Rarest blood type

AB negative is the rarest of the eight main blood types; O positive is the most common. Here is the full rarity chart.

Blood type rarity chartUS %
  1. 10.6%
  2. 21.5%
  3. 33.4%
  4. 46.3%
  5. 56.6%
  6. 68.5%
  7. 735.7%
  8. 837.4%

Ranked rarest first. Source: Stanford Blood Center / American Red Cross.

Why AB negative is so rare

AB negative needs three less-common things at once: an A allele from one parent, a B allele from the other, and an Rh-negative allele from both. Multiply those odds together and you land under 1%.

But rare doesn’t always mean in short supply. AB negative patients can receive any Rh-negative red cells (O−, A−, B−, AB−), so they have more options than O negative patients, who can receive only O negative.

The most common blood type

O positive leads at about 37%, with A positive close behind at about 36%. Together they cover nearly three in four Americans.

Rarer than any of the eight

  • Rh-null (golden blood): no Rh antigens at all. Around 50 people reported worldwide.
  • Bombay phenotype (hh): lacks the H antigen that A and B are built on. About 1 in 10,000 people in India, around 1 in a million in Europe.
  • Other rare types lacking high-frequency antigens (for example U-negative, Vel-negative or Duffy-null in some combinations) that need donors from rare donor registries.

Blood type percentages by ancestry (US)

TypeWhiteBlackHispanicAsianAll US
O positive37%47%53%39%37.4%
O negative8%4%4%1%6.6%
A positive33%24%29%27%35.7%
A negative7%2%2%0.5%6.3%
B positive9%18%9%25%8.5%
B negative2%1%1%0.4%1.5%
AB positive3%4%2%7%3.4%
AB negative1%0.3%0.2%0.1%0.6%

American Red Cross figures, rounded; columns may not total 100%.

Frequently asked questions

What is the rarest blood type?

AB negative is the rarest of the eight standard types, at about 0.6% of the US population. The rarest blood known overall is Rh-null (“golden blood”), with around 50 people reported worldwide.

What is the most common blood type?

O positive, at about 37% of Americans. It is also the most common type globally.

What is the second rarest blood type?

B negative, at about 1.5% of Americans.

Is O negative rare?

Moderately: about 1 in 15 Americans. It is in high demand because it is the universal red cell donor type, which makes it feel scarcer than it is.

Does rarity change by country?

Yes, a lot. Rh-negative blood is uncommon across most of East Asia (well under 1% in China, Japan and Korea) but around 15% in much of Europe. Type B is far more common in South and Central Asia than in Western Europe.