Healthcare Access

Circumcision Rates by State 2025

Rates of Circumcision in Insured Adult Males Age 18-64 (NCBI 2015-2018) (per 100k person-years)

20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
200.0
State
Circumcision Rates Among Newborn Males (MGMbill)
Year of Circumcision Data (MGMbill)
% of Insured Adult Males Age 18-64 Who Undergo Circumcision Each Year (NCBI 2015-2018)
Rates of Circumcision in Insured Adult Males Age 18-64 (NCBI 2015-2018) (per 100k person-years)
West Virginia Flag
West Virginia91%20130.0628%62.8
Kentucky Flag
Kentucky86%20130.0709%70.9
Michigan Flag
Michigan84%20130.0841%84.1
Ohio Flag
Ohio84%20090.1866%186.6
Indiana Flag
Indiana83%20130.1146%114.6
Iowa Flag
Iowa81%20130.1079%107.9
Wisconsin Flag
Wisconsin81%20130.1638%163.8
Pennsylvania Flag
Pennsylvania79%20120.1019%101.9
Hawaii Flag
Hawaii77%2013
North Dakota Flag
North Dakota77%20130.0756%75.6
South Dakota Flag
South Dakota77%20090.1948%194.8
New Hampshire Flag
New Hampshire76%20090.1059%105.9
Missouri Flag
Missouri75%20130.1942%194.2
Nebraska Flag
Nebraska75%20130.1737%173.7
Oklahoma Flag
Oklahoma75%20130.0939%93.9
Rhode Island Flag
Rhode Island75%20120.0998%99.8
Tennessee Flag
Tennessee74%20130.1793%179.3
Virginia Flag
Virginia74%20090.0664%66.4
Kansas Flag
Kansas73%20130.0824%82.4
Wyoming Flag
Wyoming73%20130.0392%39.2
Georgia Flag
Georgia72%20090.0844%84.4
South Carolina Flag
South Carolina72%20130.0731%73.1
Connecticut Flag
Connecticut71%20090.1123%112.3
Maine Flag
Maine70%20120.0996%99.6
Arkansas Flag
Arkansas67%20130.0919%91.9
Vermont Flag
Vermont67%20130.1097%109.7
Maryland Flag
Maryland66%20130.0574%57.4
Massachusetts Flag
Massachusetts65%20120.1327%132.7
New Jersey Flag
New Jersey65%20130.1373%137.3
Illinois Flag
Illinois63%20130.1531%153.1
Minnesota Flag
Minnesota59%20130.0746%74.6
New York Flag
New York58%20130.1347%134.7
Colorado Flag
Colorado56%20130.0390%39.0
Texas Flag
Texas51%20130.1058%105.8
Montana Flag
Montana50%20090.0359%35.9
North Carolina Flag
North Carolina50%20130.0699%69.9
New Mexico Flag
New Mexico47%20130.0590%59.0
Louisiana Flag
Louisiana45%20120.1170%117.0
Utah Flag
Utah33%20130.0524%52.4
Florida Flag
Florida31%20130.1283%128.3
California Flag
California23%20130.0752%75.2
Oregon Flag
Oregon17%20130.0389%38.9
Arizona Flag
Arizona16%20130.0626%62.6
Nevada Flag
Nevada10%20130.0727%72.7
Washington Flag
Washington10%20130.0437%43.7
Alabama Flag
Alabama0.1123%112.3
Alaska Flag
Alaska0.0443%44.3
Delaware Flag
Delaware0.0713%71.3
District of Columbia Flag
District of Columbia0.0832%83.2
Idaho Flag
Idaho0.0583%58.3
Mississippi Flag
Mississippi0.1367%136.7
  • MGMbill data includes circumcisions performed on newborn males born in hospitals and circumcised before initial discharge from hospital during the years 2009, 2012, or 2013 (varying by state). Circumcisions performed anytime after initial discharge are excluded. As such, overall circumcision rates will be at least slightly higher.
  • U.S. hospitals and practitioners are not legally required to report how many circumcisions they perform. As such, state-level circumcision statistics shown are drawn from government surveys.
  • Data regarding the incidence of circumcision procedures among adult males were published by the National Center for Biotechnology Information (NCBI), a division of the National Library of Medicine. Rates were calculated using MarketScan data on insured males (18-64), adjusting for neonatal circumcision rates before 2000. Age adjustment was performed using US Census data, with statistical analysis in STATA 14.2 following STROBE guidelines.
  • “Person-Years” is a unit of measurement often utilized to normalize the results of multi-year studies.
  • Person-years are obtained by multiplying the number of individuals in a study by the duration of the study. For example, if a study took place over a three years and included 1,000 people, the people years would be 3,000 (3x1000).
  • To determine an incidence rate using person-years, the total number of incidents is divided by the number of people-years. For example, if 45 circumsicions took place during 3,000 person-years, the rate would be 45/3,000. The result would be 0.015 circumcisions per person-year, or 15 circumcisions per 1,000 person-years.
  • People-years are typically analagous to “annually per X number of people”. For example, 15 circumcisions per 1000 people-years is equivalent to 15 circumcisions per year per 1000 people.
  • Annual percentages of NCBI data were converted by WPR from the original people years’ data.
  • Circumcision rates in the US have dropped in recent decades, with experts citing influences such as larger populations of non-Christians/non-practicing Christians and the fact that many insurance companies no longer cover circumcision.
  • Most adult circumcision is done electively either for medical reasons (typically phimosis, balanitis, condyloma, dyspareunia) or for religious, cosmetic, or social reasons, including a belief that circumcision eases personal hygiene.