Interpretation of Incidence Rates Data
Incidence Rate Report by State
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by CI*Rank
Explanation of Column HeadersIncidence 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 424.8 with a 95% confidence interval from 424.4 to 425.2 and 891,437 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.
Kentucky7
- Rate : The incidence rate is 483.5 with a 95% confidence interval from 479.8 to 487.2 and 13,975 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 2)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.1.
West Virginia2
- Rate : The incidence rate is 480.7 with a 95% confidence interval from 475.0 to 486.5 and 6,094 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 2)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.6 to 1.5.
Iowa7
- Rate : The incidence rate is 466.9 with a 95% confidence interval from 462.5 to 471.3 and 9,520 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (3, 5)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from 0.4 to 0.6.
Minnesota2
- Rate : The incidence rate is 463.4 with a 95% confidence interval from 460.2 to 466.8 and 16,341 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (3, 5)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.6 to 0.9.
Maine2
- Rate : The incidence rate is 459.5 with a 95% confidence interval from 453.3 to 465.8 and 4,733 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (3, 7)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.2.
New Hampshire2
- Rate : The incidence rate is 452.8 with a 95% confidence interval from 446.4 to 459.2 and 4,371 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (5, 14)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.5.
Connecticut7
- Rate : The incidence rate is 453.0 with a 95% confidence interval from 449.1 to 457.0 and 11,146 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (5, 10)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.1.
New Jersey7
- Rate : The incidence rate is 448.7 with a 95% confidence interval from 446.3 to 451.2 and 27,325 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (6, 13)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.1 to 0.0.
Missouri2
- Rate : The incidence rate is 447.6 with a 95% confidence interval from 444.5 to 450.6 and 18,024 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (6, 15)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.3 to 0.5.
Ohio2
- Rate : The incidence rate is 445.8 with a 95% confidence interval from 443.6 to 448.0 and 34,757 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (8, 15)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.2 to 0.5.
North Carolina2
- Rate : The incidence rate is 445.0 with a 95% confidence interval from 442.7 to 447.4 and 30,178 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (8, 16)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.
Florida2
- Rate : The incidence rate is 444.7 with a 95% confidence interval from 443.2 to 446.3 and 70,331 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (9, 16)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.3.
Delaware2
- Rate : The incidence rate is 443.5 with a 95% confidence interval from 436.2 to 451.0 and 3,127 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (6, 24)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.2 to -0.1.
Wisconsin2
- Rate : The incidence rate is 443.3 with a 95% confidence interval from 440.2 to 446.5 and 16,987 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (8, 19)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.3.
New York7
- Rate : The incidence rate is 442.4 with a 95% confidence interval from 440.7 to 444.1 and 58,486 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (12, 19)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.1.
South Dakota2
- Rate : The incidence rate is 442.0 with a 95% confidence interval from 433.7 to 450.4 and 2,393 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (6, 27)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.4 to 1.6.
Illinois7
- Rate : The incidence rate is 441.2 with a 95% confidence interval from 439.1 to 443.3 and 35,731 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (13, 21)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from 0.1 to 0.3.
Kansas2
- Rate : The incidence rate is 439.0 with a 95% confidence interval from 434.5 to 443.5 and 7,825 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (10, 24)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.
Pennsylvania2
- Rate : The incidence rate is 438.2 with a 95% confidence interval from 436.2 to 440.3 and 39,459 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (15, 22)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.3.
Rhode Island2
- Rate : The incidence rate is 437.0 with a 95% confidence interval from 430.0 to 444.1 and 3,278 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (9, 30)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.0 to -0.4.
Arkansas2
- Rate : The incidence rate is 434.3 with a 95% confidence interval from 430.1 to 438.7 and 8,444 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (16, 29)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.2.
Vermont2
- Rate : The incidence rate is 433.7 with a 95% confidence interval from 424.6 to 442.9 and 1,982 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (9, 35)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.1.
Louisiana7
- Rate : The incidence rate is 433.3 with a 95% confidence interval from 429.8 to 436.8 and 12,545 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (18, 29)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.
Indiana2
- Rate : The incidence rate is 432.4 with a 95% confidence interval from 429.5 to 435.3 and 18,300 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (19, 29)
- Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -3.1 to -2.4.
Oklahoma2
- Rate : The incidence rate is 431.0 with a 95% confidence interval from 427.2 to 434.8 and 10,395 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (20, 31)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.3.
North Dakota2
- Rate : The incidence rate is 429.9 with a 95% confidence interval from 420.9 to 439.0 and 1,908 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (14, 37)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.2 to 0.7.
Georgia7
- Rate : The incidence rate is 429.9 with a 95% confidence interval from 427.6 to 432.2 and 27,552 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (22, 31)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.3 to 0.5.
Nebraska2
- Rate : The incidence rate is 429.5 with a 95% confidence interval from 424.0 to 435.0 and 5,015 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (19, 34)
- Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -3.3 to -1.0.
Washington1
- Rate : The incidence rate is 428.6 with a 95% confidence interval from 425.9 to 431.4 and 19,893 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (23, 32)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.4 to -0.1.
Maryland2
- Rate : The incidence rate is 426.0 with a 95% confidence interval from 423.1 to 429.0 and 16,981 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (25, 35)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.1 to 0.3.
Michigan2
- Rate : The incidence rate is 424.5 with a 95% confidence interval from 422.2 to 426.8 and 28,385 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (28, 35)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.3 to -0.2.
Montana2
- Rate : The incidence rate is 424.3 with a 95% confidence interval from 417.2 to 431.5 and 3,029 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (21, 37)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.5.
Tennessee2
- Rate : The incidence rate is 423.4 with a 95% confidence interval from 420.6 to 426.2 and 18,868 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (28, 36)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to 0.0.
Alaska2
- Rate : The incidence rate is 421.9 with a 95% confidence interval from 412.2 to 431.8 and 1,557 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (20, 39)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
Mississippi2
- Rate : The incidence rate is 419.5 with a 95% confidence interval from 415.2 to 423.7 and 8,004 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (30, 38)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.4.
Massachusetts2
- Rate : The incidence rate is 418.7 with a 95% confidence interval from 415.9 to 421.4 and 19,558 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (33, 37)
- Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -4.9 to -1.1.
Idaho7
- Rate : The incidence rate is 418.0 with a 95% confidence interval from 412.4 to 423.6 and 4,574 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (30, 39)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.3.
South Carolina2
- Rate : The incidence rate is 409.9 with a 95% confidence interval from 406.8 to 413.1 and 14,288 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (37, 40)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.3.
Oregon2
- Rate : The incidence rate is 407.9 with a 95% confidence interval from 404.4 to 411.4 and 11,329 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (37, 41)
- Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -3.7 to -2.3.
District of Columbia2
- Rate : The incidence rate is 404.6 with a 95% confidence interval from 395.3 to 414.1 and 1,487 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (35, 47)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.
Texas7
- Rate : The incidence rate is 401.0 with a 95% confidence interval from 399.6 to 402.5 and 63,271 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (40, 44)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from 0.2 to 1.1.
Alabama2
- Rate : The incidence rate is 400.7 with a 95% confidence interval from 397.5 to 403.9 and 13,329 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (40, 44)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from 0.2 to 0.5.
Wyoming2
- Rate : The incidence rate is 396.8 with a 95% confidence interval from 387.1 to 406.7 and 1,395 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (38, 48)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.3.
Virginia2
- Rate : The incidence rate is 395.4 with a 95% confidence interval from 392.9 to 397.8 and 21,439 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (42, 47)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.1.
Hawaii7
- Rate : The incidence rate is 395.4 with a 95% confidence interval from 389.5 to 401.4 and 3,809 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (40, 48)
- Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from 0.1 to 0.5.
Utah7
- Rate : The incidence rate is 393.3 with a 95% confidence interval from 388.8 to 397.9 and 5,969 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (42, 48)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.6 to 0.8.
California7
- Rate : The incidence rate is 393.1 with a 95% confidence interval from 392.0 to 394.3 and 91,534 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (43, 48)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.2 to 0.0.
Colorado2
- Rate : The incidence rate is 390.0 with a 95% confidence interval from 387.0 to 393.1 and 12,987 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (44, 48)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.2 to 0.0.
Arizona2
- Rate : The incidence rate is 378.0 with a 95% confidence interval from 375.4 to 380.6 and 17,572 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (49, 50)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.4.
Nevada2
- Rate : The incidence rate is 372.4 with a 95% confidence interval from 368.3 to 376.4 and 6,965 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (49, 50)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.3.
New Mexico7
- Rate : The incidence rate is 362.7 with a 95% confidence interval from 357.9 to 367.4 and 4,988 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (51, 51)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.1.
Puerto Rico2
- Rate : The incidence rate is 317.3 with a 95% confidence interval from 313.9 to 320.7 and 7,667 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.6 to -0.9.
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 2:36 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.
‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
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.
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).
7 Source: SEER November 2024 submission.
Data for United States does not include Puerto Rico.


