Madison County, Missouri

MO · FIPS 29123 Republican

Located in Missouri, Madison County has a population of 12,729 residents and a median age of 41.1 years, making it the #2,303 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 13.2%. The median home value is $159,000, and the median household income is $54,434, which is 28% below the national median.

12,729
Population
#2,303 of 3,222
$54,434
Median Income
-27.6% #2,506 of 3,222
41.1 years
Median Age
+5.7% #1,779 of 3,222
13.2%
Poverty Rate
+4.7% #1,578 of 3,222

Demographics

Madison County has a population of 12,729, making it the #2,303 most populous county in the US. The median age is 41.1 years, which is 5.7% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

98.6%
Native Born
1.4%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Madison County is $54,434, ranking #2,506 out of 3,222 counties — 27.6% below the national median. The poverty rate is 13.2% and unemployment stands at 4.8%.

Income#2,506
$54,434
-27.6%
vs nation
22th percentile
Per Capita#2,212
$31,291
-24.2%
vs nation
31th percentile
Poverty#1,578
13.2%
+4.7%
vs nation
51th percentile
Unemployment#1,856
4.8%
-10.1%
vs nation
42th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Madison County is $159,000 (-43.6% vs national). Renters pay a median of $808/mo and the homeownership rate is 73.7%.

Home Value#2,048
$159,000
-43.6%
vs nation
36th percentile
Rent#2,048
$808
-30.5%
vs nation
36th percentile
Homeownership#1,764
73.7%
+14.4%
vs nation
45th percentile

Household Type

Education

In Madison County, 16.3% of adults age 25+ hold a bachelor's degree or higher, which is 51.6% below the national average, ranking #2,613 out of 3,222 counties.

Bachelor's Degree or Higher
16.3% −51.6% vs nation
Rank #2,613 of 3,222
19th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Madison County is 72.3 years. 19.8% of adults report poor or fair health and 10.8% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#2,435
72.3
-3.8%
vs nation
21th percentile
Poor/Fair Health#1,793
19.8%
+1.2%
vs nation
43th percentile
Diabetes#1,264
10.2%
-8.4%
vs nation
60th percentile
Insufficient Sleep#1,967
38.8%
+4.0%
vs nation
37th percentile
Poor Mental Health Days#2,044
5.9
+3.9%
vs nation
35th percentile
Poor Physical Health Days#2,175
4.8
+7.0%
vs nation
31th percentile
Uninsured Rate#1,882
10.8%
+3.2%
vs nation
40th percentile
Physical Inactivity#2,132
28.6%
+8.4%
vs nation
32th percentile
Food Insecurity#2,184
16.1%
+11.8%
vs nation
31th percentile

Substance Use

22.4% of adults in Madison County smoke , 38.0% are obese , and 21.0% report excessive drinking. The drug overdose death rate is 40.0 per 100,000.

Adult Smoking#2,751
22.4%
+24.7%
vs nation
13th percentile
Adult Obesity#1,432
38.0%
+0.2%
vs nation
55th percentile
Excessive Drinking#1,998
21.0%
+5.7%
vs nation
37th percentile
Drug Overdose Deaths#1,601
40.0
+23.6%
vs nation
24th percentile

Safety

The suicide rate is 20.0 per 100,000. Motor vehicle deaths occur at a rate of 26.6 per 100,000.

Suicide Rate#1,545
20.0
+1.3%
vs nation
40th percentile
Firearm Fatalities#1,612
19.6
+9.6%
vs nation
35th percentile
Motor Vehicle Deaths#2,190
26.6
+31.4%
vs nation
22th percentile

Families & Children

20.7% of children in Madison County live in poverty . The teen birth rate is 23.9 per 1,000 females age 15–19.

Teen Birth Rate#1,847
23.9
+9.3%
vs nation
38th percentile
Child Poverty#2,005
20.7%
+9.0%
vs nation
36th percentile

Civic & Transportation

Voter turnout in Madison County is 60.9%. The mean commute time is 26.1 min, which is 5.3% below the national average.

Voter Turnout
60.9% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
26.1 min −5.3% vs nation
Rank #1,671 of 3,222
48th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Madison County voted Republican with a margin of 65.0%. The vote was 17.1% Dem / 82.1% Rep. Compared to 2020, the margin shifted 2.2 toward Republicans .

2024 REP +65.0%
17.1% 82.1%
Dem 5,753 votes Rep
2020 REP +62.8%
18% 80.8%
Dem 5,676 votes Rep
2016 REP +58.2%
18.9% 77.1%
Dem 5,318 votes Rep
2012 REP +33.3%
32.2% 65.5%
Dem 4,930 votes Rep
2008 REP +17.0%
40.6% 57.6%
Dem 5,028 votes Rep

Vote Share Over Time

About Madison County, Missouri

Madison County, Missouri has a total population of 12,729, making it the 2,303rd most populous county in the United States. The median age in Madison County is 41.1 years, which is 5.7% above the national median of 38.9 years.

The median household income in Madison County is $54,434, which ranks #2,506 of 3,222 counties nationwide. This is 27.6% below the national median of $75,149. The poverty rate is 13.2%, higher than the national rate of 12.6%. The unemployment rate stands at 4.8%.

The median home value in Madison County is $159,000, 43.6% below the national median. Renters in Madison County pay a median gross rent of $808 per month. The homeownership rate is 73.7%, compared to the national rate of 64.4%.

In Madison County, 16.3% of residents aged 25 and older hold a bachelor's degree or higher, 51.6% below the national average of 33.7%. Health insurance coverage stands at 89.4% of the population. The average commute time for workers is 26.1 min.

Madison County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 92.2% of the population, followed by Two or More Races (3.8%) and Hispanic or Latino (2.8%).

All data for Madison County, Missouri 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.