In 2025, 239 US girls were named Alexia, making it the 1,040th most common girls’ name of the year, down 156 places from #884 in 2024. That is 66 fewer than the 305 girls named Alexia in 2024. Its best rank for girls was #128, reached in 2002. That year also had the most girls given the name: 2,691. For comparison, it was #319 in 2015 and #2,437 in 1950.
Social Security card records list Alexia in 93 years of the 146 from 1880 to 2025, starting in 1916 with 7 babies. In all, 46,236 US babies have been given the name, 99.9% of them girls and 0.1% boys. Its busiest decade was the 2000s, with 21,271 babies named Alexia.
Over the 10 years from 2016 to 2025, 4,619 US girls were named Alexia; the busiest of those years was 2016, with 868. In 2025 that was about 1 in 6,725 of the girls in SSA’s list for the year.
Among the states, Alexia ranked highest in Arizona in 2025, at #391 for girls there. It was not in the top 100 of any state. Related spellings in the SSA files include Alexa (131,835 babies since 1880), Alessia (10,179 babies since 1880), Alexi (5,976 babies since 1880) and Alexie (1,917 babies since 1880). Rarer spellings such as Alexei, Alexy and Alexey are summarised on this page.