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 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)
|
|---|---|---|---|---|---|---|
| North Carolina 2 | N/A | 109.1 (108.0, 110.3) | N/A | 6,932 |
stable 
|
0.0 (-0.2, 0.2) |
| US (SEER+NPCR) 1 | N/A | 105.7 (105.5, 105.9) | N/A | 211,922 |
stable
|
0.1 (-0.1, 0.2) |
| Currituck County 2 | Urban | 57.0 (42.0, 75.7) | 97 (91, 97) | 10 |
stable
|
26.3 (-9.5, 58.8) |
| Alleghany County 2 | Rural | 58.0 (33.5, 93.7) | 96 (60, 97) | 3 |
stable
|
-1.3 (-5.4, 2.6) |
| Clay County 2 | Rural | 78.1 (47.5, 121.2) | 95 (5, 97) | 4 |
stable
|
-0.6 (-4.5, 3.0) |
| Transylvania County 2 | Rural | 83.1 (64.2, 105.8) | 94 (30, 97) | 13 |
stable
|
-0.9 (-3.1, 1.0) |
| Pasquotank County 2 | Rural | 86.0 (69.9, 104.7) | 93 (37, 97) | 20 |
stable
|
0.9 (-1.4, 3.2) |
| Avery County 2 | Rural | 89.0 (65.5, 118.5) | 92 (7, 97) | 10 |
stable
|
2.2 (-0.7, 5.4) |
| Montgomery County 2 | Rural | 89.2 (68.0, 114.7) | 91 (11, 97) | 12 |
stable
|
-8.1 (-23.0, 0.6) |
| Greene County 2 | Rural | 90.3 (68.8, 116.5) | 90 (10, 97) | 12 |
stable
|
-0.5 (-2.9, 1.7) |
| Perquimans County 2 | Rural | 94.5 (63.2, 135.6) | 87 (1, 97) | 6 |
stable
|
-1.6 (-4.2, 0.7) |
| Warren County 2 | Rural | 94.7 (68.7, 127.2) | 89 (3, 97) | 9 |
stable
|
1.6 (-1.0, 4.1) |
| Wilson County 2 | Rural | 95.9 (83.4, 109.7) | 88 (31, 95) | 43 |
stable
|
-0.4 (-1.9, 1.1) |
| Surry County 2 | Rural | 98.8 (85.6, 113.4) | 86 (21, 94) | 41 |
stable
|
0.2 (-1.3, 1.6) |
| Watauga County 2 | Rural | 99.9 (83.0, 119.1) | 85 (12, 95) | 26 |
stable
|
0.9 (-1.0, 8.3) |
| Hertford County 2 | Rural | 100.1 (75.6, 130.0) | 84 (3, 96) | 11 |
stable
|
0.7 (-2.4, 3.6) |
| Macon County 2 | Rural | 100.2 (80.5, 123.2) | 83 (7, 95) | 18 |
stable
|
-0.6 (-2.6, 1.3) |
| Columbus County 2 | Rural | 100.3 (84.7, 118.0) | 82 (14, 95) | 29 |
stable
|
-0.3 (-2.6, 1.6) |
| Cumberland County 2 | Urban | 102.3 (95.9, 109.1) | 81 (44, 89) | 197 |
stable
|
-0.5 (-3.6, 0.3) |
| 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) |
| Yancey County 2 | Rural | 103.2 (76.7, 136.1) | 78 (2, 96) | 10 |
falling 
|
-3.7 (-17.3, -0.5) |
| Edgecombe County 2 | Urban | 103.7 (86.8, 123.0) | 75 (7, 94) | 27 |
stable
|
0.4 (-2.4, 2.9) |
| Forsyth County 2 | Urban | 103.7 (97.9, 109.9) | 77 (39, 88) | 234 |
stable
|
-0.5 (-1.1, 0.1) |
| Camden County 2 | Urban | 104.2 (72.1, 145.9) | 76 (1, 97) | 7 |
stable
|
-0.5 (-4.3, 3.4) |
| Lee County 2 | Rural | 104.7 (90.5, 120.5) | 74 (9, 93) | 39 |
stable
|
-0.1 (-1.5, 1.4) |
| Halifax County 2 | Rural | 105.1 (87.9, 124.6) | 73 (6, 95) | 27 |
stable
|
0.3 (-2.1, 2.3) |
| Rowan County 2 | Urban | 106.1 (96.5, 116.4) | 70 (19, 89) | 90 |
falling
|
-2.1 (-4.7, -0.7) |
| Wake County 2 | Urban | 106.5 (103.3, 109.8) | 69 (43, 81) | 834 |
stable
|
-0.2 (-1.7, 0.3) |
| 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) |
| Richmond County 2 | Rural | 107.0 (89.5, 126.8) | 68 (6, 94) | 27 |
falling
|
-3.4 (-9.7, -0.9) |
| Yadkin County 2 | Urban | 107.1 (87.7, 129.4) | 67 (3, 95) | 22 |
stable
|
-0.3 (-2.1, 1.2) |
| Dare County 2 | Rural | 107.1 (88.0, 129.3) | 66 (4, 94) | 22 |
stable
|
1.2 (-0.7, 3.1) |
| Orange County 2 | Urban | 107.9 (98.2, 118.4) | 65 (17, 89) | 93 |
stable
|
-0.1 (-1.3, 1.1) |
| Rockingham County 2 | Urban | 108.0 (95.4, 121.7) | 64 (11, 91) | 55 |
stable
|
-1.0 (-11.8, 0.9) |
| 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) |
| Henderson County 2 | Urban | 108.5 (97.3, 120.8) | 57 (13, 90) | 68 |
stable
|
-0.1 (-1.6, 1.4) |
| Catawba County 2 | Urban | 108.6 (99.3, 118.5) | 63 (17, 89) | 101 |
falling
|
-2.8 (-7.4, -0.8) |
| Harnett County 2 | Rural | 108.8 (99.0, 119.2) | 60 (16, 87) | 92 |
stable
|
0.2 (-0.7, 1.1) |
| Craven County 2 | Rural | 109.1 (96.9, 122.4) | 59 (9, 90) | 59 |
stable
|
0.0 (-1.1, 1.1) |
| Pitt County 2 | Urban | 109.4 (100.2, 119.2) | 56 (17, 87) | 106 |
stable
|
0.1 (-0.6, 0.7) |
| Carteret County 2 | Rural | 109.5 (94.6, 126.2) | 58 (6, 91) | 39 |
stable
|
-0.1 (-1.4, 1.0) |
| 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 |
|
|
| 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) |
| Ashe County 2 | Rural | 111.9 (88.4, 139.7) | 50 (1, 95) | 16 |
stable
|
1.8 (-0.4, 4.0) |
| Randolph County 2 | Urban | 112.4 (102.4, 123.1) | 46 (11, 85) | 94 |
stable
|
0.6 (-0.2, 1.4) |
| Robeson County 2 | Rural | 112.5 (101.4, 124.5) | 48 (9, 87) | 75 |
stable
|
0.7 (-0.3, 1.6) |
| Cabarrus County 2 | Urban | 112.5 (105.0, 120.4) | 45 (15, 79) | 169 |
stable
|
-0.8 (-2.8, 0.2) |
| Burke County 2 | Urban | 112.7 (99.7, 127.0) | 49 (6, 88) | 55 |
stable
|
-1.4 (-4.4, 0.0) |
| Pamlico County 2 | Rural | 112.8 (76.9, 159.7) | 47 (1, 97) | 6 |
stable
|
0.6 (-3.2, 4.3) |
| Stokes County 2 | Urban | 112.9 (94.8, 133.5) | 42 (2, 92) | 28 |
stable
|
-11.1 (-25.9, 2.6) |
| New Hanover County 2 | Urban | 113.0 (105.1, 121.3) | 44 (14, 80) | 155 |
stable
|
-0.6 (-3.8, 0.4) |
| Union County 2 | Urban | 113.4 (106.0, 121.2) | 43 (15, 77) | 181 |
rising 
|
1.3 (0.4, 2.4) |
| Jones County 2 | Rural | 114.2 (75.1, 166.5) | 29 (1, 97) | 5 |
stable
|
0.2 (-3.0, 3.1) |
| Rutherford County 2 | Rural | 114.3 (99.0, 131.3) | 41 (4, 90) | 40 |
stable
|
0.5 (-1.2, 2.2) |
| Davidson County 2 | Urban | 114.8 (105.5, 124.8) | 40 (10, 82) | 113 |
stable
|
0.8 (-0.3, 1.8) |
| Wilkes County 2 | Rural | 115.3 (100.2, 132.1) | 39 (3, 89) | 42 |
rising
|
3.3 (1.9, 6.0) |
| 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) |
| Madison County 2 | Urban | 116.3 (90.7, 146.9) | 32 (1, 94) | 14 |
stable
|
0.7 (-1.3, 2.8) |
| Vance County 2 | Rural | 116.4 (97.3, 138.1) | 35 (1, 91) | 26 |
stable
|
0.5 (-1.1, 2.0) |
| Scotland County 2 | Rural | 116.7 (96.7, 139.6) | 34 (1, 92) | 24 |
stable
|
0.1 (-2.0, 2.1) |
| Northampton County 2 | Rural | 117.4 (86.6, 155.6) | 26 (1, 95) | 10 |
stable
|
1.7 (-0.6, 4.0) |
| Onslow County 2 | Urban | 117.5 (108.1, 127.5) | 33 (6, 75) | 130 |
falling
|
-1.0 (-2.1, -0.2) |
| Haywood County 2 | Rural | 117.6 (101.7, 135.3) | 28 (2, 87) | 40 |
stable
|
0.4 (-1.1, 1.8) |
| Chowan County 2 | Rural | 118.1 (84.7, 160.2) | 20 (1, 95) | 8 |
stable
|
1.6 (-3.5, 6.7) |
| Bladen County 2 | Rural | 118.6 (96.1, 144.7) | 31 (1, 93) | 20 |
stable
|
0.4 (-1.4, 2.2) |
| Davie County 2 | Urban | 118.7 (99.7, 140.2) | 30 (1, 91) | 28 |
stable
|
0.2 (-0.7, 1.2) |
| Cherokee County 2 | Rural | 119.7 (94.9, 149.1) | 27 (1, 93) | 16 |
stable
|
0.5 (-2.3, 3.2) |
| McDowell County 2 | Rural | 120.1 (101.9, 140.7) | 25 (1, 88) | 31 |
stable
|
-0.5 (-10.6, 1.9) |
| Jackson County 2 | Rural | 120.5 (100.5, 143.1) | 24 (1, 90) | 26 |
stable
|
1.3 (-0.7, 3.4) |
| Brunswick County 2 | Urban | 120.7 (108.7, 133.6) | 23 (3, 79) | 75 |
stable
|
0.7 (-0.3, 1.7) |
| Bertie County 2 | Rural | 120.7 (91.1, 156.7) | 22 (1, 95) | 11 |
stable
|
2.4 (-0.6, 14.5) |
| Swain County 2 | Rural | 121.0 (89.1, 160.6) | 21 (1, 95) | 10 |
stable
|
-1.1 (-4.5, 2.0) |
| Beaufort County 2 | Rural | 121.3 (102.0, 143.1) | 19 (1, 88) | 28 |
stable
|
0.2 (-1.1, 1.4) |
| Person County 2 | Urban | 122.3 (102.3, 145.0) | 18 (1, 90) | 27 |
stable
|
0.0 (-11.1, 2.8) |
| Duplin County 2 | Rural | 122.8 (104.9, 142.9) | 17 (1, 88) | 34 |
rising
|
2.7 (0.7, 4.8) |
| Sampson County 2 | Rural | 123.5 (107.3, 141.5) | 16 (1, 82) | 42 |
stable
|
1.3 (-0.1, 2.7) |
| Cleveland County 2 | Rural | 124.2 (111.3, 138.2) | 10 (1, 71) | 68 |
rising
|
1.7 (0.3, 3.0) |
| Moore County 2 | Urban | 124.3 (111.4, 138.2) | 12 (2, 72) | 68 |
stable
|
0.4 (-1.2, 2.1) |
| 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) |
| Lincoln County 2 | Urban | 125.2 (111.9, 139.6) | 13 (2, 69) | 66 |
stable
|
1.1 (-0.1, 2.5) |
| Washington County 2 | Rural | 125.7 (85.6, 177.5) | 11 (1, 96) | 6 |
stable
|
1.5 (-1.7, 4.2) |
| 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) |
| Wayne County 2 | Urban | 128.5 (116.6, 141.4) | 6 (1, 56) | 86 |
rising
|
2.0 (1.3, 2.8) |
| Mitchell County 2 | Rural | 129.1 (95.9, 170.1) | 3 (1, 93) | 10 |
stable
|
1.1 (-1.2, 3.3) |
| Lenoir County 2 | Rural | 131.0 (113.1, 150.8) | 5 (1, 78) | 39 |
stable
|
-0.2 (-1.7, 1.2) |
| Granville County 2 | Rural | 133.5 (117.2, 151.4) | 4 (1, 61) | 49 |
stable
|
-0.6 (-8.5, 1.8) |
| Anson County 2 | Urban | 143.2 (115.0, 176.1) | 2 (1, 82) | 18 |
rising
|
3.6 (1.3, 6.0) |
| Polk County 2 | Rural | 144.1 (110.6, 184.6) | 1 (1, 87) | 13 |
stable
|
2.7 (-1.3, 7.1) |
| Gates County 2 | Urban |
|
|
|
|
|
| Hyde County 2 | Rural |
|
|
|
|
|
| Tyrrell County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 4:14 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.