Incidence Rates Table
Incidence Rate Report for Iowa by County
Breast (All Stages^), 2018-2022
All Races (includes Hispanic), Female, 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)
|
|---|---|---|---|---|---|---|
| Iowa 7 | N/A | 137.3 (134.8, 139.7) | N/A | 2,716 |
rising 
|
1.6 (0.5, 4.3) |
| US (SEER+NPCR) 1 | N/A | 131.3 (131.1, 131.6) | N/A | 270,245 |
rising
|
0.6 (0.5, 0.8) |
| Tama County 7 | Rural | 180.6 (142.9, 225.2) | 1 (1, 66) | 19 |
stable 
|
1.4 (-0.1, 3.0) |
| Washington County 7 | Urban | 174.0 (142.9, 209.9) | 2 (1, 66) | 25 |
rising
|
1.4 (0.3, 2.8) |
| Harrison County 7 | Urban | 172.6 (135.8, 216.9) | 3 (1, 78) | 17 |
rising
|
1.4 (0.3, 2.6) |
| Cherokee County 7 | Rural | 168.2 (126.6, 219.8) | 4 (1, 85) | 14 |
stable
|
9.6 (-0.1, 34.8) |
| Hamilton County 7 | Rural | 163.0 (125.0, 209.0) | 5 (1, 86) | 15 |
stable
|
0.9 (-0.6, 2.6) |
| Pocahontas County 7 | Rural | 163.4 (112.5, 230.8) | 6 (1, 95) | 8 |
stable
|
0.5 (-1.0, 2.1) |
| Grundy County 7 | Urban | 161.1 (122.5, 208.6) | 7 (1, 88) | 14 |
stable
|
0.7 (-0.6, 2.1) |
| Howard County 7 | Rural | 160.6 (114.2, 219.7) | 8 (1, 94) | 10 |
stable
|
0.4 (-1.6, 2.4) |
| Cedar County 7 | Rural | 158.6 (127.5, 195.6) | 9 (1, 84) | 20 |
stable
|
1.1 (-0.3, 2.8) |
| Johnson County 7 | Urban | 157.9 (144.8, 171.8) | 10 (2, 42) | 114 |
rising
|
0.6 (0.1, 1.2) |
| Davis County 7 | Rural | 157.3 (111.3, 216.2) | 11 (1, 93) | 9 |
stable
|
0.7 (-1.6, 3.3) |
| Chickasaw County 7 | Rural | 158.0 (116.9, 209.1) | 12 (1, 91) | 12 |
stable
|
0.8 (-0.7, 2.3) |
| Appanoose County 7 | Rural | 154.2 (116.1, 201.4) | 13 (1, 90) | 14 |
stable
|
0.7 (-1.3, 2.7) |
| Marion County 7 | Rural | 154.1 (130.4, 181.1) | 14 (1, 72) | 33 |
stable
|
0.4 (-0.7, 1.6) |
| Mahaska County 7 | Rural | 154.0 (124.9, 188.1) | 15 (1, 80) | 22 |
stable
|
5.8 (-0.6, 21.3) |
| Warren County 7 | Urban | 151.9 (133.1, 172.8) | 16 (2, 68) | 50 |
rising
|
1.4 (0.5, 2.4) |
| Black Hawk County 7 | Urban | 150.6 (137.9, 164.2) | 17 (5, 56) | 116 |
rising
|
2.1 (0.9, 6.2) |
| Dickinson County 7 | Rural | 150.6 (119.2, 188.2) | 18 (1, 87) | 21 |
rising
|
1.0 (0.2, 1.9) |
| Keokuk County 7 | Rural | 151.1 (108.2, 205.9) | 19 (1, 95) | 10 |
stable
|
1.4 (-0.5, 3.6) |
| Madison County 7 | Urban | 150.4 (118.5, 188.8) | 20 (1, 87) | 16 |
stable
|
0.2 (-1.4, 2.1) |
| Scott County 7 | Urban | 150.6 (140.0, 161.7) | 21 (6, 52) | 163 |
stable
|
0.1 (-0.5, 0.8) |
| Jasper County 7 | Urban | 149.7 (127.5, 174.8) | 22 (2, 77) | 37 |
stable
|
0.7 (-0.1, 1.6) |
| Iowa County 7 | Rural | 148.4 (116.6, 186.8) | 23 (1, 89) | 17 |
stable
|
0.4 (-0.9, 1.9) |
| Jackson County 7 | Rural | 147.0 (116.9, 182.9) | 24 (1, 90) | 19 |
stable
|
0.2 (-1.2, 1.8) |
| Winneshiek County 7 | Rural | 146.3 (116.7, 181.7) | 25 (1, 88) | 20 |
stable
|
0.5 (-0.8, 1.9) |
| Linn County 7 | Urban | 146.5 (137.3, 156.0) | 26 (9, 53) | 206 |
rising
|
0.6 (0.1, 1.1) |
| Osceola County 7 | Rural | 145.2 (95.7, 213.4) | 27 (1, 97) | 7 |
stable
|
-0.2 (-2.3, 2.0) |
| Dallas County 7 | Urban | 144.1 (129.8, 159.5) | 28 (6, 66) | 76 |
stable
|
0.0 (-0.4, 0.6) |
| Ringgold County 7 | Rural | 143.9 (85.4, 228.9) | 29 (1, 98) | 5 |
stable
|
0.6 (-1.2, 2.6) |
| Polk County 7 | Urban | 143.9 (137.5, 150.6) | 30 (14, 51) | 394 |
stable
|
0.1 (-0.2, 0.5) |
| Worth County 7 | Rural | 140.6 (96.8, 199.2) | 31 (1, 96) | 8 |
stable
|
0.5 (-1.5, 2.7) |
| Sioux County 7 | Rural | 139.5 (115.7, 166.9) | 32 (3, 87) | 27 |
stable
|
0.2 (-0.6, 1.2) |
| Clinton County 7 | Rural | 137.2 (118.8, 157.8) | 33 (6, 83) | 45 |
stable
|
0.2 (-0.6, 0.9) |
| Jones County 7 | Urban | 137.5 (109.4, 171.1) | 34 (2, 92) | 19 |
stable
|
0.4 (-0.6, 1.6) |
| Story County 7 | Urban | 137.4 (121.4, 154.8) | 35 (9, 81) | 59 |
stable
|
0.1 (-0.6, 0.8) |
| Cass County 7 | Rural | 136.6 (103.4, 177.9) | 36 (1, 94) | 14 |
stable
|
-0.5 (-1.7, 0.6) |
| Bremer County 7 | Urban | 136.9 (111.7, 166.3) | 37 (4, 91) | 23 |
stable
|
-0.3 (-1.3, 0.8) |
| Cerro Gordo County 7 | Rural | 135.8 (116.3, 157.8) | 38 (7, 85) | 43 |
stable
|
-0.3 (-1.1, 0.7) |
| Calhoun County 7 | Rural | 135.4 (98.3, 183.7) | 39 (1, 95) | 10 |
stable
|
0.6 (-1.1, 2.3) |
| Louisa County 7 | Rural | 134.9 (98.1, 182.0) | 40 (1, 96) | 10 |
stable
|
-0.2 (-1.7, 1.5) |
| Wapello County 7 | Rural | 134.6 (113.2, 158.9) | 41 (5, 88) | 32 |
stable
|
0.1 (-0.6, 0.9) |
| O'Brien County 7 | Rural | 133.8 (98.4, 177.7) | 42 (1, 95) | 12 |
stable
|
-0.7 (-2.3, 0.8) |
| Franklin County 7 | Rural | 133.5 (95.9, 182.2) | 43 (1, 96) | 10 |
stable
|
0.6 (-1.1, 2.5) |
| Dubuque County 7 | Urban | 133.3 (119.8, 147.8) | 44 (15, 79) | 83 |
stable
|
0.7 (0.0, 2.8) |
| Audubon County 7 | Rural | 134.5 (83.8, 206.0) | 45 (1, 98) | 6 |
stable
|
-0.9 (-3.3, 1.3) |
| Wright County 7 | Rural | 133.0 (96.8, 178.4) | 46 (1, 95) | 11 |
stable
|
-1.5 (-3.2, 0.0) |
| Poweshiek County 7 | Rural | 132.7 (103.5, 167.9) | 47 (2, 94) | 17 |
stable
|
0.8 (-0.9, 2.6) |
| Emmet County 7 | Rural | 133.0 (93.5, 184.6) | 48 (1, 97) | 9 |
stable
|
0.3 (-1.6, 2.3) |
| Jefferson County 7 | Rural | 132.2 (101.1, 170.8) | 49 (1, 95) | 16 |
stable
|
0.5 (-1.1, 2.3) |
| Lyon County 7 | Rural | 131.8 (94.8, 178.7) | 50 (1, 96) | 9 |
rising
|
31.5 (2.3, 61.3) |
| Pottawattamie County 7 | Urban | 131.2 (118.3, 145.3) | 51 (17, 80) | 83 |
stable
|
-0.1 (-0.7, 0.6) |
| Allamakee County 7 | Rural | 129.7 (97.0, 170.4) | 52 (2, 95) | 13 |
stable
|
0.8 (-0.7, 2.4) |
| Butler County 7 | Rural | 128.8 (98.5, 166.5) | 53 (3, 95) | 14 |
stable
|
0.7 (-0.4, 1.9) |
| Fayette County 7 | Rural | 128.0 (100.8, 160.9) | 54 (4, 94) | 18 |
stable
|
0.1 (-1.1, 1.4) |
| Mitchell County 7 | Rural | 127.9 (89.2, 178.1) | 55 (1, 97) | 9 |
stable
|
-0.3 (-2.1, 1.4) |
| Palo Alto County 7 | Rural | 127.2 (87.5, 179.5) | 56 (1, 97) | 8 |
stable
|
-0.2 (-1.9, 1.5) |
| Benton County 7 | Urban | 127.1 (102.7, 155.9) | 57 (6, 93) | 21 |
rising
|
1.3 (0.2, 2.8) |
| Mills County 7 | Urban | 127.0 (96.2, 165.4) | 58 (2, 95) | 13 |
stable
|
-0.5 (-2.2, 1.4) |
| Kossuth County 7 | Rural | 126.6 (94.5, 166.5) | 59 (3, 96) | 14 |
stable
|
-0.1 (-1.7, 1.5) |
| Monona County 7 | Rural | 126.5 (86.9, 178.8) | 60 (1, 97) | 8 |
stable
|
1.4 (-0.5, 3.5) |
| Lucas County 7 | Rural | 126.2 (86.7, 178.8) | 61 (1, 97) | 8 |
stable
|
1.6 (-0.6, 4.0) |
| Wayne County 7 | Rural | 125.6 (77.0, 193.6) | 62 (1, 98) | 5 |
stable
|
-0.7 (-3.6, 1.9) |
| Boone County 7 | Urban | 124.6 (101.7, 151.5) | 63 (9, 93) | 24 |
stable
|
-0.8 (-2.0, 0.3) |
| Plymouth County 7 | Rural | 124.6 (100.3, 153.3) | 64 (7, 94) | 20 |
stable
|
-0.6 (-1.6, 0.4) |
| Union County 7 | Rural | 124.5 (92.3, 165.4) | 65 (3, 96) | 11 |
stable
|
-0.8 (-2.3, 0.7) |
| Webster County 7 | Rural | 124.1 (102.8, 148.6) | 66 (10, 93) | 29 |
stable
|
2.1 (-0.2, 10.8) |
| Clarke County 7 | Rural | 122.8 (84.5, 172.9) | 67 (1, 98) | 8 |
stable
|
0.8 (-0.9, 2.8) |
| Buchanan County 7 | Rural | 123.6 (96.9, 155.6) | 68 (6, 96) | 16 |
stable
|
0.3 (-0.6, 1.3) |
| Winnebago County 7 | Rural | 122.6 (86.6, 169.4) | 69 (1, 97) | 9 |
stable
|
1.2 (-0.8, 3.3) |
| Des Moines County 7 | Rural | 122.9 (103.9, 144.7) | 70 (15, 92) | 34 |
stable
|
0.7 (-1.8, 8.2) |
| Greene County 7 | Rural | 121.1 (83.4, 171.5) | 71 (2, 98) | 8 |
stable
|
-0.1 (-1.8, 1.8) |
| Crawford County 7 | Rural | 120.7 (91.6, 156.5) | 72 (5, 96) | 13 |
stable
|
-0.1 (-1.4, 1.3) |
| Hardin County 7 | Rural | 119.7 (90.5, 155.7) | 73 (5, 96) | 14 |
stable
|
0.7 (-0.8, 2.3) |
| Humboldt County 7 | Rural | 120.1 (82.9, 169.1) | 74 (2, 98) | 8 |
stable
|
-0.1 (-1.7, 1.6) |
| Guthrie County 7 | Urban | 119.6 (84.4, 165.7) | 75 (2, 97) | 9 |
stable
|
-0.2 (-2.0, 1.7) |
| Lee County 7 | Rural | 118.9 (98.5, 142.5) | 76 (16, 94) | 28 |
stable
|
0.1 (-1.0, 1.2) |
| Van Buren County 7 | Rural | 119.2 (78.7, 175.4) | 77 (1, 98) | 7 |
stable
|
-1.1 (-3.4, 1.1) |
| Clayton County 7 | Rural | 119.4 (90.5, 154.9) | 78 (5, 96) | 15 |
stable
|
-5.4 (-17.5, 1.2) |
| Carroll County 7 | Rural | 117.8 (93.0, 147.8) | 79 (11, 95) | 18 |
stable
|
-0.2 (-1.5, 1.1) |
| Floyd County 7 | Rural | 117.3 (87.8, 153.9) | 80 (5, 97) | 13 |
stable
|
-0.6 (-2.3, 1.2) |
| Marshall County 7 | Rural | 116.9 (98.1, 138.4) | 81 (23, 93) | 30 |
stable
|
-0.4 (-1.5, 0.7) |
| Monroe County 7 | Rural | 116.4 (76.7, 170.7) | 82 (1, 98) | 6 |
stable
|
0.2 (-2.1, 2.6) |
| Woodbury County 7 | Urban | 116.3 (104.2, 129.4) | 83 (40, 91) | 72 |
stable
|
-0.5 (-1.1, 0.2) |
| Shelby County 7 | Rural | 115.5 (84.5, 155.4) | 84 (6, 97) | 11 |
stable
|
-0.1 (-7.1, 1.5) |
| Muscatine County 7 | Rural | 114.7 (96.4, 135.5) | 85 (24, 94) | 30 |
stable
|
-0.1 (-1.2, 1.0) |
| Henry County 7 | Rural | 110.7 (85.4, 141.5) | 86 (16, 97) | 15 |
stable
|
-1.0 (-2.3, 0.4) |
| Sac County 7 | Rural | 110.8 (76.7, 156.4) | 87 (4, 98) | 9 |
stable
|
-1.0 (-2.8, 0.7) |
| Taylor County 7 | Rural | 106.3 (63.7, 168.7) | 88 (2, 98) | 4 |
stable
|
-1.3 (-3.5, 0.7) |
| Delaware County 7 | Rural | 106.1 (80.2, 138.4) | 89 (16, 97) | 13 |
stable
|
-0.3 (-1.5, 1.1) |
| Fremont County 7 | Rural | 102.0 (62.5, 159.2) | 90 (3, 98) | 5 |
falling 
|
-2.1 (-4.1, -0.2) |
| Page County 7 | Rural | 102.4 (75.4, 136.9) | 91 (17, 98) | 12 |
stable
|
-0.7 (-2.4, 0.9) |
| Adair County 7 | Rural | 100.0 (61.0, 155.2) | 92 (4, 98) | 5 |
stable
|
0.4 (-2.0, 2.7) |
| Clay County 7 | Rural | 96.0 (71.5, 126.9) | 93 (29, 98) | 12 |
falling
|
-1.8 (-3.0, -0.7) |
| Decatur County 7 | Rural | 94.8 (57.8, 147.7) | 94 (7, 98) | 5 |
stable
|
0.6 (-1.2, 2.7) |
| Montgomery County 7 | Rural | 84.2 (55.0, 124.5) | 95 (33, 98) | 6 |
falling
|
-19.1 (-35.9, -0.9) |
| Hancock County 7 | Rural | 79.4 (50.9, 118.7) | 96 (38, 98) | 6 |
stable
|
-1.5 (-3.7, 0.5) |
| Buena Vista County 7 | Rural | 69.4 (49.4, 94.9) | 97 (78, 98) | 9 |
falling
|
-1.9 (-3.6, -0.3) |
| Ida County 7 | Rural | 60.9 (33.9, 103.8) | 98 (62, 98) | 3 |
falling
|
-3.6 (-30.3, -0.6) |
| Adams County 7 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 3:44 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.