State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Colon & Rectum (All Stages^), 2022

All Races (includes 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 36.7 with a 95% confidence interval from 36.5 to 36.9 and 147,931 average annual cases over 2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.0 to -0.8.

Kentucky⁷

• Rate : The incidence rate is 46.1 with a 95% confidence interval from 44.3 to 48.0 and 2,534 average annual cases over 2022.
• CI*Rank ⋔ : 1 (1, 4)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.3 to 0.3.

West Virginia²

• Rate : The incidence rate is 44.3 with a 95% confidence interval from 41.7 to 47.2 and 1,116 average annual cases over 2022.
• CI*Rank ⋔ : 2 (1, 12)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.3.

Mississippi²

• Rate : The incidence rate is 43.7 with a 95% confidence interval from 41.5 to 46.0 and 1,583 average annual cases over 2022.
• CI*Rank ⋔ : 3 (1, 12)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -5.0 to -1.9.

Iowa⁷

• Rate : The incidence rate is 42.3 with a 95% confidence interval from 40.2 to 44.4 and 1,648 average annual cases over 2022.
• CI*Rank ⋔ : 4 (1, 17)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.8 to 0.7.

Louisiana⁷

• Rate : The incidence rate is 42.3 with a 95% confidence interval from 40.5 to 44.1 and 2,323 average annual cases over 2022.
• CI*Rank ⋔ : 5 (2, 15)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.8 to -0.3.

Arkansas²

• Rate : The incidence rate is 41.5 with a 95% confidence interval from 39.4 to 43.7 and 1,541 average annual cases over 2022.
• CI*Rank ⋔ : 6 (2, 20)
• Recent Trend : The trend is because the trend is -3.0 with a 95% confidence interval from -6.3 to -0.2.

Missouri²

• Rate : The incidence rate is 41.4 with a 95% confidence interval from 39.9 to 42.9 and 3,143 average annual cases over 2022.
• CI*Rank ⋔ : 7 (2, 16)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 1.0.

Oklahoma²

• Rate : The incidence rate is 41.4 with a 95% confidence interval from 39.5 to 43.3 and 1,912 average annual cases over 2022.
• CI*Rank ⋔ : 8 (2, 19)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 1.7.

Alabama²

• Rate : The incidence rate is 40.9 with a 95% confidence interval from 39.3 to 42.6 and 2,568 average annual cases over 2022.
• CI*Rank ⋔ : 9 (3, 19)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.8.

Alaska²

• Rate : The incidence rate is 40.8 with a 95% confidence interval from 36.2 to 45.9 and 306 average annual cases over 2022.
• CI*Rank ⋔ : 10 (1, 39)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.2 to -1.1.

Georgia⁷

• Rate : The incidence rate is 40.7 with a 95% confidence interval from 39.6 to 41.9 and 5,004 average annual cases over 2022.
• CI*Rank ⋔ : 11 (4, 17)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.6.

New Jersey⁷

• Rate : The incidence rate is 39.7 with a 95% confidence interval from 38.5 to 40.9 and 4,597 average annual cases over 2022.
• CI*Rank ⋔ : 12 (7, 21)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.5 to 1.8.

Illinois⁷

• Rate : The incidence rate is 39.5 with a 95% confidence interval from 38.5 to 40.6 and 6,020 average annual cases over 2022.
• CI*Rank ⋔ : 13 (8, 21)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.5.

Hawaii⁷

• Rate : The incidence rate is 39.3 with a 95% confidence interval from 36.4 to 42.4 and 736 average annual cases over 2022.
• CI*Rank ⋔ : 14 (3, 36)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.7 to 2.8.

South Dakota²

• Rate : The incidence rate is 39.3 with a 95% confidence interval from 35.5 to 43.5 and 424 average annual cases over 2022.
• CI*Rank ⋔ : 15 (2, 41)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.1 to -0.3.

North Dakota²

• Rate : The incidence rate is 39.1 with a 95% confidence interval from 34.9 to 43.7 and 344 average annual cases over 2022.
• CI*Rank ⋔ : 16 (1, 43)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -2.7 to -1.4.

Indiana²

• Rate : The incidence rate is 38.8 with a 95% confidence interval from 37.4 to 40.2 and 3,132 average annual cases over 2022.
• CI*Rank ⋔ : 17 (8, 27)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.8 to -1.5.

Texas⁷

• Rate : The incidence rate is 38.7 with a 95% confidence interval from 38.0 to 39.4 and 12,098 average annual cases over 2022.
• CI*Rank ⋔ : 18 (12, 23)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.6.

Kansas²

• Rate : The incidence rate is 38.6 with a 95% confidence interval from 36.5 to 40.8 and 1,342 average annual cases over 2022.
• CI*Rank ⋔ : 19 (6, 34)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.4 to 2.1.

Tennessee²

• Rate : The incidence rate is 37.7 with a 95% confidence interval from 36.4 to 39.1 and 3,221 average annual cases over 2022.
• CI*Rank ⋔ : 20 (12, 33)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.5.

Wyoming²

• Rate : The incidence rate is 37.7 with a 95% confidence interval from 33.2 to 42.7 and 267 average annual cases over 2022.
• CI*Rank ⋔ : 21 (2, 49)
• Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from -1.2 to 7.5.

Nevada²

• Rate : The incidence rate is 37.7 with a 95% confidence interval from 35.7 to 39.7 and 1,447 average annual cases over 2022.
• CI*Rank ⋔ : 22 (9, 37)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -1.0 to 3.0.

Minnesota²

• Rate : The incidence rate is 37.4 with a 95% confidence interval from 35.9 to 38.9 and 2,563 average annual cases over 2022.
• CI*Rank ⋔ : 23 (13, 36)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.9.

Nebraska²

• Rate : The incidence rate is 36.8 with a 95% confidence interval from 34.3 to 39.4 and 850 average annual cases over 2022.
• CI*Rank ⋔ : 24 (9, 43)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -5.0 to -2.3.

Pennsylvania²

• Rate : The incidence rate is 36.8 with a 95% confidence interval from 35.8 to 37.7 and 6,270 average annual cases over 2022.
• CI*Rank ⋔ : 25 (18, 35)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.2 to -0.6.

Florida²

• Rate : The incidence rate is 36.6 with a 95% confidence interval from 35.9 to 37.3 and 11,433 average annual cases over 2022.
• CI*Rank ⋔ : 26 (20, 34)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.

New York⁷

• Rate : The incidence rate is 36.5 with a 95% confidence interval from 35.7 to 37.3 and 9,049 average annual cases over 2022.
• CI*Rank ⋔ : 27 (20, 35)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.4.

Ohio²

• Rate : The incidence rate is 36.4 with a 95% confidence interval from 35.4 to 37.5 and 5,377 average annual cases over 2022.
• CI*Rank ⋔ : 28 (19, 36)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.9 to -0.8.

Maine²

• Rate : The incidence rate is 36.2 with a 95% confidence interval from 33.4 to 39.2 and 694 average annual cases over 2022.
• CI*Rank ⋔ : 29 (10, 46)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.8.

Michigan²

• Rate : The incidence rate is 36.2 with a 95% confidence interval from 35.1 to 37.3 and 4,529 average annual cases over 2022.
• CI*Rank ⋔ : 30 (19, 38)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.4 to -0.8.

Connecticut⁷

• Rate : The incidence rate is 36.1 with a 95% confidence interval from 34.3 to 38.0 and 1,637 average annual cases over 2022.
• CI*Rank ⋔ : 31 (16, 41)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.1 to 2.6.

Wisconsin²

• Rate : The incidence rate is 35.9 with a 95% confidence interval from 34.4 to 37.3 and 2,608 average annual cases over 2022.
• CI*Rank ⋔ : 32 (19, 41)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to 0.3.

South Carolina²

• Rate : The incidence rate is 35.8 with a 95% confidence interval from 34.4 to 37.4 and 2,410 average annual cases over 2022.
• CI*Rank ⋔ : 33 (19, 41)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.7 to 0.3.

North Carolina²

• Rate : The incidence rate is 35.4 with a 95% confidence interval from 34.3 to 36.5 and 4,518 average annual cases over 2022.
• CI*Rank ⋔ : 34 (23, 40)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.9.

Delaware²

• Rate : The incidence rate is 35.0 with a 95% confidence interval from 31.7 to 38.5 and 468 average annual cases over 2022.
• CI*Rank ⋔ : 35 (12, 50)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.3 to -1.8.

District of Columbia²

• Rate : The incidence rate is 34.7 with a 95% confidence interval from 30.3 to 39.6 and 229 average annual cases over 2022.
• CI*Rank ⋔ : 36 (6, 51)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.2 to -1.8.

Montana²

• Rate : The incidence rate is 34.4 with a 95% confidence interval from 31.3 to 37.7 and 506 average annual cases over 2022.
• CI*Rank ⋔ : 37 (14, 50)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.3.

California⁷

• Rate : The incidence rate is 34.4 with a 95% confidence interval from 33.8 to 34.9 and 15,463 average annual cases over 2022.
• CI*Rank ⋔ : 38 (32, 42)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.4.

Maryland²

• Rate : The incidence rate is 33.7 with a 95% confidence interval from 32.4 to 35.1 and 2,523 average annual cases over 2022.
• CI*Rank ⋔ : 39 (31, 46)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.3.

Virginia²

• Rate : The incidence rate is 33.5 with a 95% confidence interval from 32.4 to 34.7 and 3,454 average annual cases over 2022.
• CI*Rank ⋔ : 40 (33, 47)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.

New Mexico⁷

• Rate : The incidence rate is 33.5 with a 95% confidence interval from 31.2 to 35.9 and 881 average annual cases over 2022.
• CI*Rank ⋔ : 41 (22, 50)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 1.8.

Idaho⁷

• Rate : The incidence rate is 33.4 with a 95% confidence interval from 31.0 to 36.0 and 745 average annual cases over 2022.
• CI*Rank ⋔ : 42 (23, 51)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.2 to 2.4.

New Hampshire²

• Rate : The incidence rate is 33.2 with a 95% confidence interval from 30.5 to 36.1 and 627 average annual cases over 2022.
• CI*Rank ⋔ : 43 (21, 51)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.2 to 1.6.

Washington¹

• Rate : The incidence rate is 32.9 with a 95% confidence interval from 31.7 to 34.1 and 2,956 average annual cases over 2022.
• CI*Rank ⋔ : 44 (35, 49)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.7.

Arizona²

• Rate : The incidence rate is 31.9 with a 95% confidence interval from 30.7 to 33.1 and 2,945 average annual cases over 2022.
• CI*Rank ⋔ : 45 (38, 50)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to 0.3.

Utah⁷

• Rate : The incidence rate is 31.5 with a 95% confidence interval from 29.5 to 33.6 and 956 average annual cases over 2022.
• CI*Rank ⋔ : 46 (36, 51)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.8 to 3.9.

Colorado²

• Rate : The incidence rate is 31.1 with a 95% confidence interval from 29.8 to 32.6 and 2,031 average annual cases over 2022.
• CI*Rank ⋔ : 47 (40, 51)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.

Oregon²

• Rate : The incidence rate is 31.0 with a 95% confidence interval from 29.5 to 32.6 and 1,644 average annual cases over 2022.
• CI*Rank ⋔ : 48 (40, 51)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.1 to 0.0.

Rhode Island²

• Rate : The incidence rate is 30.9 with a 95% confidence interval from 27.9 to 34.1 and 421 average annual cases over 2022.
• CI*Rank ⋔ : 49 (32, 51)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.7 to 2.7.

Vermont²

• Rate : The incidence rate is 30.3 with a 95% confidence interval from 26.6 to 34.4 and 271 average annual cases over 2022.
• CI*Rank ⋔ : 50 (27, 51)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -4.8 to 2.7.

Massachusetts²

• Rate : The incidence rate is 29.8 with a 95% confidence interval from 28.6 to 31.0 and 2,565 average annual cases over 2022.
• CI*Rank ⋔ : 51 (45, 51)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.5.

Puerto Rico²

• Rate : The incidence rate is 37.0 with a 95% confidence interval from 35.2 to 38.8 and 1,810 average annual cases over 2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.5 to -1.3.

Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 8:31 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 for United States does not include Puerto Rico.