State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report by State

Colon & Rectum, 2023

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Count

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 1 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• Rising when 95% confidence interval of average annual percent change is above 0.
• Stable when 95% confidence interval of average annual percent change includes 0.
• Falling when 95% confidence interval of average annual percent change is below 0.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

United States

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.7 with a 95% confidence interval from 12.6 to 12.8 and 53,779 average annual counts over 2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.4.

District of Columbia

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.6 with a 95% confidence interval from 9.1 to 14.5 and 79 average annual counts over 2023.
• CI*Rank ⋔ : 42 (6, 51)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -4.0 to -2.6.

Wyoming

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.2 with a 95% confidence interval from 10.6 to 16.2 and 98 average annual counts over 2023.
• CI*Rank ⋔ : 20 (2, 51)
• Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -1.0 to 13.8.

Alaska

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.6 with a 95% confidence interval from 12.7 to 19.1 and 109 average annual counts over 2023.
• CI*Rank ⋔ : 8 (1, 45)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.8.

Vermont

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.9 with a 95% confidence interval from 10.6 to 15.5 and 120 average annual counts over 2023.
• CI*Rank ⋔ : 24 (4, 51)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.6 to 3.7.

North Dakota

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.9 with a 95% confidence interval from 10.6 to 15.4 and 125 average annual counts over 2023.
• CI*Rank ⋔ : 25 (3, 51)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.0 to -1.8.

Rhode Island

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.8 with a 95% confidence interval from 9.2 to 12.6 and 168 average annual counts over 2023.
• CI*Rank ⋔ : 46 (18, 51)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.4 to -0.1.

South Dakota

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.0 with a 95% confidence interval from 12.8 to 17.5 and 175 average annual counts over 2023.
• CI*Rank ⋔ : 9 (1, 42)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.8 to 1.4.

Delaware

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.2 with a 95% confidence interval from 10.4 to 14.3 and 176 average annual counts over 2023.
• CI*Rank ⋔ : 34 (8, 51)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.1 to -1.9.

Montana

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.6 with a 95% confidence interval from 10.9 to 14.6 and 199 average annual counts over 2023.
• CI*Rank ⋔ : 27 (7, 50)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.7 to -1.2.

New Hampshire

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.7 with a 95% confidence interval from 9.3 to 12.4 and 210 average annual counts over 2023.
• CI*Rank ⋔ : 48 (20, 51)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -3.2 to 1.3.

Maine

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.7 with a 95% confidence interval from 10.2 to 13.3 and 247 average annual counts over 2023.
• CI*Rank ⋔ : 39 (14, 51)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.3 to 3.2.

Hawaii

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.4 with a 95% confidence interval from 10.8 to 14.1 and 255 average annual counts over 2023.
• CI*Rank ⋔ : 33 (9, 49)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.0.

Idaho

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.7 with a 95% confidence interval from 11.2 to 14.3 and 284 average annual counts over 2023.
• CI*Rank ⋔ : 26 (9, 48)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -0.8.

Nebraska

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.4 with a 95% confidence interval from 11.9 to 14.9 and 322 average annual counts over 2023.
• CI*Rank ⋔ : 17 (6, 44)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 2.6.

New Mexico

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.6 with a 95% confidence interval from 11.3 to 14.0 and 350 average annual counts over 2023.
• CI*Rank ⋔ : 30 (10, 48)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.1 to -1.5.

Utah

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.0 with a 95% confidence interval from 10.8 to 13.3 and 363 average annual counts over 2023.
• CI*Rank ⋔ : 36 (14, 50)
• Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -1.4 to 5.8.

West Virginia

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.5 with a 95% confidence interval from 14.9 to 18.2 and 421 average annual counts over 2023.
• CI*Rank ⋔ : 4 (1, 13)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.1.

Kansas

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.6 with a 95% confidence interval from 12.4 to 14.9 and 489 average annual counts over 2023.
• CI*Rank ⋔ : 15 (7, 39)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.6 to 1.5.

Connecticut

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.1 with a 95% confidence interval from 9.2 to 11.1 and 496 average annual counts over 2023.
• CI*Rank ⋔ : 50 (40, 51)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.3.

Iowa

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.9 with a 95% confidence interval from 11.8 to 14.0 and 546 average annual counts over 2023.
• CI*Rank ⋔ : 23 (10, 44)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.5 to -1.9.

Nevada

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.8 with a 95% confidence interval from 12.7 to 15.1 and 555 average annual counts over 2023.
• CI*Rank ⋔ : 14 (6, 35)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.6.

Arkansas

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.8 with a 95% confidence interval from 14.5 to 17.1 and 613 average annual counts over 2023.
• CI*Rank ⋔ : 6 (1, 15)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.7 to 3.5.

Oregon

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.8 with a 95% confidence interval from 10.9 to 12.8 and 648 average annual counts over 2023.
• CI*Rank ⋔ : 37 (19, 49)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.7.

Puerto Rico

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.1 with a 95% confidence interval from 11.1 to 13.2 and 648 average annual counts over 2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -6.0 to 4.9.

Mississippi

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.7 with a 95% confidence interval from 16.3 to 19.1 and 663 average annual counts over 2023.
• CI*Rank ⋔ : 1 (1, 8)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.3.

Colorado

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.7 with a 95% confidence interval from 10.0 to 11.6 and 727 average annual counts over 2023.
• CI*Rank ⋔ : 47 (35, 51)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.6.

Oklahoma

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 16.6 with a 95% confidence interval from 15.4 to 17.8 and 793 average annual counts over 2023.
• CI*Rank ⋔ : 3 (1, 11)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.0 to 0.8.

Minnesota

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.4 with a 95% confidence interval from 10.6 to 12.2 and 827 average annual counts over 2023.
• CI*Rank ⋔ : 45 (25, 50)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -2.4 to 0.1.

Massachusetts

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 9.7 with a 95% confidence interval from 9.0 to 10.3 and 887 average annual counts over 2023.
• CI*Rank ⋔ : 51 (46, 51)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.4 to -1.5.

Louisiana

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.8 with a 95% confidence interval from 14.8 to 16.9 and 890 average annual counts over 2023.
• CI*Rank ⋔ : 5 (2, 13)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -2.1 to 0.4.

South Carolina

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.4 with a 95% confidence interval from 11.6 to 13.3 and 891 average annual counts over 2023.
• CI*Rank ⋔ : 32 (15, 45)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.0 to -0.2.

Wisconsin

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.7 with a 95% confidence interval from 10.9 to 12.5 and 900 average annual counts over 2023.
• CI*Rank ⋔ : 40 (23, 48)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.2 to -1.3.

Maryland

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.5 with a 95% confidence interval from 10.8 to 12.3 and 908 average annual counts over 2023.
• CI*Rank ⋔ : 44 (25, 49)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -6.3 to -1.4.

Alabama

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.7 with a 95% confidence interval from 13.8 to 15.7 and 971 average annual counts over 2023.
• CI*Rank ⋔ : 11 (4, 21)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.8 to -1.2.

Kentucky

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 17.5 with a 95% confidence interval from 16.4 to 18.6 and 997 average annual counts over 2023.
• CI*Rank ⋔ : 2 (1, 7)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.0 to 2.1.

Washington

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.8 with a 95% confidence interval from 11.1 to 12.6 and 1,089 average annual counts over 2023.
• CI*Rank ⋔ : 38 (23, 47)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 2.6.

Missouri

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.0 with a 95% confidence interval from 13.2 to 14.9 and 1,138 average annual counts over 2023.
• CI*Rank ⋔ : 12 (7, 27)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.1 to 3.4.

Arizona

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.5 with a 95% confidence interval from 11.8 to 13.2 and 1,238 average annual counts over 2023.
• CI*Rank ⋔ : 31 (16, 43)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.2.

Indiana

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.9 with a 95% confidence interval from 14.0 to 15.7 and 1,261 average annual counts over 2023.
• CI*Rank ⋔ : 10 (4, 18)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.

Tennessee

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 15.7 with a 95% confidence interval from 14.9 to 16.6 and 1,384 average annual counts over 2023.
• CI*Rank ⋔ : 7 (2, 12)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.1 to 2.7.

New Jersey

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.6 with a 95% confidence interval from 10.9 to 12.2 and 1,400 average annual counts over 2023.
• CI*Rank ⋔ : 43 (28, 48)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.2 to -1.2.

Virginia

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.5 with a 95% confidence interval from 12.8 to 14.2 and 1,453 average annual counts over 2023.
• CI*Rank ⋔ : 16 (10, 31)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.

Georgia

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.2 with a 95% confidence interval from 12.6 to 13.9 and 1,649 average annual counts over 2023.
• CI*Rank ⋔ : 19 (12, 33)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -1.7 to 0.0.

North Carolina

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.6 with a 95% confidence interval from 12.0 to 13.2 and 1,709 average annual counts over 2023.
• CI*Rank ⋔ : 29 (16, 40)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.1.

Michigan

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.9 with a 95% confidence interval from 12.3 to 13.6 and 1,718 average annual counts over 2023.
• CI*Rank ⋔ : 22 (14, 37)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.7.

Illinois

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.6 with a 95% confidence interval from 12.1 to 13.2 and 2,035 average annual counts over 2023.
• CI*Rank ⋔ : 28 (16, 39)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.3 to -0.6.

Ohio

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.3 with a 95% confidence interval from 12.7 to 13.9 and 2,046 average annual counts over 2023.
• CI*Rank ⋔ : 18 (11, 31)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.2 to -0.8.

Pennsylvania

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 13.0 with a 95% confidence interval from 12.5 to 13.6 and 2,373 average annual counts over 2023.
• CI*Rank ⋔ : 21 (14, 34)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.3 to -0.5.

New York

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 10.6 with a 95% confidence interval from 10.2 to 11.0 and 2,771 average annual counts over 2023.
• CI*Rank ⋔ : 49 (43, 51)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.1 to -2.5.

Florida

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 12.2 with a 95% confidence interval from 11.8 to 12.5 and 4,163 average annual counts over 2023.
• CI*Rank ⋔ : 35 (25, 42)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -1.9 to 0.0.

Texas

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 14.0 with a 95% confidence interval from 13.6 to 14.4 and 4,398 average annual counts over 2023.
• CI*Rank ⋔ : 13 (9, 21)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.2.

California

• Met Healthy People Objective of 8.9? : No
• Rate : The death rate is 11.7 with a 95% confidence interval from 11.3 to 12.0 and 5,452 average annual counts over 2023.
• CI*Rank ⋔ : 41 (32, 46)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.5 to -1.0.

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 4:54 pm.

State Cancer Registries may provide more current or more local data.



† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal.

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

Data for United States does not include Puerto Rico.

CI*Rank data for Puerto Rico is not available.