Incidence Rates Table
Incidence Rate Report for California 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)
|
|---|---|---|---|---|---|---|
| California 7 | N/A | 197.1 (196.5, 197.8) | N/A | 77,016 |
falling 
|
-0.4 (-0.5, -0.3) |
| US (SEER+NPCR) 1 | N/A | 223.5 (223.3, 223.8) | N/A | 753,674 |
falling
|
-0.2 (-0.3, -0.1) |
| Sierra County 7 | Rural | 147.1 (89.1, 232.9) | 57 (1, 57) | 5 |
stable 
|
-1.1 (-4.3, 1.9) |
| Lassen County 7 | Rural | 149.2 (130.6, 169.9) | 56 (49, 57) | 48 |
stable
|
-0.9 (-5.9, 0.3) |
| Trinity County 7 | Rural | 152.7 (125.2, 185.2) | 55 (31, 57) | 29 |
stable
|
-1.4 (-3.1, 0.2) |
| Modoc County 7 | Rural | 164.5 (125.9, 212.2) | 54 (2, 57) | 15 |
stable
|
-1.2 (-3.7, 1.3) |
| Del Norte County 7 | Rural | 174.3 (152.5, 198.5) | 53 (18, 57) | 52 |
stable
|
-1.2 (-2.6, 0.3) |
| Colusa County 7 | Rural | 174.3 (148.9, 203.0) | 52 (7, 57) | 36 |
stable
|
0.5 (-1.3, 2.6) |
| Tulare County 7 | Urban | 176.0 (170.2, 181.9) | 51 (45, 55) | 722 |
stable
|
-0.4 (-0.7, 0.0) |
| Monterey County 7 | Urban | 179.1 (173.2, 185.2) | 50 (43, 55) | 726 |
falling
|
-0.3 (-0.5, -0.1) |
| Kings County 7 | Urban | 181.5 (171.3, 192.2) | 49 (35, 55) | 240 |
stable
|
-0.3 (-0.8, 0.2) |
| Mono County 7 | Rural | 182.4 (151.0, 219.0) | 48 (2, 57) | 27 |
stable
|
0.9 (-1.0, 2.8) |
| Inyo County 7 | Rural | 183.2 (155.5, 214.8) | 47 (3, 57) | 37 |
stable
|
-0.3 (-2.0, 1.3) |
| Siskiyou County 7 | Rural | 183.4 (165.0, 203.5) | 46 (12, 56) | 90 |
stable
|
-1.0 (-2.2, 0.2) |
| Imperial County 7 | Urban | 186.0 (176.4, 196.0) | 45 (29, 54) | 293 |
stable
|
-6.7 (-14.3, 0.8) |
| Madera County 7 | Urban | 186.6 (176.5, 197.1) | 44 (29, 54) | 269 |
stable
|
-0.2 (-0.7, 0.3) |
| Alameda County 7 | Urban | 186.6 (183.7, 189.6) | 43 (39, 50) | 3,186 |
falling
|
-0.6 (-0.7, -0.4) |
| Los Angeles County 7 | Urban | 187.9 (186.7, 189.1) | 42 (39, 49) | 18,850 |
stable
|
-0.1 (-0.4, 0.5) |
| Merced County 7 | Urban | 188.6 (180.9, 196.6) | 41 (31, 52) | 466 |
stable
|
-0.1 (-0.5, 0.3) |
| San Joaquin County 7 | Urban | 192.4 (187.9, 197.0) | 40 (31, 47) | 1,414 |
stable
|
-0.3 (-0.6, 0.0) |
| Sutter County 7 | Urban | 193.5 (180.8, 206.9) | 39 (12, 53) | 185 |
falling
|
-4.6 (-8.7, -0.5) |
| Fresno County 7 | Urban | 193.8 (189.7, 198.0) | 38 (30, 46) | 1,726 |
stable
|
-0.1 (-0.3, 0.1) |
| Riverside County 7 | Urban | 194.7 (192.1, 197.3) | 37 (31, 44) | 4,545 |
falling
|
-1.7 (-2.8, -0.4) |
| Santa Clara County 7 | Urban | 196.9 (194.1, 199.8) | 36 (28, 42) | 3,801 |
stable
|
0.8 (-0.2, 2.6) |
| San Bernardino County 7 | Urban | 197.9 (195.1, 200.7) | 35 (27, 41) | 4,104 |
stable
|
-0.2 (-0.4, 0.0) |
| Kern County 7 | Urban | 198.2 (193.8, 202.7) | 34 (24, 42) | 1,603 |
stable
|
-0.3 (-0.6, 0.1) |
| Orange County 7 | Urban | 198.2 (196.0, 200.4) | 33 (27, 39) | 6,482 |
stable
|
0.0 (-0.6, 1.4) |
| Amador County 7 | Rural | 199.4 (180.4, 220.0) | 32 (3, 53) | 96 |
stable
|
-0.2 (-0.7, 0.4) |
| Sacramento County 7 | Urban | 201.8 (198.5, 205.0) | 31 (20, 36) | 3,149 |
falling
|
-0.8 (-1.1, -0.6) |
| Contra Costa County 7 | Urban | 204.2 (200.5, 207.9) | 30 (17, 34) | 2,490 |
falling
|
-0.3 (-0.5, -0.2) |
| San Diego County 7 | Urban | 204.3 (202.1, 206.6) | 29 (19, 33) | 6,581 |
falling
|
-0.6 (-0.8, -0.3) |
| Yolo County 7 | Urban | 204.7 (195.4, 214.4) | 28 (7, 42) | 379 |
stable
|
-0.2 (-0.6, 0.3) |
| Solano County 7 | Urban | 205.9 (199.9, 212.1) | 27 (10, 36) | 962 |
falling
|
-1.0 (-2.0, -0.5) |
| San Mateo County 7 | Urban | 207.0 (202.4, 211.7) | 26 (11, 33) | 1,626 |
stable
|
-0.2 (-0.3, 0.0) |
| Nevada County 7 | Rural | 207.0 (193.9, 220.8) | 25 (3, 45) | 228 |
stable
|
-0.5 (-1.1, 0.1) |
| Napa County 7 | Urban | 207.5 (196.5, 218.9) | 24 (4, 42) | 295 |
rising 
|
2.5 (0.1, 5.3) |
| Tuolumne County 7 | Rural | 208.4 (191.0, 227.2) | 23 (2, 48) | 128 |
falling
|
-1.5 (-2.4, -0.7) |
| Mendocino County 7 | Rural | 208.5 (194.8, 223.0) | 22 (3, 45) | 195 |
stable
|
-0.4 (-0.9, 0.2) |
| Placer County 7 | Urban | 208.7 (202.3, 215.2) | 21 (6, 33) | 873 |
falling
|
-0.4 (-0.6, -0.1) |
| Stanislaus County 7 | Urban | 209.3 (203.6, 215.1) | 20 (7, 32) | 1,074 |
stable
|
0.0 (-0.3, 0.4) |
| San Francisco County 7 | Urban | 209.8 (205.4, 214.3) | 19 (8, 30) | 1,823 |
rising
|
2.5 (0.4, 3.6) |
| San Benito County 7 | Urban | 210.4 (194.3, 227.4) | 18 (2, 47) | 133 |
stable
|
0.4 (-0.2, 1.2) |
| Santa Barbara County 7 | Urban | 210.4 (203.9, 217.2) | 17 (6, 32) | 843 |
stable
|
0.0 (-0.4, 0.5) |
| El Dorado County 7 | Urban | 211.0 (201.6, 220.7) | 16 (3, 37) | 455 |
stable
|
-0.3 (-0.8, 0.2) |
| Calaveras County 7 | Rural | 211.6 (191.5, 233.4) | 15 (1, 49) | 105 |
stable
|
0.3 (-0.7, 1.2) |
| San Luis Obispo County 7 | Urban | 211.7 (203.6, 220.1) | 14 (4, 33) | 584 |
falling
|
-0.8 (-1.5, -0.4) |
| Yuba County 7 | Urban | 213.4 (198.4, 229.1) | 13 (2, 41) | 161 |
stable
|
-0.7 (-1.3, 0.0) |
| Ventura County 7 | Urban | 214.1 (209.6, 218.7) | 12 (4, 23) | 1,873 |
stable
|
-0.2 (-0.5, 0.2) |
| Plumas County 7 | Rural | 214.3 (183.2, 249.6) | 11 (1, 54) | 44 |
stable
|
-0.1 (-1.3, 1.0) |
| Tehama County 7 | Rural | 215.6 (199.3, 233.0) | 10 (1, 43) | 147 |
stable
|
-0.5 (-1.2, 0.2) |
| Sonoma County 7 | Urban | 216.5 (210.5, 222.5) | 9 (3, 23) | 1,128 |
stable
|
-0.1 (-0.6, 0.4) |
| Santa Cruz County 7 | Urban | 216.5 (208.3, 224.9) | 8 (2, 28) | 581 |
stable
|
0.2 (0.0, 0.5) |
| Humboldt County 7 | Rural | 216.7 (205.1, 228.7) | 7 (2, 35) | 288 |
stable
|
0.7 (-0.5, 4.0) |
| Mariposa County 7 | Rural | 218.5 (186.4, 255.1) | 6 (1, 53) | 44 |
rising
|
12.9 (6.0, 18.3) |
| Lake County 7 | Rural | 219.7 (203.4, 236.9) | 5 (1, 39) | 163 |
stable
|
-0.1 (-0.5, 0.4) |
| Marin County 7 | Urban | 223.1 (214.9, 231.6) | 4 (1, 19) | 645 |
stable
|
-0.3 (-0.6, 0.0) |
| Shasta County 7 | Urban | 225.5 (215.4, 235.9) | 3 (1, 18) | 431 |
stable
|
-0.1 (-0.4, 0.3) |
| Glenn County 7 | Rural | 235.9 (209.8, 264.4) | 2 (1, 36) | 65 |
stable
|
0.1 (-0.9, 1.2) |
| Butte County 7 | Urban | 239.7 (229.7, 250.1) | 1 (1, 6) | 477 |
stable
|
0.3 (-0.1, 0.7) |
| Alpine County 7 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 3:26 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
Data for United States does not include Puerto Rico.