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