Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2018-2022
Black 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 | 480.7 (476.7, 484.7) | N/A | 11,916 |
falling 
|
-0.5 (-0.7, -0.3) |
| US (SEER+NPCR) 1 | N/A | 452.3 (451.4, 453.2) | N/A | 199,962 |
falling
|
-1.0 (-1.5, -0.6) |
| Currituck County 2 | Urban | 256.7 (165.1, 383.5) | 88 (70, 88) | 5 |
falling
|
-26.5 (-45.6, -12.3) |
| Gates County 2 | Urban | 316.7 (252.6, 396.2) | 87 (72, 88) | 19 |
stable 
|
-1.6 (-3.1, 0.0) |
| Wilkes County 2 | Rural | 321.7 (248.3, 411.8) | 86 (59, 88) | 14 |
stable
|
-1.0 (-3.1, 1.2) |
| Camden County 2 | Urban | 324.6 (207.9, 490.5) | 85 (7, 88) | 6 |
falling
|
-3.9 (-7.7, -0.6) |
| Pasquotank County 2 | Rural | 343.1 (304.6, 385.2) | 84 (76, 88) | 62 |
falling
|
-8.8 (-18.3, -3.0) |
| Carteret County 2 | Rural | 378.2 (305.1, 465.0) | 83 (27, 88) | 21 |
falling
|
-3.2 (-5.1, -1.4) |
| Nash County 2 | Urban | 407.6 (381.2, 435.5) | 82 (66, 84) | 194 |
stable
|
-1.1 (-2.3, 0.3) |
| Perquimans County 2 | Rural | 411.3 (325.0, 515.9) | 81 (6, 87) | 19 |
stable
|
-0.9 (-3.0, 1.2) |
| Tyrrell County 2 | Rural | 416.0 (284.6, 597.2) | 80 (1, 88) | 8 |
stable
|
2.4 (-1.4, 6.8) |
| Lincoln County 2 | Urban | 423.4 (351.6, 506.2) | 79 (8, 87) | 27 |
stable
|
-1.1 (-3.4, 1.5) |
| Bertie County 2 | Rural | 423.9 (376.0, 476.7) | 78 (29, 84) | 66 |
stable
|
-0.8 (-2.2, 0.6) |
| Iredell County 2 | Urban | 427.4 (390.4, 467.0) | 77 (39, 83) | 105 |
falling
|
-1.7 (-4.0, -0.6) |
| Polk County 2 | Rural | 441.9 (287.7, 658.0) | 76 (1, 88) | 6 |
stable
|
-1.5 (-5.2, 2.0) |
| Stokes County 2 | Urban | 443.4 (337.7, 576.2) | 75 (1, 88) | 14 |
stable
|
-1.5 (-3.6, 0.5) |
| Lee County 2 | Rural | 446.7 (397.4, 500.6) | 74 (14, 83) | 65 |
stable
|
-0.5 (-2.3, 1.5) |
| Pamlico County 2 | Rural | 447.8 (350.7, 567.9) | 73 (1, 87) | 17 |
stable
|
0.0 (-2.5, 2.4) |
| Cherokee County 2 | Rural | 452.2 (243.4, 773.0) | 72 (1, 88) | 3 |
|
|
| Brunswick County 2 | Urban | 452.3 (407.8, 500.8) | 71 (15, 83) | 86 |
stable
|
-0.2 (-1.2, 0.9) |
| Bladen County 2 | Rural | 454.4 (404.4, 509.6) | 70 (10, 83) | 68 |
stable
|
0.1 (-1.1, 1.3) |
| Durham County 2 | Urban | 460.6 (443.0, 478.8) | 69 (36, 76) | 563 |
falling
|
-1.0 (-1.6, -0.3) |
| Chatham County 2 | Urban | 460.7 (408.4, 518.7) | 68 (7, 82) | 65 |
stable
|
-0.7 (-1.6, 0.3) |
| Hyde County 2 | Rural | 461.9 (322.0, 649.2) | 67 (1, 88) | 9 |
stable
|
0.5 (-4.8, 5.8) |
| Hoke County 2 | Urban | 463.7 (420.0, 510.8) | 66 (11, 81) | 92 |
stable
|
-0.7 (-1.8, 0.6) |
| Dare County 2 | Rural | 465.7 (291.4, 702.3) | 65 (1, 88) | 5 |
falling
|
-4.5 (-8.1, -1.2) |
| Harnett County 2 | Rural | 467.6 (431.6, 505.7) | 64 (14, 79) | 136 |
stable
|
-0.8 (-1.8, 0.4) |
| Lenoir County 2 | Rural | 468.6 (433.5, 505.9) | 63 (16, 78) | 150 |
falling
|
-1.5 (-2.6, -0.5) |
| Catawba County 2 | Urban | 468.9 (419.9, 522.0) | 62 (8, 81) | 73 |
stable
|
-0.8 (-2.1, 0.5) |
| Wilson County 2 | Rural | 468.9 (437.8, 501.8) | 61 (17, 77) | 186 |
stable
|
-0.4 (-0.9, 0.1) |
| Haywood County 2 | Rural | 470.0 (309.2, 688.9) | 60 (1, 88) | 6 |
stable
|
0.6 (-3.6, 5.4) |
| Halifax County 2 | Rural | 470.6 (438.1, 505.1) | 59 (15, 77) | 172 |
falling
|
-5.4 (-13.1, -0.3) |
| Craven County 2 | Rural | 470.9 (433.4, 511.0) | 58 (12, 79) | 127 |
falling
|
-1.2 (-4.8, -0.5) |
| Cabarrus County 2 | Urban | 471.0 (439.1, 504.5) | 57 (15, 77) | 184 |
stable
|
-1.1 (-1.9, 0.0) |
| Cumberland County 2 | Urban | 471.5 (454.5, 489.0) | 56 (28, 72) | 621 |
stable
|
0.0 (-0.5, 0.6) |
| Franklin County 2 | Urban | 472.1 (431.5, 515.7) | 55 (11, 79) | 106 |
falling
|
-7.2 (-12.8, -1.1) |
| Jones County 2 | Rural | 472.4 (379.1, 585.3) | 54 (1, 85) | 23 |
stable
|
-0.7 (-2.7, 1.2) |
| Chowan County 2 | Rural | 473.1 (394.6, 563.4) | 53 (2, 84) | 31 |
stable
|
0.0 (-1.8, 1.7) |
| Alexander County 2 | Urban | 473.5 (357.3, 616.4) | 52 (1, 87) | 11 |
stable
|
1.5 (-1.5, 5.1) |
| Warren County 2 | Rural | 474.8 (423.3, 531.5) | 51 (5, 81) | 71 |
stable
|
-0.1 (-1.5, 1.2) |
| Robeson County 2 | Rural | 475.5 (441.7, 511.4) | 50 (13, 76) | 159 |
stable
|
-0.1 (-1.2, 0.9) |
| Edgecombe County 2 | Urban | 475.6 (443.3, 509.6) | 49 (15, 77) | 185 |
stable
|
-0.4 (-1.0, 0.3) |
| Rowan County 2 | Urban | 476.6 (438.9, 516.7) | 48 (11, 77) | 127 |
falling
|
-1.4 (-3.6, -0.2) |
| Columbus County 2 | Rural | 477.2 (434.6, 523.1) | 47 (8, 79) | 100 |
stable
|
0.5 (-0.6, 1.6) |
| McDowell County 2 | Rural | 477.6 (356.8, 628.9) | 46 (1, 87) | 11 |
stable
|
-0.3 (-3.1, 2.8) |
| Hertford County 2 | Rural | 480.6 (432.6, 533.0) | 45 (5, 79) | 82 |
stable
|
-0.4 (-1.7, 1.0) |
| Wake County 2 | Urban | 480.9 (467.1, 495.0) | 44 (26, 66) | 1,036 |
falling
|
-0.8 (-1.6, -0.4) |
| Mecklenburg County 2 | Urban | 481.9 (470.5, 493.5) | 43 (28, 63) | 1,544 |
falling
|
-0.9 (-1.8, -0.4) |
| Pitt County 2 | Urban | 483.2 (457.7, 509.6) | 42 (15, 71) | 296 |
stable
|
1.5 (-0.9, 7.0) |
| Sampson County 2 | Rural | 484.7 (442.3, 530.5) | 41 (7, 77) | 106 |
stable
|
0.8 (-0.3, 2.0) |
| Gaston County 2 | Urban | 487.5 (456.1, 520.6) | 40 (10, 73) | 195 |
stable
|
-0.4 (-1.3, 0.7) |
| Guilford County 2 | Urban | 487.9 (473.0, 503.3) | 39 (21, 63) | 873 |
stable
|
-0.4 (-1.2, 0.4) |
| Montgomery County 2 | Rural | 489.9 (412.2, 578.9) | 38 (1, 83) | 31 |
stable
|
1.0 (-1.2, 3.4) |
| Pender County 2 | Urban | 490.0 (434.4, 551.4) | 37 (3, 81) | 62 |
stable
|
0.4 (-1.1, 1.9) |
| Johnston County 2 | Urban | 490.6 (457.9, 525.0) | 36 (9, 73) | 188 |
stable
|
0.1 (-0.7, 1.1) |
| Burke County 2 | Urban | 494.0 (420.8, 577.1) | 35 (1, 82) | 36 |
stable
|
-0.7 (-2.6, 1.2) |
| Davie County 2 | Urban | 495.5 (400.9, 607.9) | 34 (1, 83) | 21 |
stable
|
-0.1 (-1.8, 1.7) |
| Moore County 2 | Urban | 495.7 (445.8, 550.0) | 33 (4, 77) | 80 |
stable
|
-0.7 (-2.1, 0.6) |
| Greene County 2 | Rural | 496.5 (432.3, 568.1) | 32 (1, 80) | 47 |
stable
|
0.7 (-0.9, 2.5) |
| Henderson County 2 | Urban | 496.9 (403.6, 605.5) | 31 (1, 84) | 23 |
stable
|
-1.0 (-2.6, 0.7) |
| Union County 2 | Urban | 497.4 (460.4, 536.6) | 30 (6, 73) | 147 |
falling
|
-7.4 (-13.2, -3.4) |
| Person County 2 | Urban | 498.0 (444.6, 556.5) | 29 (3, 78) | 73 |
stable
|
-0.2 (-1.2, 0.9) |
| Northampton County 2 | Rural | 499.9 (446.2, 558.9) | 28 (2, 79) | 79 |
stable
|
0.7 (-0.1, 2.2) |
| New Hanover County 2 | Urban | 500.0 (465.7, 536.2) | 27 (5, 71) | 173 |
stable
|
0.2 (-0.9, 1.2) |
| Randolph County 2 | Urban | 501.1 (441.9, 566.2) | 26 (2, 77) | 57 |
falling
|
-3.9 (-15.3, -0.7) |
| Duplin County 2 | Rural | 501.5 (453.7, 553.4) | 25 (3, 76) | 93 |
rising 
|
1.2 (0.3, 2.0) |
| Vance County 2 | Rural | 504.2 (464.0, 547.1) | 24 (4, 72) | 130 |
stable
|
-0.1 (-0.7, 0.6) |
| Scotland County 2 | Rural | 507.0 (457.0, 561.1) | 23 (2, 75) | 82 |
stable
|
9.6 (-0.1, 16.1) |
| Rockingham County 2 | Urban | 507.9 (466.4, 552.3) | 22 (3, 71) | 124 |
stable
|
0.1 (-1.1, 1.3) |
| Buncombe County 2 | Urban | 510.0 (465.0, 558.2) | 21 (3, 72) | 103 |
stable
|
-0.7 (-1.8, 0.5) |
| Beaufort County 2 | Rural | 510.1 (458.2, 566.7) | 20 (2, 76) | 81 |
stable
|
-0.2 (-1.5, 1.0) |
| Anson County 2 | Urban | 511.4 (456.8, 571.0) | 19 (2, 76) | 69 |
rising
|
1.6 (0.4, 2.9) |
| Forsyth County 2 | Urban | 513.4 (493.7, 533.7) | 18 (7, 47) | 559 |
rising
|
2.3 (0.8, 4.8) |
| Davidson County 2 | Urban | 518.1 (473.0, 566.3) | 17 (2, 68) | 105 |
stable
|
0.4 (-1.3, 2.4) |
| Wayne County 2 | Urban | 518.8 (488.6, 550.4) | 16 (4, 56) | 241 |
stable
|
0.7 (0.0, 1.5) |
| Surry County 2 | Rural | 519.8 (423.6, 633.9) | 15 (1, 83) | 22 |
falling
|
-3.1 (-14.1, -0.5) |
| Cleveland County 2 | Rural | 520.2 (477.8, 565.4) | 14 (2, 67) | 125 |
rising
|
0.9 (0.3, 1.6) |
| Caswell County 2 | Rural | 522.4 (462.4, 589.2) | 13 (1, 74) | 63 |
stable
|
-6.7 (-12.4, 0.9) |
| Alamance County 2 | Urban | 527.8 (495.4, 561.9) | 12 (2, 49) | 214 |
stable
|
-0.1 (-0.8, 0.8) |
| Martin County 2 | Rural | 536.5 (479.3, 599.3) | 11 (1, 68) | 77 |
rising
|
1.0 (0.2, 1.9) |
| Onslow County 2 | Urban | 538.6 (497.5, 582.0) | 10 (1, 55) | 139 |
stable
|
0.3 (-0.7, 1.5) |
| Yadkin County 2 | Urban | 540.0 (374.1, 754.7) | 9 (1, 87) | 8 |
stable
|
0.8 (-2.1, 3.9) |
| Richmond County 2 | Rural | 542.4 (489.4, 599.6) | 8 (1, 65) | 84 |
stable
|
0.4 (-0.9, 1.7) |
| Stanly County 2 | Rural | 544.4 (470.8, 626.3) | 7 (1, 75) | 43 |
stable
|
0.3 (-1.6, 2.4) |
| Rutherford County 2 | Rural | 547.8 (474.8, 629.2) | 6 (1, 75) | 45 |
stable
|
0.8 (-0.6, 2.2) |
| Orange County 2 | Urban | 551.4 (503.2, 603.0) | 5 (1, 54) | 105 |
stable
|
0.2 (-0.4, 0.9) |
| Caldwell County 2 | Urban | 557.6 (465.5, 663.0) | 4 (1, 78) | 28 |
stable
|
-0.5 (-3.3, 2.4) |
| Granville County 2 | Rural | 558.8 (516.5, 603.8) | 3 (1, 40) | 137 |
stable
|
-0.2 (-1.4, 1.1) |
| Washington County 2 | Rural | 574.4 (494.0, 664.8) | 2 (1, 71) | 44 |
rising
|
12.6 (1.7, 21.5) |
| Transylvania County 2 | Rural | 594.3 (407.2, 836.9) | 1 (1, 87) | 8 |
stable
|
2.0 (-1.4, 6.0) |
| Alleghany County 2 | Rural |
|
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| Ashe County 2 | Rural |
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| Avery County 2 | Rural |
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| Clay County 2 | Rural |
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| Graham County 2 | Rural |
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| Jackson County 2 | Rural |
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| Macon County 2 | Rural |
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| Madison County 2 | Urban |
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| Mitchell County 2 | Rural |
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| Swain County 2 | Rural |
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| Watauga County 2 | Rural |
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| Yancey County 2 | Rural |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 7:51 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
Data for United States does not include Puerto Rico.