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 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) 
|
|---|---|---|---|---|---|---|
| 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) |
| Martin County 2 | Rural | 37.1 (27.8, 48.7) | 51 (3, 98) | 13 |
stable 
|
-18.6 (-35.0, 0.0) |
| Gates County 2 | Urban | 25.6 (15.4, 41.2) | 97 (13, 99) | 4 |
falling
|
-4.7 (-8.6, -1.5) |
| Yancey County 2 | Rural | 39.4 (28.9, 52.8) | 36 (2, 98) | 12 |
stable
|
-4.7 (-14.7, 0.3) |
| Nash County 2 | Urban | 28.5 (24.3, 33.2) | 91 (55, 99) | 36 |
falling
|
-4.5 (-6.0, -3.1) |
| Perquimans County 2 | Rural | 32.9 (22.4, 47.7) | 77 (4, 99) | 7 |
falling
|
-4.5 (-8.1, -1.4) |
| Camden County 2 | Urban | 35.0 (22.3, 53.1) | 65 (2, 99) | 5 |
falling
|
-4.3 (-8.7, -0.1) |
| Currituck County 2 | Urban | 20.0 (13.6, 28.4) | 99 (70, 99) | 7 |
falling
|
-4.0 (-7.7, -0.4) |
| Pasquotank County 2 | Rural | 30.3 (23.6, 38.5) | 85 (19, 99) | 15 |
falling
|
-3.7 (-5.5, -2.0) |
| Hertford County 2 | Rural | 39.0 (29.2, 51.5) | 37 (2, 98) | 12 |
falling
|
-3.5 (-5.9, -1.3) |
| Dare County 2 | Rural | 25.0 (19.3, 32.2) | 98 (55, 99) | 15 |
falling
|
-3.4 (-5.1, -1.8) |
| Greene County 2 | Rural | 34.3 (24.5, 46.8) | 70 (4, 99) | 9 |
falling
|
-3.4 (-7.0, -0.2) |
| Alleghany County 2 | Rural | 27.4 (17.4, 42.5) | 95 (7, 99) | 5 |
stable
|
-3.2 (-7.7, 0.7) |
| Yadkin County 2 | Urban | 30.0 (23.3, 38.1) | 86 (21, 99) | 15 |
falling
|
-3.2 (-6.0, -0.6) |
| Lee County 2 | Rural | 38.2 (32.1, 45.1) | 45 (6, 90) | 30 |
falling
|
-3.1 (-4.9, -1.3) |
| Wilson County 2 | Rural | 35.5 (30.3, 41.4) | 63 (13, 93) | 35 |
falling
|
-3.1 (-5.3, -1.2) |
| Beaufort County 2 | Rural | 38.2 (31.4, 46.2) | 44 (5, 94) | 26 |
falling
|
-3.0 (-4.9, -1.4) |
| Durham County 2 | Urban | 28.5 (26.0, 31.3) | 90 (70, 98) | 95 |
falling
|
-2.9 (-3.7, -2.1) |
| Catawba County 2 | Urban | 32.6 (29.0, 36.4) | 79 (40, 94) | 66 |
falling
|
-2.8 (-4.0, -1.6) |
| Hoke County 2 | Urban | 36.4 (28.7, 45.4) | 55 (4, 97) | 17 |
falling
|
-2.8 (-4.8, -0.6) |
| Burke County 2 | Urban | 38.9 (33.9, 44.4) | 39 (8, 82) | 49 |
falling
|
-2.7 (-10.8, -1.1) |
| Craven County 2 | Rural | 34.9 (30.3, 40.1) | 67 (18, 92) | 45 |
falling
|
-2.7 (-3.9, -1.7) |
| Lenoir County 2 | Rural | 39.6 (32.9, 47.3) | 33 (4, 89) | 28 |
falling
|
-2.7 (-4.8, -0.8) |
| Pitt County 2 | Urban | 29.4 (25.8, 33.3) | 88 (52, 98) | 51 |
falling
|
-2.7 (-4.1, -1.3) |
| Chowan County 2 | Rural | 35.7 (25.2, 50.0) | 62 (3, 99) | 9 |
stable
|
-2.6 (-5.5, 0.2) |
| Vance County 2 | Rural | 41.5 (34.0, 50.2) | 24 (3, 87) | 23 |
falling
|
-2.6 (-4.2, -1.1) |
| Carteret County 2 | Rural | 33.7 (28.8, 39.4) | 73 (19, 95) | 38 |
falling
|
-2.4 (-3.8, -1.2) |
| Harnett County 2 | Rural | 39.5 (34.8, 44.6) | 34 (8, 79) | 53 |
falling
|
-2.4 (-4.2, -0.7) |
| Ashe County 2 | Rural | 27.8 (20.8, 36.9) | 93 (22, 99) | 12 |
stable
|
-2.3 (-5.2, 0.4) |
| Lincoln County 2 | Urban | 36.6 (31.6, 42.3) | 52 (11, 91) | 41 |
falling
|
-2.3 (-3.9, -0.6) |
| Edgecombe County 2 | Urban | 34.5 (28.1, 42.1) | 69 (10, 97) | 23 |
stable
|
-2.2 (-4.9, 0.2) |
| Bertie County 2 | Rural | 44.1 (32.1, 59.4) | 10 (1, 97) | 10 |
stable
|
-2.1 (-4.5, 0.2) |
| Forsyth County 2 | Urban | 32.8 (30.4, 35.3) | 78 (48, 90) | 148 |
falling
|
-2.1 (-3.3, -0.9) |
| Moore County 2 | Urban | 30.6 (26.6, 35.2) | 83 (42, 98) | 46 |
stable
|
-2.1 (-7.2, 5.7) |
| Rutherford County 2 | Rural | 42.6 (36.6, 49.3) | 19 (3, 72) | 41 |
falling
|
-2.1 (-3.4, -0.9) |
| Rockingham County 2 | Urban | 40.1 (35.1, 45.7) | 30 (5, 78) | 52 |
falling
|
-2.0 (-3.0, -1.1) |
| Warren County 2 | Rural | 35.9 (26.6, 48.1) | 59 (3, 98) | 12 |
stable
|
-2.0 (-4.5, 0.3) |
| Alexander County 2 | Urban | 31.1 (24.3, 39.3) | 82 (18, 99) | 16 |
stable
|
-1.9 (-4.3, 0.5) |
| Gaston County 2 | Urban | 41.3 (37.9, 44.9) | 25 (8, 58) | 114 |
falling
|
-1.9 (-2.7, -1.1) |
| New Hanover County 2 | Urban | 30.4 (27.4, 33.5) | 84 (57, 95) | 85 |
falling
|
-1.9 (-2.9, -0.8) |
| Orange County 2 | Urban | 28.9 (25.2, 33.0) | 89 (58, 98) | 47 |
falling
|
-1.8 (-2.8, -0.7) |
| Scotland County 2 | Rural | 41.3 (32.9, 51.3) | 26 (2, 92) | 18 |
stable
|
-1.8 (-4.3, 0.6) |
| Henderson County 2 | Urban | 33.5 (29.6, 37.9) | 76 (29, 93) | 61 |
falling
|
-1.7 (-3.1, -0.3) |
| Johnston County 2 | Urban | 33.8 (30.5, 37.4) | 71 (33, 90) | 79 |
falling
|
-1.7 (-3.0, -0.3) |
| Rowan County 2 | Urban | 38.7 (34.6, 43.2) | 40 (10, 80) | 70 |
falling
|
-1.7 (-3.2, -0.2) |
| Transylvania County 2 | Rural | 27.1 (20.6, 35.3) | 96 (35, 99) | 16 |
stable
|
-1.7 (-3.7, 0.1) |
| Cabarrus County 2 | Urban | 38.9 (35.4, 42.7) | 38 (12, 73) | 92 |
stable
|
-1.6 (-3.5, 0.4) |
| Iredell County 2 | Urban | 35.8 (32.3, 39.6) | 61 (22, 85) | 82 |
falling
|
-1.6 (-2.7, -0.5) |
| Richmond County 2 | Rural | 43.1 (35.3, 52.1) | 14 (2, 83) | 23 |
stable
|
-1.6 (-3.6, 0.3) |
| Union County 2 | Urban | 36.5 (33.2, 40.1) | 54 (21, 82) | 94 |
stable
|
-1.6 (-3.2, 0.2) |
| Alamance County 2 | Urban | 39.4 (35.6, 43.5) | 35 (9, 73) | 83 |
falling
|
-1.5 (-2.7, -0.3) |
| Granville County 2 | Rural | 52.4 (45.1, 60.5) | 4 (1, 31) | 40 |
stable
|
-1.5 (-3.4, 0.4) |
| Macon County 2 | Rural | 39.6 (32.6, 48.0) | 32 (4, 89) | 26 |
stable
|
-1.5 (-3.5, 0.4) |
| Bladen County 2 | Rural | 43.4 (34.5, 54.1) | 13 (2, 89) | 18 |
stable
|
-1.4 (-4.7, 1.8) |
| Clay County 2 | Rural | 32.1 (20.9, 48.5) | 80 (3, 99) | 7 |
stable
|
-1.4 (-4.6, 1.8) |
| Franklin County 2 | Urban | 36.3 (30.6, 42.7) | 56 (9, 93) | 32 |
stable
|
-1.4 (-4.0, 5.8) |
| Halifax County 2 | Rural | 37.9 (31.5, 45.5) | 48 (5, 91) | 27 |
falling
|
-1.4 (-2.8, -0.2) |
| Jackson County 2 | Rural | 34.6 (27.7, 42.8) | 68 (9, 97) | 19 |
stable
|
-1.4 (-3.4, 0.7) |
| Robeson County 2 | Rural | 40.7 (36.0, 45.9) | 28 (5, 74) | 57 |
stable
|
-1.4 (-3.0, 0.1) |
| Watauga County 2 | Rural | 34.9 (28.2, 43.0) | 66 (9, 97) | 20 |
stable
|
-1.4 (-3.7, 0.9) |
| Avery County 2 | Rural | 28.0 (19.3, 39.9) | 92 (14, 99) | 7 |
stable
|
-1.3 (-4.2, 1.4) |
| Cumberland County 2 | Urban | 31.3 (28.6, 34.3) | 81 (55, 94) | 101 |
stable
|
-1.3 (-3.9, 4.7) |
| Northampton County 2 | Rural | 38.1 (27.7, 51.8) | 46 (2, 98) | 11 |
stable
|
-1.3 (-3.7, 0.9) |
| Graham County 2 | Rural | 27.6 (15.6, 46.5) | 94 (5, 99) | 4 |
stable
|
-1.2 (-6.9, 4.2) |
| Jones County 2 | Rural | 42.6 (27.4, 64.3) | 18 (1, 99) | 6 |
stable
|
-1.2 (-4.8, 2.3) |
| Stokes County 2 | Urban | 38.1 (31.3, 46.2) | 47 (4, 94) | 24 |
stable
|
-1.2 (-3.3, 0.9) |
| Cherokee County 2 | Rural | 44.4 (35.6, 55.1) | 9 (2, 86) | 22 |
stable
|
-1.1 (-3.5, 1.2) |
| Davidson County 2 | Urban | 41.7 (37.8, 45.8) | 22 (6, 62) | 91 |
falling
|
-1.1 (-2.0, -0.2) |
| Randolph County 2 | Urban | 40.0 (35.8, 44.5) | 31 (8, 72) | 73 |
stable
|
-1.0 (-11.8, 3.7) |
| Wayne County 2 | Urban | 41.6 (36.8, 46.8) | 23 (4, 67) | 58 |
stable
|
-0.9 (-2.0, 0.1) |
| Chatham County 2 | Urban | 35.1 (30.1, 40.7) | 64 (14, 93) | 41 |
stable
|
-0.8 (-2.4, 0.9) |
| Montgomery County 2 | Rural | 37.7 (29.0, 48.5) | 50 (3, 97) | 14 |
stable
|
-0.8 (-4.4, 2.7) |
| Cleveland County 2 | Rural | 46.4 (41.0, 52.2) | 7 (2, 50) | 60 |
stable
|
-0.7 (-2.1, 0.8) |
| Mecklenburg County 2 | Urban | 33.8 (32.2, 35.4) | 72 (49, 82) | 363 |
stable
|
-0.7 (-1.9, 3.1) |
| 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) |
| Stanly County 2 | Rural | 42.7 (36.3, 49.8) | 17 (3, 75) | 35 |
stable
|
-0.6 (-2.6, 1.4) |
| Caswell County 2 | Rural | 42.8 (32.7, 55.2) | 15 (1, 92) | 14 |
stable
|
-0.5 (-2.8, 1.9) |
| Mitchell County 2 | Rural | 43.5 (31.6, 59.1) | 11 (1, 96) | 10 |
stable
|
-0.5 (-4.1, 3.1) |
| Columbus County 2 | Rural | 42.7 (35.9, 50.4) | 16 (2, 78) | 30 |
stable
|
-0.4 (-1.9, 1.1) |
| Madison County 2 | Urban | 36.6 (26.7, 49.2) | 53 (3, 98) | 10 |
stable
|
-0.4 (-2.8, 2.0) |
| Person County 2 | Urban | 42.3 (34.6, 51.3) | 21 (2, 85) | 23 |
stable
|
-0.4 (-2.5, 1.7) |
| Wilkes County 2 | Rural | 41.2 (35.3, 47.8) | 27 (4, 80) | 39 |
stable
|
-0.4 (-2.4, 1.5) |
| Davie County 2 | Urban | 36.2 (29.6, 44.0) | 58 (7, 95) | 23 |
stable
|
-0.3 (-3.7, 3.3) |
| Pamlico County 2 | Rural | 42.4 (29.0, 60.8) | 20 (1, 98) | 9 |
stable
|
-0.3 (-4.7, 4.1) |
| Brunswick County 2 | Urban | 36.2 (32.4, 40.5) | 57 (18, 86) | 89 |
stable
|
-0.1 (-1.8, 5.1) |
| Pender County 2 | Urban | 37.8 (31.8, 44.6) | 49 (7, 90) | 31 |
stable
|
0.1 (-1.8, 2.2) |
| Washington County 2 | Rural | 57.5 (40.5, 79.9) | 2 (1, 82) | 10 |
stable
|
0.1 (-3.8, 3.9) |
| Sampson County 2 | Rural | 33.7 (28.0, 40.2) | 74 (17, 97) | 26 |
stable
|
0.3 (-2.4, 8.0) |
| Guilford County 2 | Urban | 35.9 (33.8, 38.2) | 60 (34, 78) | 219 |
stable
|
0.4 (-1.5, 4.9) |
| McDowell County 2 | Rural | 47.4 (39.9, 56.0) | 5 (1, 66) | 31 |
stable
|
0.4 (-1.3, 2.1) |
| Buncombe County 2 | Urban | 33.7 (31.0, 36.5) | 75 (40, 88) | 123 |
stable
|
0.6 (-1.4, 6.0) |
| Duplin County 2 | Rural | 43.5 (36.4, 51.6) | 12 (2, 76) | 29 |
stable
|
0.6 (-1.4, 2.6) |
| Caldwell County 2 | Urban | 45.4 (39.6, 51.8) | 8 (2, 60) | 50 |
stable
|
0.7 (-10.1, 10.1) |
| Anson County 2 | Urban | 46.5 (36.0, 59.4) | 6 (1, 88) | 14 |
stable
|
1.1 (-1.6, 3.8) |
| Swain County 2 | Rural | 68.0 (51.7, 88.2) | 1 (1, 20) | 13 |
stable
|
1.6 (-1.3, 4.7) |
| Wake County 2 | Urban | 29.8 (28.4, 31.3) | 87 (73, 95) | 337 |
stable
|
2.9 (-2.7, 6.9) |
| Haywood County 2 | Rural | 40.7 (34.9, 47.2) | 29 (4, 77) | 41 |
rising 
|
3.6 (0.4, 15.1) |
| Polk County 2 | Rural | 38.3 (28.2, 51.4) | 43 (2, 98) | 13 |
stable
|
9.7 (-1.5, 32.0) |
| Hyde County 2 | Rural | 54.1 (31.8, 89.0) | 3 (1, 99) | 4 |
stable
|
28.6 (-3.0, 105.2) |
| Tyrrell County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 4:09 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.