Measures › Prevention › Cholesterol Screening
Prevention · BRFSS 2023
Cholesterol screening among adults
US estimate 87.5% (95% interval 87.3–87.8), age-adjusted 85.6% (85.3–85.8). Published in the 2022, 2023, 2024, 2025 releases.
- Population: All Adults
- Case definition period: Previous 5 years
- Prevalence (crude and age-adjusted)
Cholesterol screening among adults: CDC's PLACES 2025 release estimates 87.5% nationally (95% confidence interval 87.3–87.8%), or 85.6% age-adjusted, from 2023 BRFSS responses.
Across the 2,956 counties with a 2025 estimate, the median county is 85.7% and the middle half of counties fall between 84.2% and 87.1%; the full range runs from 63.7% to 93.3%. Population-weighted state figures computed by this site (no interval) range from 79.6% (Alaska) to 89.7% (Massachusetts).
CDC advises that areas may be compared on individual measures but that the estimates should not be used to rank overall health; the county lists below are ordered by point estimate and every row carries its 95% confidence interval.
CDC's definition
A multilevel regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among respondents aged ≥18 years who report having their cholesterol checked within the previous 5 years. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation.
CDC's notes: The validity and reliability of this measure can be low because patients might not be aware of the specific tests conducted on their blood samples collected in clinical settings.
Quoted from CDC's PLACES measure definitions (cdc.gov/places/measure-definitions). BRFSS is the Behavioral Risk Factor Surveillance System, the telephone survey the model is trained on.
National distribution across counties
Crude county point estimates in the 2025 release, 24 equal bins. Deciles: 10th 82.2%, 25th 84.2%, median 85.7%, 75th 87.1%, 90th 88.4%. Counties without a 2025 estimate (Kentucky, Pennsylvania and the states without the social-needs module) are excluded here.
By state
Crude prevalence is the estimated share of all adults. Age-adjusted prevalence is standardised to the 2000 US standard population so that areas with different age structures can be compared. CDC: "Age-adjusted estimates are only available at the county and place-level."
| State | State figure, crude (site aggregate) | Lowest county | Highest county | Counties |
|---|---|---|---|---|
| Massachusetts | 89.7% | 87.0% | 92.9% | 14 |
| Maryland | 89.6% | 85.6% | 91.6% | 24 |
| Connecticut | 89.5% | 88.5% | 91.1% | 9 |
| District of Columbia | 89.3% | 89.3% | 89.3% | 1 |
| New York | 89.2% | 85.6% | 91.8% | 62 |
| New Jersey | 89.1% | 85.9% | 91.4% | 21 |
| Rhode Island | 89.1% | 88.4% | 90.7% | 5 |
| New Hampshire | 88.3% | 85.8% | 90.7% | 10 |
| Delaware | 87.9% | 86.6% | 89.9% | 3 |
| North Carolina | 87.5% | 81.1% | 91.5% | 100 |
| Virginia | 87.5% | 75.8% | 91.6% | 133 |
| Illinois | 87.4% | 82.3% | 89.8% | 102 |
| Michigan | 87.4% | 80.6% | 91.9% | 83 |
| Maine | 87.1% | 85.1% | 89.0% | 16 |
| Florida | 87.0% | 80.3% | 93.3% | 67 |
| South Carolina | 86.9% | 82.9% | 90.7% | 46 |
| Georgia | 86.8% | 74.7% | 90.9% | 159 |
| West Virginia | 86.8% | 83.2% | 89.2% | 55 |
| Tennessee | 86.6% | 79.8% | 90.1% | 95 |
| Louisiana | 86.4% | 80.3% | 88.4% | 64 |
| Mississippi | 86.2% | 78.3% | 89.1% | 82 |
| Ohio | 86.1% | 79.8% | 89.2% | 88 |
| Vermont | 85.9% | 84.5% | 88.1% | 14 |
| Wisconsin | 85.9% | 82.7% | 90.0% | 72 |
| Alabama | 85.8% | 81.5% | 88.2% | 67 |
| Indiana | 85.8% | 81.2% | 89.4% | 92 |
| California | 85.4% | 79.9% | 90.1% | 58 |
| Minnesota | 85.3% | 79.7% | 89.0% | 87 |
| Pennsylvania (2024 release) | 85.3% | 78.6% | 88.6% | 67* |
| Colorado | 85.2% | 78.2% | 91.1% | 64 |
| Arizona | 85.1% | 78.8% | 88.3% | 15 |
| Nevada | 84.9% | 82.7% | 89.7% | 17 |
| Arkansas | 84.8% | 80.6% | 87.6% | 75 |
| South Dakota | 84.8% | 71.6% | 90.3% | 66 |
| Texas | 84.6% | 75.4% | 91.1% | 253 |
| Missouri | 84.5% | 77.4% | 87.8% | 115 |
| Oklahoma | 84.3% | 78.5% | 88.0% | 77 |
| Kentucky (2024 release) | 84.2% | 77.7% | 87.5% | 120* |
| Iowa | 84.1% | 78.3% | 88.0% | 99 |
| Kansas | 84.1% | 74.5% | 87.9% | 105 |
| Oregon | 84.0% | 79.6% | 88.1% | 36 |
| Washington | 84.0% | 73.7% | 90.0% | 39 |
| Nebraska | 83.7% | 78.8% | 88.2% | 93 |
| New Mexico | 83.4% | 76.5% | 89.3% | 33 |
| Hawaii | 82.8% | 82.2% | 86.4% | 5 |
| North Dakota | 82.7% | 74.2% | 88.2% | 53 |
| Montana | 82.5% | 76.2% | 86.6% | 56 |
| Wyoming | 82.2% | 76.0% | 85.9% | 23 |
| Idaho | 81.1% | 63.7% | 86.6% | 44 |
| Utah | 80.5% | 75.9% | 85.8% | 29 |
| Alaska | 79.6% | 67.5% | 85.2% | 30 |
| State | State figure, age-adjusted (site aggregate) | Counties |
|---|---|---|
| District of Columbia | 90.2% | 1 |
| Massachusetts | 88.7% | 14 |
| Maryland | 88.4% | 24 |
| Connecticut | 88.1% | 9 |
| New York | 88.0% | 62 |
| Rhode Island | 88.0% | 5 |
| New Jersey | 87.7% | 21 |
| North Carolina | 86.3% | 100 |
| Virginia | 86.3% | 133 |
| Illinois | 86.2% | 102 |
| New Hampshire | 86.2% | 10 |
| Georgia | 86.0% | 159 |
| Michigan | 85.9% | 83 |
| Delaware | 85.8% | 3 |
| Tennessee | 85.3% | 95 |
| South Carolina | 85.2% | 46 |
| Louisiana | 85.1% | 64 |
| Mississippi | 84.9% | 82 |
| Colorado | 84.6% | 64 |
| Florida | 84.6% | 67 |
| Indiana | 84.6% | 92 |
| California | 84.5% | 58 |
| Ohio | 84.4% | 88 |
| Texas | 84.4% | 253 |
| West Virginia | 84.4% | 55 |
| Alabama | 84.3% | 67 |
| Maine | 84.3% | 16 |
| Wisconsin | 84.1% | 72 |
| Arizona | 83.7% | 15 |
| Minnesota | 83.7% | 87 |
| Pennsylvania (2024 release) | 83.6% | 67* |
| Vermont | 83.5% | 14 |
| Arkansas | 83.3% | 75 |
| Nevada | 83.3% | 17 |
| Oklahoma | 83.3% | 77 |
| South Dakota | 83.3% | 66 |
| Kansas | 83.1% | 105 |
| Missouri | 82.8% | 115 |
| Washington | 82.8% | 39 |
| Kentucky (2024 release) | 82.7% | 120* |
| Iowa | 82.6% | 99 |
| Nebraska | 82.5% | 93 |
| North Dakota | 82.3% | 53 |
| Oregon | 82.0% | 36 |
| New Mexico | 81.7% | 33 |
| Utah | 81.6% | 29 |
| Montana | 80.2% | 56 |
| Wyoming | 80.2% | 23 |
| Hawaii | 80.1% | 5 |
| Idaho | 79.8% | 44 |
| Alaska | 79.1% | 30 |
State figures are population-weighted county estimates computed by this site (PLACES publishes no state row) and carry no interval; they are listed by point estimate, which is not a ranking of states' health. Lowest and highest county columns are crude point estimates. * This measure was not published for the state in the 2025 release; its figure, county count and county range come from the release in brackets, the most recent that has them.
Highest county estimates
| County | Crude | 95% interval |
|---|---|---|
| Sumter County, FL | 93.3% | 92.2–94.2 |
| Barnstable County, MA | 92.9% | 91.5–94.0 |
| Dukes County, MA | 92.2% | 90.6–93.5 |
| Leelanau County, MI | 91.9% | 90.5–93.2 |
| Hamilton County, NY | 91.8% | 90.3–93.2 |
| Nantucket County, MA | 91.6% | 90.1–92.9 |
| Howard County, MD | 91.6% | 90.2–92.7 |
| Northumberland County, VA | 91.6% | 90.1–92.9 |
| Talbot County, MD | 91.5% | 90.0–92.8 |
| Brunswick County, NC | 91.5% | 90.1–92.8 |
| Keweenaw County, MI | 91.4% | 89.9–92.8 |
| Hunterdon County, NJ | 91.4% | 89.9–92.8 |
| Nassau County, NY | 91.3% | 89.9–92.5 |
| Norfolk County, MA | 91.2% | 89.6–92.5 |
| Worcester County, MD | 91.2% | 89.6–92.6 |
| Highland County, VA | 91.2% | 89.6–92.6 |
| Hinsdale County, CO | 91.1% | 89.8–92.4 |
| Northwest Hills planning region, CT | 91.1% | 90.1–92.1 |
| Jeff Davis County, TX | 91.1% | 89.6–92.4 |
| Lancaster County, VA | 91.1% | 89.7–92.5 |
| County | Age-adj. | 95% interval |
|---|---|---|
| Howard County, MD | 90.4% | 88.9–91.7 |
| District of Columbia, DC | 90.2% | 88.4–91.8 |
| Middlesex County, MA | 90.0% | 88.2–91.6 |
| Nantucket County, MA | 90.0% | 88.2–91.6 |
| Norfolk County, MA | 90.0% | 88.1–91.5 |
| Nassau County, NY | 89.8% | 88.1–91.2 |
| Montgomery County, MD | 89.6% | 88.0–91.0 |
| Westchester County, NY | 89.3% | 87.6–90.9 |
| Barnstable County, MA | 89.2% | 87.1–91.0 |
| Charles County, MD | 89.2% | 87.5–90.6 |
| Falls Church city, VA | 89.2% | 87.2–91.0 |
| Bergen County, NJ | 89.1% | 87.3–90.7 |
| Somerset County, NJ | 89.1% | 87.3–90.7 |
| Western Connecticut planning region, CT | 89.0% | 88.0–90.0 |
| Morris County, NJ | 89.0% | 87.0–90.8 |
| New York County, NY | 89.0% | 87.2–90.6 |
| Suffolk County, NY | 89.0% | 87.3–90.8 |
| Anne Arundel County, MD | 88.9% | 87.1–90.7 |
| Hunterdon County, NJ | 88.9% | 86.9–90.7 |
| Arlington County, VA | 88.9% | 87.0–90.5 |
Lowest county estimates
| County | Crude | 95% interval |
|---|---|---|
| Madison County, ID | 63.7% | 57.9–69.0 |
| Kusilvak Census Area, AK | 67.5% | 63.9–71.4 |
| Bethel Census Area, AK | 69.6% | 66.2–73.3 |
| Oglala Lakota County, SD | 71.6% | 67.6–75.5 |
| Nome Census Area, AK | 72.4% | 69.0–75.6 |
| Todd County, SD | 72.5% | 68.4–76.1 |
| Northwest Arctic Borough, AK | 72.9% | 69.4–76.4 |
| Whitman County, WA | 73.7% | 69.7–77.4 |
| Sioux County, ND | 74.2% | 70.7–77.7 |
| Riley County, KS | 74.5% | 70.4–78.2 |
| Dillingham Census Area, AK | 74.5% | 71.3–77.6 |
| Chattahoochee County, GA | 74.7% | 71.2–78.4 |
| Hudspeth County, TX | 75.4% | 72.2–78.5 |
| Buffalo County, SD | 75.7% | 72.2–78.8 |
| Radford city, VA | 75.8% | 71.1–80.1 |
| Cache County, UT | 75.9% | 72.2–79.2 |
| Albany County, WY | 76.0% | 71.8–79.6 |
| Roosevelt County, MT | 76.2% | 73.3–79.1 |
| Latah County, ID | 76.2% | 72.9–79.7 |
| Glacier County, MT | 76.3% | 73.3–79.1 |
| County | Age-adj. | 95% interval |
|---|---|---|
| Kalawao County, HI | 67.4% | 64.4–70.1 |
| Kusilvak Census Area, AK | 70.4% | 66.9–74.0 |
| Bethel Census Area, AK | 71.7% | 68.4–75.1 |
| Northwest Arctic Borough, AK | 74.1% | 70.8–77.4 |
| Nome Census Area, AK | 74.1% | 70.9–77.0 |
| Yukon-Koyukuk Census Area, AK | 74.2% | 71.1–77.2 |
| Dillingham Census Area, AK | 74.5% | 71.3–77.6 |
| Oglala Lakota County, SD | 74.6% | 71.0–78.1 |
| Sioux County, ND | 74.8% | 71.4–78.1 |
| Todd County, SD | 75.2% | 71.5–78.7 |
| Butte County, ID | 75.3% | 71.8–78.5 |
| Glacier County, MT | 75.6% | 72.5–78.5 |
| Lake and Peninsula Borough, AK | 75.7% | 72.8–78.7 |
| McKinley County, NM | 75.8% | 72.2–79.1 |
| Owyhee County, ID | 75.9% | 73.0–78.9 |
| Benewah County, ID | 76.0% | 72.5–79.1 |
| Toole County, MT | 76.1% | 72.5–79.4 |
| Roosevelt County, MT | 76.1% | 73.2–79.1 |
| Big Horn County, MT | 76.2% | 72.7–79.3 |
| Southeast Fairbanks Census Area, AK | 76.2% | 73.0–79.0 |
Twenty counties at each end by point estimate. Small counties have wide intervals; many of these intervals overlap one another, so the order within each list is not a meaningful ranking. CDC: "the data should not be used for ranking the overall health of any county, place, census tract, or ZCTA."
National estimate by release
| Release | Crude | Age-adjusted | BRFSS year |
|---|---|---|---|
| 2022 release | 87.6% 87.4–87.8 | 86.0% | 2019 |
| 2023 release | 86.4% 86.1–86.6 | 84.3% | 2021 |
| 2024 release | 86.4% 86.1–86.6 | 84.3% | 2021 |
| 2025 release | 87.5% 87.3–87.8 | 85.6% | 2023 |
CDC's US row from each release's county file, for reference. Survey questions and modelling details change between releases; see the release pages.
Questions and answers
How does PLACES define "cholesterol screening among adults"?
A multilevel regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among respondents aged ≥18 years who report having their cholesterol checked within the previous 5 years. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation. Population: All Adults. Time period of case definition: Previous 5 years.
What is the national estimate for cholesterol Screening?
87.5% (95% confidence interval 87.3–87.8%) crude and 85.6% age-adjusted in the 2025 release.
Which counties have the highest and lowest estimates?
The highest county point estimate is 93.3% (Sumter County, FL) and the lowest 63.7% (Madison County, ID). Because the intervals for neighbouring positions usually overlap, the lists are a reference for point estimates, not a ranking.
Is a higher figure better or worse?
This site does not grade measures. CDC groups them as health outcomes, prevention, health risk behaviors, disability, health status and health-related social needs; for prevention measures such as checkups and screening a higher share reports the service, for the others a higher share reports the condition or circumstance.
Where does this data come from?
CDC PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025); the definition text is CDC's own from its measure definitions pages.
Provenance
Source: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025), with the 2022, 2023, 2024 releases for reference; US government work, public domain. Dataset on data.cdc.gov. Boundaries and ZIP-to-county relationships: US Census Bureau. Percentages are shown to one decimal as CDC publishes them; state figures are population-weighted means computed by this site. Definition text is CDC's own, from the PLACES measure definitions pages (public domain), with its burden narrative and references omitted. Processing errors are corrected at the next daily build; see corrections. Generated 30 Sep 2026.