2019 Top 50 Bed Bug Cities in U.S.

Ahead of the busy summer travel season and to kick off Bed Bug Awareness Week, Terminix announced its 2019 ranking of the top 50 most bed bug-infested cities in the country.

50 cities in US

Where Are Bed Bug Cities Most Common?

After two years as No. 1 on the list, Cleveland fell to No. 7, while Philadelphia reclaimed the top title it last held in 2014. New York, Dallas, Indianapolis and Cincinnati rounded out the top five spots. Ohio dominated the list with six cities in the top 50, and Florida followed closely behind with five. 

Terminix based its rankings on the number of services rendered in each city in the past year*. The top 50 cities for bed bug infestations in the United States are:

  1. Philadelphia, PA
  2. New York, NY
  3. Dallas-Fort Worth, TX
  4. Indianapolis, IN
  5. Cincinnati, OH
  6. Los Angeles, CA
  7. Cleveland, OH
  8. Washington, D.C.
  9. Chicago, IL
  10. Boston, MA
  11. Columbus, OH
  12. Houston, TX
  13. Baltimore, MD
  14. Atlanta, GA
  15. Detroit, MI
  16. Pittsburgh, PA
  17. Memphis, TN
  18. Nashville, TN
  19. Orlando, FL
  20. Tampa, FL
  21. Louisville, KY
  22. St. Louis, MO
  23. Little Rock, AR
  24. Dayton, OH
  25. Charleston-Huntington, WV
  26. Oklahoma City, OK
  27. Harrisburg, PA
  28. Toledo, OH
  29. Paducah, KY
  30. Fort Smith, AR
  31. Lexington, KY
  32. Champaign-Urbana, IL
  33. Kansas City, MO
  34. San Francisco, CA
  35. Shreveport, LA
  36. Miami, FL
  37. Hartford, CT
  38. South Bend, IN
  39. Springfield, MO
  40. Birmingham, AL
  41. Grand Rapids, MI
  42. Jacksonville, FL
  43. West Palm Beach, FL
  44. Davenport, IA
  45. Honolulu, HI
  46. Evansville, IN
  47. Jackson, MS
  48. Youngstown, OH
  49. Montgomery, AL
  50. Denver, CO

Avoiding Bed Bugs While Traveling

New research also reveals one-fifth (22%) of Americans have had a bed bug encounter, and the odds are much higher for those with children (35%). Despite the high incidence rates and the increased danger of encountering bed bugs while traveling, nearly half of the country who travel (48%) doesn’t know what precautions to take against bed bugs while traveling.**

As the busy travel season approaches, Americans should be aware of the increased potential for these pests to accompany them on their journey through airports, hotels and on various modes of transportation. Terminix experts also warn that bed bugs can be found in more than just bedding and mattresses. They can easily hitchhike from place to place via personal belongings, such as jackets, purses and luggage, or hide in upholstered future and behind baseboards.

To help avoid a bed bug encounter when traveling, always check hotel mattresses, headboards, frames and pictures for signs of bed bugs in the room. Travelers should also wash clothes in warm water and dry in a heat chamber immediately after returning home from travel.

Signs of Bed Bugs

To make identification easier, Terminix is sharing a few signs that might indicate a bed bug presence, including:

  • Reddish-brown blood spots on your sheets or mattress
  • Small blood smears on sheets
  • A strong, musty odor
  • The bed bugs themselves

Full-grown bed bugs are about the size, shape and color of an apple seed, but travelers should also look for newly hatched nymphs, which are cream-colored and the size of letters on a penny, and small translucent eggs, which may be found in the tucks and folds of sheets.

Call The Bed Bug Experts

Because bed bugs are so difficult to treat without professional help, anyone who suspects a possible bed bug infestation should schedule an inspection with a pest control company as soon as possible.


Schedule your bed bug inspection here.



*This ranking was created by compiling bed bug-specific data of services rendered at more than 300 Terminix branches across the country. The rankings represent Metropolitan Statistical Areas (MSAs) with the highest number of actual services between April 16, 2018 and April 15, 2019. ** From March 29 to March 31, 2019, an online survey of 1,516 randomly selected American adults who are Springboard America Community panel members was executed by Maru/Blue. For comparison purposes, a probability sample of this size has an estimated margin of error (which measures sampling variability) of +/- 2.5%, 19 times out of 20. The results have been weighted by education, age, gender and region to match the population, according to Census data. This is to ensure a sample representative of the entire adult population of America. Discrepancies in or between totals are due to rounding.

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