Incidence Rates Table
Incidence Rate Report for Missouri by County
Colon & Rectum (Late Stage^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
County
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2023 Rural-Urban Continuum Codes Φ
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Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)
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CI*Rank ⋔ (95% Confidence Interval)
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Average Annual Count
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Percent of Cases with Late Stage
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| Missouri 2 | N/A | 25.6 (25.1, 26.1) | N/A | 1,924 | 63.4 |
| US (SEER+NPCR) 1 | N/A | 22.0 (21.9, 22.1) | N/A | 86,932 | 59.9 |
| Clinton County 2 | Urban | 18.6 (12.3, 27.5) | 96 (29, 96) | 6 | 47.5 |
| Washington County 2 | Rural | 19.0 (12.5, 27.8) | 95 (28, 96) | 6 | 64.4 |
| DeKalb County 2 | Urban | 19.0 (10.7, 32.1) | 94 (14, 96) | 3 | 59.3 |
| Gasconade County 2 | Rural | 19.4 (12.3, 30.0) | 93 (19, 96) | 5 | 83.3 |
| Platte County 2 | Urban | 19.4 (16.1, 23.2) | 92 (61, 96) | 25 | 63.3 |
| Henry County 2 | Rural | 19.8 (13.1, 29.1) | 91 (24, 96) | 6 | 56.1 |
| Bates County 2 | Urban | 21.2 (13.0, 33.0) | 90 (12, 96) | 5 | 43.4 |
| Hickory County 2 | Rural | 21.4 (13.4, 36.3) | 89 (9, 96) | 4 | 66.7 |
| Cole County 2 | Urban | 21.6 (17.6, 26.3) | 88 (42, 96) | 21 | 60.1 |
| Cedar County 2 | Rural | 21.7 (13.8, 33.4) | 87 (12, 96) | 5 | 48.1 |
| St. Charles County 2 | Urban | 22.1 (20.3, 24.2) | 86 (60, 92) | 106 | 65.2 |
| New Madrid County 2 | Rural | 22.2 (14.4, 33.2) | 85 (12, 96) | 5 | 57.8 |
| Pulaski County 2 | Rural | 22.4 (16.4, 30.0) | 84 (18, 96) | 9 | 65.3 |
| Jefferson County 2 | Urban | 22.5 (19.9, 25.3) | 83 (52, 93) | 60 | 60.2 |
| Andrew County 2 | Urban | 22.6 (14.8, 33.5) | 82 (11, 96) | 6 | 66.7 |
| Saline County 2 | Rural | 22.8 (15.7, 32.3) | 81 (13, 96) | 7 | 59.3 |
| St. Clair County 2 | Rural | 23.1 (12.9, 39.5) | 80 (4, 96) | 4 | 60.0 |
| Moniteau County 2 | Urban | 23.2 (14.3, 35.8) | 79 (6, 96) | 4 | 52.4 |
| St. Louis County 2 | Urban | 23.2 (22.0, 24.5) | 78 (58, 87) | 298 | 63.8 |
| Boone County 2 | Urban | 23.3 (20.1, 26.8) | 77 (43, 93) | 41 | 65.2 |
| Christian County 2 | Urban | 23.4 (19.3, 28.0) | 76 (33, 95) | 24 | 62.6 |
| St. Louis City 2 | Urban | 23.8 (21.5, 26.4) | 75 (45, 90) | 78 | 66.6 |
| Greene County 2 | Urban | 23.9 (21.5, 26.4) | 74 (46, 89) | 80 | 62.6 |
| Jackson County 2 | Urban | 24.0 (22.4, 25.6) | 73 (52, 86) | 194 | 61.9 |
| Stone County 2 | Rural | 24.1 (17.9, 32.1) | 72 (16, 96) | 13 | 63.7 |
| Dallas County 2 | Urban | 24.8 (16.0, 37.0) | 71 (5, 96) | 5 | 48.2 |
| Johnson County 2 | Rural | 25.0 (19.1, 32.2) | 70 (14, 95) | 13 | 55.3 |
| Perry County 2 | Rural | 25.1 (16.8, 36.3) | 69 (6, 96) | 6 | 61.5 |
| Lawrence County 2 | Rural | 25.5 (19.3, 33.0) | 68 (13, 95) | 12 | 62.6 |
| Camden County 2 | Rural | 25.8 (20.0, 32.9) | 67 (14, 95) | 18 | 63.6 |
| McDonald County 2 | Rural | 26.2 (18.1, 36.8) | 66 (6, 96) | 7 | 67.3 |
| Lincoln County 2 | Urban | 26.3 (21.0, 32.6) | 65 (13, 93) | 18 | 73.4 |
| Bollinger County 2 | Urban | 26.3 (15.2, 42.9) | 64 (3, 96) | 4 | 54.3 |
| Pettis County 2 | Rural | 26.4 (20.3, 33.8) | 63 (11, 94) | 14 | 62.4 |
| Newton County 2 | Urban | 26.4 (21.2, 32.5) | 62 (15, 93) | 20 | 62.8 |
| Cape Girardeau County 2 | Urban | 26.6 (21.9, 31.9) | 61 (17, 91) | 25 | 70.1 |
| Clay County 2 | Urban | 26.6 (23.9, 29.5) | 60 (30, 80) | 74 | 64.2 |
| Dade County 2 | Rural | 26.7 (15.8, 44.7) | 59 (2, 96) | 4 | 69.2 |
| Cass County 2 | Urban | 26.8 (22.8, 31.2) | 58 (18, 88) | 35 | 61.3 |
| Harrison County 2 | Rural | 27.1 (15.3, 45.5) | 57 (1, 96) | 4 | 54.5 |
| Callaway County 2 | Urban | 27.2 (21.2, 34.4) | 56 (11, 94) | 15 | 61.0 |
| Scott County 2 | Rural | 27.8 (21.3, 35.8) | 55 (7, 94) | 13 | 63.8 |
| Webster County 2 | Urban | 27.9 (21.2, 36.2) | 54 (7, 94) | 12 | 77.9 |
| Mississippi County 2 | Rural | 28.1 (17.6, 43.0) | 53 (2, 96) | 5 | 69.7 |
| Madison County 2 | Rural | 28.2 (17.9, 42.7) | 52 (2, 96) | 5 | 67.6 |
| Barry County 2 | Rural | 28.2 (21.6, 36.5) | 51 (7, 93) | 14 | 59.5 |
| Osage County 2 | Urban | 28.3 (18.0, 42.8) | 50 (2, 96) | 5 | 53.2 |
| Miller County 2 | Rural | 28.3 (20.7, 38.1) | 49 (6, 95) | 9 | 61.8 |
| Wright County 2 | Rural | 28.7 (19.9, 40.6) | 48 (3, 96) | 7 | 70.6 |
| Polk County 2 | Urban | 29.0 (21.6, 38.2) | 47 (5, 94) | 11 | 64.4 |
| Warren County 2 | Urban | 29.0 (21.9, 37.7) | 46 (5, 93) | 12 | 75.3 |
| Adair County 2 | Rural | 29.1 (20.9, 39.8) | 45 (3, 94) | 8 | 56.8 |
| Franklin County 2 | Urban | 29.3 (25.2, 34.1) | 44 (12, 79) | 39 | 67.1 |
| Butler County 2 | Rural | 29.4 (23.3, 36.9) | 43 (8, 90) | 17 | 56.5 |
| Taney County 2 | Rural | 29.5 (24.0, 36.0) | 42 (8, 86) | 22 | 70.0 |
| Cooper County 2 | Urban | 29.5 (20.0, 42.3) | 41 (2, 96) | 7 | 68.8 |
| Buchanan County 2 | Urban | 29.8 (25.1, 35.1) | 40 (10, 80) | 31 | 61.4 |
| Audrain County 2 | Rural | 29.9 (22.0, 40.0) | 39 (4, 94) | 10 | 71.4 |
| St. Francois County 2 | Rural | 30.0 (24.9, 35.9) | 38 (8, 83) | 26 | 66.0 |
| Ste. Genevieve County 2 | Rural | 30.0 (21.3, 41.5) | 37 (3, 95) | 8 | 61.8 |
| Howell County 2 | Rural | 30.1 (23.5, 38.0) | 36 (5, 91) | 16 | 66.7 |
| Iron County 2 | Rural | 30.5 (18.0, 49.2) | 35 (1, 96) | 4 | 64.5 |
| Ralls County 2 | Rural | 30.6 (18.1, 49.0) | 34 (1, 96) | 4 | 61.8 |
| Benton County 2 | Rural | 30.6 (21.5, 42.8) | 33 (2, 94) | 10 | 67.6 |
| Carroll County 2 | Rural | 30.9 (18.0, 50.4) | 32 (1, 96) | 4 | 63.3 |
| Monroe County 2 | Rural | 30.9 (16.5, 53.0) | 31 (1, 96) | 3 | 59.3 |
| Pike County 2 | Rural | 31.0 (20.8, 44.6) | 30 (1, 96) | 6 | 51.6 |
| Pemiscot County 2 | Rural | 31.0 (20.4, 45.4) | 29 (1, 95) | 6 | 63.0 |
| Ripley County 2 | Rural | 31.1 (19.7, 47.5) | 28 (1, 96) | 5 | 46.2 |
| Jasper County 2 | Urban | 31.2 (27.1, 35.8) | 27 (9, 68) | 43 | 65.1 |
| Phelps County 2 | Rural | 31.3 (24.6, 39.2) | 26 (5, 86) | 16 | 61.8 |
| Wayne County 2 | Rural | 31.4 (21.1, 46.2) | 25 (1, 95) | 6 | 55.4 |
| Vernon County 2 | Rural | 31.4 (22.2, 43.5) | 24 (2, 94) | 8 | 63.1 |
| Dunklin County 2 | Rural | 31.9 (24.3, 41.3) | 23 (3, 88) | 13 | 60.0 |
| Texas County 2 | Rural | 32.0 (23.7, 42.3) | 22 (3, 89) | 11 | 72.4 |
| Grundy County 2 | Rural | 32.3 (18.9, 51.8) | 21 (1, 96) | 4 | 61.8 |
| Shannon County 2 | Rural | 32.5 (19.3, 53.3) | 20 (1, 96) | 4 | 60.6 |
| Lafayette County 2 | Urban | 33.0 (25.1, 42.5) | 19 (3, 85) | 13 | 63.1 |
| Marion County 2 | Rural | 33.6 (25.4, 43.7) | 18 (2, 87) | 12 | 64.9 |
| Stoddard County 2 | Rural | 33.6 (26.0, 42.9) | 17 (3, 80) | 14 | 64.0 |
| Linn County 2 | Rural | 33.8 (21.7, 50.7) | 16 (1, 95) | 6 | 65.1 |
| Crawford County 2 | Rural | 34.2 (25.6, 45.1) | 15 (1, 87) | 11 | 67.9 |
| Randolph County 2 | Rural | 35.2 (26.4, 46.3) | 14 (1, 86) | 11 | 56.7 |
| Morgan County 2 | Rural | 35.4 (25.9, 47.5) | 13 (1, 84) | 11 | 77.8 |
| Laclede County 2 | Rural | 36.3 (28.6, 45.6) | 12 (1, 68) | 16 | 78.6 |
| Ray County 2 | Urban | 36.5 (26.9, 48.5) | 11 (1, 83) | 11 | 68.8 |
| Livingston County 2 | Rural | 36.6 (24.8, 52.2) | 10 (1, 93) | 7 | 73.9 |
| Dent County 2 | Rural | 36.7 (24.7, 52.7) | 9 (1, 92) | 7 | 67.3 |
| Douglas County 2 | Rural | 40.0 (26.6, 58.3) | 8 (1, 91) | 7 | 73.9 |
| Nodaway County 2 | Rural | 40.0 (29.3, 53.7) | 7 (1, 73) | 10 | 66.7 |
| Lewis County 2 | Rural | 40.3 (25.4, 61.2) | 6 (1, 95) | 5 | 67.6 |
| Chariton County 2 | Rural | 41.1 (24.3, 66.0) | 5 (1, 95) | 4 | 77.8 |
| Barton County 2 | Rural | 43.1 (27.9, 63.5) | 4 (1, 91) | 6 | 72.5 |
| Montgomery County 2 | Rural | 46.0 (31.3, 65.5) | 3 (1, 80) | 7 | 70.0 |
| Oregon County 2 | Rural | 46.3 (28.6, 71.2) | 2 (1, 92) | 5 | 64.1 |
| Macon County 2 | Rural | 46.6 (33.5, 63.4) | 1 (1, 59) | 10 | 64.9 |
| Atchison County 2 | Rural |
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| Caldwell County 2 | Urban |
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| Carter County 2 | Rural |
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| Clark County 2 | Rural |
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| Daviess County 2 | Rural |
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| Gentry County 2 | Rural |
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| Holt County 2 | Rural |
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| Howard County 2 | Urban |
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| Knox County 2 | Rural |
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| Maries County 2 | Rural |
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| Mercer County 2 | Rural |
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| Ozark County 2 | Rural |
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| Putnam County 2 | Rural |
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| Reynolds County 2 | Rural |
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| Schuyler County 2 | Rural |
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| Scotland County 2 | Rural |
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| Shelby County 2 | Rural |
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| Sullivan County 2 | Rural |
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| Worth County 2 | Rural |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 7:39 am.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
† 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 are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.
^ Late Stage is defined as cases determined to be regional or distant. 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.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
* 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.


