Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by Rate
County
|
2023 Rural-Urban Continuum Codes Φ
|
Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval) 
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|
| Gates County 2 | Urban | 255.5 (206.5, 314.3) | 100 (96, 100) | 22 |
stable 
|
-2.0 (-5.5, 1.3) |
| Currituck County 2 | Urban | 283.3 (248.2, 322.3) | 99 (96, 100) | 53 |
stable
|
-1.4 (-3.1, 0.3) |
| Camden County 2 | Urban | 317.7 (257.9, 388.1) | 98 (71, 100) | 21 |
stable
|
-1.6 (-3.8, 0.7) |
| Pasquotank County 2 | Rural | 364.3 (331.3, 399.9) | 97 (76, 98) | 99 |
falling 
|
-5.4 (-12.7, -1.0) |
| Alleghany County 2 | Rural | 364.8 (308.6, 430.5) | 96 (25, 99) | 37 |
stable
|
0.1 (-1.4, 1.5) |
| Perquimans County 2 | Rural | 374.5 (319.1, 437.9) | 95 (13, 99) | 42 |
stable
|
-0.3 (-2.5, 1.8) |
| Transylvania County 2 | Rural | 392.8 (358.8, 429.8) | 94 (43, 98) | 129 |
stable
|
0.5 (-0.7, 1.7) |
| Clay County 2 | Rural | 395.2 (335.0, 465.3) | 93 (5, 99) | 43 |
stable
|
-9.6 (-22.5, 3.0) |
| Hyde County 2 | Rural | 397.0 (300.0, 520.7) | 92 (1, 100) | 15 |
stable
|
0.1 (-3.8, 3.8) |
| Avery County 2 | Rural | 398.3 (346.7, 456.4) | 91 (10, 98) | 51 |
stable
|
1.1 (0.0, 2.2) |
| Jackson County 2 | Rural | 400.9 (365.6, 438.8) | 90 (34, 98) | 112 |
stable
|
-0.5 (-7.1, 0.9) |
| Catawba County 2 | Urban | 401.8 (384.5, 419.8) | 89 (67, 96) | 441 |
falling
|
-1.8 (-5.4, -0.3) |
| Dare County 2 | Rural | 403.0 (367.9, 440.9) | 88 (27, 97) | 117 |
stable
|
0.0 (-1.0, 1.1) |
| Nash County 2 | Urban | 404.5 (382.1, 428.0) | 87 (52, 96) | 270 |
stable
|
-0.2 (-1.0, 0.5) |
| Edgecombe County 2 | Urban | 405.6 (375.3, 437.9) | 86 (35, 97) | 153 |
stable
|
0.2 (-1.0, 1.3) |
| Northampton County 2 | Rural | 409.5 (360.8, 464.1) | 85 (7, 98) | 69 |
stable
|
1.0 (-0.5, 2.6) |
| Polk County 2 | Rural | 410.4 (360.6, 466.0) | 84 (6, 98) | 75 |
stable
|
0.5 (-1.9, 2.8) |
| Alexander County 2 | Urban | 410.4 (374.3, 449.4) | 83 (20, 97) | 107 |
stable
|
-5.7 (-14.3, 0.0) |
| Wilson County 2 | Rural | 411.0 (386.6, 436.5) | 82 (39, 95) | 233 |
stable
|
0.1 (-0.7, 0.9) |
| Watauga County 2 | Rural | 412.5 (378.4, 449.1) | 81 (22, 96) | 124 |
stable
|
-0.2 (-1.3, 0.9) |
| Ashe County 2 | Rural | 412.7 (371.3, 458.0) | 80 (12, 97) | 91 |
stable
|
0.8 (-0.1, 1.7) |
| Warren County 2 | Rural | 413.9 (364.5, 469.1) | 79 (4, 98) | 66 |
stable
|
0.4 (-0.6, 1.4) |
| Hertford County 2 | Rural | 418.2 (371.0, 470.5) | 78 (6, 97) | 68 |
stable
|
0.4 (-1.1, 1.9) |
| Montgomery County 2 | Rural | 425.1 (382.5, 471.7) | 77 (5, 97) | 83 |
stable
|
0.7 (-0.4, 1.9) |
| Yadkin County 2 | Urban | 425.5 (390.0, 463.8) | 76 (10, 95) | 120 |
stable
|
0.9 (-0.4, 2.2) |
| Lee County 2 | Rural | 427.1 (398.2, 457.6) | 75 (17, 94) | 175 |
stable
|
-0.2 (-1.1, 0.8) |
| Macon County 2 | Rural | 427.3 (392.7, 464.6) | 74 (10, 95) | 145 |
stable
|
0.4 (-0.7, 1.6) |
| Chowan County 2 | Rural | 429.9 (372.0, 495.3) | 73 (1, 98) | 50 |
stable
|
0.8 (-0.6, 2.1) |
| Wilkes County 2 | Rural | 430.1 (402.8, 458.9) | 72 (20, 93) | 216 |
stable
|
0.6 (-0.1, 1.3) |
| Mecklenburg County 2 | Urban | 430.2 (422.6, 437.8) | 71 (53, 82) | 2,553 |
stable
|
-1.6 (-2.8, 0.1) |
| Beaufort County 2 | Rural | 431.2 (398.5, 466.1) | 70 (10, 94) | 157 |
falling
|
-0.5 (-1.8, -0.1) |
| Hoke County 2 | Urban | 431.2 (395.1, 469.8) | 69 (9, 95) | 113 |
stable
|
0.7 (-0.5, 2.2) |
| Durham County 2 | Urban | 435.0 (421.5, 448.9) | 68 (35, 83) | 822 |
falling
|
-1.8 (-3.8, -0.7) |
| Chatham County 2 | Urban | 435.4 (410.8, 461.3) | 67 (14, 91) | 280 |
stable
|
0.7 (-0.1, 1.5) |
| Graham County 2 | Rural | 436.1 (361.4, 523.8) | 66 (1, 98) | 28 |
stable
|
0.6 (-13.1, 4.3) |
| Forsyth County 2 | Urban | 437.3 (425.5, 449.5) | 65 (34, 80) | 1,101 |
stable
|
0.1 (-0.4, 0.6) |
| Orange County 2 | Urban | 438.4 (418.3, 459.2) | 64 (18, 86) | 381 |
stable
|
0.2 (-0.4, 0.9) |
| Cabarrus County 2 | Urban | 439.9 (423.7, 456.6) | 63 (24, 82) | 569 |
stable
|
-0.6 (-1.7, 0.0) |
| Pamlico County 2 | Rural | 440.0 (375.0, 514.9) | 62 (1, 97) | 47 |
stable
|
0.7 (-0.8, 2.2) |
| Greene County 2 | Rural | 440.4 (386.3, 500.5) | 61 (1, 97) | 55 |
stable
|
0.5 (-1.4, 2.4) |
| Buncombe County 2 | Urban | 440.8 (427.1, 454.9) | 60 (26, 80) | 874 |
stable
|
0.2 (-0.2, 0.6) |
| Cumberland County 2 | Urban | 441.4 (427.6, 455.6) | 59 (25, 81) | 800 |
stable
|
0.1 (-2.2, 0.7) |
| Wake County 2 | Urban | 441.7 (434.2, 449.3) | 58 (37, 73) | 2,732 |
stable
|
-1.5 (-3.0, 0.1) |
| Iredell County 2 | Urban | 441.8 (424.6, 459.5) | 57 (21, 82) | 529 |
stable
|
-0.5 (-2.0, 0.3) |
| Duplin County 2 | Rural | 442.3 (409.3, 477.3) | 56 (6, 92) | 150 |
rising 
|
1.5 (0.4, 2.6) |
| Caswell County 2 | Rural | 443.1 (394.4, 496.6) | 55 (2, 96) | 75 |
stable
|
0.3 (-0.7, 1.2) |
| Burke County 2 | Urban | 443.3 (419.5, 468.3) | 54 (13, 85) | 294 |
stable
|
0.3 (-0.4, 1.1) |
| Guilford County 2 | Urban | 444.8 (434.5, 455.2) | 53 (30, 73) | 1,505 |
stable
|
-0.3 (-2.2, 0.3) |
| Halifax County 2 | Rural | 445.0 (412.7, 479.4) | 52 (5, 91) | 167 |
falling
|
-5.3 (-9.4, -0.2) |
| Madison County 2 | Urban | 445.1 (397.2, 497.7) | 51 (1, 95) | 73 |
stable
|
0.6 (-0.7, 2.0) |
| Pitt County 2 | Urban | 445.6 (426.7, 465.3) | 50 (15, 82) | 439 |
stable
|
0.5 (0.0, 0.9) |
| Franklin County 2 | Urban | 445.9 (417.8, 475.5) | 49 (8, 88) | 205 |
rising
|
0.9 (0.2, 1.6) |
| Columbus County 2 | Rural | 445.9 (414.3, 479.5) | 48 (6, 89) | 167 |
rising
|
1.1 (0.1, 2.2) |
| Bladen County 2 | Rural | 446.2 (405.6, 490.1) | 47 (2, 93) | 105 |
rising
|
1.4 (0.1, 2.7) |
| Lincoln County 2 | Urban | 447.0 (422.4, 472.7) | 46 (8, 86) | 271 |
stable
|
0.6 (0.0, 1.3) |
| Cherokee County 2 | Rural | 447.1 (406.0, 491.9) | 45 (2, 94) | 118 |
stable
|
0.4 (-0.4, 1.0) |
| Robeson County 2 | Rural | 448.4 (426.2, 471.6) | 44 (10, 82) | 326 |
stable
|
-2.8 (-7.5, 1.3) |
| Craven County 2 | Rural | 450.8 (427.3, 475.4) | 43 (7, 81) | 317 |
stable
|
0.0 (-0.7, 0.6) |
| Harnett County 2 | Rural | 452.0 (430.3, 474.6) | 42 (8, 79) | 336 |
rising
|
0.7 (0.1, 1.3) |
| Jones County 2 | Rural | 452.3 (378.9, 537.3) | 41 (1, 98) | 34 |
stable
|
1.4 (-0.3, 3.1) |
| Carteret County 2 | Rural | 452.5 (425.6, 480.9) | 40 (6, 84) | 264 |
stable
|
0.3 (-0.4, 1.0) |
| Bertie County 2 | Rural | 454.1 (399.3, 515.2) | 39 (1, 96) | 63 |
stable
|
0.6 (-0.8, 2.0) |
| Moore County 2 | Urban | 455.2 (432.6, 478.7) | 38 (7, 78) | 362 |
stable
|
0.3 (-0.4, 1.0) |
| Yancey County 2 | Rural | 456.5 (405.8, 512.6) | 37 (1, 95) | 73 |
stable
|
0.8 (-0.3, 1.9) |
| Stokes County 2 | Urban | 457.4 (424.5, 492.4) | 36 (3, 86) | 165 |
stable
|
0.7 (0.0, 1.5) |
| Union County 2 | Urban | 457.4 (441.2, 474.0) | 35 (11, 70) | 623 |
rising
|
0.9 (0.5, 1.4) |
| New Hanover County 2 | Urban | 457.6 (442.1, 473.6) | 34 (11, 69) | 717 |
stable
|
0.4 (-0.1, 0.9) |
| Rowan County 2 | Urban | 459.1 (439.5, 479.3) | 33 (8, 74) | 452 |
stable
|
-0.5 (-1.4, 0.2) |
| Henderson County 2 | Urban | 460.7 (440.4, 481.8) | 32 (8, 73) | 465 |
rising
|
0.6 (0.2, 1.0) |
| Davie County 2 | Urban | 462.5 (427.8, 499.5) | 31 (2, 86) | 150 |
stable
|
-1.0 (-5.3, 0.9) |
| Davidson County 2 | Urban | 462.6 (444.6, 481.1) | 30 (8, 67) | 547 |
stable
|
-0.8 (-3.9, 0.8) |
| Rutherford County 2 | Rural | 462.8 (434.8, 492.4) | 29 (3, 79) | 233 |
stable
|
0.7 (0.0, 1.3) |
| Randolph County 2 | Urban | 463.2 (443.6, 483.6) | 28 (6, 69) | 453 |
stable
|
0.2 (-1.6, 0.8) |
| Rockingham County 2 | Urban | 463.4 (440.0, 488.0) | 27 (4, 74) | 330 |
stable
|
0.5 (0.0, 1.0) |
| Mitchell County 2 | Rural | 465.4 (406.2, 531.9) | 26 (1, 95) | 56 |
rising
|
1.5 (0.5, 2.6) |
| Gaston County 2 | Urban | 465.8 (450.1, 481.9) | 25 (7, 60) | 704 |
rising
|
0.7 (0.3, 1.1) |
| Alamance County 2 | Urban | 469.1 (451.0, 487.7) | 24 (5, 58) | 540 |
stable
|
-1.9 (-4.2, 0.7) |
| Brunswick County 2 | Urban | 470.1 (450.7, 490.4) | 23 (4, 63) | 637 |
rising
|
1.0 (0.4, 1.7) |
| Washington County 2 | Rural | 470.3 (403.2, 546.7) | 22 (1, 96) | 44 |
stable
|
1.4 (-0.4, 3.2) |
| Haywood County 2 | Rural | 472.9 (444.3, 503.1) | 21 (2, 72) | 247 |
rising
|
1.0 (0.3, 1.9) |
| Pender County 2 | Urban | 472.9 (442.2, 505.4) | 20 (1, 76) | 192 |
stable
|
0.7 (-0.3, 1.9) |
| Person County 2 | Urban | 473.4 (436.6, 512.6) | 19 (1, 81) | 139 |
stable
|
-2.1 (-6.1, 0.9) |
| Cleveland County 2 | Rural | 474.3 (450.6, 499.0) | 18 (2, 67) | 331 |
rising
|
1.6 (1.0, 2.3) |
| Surry County 2 | Rural | 474.4 (447.5, 502.6) | 17 (2, 67) | 258 |
rising
|
1.1 (0.5, 1.7) |
| Lenoir County 2 | Rural | 475.2 (443.9, 508.4) | 16 (1, 75) | 198 |
stable
|
-0.2 (-3.4, 0.6) |
| Caldwell County 2 | Urban | 476.7 (450.8, 503.8) | 15 (2, 63) | 285 |
rising
|
1.2 (0.5, 2.1) |
| Scotland County 2 | Rural | 477.3 (436.0, 521.7) | 14 (1, 85) | 110 |
stable
|
0.7 (-0.4, 1.7) |
| McDowell County 2 | Rural | 480.4 (445.4, 517.7) | 13 (1, 76) | 160 |
rising
|
0.9 (0.1, 1.8) |
| Johnston County 2 | Urban | 480.9 (463.5, 498.7) | 12 (3, 46) | 607 |
rising
|
1.8 (1.2, 4.0) |
| Wayne County 2 | Urban | 481.2 (458.3, 505.0) | 11 (1, 55) | 359 |
rising
|
1.6 (1.0, 2.2) |
| Vance County 2 | Rural | 481.5 (445.6, 519.7) | 10 (1, 77) | 149 |
rising
|
1.6 (1.2, 2.1) |
| Granville County 2 | Rural | 482.6 (451.4, 515.5) | 9 (1, 70) | 194 |
stable
|
-3.4 (-7.9, 1.5) |
| Stanly County 2 | Rural | 483.1 (452.4, 515.4) | 8 (1, 67) | 204 |
stable
|
0.9 (-0.2, 2.0) |
| Anson County 2 | Urban | 484.6 (433.3, 540.7) | 7 (1, 89) | 75 |
rising
|
2.6 (0.8, 4.5) |
| Sampson County 2 | Rural | 495.5 (463.0, 529.8) | 6 (1, 56) | 191 |
rising
|
1.7 (0.9, 2.6) |
| Swain County 2 | Rural | 500.9 (438.5, 570.3) | 5 (1, 86) | 52 |
stable
|
0.3 (-1.2, 1.9) |
| Onslow County 2 | Urban | 504.0 (482.1, 526.5) | 4 (1, 27) | 421 |
falling
|
-4.2 (-7.3, -0.4) |
| Tyrrell County 2 | Rural | 510.7 (382.9, 672.4) | 3 (1, 98) | 13 |
stable
|
2.6 (-1.1, 6.8) |
| Martin County 2 | Rural | 514.1 (464.2, 568.5) | 2 (1, 67) | 95 |
stable
|
1.3 (0.0, 2.7) |
| Richmond County 2 | Rural | 520.1 (482.5, 560.0) | 1 (1, 38) | 154 |
rising
|
1.1 (0.2, 2.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 12:51 am.
State Cancer Registries may provide more current or more local data.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.
⋔ 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. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.
Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.
Source: SEER and NPCR data. For more specific information please see the table.
Data for United States does not include Puerto Rico.