
4.3
-2.6%
vs nation
56th percentile
Uninsured Rate#286
5.5%
-48.0%
vs nation
91th percentile
Physical Inactivity#398
20.7%
-21.5%
vs nation
87th percentile
Food Insecurity#800
12.0%
-16.7%
vs nation
75th percentile

Substance Use

14.7% of adults in Madison County smoke , 35.8% are obese , and 21.9% report excessive drinking. The drug overdose death rate is 40.0 per 100,000.

Adult Smoking#572
14.7%
-18.1%
vs nation
82th percentile
Adult Obesity#865
35.8%
-5.6%
vs nation
73th percentile
Excessive Drinking#2,346
21.9%
+10.3%
vs nation
25th percentile
Drug Overdose Deaths#1,600
40.0
+23.5%
vs nation
24th percentile

Safety

The homicide rate in Madison County is 4.6 per 100,000 and the suicide rate is 16.3 per 100,000. Motor vehicle deaths occur at a rate of 11.9 per 100,000.

Homicide Rate#547
4.6
-42.5%
vs nation
64th percentile
Suicide Rate#967
16.3
-17.5%
vs nation
62th percentile
Firearm Fatalities#622
12.1
-32.1%
vs nation
75th percentile
Motor Vehicle Deaths#562
11.9
-41.3%
vs nation
80th percentile

Families & Children

13.4% of children in Madison County live in poverty and the infant mortality rate is 6.4 per 1,000 live births. The teen birth rate is 15.4 per 1,000 females age 15–19.

Infant Mortality#674
6.4
-6.2%
vs nation
51th percentile
Teen Birth Rate#971
15.4
-29.3%
vs nation
68th percentile
Child Poverty#835
13.4%
-29.4%
vs nation
74th percentile

Civic & Transportation

Voter turnout in Madison County is 67.1%. The mean commute time is 27.1 min, which is 1.7% below the national average.

Voter Turnout
67.1% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
27.1 min −1.7% vs nation
Rank #1,451 of 3,222
55th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Madison County voted Republican with a margin of 13.3%. The vote was 42.5% Dem / 55.8% Rep. Compared to 2020, the margin shifted 0.0 toward Republicans .

2024 REP +13.3%
42.5% 55.8%
Dem 132,599 votes Rep
2020 REP +13.3%
42% 55.3%
Dem 137,558 votes Rep
2016 REP +15.6%
39.4% 55%
Dem 127,902 votes Rep
2012 REP +1.4%
48.1% 49.5%
Dem 122,203 votes Rep
2008 DEM +9.1%
53.7% 44.6%
Dem 128,334 votes Rep

Vote Share Over Time

About Madison County, Illinois

Madison County, Illinois has a total population of 264,238, making it the 274th most populous county in the United States. The median age in Madison County is 40.2 years, which is 3.3% above the national median of 38.9 years.

The median household income in Madison County is $75,793, which ranks #789 of 3,222 counties nationwide. This is 0.9% above the national median of $75,149. The poverty rate is 11.1%, lower than the national rate of 12.6%. The unemployment rate stands at 4.6%.

The median home value in Madison County is $173,000, 38.6% below the national median. Renters in Madison County pay a median gross rent of $1,024 per month. The homeownership rate is 74.2%, compared to the national rate of 64.4%.

In Madison County, 31.0% of residents aged 25 and older hold a bachelor's degree or higher, 8.0% below the national average of 33.7%. Health insurance coverage stands at 95.3% of the population. The average commute time for workers is 27.1 min.

Madison County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 81.8% of the population, followed by Black (non-Hispanic) (7.7%) and Two or More Races (5.0%).

All data for Madison County, Illinois comes from the U.S. Census Bureau's American Community Survey (ACS) 5-Year Estimates. These figures are estimates based on survey sampling and are subject to margin of error. For the most detailed and up-to-date data, visit the Census Bureau's official data portal.