Incidence Rates Table
Incidence Rate Report for North Carolina by County
Lung & Bronchus (Late Stage^), 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
|
Percent of Cases with Late Stage
|
|---|---|---|---|---|---|
| North Carolina 2 | N/A | 41.3 (40.8, 41.7) | N/A | 5,604 | 66.9 |
| US (SEER+NPCR) 1 | N/A | 33.6 (33.6, 33.7) | N/A | 143,218 | 64.3 |
| Jones County 2 | Rural | 64.5 (47.9, 86.5) | 1 (1, 79) | 11 | 76.1 |
| Yadkin County 2 | Urban | 62.2 (53.4, 72.3) | 2 (1, 41) | 37 | 72.9 |
| Onslow County 2 | Urban | 61.5 (56.0, 67.3) | 3 (1, 24) | 97 | 70.1 |
| Yancey County 2 | Rural | 59.1 (47.6, 73.1) | 4 (1, 69) | 20 | 72.3 |
| Graham County 2 | Rural | 58.4 (41.5, 81.6) | 5 (1, 95) | 8 | 70.7 |
| Robeson County 2 | Rural | 58.1 (52.6, 64.1) | 6 (1, 33) | 85 | 70.6 |
| Sampson County 2 | Rural | 57.5 (50.2, 65.6) | 7 (1, 49) | 47 | 67.6 |
| Caswell County 2 | Rural | 57.0 (46.3, 69.9) | 8 (1, 73) | 22 | 69.7 |
| Scotland County 2 | Rural | 56.8 (47.4, 67.8) | 9 (1, 64) | 27 | 69.4 |
| Tyrrell County 2 | Rural | 56.6 (32.4, 96.8) | 10 (1, 100) | 3 | 65.4 |
| Richmond County 2 | Rural | 56.3 (47.9, 65.8) | 11 (1, 63) | 34 | 63.2 |
| Lenoir County 2 | Rural | 55.4 (48.3, 63.5) | 12 (1, 58) | 46 | 70.9 |
| McDowell County 2 | Rural | 55.3 (47.7, 63.9) | 13 (1, 63) | 40 | 62.6 |
| Stokes County 2 | Urban | 55.2 (47.9, 63.7) | 14 (1, 61) | 42 | 68.8 |
| Anson County 2 | Urban | 54.9 (43.9, 68.3) | 15 (1, 79) | 18 | 76.5 |
| Wayne County 2 | Urban | 54.0 (48.8, 59.7) | 16 (3, 51) | 83 | 72.3 |
| Northampton County 2 | Rural | 52.9 (41.0, 67.9) | 17 (1, 86) | 17 | 73.5 |
| Madison County 2 | Urban | 52.7 (42.0, 65.7) | 18 (1, 84) | 18 | 71.4 |
| Greene County 2 | Rural | 52.6 (40.9, 66.8) | 19 (1, 86) | 14 | 69.2 |
| Surry County 2 | Rural | 52.5 (46.5, 59.1) | 20 (3, 64) | 58 | 68.7 |
| Davidson County 2 | Urban | 52.3 (48.3, 56.6) | 21 (5, 50) | 129 | 70.3 |
| Rockingham County 2 | Urban | 51.5 (46.3, 57.2) | 22 (5, 61) | 76 | 66.3 |
| Randolph County 2 | Urban | 51.4 (47.0, 56.1) | 23 (6, 57) | 105 | 65.8 |
| Vance County 2 | Rural | 50.7 (42.7, 60.0) | 24 (2, 76) | 31 | 66.4 |
| Cleveland County 2 | Rural | 50.7 (45.5, 56.3) | 25 (5, 64) | 74 | 69.2 |
| Caldwell County 2 | Urban | 50.6 (45.1, 56.6) | 26 (5, 65) | 66 | 71.5 |
| Swain County 2 | Rural | 49.5 (37.1, 65.5) | 27 (1, 94) | 11 | 67.5 |
| Gaston County 2 | Urban | 49.3 (45.8, 53.1) | 28 (11, 58) | 148 | 68.8 |
| Stanly County 2 | Rural | 49.3 (42.9, 56.5) | 29 (5, 75) | 44 | 65.2 |
| Haywood County 2 | Rural | 49.1 (43.2, 55.7) | 30 (5, 71) | 54 | 70.8 |
| Burke County 2 | Urban | 49.0 (43.8, 54.8) | 31 (8, 70) | 68 | 67.3 |
| Franklin County 2 | Urban | 48.8 (42.4, 55.9) | 32 (5, 74) | 45 | 73.4 |
| Davie County 2 | Urban | 48.7 (41.4, 57.1) | 33 (4, 82) | 33 | 66.9 |
| Granville County 2 | Rural | 48.5 (42.1, 55.8) | 34 (5, 76) | 42 | 68.5 |
| Bladen County 2 | Rural | 48.5 (40.2, 58.4) | 35 (3, 86) | 26 | 70.3 |
| Rutherford County 2 | Rural | 48.4 (42.5, 55.0) | 36 (7, 74) | 51 | 70.4 |
| Hertford County 2 | Rural | 48.3 (38.2, 60.9) | 37 (1, 93) | 16 | 67.8 |
| Washington County 2 | Rural | 48.3 (34.4, 67.1) | 38 (1, 99) | 10 | 67.1 |
| Mitchell County 2 | Rural | 48.2 (36.8, 63.0) | 39 (1, 97) | 13 | 64.4 |
| Rowan County 2 | Urban | 48.1 (43.8, 52.8) | 40 (13, 69) | 96 | 67.4 |
| Harnett County 2 | Rural | 48.1 (43.1, 53.5) | 41 (8, 70) | 71 | 67.0 |
| Martin County 2 | Rural | 47.9 (38.3, 59.8) | 42 (2, 92) | 18 | 69.7 |
| Craven County 2 | Rural | 47.1 (42.0, 52.7) | 43 (11, 74) | 68 | 61.2 |
| Pender County 2 | Urban | 47.1 (40.8, 54.2) | 44 (9, 80) | 42 | 73.9 |
| Duplin County 2 | Rural | 46.7 (39.8, 54.6) | 45 (6, 85) | 34 | 69.8 |
| Edgecombe County 2 | Urban | 46.6 (39.7, 54.5) | 46 (6, 84) | 35 | 68.9 |
| Johnston County 2 | Urban | 46.5 (42.6, 50.7) | 47 (16, 71) | 111 | 65.3 |
| Chowan County 2 | Rural | 46.5 (35.1, 61.4) | 48 (1, 98) | 12 | 85.5 |
| Person County 2 | Urban | 46.2 (38.7, 55.0) | 49 (4, 88) | 29 | 69.4 |
| Alamance County 2 | Urban | 46.2 (42.3, 50.5) | 50 (18, 70) | 104 | 65.7 |
| Cumberland County 2 | Urban | 46.2 (42.9, 49.6) | 51 (20, 68) | 158 | 66.9 |
| Wilkes County 2 | Rural | 46.1 (40.5, 52.5) | 52 (12, 79) | 51 | 68.3 |
| Alleghany County 2 | Rural | 46.0 (33.1, 63.6) | 53 (1, 100) | 10 | 71.6 |
| Beaufort County 2 | Rural | 45.9 (39.2, 53.6) | 54 (8, 85) | 37 | 73.5 |
| Carteret County 2 | Rural | 45.6 (40.1, 51.7) | 55 (13, 80) | 57 | 67.8 |
| Hoke County 2 | Urban | 45.2 (36.8, 55.0) | 56 (4, 91) | 22 | 62.1 |
| Hyde County 2 | Rural | 44.5 (25.8, 75.4) | 57 (1, 100) | 4 | 69.2 |
| Perquimans County 2 | Rural | 44.3 (32.5, 60.2) | 58 (1, 99) | 11 | 72.4 |
| Lee County 2 | Rural | 43.8 (37.6, 50.9) | 59 (13, 89) | 37 | 65.2 |
| Bertie County 2 | Rural | 43.8 (33.1, 57.4) | 60 (3, 99) | 13 | 74.1 |
| Halifax County 2 | Rural | 43.3 (36.9, 50.6) | 61 (15, 92) | 34 | 68.1 |
| Lincoln County 2 | Urban | 43.3 (38.2, 48.9) | 62 (21, 84) | 56 | 64.4 |
| Columbus County 2 | Rural | 43.2 (36.8, 50.6) | 63 (12, 89) | 34 | 63.9 |
| Brunswick County 2 | Urban | 43.2 (39.5, 47.2) | 64 (31, 80) | 130 | 70.2 |
| Forsyth County 2 | Urban | 42.6 (40.0, 45.3) | 65 (40, 77) | 206 | 68.1 |
| Pitt County 2 | Urban | 42.3 (38.1, 46.8) | 66 (29, 83) | 80 | 70.5 |
| Alexander County 2 | Urban | 41.4 (34.0, 50.2) | 67 (12, 96) | 23 | 63.2 |
| Wilson County 2 | Rural | 40.7 (35.5, 46.4) | 68 (26, 91) | 47 | 65.3 |
| Catawba County 2 | Urban | 40.2 (36.5, 44.2) | 69 (42, 87) | 90 | 66.7 |
| Guilford County 2 | Urban | 39.7 (37.5, 41.9) | 70 (55, 82) | 256 | 65.2 |
| Camden County 2 | Urban | 39.5 (25.7, 58.8) | 71 (1, 100) | 5 | 84.4 |
| Montgomery County 2 | Rural | 39.3 (30.8, 49.8) | 72 (13, 99) | 16 | 60.9 |
| Pamlico County 2 | Rural | 38.9 (28.9, 53.3) | 73 (6, 100) | 11 | 63.9 |
| Nash County 2 | Urban | 38.9 (34.4, 44.0) | 74 (43, 93) | 55 | 68.3 |
| Macon County 2 | Rural | 38.1 (31.6, 46.0) | 75 (26, 98) | 27 | 64.8 |
| Union County 2 | Urban | 38.1 (34.7, 41.8) | 76 (53, 91) | 98 | 65.8 |
| Pasquotank County 2 | Rural | 37.7 (30.7, 45.9) | 77 (27, 99) | 21 | 70.4 |
| Clay County 2 | Rural | 37.3 (26.7, 52.7) | 78 (9, 100) | 9 | 60.5 |
| Cherokee County 2 | Rural | 37.2 (30.5, 45.5) | 79 (33, 99) | 23 | 59.1 |
| Transylvania County 2 | Rural | 36.9 (30.5, 44.7) | 80 (32, 99) | 27 | 64.6 |
| Iredell County 2 | Urban | 36.7 (33.4, 40.4) | 81 (58, 94) | 91 | 58.3 |
| Dare County 2 | Rural | 36.6 (30.0, 44.6) | 82 (33, 99) | 23 | 73.6 |
| Moore County 2 | Urban | 36.5 (32.4, 41.1) | 83 (55, 96) | 61 | 60.0 |
| Buncombe County 2 | Urban | 36.3 (33.6, 39.1) | 84 (64, 92) | 146 | 61.7 |
| Ashe County 2 | Rural | 35.4 (28.5, 44.1) | 85 (34, 100) | 19 | 66.4 |
| New Hanover County 2 | Urban | 35.2 (32.3, 38.4) | 86 (67, 95) | 110 | 64.6 |
| Henderson County 2 | Urban | 35.0 (31.4, 39.0) | 87 (64, 97) | 75 | 65.7 |
| Cabarrus County 2 | Urban | 34.9 (31.7, 38.5) | 88 (66, 96) | 87 | 62.6 |
| Jackson County 2 | Rural | 34.3 (27.9, 42.0) | 89 (44, 100) | 21 | 68.2 |
| Warren County 2 | Rural | 34.0 (25.5, 45.1) | 90 (33, 100) | 12 | 60.2 |
| Avery County 2 | Rural | 32.3 (23.6, 44.0) | 91 (32, 100) | 9 | 72.3 |
| Wake County 2 | Urban | 31.5 (30.0, 33.1) | 92 (84, 98) | 347 | 67.0 |
| Mecklenburg County 2 | Urban | 31.2 (29.7, 32.8) | 93 (84, 99) | 329 | 67.3 |
| Currituck County 2 | Urban | 30.1 (22.7, 39.3) | 94 (57, 100) | 13 | 65.6 |
| Chatham County 2 | Urban | 29.9 (25.9, 34.6) | 95 (78, 100) | 41 | 66.2 |
| Durham County 2 | Urban | 29.8 (27.2, 32.6) | 96 (85, 100) | 102 | 62.6 |
| Watauga County 2 | Rural | 29.0 (23.3, 35.9) | 97 (72, 100) | 19 | 67.6 |
| Orange County 2 | Urban | 28.4 (24.8, 32.4) | 98 (83, 100) | 47 | 61.4 |
| Polk County 2 | Rural | 27.7 (20.5, 37.8) | 99 (61, 100) | 12 | 64.1 |
| Gates County 2 | Urban | 25.9 (15.8, 41.4) | 100 (48, 100) | 4 | 52.4 |
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 11:10 pm.
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 for United States does not include Puerto Rico.