STD Rates in Yellowstone County, Montana

2023 CDC surveillance data for Yellowstone County, Montana — chlamydia, gonorrhea, and syphilis rates with state comparisons.

Data Year: 2023 Source: CDC STI Surveillance Population: 170,842
Combined
520.3
per 100K
6th / 51
Chlamydia
375.2
per 100K • 641 cases
US rate: 490.7
8th of 51 in Montana
Higher than 66% of US counties
Gonorrhea
87.2
per 100K • 149 cases
US rate: 178.2
10th of 51 in Montana
Higher than 61% of US counties
Syphilis P&S
57.9
per 100K • 99 cases
US rate: 15.8
5th of 51 in Montana
Higher than 97% of US counties

Yellowstone County has one of the higher STD burdens in Montana, with a combined rate of 520.3 per 100,000 residents in 2023 — ranking 6th of 51 counties. Reported infections included chlamydia at 375.2 per 100,000 (641 cases, 16% above the state rate), gonorrhea at 87.2 per 100,000 (149 cases, 29% above the state rate), syphilis at 57.9 per 100,000 (99 cases, 111% above the state rate). Confidential STD testing is available throughout Yellowstone County — knowing your status is the only way to catch infections that often show no symptoms.

STD Trends in Yellowstone County, 2000–2023

Reported cases per 100,000 residents each year, against the Montana rate (dashed). In a county this size a handful of cases moves the rate a long way, so read the shape rather than any single year.

Chlamydia
375.2
per 100K in 2023
0.0 in 2000
Peak 559.9 in 2018
Gonorrhea
87.2
per 100K in 2023
0.0 in 2000
Peak 323.0 in 2020
Syphilis (P&S)
57.9
per 100K in 2023
0.0 in 2000
Peak 57.9 in 2023

Source: CDC NCHHSTP AtlasPlus county surveillance, 2000–2023.

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Yellowstone County vs Montana and the US

Infection Yellowstone County Montana US vs Montana vs US Rank in Montana
Chlamydia 375.2641 cases 322.6 490.7 16.3% above 23.5% below 8th of 51
Gonorrhea 87.2149 cases 67.7 178.2 28.8% above 51.1% below 10th of 51
Syphilis (P&S) 57.999 cases 27.5 15.8 110.5% above 266.5% above 5th of 51

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Montana’s counties. The US rate is all 50 states combined. Comparisons are left out where fewer than 20 cases were reported, because a rate built on so few cases can swing widely from one year to the next.

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FAQs

Yellowstone County ranks 6th of 51 Montana counties for combined STD rate in 2023, at 520.3 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Yellowstone County, with 641 cases at a rate of 375.2 per 100,000 residents.
STDTest.com lists confidential testing locations across Yellowstone County and Montana. Many offer same-day appointments with results in 1–3 days.
Data sourced from the CDC's annual STI Surveillance Report. Rates are per 100,000 population and reflect reported cases only — actual prevalence is likely higher due to undiagnosed infections. While we strive for accuracy, STDTest.com makes no representations or warranties regarding the completeness or accuracy of this data and is not responsible for any errors or omissions. This page is for informational purposes only and does not constitute medical advice.