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Incidence Rates Table

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Incidence Rate Report for Missouri by County

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Male, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Missouri 2 N/A 498.4 (495.1, 501.8) N/A 18,306 stable stable trend -0.1 (-1.0, 1.4)
US (SEER+NPCR) 1 N/A 484.8 (484.4, 485.3) N/A 929,608 falling falling trend -1.3 (-1.8, -0.8)
St. Louis City 2 Urban 464.3 (448.6, 480.4) 95 (63, 102) 746 falling falling trend -6.5 (-11.4, -1.7)
Scotland County 2 Rural 314.5 (227.6, 425.3) 115 (72, 115) 9 falling falling trend -3.5 (-6.5, -0.7)
Schuyler County 2 Rural 369.6 (266.9, 500.4) 114 (20, 115) 9 falling falling trend -3.4 (-6.0, -1.2)
Gasconade County 2 Rural 487.8 (430.0, 552.3) 68 (12, 110) 57 falling falling trend -1.8 (-3.0, -0.8)
Hickory County 2 Rural 385.2 (321.5, 461.6) 112 (53, 115) 34 stable stable trend -1.7 (-3.4, 0.0)
Benton County 2 Rural 496.8 (449.8, 548.7) 61 (17, 105) 100 falling falling trend -1.6 (-2.8, -0.3)
Pulaski County 2 Rural 507.4 (462.6, 555.2) 49 (13, 101) 103 falling falling trend -1.6 (-2.6, -0.6)
Clay County 2 Urban 483.1 (466.0, 500.7) 75 (46, 94) 644 falling falling trend -1.5 (-3.4, -1.0)
Platte County 2 Urban 400.1 (376.8, 424.4) 110 (96, 114) 237 falling falling trend -1.5 (-2.2, -0.8)
Ralls County 2 Rural 399.4 (336.0, 472.8) 111 (43, 115) 32 stable stable trend -1.5 (-3.4, 0.5)
Audrain County 2 Rural 497.4 (443.6, 556.1) 60 (12, 108) 73 falling falling trend -1.4 (-2.7, -0.2)
Caldwell County 2 Urban 482.3 (405.5, 570.8) 78 (6, 114) 30 stable stable trend -1.4 (-3.5, 0.7)
Callaway County 2 Urban 477.6 (441.0, 516.5) 84 (31, 106) 136 stable stable trend -1.4 (-3.0, 0.3)
Clinton County 2 Urban 442.6 (394.2, 495.7) 102 (35, 114) 65 falling falling trend -1.4 (-2.4, -0.3)
Crawford County 2 Rural 501.9 (451.7, 556.5) 56 (10, 105) 80 falling falling trend -1.4 (-2.6, -0.2)
Laclede County 2 Rural 459.1 (418.8, 502.4) 97 (35, 112) 103 falling falling trend -1.4 (-2.7, -0.1)
Lincoln County 2 Urban 500.5 (465.8, 537.1) 57 (22, 99) 171 falling falling trend -1.4 (-2.5, -0.3)
Sullivan County 2 Rural 440.6 (354.0, 544.1) 104 (10, 115) 19 stable stable trend -1.4 (-3.9, 0.9)
St. Charles County 2 Urban 482.9 (470.0, 496.2) 76 (53, 93) 1,123 falling falling trend -1.3 (-1.7, -0.8)
Texas County 2 Rural 410.5 (369.0, 455.8) 107 (75, 115) 75 falling falling trend -1.3 (-2.3, -0.4)
Vernon County 2 Rural 428.6 (378.2, 484.3) 105 (43, 114) 56 falling falling trend -1.3 (-2.5, -0.2)
Carroll County 2 Rural 443.4 (370.0, 528.6) 101 (18, 115) 28 stable stable trend -1.2 (-2.8, 0.4)
Ray County 2 Urban 448.1 (400.9, 499.8) 99 (33, 114) 71 falling falling trend -1.1 (-2.0, -0.2)
Shelby County 2 Rural 547.7 (449.3, 663.4) 28 (1, 111) 24 stable stable trend -1.1 (-2.5, 0.2)
Wright County 2 Rural 487.4 (432.0, 548.5) 69 (12, 110) 60 stable stable trend -1.1 (-2.4, 0.2)
Knox County 2 Rural 499.8 (385.1, 642.1) 59 (1, 115) 14 stable stable trend -1.0 (-3.7, 1.3)
St. Louis County 2 Urban 504.2 (495.9, 512.6) 54 (39, 70) 3,003 falling falling trend -1.0 (-1.3, -0.7)
Bates County 2 Urban 490.2 (430.2, 556.8) 66 (10, 111) 52 stable stable trend -0.9 (-2.8, 0.9)
Douglas County 2 Rural 409.6 (350.3, 477.3) 108 (35, 115) 40 stable stable trend -0.9 (-2.9, 1.0)
Jackson County 2 Urban 473.1 (463.1, 483.3) 88 (65, 96) 1,801 falling falling trend -0.9 (-1.3, -0.6)
Shannon County 2 Rural 484.2 (399.6, 583.4) 74 (4, 114) 26 stable stable trend -0.9 (-3.3, 1.6)
Macon County 2 Rural 487.2 (427.5, 553.7) 70 (12, 110) 52 stable stable trend -0.8 (-2.4, 0.8)
New Madrid County 2 Rural 549.9 (486.5, 620.0) 25 (2, 99) 58 stable stable trend -0.8 (-2.2, 0.5)
Nodaway County 2 Rural 458.0 (404.2, 517.4) 98 (21, 114) 56 stable stable trend -0.8 (-2.1, 0.4)
Dallas County 2 Urban 467.0 (411.5, 528.6) 92 (21, 112) 57 stable stable trend -0.7 (-2.2, 0.8)
Grundy County 2 Rural 489.0 (412.1, 576.8) 67 (3, 114) 32 stable stable trend -0.7 (-2.4, 0.9)
Jefferson County 2 Urban 505.6 (487.8, 523.9) 52 (30, 81) 684 stable stable trend -0.7 (-1.3, 0.0)
Lawrence County 2 Rural 441.5 (404.0, 481.6) 103 (50, 112) 107 stable stable trend -0.7 (-1.6, 0.2)
Moniteau County 2 Urban 465.7 (405.0, 533.3) 93 (19, 113) 44 stable stable trend -0.7 (-2.2, 0.8)
Pettis County 2 Rural 513.9 (474.3, 556.0) 43 (13, 96) 132 stable stable trend -0.7 (-1.7, 0.3)
Warren County 2 Urban 482.0 (441.1, 526.0) 79 (22, 108) 111 stable stable trend -0.7 (-1.9, 0.6)
Boone County 2 Urban 510.9 (488.9, 533.6) 46 (25, 80) 437 stable stable trend -0.6 (-1.3, 0.1)
Howell County 2 Rural 507.9 (468.4, 550.0) 48 (15, 100) 130 stable stable trend -0.6 (-1.8, 0.6)
Lewis County 2 Rural 562.7 (478.6, 658.2) 19 (1, 103) 35 stable stable trend -0.6 (-2.3, 1.0)
Webster County 2 Urban 481.8 (441.4, 525.0) 80 (22, 107) 111 stable stable trend -0.6 (-1.6, 0.3)
Adair County 2 Rural 460.8 (409.3, 517.3) 96 (27, 112) 61 stable stable trend -0.5 (-2.2, 1.3)
Livingston County 2 Rural 476.9 (412.5, 549.2) 85 (13, 113) 43 stable stable trend -0.5 (-1.8, 0.8)
Atchison County 2 Rural 505.5 (409.5, 620.8) 53 (2, 114) 21 stable stable trend -0.4 (-2.8, 2.1)
Butler County 2 Rural 529.7 (490.4, 571.5) 36 (11, 89) 141 stable stable trend -0.4 (-1.2, 0.5)
Cass County 2 Urban 484.3 (460.0, 509.6) 73 (37, 99) 314 stable stable trend -0.3 (-1.0, 0.4)
Henry County 2 Rural 548.5 (496.0, 605.6) 27 (3, 90) 88 stable stable trend -0.3 (-1.6, 0.9)
Miller County 2 Rural 482.4 (435.1, 533.8) 77 (18, 109) 82 stable stable trend -0.3 (-1.5, 0.9)
Ozark County 2 Rural 490.5 (417.0, 575.8) 65 (6, 113) 40 stable stable trend -0.3 (-2.5, 2.0)
Putnam County 2 Rural 493.3 (391.8, 616.1) 62 (1, 115) 18 stable stable trend -0.3 (-2.9, 2.3)
Daviess County 2 Rural 465.6 (386.6, 557.2) 94 (9, 115) 27 stable stable trend -0.2 (-1.4, 1.1)
Perry County 2 Rural 538.2 (481.2, 600.7) 32 (4, 99) 69 stable stable trend -0.2 (-1.3, 1.0)
Pike County 2 Rural 555.5 (495.0, 621.5) 21 (1, 92) 64 stable stable trend -0.2 (-1.8, 1.5)
Randolph County 2 Rural 580.3 (524.9, 640.2) 13 (1, 70) 85 stable stable trend -0.2 (-1.5, 1.2)
Christian County 2 Urban 468.5 (441.5, 496.8) 91 (43, 105) 236 stable stable trend -0.1 (-1.8, 4.8)
Lafayette County 2 Urban 478.5 (437.1, 522.9) 83 (24, 108) 104 stable stable trend -0.1 (-1.3, 1.1)
Cooper County 2 Urban 506.8 (446.8, 573.0) 50 (7, 108) 55 stable stable trend 0.0 (-1.4, 1.4)
DeKalb County 2 Urban 380.8 (321.6, 448.6) 113 (64, 115) 30 stable stable trend 0.0 (-2.6, 2.7)
Madison County 2 Rural 561.5 (490.8, 640.2) 20 (1, 98) 49 stable stable trend 0.0 (-1.5, 1.5)
Maries County 2 Rural 411.4 (343.7, 490.7) 106 (32, 115) 28 stable stable trend 0.0 (-2.1, 2.1)
Montgomery County 2 Rural 622.3 (543.2, 710.5) 5 (1, 58) 49 stable stable trend 0.0 (-1.3, 1.4)
Newton County 2 Urban 486.1 (454.0, 520.0) 71 (29, 103) 182 stable stable trend 0.0 (-1.2, 1.2)
Pemiscot County 2 Rural 446.4 (385.0, 515.2) 100 (22, 115) 41 stable stable trend 0.0 (-1.5, 1.4)
Barton County 2 Rural 511.5 (438.7, 593.6) 45 (4, 111) 39 stable stable trend 0.1 (-1.3, 1.6)
Cape Girardeau County 2 Urban 525.6 (495.9, 556.8) 37 (15, 80) 246 stable stable trend 0.1 (-1.0, 1.4)
Chariton County 2 Rural 552.4 (465.0, 653.4) 23 (1, 107) 32 stable stable trend 0.1 (-1.6, 1.8)
Linn County 2 Rural 519.5 (449.6, 598.2) 40 (3, 109) 43 stable stable trend 0.1 (-1.3, 1.5)
Stoddard County 2 Rural 574.3 (526.8, 625.2) 15 (2, 67) 112 stable stable trend 0.1 (-0.9, 1.2)
Andrew County 2 Urban 484.4 (428.4, 546.2) 72 (16, 111) 59 stable stable trend 0.2 (-1.6, 2.1)
Dade County 2 Rural 406.9 (337.3, 489.1) 109 (35, 115) 26 stable stable trend 0.2 (-2.0, 8.5)
Harrison County 2 Rural 538.3 (452.9, 636.6) 31 (1, 108) 31 stable stable trend 0.2 (-2.1, 2.6)
Reynolds County 2 Rural 567.8 (475.4, 676.0) 16 (1, 106) 29 stable stable trend 0.2 (-1.3, 1.8)
Ripley County 2 Rural 610.7 (532.5, 698.2) 8 (1, 74) 47 stable stable trend 0.2 (-1.5, 1.9)
St. Francois County 2 Rural 588.2 (554.4, 623.5) 12 (3, 38) 241 stable stable trend 0.2 (-0.3, 0.8)
Barry County 2 Rural 513.4 (473.2, 556.6) 44 (15, 99) 133 stable stable trend 0.3 (-0.8, 1.6)
Morgan County 2 Rural 531.9 (479.8, 588.7) 35 (6, 99) 90 stable stable trend 0.3 (-1.3, 5.1)
Buchanan County 2 Urban 537.0 (507.7, 567.7) 33 (12, 68) 266 stable stable trend 0.4 (-0.2, 1.1)
Clark County 2 Rural 522.1 (430.4, 629.1) 38 (2, 113) 25 stable stable trend 0.4 (-1.9, 2.9)
Gentry County 2 Rural 553.8 (453.6, 671.4) 22 (1, 112) 22 stable stable trend 0.4 (-2.0, 2.8)
Osage County 2 Urban 539.9 (471.9, 615.6) 30 (2, 104) 49 stable stable trend 0.4 (-1.5, 2.3)
McDonald County 2 Rural 476.1 (424.2, 532.7) 86 (17, 111) 67 stable stable trend 0.5 (-0.8, 1.9)
Scott County 2 Rural 609.3 (563.9, 657.5) 9 (1, 37) 142 stable stable trend 0.5 (-0.2, 1.2)
Worth County 2 Rural 646.6 (460.4, 890.7) 1 (1, 114) 9 stable stable trend 0.5 (-3.9, 4.9)
Phelps County 2 Rural 470.4 (433.4, 509.9) 90 (32, 107) 125 stable stable trend 0.6 (-0.5, 4.3)
Jasper County 2 Urban 577.0 (550.7, 604.3) 14 (5, 36) 379 stable stable trend 0.7 (0.0, 1.6)
Mississippi County 2 Rural 630.4 (552.8, 716.4) 4 (1, 60) 50 stable stable trend 0.8 (-0.9, 2.5)
Wayne County 2 Rural 635.2 (559.4, 719.9) 3 (1, 47) 57 stable stable trend 0.8 (-0.4, 2.1)
Holt County 2 Rural 598.6 (481.3, 740.0) 10 (1, 107) 20 stable stable trend 0.9 (-1.8, 3.7)
Iron County 2 Rural 549.3 (471.6, 637.7) 26 (1, 106) 39 stable stable trend 0.9 (-0.5, 2.4)
Marion County 2 Rural 612.5 (559.8, 669.0) 7 (1, 40) 106 stable stable trend 0.9 (-0.5, 2.3)
Monroe County 2 Rural 550.2 (471.2, 640.5) 24 (1, 106) 39 stable stable trend 0.9 (-1.1, 3.1)
Cole County 2 Urban 514.3 (484.6, 545.4) 42 (18, 89) 239 stable stable trend 1.1 (0.0, 3.1)
Ste. Genevieve County 2 Rural 535.6 (480.1, 596.5) 34 (4, 98) 74 rising rising trend 1.2 (0.3, 2.2)
Washington County 2 Rural 522.0 (471.5, 576.9) 39 (8, 99) 84 stable stable trend 1.2 (-0.6, 6.3)
Mercer County 2 Rural 492.9 (371.5, 645.0) 63 (1, 115) 13 stable stable trend 1.3 (-1.7, 4.6)
Camden County 2 Rural 500.2 (467.4, 535.2) 58 (22, 97) 211 stable stable trend 1.4 (-0.6, 6.2)
Dunklin County 2 Rural 645.0 (590.4, 703.4) 2 (1, 24) 109 rising rising trend 1.4 (0.3, 2.5)
Saline County 2 Rural 506.4 (453.5, 564.1) 51 (9, 104) 71 stable stable trend 1.4 (-0.5, 5.5)
Bollinger County 2 Urban 593.9 (515.4, 682.0) 11 (1, 89) 45 stable stable trend 1.6 (-0.4, 3.7)
Stone County 2 Rural 491.6 (451.4, 535.1) 64 (19, 105) 148 stable stable trend 1.7 (-1.6, 9.2)
Taney County 2 Rural 516.9 (484.4, 551.1) 41 (18, 91) 206 rising rising trend 1.7 (0.5, 4.0)
Cedar County 2 Rural 475.9 (418.0, 540.7) 87 (19, 112) 52 stable stable trend 2.0 (-1.8, 8.6)
Franklin County 2 Urban 564.6 (538.3, 591.9) 17 (7, 42) 380 stable stable trend 2.1 (-0.7, 6.2)
Oregon County 2 Rural 563.4 (478.6, 660.3) 18 (1, 103) 36 rising rising trend 2.6 (0.2, 5.2)
St. Clair County 2 Rural 547.2 (470.1, 635.0) 29 (1, 104) 43 stable stable trend 3.1 (-0.4, 13.1)
Howard County 2 Urban 471.7 (398.4, 555.4) 89 (9, 114) 32 stable stable trend 3.8 (-1.5, 16.5)
Greene County 2 Urban 509.2 (493.6, 525.2) 47 (30, 73) 839 rising rising trend 4.5 (0.6, 8.4)
Polk County 2 Urban 479.1 (435.5, 526.0) 82 (24, 108) 95 stable stable trend 4.6 (-1.7, 11.8)
Johnson County 2 Rural 503.8 (465.0, 544.8) 55 (17, 100) 133 rising rising trend 4.7 (1.4, 8.6)
Dent County 2 Rural 480.5 (420.8, 547.1) 81 (14, 112) 51 stable stable trend 8.6 (-0.6, 15.3)
Carter County 2 Rural 619.2 (506.3, 752.3) 6 (1, 98) 23 rising rising trend 13.9 (0.5, 23.9)

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 11:53 am.

State Cancer Registries may provide more current or more local data.

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† 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.

‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.

2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).

Data for United States does not include Puerto Rico.

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