Incidence Rates Table
Incidence Rate Report for Missouri by County
Colon & Rectum (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by CI*Rank
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)
|
|---|---|---|---|---|---|---|
| Missouri 2 | N/A | 40.2 (39.5, 40.8) | N/A | 3,033 |
stable 
|
0.0 (-0.7, 1.0) |
| US (SEER+NPCR) 1 | N/A | 36.7 (36.6, 36.7) | N/A | 145,073 |
falling 
|
-0.9 (-1.0, -0.8) |
| Macon County 2 | Rural | 70.9 (54.7, 90.7) | 1 (1, 50) | 15 |
stable
|
1.0 (-1.3, 3.3) |
| Ripley County 2 | Rural | 68.2 (50.5, 90.7) | 2 (1, 70) | 10 |
stable
|
-0.4 (-2.8, 2.0) |
| Oregon County 2 | Rural | 65.9 (45.3, 93.1) | 3 (1, 95) | 8 |
|
|
| Montgomery County 2 | Rural | 64.8 (47.2, 87.2) | 4 (1, 92) | 10 |
stable
|
-0.1 (-3.2, 2.9) |
| Gentry County 2 | Rural | 63.7 (40.6, 96.1) | 5 (1, 106) | 5 |
stable
|
-0.1 (-4.0, 3.7) |
| Randolph County 2 | Rural | 63.1 (50.9, 77.5) | 6 (1, 57) | 19 |
stable
|
1.0 (-1.8, 4.1) |
| Knox County 2 | Rural | 60.5 (32.9, 103.7) | 7 (1, 108) | 3 |
stable
|
-1.1 (-5.8, 3.4) |
| Shannon County 2 | Rural | 60.0 (40.3, 87.3) | 8 (1, 105) | 7 |
stable
|
0.8 (-3.2, 5.1) |
| Nodaway County 2 | Rural | 59.0 (45.9, 74.9) | 9 (1, 82) | 15 |
stable
|
7.7 (-5.2, 26.1) |
| Lewis County 2 | Rural | 57.5 (39.7, 81.1) | 10 (1, 105) | 7 |
stable
|
0.5 (-3.4, 4.4) |
| Wayne County 2 | Rural | 56.4 (42.3, 75.0) | 11 (1, 97) | 11 |
stable
|
-0.3 (-4.0, 3.2) |
| Barton County 2 | Rural | 56.3 (39.2, 78.5) | 12 (1, 104) | 8 |
stable
|
0.7 (-2.8, 4.2) |
| Pike County 2 | Rural | 55.9 (42.4, 72.6) | 13 (1, 96) | 12 |
stable
|
1.0 (-0.8, 5.7) |
| Holt County 2 | Rural | 55.1 (29.9, 94.7) | 14 (1, 108) | 4 |
|
|
| Dunklin County 2 | Rural | 55.0 (44.7, 67.1) | 15 (2, 75) | 21 |
stable
|
0.5 (-1.2, 2.1) |
| Douglas County 2 | Rural | 54.6 (38.7, 75.3) | 16 (1, 104) | 9 |
stable
|
10.7 (-1.1, 38.7) |
| Harrison County 2 | Rural | 53.7 (35.8, 78.5) | 17 (1, 106) | 7 |
stable
|
-2.5 (-5.7, 0.5) |
| Stoddard County 2 | Rural | 53.3 (43.6, 64.8) | 18 (3, 78) | 22 |
stable
|
-0.9 (-3.6, 1.7) |
| Dent County 2 | Rural | 53.0 (38.6, 71.3) | 19 (1, 104) | 10 |
stable
|
-1.0 (-4.5, 2.3) |
| Marion County 2 | Rural | 53.0 (42.5, 65.4) | 20 (2, 87) | 19 |
stable
|
-1.3 (-4.4, 1.8) |
| Crawford County 2 | Rural | 52.3 (41.3, 65.6) | 21 (3, 93) | 17 |
stable
|
-0.3 (-2.4, 1.8) |
| Butler County 2 | Rural | 52.3 (43.9, 61.9) | 22 (3, 79) | 29 |
stable
|
-1.5 (-3.5, 0.3) |
| Ray County 2 | Urban | 51.9 (40.5, 65.7) | 23 (2, 96) | 15 |
stable
|
-1.2 (-3.4, 1.0) |
| Adair County 2 | Rural | 51.8 (40.4, 65.6) | 24 (2, 96) | 15 |
stable
|
-1.4 (-3.5, 0.7) |
| Osage County 2 | Urban | 51.4 (37.3, 69.4) | 25 (1, 104) | 9 |
stable
|
1.3 (-2.4, 5.3) |
| Linn County 2 | Rural | 51.0 (36.1, 70.6) | 26 (1, 106) | 9 |
stable
|
-0.2 (-2.7, 2.0) |
| Reynolds County 2 | Rural | 50.4 (32.1, 77.5) | 27 (1, 108) | 5 |
stable
|
2.3 (-2.3, 7.6) |
| Bollinger County 2 | Urban | 50.3 (34.1, 72.1) | 28 (1, 107) | 7 |
stable
|
0.4 (-3.4, 4.2) |
| Dallas County 2 | Urban | 50.3 (37.3, 66.5) | 29 (2, 103) | 11 |
stable
|
2.5 (-0.2, 5.7) |
| Phelps County 2 | Rural | 50.2 (41.7, 60.1) | 30 (5, 88) | 26 |
rising 
|
7.4 (0.3, 18.4) |
| Chariton County 2 | Rural | 49.9 (31.6, 76.0) | 31 (1, 108) | 5 |
stable
|
-2.1 (-5.8, 1.0) |
| Ste. Genevieve County 2 | Rural | 49.9 (38.3, 64.3) | 32 (2, 103) | 14 |
stable
|
1.8 (-1.5, 5.6) |
| Grundy County 2 | Rural | 49.7 (33.0, 72.3) | 33 (1, 108) | 7 |
stable
|
16.4 (-2.6, 43.8) |
| Lafayette County 2 | Urban | 49.4 (40.0, 60.5) | 34 (5, 96) | 21 |
stable
|
0.8 (-0.8, 2.5) |
| Bates County 2 | Urban | 49.4 (36.4, 65.8) | 35 (2, 105) | 11 |
stable
|
-0.1 (-3.0, 2.7) |
| Daviess County 2 | Rural | 49.3 (32.3, 72.8) | 36 (1, 107) | 6 |
stable
|
-0.8 (-4.7, 2.9) |
| Carter County 2 | Rural | 49.2 (28.9, 80.0) | 37 (1, 108) | 4 |
stable
|
-0.7 (-4.0, 2.5) |
| Buchanan County 2 | Urban | 48.9 (42.8, 55.5) | 38 (9, 76) | 50 |
stable
|
4.9 (-0.5, 14.8) |
| Livingston County 2 | Rural | 48.7 (35.0, 66.2) | 39 (2, 106) | 9 |
stable
|
-1.5 (-3.6, 0.3) |
| Vernon County 2 | Rural | 48.5 (36.9, 62.7) | 40 (3, 102) | 13 |
stable
|
-0.4 (-2.6, 1.6) |
| Carroll County 2 | Rural | 48.4 (31.8, 71.5) | 41 (1, 108) | 6 |
stable
|
0.3 (-3.2, 3.7) |
| Jasper County 2 | Urban | 47.7 (42.6, 53.3) | 42 (15, 74) | 66 |
stable
|
-0.3 (-1.7, 1.1) |
| Pemiscot County 2 | Rural | 47.4 (34.3, 64.1) | 43 (2, 106) | 9 |
stable
|
-0.5 (-3.4, 2.2) |
| Barry County 2 | Rural | 47.3 (38.6, 57.6) | 44 (7, 97) | 23 |
stable
|
-0.2 (-3.2, 2.8) |
| Moniteau County 2 | Urban | 46.9 (33.5, 64.0) | 45 (2, 106) | 8 |
stable
|
-1.2 (-4.9, 2.4) |
| St. Francois County 2 | Rural | 46.3 (39.9, 53.5) | 46 (14, 92) | 39 |
stable
|
-1.0 (-2.5, 0.5) |
| Ralls County 2 | Rural | 46.1 (31.0, 66.7) | 47 (2, 108) | 7 |
stable
|
-0.1 (-3.5, 3.4) |
| Laclede County 2 | Rural | 46.0 (37.2, 56.2) | 48 (8, 100) | 21 |
stable
|
-0.7 (-2.5, 1.1) |
| Morgan County 2 | Rural | 45.8 (35.0, 59.2) | 49 (4, 105) | 14 |
stable
|
-1.2 (-4.8, 2.4) |
| Miller County 2 | Rural | 45.7 (35.8, 57.8) | 50 (5, 103) | 15 |
stable
|
-0.3 (-2.0, 1.4) |
| Iron County 2 | Rural | 45.3 (30.1, 66.4) | 51 (2, 108) | 6 |
stable
|
-0.4 (-3.5, 2.8) |
| Cedar County 2 | Rural | 45.1 (33.2, 60.6) | 52 (4, 107) | 10 |
stable
|
-3.6 (-8.1, 0.1) |
| Monroe County 2 | Rural | 44.9 (28.1, 68.5) | 53 (1, 108) | 5 |
stable
|
0.0 (-3.5, 3.5) |
| Polk County 2 | Urban | 44.8 (35.5, 55.8) | 54 (8, 104) | 17 |
stable
|
-1.3 (-4.5, 1.8) |
| Johnson County 2 | Rural | 44.6 (36.6, 53.9) | 55 (11, 101) | 23 |
stable
|
0.6 (-0.9, 2.3) |
| Shelby County 2 | Rural | 44.5 (25.8, 72.6) | 56 (1, 108) | 4 |
stable
|
-1.2 (-5.2, 2.5) |
| Cooper County 2 | Urban | 44.4 (32.3, 59.8) | 57 (5, 107) | 10 |
stable
|
-0.6 (-4.0, 2.7) |
| Callaway County 2 | Urban | 44.3 (36.6, 53.2) | 58 (12, 101) | 25 |
stable
|
-1.3 (-3.1, 0.6) |
| Howell County 2 | Rural | 44.3 (36.3, 53.6) | 59 (12, 101) | 23 |
stable
|
-2.2 (-13.5, 0.5) |
| Scott County 2 | Rural | 44.2 (35.8, 54.1) | 60 (11, 103) | 21 |
stable
|
-1.8 (-4.9, 1.0) |
| Texas County 2 | Rural | 44.0 (34.2, 55.8) | 61 (9, 105) | 15 |
stable
|
-1.7 (-5.0, 1.4) |
| Franklin County 2 | Urban | 43.7 (38.5, 49.3) | 62 (25, 91) | 58 |
rising
|
12.5 (0.1, 21.2) |
| Cass County 2 | Urban | 43.2 (38.2, 48.7) | 63 (25, 92) | 57 |
stable
|
-0.9 (-2.0, 0.3) |
| Benton County 2 | Rural | 43.2 (32.7, 56.6) | 64 (6, 106) | 15 |
stable
|
-1.3 (-3.7, 1.0) |
| Taney County 2 | Rural | 42.9 (36.1, 50.7) | 65 (19, 101) | 32 |
stable
|
-1.2 (-3.5, 1.1) |
| Audrain County 2 | Rural | 42.7 (33.0, 54.5) | 66 (9, 106) | 14 |
stable
|
0.2 (-2.8, 3.1) |
| Caldwell County 2 | Urban | 42.5 (27.8, 63.1) | 67 (3, 108) | 6 |
stable
|
-2.6 (-7.1, 1.5) |
| Clark County 2 | Rural | 41.4 (24.8, 66.4) | 68 (2, 108) | 4 |
stable
|
0.8 (-3.0, 4.8) |
| Clay County 2 | Urban | 41.4 (38.0, 45.0) | 69 (40, 90) | 115 |
stable
|
8.0 (-0.6, 13.8) |
| Newton County 2 | Urban | 41.3 (34.9, 48.7) | 70 (24, 102) | 31 |
stable
|
-1.1 (-3.0, 0.8) |
| Howard County 2 | Urban | 41.0 (26.2, 61.6) | 71 (3, 108) | 5 |
stable
|
-1.4 (-5.9, 2.8) |
| Wright County 2 | Rural | 40.8 (30.0, 54.4) | 72 (9, 108) | 10 |
stable
|
-1.7 (-3.9, 0.4) |
| Lawrence County 2 | Rural | 40.4 (32.6, 49.7) | 73 (20, 105) | 20 |
falling
|
-1.8 (-3.3, -0.3) |
| St. Clair County 2 | Rural | 40.3 (25.8, 61.0) | 74 (3, 108) | 6 |
stable
|
-3.7 (-8.6, 0.3) |
| Pettis County 2 | Rural | 40.3 (32.8, 48.9) | 75 (22, 106) | 22 |
stable
|
-1.8 (-3.7, 0.0) |
| Madison County 2 | Rural | 40.1 (28.0, 56.4) | 76 (7, 108) | 7 |
stable
|
-1.6 (-6.1, 2.5) |
| Camden County 2 | Rural | 40.0 (32.8, 48.5) | 77 (25, 105) | 28 |
stable
|
-1.8 (-4.7, 1.0) |
| Saline County 2 | Rural | 39.8 (30.0, 52.0) | 78 (13, 107) | 12 |
falling
|
-3.5 (-6.0, -1.4) |
| Perry County 2 | Rural | 39.7 (29.3, 52.9) | 79 (11, 108) | 10 |
stable
|
-1.4 (-5.3, 2.5) |
| Mississippi County 2 | Rural | 39.2 (26.8, 55.9) | 80 (5, 108) | 7 |
stable
|
-1.5 (-5.2, 1.8) |
| Clinton County 2 | Urban | 39.2 (29.6, 51.2) | 81 (15, 108) | 12 |
stable
|
-1.9 (-4.6, 0.9) |
| Jackson County 2 | Urban | 38.5 (36.5, 40.5) | 82 (60, 92) | 313 |
stable
|
-0.5 (-1.3, 1.0) |
| New Madrid County 2 | Rural | 38.4 (27.7, 52.2) | 83 (11, 108) | 9 |
falling
|
-4.5 (-14.5, -1.8) |
| Christian County 2 | Urban | 37.9 (32.7, 43.8) | 84 (39, 105) | 39 |
falling
|
-2.2 (-3.7, -0.5) |
| Cape Girardeau County 2 | Urban | 37.8 (32.3, 44.1) | 85 (39, 105) | 35 |
stable
|
-1.4 (-3.1, 0.3) |
| Greene County 2 | Urban | 37.7 (34.8, 40.9) | 86 (56, 100) | 128 |
falling
|
-1.3 (-2.4, -0.2) |
| McDonald County 2 | Rural | 37.7 (28.0, 50.0) | 87 (14, 108) | 10 |
stable
|
0.1 (-2.7, 3.2) |
| Dade County 2 | Rural | 37.3 (24.3, 57.1) | 88 (7, 108) | 5 |
stable
|
-3.4 (-7.3, 0.1) |
| Jefferson County 2 | Urban | 37.1 (33.8, 40.6) | 89 (58, 101) | 100 |
falling
|
-2.8 (-3.8, -1.7) |
| Warren County 2 | Urban | 36.7 (28.9, 46.2) | 90 (27, 107) | 16 |
falling
|
-2.6 (-4.7, -0.7) |
| Cole County 2 | Urban | 36.6 (31.3, 42.6) | 91 (46, 105) | 36 |
falling
|
-1.9 (-3.6, -0.3) |
| Lincoln County 2 | Urban | 36.5 (30.1, 43.8) | 92 (37, 107) | 25 |
falling
|
-2.7 (-5.3, -0.1) |
| St. Louis County 2 | Urban | 36.5 (34.9, 38.0) | 93 (71, 98) | 467 |
falling
|
-2.3 (-2.8, -1.9) |
| St. Louis City 2 | Urban | 35.8 (32.8, 38.9) | 94 (63, 103) | 117 |
falling
|
-3.1 (-4.1, -2.2) |
| Boone County 2 | Urban | 35.5 (31.5, 39.7) | 95 (61, 106) | 63 |
stable
|
-1.0 (-2.1, 0.1) |
| Webster County 2 | Urban | 34.7 (27.2, 43.6) | 96 (38, 108) | 15 |
falling
|
-2.6 (-4.4, -0.8) |
| Stone County 2 | Rural | 34.5 (27.4, 43.4) | 97 (37, 108) | 20 |
stable
|
-1.7 (-5.1, 1.7) |
| Henry County 2 | Rural | 34.4 (25.5, 45.7) | 98 (27, 108) | 11 |
stable
|
-1.4 (-4.3, 1.3) |
| Hickory County 2 | Rural | 34.2 (22.7, 52.5) | 99 (16, 108) | 7 |
stable
|
-0.5 (-3.1, 2.4) |
| Pulaski County 2 | Rural | 33.9 (26.3, 42.9) | 100 (37, 108) | 14 |
falling
|
-2.8 (-5.2, -0.4) |
| St. Charles County 2 | Urban | 33.9 (31.5, 36.4) | 101 (76, 105) | 163 |
stable
|
-0.8 (-2.7, 5.2) |
| Andrew County 2 | Urban | 33.2 (23.7, 45.7) | 102 (25, 108) | 8 |
falling
|
-4.0 (-6.4, -1.8) |
| DeKalb County 2 | Urban | 31.6 (20.7, 47.1) | 103 (23, 108) | 5 |
stable
|
-3.2 (-6.8, 0.2) |
| Platte County 2 | Urban | 31.4 (27.1, 36.3) | 104 (73, 108) | 40 |
stable
|
7.7 (-2.0, 14.7) |
| Ozark County 2 | Rural | 30.6 (20.1, 47.3) | 105 (26, 108) | 6 |
falling
|
-25.5 (-41.6, -4.7) |
| Washington County 2 | Rural | 30.1 (21.7, 40.9) | 106 (45, 108) | 9 |
falling
|
-3.8 (-6.6, -1.1) |
| Maries County 2 | Rural | 28.3 (17.1, 45.6) | 107 (27, 108) | 4 |
stable
|
-3.1 (-7.0, 0.6) |
| Gasconade County 2 | Rural | 23.9 (15.9, 35.5) | 108 (71, 108) | 6 |
falling
|
-4.6 (-6.7, -2.8) |
| Atchison County 2 | Rural |
|
|
|
|
|
| Mercer County 2 | Rural |
|
|
|
|
|
| Putnam County 2 | Rural |
|
|
|
|
|
| Schuyler County 2 | Rural |
|
|
|
|
|
| Scotland County 2 | Rural |
|
|
|
|
|
| Sullivan County 2 | Rural |
|
|
|
|
|
| Worth County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 4:11 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.