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