Incidence Rates Table
Incidence Rate Report for North Carolina by County
Lung & Bronchus (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by CI*Rank
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 | 61.9 (61.3, 62.5) | N/A | 8,372 |
falling 
|
-3.7 (-4.7, -2.9) |
| US (SEER+NPCR) 1 | N/A | 52.5 (52.4, 52.6) | N/A | 222,606 |
falling
|
-3.5 (-4.0, -3.1) |
| McDowell County 2 | Rural | 88.5 (78.8, 99.2) | 1 (1, 35) | 64 |
stable 
|
0.3 (-0.8, 1.4) |
| Onslow County 2 | Urban | 88.5 (81.9, 95.5) | 2 (1, 18) | 139 |
stable
|
-0.4 (-1.4, 0.7) |
| Richmond County 2 | Rural | 88.4 (77.9, 100.1) | 3 (1, 38) | 54 |
stable
|
-0.2 (-1.5, 1.1) |
| Yadkin County 2 | Urban | 85.5 (75.1, 97.2) | 4 (1, 46) | 50 |
stable
|
1.1 (-1.0, 3.4) |
| Tyrrell County 2 | Rural | 84.5 (54.6, 129.5) | 5 (1, 100) | 5 |
|
|
| Sampson County 2 | Rural | 84.3 (75.5, 94.0) | 6 (1, 41) | 69 |
stable
|
0.4 (-0.8, 1.7) |
| Jones County 2 | Rural | 83.0 (64.3, 107.0) | 7 (1, 85) | 14 |
stable
|
-1.1 (-3.2, 1.0) |
| Robeson County 2 | Rural | 82.7 (76.1, 89.8) | 8 (1, 33) | 120 |
stable
|
-3.4 (-8.8, 0.2) |
| Scotland County 2 | Rural | 82.0 (70.6, 94.9) | 9 (1, 62) | 39 |
stable
|
-0.3 (-2.1, 1.6) |
| Caswell County 2 | Rural | 81.6 (68.8, 96.6) | 10 (1, 66) | 31 |
stable
|
-0.2 (-2.8, 2.6) |
| Graham County 2 | Rural | 81.4 (61.3, 107.6) | 11 (1, 89) | 12 |
stable
|
1.9 (-1.2, 5.6) |
| Yancey County 2 | Rural | 81.4 (67.8, 97.5) | 12 (1, 76) | 27 |
stable
|
0.7 (-1.6, 3.2) |
| Stokes County 2 | Urban | 79.1 (70.3, 88.9) | 13 (1, 57) | 61 |
stable
|
0.1 (-1.1, 1.4) |
| Randolph County 2 | Urban | 78.4 (73.0, 84.2) | 14 (3, 46) | 160 |
stable
|
-1.2 (-8.1, 0.3) |
| Lenoir County 2 | Rural | 77.9 (69.4, 87.2) | 15 (1, 61) | 65 |
stable
|
-0.4 (-2.1, 1.3) |
| Rockingham County 2 | Urban | 77.0 (70.7, 83.8) | 16 (3, 54) | 114 |
falling
|
-1.4 (-2.5, -0.4) |
| Surry County 2 | Rural | 76.5 (69.2, 84.3) | 17 (4, 58) | 85 |
falling
|
-1.1 (-5.2, -0.2) |
| Greene County 2 | Rural | 75.9 (61.7, 92.6) | 18 (1, 85) | 21 |
stable
|
-0.7 (-2.9, 1.7) |
| Craven County 2 | Rural | 75.7 (69.3, 82.6) | 19 (4, 58) | 110 |
stable
|
-0.7 (-1.7, 0.4) |
| Vance County 2 | Rural | 75.5 (65.8, 86.4) | 20 (1, 75) | 46 |
stable
|
-0.9 (-2.5, 0.8) |
| Stanly County 2 | Rural | 75.5 (67.5, 84.2) | 21 (3, 65) | 68 |
falling
|
-1.2 (-2.2, -0.1) |
| Wayne County 2 | Urban | 74.8 (68.6, 81.3) | 22 (6, 55) | 115 |
stable
|
0.1 (-0.8, 1.2) |
| Cleveland County 2 | Rural | 74.7 (68.4, 81.6) | 23 (5, 58) | 107 |
stable
|
-0.5 (-1.4, 0.4) |
| Davidson County 2 | Urban | 74.6 (69.8, 79.7) | 24 (8, 52) | 184 |
falling
|
-3.6 (-7.8, -1.3) |
| Hoke County 2 | Urban | 74.1 (63.1, 86.5) | 25 (1, 81) | 35 |
falling
|
-2.4 (-4.1, -0.5) |
| Swain County 2 | Rural | 73.8 (58.2, 92.8) | 26 (1, 92) | 16 |
falling
|
-4.0 (-22.9, -0.8) |
| Mitchell County 2 | Rural | 73.4 (59.4, 90.6) | 27 (1, 88) | 20 |
stable
|
0.8 (-1.1, 2.8) |
| Harnett County 2 | Rural | 72.6 (66.4, 79.2) | 28 (8, 65) | 106 |
falling
|
-6.2 (-10.3, -1.3) |
| Madison County 2 | Urban | 72.2 (59.8, 87.0) | 29 (1, 87) | 25 |
stable
|
-0.7 (-2.7, 1.4) |
| Burke County 2 | Urban | 72.2 (65.8, 79.0) | 30 (8, 65) | 101 |
stable
|
-1.1 (-2.2, 0.1) |
| Granville County 2 | Rural | 72.1 (64.1, 80.9) | 31 (5, 74) | 62 |
falling
|
-1.1 (-2.0, -0.2) |
| Gaston County 2 | Urban | 72.0 (67.7, 76.5) | 32 (11, 56) | 215 |
falling
|
-7.3 (-11.3, -2.4) |
| Hertford County 2 | Rural | 71.8 (59.2, 86.8) | 33 (1, 88) | 24 |
stable
|
0.5 (-1.9, 3.1) |
| Caldwell County 2 | Urban | 71.6 (65.1, 78.7) | 34 (9, 69) | 92 |
falling
|
-2.3 (-8.1, -1.1) |
| Anson County 2 | Urban | 71.5 (58.9, 86.3) | 35 (1, 88) | 24 |
stable
|
0.4 (-1.9, 2.8) |
| Davie County 2 | Urban | 71.5 (62.7, 81.3) | 36 (5, 78) | 50 |
stable
|
-0.3 (-1.9, 1.4) |
| Johnston County 2 | Urban | 71.3 (66.4, 76.4) | 37 (12, 61) | 171 |
stable
|
-0.5 (-1.5, 0.6) |
| Rowan County 2 | Urban | 70.8 (65.6, 76.4) | 38 (12, 65) | 143 |
falling
|
-1.8 (-4.3, -0.8) |
| Alamance County 2 | Urban | 70.6 (65.7, 75.8) | 39 (14, 63) | 158 |
stable
|
-0.4 (-1.3, 0.6) |
| Cumberland County 2 | Urban | 70.2 (66.2, 74.4) | 40 (16, 60) | 236 |
falling
|
-0.6 (-1.2, -0.1) |
| Bladen County 2 | Rural | 70.1 (60.0, 81.8) | 41 (5, 83) | 36 |
stable
|
-0.5 (-2.2, 1.3) |
| Washington County 2 | Rural | 70.0 (53.7, 91.0) | 42 (1, 97) | 15 |
stable
|
1.1 (-1.6, 4.2) |
| Northampton County 2 | Rural | 69.7 (56.4, 85.9) | 43 (1, 91) | 23 |
stable
|
1.9 (-0.4, 4.2) |
| Columbus County 2 | Rural | 68.4 (60.2, 77.5) | 44 (9, 84) | 53 |
falling
|
-3.6 (-12.6, -1.1) |
| Rutherford County 2 | Rural | 68.4 (61.3, 76.1) | 45 (10, 78) | 72 |
falling
|
-2.1 (-7.6, -0.5) |
| Haywood County 2 | Rural | 68.3 (61.5, 76.0) | 46 (11, 78) | 77 |
stable
|
-0.2 (-2.2, 2.1) |
| Lincoln County 2 | Urban | 68.0 (61.6, 74.9) | 47 (13, 79) | 87 |
stable
|
-0.7 (-1.8, 0.4) |
| Wilkes County 2 | Rural | 67.9 (61.0, 75.4) | 48 (10, 79) | 74 |
stable
|
-0.5 (-1.6, 0.7) |
| Edgecombe County 2 | Urban | 67.8 (59.5, 77.1) | 49 (9, 85) | 51 |
stable
|
-0.9 (-2.0, 0.3) |
| Martin County 2 | Rural | 67.6 (56.1, 81.1) | 50 (3, 91) | 26 |
stable
|
-0.1 (-1.8, 1.7) |
| Lee County 2 | Rural | 67.4 (59.6, 76.0) | 51 (9, 83) | 56 |
stable
|
-1.1 (-2.4, 0.3) |
| Carteret County 2 | Rural | 67.0 (60.4, 74.3) | 52 (14, 83) | 84 |
stable
|
-1.3 (-3.1, 0.6) |
| Person County 2 | Urban | 66.8 (57.7, 77.2) | 53 (8, 87) | 41 |
falling
|
-2.9 (-4.3, -1.8) |
| Franklin County 2 | Urban | 66.4 (59.0, 74.6) | 54 (13, 85) | 61 |
falling
|
-9.3 (-16.0, -1.2) |
| Duplin County 2 | Rural | 66.0 (57.8, 75.2) | 55 (11, 86) | 48 |
stable
|
0.0 (-1.6, 1.7) |
| Alexander County 2 | Urban | 65.4 (56.0, 76.1) | 56 (9, 88) | 36 |
stable
|
-1.2 (-2.7, 0.4) |
| Halifax County 2 | Rural | 64.1 (56.3, 72.9) | 57 (15, 87) | 50 |
falling
|
-10.5 (-20.8, -0.5) |
| Pender County 2 | Urban | 64.0 (56.6, 72.2) | 58 (16, 86) | 57 |
stable
|
-1.0 (-2.8, 1.0) |
| Iredell County 2 | Urban | 64.0 (59.5, 68.8) | 59 (33, 80) | 157 |
stable
|
-0.8 (-1.9, 0.3) |
| Hyde County 2 | Rural | 63.7 (40.9, 98.1) | 60 (1, 100) | 5 |
falling
|
-4.1 (-17.2, -0.8) |
| Montgomery County 2 | Rural | 63.3 (52.6, 75.8) | 61 (10, 94) | 27 |
falling
|
-2.0 (-3.1, -0.9) |
| Wilson County 2 | Rural | 62.8 (56.4, 69.9) | 62 (25, 87) | 72 |
falling
|
-1.0 (-1.7, -0.2) |
| Forsyth County 2 | Urban | 62.8 (59.6, 66.1) | 63 (43, 77) | 302 |
falling
|
-1.3 (-1.8, -0.7) |
| Cherokee County 2 | Rural | 62.6 (53.8, 73.0) | 64 (15, 92) | 40 |
stable
|
-0.5 (-2.5, 1.7) |
| Alleghany County 2 | Rural | 62.5 (47.7, 81.9) | 65 (3, 100) | 13 |
stable
|
-0.6 (-3.5, 2.4) |
| Clay County 2 | Rural | 62.4 (48.4, 81.0) | 66 (3, 100) | 15 |
stable
|
-0.7 (-4.0, 2.7) |
| Beaufort County 2 | Rural | 62.0 (54.3, 70.8) | 67 (21, 90) | 50 |
falling
|
-2.4 (-10.9, -0.9) |
| Pamlico County 2 | Rural | 61.6 (48.5, 78.9) | 68 (4, 99) | 17 |
stable
|
-0.4 (-3.3, 2.8) |
| Guilford County 2 | Urban | 61.1 (58.3, 63.9) | 69 (50, 81) | 393 |
falling
|
-1.1 (-1.7, -0.4) |
| Brunswick County 2 | Urban | 60.7 (56.5, 65.4) | 70 (44, 85) | 185 |
falling
|
-7.6 (-12.0, -2.2) |
| Pitt County 2 | Urban | 60.6 (55.6, 66.0) | 71 (42, 86) | 113 |
stable
|
-0.5 (-1.4, 0.3) |
| Perquimans County 2 | Rural | 59.9 (46.3, 77.3) | 72 (6, 100) | 15 |
stable
|
-1.0 (-2.9, 1.1) |
| Catawba County 2 | Urban | 59.9 (55.4, 64.7) | 73 (46, 87) | 135 |
stable
|
-1.1 (-2.5, 0.4) |
| Moore County 2 | Urban | 59.3 (54.0, 64.9) | 74 (45, 89) | 102 |
falling
|
-1.6 (-2.9, -0.4) |
| Union County 2 | Urban | 58.4 (54.1, 62.9) | 75 (53, 88) | 149 |
stable
|
-1.4 (-2.8, 0.1) |
| Buncombe County 2 | Urban | 58.3 (54.9, 61.8) | 76 (57, 88) | 236 |
falling
|
-1.2 (-1.9, -0.5) |
| Bertie County 2 | Rural | 57.9 (45.7, 72.9) | 77 (11, 100) | 17 |
stable
|
-0.6 (-3.6, 2.4) |
| Nash County 2 | Urban | 57.2 (51.6, 63.3) | 78 (48, 92) | 80 |
falling
|
-5.2 (-12.6, -2.0) |
| Macon County 2 | Rural | 57.1 (49.2, 66.1) | 79 (36, 97) | 42 |
falling
|
-3.3 (-5.7, -2.0) |
| Cabarrus County 2 | Urban | 57.0 (52.8, 61.5) | 80 (56, 90) | 139 |
falling
|
-2.9 (-4.3, -2.2) |
| Transylvania County 2 | Rural | 56.5 (48.6, 65.7) | 81 (36, 97) | 41 |
stable
|
0.4 (-1.7, 2.7) |
| Chowan County 2 | Rural | 55.0 (42.5, 71.1) | 82 (11, 100) | 14 |
stable
|
-0.9 (-3.0, 1.3) |
| Pasquotank County 2 | Rural | 54.6 (46.1, 64.3) | 83 (40, 99) | 30 |
stable
|
-2.0 (-15.2, 0.3) |
| Warren County 2 | Rural | 54.3 (43.8, 67.4) | 84 (27, 100) | 20 |
stable
|
-1.8 (-3.9, 0.3) |
| Ashe County 2 | Rural | 54.2 (45.4, 64.6) | 85 (38, 100) | 29 |
stable
|
-1.5 (-3.4, 0.4) |
| New Hanover County 2 | Urban | 54.1 (50.5, 58.0) | 86 (66, 93) | 170 |
falling
|
-7.9 (-13.5, -1.8) |
| Henderson County 2 | Urban | 53.0 (48.6, 57.8) | 87 (67, 96) | 114 |
falling
|
-1.7 (-2.5, -0.8) |
| Jackson County 2 | Rural | 50.6 (42.7, 59.7) | 88 (57, 100) | 31 |
stable
|
-0.6 (-2.5, 1.4) |
| Dare County 2 | Rural | 50.0 (42.2, 59.2) | 89 (54, 100) | 32 |
falling
|
-2.4 (-4.4, -0.4) |
| Gates County 2 | Urban | 49.4 (35.2, 68.7) | 90 (17, 100) | 8 |
stable
|
-2.1 (-5.9, 1.7) |
| Currituck County 2 | Urban | 49.1 (39.2, 60.9) | 91 (46, 100) | 19 |
falling
|
-2.8 (-4.8, -0.7) |
| Durham County 2 | Urban | 47.7 (44.4, 51.2) | 92 (82, 100) | 162 |
falling
|
-2.7 (-3.5, -2.0) |
| Wake County 2 | Urban | 47.4 (45.5, 49.3) | 93 (86, 99) | 517 |
falling
|
-4.7 (-6.6, -2.6) |
| Mecklenburg County 2 | Urban | 47.1 (45.2, 49.0) | 94 (86, 99) | 489 |
falling
|
-4.3 (-8.6, -2.3) |
| Orange County 2 | Urban | 46.3 (41.6, 51.3) | 95 (82, 100) | 77 |
falling
|
-2.3 (-3.1, -1.5) |
| Camden County 2 | Urban | 46.0 (31.1, 66.3) | 96 (15, 100) | 6 |
falling
|
-3.6 (-7.0, -0.2) |
| Avery County 2 | Rural | 45.4 (34.8, 58.9) | 97 (57, 100) | 13 |
falling
|
-2.4 (-4.1, -0.9) |
| Chatham County 2 | Urban | 44.4 (39.5, 49.9) | 98 (85, 100) | 62 |
falling
|
-2.0 (-3.0, -0.9) |
| Polk County 2 | Rural | 43.2 (33.9, 55.3) | 99 (67, 100) | 18 |
stable
|
-1.8 (-4.6, 1.1) |
| Watauga County 2 | Rural | 43.0 (35.9, 51.2) | 100 (80, 100) | 28 |
falling
|
-2.1 (-4.0, -0.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 6:31 am.
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.