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U.S. Cities with Worst and Best Air Quality

U.S. Cities with Worst and Best Air Quality

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Nearly one in four Americans lives in a county with poor air quality. That figure comes from the EPA — and while conditions have gradually improved since the Clean Air Act passed in 1970, millions of people are still regularly breathing air that doesn't meet national health standards.

The causes vary by region. In the West, ozone and wildfire smoke are the dominant problems. In the industrial Midwest and mid-Atlantic, particle pollution and sulfur dioxide play a larger role. Economically disadvantaged communities tend to bear a disproportionate share of the burden — research consistently shows that higher pollution levels cluster in lower-income areas.

The good news is that outdoor air quality, while imperfect, has improved measurably over the past five decades — even as the U.S. economy, population, and energy use have all grown. The harder reality is that the most polluted metros in 1980 are still, for the most part, the most polluted today.

Air quality & your home
Nearly 1 in 4 Americans live in counties with poor air quality

Traffic, ozone, particle pollution, and wildfire smoke all push AQI levels higher — and outdoor air finds its way indoors. The right filter and change schedule can make a meaningful difference.

Worst region
Southern California
Median AQI 89 (Riverside)
Unhealthy days/year
145 days
Riverside metro, 2019

To identify which metropolitan areas have the worst and best air quality, researchers at Filterbuy analyzed median Air Quality Index (AQI) values published annually by the EPA. Higher AQI values indicate higher pollution and lower air quality. Only metros with at least 500,000 residents were included.

While many Americans are still living in places with unhealthy levels of air pollution, conditions have been improving in recent decades. Through EPA efforts and the passage of the Clean Air Act, the U.S. has seen gradual improvement in air quality and a decline in the emissions of common pollutants since 1970. CO2 emissions have also shown small declines since 2010. Such improvements have occurred even with steady increases in the gross domestic product, travel, total population, and energy consumption.

Still, air quality in many areas, especially in the Western U.S., does not meet national standards. In addition to causing environmental issues, poor air quality can have negative consequences for individual health, which can be particularly detrimental to those already suffering from certain health problems such as asthma and cardiovascular disease. Additionally, new research indicates that economically disadvantaged communities are more likely to face higher levels of pollution. Furthermore, while the US has improved as a whole, the most polluted areas from 1980 are still among the most polluted today.

To identify metropolitan areas with the worst (and best) air quality, researchers from Filterbuy analyzed median Air Quality Index (AQI) values for 2019. These values, published annually by the EPA, are a measure of an area’s air pollution. Higher AQI values indicate that an area experiences higher pollution levels and lower air quality.

For the purpose of this report, only metropolitan areas with at least 500,000 residents were included. Here are the metropolitan areas with the worst (and best) air quality in the nation.

TRENDING Replacing home air filters regularly can dramatically improve the air quality in your home. If you are dealing with particularly problematic conditions, consider using MERV 13 air filters.

Metros with the Worst Air Quality

U.S. Cities with Worst and Best Air Quality - Infographics of a Palm Springs at night, featuring city lights and surrounding mountains, reflecting a city that benefits from relatively clear skies but still faces occasional air quality concerns.

Photo Credit: Alamy Stock Photo

Riverside–San Bernardino–Ontario, CA
Metro area (MSA) · Riverside & San Bernardino Counties
Density (per sq mi)
168.6
2026 population
4,820,000
2020 population
4,600,000
Land area
27,277 sq mi
Density change since 2020
+4.80%
Median AQI · 2024
78
Good days
30
Moderate days
185
Unhealthy / hazardous
150
Max AQI observed
232
Air quality note

The Inland Empire holds the most dubious air quality distinction in the United States. In the American Lung Association's 2026 State of the Air report, San Bernardino County ranked #1 and Riverside County #2 in the nation for ozone pollution — a position the LA metro area has held in 26 of the report's 27 years. Residents experience roughly five months of unhealthy air annually, driven by thousands of daily diesel trucks serving the region's massive warehouse and freight corridors, basin geography that traps smog inland from LA, and extreme summer heat that accelerates ozone formation. Both counties also rank in the nation's worst ten for PM2.5 particle pollution. The region is classified as an extreme ozone non-attainment zone and a severe PM2.5 non-attainment zone under federal EPA standards — the highest severity categories possible. MERV 13 is the only appropriate filter for Inland Empire households, and filters should be checked monthly and replaced every 30–45 days during summer smog season. Shop MERV 13 →

U.S. Cities with Worst and Best Air Quality - Infographics of a the city's growth in a desert environment, where air quality is impacted by both urban development and climatic factors.

Photo Credit: Alamy Stock Photo

Riverside–San Bernardino–Ontario, CA
Metro area (MSA) · Riverside & San Bernardino Counties
Density (per sq mi)
168.6
2026 population
4,820,000
2020 population
4,600,000
Land area
27,277 sq mi
Density change since 2020
+4.80%
Median AQI · 2024
78
Good days
30
Moderate days
185
Unhealthy / hazardous
150
Max AQI observed
232
Air quality note

The Inland Empire holds the most dubious air quality distinction in the United States. In the American Lung Association's 2026 State of the Air report, San Bernardino County ranked #1 and Riverside County #2 in the nation for ozone pollution — a position the LA metro area has held in 26 of the report's 27 years. Residents experience roughly five months of unhealthy air annually, driven by thousands of daily diesel trucks serving the region's massive warehouse and freight corridors, basin geography that traps smog inland from LA, and extreme summer heat that accelerates ozone formation. Both counties also rank in the nation's worst ten for PM2.5 particle pollution. The region is classified as an extreme ozone non-attainment zone and a severe PM2.5 non-attainment zone under federal EPA standards — the highest severity categories possible. MERV 13 is the only appropriate filter for Inland Empire households, and filters should be checked monthly and replaced every 30–45 days during summer smog season. Shop MERV 13 →

U.S. Cities with Worst and Best Air Quality - Infographics of a towering skyscrapers and surrounding hills, a place where poor air quality has historically been a significant challenge

Photo Credit: Alamy Stock Photo

3. Los Angeles–Long Beach–Anaheim, CA
Metro area (MSA) · Los Angeles & Orange Counties
Density (per sq mi)
2,679.1
2026 population
12,920,000
2020 population
13,000,000
Land area
4,853.1 sq mi
Density change since 2020
−0.62%
Median AQI · 2025
77
Good days
30
Moderate days
155
Unhealthy / hazardous
88
Max AQI observed
500+
Air quality note

Los Angeles has held the title of most ozone-polluted metro in the U.S. for 26 of the past 27 years per the American Lung Association. The basin's ring of mountains traps vehicle emissions and port diesel inland, driving chronic ozone and PM2.5 non-attainment. The 2025 Max AQI of 500+ reflects the January Palisades and Eaton wildfires — the most destructive in LA history — which pushed daily averages into the "Unhealthy" range for days. Year-round, a MERV 13 filter is the right baseline for LA households, with monthly checks during summer ozone season and immediate replacement during any wildfire event. Shop MERV 13 filters →

U.S. Cities with Worst and Best Air Quality - Infographics of Fresno’s downtown area bathed in warm golden hour light, a city where agriculture and industrial activities.

Photo Credit: Alamy Stock Photo

4. Bakersfield, CA

U.S. Cities with Worst and Best Air Quality - Infographics of San Diego’s skyline from a residential street, and  city’s coastal influence and relatively favorable air quality.

Photo Credit: Alamy Stock Photo

5. San Diego-Carlsbad, CA

U.S. Cities with Worst and Best Air Quality - Infographics of Fresno's downtown area bathed in warm golden hour light, a city where agriculture and industrial activities can sometimes influence air quality

Photo Credit: Alamy Stock Photo

6. Fresno, CA

U.S. Cities with Worst and Best Air Quality - Infographics of clear view of Denver’s downtown, nestled beneath vast skies, reflecting the city’s air quality challenges due to its elevation and urban growth.

Photo Credit: Alamy Stock Photo

7. Denver-Aurora-Lakewood, CO

Pittsburgh’s illuminated skyline at night, seen from a distance, with bridges over the river, suggesting a city where industrial history may impact air quality

Photo Credit: Alamy Stock Photo

8. Pittsburgh, PA

Detroit's downtown with its historic buildings and sunset lighting, representing urban revitalization efforts in a city that often faces challenges with air quality.

Photo Credit: Alamy Stock Photo

9. Detroit-Warren-Dearborn, MI

 Chicago's cityscape illuminated at dusk, showcasing tall skyscrapers reflecting in the river, indicating a bustling urban environment with potential air quality concerns.

Photo Credit: Alamy Stock Photo

10. Chicago-Naperville-Elgin, IL-IN-WI

Metros with the Best Air Quality

Methodology & Detailed Findings

The data used in this analysis is from the EPA’s 2019 Air Quality Index Report. The Air Quality Index (AQI) is EPA’s method for reporting daily air quality by location based on National Ambient Air Quality Standards. Higher AQI values correspond to higher levels of pollution and worse air quality. AQI values below 50 are considered good; AQI values between 51 and 100 are considered moderate; and AQI values that exceed 100 are considered unhealthy (at first for sensitive groups and then for everyone as values increase).

To determine the locations with the worst air quality, metropolitan areas were ranked by their respective median AQI values, with high AQI values corresponding to worse air quality. In the event of a tie, the location with the higher maximum AQI value was considered to have worse air quality.

Population data is from the U.S. Census Bureau’s 2018 American Community Survey 1-Year Estimates. Only metropolitan areas with at least 500,000 residents were included in the report.

    U.S. Cities and Places with Worst and Best Air Quality