In order to obtain the change law of the fatigue reliability of cement concrete for highway pavement under high stress ratios, first, the probability densities of monotonic random variables including concrete fatigue life are deduced. And then, the fatigue damage probability densities of the Miner and Chaboche-Zhao models are deduced. By virtue of laboratory fatigue test results, the fatigue damage probability density functions of the two models can be obtained, considering different stress ratios. Finally, substituting load cycles into them, the change law of cement concrete fatigue reliability about load cycles can be acquired. The results show that under the same stress ratio, with the increase in the load cycle, the fatigue reliability declines from almost 100% to 0% gradually. No matter under what stress ratio, during the initial stage of the load action, there is always a relatively stable phase for fatigue reliability. With the increase in the stress ratio, the stable phase gradually shortens and the load cycle corresponding to the reliability of 0% also decreases. In the descent phase of reliability, the higher the stress ratio is, the lower the concrete reliability is for the same load cycle. Besides, compared with the Chaboche-Zhao fatigue damage model, the Miner fatigue damage model is safer.