You still have to be in a 4G coverage zone. I guess we're getting into the definition of "rural." Where I live I have no coverage from any carrier.
One example, Steele ND and the surrounding area is served by a small rural telephone company that is laying a lot of fibre (I'm hoping they head North). A 200M plan (no cap) for $45 a month. This is being repeated quite a lot in rural areas with rural cooperatives.