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 <50
Sorted by CI*Rank
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)
|
|---|---|---|---|---|---|---|
| Polk County 2 | Rural | 144.1 (110.6, 184.6) | 1 (1, 87) | 13 |
stable 
|
2.7 (-1.3, 7.1) |
| Anson County 2 | Urban | 143.2 (115.0, 176.1) | 2 (1, 82) | 18 |
rising 
|
3.6 (1.3, 6.0) |
| Mitchell County 2 | Rural | 129.1 (95.9, 170.1) | 3 (1, 93) | 10 |
stable
|
1.1 (-1.2, 3.3) |
| Granville County 2 | Rural | 133.5 (117.2, 151.4) | 4 (1, 61) | 49 |
stable
|
-0.6 (-8.5, 1.8) |
| Lenoir County 2 | Rural | 131.0 (113.1, 150.8) | 5 (1, 78) | 39 |
stable
|
-0.2 (-1.7, 1.2) |
| Wayne County 2 | Urban | 128.5 (116.6, 141.4) | 6 (1, 56) | 86 |
rising
|
2.0 (1.3, 2.8) |
| Caswell County 2 | Rural | 125.9 (99.3, 157.4) | 7 (1, 92) | 16 |
stable
|
0.6 (-1.3, 2.5) |
| Stanly County 2 | Rural | 126.1 (110.1, 143.8) | 8 (1, 80) | 45 |
stable
|
1.5 (-0.1, 3.3) |
| Pender County 2 | Urban | 126.2 (110.7, 143.4) | 9 (1, 76) | 48 |
stable
|
1.1 (-0.6, 2.9) |
| Cleveland County 2 | Rural | 124.2 (111.3, 138.2) | 10 (1, 71) | 68 |
rising
|
1.7 (0.3, 3.0) |
| Washington County 2 | Rural | 125.7 (85.6, 177.5) | 11 (1, 96) | 6 |
stable
|
1.5 (-1.7, 4.2) |
| Moore County 2 | Urban | 124.3 (111.4, 138.2) | 12 (2, 72) | 68 |
stable
|
0.4 (-1.2, 2.1) |
| Lincoln County 2 | Urban | 125.2 (111.9, 139.6) | 13 (2, 69) | 66 |
stable
|
1.1 (-0.1, 2.5) |
| Iredell County 2 | Urban | 124.3 (115.4, 133.8) | 14 (3, 56) | 145 |
stable
|
0.5 (-5.7, 2.8) |
| Martin County 2 | Rural | 124.6 (96.9, 157.7) | 15 (1, 94) | 14 |
stable
|
-0.9 (-3.9, 1.6) |
| Sampson County 2 | Rural | 123.5 (107.3, 141.5) | 16 (1, 82) | 42 |
stable
|
1.3 (-0.1, 2.7) |
| Duplin County 2 | Rural | 122.8 (104.9, 142.9) | 17 (1, 88) | 34 |
rising
|
2.7 (0.7, 4.8) |
| Person County 2 | Urban | 122.3 (102.3, 145.0) | 18 (1, 90) | 27 |
stable
|
0.0 (-11.1, 2.8) |
| Beaufort County 2 | Rural | 121.3 (102.0, 143.1) | 19 (1, 88) | 28 |
stable
|
0.2 (-1.1, 1.4) |
| Chowan County 2 | Rural | 118.1 (84.7, 160.2) | 20 (1, 95) | 8 |
stable
|
1.6 (-3.5, 6.7) |
| Swain County 2 | Rural | 121.0 (89.1, 160.6) | 21 (1, 95) | 10 |
stable
|
-1.1 (-4.5, 2.0) |
| Bertie County 2 | Rural | 120.7 (91.1, 156.7) | 22 (1, 95) | 11 |
stable
|
2.4 (-0.6, 14.5) |
| Brunswick County 2 | Urban | 120.7 (108.7, 133.6) | 23 (3, 79) | 75 |
stable
|
0.7 (-0.3, 1.7) |
| Jackson County 2 | Rural | 120.5 (100.5, 143.1) | 24 (1, 90) | 26 |
stable
|
1.3 (-0.7, 3.4) |
| McDowell County 2 | Rural | 120.1 (101.9, 140.7) | 25 (1, 88) | 31 |
stable
|
-0.5 (-10.6, 1.9) |
| Northampton County 2 | Rural | 117.4 (86.6, 155.6) | 26 (1, 95) | 10 |
stable
|
1.7 (-0.6, 4.0) |
| Cherokee County 2 | Rural | 119.7 (94.9, 149.1) | 27 (1, 93) | 16 |
stable
|
0.5 (-2.3, 3.2) |
| Haywood County 2 | Rural | 117.6 (101.7, 135.3) | 28 (2, 87) | 40 |
stable
|
0.4 (-1.1, 1.8) |
| Jones County 2 | Rural | 114.2 (75.1, 166.5) | 29 (1, 97) | 5 |
stable
|
0.2 (-3.0, 3.1) |
| Davie County 2 | Urban | 118.7 (99.7, 140.2) | 30 (1, 91) | 28 |
stable
|
0.2 (-0.7, 1.2) |
| Bladen County 2 | Rural | 118.6 (96.1, 144.7) | 31 (1, 93) | 20 |
stable
|
0.4 (-1.4, 2.2) |
| Madison County 2 | Urban | 116.3 (90.7, 146.9) | 32 (1, 94) | 14 |
stable
|
0.7 (-1.3, 2.8) |
| Onslow County 2 | Urban | 117.5 (108.1, 127.5) | 33 (6, 75) | 130 |
falling 
|
-1.0 (-2.1, -0.2) |
| Scotland County 2 | Rural | 116.7 (96.7, 139.6) | 34 (1, 92) | 24 |
stable
|
0.1 (-2.0, 2.1) |
| Vance County 2 | Rural | 116.4 (97.3, 138.1) | 35 (1, 91) | 26 |
stable
|
0.5 (-1.1, 2.0) |
| Gaston County 2 | Urban | 115.4 (107.6, 123.6) | 36 (9, 72) | 164 |
stable
|
0.3 (-0.6, 1.3) |
| Johnston County 2 | Urban | 115.5 (107.7, 123.6) | 37 (10, 76) | 167 |
stable
|
0.2 (-0.5, 1.0) |
| Caldwell County 2 | Urban | 115.9 (102.3, 130.8) | 38 (5, 88) | 54 |
stable
|
0.6 (-0.6, 1.7) |
| Wilkes County 2 | Rural | 115.3 (100.2, 132.1) | 39 (3, 89) | 42 |
rising
|
3.3 (1.9, 6.0) |
| Davidson County 2 | Urban | 114.8 (105.5, 124.8) | 40 (10, 82) | 113 |
stable
|
0.8 (-0.3, 1.8) |
| Rutherford County 2 | Rural | 114.3 (99.0, 131.3) | 41 (4, 90) | 40 |
stable
|
0.5 (-1.2, 2.2) |
| Stokes County 2 | Urban | 112.9 (94.8, 133.5) | 42 (2, 92) | 28 |
stable
|
-11.1 (-25.9, 2.6) |
| Union County 2 | Urban | 113.4 (106.0, 121.2) | 43 (15, 77) | 181 |
rising
|
1.3 (0.4, 2.4) |
| New Hanover County 2 | Urban | 113.0 (105.1, 121.3) | 44 (14, 80) | 155 |
stable
|
-0.6 (-3.8, 0.4) |
| Cabarrus County 2 | Urban | 112.5 (105.0, 120.4) | 45 (15, 79) | 169 |
stable
|
-0.8 (-2.8, 0.2) |
| Randolph County 2 | Urban | 112.4 (102.4, 123.1) | 46 (11, 85) | 94 |
stable
|
0.6 (-0.2, 1.4) |
| Pamlico County 2 | Rural | 112.8 (76.9, 159.7) | 47 (1, 97) | 6 |
stable
|
0.6 (-3.2, 4.3) |
| Robeson County 2 | Rural | 112.5 (101.4, 124.5) | 48 (9, 87) | 75 |
stable
|
0.7 (-0.3, 1.6) |
| Burke County 2 | Urban | 112.7 (99.7, 127.0) | 49 (6, 88) | 55 |
stable
|
-1.4 (-4.4, 0.0) |
| Ashe County 2 | Rural | 111.9 (88.4, 139.7) | 50 (1, 95) | 16 |
stable
|
1.8 (-0.4, 4.0) |
| Chatham County 2 | Urban | 110.6 (96.7, 126.0) | 51 (6, 90) | 46 |
stable
|
0.2 (-1.0, 1.4) |
| Franklin County 2 | Urban | 110.6 (96.8, 125.9) | 52 (7, 91) | 46 |
stable
|
0.8 (-0.7, 2.2) |
| Durham County 2 | Urban | 109.7 (103.4, 116.2) | 53 (24, 81) | 235 |
stable
|
0.4 (-0.3, 1.1) |
| Hoke County 2 | Urban | 109.9 (94.4, 127.1) | 54 (5, 92) | 37 |
stable
|
0.0 (-1.8, 2.0) |
| Graham County 2 | Rural | 110.1 (70.4, 164.1) | 55 (1, 97) | 5 |
|
|
| Pitt County 2 | Urban | 109.4 (100.2, 119.2) | 56 (17, 87) | 106 |
stable
|
0.1 (-0.6, 0.7) |
| Henderson County 2 | Urban | 108.5 (97.3, 120.8) | 57 (13, 90) | 68 |
stable
|
-0.1 (-1.6, 1.4) |
| Carteret County 2 | Rural | 109.5 (94.6, 126.2) | 58 (6, 91) | 39 |
stable
|
-0.1 (-1.4, 1.0) |
| Craven County 2 | Rural | 109.1 (96.9, 122.4) | 59 (9, 90) | 59 |
stable
|
0.0 (-1.1, 1.1) |
| Harnett County 2 | Rural | 108.8 (99.0, 119.2) | 60 (16, 87) | 92 |
stable
|
0.2 (-0.7, 1.1) |
| Alamance County 2 | Urban | 108.0 (99.0, 117.6) | 61 (18, 88) | 108 |
stable
|
0.3 (-0.9, 1.4) |
| Nash County 2 | Urban | 108.5 (96.3, 121.7) | 62 (11, 91) | 59 |
stable
|
-0.1 (-1.7, 1.3) |
| Catawba County 2 | Urban | 108.6 (99.3, 118.5) | 63 (17, 89) | 101 |
falling
|
-2.8 (-7.4, -0.8) |
| Rockingham County 2 | Urban | 108.0 (95.4, 121.7) | 64 (11, 91) | 55 |
stable
|
-1.0 (-11.8, 0.9) |
| Orange County 2 | Urban | 107.9 (98.2, 118.4) | 65 (17, 89) | 93 |
stable
|
-0.1 (-1.3, 1.1) |
| Dare County 2 | Rural | 107.1 (88.0, 129.3) | 66 (4, 94) | 22 |
stable
|
1.2 (-0.7, 3.1) |
| Yadkin County 2 | Urban | 107.1 (87.7, 129.4) | 67 (3, 95) | 22 |
stable
|
-0.3 (-2.1, 1.2) |
| Richmond County 2 | Rural | 107.0 (89.5, 126.8) | 68 (6, 94) | 27 |
falling
|
-3.4 (-9.7, -0.9) |
| Wake County 2 | Urban | 106.5 (103.3, 109.8) | 69 (43, 81) | 834 |
stable
|
-0.2 (-1.7, 0.3) |
| Rowan County 2 | Urban | 106.1 (96.5, 116.4) | 70 (19, 89) | 90 |
falling
|
-2.1 (-4.7, -0.7) |
| Buncombe County 2 | Urban | 106.5 (99.6, 113.8) | 71 (30, 87) | 178 |
stable
|
-0.7 (-4.0, 0.2) |
| Alexander County 2 | Urban | 106.6 (87.9, 128.2) | 72 (4, 94) | 23 |
stable
|
1.3 (-1.7, 4.2) |
| Halifax County 2 | Rural | 105.1 (87.9, 124.6) | 73 (6, 95) | 27 |
stable
|
0.3 (-2.1, 2.3) |
| Lee County 2 | Rural | 104.7 (90.5, 120.5) | 74 (9, 93) | 39 |
stable
|
-0.1 (-1.5, 1.4) |
| Edgecombe County 2 | Urban | 103.7 (86.8, 123.0) | 75 (7, 94) | 27 |
stable
|
0.4 (-2.4, 2.9) |
| Camden County 2 | Urban | 104.2 (72.1, 145.9) | 76 (1, 97) | 7 |
stable
|
-0.5 (-4.3, 3.4) |
| Forsyth County 2 | Urban | 103.7 (97.9, 109.9) | 77 (39, 88) | 234 |
stable
|
-0.5 (-1.1, 0.1) |
| Yancey County 2 | Rural | 103.2 (76.7, 136.1) | 78 (2, 96) | 10 |
falling
|
-3.7 (-17.3, -0.5) |
| Guilford County 2 | Urban | 102.4 (97.5, 107.5) | 79 (48, 87) | 332 |
stable
|
-0.3 (-0.9, 0.3) |
| Mecklenburg County 2 | Urban | 102.4 (99.2, 105.7) | 80 (57, 86) | 779 |
stable
|
-0.2 (-0.6, 0.2) |
| Cumberland County 2 | Urban | 102.3 (95.9, 109.1) | 81 (44, 89) | 197 |
stable
|
-0.5 (-3.6, 0.3) |
| Columbus County 2 | Rural | 100.3 (84.7, 118.0) | 82 (14, 95) | 29 |
stable
|
-0.3 (-2.6, 1.6) |
| Macon County 2 | Rural | 100.2 (80.5, 123.2) | 83 (7, 95) | 18 |
stable
|
-0.6 (-2.6, 1.3) |
| Hertford County 2 | Rural | 100.1 (75.6, 130.0) | 84 (3, 96) | 11 |
stable
|
0.7 (-2.4, 3.6) |
| Watauga County 2 | Rural | 99.9 (83.0, 119.1) | 85 (12, 95) | 26 |
stable
|
0.9 (-1.0, 8.3) |
| Surry County 2 | Rural | 98.8 (85.6, 113.4) | 86 (21, 94) | 41 |
stable
|
0.2 (-1.3, 1.6) |
| Perquimans County 2 | Rural | 94.5 (63.2, 135.6) | 87 (1, 97) | 6 |
stable
|
-1.6 (-4.2, 0.7) |
| Wilson County 2 | Rural | 95.9 (83.4, 109.7) | 88 (31, 95) | 43 |
stable
|
-0.4 (-1.9, 1.1) |
| Warren County 2 | Rural | 94.7 (68.7, 127.2) | 89 (3, 97) | 9 |
stable
|
1.6 (-1.0, 4.1) |
| Greene County 2 | Rural | 90.3 (68.8, 116.5) | 90 (10, 97) | 12 |
stable
|
-0.5 (-2.9, 1.7) |
| Montgomery County 2 | Rural | 89.2 (68.0, 114.7) | 91 (11, 97) | 12 |
stable
|
-8.1 (-23.0, 0.6) |
| Avery County 2 | Rural | 89.0 (65.5, 118.5) | 92 (7, 97) | 10 |
stable
|
2.2 (-0.7, 5.4) |
| Pasquotank County 2 | Rural | 86.0 (69.9, 104.7) | 93 (37, 97) | 20 |
stable
|
0.9 (-1.4, 3.2) |
| Transylvania County 2 | Rural | 83.1 (64.2, 105.8) | 94 (30, 97) | 13 |
stable
|
-0.9 (-3.1, 1.0) |
| Clay County 2 | Rural | 78.1 (47.5, 121.2) | 95 (5, 97) | 4 |
stable
|
-0.6 (-4.5, 3.0) |
| Alleghany County 2 | Rural | 58.0 (33.5, 93.7) | 96 (60, 97) | 3 |
stable
|
-1.3 (-5.4, 2.6) |
| Currituck County 2 | Urban | 57.0 (42.0, 75.7) | 97 (91, 97) | 10 |
stable
|
26.3 (-9.5, 58.8) |
| Gates County 2 | Urban |
|
|
|
|
|
| Hyde County 2 | Rural |
|
|
|
|
|
| Tyrrell County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 4:34 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 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.