Incidence Rates Table
Incidence Rate Report for Missouri by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by Rate
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 | 447.6 (444.5, 450.6) | N/A | 18,024 |
rising 
|
0.4 (0.3, 0.5) |
| US (SEER+NPCR) 1 | N/A | 424.8 (424.4, 425.2) | N/A | 891,437 |
falling 
|
-0.6 (-1.1, -0.1) |
| Sullivan County 2 | Rural | 329.3 (253.0, 423.7) | 115 (26, 115) | 14 |
stable 
|
-1.2 (-2.8, 0.3) |
| Scotland County 2 | Rural | 336.9 (250.7, 445.7) | 114 (15, 115) | 11 |
stable
|
-0.9 (-4.0, 2.0) |
| Atchison County 2 | Rural | 340.5 (259.4, 442.3) | 113 (16, 115) | 14 |
stable
|
-0.7 (-3.6, 1.8) |
| Ralls County 2 | Rural | 353.2 (291.5, 425.4) | 112 (36, 115) | 27 |
stable
|
-16.3 (-33.8, 1.4) |
| Maries County 2 | Rural | 359.9 (294.2, 437.9) | 111 (26, 115) | 24 |
stable
|
0.2 (-1.4, 1.8) |
| Newton County 2 | Urban | 365.3 (338.0, 394.3) | 110 (87, 115) | 146 |
stable
|
-0.5 (-2.0, 1.1) |
| Vernon County 2 | Rural | 370.7 (325.2, 421.4) | 109 (57, 115) | 53 |
stable
|
0.5 (-0.6, 1.6) |
| Mercer County 2 | Rural | 372.4 (273.5, 500.8) | 108 (4, 115) | 10 |
stable
|
-1.1 (-4.4, 2.3) |
| Barry County 2 | Rural | 387.0 (351.3, 425.8) | 107 (56, 114) | 98 |
falling
|
-5.5 (-9.7, -1.6) |
| Schuyler County 2 | Rural | 389.6 (288.3, 517.6) | 106 (2, 115) | 11 |
rising
|
2.2 (0.1, 4.5) |
| St. Louis City 2 | Urban | 393.1 (379.8, 406.8) | 105 (84, 110) | 708 |
falling
|
-4.9 (-9.3, -0.5) |
| Platte County 2 | Urban | 393.8 (371.9, 416.6) | 104 (73, 111) | 254 |
stable
|
-0.1 (-0.8, 0.7) |
| Nodaway County 2 | Rural | 399.1 (349.4, 454.5) | 103 (20, 115) | 53 |
stable
|
0.4 (-1.3, 2.2) |
| Camden County 2 | Rural | 400.6 (368.1, 435.6) | 102 (50, 113) | 150 |
stable
|
0.3 (-0.7, 1.2) |
| McDonald County 2 | Rural | 401.6 (354.6, 453.4) | 101 (25, 114) | 56 |
stable
|
-1.3 (-7.8, 2.5) |
| Lawrence County 2 | Rural | 405.9 (370.0, 444.6) | 100 (34, 113) | 102 |
stable
|
0.1 (-1.1, 1.4) |
| Dade County 2 | Rural | 406.0 (328.7, 498.1) | 99 (5, 115) | 24 |
stable
|
-0.3 (-2.7, 1.9) |
| Pemiscot County 2 | Rural | 407.4 (352.1, 469.3) | 98 (20, 114) | 42 |
stable
|
1.4 (-0.3, 3.1) |
| Douglas County 2 | Rural | 407.9 (344.9, 480.2) | 97 (8, 115) | 37 |
rising
|
7.2 (2.4, 21.5) |
| St. Clair County 2 | Rural | 412.1 (342.1, 493.8) | 96 (6, 115) | 30 |
stable
|
1.0 (-0.4, 2.4) |
| Daviess County 2 | Rural | 412.3 (336.0, 501.6) | 95 (5, 115) | 24 |
stable
|
0.8 (-0.9, 2.6) |
| DeKalb County 2 | Urban | 412.8 (342.1, 494.8) | 94 (6, 115) | 27 |
stable
|
-0.4 (-2.6, 1.7) |
| Laclede County 2 | Rural | 413.8 (377.1, 453.4) | 93 (30, 111) | 101 |
stable
|
-0.1 (-0.9, 0.7) |
| Adair County 2 | Rural | 415.0 (365.9, 469.0) | 92 (19, 114) | 58 |
stable
|
0.6 (-1.0, 2.1) |
| Harrison County 2 | Rural | 417.7 (341.2, 507.4) | 91 (4, 115) | 25 |
stable
|
0.1 (-1.7, 1.9) |
| Ray County 2 | Urban | 418.5 (372.7, 468.7) | 90 (18, 113) | 68 |
stable
|
-0.2 (-2.8, 2.3) |
| Christian County 2 | Urban | 419.3 (394.8, 444.9) | 89 (45, 107) | 232 |
stable
|
0.2 (-0.5, 0.9) |
| Webster County 2 | Urban | 421.2 (383.4, 461.7) | 88 (22, 111) | 97 |
stable
|
0.5 (-0.4, 1.4) |
| Stone County 2 | Rural | 421.9 (383.2, 464.1) | 87 (23, 111) | 120 |
stable
|
0.1 (-1.2, 1.4) |
| Reynolds County 2 | Rural | 424.4 (337.0, 530.2) | 86 (1, 115) | 19 |
stable
|
0.3 (-1.6, 2.2) |
| Andrew County 2 | Urban | 425.1 (373.4, 482.6) | 85 (9, 114) | 54 |
stable
|
-0.3 (-1.8, 1.2) |
| New Madrid County 2 | Rural | 426.3 (373.5, 485.1) | 84 (11, 114) | 52 |
stable
|
-0.1 (-1.7, 1.5) |
| Taney County 2 | Rural | 426.4 (396.5, 458.2) | 83 (27, 107) | 174 |
stable
|
0.5 (0.0, 1.0) |
| Greene County 2 | Urban | 428.4 (414.7, 442.4) | 82 (53, 97) | 805 |
rising
|
5.6 (2.2, 7.7) |
| Ste. Genevieve County 2 | Rural | 430.8 (378.5, 488.9) | 81 (9, 112) | 55 |
stable
|
1.0 (-0.4, 2.5) |
| Cape Girardeau County 2 | Urban | 430.9 (404.8, 458.4) | 80 (32, 104) | 222 |
rising
|
0.6 (0.1, 1.1) |
| Putnam County 2 | Rural | 431.6 (327.9, 559.8) | 79 (1, 115) | 14 |
stable
|
3.2 (-0.4, 7.0) |
| Cole County 2 | Urban | 433.7 (407.1, 461.7) | 78 (30, 102) | 217 |
stable
|
-0.4 (-5.5, 0.4) |
| Miller County 2 | Rural | 435.7 (389.9, 485.6) | 77 (11, 111) | 74 |
stable
|
1.5 (0.0, 3.0) |
| Texas County 2 | Rural | 436.3 (388.8, 488.4) | 76 (12, 111) | 73 |
stable
|
0.2 (-0.9, 1.3) |
| Howell County 2 | Rural | 437.2 (401.2, 475.7) | 75 (17, 106) | 122 |
stable
|
0.5 (-0.4, 1.4) |
| Perry County 2 | Rural | 438.8 (388.4, 494.5) | 74 (9, 111) | 60 |
stable
|
0.9 (-0.8, 2.7) |
| Barton County 2 | Rural | 439.2 (373.6, 513.8) | 73 (4, 114) | 37 |
stable
|
1.4 (-0.9, 3.8) |
| Morgan County 2 | Rural | 439.2 (389.5, 494.1) | 72 (9, 110) | 69 |
stable
|
0.4 (-0.9, 1.7) |
| Chariton County 2 | Rural | 440.8 (357.4, 539.3) | 71 (2, 115) | 24 |
stable
|
0.0 (-1.8, 1.8) |
| Wright County 2 | Rural | 442.2 (389.1, 500.9) | 70 (7, 110) | 56 |
stable
|
0.3 (-1.0, 1.6) |
| Cedar County 2 | Rural | 442.6 (383.4, 509.2) | 69 (6, 112) | 48 |
stable
|
1.3 (0.0, 2.7) |
| Clinton County 2 | Urban | 443.0 (393.4, 497.6) | 68 (8, 109) | 63 |
stable
|
-4.2 (-14.6, 1.2) |
| Benton County 2 | Rural | 443.3 (392.4, 500.0) | 67 (7, 110) | 78 |
stable
|
0.4 (-1.1, 1.9) |
| St. Charles County 2 | Urban | 444.2 (432.4, 456.2) | 66 (40, 83) | 1,146 |
stable
|
0.0 (-0.4, 0.4) |
| Holt County 2 | Rural | 444.2 (334.5, 581.0) | 65 (1, 115) | 15 |
stable
|
0.5 (-3.2, 4.3) |
| Scott County 2 | Rural | 444.3 (407.6, 483.6) | 64 (15, 102) | 118 |
stable
|
0.3 (-0.5, 1.0) |
| Bates County 2 | Urban | 444.4 (387.7, 507.6) | 63 (5, 112) | 50 |
stable
|
1.2 (-0.4, 2.8) |
| Jackson County 2 | Urban | 445.5 (436.5, 454.7) | 62 (43, 79) | 1,978 |
stable
|
0.2 (-0.8, 0.8) |
| Caldwell County 2 | Urban | 446.4 (369.1, 536.1) | 61 (2, 114) | 27 |
stable
|
1.5 (-0.1, 3.2) |
| Carroll County 2 | Rural | 448.3 (375.2, 533.2) | 60 (3, 114) | 30 |
stable
|
1.7 (-0.4, 3.9) |
| Gasconade County 2 | Rural | 448.4 (392.3, 511.3) | 59 (6, 111) | 53 |
stable
|
0.5 (-1.1, 2.2) |
| Pulaski County 2 | Rural | 449.3 (409.4, 492.0) | 58 (10, 106) | 97 |
stable
|
-0.1 (-1.4, 1.2) |
| Boone County 2 | Urban | 449.9 (430.4, 470.0) | 57 (27, 87) | 427 |
stable
|
0.3 (-0.3, 0.9) |
| Audrain County 2 | Rural | 449.9 (405.1, 498.7) | 56 (7, 107) | 80 |
stable
|
-0.4 (-1.3, 0.5) |
| Dallas County 2 | Urban | 451.4 (393.7, 515.6) | 55 (5, 112) | 52 |
rising
|
2.4 (1.2, 3.7) |
| Montgomery County 2 | Rural | 451.5 (383.4, 529.2) | 54 (2, 113) | 36 |
stable
|
0.7 (-0.8, 2.1) |
| Bollinger County 2 | Urban | 451.7 (381.6, 531.8) | 53 (3, 113) | 34 |
stable
|
0.6 (-1.4, 2.5) |
| Hickory County 2 | Rural | 451.7 (373.4, 544.0) | 52 (2, 113) | 35 |
rising
|
3.0 (0.9, 5.2) |
| Osage County 2 | Urban | 453.3 (387.4, 527.7) | 51 (3, 112) | 37 |
rising
|
1.9 (0.8, 3.1) |
| Wayne County 2 | Rural | 453.5 (388.0, 528.5) | 50 (3, 112) | 41 |
falling
|
-3.4 (-10.3, -0.6) |
| Ozark County 2 | Rural | 454.6 (375.3, 547.6) | 49 (2, 113) | 32 |
stable
|
1.5 (-0.6, 3.6) |
| Mississippi County 2 | Rural | 455.4 (390.7, 528.7) | 48 (3, 111) | 40 |
stable
|
0.2 (-1.1, 1.5) |
| Howard County 2 | Urban | 455.4 (382.1, 539.6) | 47 (2, 114) | 31 |
stable
|
-0.1 (-2.1, 1.9) |
| Pettis County 2 | Rural | 456.9 (420.8, 495.4) | 46 (10, 100) | 128 |
stable
|
0.3 (-0.7, 1.3) |
| St. Louis County 2 | Urban | 457.0 (449.6, 464.4) | 45 (35, 67) | 3,237 |
rising
|
0.3 (0.1, 0.5) |
| Polk County 2 | Urban | 457.9 (415.1, 504.1) | 44 (7, 103) | 94 |
stable
|
0.5 (-0.8, 1.8) |
| Lafayette County 2 | Urban | 459.4 (419.2, 502.7) | 43 (8, 101) | 105 |
rising
|
1.1 (0.2, 2.1) |
| Callaway County 2 | Urban | 459.5 (423.6, 497.8) | 42 (11, 98) | 131 |
rising
|
1.0 (0.2, 1.9) |
| Dunklin County 2 | Rural | 460.1 (416.4, 507.4) | 41 (7, 104) | 90 |
stable
|
0.9 (-0.4, 2.1) |
| Saline County 2 | Rural | 461.9 (412.2, 516.3) | 40 (5, 106) | 70 |
stable
|
0.3 (-1.2, 1.8) |
| Cass County 2 | Urban | 462.8 (440.0, 486.5) | 39 (17, 79) | 333 |
rising
|
0.6 (0.2, 1.1) |
| Johnson County 2 | Rural | 462.8 (425.9, 502.0) | 38 (9, 95) | 124 |
stable
|
0.7 (-0.2, 1.5) |
| Monroe County 2 | Rural | 466.5 (389.6, 555.9) | 37 (1, 113) | 31 |
stable
|
1.2 (-0.5, 2.9) |
| Henry County 2 | Rural | 469.1 (420.6, 522.3) | 36 (4, 101) | 80 |
stable
|
0.6 (-0.6, 1.9) |
| Clay County 2 | Urban | 473.2 (457.5, 489.3) | 35 (17, 62) | 715 |
stable
|
0.4 (-0.1, 1.0) |
| Warren County 2 | Urban | 473.5 (433.3, 516.7) | 34 (5, 95) | 112 |
rising
|
1.3 (0.2, 2.6) |
| Stoddard County 2 | Rural | 473.5 (430.3, 520.2) | 33 (4, 95) | 99 |
rising
|
1.1 (0.1, 2.1) |
| Jefferson County 2 | Urban | 473.9 (457.6, 490.7) | 32 (16, 62) | 686 |
stable
|
0.5 (0.0, 1.1) |
| Butler County 2 | Rural | 474.0 (437.9, 512.4) | 31 (6, 89) | 141 |
stable
|
0.3 (-0.5, 1.1) |
| Moniteau County 2 | Urban | 477.8 (413.4, 549.7) | 30 (2, 105) | 43 |
rising
|
1.7 (0.2, 3.2) |
| Macon County 2 | Rural | 479.1 (418.5, 546.7) | 29 (2, 105) | 53 |
stable
|
0.7 (-0.6, 2.1) |
| Randolph County 2 | Rural | 480.7 (431.4, 534.5) | 28 (3, 99) | 75 |
rising
|
1.0 (0.1, 1.9) |
| Dent County 2 | Rural | 483.7 (422.5, 552.1) | 27 (2, 103) | 53 |
stable
|
0.3 (-1.3, 1.9) |
| Lincoln County 2 | Urban | 483.9 (450.3, 519.4) | 26 (6, 78) | 165 |
stable
|
0.9 (0.0, 2.1) |
| Washington County 2 | Rural | 485.1 (434.5, 540.4) | 25 (2, 95) | 73 |
stable
|
0.9 (-0.6, 2.4) |
| Phelps County 2 | Rural | 486.3 (448.2, 527.0) | 24 (4, 80) | 133 |
stable
|
0.3 (-0.8, 1.5) |
| Franklin County 2 | Urban | 488.0 (464.2, 512.9) | 23 (6, 62) | 349 |
rising
|
1.0 (0.2, 1.7) |
| Gentry County 2 | Rural | 491.7 (396.0, 604.5) | 22 (1, 112) | 21 |
stable
|
1.2 (-0.5, 3.1) |
| Jasper County 2 | Urban | 494.6 (471.7, 518.4) | 21 (6, 51) | 371 |
rising
|
1.4 (0.7, 2.1) |
| Linn County 2 | Rural | 496.2 (427.4, 573.7) | 20 (1, 104) | 44 |
stable
|
1.0 (-0.5, 2.5) |
| Grundy County 2 | Rural | 496.4 (416.5, 587.6) | 19 (1, 109) | 35 |
stable
|
0.4 (-1.6, 2.2) |
| Livingston County 2 | Rural | 496.8 (437.0, 563.1) | 18 (1, 101) | 53 |
stable
|
0.5 (-1.5, 2.4) |
| Clark County 2 | Rural | 497.4 (403.0, 608.9) | 17 (1, 112) | 23 |
rising
|
3.0 (0.5, 5.7) |
| Shelby County 2 | Rural | 499.9 (400.7, 617.5) | 16 (1, 113) | 21 |
stable
|
1.6 (-0.4, 3.7) |
| Crawford County 2 | Rural | 501.5 (451.3, 556.3) | 15 (1, 87) | 83 |
stable
|
-5.3 (-13.9, 0.5) |
| Buchanan County 2 | Urban | 502.0 (474.3, 530.9) | 14 (4, 53) | 269 |
stable
|
0.7 (-0.3, 1.7) |
| Marion County 2 | Rural | 503.7 (457.2, 553.9) | 13 (2, 81) | 96 |
stable
|
0.9 (0.0, 1.8) |
| St. Francois County 2 | Rural | 508.8 (477.4, 541.8) | 12 (3, 50) | 211 |
stable
|
-0.9 (-2.2, 0.8) |
| Cooper County 2 | Urban | 509.2 (448.7, 576.2) | 11 (1, 89) | 58 |
rising
|
1.5 (0.4, 2.6) |
| Knox County 2 | Rural | 516.4 (388.6, 674.9) | 10 (1, 114) | 14 |
stable
|
1.1 (-1.0, 3.2) |
| Pike County 2 | Rural | 518.2 (457.8, 585.0) | 9 (1, 84) | 60 |
stable
|
0.8 (-0.4, 2.0) |
| Lewis County 2 | Rural | 518.5 (437.7, 610.5) | 8 (1, 103) | 33 |
stable
|
0.2 (-5.8, 2.1) |
| Shannon County 2 | Rural | 518.8 (428.7, 624.1) | 7 (1, 107) | 28 |
rising
|
2.8 (0.8, 5.0) |
| Oregon County 2 | Rural | 530.0 (445.4, 627.0) | 6 (1, 104) | 34 |
rising
|
2.1 (0.4, 3.9) |
| Madison County 2 | Rural | 553.5 (482.6, 632.8) | 5 (1, 78) | 49 |
stable
|
1.0 (-0.4, 2.6) |
| Iron County 2 | Rural | 555.2 (475.6, 645.6) | 4 (1, 78) | 40 |
stable
|
1.5 (-0.3, 3.3) |
| Carter County 2 | Rural | 561.4 (450.6, 692.6) | 3 (1, 107) | 21 |
stable
|
1.3 (-1.7, 4.3) |
| Ripley County 2 | Rural | 567.7 (490.2, 654.9) | 2 (1, 67) | 43 |
rising
|
1.7 (0.3, 3.1) |
| Worth County 2 | Rural | 583.4 (380.8, 855.1) | 1 (1, 115) | 8 |
stable
|
4.2 (-1.2, 10.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 5:43 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.