I found the answer here:
https://en.wikipedia.org/wiki/Atomic_clock#Accuracy
It turns out that the current state of the art is 10^-15. Which immediately raises the second question: how do they measure this? 10^-15 is an error of roughly a nanosecond a year. GR causes that kind of time difference between your head and your feet when you stand up.
https://www.nist.gov/news-events/news/2010/09/nist-clock-exp...
I haven't done the math, but I'm guessing that just standing next to a 10^-15 clock would have noticeable effects due to the effects of your gravitational field.
Also: why does thorium-229 in particular have such a low-energy atomic transition? That seems kind of random.
Mind-boggling stuff.