Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages <65
Sorted by Recentaapc
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) 
|
|---|---|---|---|---|---|---|
| Gates County 2 | Urban | 135.2 (106.5, 170.4) | 100 (96, 100) | 18 |
falling 
|
-3.1 (-11.7, -1.3) |
| Catawba County 2 | Urban | 232.6 (222.0, 243.6) | 72 (39, 90) | 403 |
falling
|
-2.4 (-5.2, -1.0) |
| Rowan County 2 | Urban | 243.8 (232.4, 255.5) | 50 (20, 82) | 387 |
falling
|
-1.5 (-2.4, -0.9) |
| Alleghany County 2 | Rural | 172.7 (140.4, 211.5) | 98 (73, 100) | 24 |
stable 
|
-1.4 (-3.0, 0.1) |
| Graham County 2 | Rural | 200.6 (157.1, 253.2) | 93 (4, 100) | 17 |
stable
|
-1.2 (-8.9, 1.2) |
| Forsyth County 2 | Urban | 230.6 (223.6, 237.7) | 79 (53, 89) | 909 |
falling
|
-1.1 (-2.9, -0.5) |
| Chatham County 2 | Urban | 226.4 (211.2, 242.6) | 84 (35, 94) | 191 |
falling
|
-0.9 (-1.5, -0.3) |
| Granville County 2 | Rural | 282.7 (264.3, 302.2) | 4 (1, 36) | 196 |
falling
|
-0.9 (-3.1, -0.3) |
| Greene County 2 | Rural | 227.6 (199.7, 258.6) | 82 (8, 97) | 52 |
stable
|
-0.9 (-2.1, 0.3) |
| Hoke County 2 | Urban | 240.8 (221.4, 261.4) | 59 (9, 92) | 120 |
stable
|
-0.9 (-1.8, 0.1) |
| Buncombe County 2 | Urban | 233.3 (225.1, 241.8) | 71 (42, 88) | 664 |
falling
|
-0.8 (-3.1, -0.3) |
| Wake County 2 | Urban | 223.2 (219.3, 227.2) | 87 (72, 91) | 2,537 |
falling
|
-0.8 (-1.1, -0.5) |
| Camden County 2 | Urban | 207.7 (170.7, 251.1) | 91 (11, 99) | 24 |
stable
|
-0.7 (-2.3, 1.0) |
| Guilford County 2 | Urban | 230.9 (225.0, 236.9) | 77 (53, 87) | 1,252 |
falling
|
-0.7 (-1.8, -0.4) |
| Hertford County 2 | Rural | 228.6 (199.6, 260.8) | 81 (9, 97) | 52 |
stable
|
-0.7 (-2.8, 1.3) |
| Mecklenburg County 2 | Urban | 223.0 (219.0, 227.1) | 88 (72, 91) | 2,430 |
falling
|
-0.7 (-1.1, -0.4) |
| New Hanover County 2 | Urban | 235.3 (226.2, 244.7) | 67 (38, 87) | 545 |
stable
|
-0.7 (-3.6, 0.1) |
| Perquimans County 2 | Rural | 199.6 (164.5, 240.7) | 95 (19, 99) | 29 |
stable
|
-0.7 (-2.8, 1.3) |
| Watauga County 2 | Rural | 202.4 (183.5, 222.8) | 92 (64, 98) | 98 |
stable
|
-0.7 (-1.6, 0.3) |
| Beaufort County 2 | Rural | 240.8 (220.0, 263.2) | 57 (8, 93) | 119 |
stable
|
-0.6 (-1.5, 0.3) |
| Durham County 2 | Urban | 229.2 (221.6, 237.0) | 80 (52, 90) | 719 |
falling
|
-0.6 (-1.0, -0.2) |
| Henderson County 2 | Urban | 227.3 (214.7, 240.5) | 83 (39, 93) | 282 |
stable
|
-0.5 (-1.2, 0.3) |
| Lee County 2 | Rural | 231.6 (214.8, 249.3) | 75 (22, 93) | 154 |
stable
|
-0.5 (-1.1, 0.2) |
| Nash County 2 | Urban | 230.7 (216.9, 245.2) | 78 (32, 93) | 234 |
stable
|
-0.5 (-1.2, 0.2) |
| Transylvania County 2 | Rural | 194.7 (172.8, 218.8) | 97 (64, 99) | 71 |
stable
|
-0.5 (-2.0, 1.0) |
| Carteret County 2 | Rural | 236.7 (220.4, 254.1) | 66 (17, 92) | 193 |
stable
|
-0.4 (-1.3, 0.5) |
| Davidson County 2 | Urban | 248.8 (238.2, 259.8) | 41 (18, 72) | 467 |
stable
|
-0.4 (-4.0, 0.5) |
| Harnett County 2 | Rural | 241.3 (229.1, 253.9) | 55 (21, 85) | 308 |
stable
|
-0.3 (-0.6, 0.1) |
| Iredell County 2 | Urban | 248.8 (238.8, 259.2) | 40 (18, 75) | 507 |
stable
|
-0.3 (-1.5, 0.2) |
| Lenoir County 2 | Rural | 277.0 (256.9, 298.4) | 6 (1, 53) | 163 |
stable
|
-0.3 (-1.3, 0.6) |
| Onslow County 2 | Urban | 266.3 (254.1, 278.8) | 14 (3, 47) | 392 |
stable
|
-0.3 (-3.8, 0.5) |
| Pasquotank County 2 | Rural | 198.7 (179.2, 219.9) | 96 (67, 98) | 84 |
stable
|
-0.3 (-2.1, 1.4) |
| Pitt County 2 | Urban | 243.6 (232.4, 255.3) | 51 (19, 83) | 378 |
stable
|
-0.3 (-0.9, 0.2) |
| Randolph County 2 | Urban | 253.8 (242.2, 265.8) | 33 (10, 69) | 401 |
stable
|
-0.3 (-1.7, 0.3) |
| Scotland County 2 | Rural | 250.7 (226.8, 276.5) | 38 (3, 90) | 87 |
stable
|
-0.3 (-1.6, 1.0) |
| Caswell County 2 | Rural | 262.6 (233.0, 295.3) | 21 (1, 89) | 68 |
stable
|
-0.2 (-1.2, 0.7) |
| Craven County 2 | Rural | 253.4 (238.8, 268.8) | 34 (9, 76) | 253 |
stable
|
-0.2 (-0.8, 0.4) |
| Macon County 2 | Rural | 213.3 (191.5, 237.2) | 89 (27, 98) | 86 |
stable
|
-0.2 (-1.9, 1.6) |
| Wilkes County 2 | Rural | 235.0 (218.4, 252.8) | 68 (21, 91) | 170 |
stable
|
-0.2 (-0.9, 0.4) |
| Yadkin County 2 | Urban | 233.5 (211.7, 257.1) | 70 (14, 95) | 97 |
stable
|
-0.2 (-1.4, 0.9) |
| Cabarrus County 2 | Urban | 232.2 (223.3, 241.4) | 73 (44, 89) | 528 |
stable
|
-0.1 (-0.9, 1.9) |
| Edgecombe County 2 | Urban | 260.6 (240.2, 282.5) | 24 (2, 78) | 140 |
stable
|
-0.1 (-1.1, 0.8) |
| Haywood County 2 | Rural | 242.8 (225.2, 261.5) | 53 (11, 90) | 166 |
stable
|
-0.1 (-1.2, 1.1) |
| Orange County 2 | Urban | 225.7 (214.3, 237.5) | 86 (47, 93) | 319 |
stable
|
-0.1 (-0.8, 0.6) |
| Wilson County 2 | Rural | 238.1 (222.8, 254.1) | 64 (18, 90) | 202 |
stable
|
-0.1 (-1.1, 0.9) |
| Cumberland County 2 | Urban | 246.3 (238.1, 254.7) | 46 (23, 70) | 731 |
stable
|
0.0 (-0.4, 0.3) |
| Johnston County 2 | Urban | 242.9 (233.7, 252.3) | 52 (26, 78) | 551 |
stable
|
0.0 (-0.5, 0.6) |
| Madison County 2 | Urban | 258.2 (227.8, 291.9) | 28 (1, 91) | 59 |
stable
|
0.0 (-1.5, 1.5) |
| Montgomery County 2 | Rural | 231.5 (205.5, 260.2) | 76 (7, 97) | 66 |
stable
|
0.0 (-0.8, 0.7) |
| Northampton County 2 | Rural | 248.3 (214.4, 286.6) | 43 (2, 95) | 49 |
stable
|
0.0 (-1.0, 0.9) |
| Richmond County 2 | Rural | 273.6 (251.7, 297.0) | 9 (1, 63) | 127 |
stable
|
0.0 (-2.0, 0.8) |
| Alamance County 2 | Urban | 244.6 (234.0, 255.6) | 48 (22, 81) | 436 |
stable
|
0.1 (-0.5, 0.6) |
| Moore County 2 | Urban | 257.0 (242.3, 272.3) | 29 (6, 71) | 258 |
stable
|
0.1 (-0.6, 0.9) |
| Yancey County 2 | Rural | 244.8 (213.3, 280.1) | 47 (2, 96) | 51 |
stable
|
0.1 (-1.6, 1.8) |
| Brunswick County 2 | Urban | 244.2 (231.7, 257.3) | 49 (16, 84) | 395 |
stable
|
0.2 (-0.6, 1.0) |
| Cherokee County 2 | Rural | 248.4 (221.7, 277.8) | 42 (3, 94) | 81 |
stable
|
0.2 (-2.1, 1.1) |
| Rockingham County 2 | Urban | 250.0 (235.8, 265.0) | 39 (9, 79) | 268 |
stable
|
0.2 (-0.5, 0.9) |
| Surry County 2 | Rural | 240.5 (224.7, 257.2) | 60 (16, 90) | 192 |
stable
|
0.2 (-0.6, 1.0) |
| Swain County 2 | Rural | 285.1 (246.4, 328.7) | 3 (1, 84) | 44 |
stable
|
0.2 (-1.1, 1.5) |
| Clay County 2 | Rural | 208.0 (170.5, 252.6) | 90 (8, 99) | 28 |
stable
|
0.3 (-2.2, 2.6) |
| Gaston County 2 | Urban | 261.5 (252.2, 271.1) | 22 (8, 50) | 640 |
stable
|
0.3 (-0.1, 0.7) |
| Halifax County 2 | Rural | 261.0 (240.7, 282.7) | 23 (2, 78) | 143 |
stable
|
0.3 (-0.6, 1.1) |
| Martin County 2 | Rural | 280.0 (248.4, 314.9) | 5 (1, 77) | 69 |
stable
|
0.3 (-1.1, 1.7) |
| Stokes County 2 | Urban | 246.8 (226.5, 268.6) | 45 (6, 90) | 129 |
stable
|
0.3 (-0.6, 1.2) |
| Vance County 2 | Rural | 264.0 (241.8, 287.8) | 18 (2, 79) | 118 |
stable
|
0.3 (-0.7, 1.2) |
| Franklin County 2 | Urban | 240.8 (224.8, 257.7) | 58 (15, 90) | 187 |
stable
|
0.4 (-0.9, 1.7) |
| Lincoln County 2 | Urban | 242.7 (228.4, 257.8) | 54 (14, 87) | 242 |
stable
|
0.4 (-0.1, 1.0) |
| Robeson County 2 | Rural | 258.8 (245.4, 272.8) | 26 (5, 65) | 302 |
stable
|
0.4 (-0.2, 1.0) |
| Burke County 2 | Urban | 252.1 (237.3, 267.6) | 37 (8, 78) | 251 |
stable
|
0.5 (-0.2, 1.1) |
| Ashe County 2 | Rural | 232.0 (206.1, 260.6) | 74 (8, 96) | 70 |
stable
|
0.6 (-0.6, 1.9) |
| Bladen County 2 | Rural | 256.8 (231.1, 284.9) | 31 (2, 89) | 85 |
stable
|
0.6 (-0.8, 2.0) |
| Dare County 2 | Rural | 226.1 (204.8, 249.2) | 85 (21, 96) | 101 |
stable
|
0.6 (-0.5, 1.7) |
| Jones County 2 | Rural | 252.8 (208.1, 305.3) | 35 (1, 97) | 28 |
stable
|
0.6 (-1.6, 2.8) |
| Rutherford County 2 | Rural | 256.2 (238.7, 274.7) | 32 (4, 78) | 185 |
stable
|
0.6 (-0.2, 1.4) |
| Sampson County 2 | Rural | 267.1 (248.2, 287.1) | 12 (2, 63) | 163 |
stable
|
0.6 (-0.3, 1.4) |
| Union County 2 | Urban | 240.9 (232.2, 249.9) | 56 (29, 81) | 607 |
stable
|
0.6 (0.0, 1.3) |
| Bertie County 2 | Rural | 264.0 (229.7, 302.3) | 19 (1, 92) | 51 |
stable
|
0.7 (-1.0, 2.3) |
| Columbus County 2 | Rural | 256.9 (237.4, 277.7) | 30 (3, 84) | 142 |
stable
|
0.7 (-0.3, 1.6) |
| Davie County 2 | Urban | 265.0 (243.4, 288.2) | 16 (2, 72) | 127 |
rising 
|
0.7 (0.1, 1.3) |
| Jackson County 2 | Rural | 238.6 (216.4, 262.6) | 63 (5, 94) | 97 |
stable
|
0.7 (-0.7, 2.2) |
| Mitchell County 2 | Rural | 260.0 (223.1, 301.9) | 25 (1, 94) | 42 |
stable
|
0.7 (-0.7, 2.0) |
| Pamlico County 2 | Rural | 266.2 (224.9, 314.0) | 15 (1, 94) | 39 |
stable
|
0.7 (-0.7, 2.1) |
| Pender County 2 | Urban | 262.9 (245.1, 281.8) | 20 (3, 70) | 178 |
stable
|
0.7 (-0.4, 1.8) |
| Person County 2 | Urban | 252.5 (230.4, 276.2) | 36 (3, 88) | 114 |
stable
|
0.7 (-0.3, 1.8) |
| Alexander County 2 | Urban | 237.5 (215.8, 261.1) | 65 (8, 94) | 97 |
stable
|
0.8 (-0.6, 2.2) |
| McDowell County 2 | Rural | 267.0 (246.0, 289.5) | 13 (2, 76) | 136 |
stable
|
0.8 (0.0, 1.6) |
| Chowan County 2 | Rural | 248.0 (210.3, 291.1) | 44 (1, 97) | 38 |
stable
|
0.9 (-1.0, 2.8) |
| Stanly County 2 | Rural | 265.0 (246.7, 284.3) | 17 (2, 67) | 174 |
stable
|
0.9 (-0.3, 2.1) |
| Warren County 2 | Rural | 233.5 (202.7, 268.3) | 69 (5, 97) | 51 |
stable
|
0.9 (-0.5, 2.4) |
| Avery County 2 | Rural | 200.5 (172.2, 232.7) | 94 (37, 99) | 40 |
stable
|
1.0 (-0.2, 2.3) |
| Hyde County 2 | Rural | 240.1 (180.8, 315.2) | 61 (1, 99) | 13 |
stable
|
1.0 (-1.4, 3.3) |
| Caldwell County 2 | Urban | 258.8 (243.3, 275.1) | 27 (4, 69) | 236 |
rising
|
1.1 (0.3, 1.8) |
| Cleveland County 2 | Rural | 274.7 (259.9, 290.1) | 8 (2, 40) | 291 |
rising
|
1.2 (0.7, 1.7) |
| Polk County 2 | Rural | 239.3 (205.7, 277.2) | 62 (2, 97) | 48 |
stable
|
1.3 (-1.1, 3.8) |
| Wayne County 2 | Urban | 271.9 (258.1, 286.3) | 10 (2, 42) | 319 |
rising
|
1.3 (0.9, 1.8) |
| Duplin County 2 | Rural | 268.5 (247.6, 290.7) | 11 (2, 69) | 137 |
rising
|
1.7 (0.8, 2.7) |
| Currituck County 2 | Urban | 143.6 (125.2, 164.3) | 99 (97, 100) | 50 |
stable
|
2.4 (-9.4, 11.7) |
| Anson County 2 | Urban | 308.7 (275.9, 344.6) | 2 (1, 35) | 72 |
rising
|
2.8 (1.5, 4.1) |
| Tyrrell County 2 | Rural | 328.0 (243.3, 435.0) | 1 (1, 96) | 12 |
stable
|
3.5 (-0.1, 7.6) |
| Washington County 2 | Rural | 276.6 (231.4, 328.7) | 7 (1, 93) | 34 |
rising
|
15.2 (2.7, 22.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 5:30 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 for United States does not include Puerto Rico.