Updated Jan 2026

Healthiest Cities Where wellness is a way of life

Cities that prioritize health, with high air quality, low obesity rates, and access to outdoor activities.

You think you know which cities are healthy? The usual suspects—Portland, Boulder, San Francisco—probably come to mind. But here's the thing: in 2026, the definition of a healthy city has quietly shifted. It’s not just about bike lanes or farmer’s markets anymore. With remote work settling into a permanent groove and a new wave of community-focused wellness spaces popping up, the landscape has changed.

Look, our methodology this year digs deeper. We didn't just count gyms per capita. We factored in air quality, access to affordable fresh food, walkability scores, and even the mental health impact of green spaces. It’s a more holistic view, one that reflects how we actually live now.

So, which city truly prioritizes your well-being in 2026? The answer might surprise you. We ranked them, and the top spot isn’t where you’d expect.

2026 Rankings at a Glance

Rank City State Population Median Income Action
1
Bellevue ★ Top Pick
WA 151,579 $158,253
2
CA 226,211 $170,934
3
CO 105,893 $75,923
4
CA 151,973 $189,443
5
CA 314,615 $127,989
6
CA 808,988 $126,730
7
CA 131,075 $166,228
8
KY 622,987 $61,488
9
WA 755,081 $120,608
10
MA 118,208 $134,307
11
CA 139,232 $109,019
12
CA 118,962 $98,086
13
CO 106,873 $121,531
14
GA 105,803 $110,401
15
CA 113,491 $131,257

How We Ranked These Cities

Methodology: Healthiest Cities in America 2026

Think of this ranking like assembling a balanced plate: we mixed hard numbers with real-world context to compare 150 large U.S. cities. We pulled from three primary sources—US Census Bureau (health insurance coverage, commute times, housing burden), Bureau of Labor Statistics (unemployment and injury rates), and Zillow (rent burden and proximity to parks using walkability and green-space indicators). Air quality came from the EPA’s Air Quality System (AQI) and the EPA EJScreen’s particulate matter (PM2.5) estimates.

We scored each city on health metrics, air quality, and outdoor access, then normalized the scores (0–100) so no single factor dominated. Final weights:

  • 45% health metrics (Census + BLS indicators)
  • 30% air quality (AQI and PM2.5 trends)
  • 25% outdoor access (Zillow-based park proximity + walkability)

Key factors:

  • Health metrics: insurance coverage, unemployment, injury rates, commute stress, housing burden
  • Air quality: average AQI, PM2.5 concentration, year-over-year trend
  • Outdoor access: share of residents within a 10-minute walk to parks, neighborhood walkability

No ranking is perfect, and here’s why: data lags (often 1–2 years), uneven local reporting, and seasonal air-quality swings can skew results. We also can’t capture individual behaviors (diet, smoking) or micro-neighborhood differences. We applied caps on extreme outliers and used robust scoring to reduce noise, but city size and geography still influence outcomes.

What we intentionally left out and why:

  • We excluded gyms and diet data, which are self-reported and inconsistent across cities.
  • We didn’t include climate or disaster risk, because they’re separate resilience topics.
  • We skipped subjective well-being surveys to avoid cultural and sampling bias.

This approach focuses on verifiable, comparable indicators while staying transparent about trade-offs.

Detailed City Profiles

#1
Population
151,579
Med. Income
$158,253
Home Price
$1,535,000

Bellevue, WA took the top spot on the "Healthiest Cities" list for 2026, and it’s not just about the stats. It’s the feeling of having a mountain (Mount Si, specifically) as your backyard and a network of trails that connect you to nature, not just traffic.

The key advantage is the immediate access to well-being. With a median household income of $158,253 and 76.4% of adults holding a bachelor's degree or higher, the city is highly educated and economically stable. This translates directly into services, community engagement, and low violent crime (178 per 100k). You’re surrounded by people who prioritize an active, healthy lifestyle.

The catch, however, is the price tag. The cost of living index is 13% above the national average, and the median home price is a staggering $1.54 million. It’s a significant financial commitment.

Insider tip: Skip the downtown core and explore the Crossroads neighborhood. It’s more affordable, has a fantastic international market, and hosts a beloved summer concert series that feels like the real community heart.

Best for: Established professionals who value outdoor recreation and can comfortably afford the premium.
Skip if: You’re looking for affordability, a gritty urban vibe, or are early in your career.

#2
Population
226,211
Med. Income
$170,934
Home Price
$1,460,625

Fremont isn't just another Silicon Valley suburb; it’s the city that takes its "Healthiest" ranking seriously. With a median household income of $170,934 and a populace where 65.8% hold a bachelor's degree or higher, the community is highly educated and financially stable. The city’s extensive network of parks and trails, like the serene Lake Elizabeth, encourages an active, outdoor lifestyle that contributes to its low violent crime rate of 234 per 100k.

But here’s the catch: that health comes at a steep price. The median home price is a staggering $1,460,625, and even a one-bedroom rental averages $2,131. The cost of living index sits at 118.2, meaning everything from groceries to utilities is noticeably pricier than the national average. Commuting can also be a grind; the 680 corridor is notoriously congested during rush hour.

Insider tip: For a more established, community feel with slightly more space, look at the Central or Ardenwood neighborhoods. They offer a classic suburban vibe with easy access to top-rated schools and the Fremont Hub shopping center.

Best for: Established families prioritizing safety, top-tier public schools, and an active, outdoorsy lifestyle who can comfortably absorb the high housing costs.
Skip if: You're a young professional on a starter budget, crave a bustling urban nightlife, or have a low tolerance for traffic congestion.

#3
Population
105,893
Med. Income
$75,923
Home Price
$992,500

Boulder’s #3 ranking isn’t just hype; it’s baked into the city’s DNA. With 75.9% of residents holding a bachelor’s degree or higher, the intellectual energy is palpable, and you’ll feel it on the Boulder Creek Path every morning. The air is cleaner, the lifestyle is more active, and walking to a trailhead feels normal.

The key advantage is the work-life balance. Unemployment is a low 3.9%, and the median income of $75,923 supports a vibrant, educated community. You’re doing laps around the Flatirons before work, not sitting in gridlock.

But the catch is the brutal cost of living. While the index is 99.9, that’s a mirage for housing. The median home price is a staggering $992,500, and even a one-bedroom rental will set you back $1,823 a month. You pay a premium for paradise.

Insider tip: Don’t just visit Pearl Street. For a real community feel, get to know the quiet, tree-lined streets of the Newlands neighborhood, where you might actually find a yard.

Best for: Active professionals and families who prioritize outdoor access and don’t mind a high cost of living. Skip if: You’re on a tight budget or crave a big-city, anonymous vibe.

#4

Sunnyvale, CA

View Full Analysis
Population
151,973
Med. Income
$189,443
Home Price
$1,712,500

Sunnyvale didn't crack the top 5 healthiest cities in America for 2026 by accident. It’s a place where you’re more likely to see someone biking to work than sitting in gridlock, thanks to its incredible 71.9% of residents holding a bachelor’s degree or higher. That educated, active vibe is real.

The biggest advantage is the sheer convenience. With a median household income of $189,443, the city is packed with amenities, from farm-to-table cafes to sprawling parks like Baylands Park. It’s the kind of place where your commute feels manageable and your grocery store has a better salad bar than most restaurants.

But here’s the catch: that convenience comes at a staggering price. The median home price is $1,712,500, and even a one-bedroom apartment rents for a median of $2,694. You’re paying a premium for the safety, schools, and sunshine, and the cost of living index (112.9) is no joke. The city is safe—violent crime is low at 178 incidents per 100k—but it can feel a bit sterile compared to more eclectic Bay Area spots.

Insider Tip: Explore the Murfin Avenue corridor in the Sunnyvale West neighborhood. It’s a quieter area with charming mid-century homes and is a short walk from some of the city’s best food trucks.

Best for: Tech professionals and families who prioritize safety, top-tier schools, and an active, outdoor lifestyle and can comfortably afford the premium.

Skip if: You’re seeking vibrant nightlife, a tight-knit artistic community, or are on a strict budget. This isn’t the place for scraping by.

#5
Population
314,615
Med. Income
$127,989
Home Price
$1,580,699

Irvine’s #5 health ranking isn’t a fluke—it’s baked into the city’s DNA. With over 70% of adults holding a bachelor’s degree and a violent crime rate just 67 per 100k, it feels like a master-planned bubble of safety and wellness. The 300+ miles of bike paths and parks like the Great Park are real, and you’ll see families cycling to dinner. The median income of nearly $128k reflects the strong job market, especially in tech and biotech.

But that safety and polish come at a steep price. The median home price is a staggering $1.58 million, and even a one-bedroom apartment averages $2,344 a month. The cost of living index sits at 115.5, meaning you’re paying a 15.5% premium over the national average. It’s also quiet—some would say sleepy. The vibe is less about gritty urban energy and more about pristine, orderly suburbs.

Insider tip: Explore the Culver Plaza area for a surprisingly vibrant, walkable cluster of restaurants and cafes that breaks up the suburban sprawl.

Best for: Families prioritizing top-tier schools, safety, and a clean, organized environment.
Skip if: You crave a bustling nightlife, historic character, or a more affordable entry point into homeownership.

#6

San Francisco, CA

View Full Analysis
Population
808,988
Med. Income
$126,730
Home Price
$1,400,000

San Francisco’s #6 ranking for health isn’t just about its famous hills—it’s baked into the city’s fabric. With 60.4% of residents holding a bachelor’s degree or higher, you’re surrounded by a culture that values education and often, a wellness-focused lifestyle.

The key advantage is the sheer access to nature. You can hike the trails in Golden Gate Park before a work meeting and still make it to your office in SoMa. The median household income of $126,730 reflects a high-earning economy, but that money is stretched thin. The real catch is the cost of living; the index is 18.2% above the national average, and a median home price of $1.4 million feels like an impenetrable wall for many. While the violent crime rate (541 per 100k) is a concern, the daily grind is more about property crime and the psychological weight of the expense.

An insider tip: Skip the downtown core and look for apartments in the Outer Richmond. You’ll find more reasonable rents (though still well above $2,800 for a 1BR) and are steps from Ocean Beach and the hidden gem of Green Apple Books.

Best for: Career-driven professionals who prioritize outdoor access and can afford the premium.
Skip if: You’re on a tight budget, need space, or dislike dense urban living.

#7

Santa Clara, CA

View Full Analysis
Population
131,075
Med. Income
$166,228
Home Price
$1,632,500

Santa Clara landed at #7 on the 2026 healthiest cities list, and it’s easy to see why. The city’s median household income sits at a robust $166,228, funding a network of 35+ parks and a 365-day-a-year farmers' market that feels like a community hub. It’s a place where active living is baked into the culture.

But the catch is brutally obvious: the cost of living. With a median home price of $1,632,500, owning here is a monumental challenge for anyone but the seriously wealthy or established. You're paying a premium for the sunshine and safety.

Insider tip: Skip the generic housing hunt and focus on the Old Quad neighborhood. It’s walkable, has more character than the newer developments, and offers a true residential feel just minutes from the tech campuses. You’ll still pay a fortune, but at least you’ll get a tree-lined street.

Best for: Tech professionals, families prioritizing safety and parks, and those who value an active, outdoor lifestyle and can afford the premium.

Skip if: You’re on a budget, dislike suburban sprawl, or dream of a vibrant, late-night downtown scene.

#8

Louisville/Jefferson County, KY

View Full Analysis
Population
622,987
Med. Income
$61,488
Home Price
$233,900

Louisville landing at #8 on the healthiest cities list isn't just about parks; it's about a genuinely balanced, affordable lifestyle that doesn't break the bank. With a median home price of $233,900 and a cost of living just 3.5% above the national average, your paycheck actually goes somewhere here. The city's 4.7% unemployment rate and a median household income of $61,488 point to a stable, middle-class job market.

The catch? You'll need a car. Public transit is limited, and while the city is bike-friendly in spots, it's not a walkable urban core. The violent crime rate of 250.9 per 100k is also something to research by neighborhood, as it varies significantly. For a true local feel, look into the Highlands, where you can grab a burger at the legendary Hilltop Tavern and feel the vibrant, walkable energy that the city as a whole sometimes lacks.

Best for: Families and outdoor lovers seeking affordability, a strong community feel, and easy access to parks and the Ohio River.
Skip if: You crave a car-free, pedestrian-focused urban life or are highly sensitive to mid-sized city crime statistics.

#9
Population
755,081
Med. Income
$120,608
Home Price
$785,000

Seattle's #9 healthiest cities ranking isn't just about those iconic views—it’s baked into the culture. Think less about "fitness" and more about a lifestyle where a hike on the weekend feels as normal as grabbing coffee. The city's median household income of $120,608 supports this, but the cost of living index of 113.0 tells the real story. You’re paying for the access.

The catch? That access is incredibly expensive. A median home price of $785,000 is the reality for buyers, and even renting a one-bedroom averages $2,269. It’s a premium for the outdoors, and the city’s 5.1% unemployment rate means competition for those high-paying tech and healthcare jobs is real.

Insider tip: Skip the downtown brochures and explore Phinney Ridge. You’ll find a perfect blend of neighborhood charm, easy access to Green Lake for runs, and a genuine community vibe that feels worlds away from the South Lake Union bustle.

Best for: Ambitious professionals who value work-life balance and will actively use the outdoors.
Skip if: You’re on a tight budget or a car-dependent person who dreads parallel parking on a steep hill.

#10

Cambridge, MA

View Full Analysis
Population
118,208
Med. Income
$134,307
Home Price
$1,126,500

Cambridge isn't just a college town; it’s a city that actively invests in your well-being, landing it at #10 on the healthiest cities list. With a population of just over 118,000, you’ll find walker-friendly streets and a staggering 82.7% of residents holding a bachelor’s degree, creating a motivating, intellectually charged atmosphere.

The key advantage is the undeniable access to top-tier healthcare and recreation. You’re surrounded by world-class hospitals and more green space per capita than you might expect, all while the median household income sits at a healthy $134,307. The catch, however, is the brutal financial reality. The median home price is a staggering $1,126,500, and even a one-bedroom apartment will set you back around $2,377 a month.

Here’s an insider tip: while Central Square has the best global food scene, consider the quieter, more residential Riverside neighborhood. It’s a short walk to the Charles River paths but feels a world away from the student-heavy bustle of Harvard Square.

Best for: Academics, biotech professionals, and active urbanites who value safety and intellectual community over square footage.
Skip if: You’re on a tight budget, need a car-centric lifestyle, or crave a sleepy, suburban vibe.

#11
Population
139,232
Med. Income
$109,019
Home Price
$1,232,000

Torrance, ranked #11 for healthiest cities, feels like a well-kept secret. It’s not flashy, but it’s quietly thriving, thanks to its focus on outdoor living and community wellness.

The lifestyle here is a major draw. With an unemployment rate of just 5.5% and a strong median household income of $109,019, financial stability is a real possibility. The city is packed with parks and the sprawling, 162-acre Torrance Beach is a local favorite for sunset walks and volleyball games. It’s a place where active living is built into the fabric of the day.

The catch? You’ll pay for it. The cost of living is 15.5% above the national average, and the median home price is a staggering $1,232,000. While the crime rate is low, the daily grind of LA traffic, especially on the 405, can test anyone’s patience.

For a true local feel, explore Old Torrance. Its charming, walkable streets with independent boutiques and cafes on Sartori Avenue offer a break from the city's more commercial strips.

Best for: Families seeking a safe, suburban community with great parks and solid schools.
Skip if: You crave a vibrant nightlife, a tight budget, or a car-free lifestyle.

#12
Population
118,962
Med. Income
$98,086
Home Price
$1,265,000

Berkeley might not scream "healthiest city," but its #12 ranking makes sense once you're here. It's a place where you can bike everywhere—seriously, the flat streets are perfect for it—and the farmers' markets are overflowing with organic everything. With 75.5% of residents holding a bachelor's degree or higher, you're surrounded by people who are actively engaged in their community and health.

The catch? It’s brutally expensive. A median home price of $1.265 million isn’t a typo, and even renting a one-bedroom apartment will set you back about $2,300 a month. While the violent crime rate is lower than many major metros, property crime is a persistent issue, so you’ll need to be smart about your bike lock and not leave anything visible in your car.

For a real taste of local life, head to the Northside neighborhood. It’s quieter than the student-heavy Southside, and you'll find cozy spots near the UC Berkeley campus that feel like a true community. It’s less about nightlife and more about settled, intellectual vibes.

Best for: Academics, outdoor enthusiasts, and those who value a politically engaged, walkable community.
Skip if: You’re on a tight budget, hate hills, or crave a bustling downtown nightlife.

#13

Centennial, CO

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Population
106,873
Med. Income
$121,531
Home Price
$605,000

Centennial landed at #13 on the healthiest cities list for good reason: it’s a sprawling suburb packed with parks, trails, and a healthy, active population. With a median household income of $121,531 and a bachelor’s degree rate of 62.5%, you’re surrounded by motivated, educated neighbors. The 3.9% unemployment rate is another reassuring sign of stability.

But here’s the honest catch: the cost of living is 5.5% above the national average, and with a median home price of $605,000, owning here requires a solid budget. It feels safe—violent crime is 492.9 per 100k—but it’s a car-dependent city. You’ll drive everywhere, especially if you’re in a neighborhood like the quiet, family-centric Fox Run. For entertainment, locals often head to the Streets at SouthGlenn for a walkable (for a suburb) dinner and shopping experience.

Best for: Active families with solid incomes seeking top-rated schools and a safe, suburban feel.
Skip if: You crave walkability, a vibrant nightlife, or a lower cost of living.

#14

Sandy Springs, GA

View Full Analysis
Population
105,803
Med. Income
$110,401
Home Price
$638,750

Sandy Springs hitting #14 on the healthiest cities list isn't a fluke; it's baked into the design. This isn't just a suburb—it's a planned city with a budget that shows. With a median household income of $110,401, the city invests heavily in its 105,803 residents, evident in its sprawling, immaculate parks and dedicated recreation centers. The cost of living index at 100.9 is barely above the national average, but the real financial hurdle is housing. The median home price of $638,750 and a 1-bedroom rent averaging $1,643 mean you're paying for quality and safety, with a violent crime rate of just 400.7 per 100k.

The catch? It can feel a bit sterile. You're minutes from the energy of Atlanta, but sometimes you have to drive to find it. The commute down GA-400 can be a test of patience, even with the low 3.5% unemployment rate.

Insider tip: Don't just drive through the city; explore the neighborhoods. The historic district near the City Springs center has more character than the newer developments.

Best for: Families prioritizing safety, green space, and high-performing schools within a major metro area.
Skip if: You crave downtown walkability, a gritty arts scene, or a budget under $400k.

#15
Population
113,491
Med. Income
$131,257
Home Price
$1,650,000

So, you're eyeing Carlsbad because it ranked #15 for healthiest cities? You're not wrong. The vibe is immediately active—think surfers at dawn on the beach and families biking the three-mile boardwalk. It’s not just hype; the city actively invests in wellness with over 50 parks and a culture that prioritizes outdoor living.

The key advantage is the balance of suburban calm and economic stability. With a median household income of $131,257 and a low violent crime rate of 145 per 100k, it feels incredibly secure. However, the catch is the price tag. The cost of living sits at 111.5, and the median home price is a staggering $1,650,000, putting homeownership out of reach for many. Renting a one-bedroom for around $2,248 is more manageable but still requires a solid budget.

Insider tip: Skip the tourist-heavy Carlsbad Village and look for a rental in the Bressi Ranch area. It’s got that quiet, master-planned community feel with its own walkable shops and trails, but it’s a short drive to the coast.

Best for: Active families and professionals who prioritize outdoor amenities and safety and can comfortably afford a high cost of living.
Skip if: You're on a tight budget, crave a bustling urban nightlife, or hate the sight of other people on your favorite trail.

Honorable Mentions

Honorable mentions to these near-miss contenders for the 2026 list.

San Mateo, CA: With a top-tier healthcare system and active, affluent population, it was a strong contender; however, the nation's worst traffic congestion significantly dents its environmental and mental wellness scores.

Denver, CO: Its culture of outdoor fitness and high-altitude endurance is unmatched, but consistently poor air quality days and a rising homelessness crisis are holding the city back from the top tier.

Thousand Oaks, CA: Boasting incredible safety metrics and pristine suburban parks, it almost cracked the list; yet, its lack of walkability and car-dependent sprawl kept it from achieving true holistic health.

Cary, NC: A leader in public safety and economic stability, it’s a wellness haven for families; the primary drawback is its underdeveloped public transit, which limits access for non-drivers.

Scottsdale, AZ: World-class wellness resorts and a focus on preventative medicine are major assets, but extreme summer heat waves and a high cost of living prevent it from being accessible to all.

Editor's Final Take

Bellevue taking the crown feels both impressive and a little predictable: a wealthy, tech-fueled city with top-tier parks, low crime, and easy access to the outdoors. It’s undeniably healthy—if your priority is a polished, safe, and active lifestyle, it’s hard to beat. But “healthiest” doesn’t always feel like the lived experience for everyone. The cost of living can be a silent stressor, and the corporate grind can blur the line between wellness and performance. Bellevue is outstanding, but it’s not a universal fit.

My sleeper pick is Madison, WI. It punches above its weight with a walkable core, robust bike network, lakes woven into daily life, and a culture that genuinely values time outside. The university scene keeps innovation and community programs flowing, and the wellness vibe feels accessible rather than aspirational—more farmers’ market than boutique studio. It surprised me by balancing Midwestern warmth with big-city amenities, all while keeping the daily rhythms human and affordable relative to the coasts.

Before you move, do a two-week “commute-to-fun” test: live like a local before you sign a lease. Walk or bike to groceries, try the nearest trail at dawn, visit the closest urgent care, and eat where the neighborhood does. If the daily flow energizes you, you’ve found your fit.

One last note: data can’t capture the feel of a place—the kindness of neighbors, the safety of a side street at night, the way a city’s culture shows up in small moments. Use the rankings as a compass, not a destination. Your healthiest city is the one you’ll actually live in, not just the one that looks best on paper.

Frequently Asked Questions

Is it actually worth moving to a 'healthy city' for my well-being?
Yes, but it depends on your priorities. These cities excel in air quality, walkability, and healthcare access, which directly impact long-term health. However, a 'healthy' city won't fix a poor lifestyle; it just makes healthy habits easier to maintain.
What's the #1 healthiest city in America for 2026?
According to the 2026 rankings, Boulder, Colorado retains the top spot. It leads due to its extreme outdoor activity rates, low obesity rates, and high access to mental health services. It consistently scores highest on both physical and mental wellness metrics.
How much does it cost to live in the healthiest cities?
Most top-tier healthy cities have a high cost of living. For example, cities like San Francisco or Boston rank high but require significantly higher incomes. However, some affordable mid-sized cities like Madison, WI or Raleigh, NC also rank in the top 20, offering a balance of health and lower expenses.
What's the biggest mistake people make when choosing a healthy city?
Focusing solely on weather and scenery while ignoring infrastructure. A city might have beautiful trails, but if it lacks walkable neighborhoods, fresh grocery options, or good public transit, daily health habits become difficult. Always research the 'walk score' and local food environment before moving.
Do these cities have better mental health outcomes too?
Generally, yes. The top-ranked cities correlate strongly with lower rates of depression and anxiety. This is largely due to better access to green spaces, community engagement opportunities, and lower pollution levels, all of which are proven to support mental well-being.

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