Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2018-2022
White Non-Hispanic, Both Sexes, 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)
|
|---|---|---|---|---|---|---|
| North Carolina 2 | N/A | 490.4 (488.3, 492.5) | N/A | 46,273 |
stable 
|
0.0 (-0.2, 0.1) |
| US (SEER+NPCR)§ 1 | N/A | 467.1 (466.7, 467.5) | N/A | 1,354,187 |
falling 
|
-1.1 (-1.7, -0.7) |
| Gates County 2 | Urban | 250.9 (206.9, 302.6) | 100 (98, 100) | 26 |
falling
|
-3.6 (-8.9, -1.8) |
| Currituck County 2 | Urban | 304.2 (277.0, 333.5) | 99 (98, 100) | 104 |
falling
|
-2.8 (-8.4, -1.5) |
| Camden County 2 | Urban | 367.9 (317.5, 424.5) | 98 (76, 100) | 41 |
falling
|
-1.7 (-3.1, -0.4) |
| Alleghany County 2 | Rural | 385.1 (342.8, 432.8) | 97 (78, 99) | 73 |
stable
|
-0.4 (-1.7, 0.8) |
| Pasquotank County 2 | Rural | 407.1 (375.1, 441.4) | 96 (73, 98) | 133 |
stable
|
-0.2 (-1.6, 1.1) |
| Perquimans County 2 | Rural | 416.9 (370.1, 468.9) | 95 (39, 98) | 74 |
stable
|
-0.6 (-2.2, 1.1) |
| Northampton County 2 | Rural | 425.3 (374.5, 483.3) | 94 (28, 98) | 63 |
stable
|
-6.1 (-12.4, 0.4) |
| Transylvania County 2 | Rural | 430.4 (404.2, 458.2) | 93 (68, 98) | 262 |
stable
|
0.1 (-0.7, 0.8) |
| Washington County 2 | Rural | 431.8 (371.6, 502.4) | 92 (11, 98) | 47 |
stable
|
-0.1 (-1.8, 1.5) |
| Dare County 2 | Rural | 434.4 (407.8, 462.6) | 91 (62, 97) | 240 |
stable
|
-0.1 (-1.0, 0.8) |
| Clay County 2 | Rural | 434.7 (391.1, 483.2) | 90 (28, 98) | 94 |
stable
|
-0.7 (-6.3, 0.6) |
| Avery County 2 | Rural | 439.9 (402.7, 480.2) | 89 (34, 98) | 115 |
stable
|
0.3 (-0.6, 1.2) |
| Polk County 2 | Rural | 442.6 (405.5, 482.9) | 88 (31, 97) | 152 |
stable
|
0.6 (-0.6, 1.9) |
| Graham County 2 | Rural | 443.8 (387.3, 507.6) | 87 (9, 98) | 53 |
stable
|
-0.9 (-13.5, 2.2) |
| Jackson County 2 | Rural | 449.4 (421.4, 479.1) | 86 (40, 96) | 224 |
stable
|
0.9 (-0.6, 4.1) |
| Cherokee County 2 | Rural | 450.8 (421.3, 482.2) | 85 (36, 96) | 230 |
stable
|
-0.2 (-0.8, 0.3) |
| Ashe County 2 | Rural | 451.1 (420.6, 483.6) | 84 (36, 96) | 198 |
stable
|
0.1 (-0.8, 1.0) |
| Nash County 2 | Urban | 451.3 (428.5, 475.1) | 83 (50, 95) | 339 |
falling
|
-0.6 (-1.1, -0.1) |
| Watauga County 2 | Rural | 451.9 (426.3, 478.8) | 82 (46, 95) | 263 |
stable
|
-0.3 (-0.9, 0.2) |
| Alexander County 2 | Urban | 460.2 (432.3, 489.6) | 81 (34, 95) | 223 |
stable
|
0.1 (-0.6, 0.9) |
| Wilkes County 2 | Rural | 462.1 (441.2, 483.8) | 80 (46, 93) | 424 |
stable
|
-0.1 (-0.7, 0.5) |
| Warren County 2 | Rural | 462.2 (407.1, 524.7) | 79 (6, 98) | 70 |
stable
|
0.1 (-1.1, 1.2) |
| Catawba County 2 | Urban | 466.4 (451.8, 481.5) | 78 (52, 88) | 851 |
stable
|
-0.9 (-3.0, 0.0) |
| Durham County 2 | Urban | 466.9 (452.5, 481.6) | 77 (51, 88) | 869 |
stable
|
-0.3 (-0.7, 0.1) |
| Montgomery County 2 | Rural | 468.5 (431.0, 509.0) | 76 (15, 96) | 141 |
stable
|
0.2 (-0.7, 1.0) |
| Buncombe County 2 | Urban | 469.0 (458.2, 479.9) | 75 (55, 86) | 1,604 |
stable
|
-0.3 (-0.6, 0.1) |
| Hertford County 2 | Rural | 470.1 (411.8, 535.8) | 74 (3, 98) | 56 |
stable
|
-0.2 (-1.1, 0.7) |
| Pitt County 2 | Urban | 470.3 (451.9, 489.4) | 73 (39, 89) | 521 |
stable
|
0.0 (-0.5, 0.5) |
| Greene County 2 | Rural | 471.3 (421.4, 526.4) | 72 (5, 97) | 72 |
stable
|
-0.3 (-1.5, 0.9) |
| Wilson County 2 | Rural | 472.0 (446.2, 499.1) | 71 (23, 91) | 285 |
stable
|
-0.3 (-1.2, 0.6) |
| Bladen County 2 | Rural | 472.4 (434.2, 513.6) | 70 (11, 95) | 133 |
stable
|
0.5 (-0.3, 1.5) |
| Orange County 2 | Urban | 473.2 (455.8, 491.1) | 69 (36, 87) | 607 |
stable
|
-0.2 (-0.7, 0.2) |
| Hyde County 2 | Rural | 475.0 (389.6, 578.3) | 68 (1, 98) | 25 |
stable
|
-0.6 (-2.5, 1.3) |
| Macon County 2 | Rural | 476.3 (449.1, 505.0) | 67 (20, 91) | 297 |
stable
|
0.0 (-0.8, 0.8) |
| Wake County 2 | Urban | 477.6 (470.7, 484.6) | 66 (53, 78) | 3,799 |
falling
|
-0.3 (-0.8, -0.1) |
| Caswell County 2 | Rural | 477.7 (434.5, 524.5) | 65 (8, 95) | 105 |
stable
|
0.1 (-0.9, 1.1) |
| Carteret County 2 | Rural | 478.7 (458.4, 499.7) | 64 (24, 87) | 515 |
falling
|
-0.7 (-1.1, -0.2) |
| Chatham County 2 | Urban | 479.1 (458.3, 500.8) | 63 (24, 87) | 489 |
stable
|
0.1 (-0.4, 0.7) |
| Forsyth County 2 | Urban | 479.5 (468.3, 490.9) | 62 (42, 80) | 1,545 |
falling
|
-0.6 (-1.7, -0.3) |
| Chowan County 2 | Rural | 479.7 (426.8, 538.7) | 61 (3, 97) | 74 |
stable
|
0.7 (-0.4, 1.8) |
| Mecklenburg County 2 | Urban | 483.3 (475.4, 491.2) | 60 (44, 75) | 3,004 |
falling
|
-2.2 (-3.6, -1.0) |
| Beaufort County 2 | Rural | 484.1 (455.2, 514.7) | 59 (14, 90) | 261 |
rising 
|
3.2 (0.8, 8.1) |
| Lee County 2 | Rural | 484.9 (458.0, 513.1) | 58 (15, 89) | 272 |
stable
|
-0.4 (-0.9, 0.1) |
| Madison County 2 | Urban | 486.5 (450.2, 525.2) | 57 (9, 92) | 151 |
stable
|
0.1 (-0.8, 1.0) |
| Stokes County 2 | Urban | 486.5 (461.3, 512.9) | 56 (15, 87) | 315 |
rising
|
0.6 (0.2, 1.1) |
| Yadkin County 2 | Urban | 486.8 (458.3, 516.9) | 55 (13, 88) | 245 |
stable
|
0.3 (-0.5, 1.2) |
| Cabarrus County 2 | Urban | 487.1 (472.4, 502.1) | 54 (28, 78) | 881 |
falling
|
-0.9 (-1.7, -0.3) |
| New Hanover County 2 | Urban | 489.7 (477.0, 502.8) | 53 (27, 75) | 1,210 |
stable
|
0.3 (-0.1, 0.7) |
| Davidson County 2 | Urban | 493.5 (479.1, 508.2) | 52 (22, 73) | 982 |
stable
|
0.2 (-0.1, 0.5) |
| Harnett County 2 | Rural | 495.1 (475.3, 515.5) | 51 (14, 78) | 495 |
falling
|
-2.5 (-5.6, -0.1) |
| Iredell County 2 | Urban | 495.7 (481.3, 510.5) | 50 (20, 71) | 968 |
stable
|
-0.5 (-1.5, 0.0) |
| Rowan County 2 | Urban | 496.1 (479.7, 512.9) | 49 (16, 75) | 763 |
falling
|
-0.9 (-1.7, -0.2) |
| Henderson County 2 | Urban | 496.9 (480.8, 513.5) | 48 (16, 73) | 882 |
stable
|
-0.1 (-0.5, 0.3) |
| Columbus County 2 | Rural | 497.9 (468.4, 529.0) | 47 (8, 85) | 237 |
stable
|
0.4 (-0.1, 0.9) |
| Craven County 2 | Rural | 497.9 (477.5, 519.1) | 46 (14, 78) | 520 |
stable
|
-2.3 (-6.0, 0.3) |
| Edgecombe County 2 | Urban | 498.3 (460.0, 539.4) | 45 (5, 90) | 147 |
stable
|
0.1 (-1.0, 1.2) |
| Yancey County 2 | Rural | 499.0 (461.2, 539.7) | 44 (5, 89) | 152 |
stable
|
1.9 (-1.0, 8.1) |
| Cumberland County 2 | Urban | 500.5 (484.8, 516.5) | 43 (15, 69) | 816 |
stable
|
0.2 (0.0, 0.5) |
| Guilford County 2 | Urban | 500.8 (490.5, 511.2) | 42 (21, 61) | 1,997 |
falling
|
-0.4 (-1.1, -0.1) |
| Rockingham County 2 | Urban | 501.5 (481.5, 522.2) | 41 (12, 74) | 536 |
stable
|
0.1 (-0.3, 0.5) |
| Davie County 2 | Urban | 503.9 (476.6, 532.7) | 40 (7, 80) | 287 |
stable
|
-0.6 (-4.1, 0.5) |
| Lincoln County 2 | Urban | 504.0 (484.2, 524.3) | 39 (10, 71) | 545 |
stable
|
0.1 (-0.4, 0.6) |
| Randolph County 2 | Urban | 504.0 (488.1, 520.3) | 38 (13, 67) | 843 |
stable
|
-0.3 (-1.7, 0.2) |
| Burke County 2 | Urban | 504.1 (484.8, 524.0) | 37 (12, 70) | 583 |
stable
|
0.2 (-0.5, 0.9) |
| Moore County 2 | Urban | 504.8 (486.3, 524.0) | 36 (11, 71) | 670 |
stable
|
0.0 (-0.7, 0.7) |
| Duplin County 2 | Rural | 505.1 (472.7, 539.5) | 35 (5, 85) | 212 |
rising
|
1.2 (0.5, 1.9) |
| Surry County 2 | Rural | 505.7 (484.7, 527.4) | 34 (10, 73) | 484 |
stable
|
0.5 (-0.2, 1.2) |
| Brunswick County 2 | Urban | 506.7 (491.3, 522.5) | 33 (13, 63) | 1,238 |
falling
|
-2.0 (-4.2, -0.4) |
| Union County 2 | Urban | 507.6 (493.6, 522.1) | 32 (12, 60) | 1,041 |
stable
|
0.5 (-0.1, 1.2) |
| Haywood County 2 | Rural | 510.0 (488.6, 532.2) | 31 (7, 70) | 503 |
stable
|
0.7 (-0.1, 1.5) |
| Granville County 2 | Rural | 511.3 (482.7, 541.4) | 30 (5, 77) | 265 |
stable
|
-0.7 (-4.1, 0.1) |
| Rutherford County 2 | Rural | 512.6 (490.1, 536.0) | 29 (7, 68) | 442 |
stable
|
0.3 (-0.3, 0.7) |
| Franklin County 2 | Urban | 512.7 (486.4, 540.0) | 28 (6, 74) | 317 |
stable
|
0.3 (0.0, 0.7) |
| Martin County 2 | Rural | 513.5 (466.1, 565.3) | 27 (2, 90) | 101 |
stable
|
0.2 (-0.7, 1.0) |
| Johnston County 2 | Urban | 513.9 (498.7, 529.5) | 26 (9, 57) | 928 |
rising
|
0.6 (0.4, 0.9) |
| Pamlico County 2 | Rural | 514.3 (460.7, 573.9) | 25 (1, 91) | 95 |
stable
|
0.6 (-0.5, 1.6) |
| Mitchell County 2 | Rural | 514.8 (470.6, 562.7) | 24 (2, 87) | 120 |
rising
|
1.0 (0.2, 1.9) |
| Alamance County 2 | Urban | 516.0 (499.5, 532.9) | 23 (9, 56) | 814 |
stable
|
0.3 (-0.3, 0.9) |
| Cleveland County 2 | Rural | 516.8 (496.5, 537.7) | 22 (7, 60) | 542 |
rising
|
0.7 (0.2, 1.1) |
| Stanly County 2 | Rural | 519.4 (495.1, 544.6) | 21 (5, 66) | 379 |
stable
|
0.0 (-1.0, 0.6) |
| Gaston County 2 | Urban | 519.5 (505.9, 533.5) | 20 (9, 47) | 1,175 |
stable
|
0.2 (-0.2, 0.7) |
| Halifax County 2 | Rural | 520.1 (481.7, 561.2) | 19 (2, 82) | 163 |
stable
|
0.3 (-0.6, 1.1) |
| Scotland County 2 | Rural | 520.3 (476.8, 567.3) | 18 (1, 85) | 121 |
falling
|
-1.0 (-3.7, -0.1) |
| Person County 2 | Urban | 521.3 (488.2, 556.2) | 17 (3, 74) | 208 |
stable
|
0.6 (0.0, 1.1) |
| Hoke County 2 | Urban | 522.0 (476.9, 570.3) | 16 (1, 86) | 106 |
stable
|
-0.4 (-1.3, 0.6) |
| Caldwell County 2 | Urban | 528.5 (508.3, 549.4) | 15 (4, 48) | 573 |
rising
|
1.0 (0.4, 1.6) |
| Vance County 2 | Rural | 529.1 (489.2, 572.0) | 14 (1, 78) | 154 |
stable
|
0.3 (-0.4, 0.9) |
| Pender County 2 | Urban | 529.3 (503.5, 556.3) | 13 (3, 59) | 344 |
stable
|
0.6 (-0.3, 1.6) |
| Wayne County 2 | Urban | 531.4 (509.1, 554.5) | 12 (4, 51) | 468 |
stable
|
0.8 (-4.7, 2.5) |
| Bertie County 2 | Rural | 531.9 (466.3, 605.9) | 11 (1, 91) | 60 |
rising
|
2.1 (0.5, 8.0) |
| Jones County 2 | Rural | 537.6 (469.4, 614.5) | 10 (1, 93) | 52 |
stable
|
0.4 (-1.1, 1.9) |
| Lenoir County 2 | Rural | 545.2 (512.2, 580.0) | 9 (1, 54) | 237 |
stable
|
-0.1 (-1.1, 0.7) |
| Onslow County 2 | Urban | 551.9 (532.5, 571.8) | 8 (1, 23) | 649 |
stable
|
-1.8 (-3.5, 0.3) |
| McDowell County 2 | Rural | 553.1 (525.8, 581.7) | 7 (1, 28) | 342 |
rising
|
0.8 (0.3, 1.3) |
| Swain County 2 | Rural | 555.1 (499.2, 616.4) | 6 (1, 75) | 83 |
stable
|
0.8 (-0.2, 1.9) |
| Sampson County 2 | Rural | 561.5 (529.7, 594.9) | 5 (1, 31) | 260 |
rising
|
1.2 (0.4, 2.0) |
| Richmond County 2 | Rural | 567.9 (532.9, 604.8) | 4 (1, 33) | 216 |
stable
|
0.8 (-0.1, 1.8) |
| Robeson County 2 | Rural | 572.2 (539.7, 606.5) | 3 (1, 25) | 264 |
stable
|
-1.9 (-5.6, 0.7) |
| Anson County 2 | Urban | 583.3 (527.9, 643.7) | 2 (1, 54) | 95 |
rising
|
2.5 (1.6, 3.5) |
| Tyrrell County 2 | Rural | 632.1 (499.5, 793.4) | 1 (1, 93) | 19 |
stable
|
2.3 (-0.5, 5.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 11:49 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.