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