Interpretation of Incidence Rates Data
Incidence Rate Report for Washington by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by Name
Explanation of Column HeadersIncidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.
Recent Trends - This is an interpretation of the AAPC/APC:
- Rising when 95% confidence interval of AAPC/APC is above 0.
- Stable when 95% confidence interval of AAPC/APC includes 0.
- Falling when 95% confidence interval of AAPC/APC is below 0.
AAPC/APC (95% Confidence Interval) - the change in rate over time
- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.
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
Washington1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 428.6 with a 95% confidence interval from 425.9 to 431.4 and 19,893 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.4 to -0.1.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 424.8 with a 95% confidence interval from 424.4 to 425.2 and 891,437 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 309.0 with a 95% confidence interval from 259.0 to 365.6 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (22, 39)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.2.
Asotin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 319.0 with a 95% confidence interval from 278.2 to 364.7 and 53 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (23, 39)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.7 to 0.0.
Benton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 409.1 with a 95% confidence interval from 392.6 to 426.2 and 487 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (13, 24)
- Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -7.0 to -0.4.
Chelan County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 435.2 with a 95% confidence interval from 409.4 to 462.4 and 238 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (3, 21)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.4 to 1.1.
Clallam County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 453.8 with a 95% confidence interval from 428.4 to 480.5 and 328 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 18)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.1 to 0.5.
Clark County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 380.4 with a 95% confidence interval from 370.5 to 390.6 and 1,176 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (20, 30)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.
Columbia County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 350.1 with a 95% confidence interval from 253.1 to 476.5 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (1, 39)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -3.9 to 2.0.
Cowlitz County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 381.2 with a 95% confidence interval from 360.8 to 402.5 and 290 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (17, 33)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.
Douglas County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 460.6 with a 95% confidence interval from 423.2 to 500.5 and 122 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 20)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.2 to 2.0.
Ferry County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 298.7 with a 95% confidence interval from 233.8 to 379.5 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (19, 39)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.5 to 1.0.
Franklin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 381.7 with a 95% confidence interval from 354.7 to 410.2 and 154 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (16, 34)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.
Garfield County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 409.7 with a 95% confidence interval from 266.1 to 607.8 and 7 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (1, 39)
- Recent Trend :
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 371.8 with a 95% confidence interval from 348.2 to 396.5 and 195 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (18, 34)
- Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -4.8 to -1.0.
Grays Harbor County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 459.5 with a 95% confidence interval from 432.9 to 487.4 and 263 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 17)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.3.
Island County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 463.3 with a 95% confidence interval from 438.1 to 489.7 and 319 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 16)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.3.
Jefferson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 413.4 with a 95% confidence interval from 376.5 to 453.9 and 149 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (4, 30)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.0 to -0.1.
King County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 432.8 with a 95% confidence interval from 427.5 to 438.0 and 5,429 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (10, 18)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to -0.1.
Kitsap County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 448.5 with a 95% confidence interval from 434.1 to 463.3 and 815 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (4, 16)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.1 to 0.3.
Kittitas County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 340.1 with a 95% confidence interval from 308.2 to 374.6 and 91 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (22, 38)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.6.
Klickitat County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 353.9 with a 95% confidence interval from 312.3 to 400.1 and 63 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (17, 38)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.0 to 2.3.
Lewis County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 410.6 with a 95% confidence interval from 386.3 to 436.2 and 242 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (10, 27)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.3.
Lincoln County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 349.9 with a 95% confidence interval from 290.7 to 419.0 and 30 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (11, 39)
- Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -10.2 to -0.9.
Mason County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 472.3 with a 95% confidence interval from 443.4 to 502.7 and 239 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 15)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.
Okanogan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 435.9 with a 95% confidence interval from 400.3 to 474.0 and 130 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 24)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.4 to 2.1.
Pacific County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 388.9 with a 95% confidence interval from 348.5 to 433.8 and 91 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (9, 35)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.7.
Pend Oreille County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 360.6 with a 95% confidence interval from 305.6 to 424.0 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (9, 39)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -3.8 to 2.0.
Pierce County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 469.2 with a 95% confidence interval from 460.8 to 477.8 and 2,462 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 10)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from 0.1 to 0.5.
San Juan County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 436.9 with a 95% confidence interval from 385.6 to 494.5 and 75 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 30)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.9.
Skagit County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 452.0 with a 95% confidence interval from 431.5 to 473.3 and 419 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 17)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.2 to 0.3.
Skamania County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 350.2 with a 95% confidence interval from 292.3 to 417.6 and 31 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (11, 39)
- Recent Trend : The trend is because the trend is -10.9 with a 95% confidence interval from -27.5 to 0.1.
Snohomish County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 472.5 with a 95% confidence interval from 463.6 to 481.5 and 2,258 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 9)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.2 to 0.3.
Spokane County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 375.4 with a 95% confidence interval from 365.9 to 385.2 and 1,260 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (21, 32)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.
Stevens County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 344.9 with a 95% confidence interval from 315.2 to 376.8 and 122 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (22, 38)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.3.
Thurston County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 473.8 with a 95% confidence interval from 459.7 to 488.3 and 923 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 10)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from 0.1 to 0.5.
Wahkiakum County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 396.9 with a 95% confidence interval from 291.9 to 531.6 and 14 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (1, 39)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -0.3 to 3.7.
Walla Walla County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 366.1 with a 95% confidence interval from 337.8 to 396.2 and 143 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (18, 36)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.1.
Whatcom County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 436.0 with a 95% confidence interval from 420.2 to 452.3 and 628 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (6, 19)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.2.
Whitman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 287.5 with a 95% confidence interval from 254.1 to 324.2 and 57 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (32, 39)
- Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.9 to -0.5.
Yakima County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 407.2 with a 95% confidence interval from 391.8 to 422.9 and 556 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (14, 25)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.7.
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 5:29 pm.
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.
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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
Data for United States does not include Puerto Rico.


