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