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 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 | 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) |
| Washington County 2 | Rural | 574.4 (494.0, 664.8) | 2 (1, 71) | 44 |
rising 
|
12.6 (1.7, 21.5) |
| Scotland County 2 | Rural | 507.0 (457.0, 561.1) | 23 (2, 75) | 82 |
stable 
|
9.6 (-0.1, 16.1) |
| Tyrrell County 2 | Rural | 416.0 (284.6, 597.2) | 80 (1, 88) | 8 |
stable
|
2.4 (-1.4, 6.8) |
| Forsyth County 2 | Urban | 513.4 (493.7, 533.7) | 18 (7, 47) | 559 |
rising
|
2.3 (0.8, 4.8) |
| Transylvania County 2 | Rural | 594.3 (407.2, 836.9) | 1 (1, 87) | 8 |
stable
|
2.0 (-1.4, 6.0) |
| Anson County 2 | Urban | 511.4 (456.8, 571.0) | 19 (2, 76) | 69 |
rising
|
1.6 (0.4, 2.9) |
| Alexander County 2 | Urban | 473.5 (357.3, 616.4) | 52 (1, 87) | 11 |
stable
|
1.5 (-1.5, 5.1) |
| Pitt County 2 | Urban | 483.2 (457.7, 509.6) | 42 (15, 71) | 296 |
stable
|
1.5 (-0.9, 7.0) |
| Duplin County 2 | Rural | 501.5 (453.7, 553.4) | 25 (3, 76) | 93 |
rising
|
1.2 (0.3, 2.0) |
| Martin County 2 | Rural | 536.5 (479.3, 599.3) | 11 (1, 68) | 77 |
rising
|
1.0 (0.2, 1.9) |
| Montgomery County 2 | Rural | 489.9 (412.2, 578.9) | 38 (1, 83) | 31 |
stable
|
1.0 (-1.2, 3.4) |
| Cleveland County 2 | Rural | 520.2 (477.8, 565.4) | 14 (2, 67) | 125 |
rising
|
0.9 (0.3, 1.6) |
| Rutherford County 2 | Rural | 547.8 (474.8, 629.2) | 6 (1, 75) | 45 |
stable
|
0.8 (-0.6, 2.2) |
| Sampson County 2 | Rural | 484.7 (442.3, 530.5) | 41 (7, 77) | 106 |
stable
|
0.8 (-0.3, 2.0) |
| Yadkin County 2 | Urban | 540.0 (374.1, 754.7) | 9 (1, 87) | 8 |
stable
|
0.8 (-2.1, 3.9) |
| Greene County 2 | Rural | 496.5 (432.3, 568.1) | 32 (1, 80) | 47 |
stable
|
0.7 (-0.9, 2.5) |
| Northampton County 2 | Rural | 499.9 (446.2, 558.9) | 28 (2, 79) | 79 |
stable
|
0.7 (-0.1, 2.2) |
| Wayne County 2 | Urban | 518.8 (488.6, 550.4) | 16 (4, 56) | 241 |
stable
|
0.7 (0.0, 1.5) |
| Haywood County 2 | Rural | 470.0 (309.2, 688.9) | 60 (1, 88) | 6 |
stable
|
0.6 (-3.6, 5.4) |
| Columbus County 2 | Rural | 477.2 (434.6, 523.1) | 47 (8, 79) | 100 |
stable
|
0.5 (-0.6, 1.6) |
| Hyde County 2 | Rural | 461.9 (322.0, 649.2) | 67 (1, 88) | 9 |
stable
|
0.5 (-4.8, 5.8) |
| Davidson County 2 | Urban | 518.1 (473.0, 566.3) | 17 (2, 68) | 105 |
stable
|
0.4 (-1.3, 2.4) |
| Pender County 2 | Urban | 490.0 (434.4, 551.4) | 37 (3, 81) | 62 |
stable
|
0.4 (-1.1, 1.9) |
| Richmond County 2 | Rural | 542.4 (489.4, 599.6) | 8 (1, 65) | 84 |
stable
|
0.4 (-0.9, 1.7) |
| Onslow County 2 | Urban | 538.6 (497.5, 582.0) | 10 (1, 55) | 139 |
stable
|
0.3 (-0.7, 1.5) |
| Stanly County 2 | Rural | 544.4 (470.8, 626.3) | 7 (1, 75) | 43 |
stable
|
0.3 (-1.6, 2.4) |
| New Hanover County 2 | Urban | 500.0 (465.7, 536.2) | 27 (5, 71) | 173 |
stable
|
0.2 (-0.9, 1.2) |
| Orange County 2 | Urban | 551.4 (503.2, 603.0) | 5 (1, 54) | 105 |
stable
|
0.2 (-0.4, 0.9) |
| Bladen County 2 | Rural | 454.4 (404.4, 509.6) | 70 (10, 83) | 68 |
stable
|
0.1 (-1.1, 1.3) |
| Johnston County 2 | Urban | 490.6 (457.9, 525.0) | 36 (9, 73) | 188 |
stable
|
0.1 (-0.7, 1.1) |
| Rockingham County 2 | Urban | 507.9 (466.4, 552.3) | 22 (3, 71) | 124 |
stable
|
0.1 (-1.1, 1.3) |
| Chowan County 2 | Rural | 473.1 (394.6, 563.4) | 53 (2, 84) | 31 |
stable
|
0.0 (-1.8, 1.7) |
| Cumberland County 2 | Urban | 471.5 (454.5, 489.0) | 56 (28, 72) | 621 |
stable
|
0.0 (-0.5, 0.6) |
| Pamlico County 2 | Rural | 447.8 (350.7, 567.9) | 73 (1, 87) | 17 |
stable
|
0.0 (-2.5, 2.4) |
| Alamance County 2 | Urban | 527.8 (495.4, 561.9) | 12 (2, 49) | 214 |
stable
|
-0.1 (-0.8, 0.8) |
| Davie County 2 | Urban | 495.5 (400.9, 607.9) | 34 (1, 83) | 21 |
stable
|
-0.1 (-1.8, 1.7) |
| Robeson County 2 | Rural | 475.5 (441.7, 511.4) | 50 (13, 76) | 159 |
stable
|
-0.1 (-1.2, 0.9) |
| Vance County 2 | Rural | 504.2 (464.0, 547.1) | 24 (4, 72) | 130 |
stable
|
-0.1 (-0.7, 0.6) |
| Warren County 2 | Rural | 474.8 (423.3, 531.5) | 51 (5, 81) | 71 |
stable
|
-0.1 (-1.5, 1.2) |
| Beaufort County 2 | Rural | 510.1 (458.2, 566.7) | 20 (2, 76) | 81 |
stable
|
-0.2 (-1.5, 1.0) |
| Brunswick County 2 | Urban | 452.3 (407.8, 500.8) | 71 (15, 83) | 86 |
stable
|
-0.2 (-1.2, 0.9) |
| Granville County 2 | Rural | 558.8 (516.5, 603.8) | 3 (1, 40) | 137 |
stable
|
-0.2 (-1.4, 1.1) |
| Person County 2 | Urban | 498.0 (444.6, 556.5) | 29 (3, 78) | 73 |
stable
|
-0.2 (-1.2, 0.9) |
| McDowell County 2 | Rural | 477.6 (356.8, 628.9) | 46 (1, 87) | 11 |
stable
|
-0.3 (-3.1, 2.8) |
| Edgecombe County 2 | Urban | 475.6 (443.3, 509.6) | 49 (15, 77) | 185 |
stable
|
-0.4 (-1.0, 0.3) |
| 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) |
| Hertford County 2 | Rural | 480.6 (432.6, 533.0) | 45 (5, 79) | 82 |
stable
|
-0.4 (-1.7, 1.0) |
| Wilson County 2 | Rural | 468.9 (437.8, 501.8) | 61 (17, 77) | 186 |
stable
|
-0.4 (-0.9, 0.1) |
| Caldwell County 2 | Urban | 557.6 (465.5, 663.0) | 4 (1, 78) | 28 |
stable
|
-0.5 (-3.3, 2.4) |
| Lee County 2 | Rural | 446.7 (397.4, 500.6) | 74 (14, 83) | 65 |
stable
|
-0.5 (-2.3, 1.5) |
| Buncombe County 2 | Urban | 510.0 (465.0, 558.2) | 21 (3, 72) | 103 |
stable
|
-0.7 (-1.8, 0.5) |
| Burke County 2 | Urban | 494.0 (420.8, 577.1) | 35 (1, 82) | 36 |
stable
|
-0.7 (-2.6, 1.2) |
| Chatham County 2 | Urban | 460.7 (408.4, 518.7) | 68 (7, 82) | 65 |
stable
|
-0.7 (-1.6, 0.3) |
| Hoke County 2 | Urban | 463.7 (420.0, 510.8) | 66 (11, 81) | 92 |
stable
|
-0.7 (-1.8, 0.6) |
| Jones County 2 | Rural | 472.4 (379.1, 585.3) | 54 (1, 85) | 23 |
stable
|
-0.7 (-2.7, 1.2) |
| Moore County 2 | Urban | 495.7 (445.8, 550.0) | 33 (4, 77) | 80 |
stable
|
-0.7 (-2.1, 0.6) |
| Bertie County 2 | Rural | 423.9 (376.0, 476.7) | 78 (29, 84) | 66 |
stable
|
-0.8 (-2.2, 0.6) |
| Catawba County 2 | Urban | 468.9 (419.9, 522.0) | 62 (8, 81) | 73 |
stable
|
-0.8 (-2.1, 0.5) |
| Harnett County 2 | Rural | 467.6 (431.6, 505.7) | 64 (14, 79) | 136 |
stable
|
-0.8 (-1.8, 0.4) |
| 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) |
| Perquimans County 2 | Rural | 411.3 (325.0, 515.9) | 81 (6, 87) | 19 |
stable
|
-0.9 (-3.0, 1.2) |
| Durham County 2 | Urban | 460.6 (443.0, 478.8) | 69 (36, 76) | 563 |
falling
|
-1.0 (-1.6, -0.3) |
| Henderson County 2 | Urban | 496.9 (403.6, 605.5) | 31 (1, 84) | 23 |
stable
|
-1.0 (-2.6, 0.7) |
| Wilkes County 2 | Rural | 321.7 (248.3, 411.8) | 86 (59, 88) | 14 |
stable
|
-1.0 (-3.1, 1.2) |
| Cabarrus County 2 | Urban | 471.0 (439.1, 504.5) | 57 (15, 77) | 184 |
stable
|
-1.1 (-1.9, 0.0) |
| Lincoln County 2 | Urban | 423.4 (351.6, 506.2) | 79 (8, 87) | 27 |
stable
|
-1.1 (-3.4, 1.5) |
| Nash County 2 | Urban | 407.6 (381.2, 435.5) | 82 (66, 84) | 194 |
stable
|
-1.1 (-2.3, 0.3) |
| Craven County 2 | Rural | 470.9 (433.4, 511.0) | 58 (12, 79) | 127 |
falling
|
-1.2 (-4.8, -0.5) |
| Rowan County 2 | Urban | 476.6 (438.9, 516.7) | 48 (11, 77) | 127 |
falling
|
-1.4 (-3.6, -0.2) |
| Lenoir County 2 | Rural | 468.6 (433.5, 505.9) | 63 (16, 78) | 150 |
falling
|
-1.5 (-2.6, -0.5) |
| 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) |
| Gates County 2 | Urban | 316.7 (252.6, 396.2) | 87 (72, 88) | 19 |
stable
|
-1.6 (-3.1, 0.0) |
| Iredell County 2 | Urban | 427.4 (390.4, 467.0) | 77 (39, 83) | 105 |
falling
|
-1.7 (-4.0, -0.6) |
| Surry County 2 | Rural | 519.8 (423.6, 633.9) | 15 (1, 83) | 22 |
falling
|
-3.1 (-14.1, -0.5) |
| Carteret County 2 | Rural | 378.2 (305.1, 465.0) | 83 (27, 88) | 21 |
falling
|
-3.2 (-5.1, -1.4) |
| Camden County 2 | Urban | 324.6 (207.9, 490.5) | 85 (7, 88) | 6 |
falling
|
-3.9 (-7.7, -0.6) |
| Randolph County 2 | Urban | 501.1 (441.9, 566.2) | 26 (2, 77) | 57 |
falling
|
-3.9 (-15.3, -0.7) |
| Dare County 2 | Rural | 465.7 (291.4, 702.3) | 65 (1, 88) | 5 |
falling
|
-4.5 (-8.1, -1.2) |
| Halifax County 2 | Rural | 470.6 (438.1, 505.1) | 59 (15, 77) | 172 |
falling
|
-5.4 (-13.1, -0.3) |
| Caswell County 2 | Rural | 522.4 (462.4, 589.2) | 13 (1, 74) | 63 |
stable
|
-6.7 (-12.4, 0.9) |
| Franklin County 2 | Urban | 472.1 (431.5, 515.7) | 55 (11, 79) | 106 |
falling
|
-7.2 (-12.8, -1.1) |
| Union County 2 | Urban | 497.4 (460.4, 536.6) | 30 (6, 73) | 147 |
falling
|
-7.4 (-13.2, -3.4) |
| Pasquotank County 2 | Rural | 343.1 (304.6, 385.2) | 84 (76, 88) | 62 |
falling
|
-8.8 (-18.3, -3.0) |
| Currituck County 2 | Urban | 256.7 (165.1, 383.5) | 88 (70, 88) | 5 |
falling
|
-26.5 (-45.6, -12.3) |
| Cherokee County 2 | Rural | 452.2 (243.4, 773.0) | 72 (1, 88) | 3 |
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| 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 9:40 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 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.