Incidence Rates Table
Incidence Rate Report for Alabama 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)
|
|---|---|---|---|---|---|---|
| Alabama 2 | N/A | 106.3 (104.6, 107.9) | N/A | 3,141 |
rising 
|
0.4 (0.1, 0.7) |
| US (SEER+NPCR) 1 | N/A | 105.7 (105.5, 105.9) | N/A | 211,922 |
stable 
|
0.1 (-0.1, 0.2) |
| Choctaw County 2 | Rural | 64.7 (40.4, 98.2) | 67 (27, 67) | 4 |
stable
|
-0.3 (-4.7, 3.4) |
| DeKalb County 2 | Rural | 77.2 (65.9, 90.0) | 66 (50, 67) | 33 |
stable
|
0.0 (-2.3, 2.3) |
| Bullock County 2 | Rural | 81.8 (53.4, 120.0) | 65 (7, 67) | 5 |
stable
|
0.0 (-5.0, 4.5) |
| Barbour County 2 | Rural | 83.6 (64.0, 107.3) | 64 (18, 67) | 12 |
stable
|
-0.7 (-3.1, 1.3) |
| Hale County 2 | Urban | 84.9 (58.6, 118.7) | 63 (7, 67) | 7 |
stable
|
-1.4 (-4.8, 1.4) |
| Russell County 2 | Urban | 87.6 (74.2, 102.6) | 62 (31, 67) | 31 |
stable
|
-0.6 (-2.3, 1.0) |
| Cleburne County 2 | Rural | 89.7 (63.6, 123.0) | 61 (5, 67) | 8 |
falling 
|
-5.6 (-20.4, -1.7) |
| Lee County 2 | Urban | 89.2 (81.2, 97.8) | 60 (41, 65) | 94 |
stable
|
0.6 (-0.4, 1.7) |
| Franklin County 2 | Rural | 92.6 (74.4, 113.9) | 59 (12, 67) | 18 |
stable
|
0.7 (-1.1, 2.6) |
| Geneva County 2 | Urban | 93.5 (72.8, 118.3) | 58 (9, 67) | 14 |
stable
|
-0.9 (-3.6, 1.5) |
| Pickens County 2 | Urban | 91.7 (68.2, 120.8) | 57 (6, 67) | 10 |
falling
|
-17.9 (-40.8, -6.1) |
| Perry County 2 | Rural | 90.2 (54.8, 139.2) | 56 (1, 67) | 4 |
stable
|
2.0 (-2.3, 6.3) |
| Marion County 2 | Rural | 94.5 (74.7, 118.0) | 55 (9, 67) | 16 |
stable
|
8.1 (-8.4, 20.9) |
| Escambia County 2 | Rural | 95.0 (77.5, 115.3) | 54 (12, 67) | 21 |
stable
|
-0.8 (-3.5, 1.6) |
| Henry County 2 | Urban | 95.5 (70.3, 126.9) | 53 (4, 67) | 10 |
stable
|
-0.1 (-2.2, 1.9) |
| Monroe County 2 | Rural | 95.9 (71.4, 126.0) | 52 (5, 67) | 10 |
stable
|
0.7 (-2.5, 3.7) |
| Tuscaloosa County 2 | Urban | 97.1 (89.6, 104.9) | 51 (28, 62) | 130 |
stable
|
-0.7 (-1.5, 0.1) |
| Limestone County 2 | Urban | 98.6 (88.2, 109.8) | 50 (20, 63) | 66 |
falling
|
-6.5 (-10.8, -0.4) |
| Montgomery County 2 | Urban | 99.7 (92.3, 107.6) | 49 (26, 61) | 134 |
stable
|
0.1 (-0.7, 0.8) |
| Madison County 2 | Urban | 99.6 (93.9, 105.5) | 48 (29, 59) | 230 |
stable
|
-2.9 (-7.6, 0.2) |
| Jackson County 2 | Rural | 102.1 (86.8, 119.4) | 47 (10, 65) | 32 |
stable
|
0.5 (-1.5, 2.5) |
| Bibb County 2 | Urban | 105.3 (82.8, 132.1) | 46 (4, 66) | 15 |
stable
|
1.2 (-1.5, 4.0) |
| St. Clair County 2 | Urban | 105.1 (93.4, 117.8) | 45 (12, 61) | 59 |
stable
|
1.0 (-0.5, 2.5) |
| Jefferson County 2 | Urban | 105.2 (100.7, 109.7) | 44 (24, 52) | 426 |
stable
|
-0.2 (-0.7, 0.4) |
| Coffee County 2 | Rural | 106.2 (91.0, 123.2) | 43 (8, 64) | 35 |
stable
|
1.2 (-0.6, 3.1) |
| Chambers County 2 | Rural | 105.3 (85.8, 127.9) | 42 (5, 65) | 21 |
stable
|
-12.1 (-26.7, 2.2) |
| Blount County 2 | Urban | 106.5 (91.7, 123.0) | 41 (8, 63) | 37 |
stable
|
0.4 (-1.4, 2.2) |
| Baldwin County 2 | Urban | 106.0 (98.3, 114.1) | 40 (17, 55) | 141 |
stable
|
0.8 (0.0, 1.5) |
| Marshall County 2 | Rural | 106.6 (94.9, 119.4) | 39 (12, 60) | 60 |
stable
|
0.2 (-1.3, 1.6) |
| Shelby County 2 | Urban | 106.8 (99.4, 114.7) | 38 (17, 55) | 153 |
stable
|
0.2 (-0.5, 0.9) |
| Macon County 2 | Urban | 105.3 (77.0, 140.2) | 37 (1, 67) | 10 |
stable
|
1.1 (-0.6, 2.8) |
| Colbert County 2 | Urban | 107.8 (92.3, 125.1) | 36 (6, 62) | 35 |
stable
|
-4.3 (-14.3, 0.6) |
| Covington County 2 | Rural | 107.6 (88.4, 129.6) | 35 (4, 64) | 22 |
stable
|
2.2 (-0.9, 5.3) |
| Mobile County 2 | Urban | 108.5 (102.6, 114.5) | 34 (17, 50) | 261 |
rising
|
2.2 (0.4, 6.2) |
| Coosa County 2 | Rural | 109.9 (73.6, 158.1) | 33 (1, 67) | 6 |
stable
|
2.5 (-2.7, 8.0) |
| Chilton County 2 | Urban | 110.7 (93.6, 130.1) | 32 (5, 62) | 30 |
stable
|
-0.3 (-1.9, 1.4) |
| Dale County 2 | Rural | 110.2 (93.5, 129.0) | 31 (4, 62) | 31 |
stable
|
1.4 (-0.5, 3.3) |
| Elmore County 2 | Urban | 110.9 (98.7, 124.2) | 30 (8, 56) | 61 |
stable
|
0.7 (-1.2, 2.6) |
| Morgan County 2 | Urban | 110.5 (99.9, 121.9) | 29 (9, 55) | 80 |
stable
|
0.7 (-0.7, 2.1) |
| Dallas County 2 | Rural | 111.7 (92.0, 134.3) | 28 (3, 63) | 23 |
stable
|
1.3 (-0.8, 3.4) |
| Wilcox County 2 | Rural | 112.4 (77.1, 158.0) | 27 (1, 67) | 7 |
stable
|
-1.3 (-4.4, 1.5) |
| Randolph County 2 | Rural | 112.9 (87.5, 143.3) | 26 (1, 65) | 14 |
stable
|
0.7 (-1.8, 3.1) |
| Houston County 2 | Urban | 112.3 (100.9, 124.7) | 25 (7, 54) | 71 |
stable
|
0.1 (-1.1, 1.2) |
| Lamar County 2 | Rural | 113.2 (82.0, 152.3) | 24 (1, 67) | 9 |
stable
|
0.7 (-1.5, 2.9) |
| Fayette County 2 | Rural | 113.8 (84.6, 149.7) | 23 (1, 66) | 10 |
stable
|
-2.1 (-18.6, 2.1) |
| Cherokee County 2 | Rural | 114.4 (89.8, 143.6) | 22 (1, 65) | 15 |
stable
|
1.1 (-2.9, 5.0) |
| Lauderdale County 2 | Urban | 115.5 (102.5, 129.7) | 21 (5, 54) | 58 |
rising
|
1.6 (0.6, 2.6) |
| Cullman County 2 | Rural | 116.5 (103.6, 130.6) | 20 (5, 51) | 60 |
stable
|
1.2 (-0.5, 2.9) |
| Autauga County 2 | Urban | 117.6 (102.3, 134.5) | 19 (3, 57) | 43 |
stable
|
0.0 (-1.1, 1.1) |
| Greene County 2 | Urban | 120.7 (76.3, 180.9) | 18 (1, 67) | 5 |
stable
|
2.0 (-1.4, 5.1) |
| Etowah County 2 | Urban | 120.9 (108.8, 133.9) | 17 (4, 47) | 74 |
stable
|
1.1 (-0.1, 2.2) |
| Tallapoosa County 2 | Rural | 118.9 (98.9, 141.7) | 16 (1, 59) | 25 |
stable
|
0.6 (-1.2, 2.3) |
| Pike County 2 | Rural | 120.8 (97.5, 147.7) | 15 (1, 60) | 19 |
stable
|
1.8 (-1.0, 4.5) |
| Walker County 2 | Urban | 122.0 (106.4, 139.2) | 14 (2, 52) | 44 |
stable
|
1.0 (-0.1, 2.0) |
| Sumter County 2 | Rural | 122.9 (83.5, 173.3) | 13 (1, 67) | 7 |
stable
|
2.3 (-1.7, 6.1) |
| Talladega County 2 | Rural | 123.4 (109.7, 138.4) | 12 (2, 46) | 59 |
stable
|
1.3 (0.0, 2.5) |
| Crenshaw County 2 | Rural | 126.1 (91.7, 168.8) | 11 (1, 65) | 9 |
stable
|
-17.9 (-37.9, 4.4) |
| Washington County 2 | Rural | 126.3 (94.4, 165.4) | 10 (1, 65) | 11 |
stable
|
2.4 (-0.7, 5.4) |
| Butler County 2 | Rural | 126.9 (98.3, 161.1) | 9 (1, 63) | 13 |
stable
|
0.1 (-3.2, 3.1) |
| Calhoun County 2 | Urban | 127.3 (115.4, 140.0) | 8 (1, 33) | 85 |
rising
|
4.2 (0.7, 12.6) |
| Clay County 2 | Rural | 127.3 (94.3, 168.0) | 7 (1, 65) | 10 |
stable
|
-0.1 (-3.4, 3.0) |
| Lawrence County 2 | Urban | 133.8 (111.3, 159.5) | 6 (1, 48) | 25 |
stable
|
1.4 (-0.2, 2.9) |
| Winston County 2 | Rural | 135.5 (108.2, 167.5) | 5 (1, 54) | 17 |
stable
|
1.7 (-0.5, 3.7) |
| Clarke County 2 | Rural | 139.0 (111.5, 171.2) | 4 (1, 56) | 18 |
stable
|
1.2 (0.0, 2.4) |
| Marengo County 2 | Rural | 140.6 (110.2, 176.7) | 3 (1, 57) | 15 |
stable
|
2.5 (-0.3, 5.5) |
| Conecuh County 2 | Rural | 141.4 (101.7, 191.3) | 2 (1, 63) | 8 |
stable
|
2.0 (-1.9, 5.8) |
| Lowndes County 2 | Urban | 154.9 (111.4, 209.4) | 1 (1, 62) | 8 |
stable
|
1.2 (-1.9, 4.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/28/2026 2:58 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.