The sugarcane aphid, Melanaphis sacchari (Zehntner), has emerged as a serious pest of sorghum in the United States. Field trials were conducted in Louisiana and South Carolina in 2016–2018 to investigate its population characteristics and distribution patterns in relation to four sample unit sizes (three circular and one leaf based). Sugarcane aphid populations usually progressed through a phase of rapid rise followed by a phase of rapid decline within a span of 5–6 wk, with peak density determined by sorghum cultivars and climatic conditions. Peak population densities for susceptible cultivars were 1.9–14.9× that for resistant cultivars on a per plant basis. Melanaphis sacchari tended to concentrate on the lower green leaf nodes early in the infestation, with the distribution shifting toward higher green leaf nodes as the infestation progressed. Aphid densities per cm² at the basal and middle sections were about twice as high as at the distal section of leaves. The proportions of infested sample units were fitted to the Wilson–Room binomial model that incorporates the effect of density on clumping pattern. For a specific sample unit size, clumping patterns were similar across cultivars, years, and leaf positions, but varied across infestation stages. For a fixed aphid density per sample unit, the proportion of infested sample units decreased with increasing sample unit size. For a fixed aphid density per cm², proportion infested increased with increasing sample unit size, indicating less clumping with a larger sample unit size. Field sampling time and efficiency between samplers were quantified.