Incidence Rates Table
Incidence Rate Report for North Carolina by County
Breast (in situ) (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)
|
|---|---|---|---|---|---|---|
| Union County 2 | Urban | 44.6 (39.7, 49.9) | 1 (1, 16) | 63 |
rising 
|
2.1 (0.5, 4.2) |
| Mecklenburg County 2 | Urban | 44.3 (41.9, 46.8) | 2 (1, 9) | 268 |
rising
|
2.3 (1.3, 3.6) |
| Guilford County 2 | Urban | 42.8 (39.7, 46.2) | 3 (1, 14) | 145 |
stable 
|
1.5 (-5.1, 3.4) |
| Madison County 2 | Urban | 39.4 (25.8, 58.4) | 4 (1, 79) | 6 |
stable
|
3.2 (-1.7, 9.4) |
| Durham County 2 | Urban | 39.0 (35.1, 43.3) | 5 (1, 28) | 75 |
stable
|
0.6 (-1.2, 2.7) |
| Orange County 2 | Urban | 39.0 (33.1, 45.7) | 6 (1, 40) | 33 |
stable
|
0.4 (-2.1, 3.2) |
| McDowell County 2 | Rural | 38.9 (29.1, 51.2) | 7 (1, 66) | 12 |
stable
|
4.2 (-10.9, 18.7) |
| Henderson County 2 | Urban | 38.8 (32.8, 45.8) | 8 (1, 42) | 36 |
rising
|
17.9 (0.1, 35.4) |
| Yancey County 2 | Rural | 36.9 (21.3, 59.8) | 9 (1, 82) | 4 |
|
|
| Bertie County 2 | Rural | 36.9 (22.1, 58.8) | 10 (1, 81) | 5 |
stable
|
0.8 (-5.2, 7.2) |
| Rockingham County 2 | Urban | 36.8 (30.5, 44.3) | 11 (1, 54) | 26 |
rising
|
2.7 (0.2, 5.6) |
| Cabarrus County 2 | Urban | 36.4 (31.9, 41.4) | 12 (3, 44) | 48 |
stable
|
1.6 (-0.5, 4.2) |
| Caswell County 2 | Rural | 36.3 (22.9, 55.1) | 13 (1, 80) | 6 |
stable
|
0.5 (-2.7, 3.9) |
| Edgecombe County 2 | Urban | 36.0 (26.9, 47.4) | 14 (1, 68) | 12 |
stable
|
2.2 (-1.6, 6.5) |
| Wake County 2 | Urban | 35.8 (33.7, 37.9) | 15 (7, 31) | 229 |
rising
|
3.9 (0.7, 8.7) |
| Alamance County 2 | Urban | 35.5 (30.5, 41.0) | 16 (2, 48) | 39 |
stable
|
2.1 (-0.2, 4.9) |
| Gaston County 2 | Urban | 35.3 (31.1, 40.1) | 17 (4, 43) | 53 |
rising
|
2.2 (0.5, 4.1) |
| Buncombe County 2 | Urban | 35.2 (31.3, 39.5) | 18 (5, 43) | 66 |
stable
|
1.6 (-0.4, 3.9) |
| Burke County 2 | Urban | 35.2 (28.5, 43.0) | 19 (1, 59) | 22 |
stable
|
-2.4 (-18.8, 1.3) |
| Randolph County 2 | Urban | 34.8 (29.6, 40.9) | 20 (3, 54) | 34 |
rising
|
4.2 (2.0, 6.9) |
| Chatham County 2 | Urban | 34.4 (27.3, 42.9) | 21 (1, 65) | 20 |
stable
|
1.1 (-2.7, 2.7) |
| Harnett County 2 | Rural | 33.8 (27.9, 40.6) | 22 (2, 60) | 24 |
stable
|
-0.5 (-3.2, 2.5) |
| Cumberland County 2 | Urban | 33.6 (29.8, 37.7) | 23 (7, 48) | 60 |
rising
|
1.7 (0.3, 3.3) |
| Catawba County 2 | Urban | 33.2 (28.4, 38.7) | 24 (5, 56) | 37 |
rising
|
2.7 (0.5, 5.2) |
| Forsyth County 2 | Urban | 33.2 (30.0, 36.8) | 25 (8, 46) | 83 |
stable
|
-1.6 (-9.6, 0.3) |
| Northampton County 2 | Rural | 32.8 (20.0, 52.5) | 26 (1, 82) | 5 |
|
|
| Bladen County 2 | Rural | 32.8 (22.9, 46.2) | 27 (1, 79) | 8 |
|
|
| Pasquotank County 2 | Rural | 32.2 (23.0, 44.0) | 28 (1, 78) | 9 |
stable
|
-1.0 (-4.3, 2.4) |
| Rowan County 2 | Urban | 31.9 (26.6, 38.0) | 29 (5, 65) | 29 |
stable
|
1.6 (-1.2, 4.6) |
| Watauga County 2 | Rural | 31.8 (22.8, 43.5) | 30 (1, 78) | 9 |
stable
|
0.9 (-3.0, 5.6) |
| Halifax County 2 | Rural | 31.5 (23.2, 42.1) | 31 (1, 77) | 11 |
stable
|
-1.3 (-6.2, 3.2) |
| Brunswick County 2 | Urban | 31.0 (25.9, 37.0) | 32 (7, 66) | 41 |
stable
|
2.4 (-0.1, 5.4) |
| Macon County 2 | Rural | 30.8 (21.3, 43.5) | 33 (1, 79) | 9 |
stable
|
1.2 (-2.6, 5.7) |
| Iredell County 2 | Urban | 30.4 (26.0, 35.4) | 34 (11, 64) | 36 |
stable
|
1.3 (-0.5, 3.2) |
| Hertford County 2 | Rural | 30.1 (18.1, 47.8) | 35 (1, 82) | 5 |
stable
|
-1.9 (-6.2, 1.8) |
| Carteret County 2 | Rural | 30.0 (23.0, 38.6) | 36 (4, 77) | 16 |
stable
|
1.8 (-1.1, 4.9) |
| Franklin County 2 | Urban | 29.9 (22.9, 38.5) | 37 (4, 76) | 14 |
rising
|
6.4 (1.2, 22.0) |
| Caldwell County 2 | Urban | 29.9 (23.6, 37.4) | 38 (5, 73) | 17 |
stable
|
0.9 (-1.3, 3.3) |
| Warren County 2 | Rural | 29.8 (17.3, 49.0) | 39 (1, 82) | 5 |
stable
|
1.6 (-2.4, 5.9) |
| Rutherford County 2 | Rural | 29.7 (22.4, 38.7) | 40 (4, 76) | 13 |
stable
|
0.0 (-3.7, 3.8) |
| Yadkin County 2 | Urban | 28.9 (20.1, 40.6) | 41 (2, 80) | 8 |
stable
|
0.5 (-4.1, 5.5) |
| Martin County 2 | Rural | 28.3 (17.2, 44.7) | 42 (1, 82) | 5 |
stable
|
-0.7 (-5.9, 4.4) |
| Granville County 2 | Rural | 28.2 (21.4, 36.8) | 43 (6, 79) | 12 |
stable
|
-1.2 (-3.8, 1.6) |
| Polk County 2 | Rural | 28.2 (15.9, 47.4) | 44 (1, 82) | 5 |
stable
|
-0.6 (-6.6, 6.1) |
| Pender County 2 | Urban | 28.1 (20.9, 37.0) | 45 (5, 79) | 11 |
stable
|
0.9 (-1.3, 3.6) |
| Vance County 2 | Rural | 27.8 (19.3, 38.9) | 46 (3, 81) | 8 |
rising
|
3.3 (0.5, 6.6) |
| Craven County 2 | Rural | 27.5 (21.6, 34.6) | 47 (11, 77) | 18 |
stable
|
0.3 (-2.1, 2.8) |
| Nash County 2 | Urban | 27.5 (21.9, 34.1) | 48 (12, 77) | 19 |
stable
|
1.0 (-1.2, 3.5) |
| Wayne County 2 | Urban | 27.3 (22.0, 33.5) | 49 (13, 76) | 20 |
stable
|
0.4 (-1.4, 2.2) |
| Duplin County 2 | Rural | 27.3 (19.7, 37.0) | 50 (5, 80) | 10 |
stable
|
-0.1 (-3.1, 3.1) |
| Ashe County 2 | Rural | 27.2 (17.7, 40.9) | 51 (2, 82) | 6 |
stable
|
3.1 (-1.9, 9.5) |
| Sampson County 2 | Rural | 27.1 (20.0, 36.2) | 52 (6, 80) | 10 |
stable
|
1.1 (-2.0, 4.4) |
| Johnston County 2 | Urban | 26.3 (22.4, 30.7) | 53 (24, 74) | 34 |
rising
|
14.7 (0.1, 26.4) |
| Onslow County 2 | Urban | 26.3 (21.4, 31.9) | 54 (19, 77) | 21 |
stable
|
1.0 (-1.2, 3.5) |
| Haywood County 2 | Rural | 26.0 (19.9, 33.9) | 55 (11, 79) | 14 |
stable
|
-2.6 (-6.4, 1.0) |
| New Hanover County 2 | Urban | 26.0 (22.5, 30.0) | 56 (29, 73) | 42 |
stable
|
-0.3 (-2.3, 1.9) |
| Pitt County 2 | Urban | 26.0 (21.5, 31.1) | 57 (23, 77) | 25 |
stable
|
-0.8 (-2.3, 0.9) |
| Stokes County 2 | Urban | 25.9 (17.6, 37.0) | 58 (6, 82) | 8 |
stable
|
-0.9 (-5.5, 3.9) |
| Lincoln County 2 | Urban | 25.7 (20.3, 32.2) | 59 (17, 79) | 17 |
stable
|
1.0 (-1.7, 4.1) |
| Beaufort County 2 | Rural | 25.5 (18.2, 35.3) | 60 (9, 81) | 9 |
stable
|
-0.4 (-3.2, 2.4) |
| Lenoir County 2 | Rural | 24.6 (18.2, 32.8) | 61 (15, 81) | 11 |
stable
|
-0.5 (-4.4, 3.6) |
| Stanly County 2 | Rural | 24.6 (17.7, 33.3) | 62 (10, 81) | 10 |
stable
|
1.0 (-2.8, 5.2) |
| Columbus County 2 | Rural | 24.1 (17.1, 33.3) | 63 (11, 82) | 9 |
stable
|
0.9 (-2.5, 4.6) |
| Davie County 2 | Urban | 23.9 (16.6, 33.7) | 64 (12, 81) | 8 |
stable
|
-0.9 (-4.2, 2.5) |
| Person County 2 | Urban | 23.9 (16.6, 33.9) | 65 (11, 82) | 8 |
stable
|
1.6 (-1.1, 4.6) |
| Hoke County 2 | Urban | 23.9 (16.2, 33.9) | 66 (10, 82) | 7 |
stable
|
0.3 (-4.2, 5.7) |
| Surry County 2 | Rural | 23.8 (17.8, 31.2) | 67 (18, 81) | 12 |
stable
|
1.4 (-1.4, 4.3) |
| Anson County 2 | Urban | 23.6 (14.5, 37.6) | 68 (6, 82) | 4 |
|
|
| Davidson County 2 | Urban | 23.4 (19.6, 27.8) | 69 (34, 79) | 29 |
stable
|
-4.5 (-22.1, 0.9) |
| Jackson County 2 | Rural | 23.3 (14.9, 34.9) | 70 (6, 82) | 6 |
|
|
| Robeson County 2 | Rural | 22.3 (17.5, 28.1) | 71 (33, 81) | 16 |
stable
|
0.6 (-1.7, 2.9) |
| Transylvania County 2 | Rural | 21.1 (13.8, 31.8) | 72 (19, 82) | 7 |
stable
|
-1.1 (-4.6, 2.4) |
| Cleveland County 2 | Rural | 20.9 (16.1, 26.8) | 73 (34, 82) | 14 |
stable
|
2.1 (-0.3, 4.8) |
| Moore County 2 | Urban | 20.5 (15.8, 26.2) | 74 (38, 82) | 16 |
stable
|
-2.5 (-5.6, 0.3) |
| Wilkes County 2 | Rural | 20.4 (14.9, 27.6) | 75 (31, 82) | 10 |
falling 
|
-6.4 (-29.3, -2.9) |
| Wilson County 2 | Rural | 20.4 (15.3, 26.8) | 76 (34, 82) | 12 |
stable
|
17.2 (-1.1, 35.3) |
| Alexander County 2 | Urban | 19.6 (12.8, 29.4) | 77 (27, 82) | 5 |
stable
|
3.0 (-1.8, 9.3) |
| Lee County 2 | Rural | 18.5 (12.8, 26.0) | 78 (38, 82) | 7 |
falling
|
-3.3 (-6.6, -0.3) |
| Scotland County 2 | Rural | 18.3 (10.8, 29.2) | 79 (24, 82) | 4 |
stable
|
-4.1 (-10.3, 0.6) |
| Cherokee County 2 | Rural | 17.4 (9.3, 30.3) | 80 (20, 82) | 4 |
|
|
| Dare County 2 | Rural | 14.3 (8.6, 23.1) | 81 (52, 82) | 5 |
falling
|
-23.4 (-47.0, -3.3) |
| Richmond County 2 | Rural | 13.2 (8.0, 21.0) | 82 (62, 82) | 4 |
stable
|
-1.3 (-7.3, 4.3) |
| Alleghany County 2 | Rural |
|
|
|
|
|
| Avery County 2 | Rural |
|
|
|
|
|
| Camden County 2 | Urban |
|
|
|
|
|
| Chowan County 2 | Rural |
|
|
|
|
|
| Clay County 2 | Rural |
|
|
|
|
|
| Currituck County 2 | Urban |
|
|
|
|
|
| Gates County 2 | Urban |
|
|
|
|
|
| Graham County 2 | Rural |
|
|
|
|
|
| Greene County 2 | Rural |
|
|
|
|
|
| Hyde County 2 | Rural |
|
|
|
|
|
| Jones County 2 | Rural |
|
|
|
|
|
| Mitchell County 2 | Rural |
|
|
|
|
|
| Montgomery County 2 | Rural |
|
|
|
|
|
| Pamlico County 2 | Rural |
|
|
|
|
|
| Perquimans County 2 | Rural |
|
|
|
|
|
| Swain County 2 | Rural |
|
|
|
|
|
| Tyrrell County 2 | Rural |
|
|
|
|
|
| Washington County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 2:26 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.
⋔ 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.
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.