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