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Fatal car crashes in Missouri, county by county

From 2020 through 2024, 5,006 people died in 4,594 crashes on Missouri roads. That is 16.0 deaths a year for every 100,000 residents, above the US rate of 12.1, and the 13th highest rate of the 50 states and DC.

Jackson County had the most deaths (603). The road stretch with the most fatal crashes was I-270 (Ramp 228087) in St. Louis County (56). In 2024, 955 people were killed, 3% fewer than in 2020.

Source: NHTSA Fatality Analysis Reporting System (FARS), 2020-2024 · checked October 2, 2026

5,006

people killed in crashes, 2020-2024

16.0

deaths a year per 100,000 residents, 13th highest of 51 (US 12.1)

637

pedestrians killed, 13% of deaths (US 18%)

37%

of fatal crashes were speeding-related (US 28%)

Death rate by county

Deaths a year per 100,000 residents, 2020-2024. Rural counties often rank highest: fewer people, faster roads and longer waits for an ambulance.

Adair County: 14 per 100,000 a year, 18 deathsAndrew County: 25.4 per 100,000 a year, 23 deathsAudrain County: 10.7 per 100,000 a year, 13 deathsBarry County: 31.4 per 100,000 a year, 56 deathsBarton County: 30.7 per 100,000 a year, 18 deathsBates County: 28.1 per 100,000 a year, 23 deathsBenton County: 28.1 per 100,000 a year, 29 deathsBollinger County: 37.7 per 100,000 a year, 20 deathsBoone County: 10.3 per 100,000 a year, 99 deathsBuchanan County: 15.8 per 100,000 a year, 66 deathsButler County: 27.7 per 100,000 a year, 58 deathsCaldwell County: 31.1 per 100,000 a year, 14 deathsCallaway County: 15.5 per 100,000 a year, 35 deathsCamden County: 25.8 per 100,000 a year, 57 deathsCape Girardeau County: 14.3 per 100,000 a year, 60 deathsCass County: 13.2 per 100,000 a year, 75 deathsChristian County: 8.1 per 100,000 a year, 39 deathsClay County: 7.5 per 100,000 a year, 99 deathsClinton County: 14.7 per 100,000 a year, 16 deathsCole County: 8.5 per 100,000 a year, 33 deathsCooper County: 17.5 per 100,000 a year, 15 deathsCrawford County: 30.7 per 100,000 a year, 35 deathsDade County: 31.5 per 100,000 a year, 12 deathsDallas County: 26.9 per 100,000 a year, 24 deathsDeKalb County: 22.3 per 100,000 a year, 11 deathsDent County: 21.7 per 100,000 a year, 16 deathsDouglas County: 29.3 per 100,000 a year, 18 deathsDunklin County: 24.4 per 100,000 a year, 33 deathsFranklin County: 17.9 per 100,000 a year, 96 deathsGasconade County: 23.2 per 100,000 a year, 17 deathsGreene County: 14.7 per 100,000 a year, 227 deathsHenry County: 19.5 per 100,000 a year, 22 deathsHickory County: 36.5 per 100,000 a year, 16 deathsHoward County: 27.6 per 100,000 a year, 14 deathsHowell County: 18.2 per 100,000 a year, 37 deathsIron County: 29.7 per 100,000 a year, 14 deathsJackson County: 16.6 per 100,000 a year, 603 deathsJasper County: 15.2 per 100,000 a year, 96 deathsJefferson County: 15.3 per 100,000 a year, 177 deathsJohnson County: 14.7 per 100,000 a year, 41 deathsLaclede County: 24 per 100,000 a year, 44 deathsLafayette County: 19.7 per 100,000 a year, 33 deathsLawrence County: 36.8 per 100,000 a year, 72 deathsLewis County: 20.3 per 100,000 a year, 10 deathsLincoln County: 20.3 per 100,000 a year, 67 deathsMcDonald County: 35.8 per 100,000 a year, 43 deathsMacon County: 25 per 100,000 a year, 19 deathsMadison County: 18.7 per 100,000 a year, 12 deathsMaries County: 35.3 per 100,000 a year, 15 deathsMarion County: 18.3 per 100,000 a year, 26 deathsMiller County: 23.4 per 100,000 a year, 30 deathsMississippi County: 27.2 per 100,000 a year, 16 deathsMoniteau County: 26.2 per 100,000 a year, 20 deathsMontgomery County: 27.8 per 100,000 a year, 16 deathsMorgan County: 32.1 per 100,000 a year, 36 deathsNew Madrid County: 47.3 per 100,000 a year, 36 deathsNewton County: 31.2 per 100,000 a year, 96 deathsOregon County: 46 per 100,000 a year, 20 deathsOsage County: 23.7 per 100,000 a year, 16 deathsOzark County: 35.2 per 100,000 a year, 16 deathsPemiscot County: 47.2 per 100,000 a year, 34 deathsPerry County: 20.9 per 100,000 a year, 20 deathsPettis County: 14.2 per 100,000 a year, 31 deathsPhelps County: 17.5 per 100,000 a year, 40 deathsPike County: 23.4 per 100,000 a year, 21 deathsPlatte County: 10.2 per 100,000 a year, 58 deathsPolk County: 15.1 per 100,000 a year, 25 deathsPulaski County: 13 per 100,000 a year, 35 deathsRalls County: 40 per 100,000 a year, 21 deathsRandolph County: 10 per 100,000 a year, 12 deathsRay County: 14.7 per 100,000 a year, 17 deathsReynolds County: 60.7 per 100,000 a year, 18 deathsRipley County: 41.1 per 100,000 a year, 22 deathsSt. Charles County: 6.9 per 100,000 a year, 146 deathsSt. Clair County: 32.5 per 100,000 a year, 16 deathsSte. Genevieve County: 22.6 per 100,000 a year, 21 deathsSt. Francois County: 21 per 100,000 a year, 71 deathsSt. Louis County: 10.3 per 100,000 a year, 512 deathsSaline County: 14.6 per 100,000 a year, 17 deathsScott County: 16.9 per 100,000 a year, 32 deathsShannon County: 33 per 100,000 a year, 12 deathsStoddard County: 16.9 per 100,000 a year, 24 deathsStone County: 27 per 100,000 a year, 44 deathsTaney County: 19 per 100,000 a year, 54 deathsTexas County: 29.6 per 100,000 a year, 38 deathsVernon County: 20.2 per 100,000 a year, 20 deathsWarren County: 11.4 per 100,000 a year, 22 deathsWashington County: 33.9 per 100,000 a year, 40 deathsWayne County: 29.6 per 100,000 a year, 16 deathsWebster County: 20.5 per 100,000 a year, 43 deathsWright County: 25.6 per 100,000 a year, 25 deathsSt. Louis city: 23.7 per 100,000 a year, 331 deaths
under 1010-1515-2020-3030+ too few crashes

The most dangerous roads in Missouri

Fatal crashes by road within each county, 2020-2024. A long interstate shows up once per county it crosses.

#RoadWhereFatal crashesDeaths
1 I-270 Ramp 228087 St. Louis County, MO 56 63
2 I-70 Rp 5988 Jackson County, MO 38 44
3 I-435 Rp 227598 Jackson County, MO 38 40
4 I-70 Ramp 1038287 St. Louis city, MO 29 30
5 I-70 St. Charles County, MO 24 25
6 I-70 St. Louis County, MO 23 25
7 SR-30 Jefferson County, MO 22 25
8 US-40 Jackson County, MO 22 24
9 I-44 Rp 1938 Franklin County, MO 20 25
10 SR-367 St. Louis County, MO 20 21
11 Sr-Ac St. Louis County, MO 19 21
12 US-24 Jackson County, MO 18 19
13 US-71 Bruce R Watkins Dr Jackson County, MO 18 18
14 US-63 Boone County, MO 17 22
15 I-44 Ramp 3230 Lawrence County, MO 17 22

Deaths by year

Every Missouri county

92 counties with 10 or more fatal crashes in five years, by deaths. 23 more had fewer than 10 and are listed after the table.

CountyDeaths 2020-24Per 100K a yearPedestriansPopulation
Jackson County 603 16.6 106 727,362
St. Louis County 512 10.3 138 992,929
St. Louis city 331 23.7 93 279,695
Greene County 227 14.7 33 307,942
Jefferson County 177 15.3 13 231,888
St. Charles County 146 6.9 16 423,726
Boone County 99 10.3 16 192,154
Clay County 99 7.5 9 263,370
Franklin County 96 17.9 8 107,256
Jasper County 96 15.2 12 126,479
Newton County 96 31.2 9 61,519
Cass County 75 13.2 4 113,873
Lawrence County 72 36.8 7 39,151
St. Francois County 71 21.0 12 67,503
Lincoln County 67 20.3 3 65,888
Buchanan County 66 15.8 6 83,574
Cape Girardeau County 60 14.3 3 83,658
Butler County 58 27.7 12 41,814
Platte County 58 10.2 9 113,207
Camden County 57 25.8 4 44,135
Barry County 56 31.4 1 35,618
Taney County 54 19.0 6 56,744
Laclede County 44 24.0 6 36,738
Stone County 44 27.0 3 32,630
McDonald County 43 35.8 1 24,054
Webster County 43 20.5 3 42,041
Johnson County 41 14.7 1 55,880
Phelps County 40 17.5 4 45,672
Washington County 40 33.9 3 23,583
Christian County 39 8.1 2 96,045
Texas County 38 29.6 1 25,715
Howell County 37 18.2 1 40,762
Morgan County 36 32.1 1 22,399
New Madrid County 36 47.3 1 15,212
Callaway County 35 15.5 6 45,126
Crawford County 35 30.7 0 22,808
Pulaski County 35 13.0 3 53,964
Pemiscot County 34 47.2 2 14,407
Cole County 33 8.5 2 77,625
Dunklin County 33 24.4 5 27,002
Lafayette County 33 19.7 1 33,511
Scott County 32 16.9 2 37,957
Pettis County 31 14.2 6 43,791
Miller County 30 23.4 5 25,668
Benton County 29 28.1 1 20,614
Marion County 26 18.3 2 28,425
Polk County 25 15.1 1 33,070
Wright County 25 25.6 1 19,505
Dallas County 24 26.9 2 17,877
Stoddard County 24 16.9 2 28,438
Andrew County 23 25.4 0 18,091
Bates County 23 28.1 2 16,394
Henry County 22 19.5 3 22,575
Ripley County 22 41.1 3 10,715
Warren County 22 11.4 1 38,478
Pike County 21 23.4 1 17,961
Ralls County 21 40.0 2 10,499
Ste. Genevieve County 21 22.6 3 18,546
Bollinger County 20 37.7 0 10,610
Moniteau County 20 26.2 0 15,294
Oregon County 20 46.0 1 8,699
Perry County 20 20.9 1 19,100
Vernon County 20 20.2 0 19,787
Macon County 19 25.0 0 15,177
Adair County 18 14.0 1 25,660
Barton County 18 30.7 0 11,717
Douglas County 18 29.3 1 12,290
Reynolds County 18 60.7 0 5,927
Gasconade County 17 23.2 0 14,655
Ray County 17 14.7 0 23,199
Saline County 17 14.6 1 23,325
Clinton County 16 14.7 1 21,721
Dent County 16 21.7 3 14,721
Hickory County 16 36.5 2 8,766
Mississippi County 16 27.2 0 11,750
Montgomery County 16 27.8 1 11,511
Osage County 16 23.7 0 13,478
Ozark County 16 35.2 0 9,090
St. Clair County 16 32.5 1 9,848
Wayne County 16 29.6 1 10,820
Cooper County 15 17.5 3 17,122
Maries County 15 35.3 2 8,506
Caldwell County 14 31.1 0 9,000
Howard County 14 27.6 1 10,150
Iron County 14 29.7 1 9,420
Audrain County 13 10.7 1 24,304
Dade County 12 31.5 0 7,622
Madison County 12 18.7 1 12,852
Randolph County 12 10.0 2 24,077
Shannon County 12 33.0 0 7,275
DeKalb County 11 22.3 1 9,884
Lewis County 10 20.3 1 9,852

Fewer than 10 fatal crashes, 2020-2024: Atchison County (6 deaths), Carroll County (7 deaths), Carter County (8 deaths), Cedar County (12 deaths), Chariton County (10 deaths), Clark County (7 deaths), Daviess County (8 deaths), Gentry County (5 deaths), Grundy County (9 deaths), Harrison County (9 deaths), Holt County (5 deaths), Knox County (1 death), Linn County (6 deaths), Livingston County (9 deaths), Mercer County (4 deaths), Monroe County (5 deaths), Nodaway County (9 deaths), Putnam County (4 deaths), Schuyler County (2 deaths), Scotland County (4 deaths), Shelby County (9 deaths), Sullivan County (5 deaths), Worth County (6 deaths).

Cities

CityDeaths 2020-24Per 100K a yearPedestriansPopulation
Kansas City 434 16.8 78 516,032

What was involved

FactorMissouriShareUS
Speeding was a factor
a driver coded by police as speeding, racing or too fast for conditions		 1,693 37% 28%
A driver had been drinking
police reported alcohol involvement for at least one driver		 1,301 28% 26%
A large truck was involved
a truck over 10,000 lbs		 603 13% 13%
Hit-and-run
a driver left the scene		 275 6% 7%
Pedestrians killed
share of all deaths		 637 13% 18%
Motorcyclists killed
share of all deaths		 766 15% 15%
Bicyclists killed
share of all deaths		 54 1% 3%
Teens (15-19) killed
share of all deaths		 388 8% 7%

After a crash in Missouri

  1. Get the crash report

    Statewide copies come from Missouri State Highway Patrol (MSHP) Patrol Records Division, cost $6.00 per basic motor vehicle crash report (extra fees for certified copies, photos, reconstruction reports, CDs) and are usually ready Wait 10 days from the date of the crash investigation to request it; the Patrol notes a backlog, so a report may take much longer..

    How to get a Missouri crash report

  2. Know your deadline

    Missouri gives you five years to file a personal injury lawsuit (Mo. Rev. Stat. § 516.120(4)).

    Work out your date

  3. Who pays

    Missouri is an at-fault state: the driver who caused the crash, through their liability insurance, pays for the injuries and damage.

    Missouri car accident laws

  4. If you were partly at fault

    If you were partly at fault, your damages are reduced by your percentage of fault, and you can still recover even if you were mostly at fault.

    The rule and its statute

  5. The other driver’s minimum coverage

    The legal minimum liability coverage in Missouri is $25,000 per injured person, $50,000 per crash and $25,000 for property (25/50/25).

    Every state’s minimums

Check your deadline and a rough claim range

A filing date and a rough value range for Missouri. Both take under a minute.

Check my deadline Estimate my claim