Walk to Wal-Mart (park off site to avoid video surveillance linking you to a vehicle) while wearing a hoodie and sunglasses, buy a pay-as-you-go SIM and pay cash with well-circulated, low denomination bills.
Wait 60 days and then go to a flea market in another town and buy a phone with the stipulation that it has to work with your SIM card first. Pay cash after proving it works. Bonus points if you take a borrowed car or catch a ride to the flea market.
Immediately disable Bluetooth and WiFi. Make sure your fingerprints are not on the SIM or inside the phone; anyone can pick up a phone and leave a print but a print INSIDE is hard to deny. Activate encryption on the device and use a very strong screen lock pass phrase.
Do not travel with the phone turned on: plenty of major roads & intersections in the US have cameras, and a cell phone signal trace can be used to put you in a location & time matched against a camera. Do not turn on the phone in your house. Do not turn on that phone if you have another phone active with you, or in a vehicle with an "On Star" service.
Do I do all this? Fuck no, I'm not that paranoid and know my rights in a country that mostly respects those rights. However, I've met people to whom these actions save their very lives from oppressive governments seeking to kill them for their ancestry, religion, or political views. Spend time talking with someone who survived the Stasi in Germany, or the purge in Armenia, or modern day North Korea, Syria, or Egypt and you'll begin to understand.
Did you know that house phones in Scandinavia used to have a meter to track only usage? They did this so there was no record of who/when/duration of your calls, only the time used and this was directly related to political persecution.
Anyway, following the above nets you a phone & service that you can drop in a trash can without a second thought. At worst you're out less than $200 and peace of mind is cheap.