Skip to main content
AirHistory

Moderate (51-100) AQI Cities

72 US cities have a 5-year median AQI in the moderate range. Air quality is acceptable. Some pollutants may be a concern for sensitive individuals.

72
Cities
7.1%
Of All Cities
22
Improving
25
Worsening

What "Moderate" AQI Actually Means

An AQI between 51 and 100 falls into the EPA's "Moderate" category. Air quality is generally acceptable for the broad public, but pollutant concentrations are high enough that a small subset of unusually sensitive people — primarily those with severe respiratory conditions — can feel symptoms. The EPA flags Moderate days as worth watching, not as cause for general concern.

People with severe asthma (especially those who have been hospitalized for it), advanced COPD, recent open-heart surgery, or pulmonary fibrosis should pay attention to Moderate AQI alerts. So should people in active cancer treatment, in late-stage pregnancy, and those caring for very young infants. The general population — including most asthmatics with controlled disease — will not feel anything at this level.

What Moderate AQI Means for Daily Life

Most outdoor activity is safe at Moderate AQI. Schools should run normal outdoor PE and recess. Healthy adults can train for races, bike to work, and exercise as planned. The main daily-life adjustment: people in the most-sensitive subgroups should avoid prolonged or intense outdoor exertion when AQI is in the upper end of the Moderate range (around 80-100).

Long-Term Health Effects

Long-term residence in cities that average Moderate AQI is associated with measurably higher rates of asthma in children, accelerated lung function decline, and modestly higher cardiovascular mortality compared to Good-AQI cities. The effect is real but smaller than the difference between Moderate and Unhealthy. The biggest health upside from local advocacy in Moderate-AQI cities comes from preventing slippage into Unhealthy territory during pollution events.

How to Protect Your Health

A HEPA air cleaner sized to a bedroom or living area provides meaningful protection during the worst pollution windows — particularly during summer ozone peaks and wildfire smoke events. Sign up for AirNow.gov alerts at your specific zip code (city-level numbers can mask hotspots near freeways and industrial sources). For chronic respiratory conditions, talk to a pulmonologist about whether a daily controller medication makes sense given your exposure profile.

Why Some Cities End Up in the Moderate Range

Moderate AQI is the most common reading for U.S. metros and reflects the typical blend of vehicle exhaust, industrial emissions, and seasonal pollution events (summer ozone, winter wood smoke, occasional wildfire smoke). Cities cluster in the Moderate range when their underlying emissions are average for U.S. urban areas and their geography neither concentrates nor disperses pollution unusually well.

Among the 72 cities in the moderate range, the top concentration is in CA (20), TX (7), CO (4), OK (4), PA (3). The dominant pollutant across these cities is PM2.5 (50 cities), followed by Ozone (21), PM10 (1).

All Moderate AQI Cities

CityState5yr Avg AQIGradeTrendWorst Pollutant
Maricopa, ArizonaAZ90FWorseningOzone
Riverside, CaliforniaCA82DImprovingOzone
San Bernardino, CaliforniaCA82FImprovingOzone
BAJA CALIFORNIA NORTE, Country Of MexicoMX81FWorseningPM2.5
Kern, CaliforniaCA77DImprovingOzone
Los Angeles, CaliforniaCA75DImprovingPM2.5
Tulare, CaliforniaCA75DImprovingOzone
Fresno, CaliforniaCA68DImprovingOzone
San Diego, CaliforniaCA67DStablePM2.5
Pinal, ArizonaAZ66DImprovingPM10
Kings, CaliforniaCA64DImprovingOzone
Clark, NevadaNV62DStableOzone
Imperial, CaliforniaCA61DImprovingPM2.5
El Paso, TexasTX60DWorseningPM2.5
Bernalillo, New MexicoNM59DWorseningOzone
Harris, TexasTX59DWorseningPM2.5
Wayne, MichiganMI58CStablePM2.5
Marion, IndianaIN57CStablePM2.5
Cook, IllinoisIL57DStablePM2.5
Salt Lake, UtahUT57DWorseningOzone
Inyo, CaliforniaCA57FWorseningOzone
Stanislaus, CaliforniaCA57DImprovingPM2.5
Jefferson, AlabamaAL57CStablePM2.5
Allegheny, PennsylvaniaPA56CStablePM2.5
Madera, CaliforniaCA56CImprovingOzone
Cuyahoga, OhioOH56CWorseningPM2.5
Hamilton, OhioOH55CImprovingPM2.5
Lancaster, PennsylvaniaPA55CStablePM2.5
St. Louis City, MissouriMO55CStablePM2.5
Madison, IllinoisIL55CWorseningPM2.5
Bexar, TexasTX54CStablePM2.5
Placer, CaliforniaCA54DWorseningOzone
Dona Ana, New MexicoNM54DStableOzone
Merced, CaliforniaCA54CImprovingOzone
Missoula, MontanaMT54CImprovingPM2.5
Orange, CaliforniaCA54CImprovingPM2.5
Denver, ColoradoCO54CStablePM2.5
Jefferson, KentuckyKY54CStablePM2.5
Pima, ArizonaAZ53CWorseningOzone
Oklahoma, OklahomaOK53CWorseningPM2.5
Sacramento, CaliforniaCA53CImprovingOzone
Tarrant, TexasTX53DWorseningPM2.5
Chaffee, ColoradoCO53CWorseningOzone
Fulton, GeorgiaGA53CStablePM2.5
Henderson, KentuckyKY53DWorseningPM2.5
Lake, IndianaIN53CStablePM2.5
Weld, ColoradoCO53DWorseningOzone
Pulaski, ArkansasAR53CStablePM2.5
Hinds, MississippiMS53CStablePM2.5
Plumas, CaliforniaCA52DWorseningPM2.5
Sutter, CaliforniaCA52CImprovingPM2.5
Duval, FloridaFL52CWorseningPM2.5
Lee, North CarolinaNC52CStablePM2.5
Philadelphia, PennsylvaniaPA52CImprovingPM2.5
Calcasieu, LouisianaLA52CStablePM2.5
Scott, IowaIA52BImprovingPM2.5
Travis, TexasTX52CWorseningPM2.5
Butte, CaliforniaCA52CImprovingPM2.5
Cameron, TexasTX52CWorseningPM2.5
Davidson, TennesseeTN52CStablePM2.5
Lincoln, MontanaMT52CWorseningPM2.5
Cleveland, OklahomaOK51CWorseningPM2.5
Jackson, MissouriMO51CWorseningPM2.5
Ottawa, OklahomaOK51CWorseningPM2.5
San Luis Obispo, CaliforniaCA51CImprovingPM2.5
Tulsa, OklahomaOK51CStablePM2.5
Bowie, TexasTX51CStablePM2.5
Clinton, IowaIA51CImprovingPM2.5
Larimer, ColoradoCO51CStableOzone
Montgomery, OhioOH51CStablePM2.5
Uintah, UtahUT51DWorseningOzone
Will, IllinoisIL51CStablePM2.5

Frequently Asked Questions

An AQI between 51 and 100 falls into the EPA's "Moderate" category. Air quality is generally acceptable for the broad public, but pollutant concentrations are high enough that a small subset of unusually sensitive people — primarily those with severe respiratory conditions — can feel symptoms. The EPA flags Moderate days as worth watching, not as cause for general concern.

72 of 1,020 monitored US cities have a 5-year average AQI in the moderate range (51-100). That is 7.1% of the EPA-monitored cities tracked here.

Most outdoor activity is safe at Moderate AQI. Schools should run normal outdoor PE and recess. Healthy adults can train for races, bike to work, and exercise as planned. The main daily-life adjustment: people in the most-sensitive subgroups should avoid prolonged or intense outdoor exertion when AQI is in the upper end of the Moderate range (around 80-100).

Long-term residence in cities that average Moderate AQI is associated with measurably higher rates of asthma in children, accelerated lung function decline, and modestly higher cardiovascular mortality compared to Good-AQI cities. The effect is real but smaller than the difference between Moderate and Unhealthy. The biggest health upside from local advocacy in Moderate-AQI cities comes from preventing slippage into Unhealthy territory during pollution events.

A HEPA air cleaner sized to a bedroom or living area provides meaningful protection during the worst pollution windows — particularly during summer ozone peaks and wildfire smoke events. Sign up for AirNow.gov alerts at your specific zip code (city-level numbers can mask hotspots near freeways and industrial sources). For chronic respiratory conditions, talk to a pulmonologist about whether a daily controller medication makes sense given your exposure profile.

Moderate AQI is the most common reading for U.S. metros and reflects the typical blend of vehicle exhaust, industrial emissions, and seasonal pollution events (summer ozone, winter wood smoke, occasional wildfire smoke). Cities cluster in the Moderate range when their underlying emissions are average for U.S. urban areas and their geography neither concentrates nor disperses pollution unusually well.

Sources: EPA Air Quality System (AQS)
Last updated:

/methodology

Source: EPA Outdoor Air Quality Data, 2026.