Incidence Rates Table
Incidence Rate Report for Alabama by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages <65
Sorted by Rate
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)
|
|---|---|---|---|---|---|---|
| Alabama 2 | N/A | 228.6 (226.7, 230.5) | N/A | 11,859 |
falling 
|
-0.3 (-0.9, -0.1) |
| US (SEER+NPCR) 1 | N/A | 223.5 (223.3, 223.8) | N/A | 753,674 |
falling
|
-0.2 (-0.3, -0.1) |
| Choctaw County 2 | Rural | 176.4 (145.4, 212.9) | 67 (37, 67) | 26 |
falling
|
-9.9 (-22.5, -0.8) |
| DeKalb County 2 | Rural | 177.9 (164.1, 192.6) | 66 (60, 67) | 134 |
stable 
|
-0.1 (-1.3, 1.1) |
| Lee County 2 | Urban | 186.6 (177.0, 196.6) | 65 (59, 67) | 299 |
stable
|
-0.3 (-1.2, 0.7) |
| Russell County 2 | Urban | 197.3 (181.3, 214.4) | 64 (48, 67) | 122 |
falling
|
-3.6 (-11.9, -1.1) |
| Tuscaloosa County 2 | Urban | 197.7 (188.9, 206.7) | 63 (54, 66) | 410 |
falling
|
-2.5 (-3.3, -1.9) |
| Franklin County 2 | Rural | 198.5 (176.7, 222.3) | 62 (33, 67) | 64 |
stable
|
-0.2 (-1.3, 0.8) |
| Bullock County 2 | Rural | 202.5 (165.4, 245.9) | 61 (9, 67) | 23 |
stable
|
-2.3 (-19.8, 1.3) |
| Geneva County 2 | Urban | 203.0 (179.0, 229.5) | 60 (25, 67) | 58 |
stable
|
-0.6 (-1.9, 0.6) |
| Shelby County 2 | Urban | 206.6 (198.2, 215.4) | 59 (49, 64) | 474 |
falling
|
-0.7 (-1.2, -0.1) |
| Madison County 2 | Urban | 209.0 (202.5, 215.7) | 58 (49, 63) | 865 |
falling
|
-2.7 (-5.9, -0.5) |
| Coosa County 2 | Rural | 210.1 (171.3, 256.1) | 57 (6, 67) | 26 |
stable
|
0.7 (-1.7, 3.1) |
| Baldwin County 2 | Urban | 215.3 (206.7, 224.1) | 56 (42, 62) | 537 |
stable
|
0.0 (-0.4, 0.4) |
| Limestone County 2 | Urban | 218.9 (206.5, 231.9) | 55 (27, 62) | 250 |
falling
|
-5.3 (-8.2, -1.1) |
| Dale County 2 | Rural | 219.9 (200.9, 240.3) | 54 (20, 64) | 109 |
stable
|
0.0 (-1.1, 1.1) |
| Lauderdale County 2 | Urban | 222.7 (208.5, 237.7) | 53 (24, 62) | 207 |
stable
|
0.3 (-0.5, 1.1) |
| Fayette County 2 | Rural | 223.6 (190.8, 260.7) | 52 (5, 67) | 38 |
stable
|
-1.3 (-11.3, 0.6) |
| Covington County 2 | Rural | 223.7 (202.2, 247.1) | 51 (14, 64) | 91 |
stable
|
0.5 (-1.1, 2.1) |
| Dallas County 2 | Rural | 224.2 (202.2, 248.0) | 50 (12, 65) | 89 |
stable
|
-5.7 (-18.2, 0.1) |
| Coffee County 2 | Rural | 225.2 (207.1, 244.6) | 49 (17, 63) | 121 |
stable
|
0.2 (-0.7, 1.1) |
| Cherokee County 2 | Rural | 226.5 (199.9, 255.8) | 48 (8, 65) | 64 |
stable
|
0.6 (-1.3, 2.5) |
| Marion County 2 | Rural | 227.3 (203.4, 253.5) | 47 (10, 64) | 73 |
stable
|
0.6 (-0.3, 1.5) |
| Escambia County 2 | Rural | 228.2 (206.5, 251.7) | 46 (11, 63) | 87 |
stable
|
0.1 (-1.0, 1.1) |
| Marshall County 2 | Rural | 229.7 (216.0, 244.1) | 45 (18, 59) | 229 |
stable
|
0.1 (-0.6, 0.8) |
| Houston County 2 | Urban | 229.8 (216.7, 243.5) | 44 (19, 58) | 252 |
stable
|
-0.2 (-0.9, 0.5) |
| Cullman County 2 | Rural | 231.5 (217.1, 246.7) | 43 (15, 58) | 212 |
stable
|
0.3 (-0.5, 1.1) |
| Blount County 2 | Urban | 232.4 (214.9, 250.9) | 42 (12, 60) | 143 |
stable
|
0.4 (-0.4, 1.2) |
| Jefferson County 2 | Urban | 233.0 (227.7, 238.4) | 41 (26, 50) | 1,581 |
stable
|
-0.4 (-0.8, 0.0) |
| Morgan County 2 | Urban | 233.0 (220.9, 245.7) | 40 (18, 56) | 301 |
stable
|
-0.4 (-1.1, 0.4) |
| Montgomery County 2 | Urban | 233.4 (224.2, 242.8) | 39 (20, 54) | 529 |
stable
|
0.5 (0.0, 0.9) |
| Barbour County 2 | Rural | 234.1 (207.9, 262.9) | 38 (5, 63) | 62 |
stable
|
0.2 (-1.4, 1.7) |
| Mobile County 2 | Urban | 234.5 (227.7, 241.4) | 37 (22, 50) | 992 |
rising 
|
0.7 (0.1, 1.9) |
| St. Clair County 2 | Urban | 234.6 (220.7, 249.1) | 36 (13, 56) | 232 |
stable
|
0.2 (-0.5, 1.0) |
| Jackson County 2 | Rural | 234.9 (216.5, 254.4) | 35 (11, 60) | 136 |
stable
|
0.4 (-0.9, 1.6) |
| Lamar County 2 | Rural | 236.6 (200.4, 277.8) | 34 (3, 66) | 34 |
stable
|
0.5 (-1.0, 2.0) |
| Colbert County 2 | Urban | 237.6 (219.6, 256.7) | 33 (10, 59) | 145 |
stable
|
0.4 (-0.4, 1.2) |
| Cleburne County 2 | Rural | 240.4 (206.6, 278.6) | 32 (2, 64) | 40 |
falling
|
-2.0 (-4.7, -0.5) |
| Chilton County 2 | Urban | 240.7 (220.4, 262.4) | 31 (6, 58) | 113 |
stable
|
-0.1 (-1.2, 0.9) |
| Monroe County 2 | Rural | 240.8 (211.0, 274.0) | 30 (3, 63) | 55 |
stable
|
-0.1 (-3.6, 0.8) |
| Henry County 2 | Urban | 242.7 (210.8, 278.5) | 29 (2, 63) | 46 |
stable
|
0.0 (-1.3, 1.2) |
| Bibb County 2 | Urban | 243.5 (215.7, 274.3) | 28 (3, 61) | 59 |
stable
|
-0.1 (-1.6, 1.4) |
| Pickens County 2 | Urban | 244.7 (214.5, 278.3) | 27 (2, 62) | 53 |
stable
|
0.3 (-1.1, 1.8) |
| Randolph County 2 | Rural | 244.7 (216.0, 276.5) | 26 (3, 62) | 61 |
stable
|
1.0 (-0.9, 3.1) |
| Macon County 2 | Urban | 246.6 (213.3, 283.9) | 25 (2, 63) | 47 |
stable
|
1.1 (-0.3, 2.6) |
| Etowah County 2 | Urban | 246.9 (233.2, 261.3) | 24 (8, 48) | 268 |
stable
|
0.4 (-0.2, 1.0) |
| Elmore County 2 | Urban | 247.8 (233.2, 263.1) | 23 (7, 49) | 232 |
stable
|
0.3 (-0.7, 1.3) |
| Washington County 2 | Rural | 248.4 (213.2, 288.0) | 22 (1, 64) | 41 |
stable
|
0.8 (-0.8, 2.5) |
| Chambers County 2 | Rural | 250.1 (226.8, 275.3) | 21 (3, 56) | 96 |
stable
|
0.3 (-0.5, 1.2) |
| Talladega County 2 | Rural | 252.2 (236.7, 268.5) | 20 (6, 45) | 218 |
stable
|
0.3 (-0.4, 0.9) |
| Clay County 2 | Rural | 252.3 (215.6, 293.9) | 19 (1, 63) | 39 |
falling
|
-1.3 (-2.4, -0.2) |
| Perry County 2 | Rural | 253.3 (205.7, 309.3) | 18 (1, 66) | 23 |
stable
|
1.2 (-1.4, 3.6) |
| Winston County 2 | Rural | 253.5 (224.3, 285.6) | 17 (2, 59) | 64 |
stable
|
0.0 (-1.5, 1.4) |
| Sumter County 2 | Rural | 253.7 (209.2, 305.1) | 16 (1, 65) | 28 |
stable
|
-6.0 (-16.6, 0.3) |
| Autauga County 2 | Urban | 254.7 (236.7, 273.9) | 15 (4, 48) | 158 |
stable
|
0.5 (-0.1, 1.1) |
| Tallapoosa County 2 | Rural | 256.7 (234.4, 280.6) | 14 (2, 50) | 117 |
stable
|
0.2 (-0.5, 0.9) |
| Lawrence County 2 | Urban | 258.8 (234.3, 285.4) | 13 (2, 52) | 93 |
stable
|
0.2 (-0.7, 1.0) |
| Greene County 2 | Urban | 259.6 (207.9, 321.0) | 12 (1, 66) | 21 |
stable
|
0.0 (-2.1, 1.9) |
| Calhoun County 2 | Urban | 261.0 (247.5, 275.1) | 11 (4, 31) | 310 |
rising
|
2.2 (0.6, 6.1) |
| Hale County 2 | Urban | 261.5 (225.7, 301.8) | 10 (1, 59) | 44 |
stable
|
0.7 (-1.5, 2.9) |
| Walker County 2 | Urban | 266.8 (248.9, 285.8) | 9 (2, 32) | 186 |
stable
|
-5.1 (-10.7, 0.5) |
| Pike County 2 | Rural | 268.2 (240.4, 298.3) | 8 (1, 46) | 75 |
rising
|
1.1 (0.2, 2.1) |
| Marengo County 2 | Rural | 269.0 (235.5, 306.1) | 7 (1, 54) | 53 |
stable
|
0.7 (-0.3, 1.8) |
| Clarke County 2 | Rural | 278.9 (248.2, 312.6) | 6 (1, 42) | 68 |
rising
|
2.5 (0.9, 7.2) |
| Butler County 2 | Rural | 281.8 (247.9, 319.3) | 5 (1, 45) | 56 |
stable
|
1.0 (-0.4, 2.3) |
| Wilcox County 2 | Rural | 282.0 (237.1, 333.5) | 4 (1, 56) | 31 |
stable
|
0.4 (-1.3, 2.0) |
| Lowndes County 2 | Urban | 290.1 (242.8, 344.3) | 3 (1, 56) | 31 |
stable
|
0.9 (-1.0, 2.8) |
| Crenshaw County 2 | Rural | 291.0 (250.5, 336.6) | 2 (1, 42) | 43 |
rising
|
2.9 (1.1, 4.8) |
| Conecuh County 2 | Rural | 298.6 (253.3, 350.1) | 1 (1, 43) | 37 |
stable
|
1.3 (-0.9, 3.4) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 4:04 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.
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.