Incidence Rates Table
Incidence Rate Report for North Carolina 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)
|
|---|---|---|---|---|---|---|
| North Carolina 2 | N/A | 35.5 (35.1, 36.0) | N/A | 4,440 |
falling 
|
-1.3 (-2.1, -0.9) |
| US (SEER+NPCR) 1 | N/A | 36.7 (36.6, 36.7) | N/A | 145,073 |
falling
|
-0.9 (-1.0, -0.8) |
| Swain County 2 | Rural | 68.0 (51.7, 88.2) | 1 (1, 20) | 13 |
stable 
|
1.6 (-1.3, 4.7) |
| Washington County 2 | Rural | 57.5 (40.5, 79.9) | 2 (1, 82) | 10 |
stable
|
0.1 (-3.8, 3.9) |
| Hyde County 2 | Rural | 54.1 (31.8, 89.0) | 3 (1, 99) | 4 |
stable
|
28.6 (-3.0, 105.2) |
| Granville County 2 | Rural | 52.4 (45.1, 60.5) | 4 (1, 31) | 40 |
stable
|
-1.5 (-3.4, 0.4) |
| McDowell County 2 | Rural | 47.4 (39.9, 56.0) | 5 (1, 66) | 31 |
stable
|
0.4 (-1.3, 2.1) |
| Anson County 2 | Urban | 46.5 (36.0, 59.4) | 6 (1, 88) | 14 |
stable
|
1.1 (-1.6, 3.8) |
| Cleveland County 2 | Rural | 46.4 (41.0, 52.2) | 7 (2, 50) | 60 |
stable
|
-0.7 (-2.1, 0.8) |
| Caldwell County 2 | Urban | 45.4 (39.6, 51.8) | 8 (2, 60) | 50 |
stable
|
0.7 (-10.1, 10.1) |
| Cherokee County 2 | Rural | 44.4 (35.6, 55.1) | 9 (2, 86) | 22 |
stable
|
-1.1 (-3.5, 1.2) |
| Bertie County 2 | Rural | 44.1 (32.1, 59.4) | 10 (1, 97) | 10 |
stable
|
-2.1 (-4.5, 0.2) |
| Mitchell County 2 | Rural | 43.5 (31.6, 59.1) | 11 (1, 96) | 10 |
stable
|
-0.5 (-4.1, 3.1) |
| Duplin County 2 | Rural | 43.5 (36.4, 51.6) | 12 (2, 76) | 29 |
stable
|
0.6 (-1.4, 2.6) |
| Bladen County 2 | Rural | 43.4 (34.5, 54.1) | 13 (2, 89) | 18 |
stable
|
-1.4 (-4.7, 1.8) |
| Richmond County 2 | Rural | 43.1 (35.3, 52.1) | 14 (2, 83) | 23 |
stable
|
-1.6 (-3.6, 0.3) |
| Caswell County 2 | Rural | 42.8 (32.7, 55.2) | 15 (1, 92) | 14 |
stable
|
-0.5 (-2.8, 1.9) |
| Columbus County 2 | Rural | 42.7 (35.9, 50.4) | 16 (2, 78) | 30 |
stable
|
-0.4 (-1.9, 1.1) |
| Stanly County 2 | Rural | 42.7 (36.3, 49.8) | 17 (3, 75) | 35 |
stable
|
-0.6 (-2.6, 1.4) |
| Jones County 2 | Rural | 42.6 (27.4, 64.3) | 18 (1, 99) | 6 |
stable
|
-1.2 (-4.8, 2.3) |
| Rutherford County 2 | Rural | 42.6 (36.6, 49.3) | 19 (3, 72) | 41 |
falling
|
-2.1 (-3.4, -0.9) |
| Pamlico County 2 | Rural | 42.4 (29.0, 60.8) | 20 (1, 98) | 9 |
stable
|
-0.3 (-4.7, 4.1) |
| Person County 2 | Urban | 42.3 (34.6, 51.3) | 21 (2, 85) | 23 |
stable
|
-0.4 (-2.5, 1.7) |
| Davidson County 2 | Urban | 41.7 (37.8, 45.8) | 22 (6, 62) | 91 |
falling
|
-1.1 (-2.0, -0.2) |
| Wayne County 2 | Urban | 41.6 (36.8, 46.8) | 23 (4, 67) | 58 |
stable
|
-0.9 (-2.0, 0.1) |
| Vance County 2 | Rural | 41.5 (34.0, 50.2) | 24 (3, 87) | 23 |
falling
|
-2.6 (-4.2, -1.1) |
| Gaston County 2 | Urban | 41.3 (37.9, 44.9) | 25 (8, 58) | 114 |
falling
|
-1.9 (-2.7, -1.1) |
| Scotland County 2 | Rural | 41.3 (32.9, 51.3) | 26 (2, 92) | 18 |
stable
|
-1.8 (-4.3, 0.6) |
| Wilkes County 2 | Rural | 41.2 (35.3, 47.8) | 27 (4, 80) | 39 |
stable
|
-0.4 (-2.4, 1.5) |
| Robeson County 2 | Rural | 40.7 (36.0, 45.9) | 28 (5, 74) | 57 |
stable
|
-1.4 (-3.0, 0.1) |
| Haywood County 2 | Rural | 40.7 (34.9, 47.2) | 29 (4, 77) | 41 |
rising 
|
3.6 (0.4, 15.1) |
| Rockingham County 2 | Urban | 40.1 (35.1, 45.7) | 30 (5, 78) | 52 |
falling
|
-2.0 (-3.0, -1.1) |
| Randolph County 2 | Urban | 40.0 (35.8, 44.5) | 31 (8, 72) | 73 |
stable
|
-1.0 (-11.8, 3.7) |
| Macon County 2 | Rural | 39.6 (32.6, 48.0) | 32 (4, 89) | 26 |
stable
|
-1.5 (-3.5, 0.4) |
| Lenoir County 2 | Rural | 39.6 (32.9, 47.3) | 33 (4, 89) | 28 |
falling
|
-2.7 (-4.8, -0.8) |
| Harnett County 2 | Rural | 39.5 (34.8, 44.6) | 34 (8, 79) | 53 |
falling
|
-2.4 (-4.2, -0.7) |
| Alamance County 2 | Urban | 39.4 (35.6, 43.5) | 35 (9, 73) | 83 |
falling
|
-1.5 (-2.7, -0.3) |
| Yancey County 2 | Rural | 39.4 (28.9, 52.8) | 36 (2, 98) | 12 |
stable
|
-4.7 (-14.7, 0.3) |
| Hertford County 2 | Rural | 39.0 (29.2, 51.5) | 37 (2, 98) | 12 |
falling
|
-3.5 (-5.9, -1.3) |
| Cabarrus County 2 | Urban | 38.9 (35.4, 42.7) | 38 (12, 73) | 92 |
stable
|
-1.6 (-3.5, 0.4) |
| Burke County 2 | Urban | 38.9 (33.9, 44.4) | 39 (8, 82) | 49 |
falling
|
-2.7 (-10.8, -1.1) |
| Rowan County 2 | Urban | 38.7 (34.6, 43.2) | 40 (10, 80) | 70 |
falling
|
-1.7 (-3.2, -0.2) |
| Surry County 2 | Rural | 38.5 (33.2, 44.5) | 41 (7, 86) | 40 |
stable
|
-0.7 (-1.9, 0.5) |
| Onslow County 2 | Urban | 38.4 (34.0, 43.2) | 42 (9, 80) | 58 |
stable
|
-0.6 (-1.9, 0.8) |
| Polk County 2 | Rural | 38.3 (28.2, 51.4) | 43 (2, 98) | 13 |
stable
|
9.7 (-1.5, 32.0) |
| Beaufort County 2 | Rural | 38.2 (31.4, 46.2) | 44 (5, 94) | 26 |
falling
|
-3.0 (-4.9, -1.4) |
| Lee County 2 | Rural | 38.2 (32.1, 45.1) | 45 (6, 90) | 30 |
falling
|
-3.1 (-4.9, -1.3) |
| Northampton County 2 | Rural | 38.1 (27.7, 51.8) | 46 (2, 98) | 11 |
stable
|
-1.3 (-3.7, 0.9) |
| Stokes County 2 | Urban | 38.1 (31.3, 46.2) | 47 (4, 94) | 24 |
stable
|
-1.2 (-3.3, 0.9) |
| Halifax County 2 | Rural | 37.9 (31.5, 45.5) | 48 (5, 91) | 27 |
falling
|
-1.4 (-2.8, -0.2) |
| Pender County 2 | Urban | 37.8 (31.8, 44.6) | 49 (7, 90) | 31 |
stable
|
0.1 (-1.8, 2.2) |
| Montgomery County 2 | Rural | 37.7 (29.0, 48.5) | 50 (3, 97) | 14 |
stable
|
-0.8 (-4.4, 2.7) |
| Martin County 2 | Rural | 37.1 (27.8, 48.7) | 51 (3, 98) | 13 |
stable
|
-18.6 (-35.0, 0.0) |
| Lincoln County 2 | Urban | 36.6 (31.6, 42.3) | 52 (11, 91) | 41 |
falling
|
-2.3 (-3.9, -0.6) |
| Madison County 2 | Urban | 36.6 (26.7, 49.2) | 53 (3, 98) | 10 |
stable
|
-0.4 (-2.8, 2.0) |
| Union County 2 | Urban | 36.5 (33.2, 40.1) | 54 (21, 82) | 94 |
stable
|
-1.6 (-3.2, 0.2) |
| Hoke County 2 | Urban | 36.4 (28.7, 45.4) | 55 (4, 97) | 17 |
falling
|
-2.8 (-4.8, -0.6) |
| Franklin County 2 | Urban | 36.3 (30.6, 42.7) | 56 (9, 93) | 32 |
stable
|
-1.4 (-4.0, 5.8) |
| Brunswick County 2 | Urban | 36.2 (32.4, 40.5) | 57 (18, 86) | 89 |
stable
|
-0.1 (-1.8, 5.1) |
| Davie County 2 | Urban | 36.2 (29.6, 44.0) | 58 (7, 95) | 23 |
stable
|
-0.3 (-3.7, 3.3) |
| Warren County 2 | Rural | 35.9 (26.6, 48.1) | 59 (3, 98) | 12 |
stable
|
-2.0 (-4.5, 0.3) |
| Guilford County 2 | Urban | 35.9 (33.8, 38.2) | 60 (34, 78) | 219 |
stable
|
0.4 (-1.5, 4.9) |
| Iredell County 2 | Urban | 35.8 (32.3, 39.6) | 61 (22, 85) | 82 |
falling
|
-1.6 (-2.7, -0.5) |
| Chowan County 2 | Rural | 35.7 (25.2, 50.0) | 62 (3, 99) | 9 |
stable
|
-2.6 (-5.5, 0.2) |
| Wilson County 2 | Rural | 35.5 (30.3, 41.4) | 63 (13, 93) | 35 |
falling
|
-3.1 (-5.3, -1.2) |
| Chatham County 2 | Urban | 35.1 (30.1, 40.7) | 64 (14, 93) | 41 |
stable
|
-0.8 (-2.4, 0.9) |
| Camden County 2 | Urban | 35.0 (22.3, 53.1) | 65 (2, 99) | 5 |
falling
|
-4.3 (-8.7, -0.1) |
| Watauga County 2 | Rural | 34.9 (28.2, 43.0) | 66 (9, 97) | 20 |
stable
|
-1.4 (-3.7, 0.9) |
| Craven County 2 | Rural | 34.9 (30.3, 40.1) | 67 (18, 92) | 45 |
falling
|
-2.7 (-3.9, -1.7) |
| Jackson County 2 | Rural | 34.6 (27.7, 42.8) | 68 (9, 97) | 19 |
stable
|
-1.4 (-3.4, 0.7) |
| Edgecombe County 2 | Urban | 34.5 (28.1, 42.1) | 69 (10, 97) | 23 |
stable
|
-2.2 (-4.9, 0.2) |
| Greene County 2 | Rural | 34.3 (24.5, 46.8) | 70 (4, 99) | 9 |
falling
|
-3.4 (-7.0, -0.2) |
| Johnston County 2 | Urban | 33.8 (30.5, 37.4) | 71 (33, 90) | 79 |
falling
|
-1.7 (-3.0, -0.3) |
| Mecklenburg County 2 | Urban | 33.8 (32.2, 35.4) | 72 (49, 82) | 363 |
stable
|
-0.7 (-1.9, 3.1) |
| Carteret County 2 | Rural | 33.7 (28.8, 39.4) | 73 (19, 95) | 38 |
falling
|
-2.4 (-3.8, -1.2) |
| Sampson County 2 | Rural | 33.7 (28.0, 40.2) | 74 (17, 97) | 26 |
stable
|
0.3 (-2.4, 8.0) |
| Buncombe County 2 | Urban | 33.7 (31.0, 36.5) | 75 (40, 88) | 123 |
stable
|
0.6 (-1.4, 6.0) |
| Henderson County 2 | Urban | 33.5 (29.6, 37.9) | 76 (29, 93) | 61 |
falling
|
-1.7 (-3.1, -0.3) |
| Perquimans County 2 | Rural | 32.9 (22.4, 47.7) | 77 (4, 99) | 7 |
falling
|
-4.5 (-8.1, -1.4) |
| Forsyth County 2 | Urban | 32.8 (30.4, 35.3) | 78 (48, 90) | 148 |
falling
|
-2.1 (-3.3, -0.9) |
| Catawba County 2 | Urban | 32.6 (29.0, 36.4) | 79 (40, 94) | 66 |
falling
|
-2.8 (-4.0, -1.6) |
| Clay County 2 | Rural | 32.1 (20.9, 48.5) | 80 (3, 99) | 7 |
stable
|
-1.4 (-4.6, 1.8) |
| Cumberland County 2 | Urban | 31.3 (28.6, 34.3) | 81 (55, 94) | 101 |
stable
|
-1.3 (-3.9, 4.7) |
| Alexander County 2 | Urban | 31.1 (24.3, 39.3) | 82 (18, 99) | 16 |
stable
|
-1.9 (-4.3, 0.5) |
| Moore County 2 | Urban | 30.6 (26.6, 35.2) | 83 (42, 98) | 46 |
stable
|
-2.1 (-7.2, 5.7) |
| New Hanover County 2 | Urban | 30.4 (27.4, 33.5) | 84 (57, 95) | 85 |
falling
|
-1.9 (-2.9, -0.8) |
| Pasquotank County 2 | Rural | 30.3 (23.6, 38.5) | 85 (19, 99) | 15 |
falling
|
-3.7 (-5.5, -2.0) |
| Yadkin County 2 | Urban | 30.0 (23.3, 38.1) | 86 (21, 99) | 15 |
falling
|
-3.2 (-6.0, -0.6) |
| Wake County 2 | Urban | 29.8 (28.4, 31.3) | 87 (73, 95) | 337 |
stable
|
2.9 (-2.7, 6.9) |
| Pitt County 2 | Urban | 29.4 (25.8, 33.3) | 88 (52, 98) | 51 |
falling
|
-2.7 (-4.1, -1.3) |
| Orange County 2 | Urban | 28.9 (25.2, 33.0) | 89 (58, 98) | 47 |
falling
|
-1.8 (-2.8, -0.7) |
| Durham County 2 | Urban | 28.5 (26.0, 31.3) | 90 (70, 98) | 95 |
falling
|
-2.9 (-3.7, -2.1) |
| Nash County 2 | Urban | 28.5 (24.3, 33.2) | 91 (55, 99) | 36 |
falling
|
-4.5 (-6.0, -3.1) |
| Avery County 2 | Rural | 28.0 (19.3, 39.9) | 92 (14, 99) | 7 |
stable
|
-1.3 (-4.2, 1.4) |
| Ashe County 2 | Rural | 27.8 (20.8, 36.9) | 93 (22, 99) | 12 |
stable
|
-2.3 (-5.2, 0.4) |
| Graham County 2 | Rural | 27.6 (15.6, 46.5) | 94 (5, 99) | 4 |
stable
|
-1.2 (-6.9, 4.2) |
| Alleghany County 2 | Rural | 27.4 (17.4, 42.5) | 95 (7, 99) | 5 |
stable
|
-3.2 (-7.7, 0.7) |
| Transylvania County 2 | Rural | 27.1 (20.6, 35.3) | 96 (35, 99) | 16 |
stable
|
-1.7 (-3.7, 0.1) |
| Gates County 2 | Urban | 25.6 (15.4, 41.2) | 97 (13, 99) | 4 |
falling
|
-4.7 (-8.6, -1.5) |
| Dare County 2 | Rural | 25.0 (19.3, 32.2) | 98 (55, 99) | 15 |
falling
|
-3.4 (-5.1, -1.8) |
| Currituck County 2 | Urban | 20.0 (13.6, 28.4) | 99 (70, 99) | 7 |
falling
|
-4.0 (-7.7, -0.4) |
| Tyrrell County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 1:24 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.