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