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