Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Male, All Ages
Sorted by Count
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)
|
|---|---|---|---|---|---|---|
| North Carolina 2 | N/A | 528.3 (525.7, 531.0) | N/A | 31,748 |
falling 
|
-1.2 (-2.0, -0.4) |
| US (SEER+NPCR) 1 | N/A | 484.8 (484.4, 485.3) | N/A | 929,608 |
falling
|
-1.3 (-1.8, -0.8) |
| Tyrrell County 2 | Rural | 570.1 (440.5, 730.3) | 15 (1, 98) | 15 |
stable 
|
1.9 (-0.9, 4.9) |
| Hyde County 2 | Rural | 561.1 (449.8, 695.5) | 20 (1, 98) | 20 |
stable
|
-1.0 (-3.6, 1.5) |
| Gates County 2 | Urban | 311.6 (257.4, 375.7) | 100 (96, 100) | 25 |
stable
|
-1.6 (-4.3, 1.1) |
| Graham County 2 | Rural | 422.5 (351.2, 506.0) | 95 (29, 100) | 27 |
stable
|
-0.6 (-3.8, 2.7) |
| Camden County 2 | Urban | 420.4 (350.4, 501.1) | 96 (31, 100) | 28 |
falling
|
-2.6 (-5.0, -0.1) |
| Alleghany County 2 | Rural | 380.1 (326.1, 442.7) | 98 (89, 100) | 39 |
falling
|
-1.3 (-2.3, -0.2) |
| Jones County 2 | Rural | 575.3 (496.1, 665.5) | 13 (1, 94) | 42 |
stable
|
-1.3 (-3.1, 0.5) |
| Washington County 2 | Rural | 528.7 (455.9, 611.4) | 60 (1, 97) | 47 |
stable
|
0.2 (-1.4, 1.9) |
| Perquimans County 2 | Rural | 453.6 (395.6, 519.5) | 94 (27, 98) | 52 |
stable
|
-1.1 (-2.5, 0.2) |
| Swain County 2 | Rural | 608.9 (537.6, 687.8) | 3 (1, 80) | 56 |
stable
|
1.3 (-0.3, 3.1) |
| Clay County 2 | Rural | 499.9 (438.9, 569.6) | 79 (4, 97) | 57 |
stable
|
-0.5 (-2.4, 1.6) |
| Chowan County 2 | Rural | 541.4 (476.6, 613.7) | 44 (1, 95) | 57 |
stable
|
0.1 (-1.9, 2.1) |
| Currituck County 2 | Urban | 322.9 (285.9, 363.8) | 99 (97, 100) | 62 |
falling
|
-2.5 (-4.0, -0.8) |
| Bertie County 2 | Rural | 500.8 (445.1, 562.4) | 78 (7, 97) | 65 |
stable
|
-0.7 (-1.8, 0.4) |
| Pamlico County 2 | Rural | 562.1 (497.7, 634.4) | 19 (1, 94) | 67 |
stable
|
2.0 (-0.3, 8.3) |
| Mitchell County 2 | Rural | 557.3 (495.8, 625.4) | 26 (1, 93) | 67 |
rising 
|
6.2 (2.1, 13.3) |
| Avery County 2 | Rural | 491.7 (439.6, 549.3) | 86 (10, 97) | 68 |
stable
|
-0.3 (-1.6, 1.1) |
| Greene County 2 | Rural | 545.4 (486.2, 610.0) | 38 (1, 94) | 69 |
stable
|
-0.6 (-2.7, 1.5) |
| Hertford County 2 | Rural | 524.7 (469.9, 584.6) | 62 (3, 95) | 72 |
falling
|
-1.3 (-2.3, -0.3) |
| Northampton County 2 | Rural | 535.5 (478.3, 598.6) | 54 (2, 95) | 76 |
stable
|
-0.7 (-1.8, 0.4) |
| Warren County 2 | Rural | 502.1 (451.2, 558.3) | 77 (8, 96) | 80 |
stable
|
-0.7 (-1.9, 0.4) |
| Yancey County 2 | Rural | 538.1 (484.7, 596.8) | 47 (2, 94) | 82 |
stable
|
1.8 (-1.0, 8.7) |
| Madison County 2 | Urban | 535.5 (482.5, 593.4) | 53 (2, 94) | 82 |
stable
|
1.3 (-0.9, 6.6) |
| Martin County 2 | Rural | 536.0 (483.7, 593.1) | 52 (2, 94) | 87 |
stable
|
-0.7 (-2.0, 0.6) |
| Polk County 2 | Rural | 492.2 (442.0, 547.6) | 85 (17, 97) | 88 |
stable
|
0.5 (-0.9, 1.9) |
| Anson County 2 | Urban | 642.1 (582.5, 706.5) | 1 (1, 34) | 93 |
rising
|
1.7 (0.6, 3.0) |
| Caswell County 2 | Rural | 562.6 (510.7, 618.9) | 18 (1, 89) | 96 |
stable
|
-0.6 (-1.3, 0.1) |
| Montgomery County 2 | Rural | 506.2 (459.6, 556.7) | 75 (10, 96) | 96 |
falling
|
-1.0 (-4.4, -0.2) |
| Pasquotank County 2 | Rural | 419.9 (383.2, 459.3) | 97 (85, 98) | 102 |
falling
|
-1.7 (-2.8, -0.5) |
| Bladen County 2 | Rural | 513.2 (469.0, 560.9) | 69 (9, 95) | 111 |
stable
|
-0.7 (-1.5, 0.2) |
| Ashe County 2 | Rural | 492.5 (449.8, 538.9) | 84 (21, 96) | 112 |
stable
|
-0.7 (-1.6, 0.1) |
| Scotland County 2 | Rural | 563.5 (516.6, 613.6) | 17 (1, 85) | 115 |
stable
|
8.0 (-0.2, 14.6) |
| Hoke County 2 | Urban | 559.3 (512.3, 609.2) | 23 (1, 84) | 124 |
stable
|
-1.1 (-2.3, 0.3) |
| Cherokee County 2 | Rural | 487.2 (446.7, 531.1) | 87 (24, 96) | 133 |
falling
|
-1.1 (-2.2, -0.3) |
| Alexander County 2 | Urban | 517.8 (478.0, 560.3) | 65 (11, 94) | 134 |
stable
|
0.4 (-0.8, 3.8) |
| Jackson County 2 | Rural | 494.5 (456.2, 535.5) | 83 (24, 95) | 137 |
stable
|
-2.3 (-5.6, 0.7) |
| Dare County 2 | Rural | 471.8 (434.7, 511.8) | 91 (47, 97) | 138 |
stable
|
-0.6 (-1.6, 0.5) |
| Yadkin County 2 | Urban | 548.3 (506.9, 592.4) | 36 (3, 89) | 141 |
rising
|
4.1 (0.3, 10.5) |
| Vance County 2 | Rural | 544.9 (503.6, 588.8) | 40 (3, 89) | 141 |
falling
|
-1.8 (-3.0, -0.5) |
| Watauga County 2 | Rural | 470.1 (435.3, 507.3) | 92 (55, 97) | 146 |
stable
|
-0.8 (-1.6, 0.0) |
| Transylvania County 2 | Rural | 467.1 (430.8, 506.3) | 93 (54, 97) | 147 |
stable
|
-0.3 (-1.4, 0.9) |
| Person County 2 | Urban | 554.8 (513.1, 599.1) | 31 (3, 85) | 148 |
stable
|
-0.7 (-1.5, 0.3) |
| Richmond County 2 | Rural | 595.2 (553.1, 639.7) | 4 (1, 59) | 159 |
rising
|
2.7 (1.2, 6.3) |
| Macon County 2 | Rural | 511.5 (474.4, 551.3) | 72 (15, 94) | 164 |
stable
|
-0.7 (-1.5, 0.2) |
| Stokes County 2 | Urban | 513.9 (478.2, 552.0) | 68 (18, 94) | 169 |
stable
|
-1.4 (-2.9, 0.6) |
| Davie County 2 | Urban | 553.2 (515.2, 593.5) | 34 (3, 85) | 169 |
stable
|
0.0 (-0.7, 0.8) |
| Duplin County 2 | Rural | 553.9 (516.7, 593.3) | 32 (3, 82) | 178 |
stable
|
0.8 (0.0, 1.7) |
| Halifax County 2 | Rural | 544.7 (508.3, 583.3) | 41 (4, 86) | 182 |
stable
|
-0.3 (-0.8, 0.3) |
| Columbus County 2 | Rural | 538.2 (502.6, 575.9) | 46 (6, 89) | 182 |
stable
|
-0.5 (-1.0, 0.0) |
| Edgecombe County 2 | Urban | 592.4 (553.0, 634.1) | 6 (1, 54) | 187 |
stable
|
-0.5 (-1.9, 0.9) |
| Lee County 2 | Rural | 511.6 (478.5, 546.5) | 71 (20, 93) | 191 |
falling
|
-0.9 (-1.7, -0.1) |
| Beaufort County 2 | Rural | 553.8 (516.9, 593.0) | 33 (3, 82) | 192 |
stable
|
2.6 (-0.4, 9.0) |
| Lenoir County 2 | Rural | 557.7 (522.3, 595.1) | 25 (3, 79) | 201 |
falling
|
-1.8 (-2.8, -0.9) |
| McDowell County 2 | Rural | 631.5 (591.7, 673.4) | 2 (1, 30) | 203 |
stable
|
0.6 (0.0, 1.3) |
| Sampson County 2 | Rural | 560.3 (525.3, 597.1) | 22 (3, 76) | 204 |
stable
|
0.3 (-0.5, 1.2) |
| Stanly County 2 | Rural | 559.2 (526.0, 594.1) | 24 (3, 73) | 228 |
falling
|
-0.9 (-1.9, -0.2) |
| Pender County 2 | Urban | 581.0 (546.1, 617.6) | 10 (1, 65) | 229 |
stable
|
0.4 (-0.5, 1.5) |
| Wilkes County 2 | Rural | 478.7 (450.2, 508.7) | 90 (54, 96) | 230 |
falling
|
-1.6 (-4.4, -0.9) |
| Granville County 2 | Rural | 592.9 (557.8, 629.8) | 5 (1, 48) | 233 |
falling
|
-1.7 (-5.0, -0.8) |
| Franklin County 2 | Urban | 556.4 (523.4, 591.1) | 28 (3, 77) | 234 |
stable
|
-0.4 (-1.0, 0.3) |
| Wilson County 2 | Rural | 524.5 (494.8, 555.7) | 63 (17, 89) | 252 |
falling
|
-0.9 (-1.5, -0.3) |
| Surry County 2 | Rural | 536.0 (506.4, 567.1) | 51 (10, 86) | 263 |
stable
|
-0.4 (-1.3, 0.5) |
| Rutherford County 2 | Rural | 578.6 (546.3, 612.5) | 11 (1, 57) | 267 |
stable
|
-0.2 (-0.8, 0.4) |
| Haywood County 2 | Rural | 550.5 (520.2, 582.4) | 35 (5, 79) | 272 |
stable
|
0.2 (-0.7, 1.1) |
| Carteret County 2 | Rural | 495.5 (468.3, 524.1) | 82 (41, 94) | 283 |
falling
|
-1.8 (-2.4, -1.2) |
| Nash County 2 | Urban | 479.0 (453.2, 506.0) | 89 (58, 96) | 284 |
falling
|
-1.3 (-2.0, -0.6) |
| Chatham County 2 | Urban | 507.2 (480.9, 534.8) | 74 (32, 93) | 304 |
stable
|
-0.7 (-1.4, 0.0) |
| Lincoln County 2 | Urban | 560.4 (532.1, 589.8) | 21 (4, 69) | 328 |
stable
|
-0.5 (-1.3, 0.4) |
| Caldwell County 2 | Urban | 584.8 (555.6, 615.2) | 8 (1, 48) | 330 |
stable
|
0.8 (-1.4, 4.5) |
| Harnett County 2 | Rural | 516.5 (491.2, 542.8) | 67 (25, 90) | 339 |
falling
|
-3.6 (-7.8, -0.7) |
| Rockingham County 2 | Urban | 536.3 (509.9, 563.8) | 50 (11, 82) | 341 |
falling
|
-2.0 (-5.3, -0.8) |
| Burke County 2 | Urban | 555.5 (528.5, 583.7) | 30 (5, 71) | 343 |
stable
|
-0.2 (-0.9, 0.6) |
| Cleveland County 2 | Rural | 572.1 (544.5, 600.8) | 14 (3, 56) | 356 |
stable
|
1.0 (-0.2, 4.1) |
| Robeson County 2 | Rural | 556.8 (529.9, 584.6) | 27 (5, 69) | 356 |
stable
|
0.6 (0.0, 1.4) |
| Craven County 2 | Rural | 545.9 (519.9, 572.9) | 37 (8, 78) | 357 |
falling
|
-1.0 (-1.7, -0.2) |
| Orange County 2 | Urban | 496.1 (473.2, 519.9) | 81 (45, 93) | 382 |
stable
|
0.9 (-0.8, 4.5) |
| Wayne County 2 | Urban | 582.4 (555.9, 609.8) | 9 (2, 52) | 391 |
stable
|
0.1 (-3.1, 0.8) |
| Pitt County 2 | Urban | 507.6 (485.1, 531.0) | 73 (34, 91) | 411 |
stable
|
0.6 (-0.6, 3.1) |
| Moore County 2 | Urban | 566.7 (541.7, 592.7) | 16 (4, 61) | 420 |
stable
|
-0.3 (-1.1, 0.5) |
| Onslow County 2 | Urban | 589.9 (564.1, 616.5) | 7 (2, 36) | 432 |
stable
|
0.8 (-0.2, 4.1) |
| Henderson County 2 | Urban | 511.9 (490.3, 534.3) | 70 (35, 90) | 469 |
falling
|
-1.1 (-1.7, -0.4) |
| Rowan County 2 | Urban | 526.0 (504.2, 548.5) | 61 (23, 84) | 476 |
falling
|
-1.3 (-2.2, -0.5) |
| Randolph County 2 | Urban | 538.7 (516.8, 561.4) | 45 (14, 77) | 494 |
falling
|
-0.7 (-1.2, -0.4) |
| Catawba County 2 | Urban | 532.0 (511.2, 553.5) | 58 (20, 79) | 535 |
stable
|
-0.4 (-0.9, 0.1) |
| Alamance County 2 | Urban | 555.9 (534.7, 577.8) | 29 (7, 63) | 545 |
stable
|
-0.5 (-1.0, 0.0) |
| Cabarrus County 2 | Urban | 521.7 (502.1, 541.8) | 64 (27, 85) | 581 |
falling
|
-1.5 (-2.9, -0.8) |
| Davidson County 2 | Urban | 537.6 (517.6, 558.2) | 49 (17, 75) | 589 |
stable
|
-0.3 (-1.0, 0.4) |
| Johnston County 2 | Urban | 532.9 (512.6, 553.8) | 56 (20, 78) | 590 |
falling
|
-0.5 (-0.9, -0.1) |
| Iredell County 2 | Urban | 545.2 (525.1, 565.9) | 39 (14, 70) | 609 |
falling
|
-1.0 (-2.1, -0.4) |
| Union County 2 | Urban | 543.3 (523.9, 563.3) | 43 (15, 72) | 660 |
stable
|
-0.2 (-0.9, 0.7) |
| New Hanover County 2 | Urban | 532.1 (514.4, 550.3) | 57 (24, 76) | 722 |
stable
|
0.1 (-0.4, 0.6) |
| Brunswick County 2 | Urban | 530.6 (510.6, 551.2) | 59 (24, 80) | 725 |
falling
|
-2.0 (-4.6, -0.2) |
| Gaston County 2 | Urban | 577.2 (558.1, 596.9) | 12 (4, 39) | 742 |
stable
|
-0.5 (-1.1, 0.1) |
| Durham County 2 | Urban | 485.5 (469.5, 501.9) | 88 (67, 93) | 748 |
falling
|
-1.5 (-2.1, -0.8) |
| Cumberland County 2 | Urban | 533.2 (516.1, 550.8) | 55 (22, 76) | 786 |
stable
|
-0.3 (-0.7, 0.1) |
| Buncombe County 2 | Urban | 505.6 (490.4, 521.1) | 76 (50, 89) | 897 |
falling
|
-0.8 (-1.2, -0.4) |
| Forsyth County 2 | Urban | 538.0 (523.7, 552.7) | 48 (23, 69) | 1,133 |
rising
|
1.6 (0.1, 3.9) |
| Guilford County 2 | Urban | 544.7 (532.3, 557.4) | 42 (20, 62) | 1,549 |
falling
|
-0.8 (-1.3, -0.3) |
| Mecklenburg County 2 | Urban | 516.6 (507.1, 526.3) | 66 (49, 80) | 2,493 |
falling
|
-0.9 (-1.3, -0.6) |
| Wake County 2 | Urban | 499.8 (490.8, 508.9) | 80 (64, 88) | 2,595 |
falling
|
-1.1 (-1.6, -0.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 4:01 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 for United States does not include Puerto Rico.