I know of a carrier current station that's not in a college town, however. There's one
on 1610 AM at Carrabelle, Fla., a small coastal town. The signal covers the whole town.
I believe he's running about 5 watts.
To nitpick a little, that's not carrier-current. You can legally run a maximum of 100 milliwatts AM into a radiating element (i.e. a whip antenna) of less than 3 meters. That's the max. As you might imagine, even at higher AM frequencies, that's a horribly inefficient radiator and thus the signal is going to be very weak. You can synchronize several of these transmitters together, though...and if you have an excellent ground (like a billboard support frame, for example) that can boost the signal, legally, to a point where it's enough to cover a small town...if your listeners have good radios and are outdoors. "WLOY" at Loyola University (Baltimore) uses these systems and tricks to great effect.
Carrier-current couples the RF output to the AC wiring of a building directly. Typically those units transmit about 20 watts but because the building wiring is the antenna, the signal only goes perhaps 25-50ft, tops. It is literally a building-by-building transmission system, and only really useful on college campuses when you have large, central dorms.
OTOH, more than a few pirates have taken a carrier-current AM transmitter and used an ATU coupled to a TIS-style antenna to make a fine pirate radio station. 20 watts into a TIS antenna (which will fit nicely in a back yard or on the roof of a flat building) will easily cover a 2-3 mile diameter area, even in urban areas.
FWIW, there are some carrier-current AM stations out there still. Some also have radiating-cable FM systems as well. I think WTBU at Boston University and WBTY at Bentley College, as well as WECB at Emerson College. But I can't think of any NEW stations that do carrier-current...not since webcasting became an option 10 years ago. And those stations that DO still have the systems have largely forgotten about them; they run simply because they've always been there, not because anyone's paying attention to them...mostly those stations rely on a webcast to reach listeners.