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