Incidence Rates Table
Incidence Rate Report for North Carolina by County
Melanoma of the Skin (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
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 | 28.0 (27.6, 28.5) | N/A | 3,490 |
rising 
|
2.0 (1.0, 2.6) |
| US (SEER+NPCR) 1 | N/A | 23.1 (23.0, 23.2) | N/A | 91,120 |
stable 
|
0.2 (-1.1, 1.2) |
| Edgecombe County 2 | Urban | 10.9 (7.5, 15.5) | 94 (78, 94) | 7 |
stable
|
1.7 (-3.0, 7.4) |
| Robeson County 2 | Rural | 11.8 (9.2, 14.9) | 93 (81, 94) | 15 |
rising
|
3.5 (1.2, 6.3) |
| Bertie County 2 | Rural | 12.8 (7.1, 21.7) | 92 (52, 94) | 4 |
|
|
| Scotland County 2 | Rural | 13.1 (8.7, 19.1) | 91 (62, 94) | 6 |
stable
|
-3.0 (-21.4, 0.8) |
| Halifax County 2 | Rural | 13.9 (10.0, 18.9) | 90 (66, 94) | 10 |
stable
|
0.6 (-2.1, 3.6) |
| Greene County 2 | Rural | 14.9 (8.7, 24.0) | 89 (41, 94) | 4 |
stable
|
1.1 (-3.6, 5.9) |
| Northampton County 2 | Rural | 14.9 (9.4, 23.6) | 88 (47, 94) | 5 |
stable
|
3.7 (-2.1, 11.1) |
| Warren County 2 | Rural | 15.5 (9.7, 24.4) | 87 (39, 94) | 5 |
stable
|
1.9 (-3.2, 7.7) |
| Clay County 2 | Rural | 15.7 (9.5, 27.2) | 86 (36, 94) | 4 |
|
|
| Cumberland County 2 | Urban | 16.3 (14.3, 18.4) | 85 (71, 91) | 52 |
stable
|
-0.3 (-4.9, 1.2) |
| Hoke County 2 | Urban | 16.4 (11.3, 23.0) | 84 (49, 94) | 7 |
stable
|
2.2 (-0.8, 6.2) |
| Martin County 2 | Rural | 16.9 (10.5, 26.0) | 83 (30, 94) | 5 |
stable
|
-1.7 (-5.9, 2.6) |
| Washington County 2 | Rural | 17.6 (10.0, 30.2) | 82 (20, 94) | 3 |
|
|
| Nash County 2 | Urban | 18.0 (14.7, 21.8) | 81 (59, 91) | 23 |
stable
|
0.1 (-2.2, 2.5) |
| Perquimans County 2 | Rural | 18.1 (11.3, 29.0) | 80 (28, 94) | 5 |
stable
|
-2.7 (-7.1, 2.1) |
| Pitt County 2 | Urban | 18.2 (15.5, 21.4) | 79 (60, 90) | 32 |
stable
|
1.4 (-0.3, 3.3) |
| Alleghany County 2 | Rural | 18.4 (10.7, 31.1) | 78 (17, 94) | 4 |
stable
|
-0.6 (-6.4, 6.3) |
| Harnett County 2 | Rural | 18.7 (15.6, 22.3) | 77 (56, 89) | 26 |
stable
|
0.1 (-2.4, 2.9) |
| Bladen County 2 | Rural | 18.8 (13.0, 26.6) | 76 (31, 94) | 8 |
rising
|
2.9 (0.1, 6.3) |
| Anson County 2 | Urban | 19.1 (12.4, 28.3) | 75 (22, 94) | 6 |
rising
|
6.4 (2.5, 11.8) |
| Wilson County 2 | Rural | 19.2 (15.3, 23.7) | 74 (49, 90) | 19 |
stable
|
1.8 (-2.2, 6.4) |
| Duplin County 2 | Rural | 19.2 (14.5, 25.2) | 73 (40, 92) | 12 |
stable
|
2.7 (-0.2, 6.0) |
| Lee County 2 | Rural | 19.4 (15.1, 24.5) | 72 (41, 91) | 15 |
stable
|
-0.6 (-2.7, 1.6) |
| Richmond County 2 | Rural | 20.4 (15.4, 26.6) | 71 (33, 91) | 12 |
rising
|
3.7 (0.3, 7.8) |
| Currituck County 2 | Urban | 20.8 (14.5, 29.2) | 70 (22, 94) | 8 |
stable
|
-2.5 (-12.8, 2.1) |
| Wayne County 2 | Urban | 21.2 (17.7, 25.1) | 69 (43, 86) | 29 |
rising
|
4.3 (2.3, 7.0) |
| Vance County 2 | Rural | 21.4 (16.2, 27.8) | 68 (30, 91) | 12 |
rising
|
5.0 (2.9, 7.9) |
| Lenoir County 2 | Rural | 21.5 (17.0, 27.0) | 67 (34, 87) | 17 |
stable
|
1.7 (-0.7, 4.3) |
| Beaufort County 2 | Rural | 21.5 (16.5, 27.8) | 66 (31, 89) | 15 |
stable
|
-1.3 (-3.6, 0.9) |
| Forsyth County 2 | Urban | 22.7 (20.7, 24.8) | 65 (48, 77) | 102 |
stable
|
6.5 (-2.5, 13.5) |
| Yadkin County 2 | Urban | 22.8 (17.3, 29.7) | 64 (23, 89) | 13 |
stable
|
-0.3 (-2.5, 2.1) |
| Swain County 2 | Rural | 23.2 (13.6, 37.0) | 63 (5, 94) | 4 |
|
|
| Sampson County 2 | Rural | 23.2 (18.2, 29.2) | 62 (24, 87) | 16 |
rising
|
3.5 (1.0, 6.4) |
| Rockingham County 2 | Urban | 24.1 (20.4, 28.5) | 61 (30, 80) | 32 |
stable
|
17.3 (-2.2, 32.3) |
| Granville County 2 | Rural | 24.4 (19.4, 30.2) | 60 (23, 84) | 18 |
rising
|
2.7 (0.9, 4.8) |
| Alamance County 2 | Urban | 24.6 (21.7, 27.9) | 59 (33, 75) | 53 |
stable
|
0.2 (-1.6, 2.3) |
| Pasquotank County 2 | Rural | 24.7 (18.5, 32.4) | 58 (14, 89) | 11 |
stable
|
2.5 (-1.2, 6.9) |
| Franklin County 2 | Urban | 24.8 (20.0, 30.4) | 57 (23, 82) | 20 |
rising
|
4.5 (2.3, 7.4) |
| Chowan County 2 | Rural | 25.0 (16.1, 37.7) | 56 (5, 93) | 6 |
rising
|
18.5 (3.7, 45.2) |
| Caswell County 2 | Rural | 25.3 (17.6, 35.5) | 55 (7, 90) | 8 |
rising
|
5.6 (2.9, 9.3) |
| Durham County 2 | Urban | 25.5 (23.1, 28.1) | 54 (34, 69) | 87 |
rising
|
3.7 (2.5, 5.4) |
| Montgomery County 2 | Rural | 25.5 (18.6, 34.6) | 53 (11, 87) | 10 |
stable
|
-9.9 (-28.4, 2.4) |
| Mecklenburg County 2 | Urban | 25.9 (24.5, 27.3) | 52 (38, 63) | 276 |
stable
|
1.3 (-4.0, 3.0) |
| Surry County 2 | Rural | 25.9 (21.5, 31.1) | 51 (22, 77) | 27 |
stable
|
0.8 (-1.6, 3.4) |
| Pamlico County 2 | Rural | 26.4 (17.6, 39.8) | 50 (6, 91) | 6 |
stable
|
2.7 (-1.4, 7.8) |
| Stokes County 2 | Urban | 26.5 (20.9, 33.3) | 49 (14, 81) | 17 |
stable
|
0.0 (-2.9, 3.1) |
| Cabarrus County 2 | Urban | 26.6 (23.7, 29.8) | 48 (29, 68) | 63 |
stable
|
1.3 (0.0, 2.8) |
| Cherokee County 2 | Rural | 27.0 (20.0, 35.9) | 47 (9, 84) | 13 |
stable
|
-1.1 (-7.9, 2.0) |
| Rowan County 2 | Urban | 27.1 (23.7, 30.8) | 46 (22, 68) | 49 |
stable
|
0.8 (-3.1, 3.1) |
| Wilkes County 2 | Rural | 27.1 (22.4, 32.6) | 45 (18, 74) | 26 |
rising
|
2.4 (0.4, 4.7) |
| Onslow County 2 | Urban | 27.3 (23.6, 31.3) | 44 (21, 68) | 43 |
rising
|
3.0 (1.1, 5.3) |
| Johnston County 2 | Urban | 27.5 (24.4, 30.8) | 43 (25, 66) | 63 |
rising
|
3.6 (1.9, 5.9) |
| Guilford County 2 | Urban | 27.7 (25.8, 29.6) | 42 (28, 58) | 171 |
stable
|
-1.7 (-7.3, 0.9) |
| Craven County 2 | Rural | 27.7 (23.6, 32.4) | 41 (18, 70) | 36 |
stable
|
1.6 (-0.1, 3.4) |
| Wake County 2 | Urban | 28.0 (26.6, 29.5) | 40 (30, 53) | 320 |
rising
|
2.2 (1.2, 3.5) |
| Cleveland County 2 | Rural | 28.1 (23.9, 32.8) | 39 (16, 72) | 35 |
rising
|
4.4 (2.1, 7.4) |
| McDowell County 2 | Rural | 29.1 (23.0, 36.4) | 38 (8, 74) | 17 |
stable
|
1.0 (-2.5, 4.9) |
| Columbus County 2 | Rural | 29.1 (23.5, 35.7) | 37 (9, 73) | 21 |
rising
|
14.7 (4.4, 33.3) |
| Polk County 2 | Rural | 29.2 (20.3, 41.1) | 36 (3, 86) | 10 |
|
|
| Randolph County 2 | Urban | 29.3 (25.7, 33.2) | 35 (16, 63) | 53 |
stable
|
0.2 (-6.9, 2.2) |
| Haywood County 2 | Rural | 29.9 (25.1, 35.6) | 34 (11, 67) | 30 |
stable
|
0.4 (-1.6, 2.6) |
| Person County 2 | Urban | 30.3 (23.7, 38.3) | 33 (6, 72) | 16 |
stable
|
-1.3 (-13.5, 3.3) |
| Pender County 2 | Urban | 30.7 (25.2, 37.2) | 32 (8, 66) | 24 |
rising
|
3.7 (1.1, 7.2) |
| Stanly County 2 | Rural | 31.0 (25.7, 37.1) | 31 (8, 65) | 26 |
stable
|
0.1 (-10.5, 5.1) |
| Davidson County 2 | Urban | 31.1 (27.7, 34.7) | 30 (13, 52) | 68 |
stable
|
3.0 (-1.0, 11.1) |
| Orange County 2 | Urban | 31.2 (27.4, 35.4) | 29 (12, 55) | 51 |
stable
|
0.6 (-4.9, 2.3) |
| Camden County 2 | Urban | 31.3 (18.7, 49.7) | 28 (1, 92) | 4 |
|
|
| Transylvania County 2 | Rural | 32.1 (25.3, 40.5) | 27 (4, 68) | 20 |
stable
|
2.2 (-0.2, 5.2) |
| Chatham County 2 | Urban | 32.5 (27.7, 37.9) | 26 (7, 57) | 39 |
stable
|
0.0 (-2.3, 2.7) |
| Buncombe County 2 | Urban | 32.7 (30.0, 35.5) | 25 (13, 41) | 118 |
rising
|
3.0 (1.8, 4.4) |
| Rutherford County 2 | Rural | 32.8 (27.3, 39.1) | 24 (6, 60) | 29 |
rising
|
3.9 (1.2, 7.1) |
| Yancey County 2 | Rural | 32.8 (23.6, 45.0) | 23 (1, 80) | 9 |
stable
|
1.3 (-3.7, 7.3) |
| Union County 2 | Urban | 32.8 (29.7, 36.2) | 22 (11, 43) | 84 |
rising
|
4.0 (2.6, 5.9) |
| Jackson County 2 | Rural | 32.9 (26.2, 40.8) | 21 (3, 67) | 19 |
rising
|
4.0 (1.3, 7.6) |
| Gaston County 2 | Urban | 33.8 (30.6, 37.1) | 20 (10, 39) | 91 |
rising
|
5.8 (4.3, 7.9) |
| Burke County 2 | Urban | 34.1 (29.4, 39.3) | 19 (6, 49) | 42 |
rising
|
3.3 (1.8, 5.1) |
| Henderson County 2 | Urban | 35.6 (31.6, 40.1) | 18 (5, 37) | 67 |
stable
|
1.8 (-0.2, 4.1) |
| New Hanover County 2 | Urban | 35.8 (32.6, 39.2) | 17 (7, 33) | 100 |
rising
|
5.4 (3.3, 8.2) |
| Caldwell County 2 | Urban | 35.8 (30.8, 41.5) | 16 (4, 46) | 40 |
rising
|
3.1 (1.5, 4.9) |
| Avery County 2 | Rural | 35.9 (26.2, 48.6) | 15 (1, 71) | 10 |
rising
|
4.1 (0.1, 9.7) |
| Davie County 2 | Urban | 37.9 (31.0, 46.0) | 14 (2, 48) | 24 |
stable
|
0.0 (-2.3, 2.6) |
| Mitchell County 2 | Rural | 38.0 (25.7, 54.3) | 13 (1, 80) | 8 |
rising
|
5.7 (3.2, 8.9) |
| Iredell County 2 | Urban | 38.5 (34.8, 42.5) | 12 (3, 25) | 86 |
stable
|
3.2 (-4.4, 5.4) |
| Catawba County 2 | Urban | 38.8 (35.0, 43.0) | 11 (3, 27) | 80 |
rising
|
3.5 (1.8, 5.5) |
| Madison County 2 | Urban | 38.9 (28.8, 51.7) | 10 (1, 62) | 11 |
|
|
| Alexander County 2 | Urban | 39.7 (31.9, 49.0) | 9 (1, 48) | 20 |
rising
|
3.5 (0.8, 7.1) |
| Lincoln County 2 | Urban | 40.1 (34.8, 46.0) | 8 (2, 29) | 46 |
rising
|
4.7 (2.8, 7.2) |
| Brunswick County 2 | Urban | 40.6 (36.7, 44.9) | 7 (2, 22) | 108 |
rising
|
7.1 (3.6, 17.9) |
| Macon County 2 | Rural | 41.1 (33.2, 50.6) | 6 (1, 44) | 24 |
rising
|
4.3 (2.2, 6.9) |
| Moore County 2 | Urban | 41.6 (36.9, 46.9) | 5 (2, 24) | 63 |
rising
|
2.0 (0.7, 3.4) |
| Ashe County 2 | Rural | 43.9 (34.0, 55.9) | 4 (1, 47) | 17 |
|
|
| Dare County 2 | Rural | 47.2 (38.6, 57.4) | 3 (1, 21) | 25 |
rising
|
5.1 (2.4, 8.7) |
| Watauga County 2 | Rural | 47.9 (39.8, 57.3) | 2 (1, 20) | 27 |
rising
|
5.4 (3.5, 7.8) |
| Carteret County 2 | Rural | 52.0 (45.3, 59.4) | 1 (1, 8) | 54 |
rising
|
6.9 (3.8, 19.4) |
| Gates County 2 | Urban |
|
|
|
|
|
| Graham County 2 | Rural |
|
|
|
|
|
| Hertford County 2 | Rural |
|
|
|
|
|
| Hyde County 2 | Rural |
|
|
|
|
|
| Jones County 2 | Rural |
|
|
|
|
|
| Tyrrell County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 11:03 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.