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