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