State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

All Cancer Sites (All Stages^), 2018-2022

American Indian/Alaska Native Non-Hispanic, Both Sexes, All Ages

Sorted by CI*Rank

Explanation of Column Headers
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

US (SEER+NPCR)¹

• Rate : The incidence rate is 412.0 with a 95% confidence interval from 408.6 to 415.5 and 11,525 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Hawaii⁷

• Rate : The incidence rate is 897.1 with a 95% confidence interval from 763.7 to 1,048.3 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 1)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.2 to 1.2.

North Dakota²

• Rate : The incidence rate is 660.3 with a 95% confidence interval from 614.9 to 708.0 and 180 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (2, 6)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.4 to 1.7.

Minnesota²

• Rate : The incidence rate is 640.0 with a 95% confidence interval from 609.1 to 672.0 and 362 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (2, 6)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.2 to 1.4.

Oklahoma²

• Rate : The incidence rate is 638.2 with a 95% confidence interval from 625.6 to 650.9 and 2,136 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (2, 5)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -4.5 to 0.1.

Montana²

• Rate : The incidence rate is 596.9 with a 95% confidence interval from 566.8 to 628.0 and 336 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (3, 10)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.5.

Alaska²

• Rate : The incidence rate is 588.4 with a 95% confidence interval from 566.0 to 611.3 and 586 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (4, 10)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.0 to 0.8.

South Dakota²

• Rate : The incidence rate is 582.4 with a 95% confidence interval from 550.4 to 615.5 and 286 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (4, 11)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.4 to 0.9.

Wisconsin²

• Rate : The incidence rate is 580.8 with a 95% confidence interval from 551.1 to 611.7 and 320 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (4, 11)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.5.

Iowa⁷

• Rate : The incidence rate is 551.0 with a 95% confidence interval from 482.8 to 626.0 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (3, 14)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.6.

Washington¹

• Rate : The incidence rate is 548.6 with a 95% confidence interval from 528.6 to 569.3 and 624 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (7, 11)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.2.

Nebraska²

• Rate : The incidence rate is 531.8 with a 95% confidence interval from 475.8 to 592.3 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (5, 15)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.9.

Michigan²

• Rate : The incidence rate is 484.7 with a 95% confidence interval from 461.8 to 508.4 and 373 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (10, 15)
• Recent Trend : The trend is because the trend is -4.1 with a 95% confidence interval from -6.9 to -1.9.

Oregon²

• Rate : The incidence rate is 461.0 with a 95% confidence interval from 436.8 to 486.3 and 294 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (11, 17)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.3.

California⁷

• Rate : The incidence rate is 456.7 with a 95% confidence interval from 444.4 to 469.3 and 1,126 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (12, 16)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.6 to 2.3.

Wyoming²

• Rate : The incidence rate is 437.2 with a 95% confidence interval from 382.0 to 498.1 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (11, 22)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.2 to 2.1.

Idaho⁷

• Rate : The incidence rate is 428.1 with a 95% confidence interval from 390.3 to 468.6 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (12, 20)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -6.6 to 1.3.

North Carolina²

• Rate : The incidence rate is 420.9 with a 95% confidence interval from 404.7 to 437.6 and 549 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (15, 19)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.8 to 1.8.

Maine²

• Rate : The incidence rate is 406.6 with a 95% confidence interval from 353.4 to 465.8 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (12, 26)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.8.

Nevada²

• Rate : The incidence rate is 373.5 with a 95% confidence interval from 344.4 to 404.5 and 130 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (17, 26)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.6 to 2.0.

Colorado²

• Rate : The incidence rate is 366.7 with a 95% confidence interval from 339.8 to 395.2 and 154 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (17, 27)
• Recent Trend : The trend is because the trend is -4.4 with a 95% confidence interval from -11.3 to 4.0.

Arkansas²

• Rate : The incidence rate is 352.6 with a 95% confidence interval from 321.9 to 385.5 and 104 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (18, 29)
• Recent Trend : The trend is because the trend is -22.7 with a 95% confidence interval from -33.7 to -12.0.

Florida²

• Rate : The incidence rate is 349.4 with a 95% confidence interval from 330.9 to 368.8 and 301 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (18, 28)
• Recent Trend : The trend is because the trend is 9.0 with a 95% confidence interval from 3.9 to 12.6.

Utah⁷

• Rate : The incidence rate is 342.4 with a 95% confidence interval from 309.4 to 377.9 and 89 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (18, 30)
• Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from 1.2 to 2.7.

Texas⁷

• Rate : The incidence rate is 343.0 with a 95% confidence interval from 328.3 to 358.1 and 444 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (19, 28)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -3.3 to 1.7.

Rhode Island²

• Rate : The incidence rate is 341.0 with a 95% confidence interval from 273.2 to 420.6 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (14, 36)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -1.8 to 5.0.

Virginia²

• Rate : The incidence rate is 340.5 with a 95% confidence interval from 310.7 to 372.6 and 105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (18, 30)
• Recent Trend : The trend is because the trend is 9.8 with a 95% confidence interval from 7.0 to 20.2.

Connecticut⁷

• Rate : The incidence rate is 316.4 with a 95% confidence interval from 264.9 to 375.3 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (18, 36)
• Recent Trend : The trend is because the trend is 1.8 with a 95% confidence interval from 0.7 to 3.3.

Pennsylvania²

• Rate : The incidence rate is 313.2 with a 95% confidence interval from 283.4 to 345.4 and 88 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (21, 33)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -0.5 to 4.0.

Mississippi²

• Rate : The incidence rate is 308.0 with a 95% confidence interval from 268.5 to 351.6 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (20, 35)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.8 to 2.3.

Arizona²

• Rate : The incidence rate is 290.7 with a 95% confidence interval from 281.2 to 300.4 and 756 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (27, 33)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -2.7 to -1.5.

New Mexico⁷

• Rate : The incidence rate is 288.4 with a 95% confidence interval from 277.3 to 299.7 and 545 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (27, 34)
• Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -6.0 to -1.5.

Maryland²

• Rate : The incidence rate is 279.6 with a 95% confidence interval from 248.1 to 314.1 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (25, 36)
• Recent Trend : The trend is because the trend is 10.3 with a 95% confidence interval from -3.1 to 21.7.

Massachusetts²

• Rate : The incidence rate is 255.1 with a 95% confidence interval from 223.1 to 290.7 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (28, 38)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -8.4 to 1.0.

Georgia⁷

• Rate : The incidence rate is 253.0 with a 95% confidence interval from 228.3 to 279.7 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (30, 38)
• Recent Trend : The trend is because the trend is 11.0 with a 95% confidence interval from 3.7 to 16.3.

South Carolina²

• Rate : The incidence rate is 250.4 with a 95% confidence interval from 222.7 to 280.9 and 64 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (29, 38)
• Recent Trend : The trend is because the trend is 5.7 with a 95% confidence interval from 1.9 to 14.7.

New Hampshire²

• Rate : The incidence rate is 249.7 with a 95% confidence interval from 184.0 to 332.1 and 11 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (21, 44)
• Recent Trend : The trend is suppressed.

Louisiana⁷

• Rate : The incidence rate is 207.8 with a 95% confidence interval from 186.6 to 230.9 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (35, 43)
• Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from 1.0 to 4.7.

Vermont²

• Rate : The incidence rate is 206.1 with a 95% confidence interval from 147.6 to 284.8 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (28, 45)
• Recent Trend :

Kentucky⁷

• Rate : The incidence rate is 194.0 with a 95% confidence interval from 159.5 to 234.5 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (35, 44)
• Recent Trend : The trend is because the trend is 7.1 with a 95% confidence interval from 5.5 to 10.1.

Missouri²

• Rate : The incidence rate is 190.6 with a 95% confidence interval from 171.2 to 211.8 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (36, 44)
• Recent Trend : The trend is because the trend is -10.0 with a 95% confidence interval from -17.5 to -3.9.

Ohio²

• Rate : The incidence rate is 189.5 with a 95% confidence interval from 169.5 to 211.5 and 72 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (36, 44)
• Recent Trend : The trend is because the trend is 7.9 with a 95% confidence interval from 1.4 to 15.6.

Delaware²

• Rate : The incidence rate is 185.6 with a 95% confidence interval from 133.1 to 254.5 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (32, 45)
• Recent Trend : The trend is suppressed.

Indiana²

• Rate : The incidence rate is 179.9 with a 95% confidence interval from 155.5 to 207.4 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (37, 45)
• Recent Trend : The trend is because the trend is 4.2 with a 95% confidence interval from 2.4 to 7.1.

Tennessee²

• Rate : The incidence rate is 155.2 with a 95% confidence interval from 133.7 to 179.5 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (40, 45)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -9.7 to -0.4.

West Virginia²

• Rate : The incidence rate is 125.8 with a 95% confidence interval from 87.5 to 180.1 and 8 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (40, 46)
• Recent Trend : The trend is suppressed.

Alabama²

• Rate : The incidence rate is 107.2 with a 95% confidence interval from 92.5 to 123.8 and 42 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (44, 46)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -2.1 to 3.8.

District of Columbia²

• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Illinois⁷

• Rate :
• CI*Rank ⋔ : §§§
• Recent Trend : §§§

Kansas²

• Rate :
• CI*Rank ⋔ : §§§
• Recent Trend : §§§

New Jersey⁷

• Rate :
• CI*Rank ⋔ : §§§
• Recent Trend : §§§

New York⁷

• Rate :
• CI*Rank ⋔ : §§§
• Recent Trend : §§§

Puerto Rico²

• Rate :
• CI*Rank ⋔ : ¶¶¶
• Recent Trend : ¶¶¶

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 1:35 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.

Source: SEER and NPCR data. For more specific information please see the table.

§§ Data not available for this combination of geography, statistic, age, and race/ethnicity.

* 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 Puerto Rico is only available for All Races (includes Hispanics). For more information see data not available.

Data for United States does not include Puerto Rico.