Incidence Rates Table
Incidence Rate Report for Missouri 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)
|
|---|---|---|---|---|---|---|
| Missouri 2 | N/A | 235.7 (233.9, 237.4) | N/A | 14,938 |
stable 
|
0.1 (-0.1, 0.2) |
| US (SEER+NPCR) 1 | N/A | 223.5 (223.3, 223.8) | N/A | 753,674 |
falling 
|
-0.2 (-0.3, -0.1) |
| Scotland County 2 | Rural | 140.5 (93.9, 202.7) | 115 (53, 115) | 6 |
stable
|
-2.2 (-6.3, 1.5) |
| Sullivan County 2 | Rural | 153.9 (111.9, 207.6) | 114 (49, 115) | 10 |
stable
|
-2.4 (-5.8, 0.6) |
| DeKalb County 2 | Urban | 167.0 (136.1, 203.6) | 113 (81, 115) | 21 |
stable
|
-2.9 (-16.3, 0.5) |
| Mercer County 2 | Rural | 176.0 (117.4, 255.7) | 112 (8, 115) | 7 |
stable
|
-0.4 (-4.7, 4.1) |
| Maries County 2 | Rural | 188.1 (150.4, 233.7) | 111 (28, 115) | 20 |
stable
|
0.3 (-2.2, 2.9) |
| Nodaway County 2 | Rural | 188.5 (160.1, 220.7) | 110 (57, 115) | 36 |
stable
|
-0.7 (-2.6, 1.2) |
| Carroll County 2 | Rural | 188.7 (147.8, 238.1) | 109 (23, 115) | 16 |
stable
|
-1.0 (-3.2, 1.0) |
| Ralls County 2 | Rural | 195.8 (158.4, 240.1) | 108 (26, 115) | 23 |
stable
|
-0.2 (-2.4, 2.1) |
| Dade County 2 | Rural | 197.0 (154.2, 249.2) | 107 (13, 115) | 18 |
stable
|
-0.3 (-3.3, 2.6) |
| Atchison County 2 | Rural | 198.0 (146.0, 264.2) | 106 (5, 115) | 11 |
stable
|
1.2 (-0.9, 3.4) |
| Vernon County 2 | Rural | 198.5 (170.6, 229.9) | 105 (44, 114) | 41 |
stable
|
0.1 (-2.0, 2.3) |
| Adair County 2 | Rural | 201.5 (173.7, 232.5) | 104 (41, 114) | 42 |
stable
|
0.7 (-0.7, 2.1) |
| Newton County 2 | Urban | 202.7 (186.3, 220.2) | 103 (68, 112) | 126 |
stable
|
-0.4 (-1.2, 0.4) |
| Platte County 2 | Urban | 204.1 (192.0, 216.8) | 102 (78, 111) | 224 |
stable
|
-0.3 (-0.8, 0.3) |
| Daviess County 2 | Rural | 204.8 (160.3, 258.1) | 101 (10, 115) | 17 |
stable
|
0.3 (-2.4, 2.9) |
| Schuyler County 2 | Rural | 205.4 (144.5, 284.3) | 100 (2, 115) | 9 |
stable
|
-0.3 (-3.8, 3.1) |
| McDonald County 2 | Rural | 207.2 (181.6, 235.6) | 99 (35, 113) | 52 |
stable
|
0.7 (-1.2, 2.8) |
| Ray County 2 | Urban | 207.7 (182.3, 235.9) | 98 (34, 113) | 55 |
stable
|
-0.6 (-2.1, 0.8) |
| Harrison County 2 | Rural | 210.6 (164.0, 266.5) | 97 (5, 115) | 16 |
stable
|
0.0 (-2.8, 2.6) |
| Christian County 2 | Urban | 210.6 (196.9, 225.1) | 96 (63, 109) | 185 |
stable
|
-0.6 (-1.6, 0.5) |
| Douglas County 2 | Rural | 213.4 (174.9, 258.3) | 95 (11, 114) | 26 |
rising 
|
7.2 (5.3, 9.6) |
| Barry County 2 | Rural | 216.3 (194.3, 240.3) | 94 (34, 111) | 82 |
stable
|
0.4 (-0.7, 1.6) |
| Laclede County 2 | Rural | 217.2 (195.6, 240.7) | 93 (34, 110) | 82 |
stable
|
-0.3 (-1.3, 0.6) |
| Clinton County 2 | Urban | 218.7 (191.4, 249.0) | 92 (21, 112) | 53 |
falling
|
-3.1 (-10.0, -0.8) |
| Ste. Genevieve County 2 | Rural | 219.1 (190.1, 251.6) | 91 (18, 112) | 48 |
stable
|
0.8 (-0.6, 2.3) |
| Webster County 2 | Urban | 219.9 (198.9, 242.5) | 90 (31, 110) | 87 |
stable
|
0.1 (-0.9, 1.0) |
| Wright County 2 | Rural | 221.0 (190.3, 255.4) | 89 (16, 112) | 42 |
stable
|
-0.7 (-2.2, 0.6) |
| Lawrence County 2 | Rural | 223.1 (201.7, 246.2) | 88 (27, 109) | 88 |
stable
|
0.1 (-0.7, 0.8) |
| Audrain County 2 | Rural | 223.6 (197.3, 252.6) | 87 (20, 111) | 58 |
stable
|
-0.4 (-2.0, 1.4) |
| Cedar County 2 | Rural | 223.6 (189.0, 263.2) | 86 (9, 113) | 34 |
stable
|
0.4 (-1.1, 1.9) |
| St. Louis City 2 | Urban | 224.6 (216.8, 232.5) | 85 (57, 97) | 696 |
falling
|
-4.5 (-8.0, -1.2) |
| Camden County 2 | Rural | 224.6 (204.1, 246.8) | 84 (28, 108) | 119 |
stable
|
0.6 (-0.5, 1.7) |
| Lafayette County 2 | Urban | 224.9 (202.3, 249.6) | 83 (25, 109) | 81 |
stable
|
0.4 (-0.5, 1.3) |
| Texas County 2 | Rural | 225.0 (198.4, 254.5) | 82 (13, 110) | 58 |
stable
|
-0.4 (-1.4, 0.5) |
| Andrew County 2 | Urban | 225.9 (195.2, 260.3) | 81 (14, 111) | 44 |
stable
|
0.4 (-1.1, 1.9) |
| St. Charles County 2 | Urban | 227.6 (221.0, 234.3) | 80 (53, 92) | 980 |
stable
|
-0.4 (-1.0, 0.1) |
| Linn County 2 | Rural | 228.3 (189.3, 273.4) | 79 (4, 113) | 29 |
stable
|
-0.1 (-2.0, 1.8) |
| Gasconade County 2 | Rural | 230.5 (197.5, 267.9) | 78 (9, 111) | 42 |
stable
|
-0.3 (-1.8, 1.2) |
| Callaway County 2 | Urban | 231.6 (211.7, 252.9) | 77 (22, 103) | 110 |
stable
|
-0.9 (-4.9, 0.2) |
| Greene County 2 | Urban | 232.1 (223.8, 240.5) | 76 (45, 91) | 651 |
rising
|
4.6 (0.7, 6.5) |
| Warren County 2 | Urban | 232.1 (209.9, 256.3) | 75 (17, 106) | 92 |
stable
|
-0.2 (-4.6, 0.8) |
| Miller County 2 | Rural | 232.7 (205.6, 262.5) | 74 (10, 108) | 61 |
rising
|
1.2 (0.2, 2.2) |
| Jackson County 2 | Urban | 233.1 (227.9, 238.3) | 73 (48, 84) | 1,680 |
stable
|
-0.1 (-0.4, 0.2) |
| Cass County 2 | Urban | 234.2 (221.1, 247.8) | 72 (32, 96) | 266 |
stable
|
0.3 (-0.3, 1.0) |
| Cape Girardeau County 2 | Urban | 234.4 (218.6, 251.0) | 71 (24, 98) | 179 |
stable
|
0.3 (-0.8, 1.3) |
| Gentry County 2 | Rural | 235.1 (181.6, 299.9) | 70 (2, 114) | 15 |
stable
|
0.8 (-1.5, 3.2) |
| Clark County 2 | Rural | 235.4 (182.1, 299.8) | 69 (1, 114) | 16 |
stable
|
1.8 (-1.5, 5.1) |
| Clay County 2 | Urban | 235.7 (227.1, 244.5) | 68 (39, 87) | 600 |
stable
|
0.0 (-0.5, 0.6) |
| Howell County 2 | Rural | 235.7 (213.7, 259.5) | 67 (17, 104) | 93 |
stable
|
0.1 (-1.2, 1.4) |
| St. Louis County 2 | Urban | 236.3 (231.9, 240.8) | 66 (46, 79) | 2,456 |
stable
|
-0.1 (-0.3, 0.2) |
| Jefferson County 2 | Urban | 237.0 (228.3, 246.1) | 65 (34, 85) | 612 |
stable
|
0.1 (-0.4, 0.6) |
| Caldwell County 2 | Urban | 237.1 (192.2, 289.9) | 64 (2, 113) | 23 |
stable
|
11.7 (-0.7, 21.9) |
| Pettis County 2 | Rural | 237.1 (216.3, 259.4) | 63 (17, 101) | 105 |
stable
|
0.2 (-1.2, 1.5) |
| Perry County 2 | Rural | 237.8 (207.8, 271.3) | 62 (9, 108) | 50 |
stable
|
0.6 (-1.0, 2.4) |
| Holt County 2 | Rural | 240.1 (172.7, 326.2) | 61 (1, 115) | 10 |
stable
|
1.0 (-2.9, 4.8) |
| Cole County 2 | Urban | 240.7 (225.1, 257.1) | 60 (21, 91) | 192 |
stable
|
-0.2 (-5.1, 0.9) |
| Washington County 2 | Rural | 241.0 (214.3, 270.3) | 59 (9, 104) | 66 |
stable
|
0.6 (-0.8, 2.0) |
| Benton County 2 | Rural | 241.8 (210.0, 277.6) | 58 (5, 108) | 57 |
stable
|
-0.4 (-2.1, 1.2) |
| Pulaski County 2 | Rural | 241.8 (220.3, 264.8) | 57 (13, 99) | 98 |
stable
|
-6.6 (-13.2, 0.0) |
| Bates County 2 | Urban | 241.8 (207.7, 280.3) | 56 (5, 109) | 41 |
stable
|
0.6 (-1.2, 2.5) |
| Monroe County 2 | Rural | 242.6 (196.2, 297.5) | 55 (2, 112) | 23 |
stable
|
1.3 (-0.5, 3.2) |
| Johnson County 2 | Rural | 243.1 (222.6, 264.9) | 54 (11, 95) | 114 |
stable
|
0.8 (-0.1, 1.8) |
| New Madrid County 2 | Rural | 244.3 (211.5, 281.0) | 53 (4, 106) | 45 |
stable
|
-0.6 (-2.1, 0.8) |
| Stoddard County 2 | Rural | 244.4 (218.9, 272.2) | 52 (8, 102) | 74 |
stable
|
0.4 (-1.0, 1.7) |
| Pemiscot County 2 | Rural | 244.8 (210.1, 283.8) | 51 (4, 108) | 40 |
stable
|
2.1 (0.0, 4.3) |
| Boone County 2 | Urban | 244.8 (233.7, 256.3) | 50 (23, 78) | 390 |
stable
|
0.1 (-0.6, 0.9) |
| Taney County 2 | Rural | 245.3 (226.3, 265.6) | 49 (12, 96) | 139 |
rising
|
6.5 (1.2, 10.1) |
| Lincoln County 2 | Urban | 245.5 (227.9, 264.2) | 48 (13, 92) | 159 |
stable
|
-0.2 (-1.5, 1.1) |
| Knox County 2 | Rural | 246.5 (174.7, 338.8) | 47 (1, 115) | 9 |
stable
|
0.1 (-2.9, 2.8) |
| Howard County 2 | Urban | 247.0 (203.7, 297.4) | 46 (2, 110) | 26 |
stable
|
0.3 (-1.5, 2.3) |
| Saline County 2 | Rural | 247.1 (217.6, 279.5) | 45 (4, 104) | 57 |
stable
|
0.3 (-0.8, 1.3) |
| Hickory County 2 | Rural | 247.6 (198.1, 307.3) | 44 (1, 113) | 24 |
stable
|
1.8 (-0.9, 4.4) |
| Cooper County 2 | Urban | 250.5 (216.0, 289.1) | 43 (3, 106) | 42 |
stable
|
0.6 (-0.9, 2.1) |
| Stone County 2 | Rural | 250.8 (224.3, 279.8) | 42 (5, 99) | 88 |
stable
|
0.6 (-1.0, 2.1) |
| Phelps County 2 | Rural | 251.2 (229.3, 274.7) | 41 (8, 93) | 108 |
stable
|
1.0 (-4.2, 6.9) |
| Dallas County 2 | Urban | 251.5 (216.9, 290.2) | 40 (3, 106) | 45 |
rising
|
2.2 (0.4, 4.0) |
| Livingston County 2 | Rural | 252.7 (216.0, 294.3) | 39 (2, 106) | 36 |
stable
|
-0.6 (-2.8, 1.5) |
| Polk County 2 | Urban | 252.8 (227.1, 280.7) | 38 (5, 93) | 80 |
stable
|
-0.1 (-1.9, 1.8) |
| Buchanan County 2 | Urban | 253.1 (237.7, 269.4) | 37 (10, 75) | 220 |
rising
|
0.9 (0.2, 1.7) |
| Macon County 2 | Rural | 253.3 (216.4, 295.0) | 36 (2, 108) | 38 |
stable
|
0.9 (-0.5, 2.2) |
| Putnam County 2 | Rural | 254.5 (190.5, 334.5) | 35 (1, 114) | 12 |
rising
|
3.3 (0.9, 5.8) |
| Butler County 2 | Rural | 254.8 (233.0, 278.2) | 34 (7, 87) | 111 |
stable
|
0.3 (-0.5, 1.1) |
| Mississippi County 2 | Rural | 255.1 (216.8, 298.6) | 33 (2, 106) | 34 |
stable
|
-0.1 (-1.6, 1.4) |
| Crawford County 2 | Rural | 256.2 (227.1, 288.1) | 32 (3, 98) | 66 |
stable
|
-6.1 (-18.3, 1.7) |
| Franklin County 2 | Urban | 256.2 (242.3, 270.6) | 31 (11, 70) | 298 |
stable
|
0.5 (-0.1, 1.1) |
| Moniteau County 2 | Urban | 256.4 (220.6, 296.5) | 30 (2, 104) | 39 |
rising
|
3.6 (1.6, 10.2) |
| Carter County 2 | Rural | 257.3 (195.2, 333.4) | 29 (1, 114) | 13 |
stable
|
-0.2 (-2.6, 2.1) |
| Henry County 2 | Rural | 258.0 (227.6, 291.6) | 28 (3, 97) | 61 |
stable
|
0.5 (-0.9, 1.9) |
| Bollinger County 2 | Urban | 258.7 (215.1, 309.1) | 27 (1, 109) | 29 |
stable
|
1.4 (-0.2, 3.0) |
| Reynolds County 2 | Rural | 260.8 (205.8, 327.5) | 26 (1, 112) | 18 |
stable
|
1.1 (-1.0, 3.2) |
| Morgan County 2 | Rural | 262.7 (230.5, 298.3) | 25 (2, 97) | 60 |
stable
|
0.2 (-1.5, 1.8) |
| Scott County 2 | Rural | 262.9 (239.8, 287.9) | 24 (3, 85) | 105 |
stable
|
-0.1 (-0.9, 0.8) |
| Shannon County 2 | Rural | 263.1 (210.8, 325.4) | 23 (1, 111) | 21 |
stable
|
0.9 (-1.1, 2.9) |
| Ozark County 2 | Rural | 263.1 (212.1, 323.7) | 22 (1, 109) | 24 |
rising
|
2.0 (0.7, 3.3) |
| Montgomery County 2 | Rural | 263.2 (221.0, 311.6) | 21 (1, 105) | 33 |
stable
|
1.1 (-0.3, 2.4) |
| Jasper County 2 | Urban | 264.2 (250.8, 278.2) | 20 (7, 54) | 311 |
rising
|
1.8 (0.9, 4.7) |
| Randolph County 2 | Rural | 264.8 (236.6, 295.6) | 19 (2, 90) | 68 |
stable
|
0.8 (-0.3, 2.0) |
| Barton County 2 | Rural | 265.9 (222.6, 315.5) | 18 (1, 106) | 31 |
stable
|
1.3 (-0.9, 3.6) |
| Dent County 2 | Rural | 266.4 (229.0, 308.6) | 17 (2, 100) | 43 |
stable
|
0.7 (-0.8, 2.2) |
| Osage County 2 | Urban | 267.6 (229.0, 311.2) | 16 (1, 101) | 39 |
rising
|
1.6 (0.4, 2.9) |
| Lewis County 2 | Rural | 272.5 (223.2, 329.6) | 15 (1, 106) | 25 |
stable
|
1.4 (-0.6, 3.5) |
| St. Francois County 2 | Rural | 273.6 (256.2, 292.0) | 14 (4, 52) | 196 |
stable
|
-0.4 (-1.6, 0.6) |
| Iron County 2 | Rural | 275.7 (229.4, 329.3) | 13 (1, 104) | 29 |
stable
|
1.5 (-0.4, 3.4) |
| Shelby County 2 | Rural | 275.8 (215.7, 348.1) | 12 (1, 110) | 17 |
stable
|
13.5 (-2.3, 26.5) |
| Chariton County 2 | Rural | 275.9 (222.0, 339.8) | 11 (1, 108) | 22 |
stable
|
0.0 (-2.1, 2.0) |
| Marion County 2 | Rural | 276.8 (248.7, 307.4) | 10 (1, 72) | 79 |
rising
|
1.3 (0.2, 2.4) |
| Pike County 2 | Rural | 277.0 (243.0, 314.7) | 9 (1, 81) | 52 |
stable
|
1.0 (-0.3, 2.4) |
| St. Clair County 2 | Rural | 277.1 (228.9, 333.3) | 8 (1, 104) | 28 |
stable
|
2.4 (-0.2, 5.1) |
| Dunklin County 2 | Rural | 280.5 (252.5, 310.9) | 7 (1, 62) | 81 |
rising
|
1.5 (0.3, 2.6) |
| Wayne County 2 | Rural | 281.0 (237.6, 330.7) | 6 (1, 96) | 36 |
stable
|
1.0 (-0.4, 2.4) |
| Grundy County 2 | Rural | 281.6 (231.1, 340.0) | 5 (1, 103) | 26 |
stable
|
1.1 (-1.0, 3.2) |
| Madison County 2 | Rural | 295.8 (254.3, 342.5) | 4 (1, 79) | 41 |
stable
|
0.6 (-0.8, 2.1) |
| Oregon County 2 | Rural | 301.5 (247.8, 363.9) | 3 (1, 93) | 26 |
rising
|
5.5 (2.1, 17.2) |
| Ripley County 2 | Rural | 317.0 (270.3, 370.0) | 2 (1, 54) | 37 |
stable
|
0.5 (-2.0, 2.8) |
| Worth County 2 | Rural | 368.8 (241.6, 540.0) | 1 (1, 112) | 7 |
stable
|
1.6 (-4.1, 7.6) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 4:57 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.