Incidence Rates Table
Incidence Rate Report for Alabama by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by CI*Rank
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)
|
|---|---|---|---|---|---|---|
| Alabama 2 | N/A | 432.6 (430.3, 435.0) | N/A | 27,512 |
falling 
|
-0.7 (-1.0, -0.5) |
| US (SEER+NPCR) 1 | N/A | 448.6 (448.3, 448.9) | N/A | 1,821,045 |
falling
|
-1.0 (-1.6, -0.5) |
| Crenshaw County 2 | Rural | 566.6 (516.7, 620.4) | 1 (1, 8) | 104 |
rising 
|
2.9 (1.7, 4.2) |
| Lowndes County 2 | Urban | 532.8 (477.4, 593.4) | 2 (1, 27) | 75 |
stable 
|
1.0 (-0.3, 2.4) |
| Clarke County 2 | Rural | 503.3 (467.9, 541.0) | 3 (1, 24) | 164 |
stable
|
0.5 (-0.1, 1.2) |
| Calhoun County 2 | Urban | 497.7 (481.2, 514.6) | 4 (2, 14) | 743 |
rising
|
1.9 (0.4, 4.6) |
| Conecuh County 2 | Rural | 487.3 (438.6, 540.5) | 5 (1, 51) | 86 |
stable
|
0.8 (-0.5, 2.0) |
| Walker County 2 | Urban | 485.3 (464.2, 507.2) | 6 (2, 24) | 436 |
falling
|
-4.5 (-6.9, -2.0) |
| Clay County 2 | Rural | 482.8 (439.2, 529.9) | 7 (1, 50) | 100 |
stable
|
-0.5 (-1.3, 0.3) |
| Pike County 2 | Rural | 481.8 (449.0, 516.3) | 8 (2, 40) | 172 |
rising
|
0.9 (0.2, 1.7) |
| Tallapoosa County 2 | Rural | 476.6 (451.0, 503.4) | 9 (2, 36) | 300 |
stable
|
-2.6 (-5.5, 0.4) |
| Elmore County 2 | Urban | 474.6 (455.9, 493.9) | 10 (3, 28) | 512 |
stable
|
0.1 (-0.3, 0.7) |
| Wilcox County 2 | Rural | 473.7 (422.9, 529.3) | 11 (1, 59) | 70 |
stable
|
0.1 (-1.0, 1.2) |
| Lawrence County 2 | Urban | 471.6 (442.4, 502.4) | 12 (2, 44) | 212 |
stable
|
-0.1 (-0.8, 0.5) |
| Butler County 2 | Rural | 467.1 (429.2, 507.8) | 13 (2, 54) | 124 |
stable
|
0.7 (-0.4, 1.9) |
| Pickens County 2 | Urban | 466.7 (429.7, 506.3) | 14 (2, 54) | 126 |
stable
|
0.5 (-0.5, 1.5) |
| Etowah County 2 | Urban | 465.9 (449.4, 482.8) | 15 (5, 33) | 654 |
stable
|
0.0 (-0.4, 0.5) |
| Autauga County 2 | Urban | 459.8 (437.4, 483.1) | 16 (4, 42) | 330 |
stable
|
0.0 (-0.5, 0.6) |
| Washington County 2 | Rural | 458.3 (416.7, 503.3) | 17 (2, 61) | 99 |
stable
|
0.0 (-0.9, 1.0) |
| Talladega County 2 | Rural | 452.4 (434.0, 471.5) | 18 (7, 45) | 491 |
stable
|
-0.6 (-4.1, 0.1) |
| Hale County 2 | Urban | 451.1 (409.5, 496.2) | 19 (2, 62) | 95 |
stable
|
0.1 (-1.5, 1.8) |
| Morgan County 2 | Urban | 450.4 (435.3, 465.9) | 20 (9, 42) | 716 |
falling
|
-0.6 (-1.1, -0.1) |
| Henry County 2 | Urban | 450.1 (413.0, 490.0) | 21 (3, 61) | 121 |
stable
|
-0.7 (-1.5, 0.1) |
| Montgomery County 2 | Urban | 449.9 (438.3, 461.8) | 22 (12, 40) | 1,202 |
stable
|
0.3 (0.0, 0.7) |
| Barbour County 2 | Rural | 448.3 (416.6, 482.1) | 23 (4, 57) | 158 |
stable
|
-0.1 (-0.9, 0.8) |
| Winston County 2 | Rural | 447.6 (414.7, 482.6) | 24 (4, 59) | 156 |
stable
|
2.4 (-0.3, 5.7) |
| Marengo County 2 | Rural | 445.2 (407.8, 485.2) | 25 (3, 62) | 117 |
stable
|
0.4 (-0.3, 1.1) |
| Baldwin County 2 | Urban | 443.9 (433.4, 454.6) | 26 (15, 42) | 1,491 |
stable
|
0.1 (-0.3, 0.5) |
| Dale County 2 | Rural | 443.8 (420.0, 468.7) | 27 (8, 54) | 277 |
stable
|
0.1 (-0.7, 0.8) |
| Mobile County 2 | Urban | 443.0 (434.6, 451.5) | 28 (17, 41) | 2,260 |
stable
|
0.5 (-0.2, 2.0) |
| Houston County 2 | Urban | 442.1 (426.2, 458.6) | 29 (13, 49) | 615 |
falling
|
-0.6 (-1.0, -0.2) |
| Macon County 2 | Urban | 442.1 (404.4, 482.8) | 30 (4, 63) | 117 |
stable
|
0.9 (-0.1, 2.0) |
| Chambers County 2 | Rural | 441.0 (414.0, 469.5) | 31 (7, 59) | 217 |
falling
|
-1.3 (-4.5, -0.3) |
| Cleburne County 2 | Rural | 439.5 (399.0, 483.3) | 32 (3, 64) | 93 |
stable
|
0.1 (-1.2, 1.4) |
| St. Clair County 2 | Urban | 438.7 (421.5, 456.4) | 33 (12, 53) | 521 |
falling
|
-3.0 (-5.9, -0.1) |
| Randolph County 2 | Rural | 437.9 (404.5, 473.5) | 34 (5, 62) | 142 |
stable
|
0.6 (-0.5, 1.8) |
| Jefferson County 2 | Urban | 437.0 (430.4, 443.7) | 35 (23, 44) | 3,540 |
falling
|
-0.7 (-1.0, -0.5) |
| Lamar County 2 | Rural | 436.6 (394.9, 481.9) | 36 (3, 66) | 89 |
stable
|
0.2 (-1.3, 1.7) |
| Chilton County 2 | Urban | 431.1 (406.4, 457.0) | 37 (12, 61) | 242 |
stable
|
-0.3 (-1.1, 0.5) |
| Jackson County 2 | Rural | 430.7 (409.1, 453.2) | 38 (14, 59) | 325 |
stable
|
-0.9 (-9.6, 2.2) |
| Marshall County 2 | Rural | 429.7 (412.9, 447.0) | 39 (18, 57) | 524 |
stable
|
-0.4 (-0.8, 0.1) |
| Bibb County 2 | Urban | 429.4 (395.5, 465.5) | 40 (7, 65) | 124 |
falling
|
-2.2 (-7.6, -0.6) |
| Monroe County 2 | Rural | 427.9 (393.2, 465.1) | 41 (8, 65) | 125 |
stable
|
-0.3 (-5.2, 0.8) |
| Colbert County 2 | Urban | 427.5 (406.5, 449.2) | 42 (15, 60) | 341 |
stable
|
-5.1 (-10.8, 0.0) |
| Greene County 2 | Urban | 427.3 (371.0, 490.5) | 43 (2, 67) | 49 |
stable
|
0.2 (-1.5, 1.9) |
| Cherokee County 2 | Rural | 425.2 (394.7, 457.7) | 44 (10, 65) | 168 |
stable
|
0.1 (-0.8, 1.0) |
| Bullock County 2 | Rural | 425.1 (376.0, 479.2) | 45 (4, 67) | 58 |
stable
|
-0.9 (-2.2, 0.1) |
| Blount County 2 | Urban | 421.1 (400.3, 442.7) | 46 (19, 62) | 328 |
stable
|
-0.2 (-1.0, 0.6) |
| Coffee County 2 | Rural | 420.3 (398.1, 443.6) | 47 (18, 63) | 279 |
stable
|
-0.3 (-4.1, 0.9) |
| Marion County 2 | Rural | 419.3 (391.3, 449.0) | 48 (15, 65) | 180 |
falling
|
-1.4 (-4.6, -0.1) |
| Limestone County 2 | Urban | 414.6 (398.5, 431.1) | 49 (30, 62) | 528 |
falling
|
-3.1 (-7.6, -0.8) |
| Fayette County 2 | Rural | 414.3 (376.4, 455.4) | 50 (9, 67) | 98 |
stable
|
-1.7 (-10.4, 0.4) |
| Geneva County 2 | Urban | 413.8 (384.3, 445.2) | 51 (16, 66) | 159 |
falling
|
-1.2 (-5.0, -0.5) |
| Cullman County 2 | Rural | 413.5 (396.6, 431.0) | 52 (30, 62) | 485 |
stable
|
-0.1 (-0.7, 0.4) |
| Sumter County 2 | Rural | 413.4 (364.7, 467.1) | 53 (4, 67) | 62 |
falling
|
-10.7 (-18.5, -2.1) |
| Franklin County 2 | Rural | 411.8 (383.7, 441.6) | 54 (18, 66) | 166 |
stable
|
-0.4 (-1.1, 0.2) |
| Dallas County 2 | Rural | 408.5 (382.8, 435.6) | 55 (23, 66) | 211 |
falling
|
-4.6 (-10.2, -1.3) |
| Madison County 2 | Urban | 407.2 (398.8, 415.7) | 56 (43, 61) | 1,886 |
falling
|
-2.3 (-7.0, -0.1) |
| Lauderdale County 2 | Urban | 406.8 (390.4, 423.6) | 57 (36, 64) | 520 |
falling
|
-1.0 (-2.8, -0.5) |
| Perry County 2 | Rural | 405.9 (353.5, 464.6) | 58 (4, 67) | 48 |
falling
|
-2.2 (-10.3, -0.2) |
| Covington County 2 | Rural | 398.3 (373.8, 424.1) | 59 (28, 67) | 220 |
stable
|
0.2 (-0.9, 1.2) |
| Russell County 2 | Urban | 393.0 (371.7, 415.1) | 60 (41, 67) | 273 |
stable
|
-0.6 (-2.3, 1.1) |
| Escambia County 2 | Rural | 392.1 (366.9, 418.7) | 61 (34, 67) | 191 |
falling
|
-1.0 (-1.6, -0.5) |
| Shelby County 2 | Urban | 390.2 (379.4, 401.2) | 62 (52, 66) | 1,045 |
falling
|
-4.3 (-6.8, -1.4) |
| Coosa County 2 | Rural | 384.8 (340.7, 433.9) | 63 (17, 67) | 66 |
stable
|
-0.6 (-2.5, 1.2) |
| Tuscaloosa County 2 | Urban | 383.2 (371.9, 394.8) | 64 (55, 67) | 915 |
falling
|
-2.4 (-3.2, -1.9) |
| Choctaw County 2 | Rural | 375.1 (336.8, 417.2) | 65 (31, 67) | 78 |
stable
|
-1.0 (-6.4, 0.3) |
| DeKalb County 2 | Rural | 374.7 (356.7, 393.4) | 66 (54, 67) | 346 |
falling
|
-0.9 (-2.5, -0.4) |
| Lee County 2 | Urban | 366.2 (353.3, 379.4) | 67 (61, 67) | 643 |
stable
|
-0.3 (-1.0, 0.5) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 3:19 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.
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.