Urbanization is a comprehensive process of mutual influence among the population, economy, society and living environment, and it depends on the synergy of a series of factors. This paper uses the statistical data of 76 counties in Xinjiang from 1996 to 2018 to construct a comprehensive urbanization evaluation system. Based on the entropy method, comprehensive evaluation model and coupling coordination model, from the scales of time and space, this paper discusses the current situation of the coordinated development of population, economy, society and living environment factors in counties in Xinjiang in the process of urbanization. Local spatial autocorrelation analysis is used to further study the spatial agglomeration effect of the coupling and coordination of urbanization development in the counties. The results show the following: (1) The comprehensive urbanization level of 76 counties in Xinjiang has the characteristics of "center-periphery" development, and high-level counties are clustered on the northern slopes of the Tian Mountains. (2) Most counties are in a serious state of imbalance; notably, the degree of population-economy-society-living environment coupling and coordination in the border counties and towns is in an unsatisfactory state. (3) The county-level cities in Northern Xinjiang belong to the diffusion and spillover areas, the county-level cities in southern Xinjiang belong to the polarization benefit areas, and most other counties are in the state of no spillover effect.