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