Incidence Rates Table
Incidence Rate Report for Missouri by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Male, 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)
|
|---|---|---|---|---|---|---|
| Missouri 2 | N/A | 498.4 (495.1, 501.8) | N/A | 18,306 |
stable 
|
-0.1 (-1.0, 1.4) |
| US (SEER+NPCR) 1 | N/A | 484.8 (484.4, 485.3) | N/A | 929,608 |
falling 
|
-1.3 (-1.8, -0.8) |
| Worth County 2 | Rural | 646.6 (460.4, 890.7) | 1 (1, 114) | 9 |
stable
|
0.5 (-3.9, 4.9) |
| Dunklin County 2 | Rural | 645.0 (590.4, 703.4) | 2 (1, 24) | 109 |
rising 
|
1.4 (0.3, 2.5) |
| Wayne County 2 | Rural | 635.2 (559.4, 719.9) | 3 (1, 47) | 57 |
stable
|
0.8 (-0.4, 2.1) |
| Mississippi County 2 | Rural | 630.4 (552.8, 716.4) | 4 (1, 60) | 50 |
stable
|
0.8 (-0.9, 2.5) |
| Montgomery County 2 | Rural | 622.3 (543.2, 710.5) | 5 (1, 58) | 49 |
stable
|
0.0 (-1.3, 1.4) |
| Carter County 2 | Rural | 619.2 (506.3, 752.3) | 6 (1, 98) | 23 |
rising
|
13.9 (0.5, 23.9) |
| Marion County 2 | Rural | 612.5 (559.8, 669.0) | 7 (1, 40) | 106 |
stable
|
0.9 (-0.5, 2.3) |
| Ripley County 2 | Rural | 610.7 (532.5, 698.2) | 8 (1, 74) | 47 |
stable
|
0.2 (-1.5, 1.9) |
| Scott County 2 | Rural | 609.3 (563.9, 657.5) | 9 (1, 37) | 142 |
stable
|
0.5 (-0.2, 1.2) |
| Holt County 2 | Rural | 598.6 (481.3, 740.0) | 10 (1, 107) | 20 |
stable
|
0.9 (-1.8, 3.7) |
| Bollinger County 2 | Urban | 593.9 (515.4, 682.0) | 11 (1, 89) | 45 |
stable
|
1.6 (-0.4, 3.7) |
| St. Francois County 2 | Rural | 588.2 (554.4, 623.5) | 12 (3, 38) | 241 |
stable
|
0.2 (-0.3, 0.8) |
| Randolph County 2 | Rural | 580.3 (524.9, 640.2) | 13 (1, 70) | 85 |
stable
|
-0.2 (-1.5, 1.2) |
| Jasper County 2 | Urban | 577.0 (550.7, 604.3) | 14 (5, 36) | 379 |
stable
|
0.7 (0.0, 1.6) |
| Stoddard County 2 | Rural | 574.3 (526.8, 625.2) | 15 (2, 67) | 112 |
stable
|
0.1 (-0.9, 1.2) |
| Reynolds County 2 | Rural | 567.8 (475.4, 676.0) | 16 (1, 106) | 29 |
stable
|
0.2 (-1.3, 1.8) |
| Franklin County 2 | Urban | 564.6 (538.3, 591.9) | 17 (7, 42) | 380 |
stable
|
2.1 (-0.7, 6.2) |
| Oregon County 2 | Rural | 563.4 (478.6, 660.3) | 18 (1, 103) | 36 |
rising
|
2.6 (0.2, 5.2) |
| Lewis County 2 | Rural | 562.7 (478.6, 658.2) | 19 (1, 103) | 35 |
stable
|
-0.6 (-2.3, 1.0) |
| Madison County 2 | Rural | 561.5 (490.8, 640.2) | 20 (1, 98) | 49 |
stable
|
0.0 (-1.5, 1.5) |
| Pike County 2 | Rural | 555.5 (495.0, 621.5) | 21 (1, 92) | 64 |
stable
|
-0.2 (-1.8, 1.5) |
| Gentry County 2 | Rural | 553.8 (453.6, 671.4) | 22 (1, 112) | 22 |
stable
|
0.4 (-2.0, 2.8) |
| Chariton County 2 | Rural | 552.4 (465.0, 653.4) | 23 (1, 107) | 32 |
stable
|
0.1 (-1.6, 1.8) |
| Monroe County 2 | Rural | 550.2 (471.2, 640.5) | 24 (1, 106) | 39 |
stable
|
0.9 (-1.1, 3.1) |
| New Madrid County 2 | Rural | 549.9 (486.5, 620.0) | 25 (2, 99) | 58 |
stable
|
-0.8 (-2.2, 0.5) |
| Iron County 2 | Rural | 549.3 (471.6, 637.7) | 26 (1, 106) | 39 |
stable
|
0.9 (-0.5, 2.4) |
| Henry County 2 | Rural | 548.5 (496.0, 605.6) | 27 (3, 90) | 88 |
stable
|
-0.3 (-1.6, 0.9) |
| Shelby County 2 | Rural | 547.7 (449.3, 663.4) | 28 (1, 111) | 24 |
stable
|
-1.1 (-2.5, 0.2) |
| St. Clair County 2 | Rural | 547.2 (470.1, 635.0) | 29 (1, 104) | 43 |
stable
|
3.1 (-0.4, 13.1) |
| Osage County 2 | Urban | 539.9 (471.9, 615.6) | 30 (2, 104) | 49 |
stable
|
0.4 (-1.5, 2.3) |
| Harrison County 2 | Rural | 538.3 (452.9, 636.6) | 31 (1, 108) | 31 |
stable
|
0.2 (-2.1, 2.6) |
| Perry County 2 | Rural | 538.2 (481.2, 600.7) | 32 (4, 99) | 69 |
stable
|
-0.2 (-1.3, 1.0) |
| Buchanan County 2 | Urban | 537.0 (507.7, 567.7) | 33 (12, 68) | 266 |
stable
|
0.4 (-0.2, 1.1) |
| Ste. Genevieve County 2 | Rural | 535.6 (480.1, 596.5) | 34 (4, 98) | 74 |
rising
|
1.2 (0.3, 2.2) |
| Morgan County 2 | Rural | 531.9 (479.8, 588.7) | 35 (6, 99) | 90 |
stable
|
0.3 (-1.3, 5.1) |
| Butler County 2 | Rural | 529.7 (490.4, 571.5) | 36 (11, 89) | 141 |
stable
|
-0.4 (-1.2, 0.5) |
| Cape Girardeau County 2 | Urban | 525.6 (495.9, 556.8) | 37 (15, 80) | 246 |
stable
|
0.1 (-1.0, 1.4) |
| Clark County 2 | Rural | 522.1 (430.4, 629.1) | 38 (2, 113) | 25 |
stable
|
0.4 (-1.9, 2.9) |
| Washington County 2 | Rural | 522.0 (471.5, 576.9) | 39 (8, 99) | 84 |
stable
|
1.2 (-0.6, 6.3) |
| Linn County 2 | Rural | 519.5 (449.6, 598.2) | 40 (3, 109) | 43 |
stable
|
0.1 (-1.3, 1.5) |
| Taney County 2 | Rural | 516.9 (484.4, 551.1) | 41 (18, 91) | 206 |
rising
|
1.7 (0.5, 4.0) |
| Cole County 2 | Urban | 514.3 (484.6, 545.4) | 42 (18, 89) | 239 |
stable
|
1.1 (0.0, 3.1) |
| Pettis County 2 | Rural | 513.9 (474.3, 556.0) | 43 (13, 96) | 132 |
stable
|
-0.7 (-1.7, 0.3) |
| Barry County 2 | Rural | 513.4 (473.2, 556.6) | 44 (15, 99) | 133 |
stable
|
0.3 (-0.8, 1.6) |
| Barton County 2 | Rural | 511.5 (438.7, 593.6) | 45 (4, 111) | 39 |
stable
|
0.1 (-1.3, 1.6) |
| Boone County 2 | Urban | 510.9 (488.9, 533.6) | 46 (25, 80) | 437 |
stable
|
-0.6 (-1.3, 0.1) |
| Greene County 2 | Urban | 509.2 (493.6, 525.2) | 47 (30, 73) | 839 |
rising
|
4.5 (0.6, 8.4) |
| Howell County 2 | Rural | 507.9 (468.4, 550.0) | 48 (15, 100) | 130 |
stable
|
-0.6 (-1.8, 0.6) |
| Pulaski County 2 | Rural | 507.4 (462.6, 555.2) | 49 (13, 101) | 103 |
falling
|
-1.6 (-2.6, -0.6) |
| Cooper County 2 | Urban | 506.8 (446.8, 573.0) | 50 (7, 108) | 55 |
stable
|
0.0 (-1.4, 1.4) |
| Saline County 2 | Rural | 506.4 (453.5, 564.1) | 51 (9, 104) | 71 |
stable
|
1.4 (-0.5, 5.5) |
| Jefferson County 2 | Urban | 505.6 (487.8, 523.9) | 52 (30, 81) | 684 |
stable
|
-0.7 (-1.3, 0.0) |
| Atchison County 2 | Rural | 505.5 (409.5, 620.8) | 53 (2, 114) | 21 |
stable
|
-0.4 (-2.8, 2.1) |
| St. Louis County 2 | Urban | 504.2 (495.9, 512.6) | 54 (39, 70) | 3,003 |
falling
|
-1.0 (-1.3, -0.7) |
| Johnson County 2 | Rural | 503.8 (465.0, 544.8) | 55 (17, 100) | 133 |
rising
|
4.7 (1.4, 8.6) |
| Crawford County 2 | Rural | 501.9 (451.7, 556.5) | 56 (10, 105) | 80 |
falling
|
-1.4 (-2.6, -0.2) |
| Lincoln County 2 | Urban | 500.5 (465.8, 537.1) | 57 (22, 99) | 171 |
falling
|
-1.4 (-2.5, -0.3) |
| Camden County 2 | Rural | 500.2 (467.4, 535.2) | 58 (22, 97) | 211 |
stable
|
1.4 (-0.6, 6.2) |
| Knox County 2 | Rural | 499.8 (385.1, 642.1) | 59 (1, 115) | 14 |
stable
|
-1.0 (-3.7, 1.3) |
| Audrain County 2 | Rural | 497.4 (443.6, 556.1) | 60 (12, 108) | 73 |
falling
|
-1.4 (-2.7, -0.2) |
| Benton County 2 | Rural | 496.8 (449.8, 548.7) | 61 (17, 105) | 100 |
falling
|
-1.6 (-2.8, -0.3) |
| Putnam County 2 | Rural | 493.3 (391.8, 616.1) | 62 (1, 115) | 18 |
stable
|
-0.3 (-2.9, 2.3) |
| Mercer County 2 | Rural | 492.9 (371.5, 645.0) | 63 (1, 115) | 13 |
stable
|
1.3 (-1.7, 4.6) |
| Stone County 2 | Rural | 491.6 (451.4, 535.1) | 64 (19, 105) | 148 |
stable
|
1.7 (-1.6, 9.2) |
| Ozark County 2 | Rural | 490.5 (417.0, 575.8) | 65 (6, 113) | 40 |
stable
|
-0.3 (-2.5, 2.0) |
| Bates County 2 | Urban | 490.2 (430.2, 556.8) | 66 (10, 111) | 52 |
stable
|
-0.9 (-2.8, 0.9) |
| Grundy County 2 | Rural | 489.0 (412.1, 576.8) | 67 (3, 114) | 32 |
stable
|
-0.7 (-2.4, 0.9) |
| Gasconade County 2 | Rural | 487.8 (430.0, 552.3) | 68 (12, 110) | 57 |
falling
|
-1.8 (-3.0, -0.8) |
| Wright County 2 | Rural | 487.4 (432.0, 548.5) | 69 (12, 110) | 60 |
stable
|
-1.1 (-2.4, 0.2) |
| Macon County 2 | Rural | 487.2 (427.5, 553.7) | 70 (12, 110) | 52 |
stable
|
-0.8 (-2.4, 0.8) |
| Newton County 2 | Urban | 486.1 (454.0, 520.0) | 71 (29, 103) | 182 |
stable
|
0.0 (-1.2, 1.2) |
| Andrew County 2 | Urban | 484.4 (428.4, 546.2) | 72 (16, 111) | 59 |
stable
|
0.2 (-1.6, 2.1) |
| Cass County 2 | Urban | 484.3 (460.0, 509.6) | 73 (37, 99) | 314 |
stable
|
-0.3 (-1.0, 0.4) |
| Shannon County 2 | Rural | 484.2 (399.6, 583.4) | 74 (4, 114) | 26 |
stable
|
-0.9 (-3.3, 1.6) |
| Clay County 2 | Urban | 483.1 (466.0, 500.7) | 75 (46, 94) | 644 |
falling
|
-1.5 (-3.4, -1.0) |
| St. Charles County 2 | Urban | 482.9 (470.0, 496.2) | 76 (53, 93) | 1,123 |
falling
|
-1.3 (-1.7, -0.8) |
| Miller County 2 | Rural | 482.4 (435.1, 533.8) | 77 (18, 109) | 82 |
stable
|
-0.3 (-1.5, 0.9) |
| Caldwell County 2 | Urban | 482.3 (405.5, 570.8) | 78 (6, 114) | 30 |
stable
|
-1.4 (-3.5, 0.7) |
| Warren County 2 | Urban | 482.0 (441.1, 526.0) | 79 (22, 108) | 111 |
stable
|
-0.7 (-1.9, 0.6) |
| Webster County 2 | Urban | 481.8 (441.4, 525.0) | 80 (22, 107) | 111 |
stable
|
-0.6 (-1.6, 0.3) |
| Dent County 2 | Rural | 480.5 (420.8, 547.1) | 81 (14, 112) | 51 |
stable
|
8.6 (-0.6, 15.3) |
| Polk County 2 | Urban | 479.1 (435.5, 526.0) | 82 (24, 108) | 95 |
stable
|
4.6 (-1.7, 11.8) |
| Lafayette County 2 | Urban | 478.5 (437.1, 522.9) | 83 (24, 108) | 104 |
stable
|
-0.1 (-1.3, 1.1) |
| Callaway County 2 | Urban | 477.6 (441.0, 516.5) | 84 (31, 106) | 136 |
stable
|
-1.4 (-3.0, 0.3) |
| Livingston County 2 | Rural | 476.9 (412.5, 549.2) | 85 (13, 113) | 43 |
stable
|
-0.5 (-1.8, 0.8) |
| McDonald County 2 | Rural | 476.1 (424.2, 532.7) | 86 (17, 111) | 67 |
stable
|
0.5 (-0.8, 1.9) |
| Cedar County 2 | Rural | 475.9 (418.0, 540.7) | 87 (19, 112) | 52 |
stable
|
2.0 (-1.8, 8.6) |
| Jackson County 2 | Urban | 473.1 (463.1, 483.3) | 88 (65, 96) | 1,801 |
falling
|
-0.9 (-1.3, -0.6) |
| Howard County 2 | Urban | 471.7 (398.4, 555.4) | 89 (9, 114) | 32 |
stable
|
3.8 (-1.5, 16.5) |
| Phelps County 2 | Rural | 470.4 (433.4, 509.9) | 90 (32, 107) | 125 |
stable
|
0.6 (-0.5, 4.3) |
| Christian County 2 | Urban | 468.5 (441.5, 496.8) | 91 (43, 105) | 236 |
stable
|
-0.1 (-1.8, 4.8) |
| Dallas County 2 | Urban | 467.0 (411.5, 528.6) | 92 (21, 112) | 57 |
stable
|
-0.7 (-2.2, 0.8) |
| Moniteau County 2 | Urban | 465.7 (405.0, 533.3) | 93 (19, 113) | 44 |
stable
|
-0.7 (-2.2, 0.8) |
| Daviess County 2 | Rural | 465.6 (386.6, 557.2) | 94 (9, 115) | 27 |
stable
|
-0.2 (-1.4, 1.1) |
| St. Louis City 2 | Urban | 464.3 (448.6, 480.4) | 95 (63, 102) | 746 |
falling
|
-6.5 (-11.4, -1.7) |
| Adair County 2 | Rural | 460.8 (409.3, 517.3) | 96 (27, 112) | 61 |
stable
|
-0.5 (-2.2, 1.3) |
| Laclede County 2 | Rural | 459.1 (418.8, 502.4) | 97 (35, 112) | 103 |
falling
|
-1.4 (-2.7, -0.1) |
| Nodaway County 2 | Rural | 458.0 (404.2, 517.4) | 98 (21, 114) | 56 |
stable
|
-0.8 (-2.1, 0.4) |
| Ray County 2 | Urban | 448.1 (400.9, 499.8) | 99 (33, 114) | 71 |
falling
|
-1.1 (-2.0, -0.2) |
| Pemiscot County 2 | Rural | 446.4 (385.0, 515.2) | 100 (22, 115) | 41 |
stable
|
0.0 (-1.5, 1.4) |
| Carroll County 2 | Rural | 443.4 (370.0, 528.6) | 101 (18, 115) | 28 |
stable
|
-1.2 (-2.8, 0.4) |
| Clinton County 2 | Urban | 442.6 (394.2, 495.7) | 102 (35, 114) | 65 |
falling
|
-1.4 (-2.4, -0.3) |
| Lawrence County 2 | Rural | 441.5 (404.0, 481.6) | 103 (50, 112) | 107 |
stable
|
-0.7 (-1.6, 0.2) |
| Sullivan County 2 | Rural | 440.6 (354.0, 544.1) | 104 (10, 115) | 19 |
stable
|
-1.4 (-3.9, 0.9) |
| Vernon County 2 | Rural | 428.6 (378.2, 484.3) | 105 (43, 114) | 56 |
falling
|
-1.3 (-2.5, -0.2) |
| Maries County 2 | Rural | 411.4 (343.7, 490.7) | 106 (32, 115) | 28 |
stable
|
0.0 (-2.1, 2.1) |
| Texas County 2 | Rural | 410.5 (369.0, 455.8) | 107 (75, 115) | 75 |
falling
|
-1.3 (-2.3, -0.4) |
| Douglas County 2 | Rural | 409.6 (350.3, 477.3) | 108 (35, 115) | 40 |
stable
|
-0.9 (-2.9, 1.0) |
| Dade County 2 | Rural | 406.9 (337.3, 489.1) | 109 (35, 115) | 26 |
stable
|
0.2 (-2.0, 8.5) |
| Platte County 2 | Urban | 400.1 (376.8, 424.4) | 110 (96, 114) | 237 |
falling
|
-1.5 (-2.2, -0.8) |
| Ralls County 2 | Rural | 399.4 (336.0, 472.8) | 111 (43, 115) | 32 |
stable
|
-1.5 (-3.4, 0.5) |
| Hickory County 2 | Rural | 385.2 (321.5, 461.6) | 112 (53, 115) | 34 |
stable
|
-1.7 (-3.4, 0.0) |
| DeKalb County 2 | Urban | 380.8 (321.6, 448.6) | 113 (64, 115) | 30 |
stable
|
0.0 (-2.6, 2.7) |
| Schuyler County 2 | Rural | 369.6 (266.9, 500.4) | 114 (20, 115) | 9 |
falling
|
-3.4 (-6.0, -1.2) |
| Scotland County 2 | Rural | 314.5 (227.6, 425.3) | 115 (72, 115) | 9 |
falling
|
-3.5 (-6.5, -0.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 6:49 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.