Interpretation of Incidence Rates Data
Incidence Rate Report by State
Breast (in situ) (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by Recentaapc
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 29.8 with a 95% confidence interval from 29.7 to 29.9 and 60,125 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from -0.3 to 3.5.
Vermont2
- Rate : The incidence rate is 21.8 with a 95% confidence interval from 19.8 to 24.0 and 98 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (39, 50)
- Recent Trend : The trend is because the trend is -5.3 with a 95% confidence interval from -8.7 to -3.9.
District of Columbia2
- Rate : The incidence rate is 37.1 with a 95% confidence interval from 34.3 to 40.2 and 129 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (3, 10)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -5.7 to 0.0.
Alaska2
- Rate : The incidence rate is 26.4 with a 95% confidence interval from 24.1 to 29.0 and 99 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (20, 46)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.6.
South Dakota2
- Rate : The incidence rate is 28.7 with a 95% confidence interval from 26.5 to 31.0 and 149 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (12, 38)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.6 to -0.4.
North Dakota2
- Rate : The incidence rate is 25.7 with a 95% confidence interval from 23.4 to 28.1 and 105 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (21, 47)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -6.9 to 0.5.
Tennessee2
- Rate : The incidence rate is 23.2 with a 95% confidence interval from 22.6 to 23.9 and 1,019 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (41, 48)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.9.
Montana2
- Rate : The incidence rate is 23.8 with a 95% confidence interval from 22.1 to 25.6 and 169 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (35, 48)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.6.
Arizona2
- Rate : The incidence rate is 24.3 with a 95% confidence interval from 23.6 to 25.0 and 1,082 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (38, 45)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.3 to -0.2.
New Hampshire2
- Rate : The incidence rate is 32.6 with a 95% confidence interval from 30.9 to 34.5 and 298 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (7, 20)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.
Kansas2
- Rate : The incidence rate is 24.7 with a 95% confidence interval from 23.6 to 25.8 and 427 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (35, 46)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -3.9 to 0.5.
Oklahoma2
- Rate : The incidence rate is 21.7 with a 95% confidence interval from 20.8 to 22.6 and 512 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (46, 50)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.
Alabama2
- Rate : The incidence rate is 23.8 with a 95% confidence interval from 23.1 to 24.6 and 780 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (38, 47)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.0.
Pennsylvania2
- Rate : The incidence rate is 31.6 with a 95% confidence interval from 31.0 to 32.1 and 2,625 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (11, 19)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.8 to 0.1.
South Carolina2
- Rate : The incidence rate is 30.3 with a 95% confidence interval from 29.5 to 31.2 and 1,043 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (15, 22)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.8 to 1.5.
Nevada2
- Rate : The incidence rate is 20.5 with a 95% confidence interval from 19.6 to 21.5 and 387 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (47, 50)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.
California7
- Rate : The incidence rate is 27.1 with a 95% confidence interval from 26.8 to 27.4 and 6,162 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (27, 36)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.1.
Michigan2
- Rate : The incidence rate is 31.7 with a 95% confidence interval from 31.1 to 32.4 and 2,021 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (11, 19)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.
Connecticut7
- Rate : The incidence rate is 42.8 with a 95% confidence interval from 41.6 to 44.1 and 968 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 3)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.3.
Hawaii7
- Rate : The incidence rate is 35.3 with a 95% confidence interval from 33.5 to 37.2 and 321 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (4, 12)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.7.
New Mexico7
- Rate : The incidence rate is 17.6 with a 95% confidence interval from 16.6 to 18.7 and 239 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (50, 51)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.5.
Ohio2
- Rate : The incidence rate is 27.0 with a 95% confidence interval from 26.4 to 27.5 and 2,018 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (26, 38)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.4.
Texas7
- Rate : The incidence rate is 23.2 with a 95% confidence interval from 22.9 to 23.6 and 3,689 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (42, 47)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.
Indiana2
- Rate : The incidence rate is 27.3 with a 95% confidence interval from 26.6 to 28.1 and 1,129 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (23, 37)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.6.
Nebraska2
- Rate : The incidence rate is 28.9 with a 95% confidence interval from 27.4 to 30.4 and 321 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (17, 35)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.9.
Georgia7
- Rate : The incidence rate is 28.7 with a 95% confidence interval from 28.1 to 29.3 and 1,846 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (20, 28)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.7.
Florida2
- Rate : The incidence rate is 28.3 with a 95% confidence interval from 27.9 to 28.7 and 4,267 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (21, 29)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.1 to 0.7.
Idaho7
- Rate : The incidence rate is 26.8 with a 95% confidence interval from 25.3 to 28.2 and 288 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (22, 41)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.4.
Iowa7
- Rate : The incidence rate is 30.0 with a 95% confidence interval from 28.9 to 31.2 and 566 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (14, 26)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.1.
Missouri2
- Rate : The incidence rate is 27.9 with a 95% confidence interval from 27.2 to 28.7 and 1,086 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (21, 34)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.2 to 1.2.
Wisconsin2
- Rate : The incidence rate is 33.6 with a 95% confidence interval from 32.7 to 34.5 and 1,215 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (7, 13)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.2.
Rhode Island2
- Rate : The incidence rate is 38.7 with a 95% confidence interval from 36.6 to 40.9 and 274 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (3, 7)
- Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.1 to 1.7.
Kentucky7
- Rate : The incidence rate is 27.5 with a 95% confidence interval from 26.6 to 28.4 and 785 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (21, 37)
- Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.7 to 1.3.
Arkansas2
- Rate : The incidence rate is 27.1 with a 95% confidence interval from 26.0 to 28.3 and 502 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (22, 38)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.6 to 1.6.
Louisiana7
- Rate : The incidence rate is 26.5 with a 95% confidence interval from 25.6 to 27.4 and 757 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (27, 39)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.7 to 1.7.
North Carolina2
- Rate : The incidence rate is 32.6 with a 95% confidence interval from 32.0 to 33.3 and 2,175 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (9, 15)
- Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from 0.6 to 1.9.
West Virginia2
- Rate : The incidence rate is 23.8 with a 95% confidence interval from 22.5 to 25.1 and 287 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (37, 48)
- Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.1 to 5.0.
Washington1
- Rate : The incidence rate is 31.6 with a 95% confidence interval from 30.9 to 32.4 and 1,444 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (10, 19)
- Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -0.1 to 3.3.
Mississippi2
- Rate : The incidence rate is 26.1 with a 95% confidence interval from 25.0 to 27.2 and 488 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (27, 41)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from 0.7 to 2.5.
Minnesota2
- Rate : The incidence rate is 30.7 with a 95% confidence interval from 29.8 to 31.5 and 1,023 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (14, 21)
- Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from 0.1 to 4.2.
Massachusetts2
- Rate : The incidence rate is 36.4 with a 95% confidence interval from 35.6 to 37.2 and 1,586 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (4, 8)
- Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -1.9 to 5.2.
New Jersey7
- Rate : The incidence rate is 41.5 with a 95% confidence interval from 40.7 to 42.2 and 2,363 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (2, 4)
- Recent Trend : The trend is because the trend is 2.3 with a 95% confidence interval from 0.7 to 4.0.
Puerto Rico2
- Rate : The incidence rate is 20.3 with a 95% confidence interval from 19.5 to 21.2 and 479 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 2.3 with a 95% confidence interval from 1.5 to 3.2.
Colorado2
- Rate : The incidence rate is 28.3 with a 95% confidence interval from 27.5 to 29.2 and 928 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (20, 32)
- Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from -0.1 to 4.2.
New York7
- Rate : The incidence rate is 43.8 with a 95% confidence interval from 43.3 to 44.4 and 5,358 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 2)
- Recent Trend : The trend is because the trend is 3.0 with a 95% confidence interval from 2.0 to 4.6.
Virginia2
- Rate : The incidence rate is 32.2 with a 95% confidence interval from 31.5 to 32.9 and 1,689 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (9, 18)
- Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from 0.7 to 6.6.
Illinois7
- Rate : The incidence rate is 32.7 with a 95% confidence interval from 32.1 to 33.3 and 2,503 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (8, 15)
- Recent Trend : The trend is because the trend is 3.3 with a 95% confidence interval from 1.5 to 4.5.
Maryland2
- Rate : The incidence rate is 31.7 with a 95% confidence interval from 30.9 to 32.5 and 1,233 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (10, 19)
- Recent Trend : The trend is because the trend is 3.7 with a 95% confidence interval from 1.6 to 7.6.
Oregon2
- Rate : The incidence rate is 26.9 with a 95% confidence interval from 25.9 to 27.8 and 711 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (24, 38)
- Recent Trend : The trend is because the trend is 4.1 with a 95% confidence interval from -0.4 to 9.4.
Maine2
- Rate : The incidence rate is 27.9 with a 95% confidence interval from 26.3 to 29.6 and 274 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (19, 38)
- Recent Trend : The trend is because the trend is 4.3 with a 95% confidence interval from -1.8 to 8.8.
Utah7
- Rate : The incidence rate is 25.1 with a 95% confidence interval from 23.9 to 26.2 and 379 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (32, 45)
- Recent Trend : The trend is because the trend is 6.3 with a 95% confidence interval from 1.4 to 8.8.
Wyoming2
- Rate : The incidence rate is 20.8 with a 95% confidence interval from 18.6 to 23.2 and 72 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (42, 51)
- Recent Trend : The trend is because the trend is 7.9 with a 95% confidence interval from 0.2 to 15.7.
Delaware2
- Rate : The incidence rate is 35.3 with a 95% confidence interval from 33.2 to 37.5 and 237 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (4, 13)
- Recent Trend : The trend is because the trend is 9.3 with a 95% confidence interval from 3.2 to 18.1.
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 12:23 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.


