Incidence Rates Table
Incidence Rate Report for Missouri 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)
|
|---|---|---|---|---|---|---|
| Ripley County 2 | Rural | 1,738.1 (1,570.6, 1,918.8) | 1 (1, 42) | 81 |
rising 
|
1.1 (0.1, 2.0) |
| Mississippi County 2 | Rural | 1,682.3 (1,523.2, 1,853.8) | 2 (1, 56) | 83 |
stable 
|
0.8 (-0.1, 1.8) |
| Madison County 2 | Rural | 1,671.7 (1,517.1, 1,838.0) | 3 (1, 57) | 88 |
stable
|
0.8 (-0.1, 1.7) |
| St. Francois County 2 | Rural | 1,653.6 (1,581.5, 1,728.2) | 4 (1, 26) | 405 |
rising
|
0.6 (0.2, 1.0) |
| Carter County 2 | Rural | 1,645.0 (1,416.6, 1,900.4) | 5 (1, 96) | 38 |
stable
|
0.7 (-1.0, 2.3) |
| Pike County 2 | Rural | 1,639.2 (1,505.3, 1,781.7) | 6 (1, 61) | 113 |
stable
|
0.5 (-1.2, 2.4) |
| Dunklin County 2 | Rural | 1,632.0 (1,525.8, 1,743.6) | 7 (1, 42) | 180 |
rising
|
1.1 (0.4, 1.9) |
| Wayne County 2 | Rural | 1,627.3 (1,478.3, 1,787.4) | 8 (1, 77) | 91 |
rising
|
9.3 (0.1, 15.4) |
| Marion County 2 | Rural | 1,616.3 (1,510.3, 1,727.9) | 9 (1, 48) | 179 |
rising
|
0.8 (0.2, 1.5) |
| Stoddard County 2 | Rural | 1,604.5 (1,503.7, 1,710.3) | 10 (1, 48) | 194 |
stable
|
0.8 (0.0, 1.6) |
| Iron County 2 | Rural | 1,601.7 (1,437.0, 1,780.2) | 11 (1, 82) | 71 |
stable
|
1.0 (-0.1, 2.2) |
| Jasper County 2 | Urban | 1,587.1 (1,532.5, 1,643.0) | 12 (3, 33) | 659 |
rising
|
1.1 (0.3, 1.9) |
| Scott County 2 | Rural | 1,585.4 (1,495.4, 1,679.5) | 13 (1, 54) | 237 |
stable
|
0.6 (0.0, 1.2) |
| Monroe County 2 | Rural | 1,581.3 (1,410.4, 1,767.3) | 14 (1, 93) | 66 |
stable
|
1.2 (-0.4, 2.9) |
| Washington County 2 | Rural | 1,576.2 (1,460.2, 1,699.1) | 15 (1, 69) | 144 |
stable
|
0.4 (-0.3, 1.1) |
| Randolph County 2 | Rural | 1,567.5 (1,453.0, 1,688.7) | 16 (1, 70) | 142 |
stable
|
0.4 (-0.5, 1.4) |
| Buchanan County 2 | Urban | 1,555.7 (1,492.9, 1,620.4) | 17 (4, 46) | 478 |
stable
|
0.5 (-0.3, 1.2) |
| Franklin County 2 | Urban | 1,553.7 (1,499.9, 1,608.9) | 18 (6, 42) | 656 |
stable
|
0.5 (-0.1, 2.4) |
| Oregon County 2 | Rural | 1,537.8 (1,368.2, 1,722.7) | 19 (1, 101) | 63 |
rising
|
2.0 (0.3, 3.8) |
| Shelby County 2 | Rural | 1,537.6 (1,329.1, 1,769.8) | 20 (1, 107) | 41 |
stable
|
-0.2 (-1.4, 1.1) |
| Montgomery County 2 | Rural | 1,535.3 (1,382.0, 1,701.1) | 21 (1, 97) | 76 |
stable
|
0.1 (-0.9, 1.2) |
| Gentry County 2 | Rural | 1,535.1 (1,324.4, 1,770.0) | 22 (1, 108) | 39 |
stable
|
0.8 (-0.9, 2.6) |
| Ste. Genevieve County 2 | Rural | 1,533.4 (1,410.6, 1,664.1) | 23 (2, 83) | 121 |
rising
|
1.4 (0.3, 2.6) |
| Butler County 2 | Rural | 1,519.1 (1,435.9, 1,605.9) | 24 (5, 68) | 256 |
stable
|
0.0 (-0.7, 0.7) |
| Perry County 2 | Rural | 1,515.0 (1,394.2, 1,643.5) | 25 (3, 92) | 119 |
stable
|
0.6 (-0.5, 1.9) |
| Holt County 2 | Rural | 1,499.5 (1,272.3, 1,755.8) | 26 (1, 111) | 33 |
stable
|
0.9 (-0.8, 2.7) |
| Pettis County 2 | Rural | 1,498.6 (1,412.7, 1,588.3) | 27 (7, 79) | 236 |
stable
|
-0.1 (-0.9, 0.8) |
| Crawford County 2 | Rural | 1,498.5 (1,390.7, 1,612.5) | 28 (3, 90) | 149 |
stable
|
-5.8 (-11.9, 0.4) |
| New Madrid County 2 | Rural | 1,495.2 (1,366.3, 1,633.1) | 29 (3, 98) | 102 |
stable
|
-0.3 (-1.5, 0.8) |
| Jefferson County 2 | Urban | 1,492.6 (1,454.1, 1,531.9) | 30 (16, 54) | 1,227 |
stable
|
-0.2 (-0.6, 0.3) |
| Knox County 2 | Rural | 1,488.8 (1,234.8, 1,779.9) | 31 (1, 114) | 25 |
stable
|
-0.3 (-1.5, 0.8) |
| Henry County 2 | Rural | 1,486.3 (1,380.9, 1,597.7) | 32 (4, 91) | 153 |
stable
|
-0.3 (-1.3, 0.8) |
| Linn County 2 | Rural | 1,484.9 (1,339.2, 1,642.4) | 33 (2, 104) | 79 |
stable
|
0.4 (-0.8, 1.6) |
| Lewis County 2 | Rural | 1,481.5 (1,315.7, 1,662.6) | 34 (1, 106) | 59 |
stable
|
-1.2 (-5.9, 0.1) |
| Lincoln County 2 | Urban | 1,475.3 (1,398.1, 1,555.7) | 35 (12, 82) | 294 |
stable
|
-0.5 (-1.3, 0.3) |
| Chariton County 2 | Rural | 1,474.9 (1,294.8, 1,673.0) | 36 (1, 109) | 52 |
stable
|
0.0 (-1.1, 1.2) |
| Saline County 2 | Rural | 1,465.9 (1,352.9, 1,585.8) | 37 (5, 98) | 128 |
stable
|
1.7 (-1.0, 9.6) |
| Livingston County 2 | Rural | 1,462.2 (1,324.4, 1,610.4) | 38 (3, 103) | 86 |
stable
|
0.1 (-1.0, 1.1) |
| Reynolds County 2 | Rural | 1,460.7 (1,271.8, 1,670.1) | 39 (1, 113) | 44 |
stable
|
-0.2 (-1.9, 1.7) |
| Pulaski County 2 | Rural | 1,460.6 (1,361.6, 1,565.0) | 40 (9, 93) | 169 |
stable
|
-0.7 (-1.4, 0.0) |
| Cooper County 2 | Urban | 1,456.4 (1,329.3, 1,592.4) | 41 (4, 104) | 100 |
stable
|
0.5 (-0.7, 1.8) |
| Bollinger County 2 | Urban | 1,454.2 (1,303.9, 1,617.3) | 42 (2, 107) | 70 |
stable
|
0.7 (-0.6, 2.0) |
| Gasconade County 2 | Rural | 1,447.9 (1,323.7, 1,580.8) | 43 (4, 104) | 104 |
stable
|
-0.6 (-1.5, 0.4) |
| Shannon County 2 | Rural | 1,447.5 (1,267.7, 1,645.9) | 44 (1, 111) | 49 |
stable
|
0.8 (-1.0, 2.7) |
| Johnson County 2 | Rural | 1,447.2 (1,362.0, 1,536.3) | 45 (13, 91) | 224 |
stable
|
0.2 (-0.4, 0.9) |
| Osage County 2 | Urban | 1,438.0 (1,294.7, 1,592.9) | 46 (3, 109) | 76 |
stable
|
0.2 (-9.9, 4.9) |
| Warren County 2 | Urban | 1,437.4 (1,348.3, 1,530.8) | 47 (14, 94) | 202 |
stable
|
0.2 (-0.8, 1.2) |
| Lafayette County 2 | Urban | 1,433.7 (1,343.0, 1,528.8) | 48 (13, 97) | 191 |
stable
|
0.5 (-0.1, 1.2) |
| Worth County 2 | Rural | 1,431.1 (1,111.4, 1,814.1) | 49 (1, 115) | 15 |
stable
|
1.2 (-1.9, 4.6) |
| Callaway County 2 | Urban | 1,428.7 (1,347.3, 1,513.7) | 50 (18, 96) | 240 |
stable
|
-0.2 (-0.9, 0.5) |
| Clay County 2 | Urban | 1,428.4 (1,391.4, 1,466.1) | 51 (32, 78) | 1,176 |
stable
|
-0.4 (-0.8, 0.0) |
| Phelps County 2 | Rural | 1,428.0 (1,345.6, 1,514.2) | 52 (16, 96) | 231 |
stable
|
-0.1 (-0.9, 0.8) |
| Clark County 2 | Rural | 1,426.6 (1,239.1, 1,634.8) | 53 (1, 112) | 43 |
stable
|
1.6 (0.0, 3.4) |
| St. Louis County 2 | Urban | 1,425.0 (1,408.1, 1,442.1) | 54 (39, 68) | 5,590 |
falling 
|
-0.4 (-0.7, -0.2) |
| Howard County 2 | Urban | 1,423.1 (1,259.6, 1,602.0) | 55 (3, 111) | 58 |
stable
|
3.6 (-1.3, 15.5) |
| Dent County 2 | Rural | 1,422.7 (1,294.8, 1,559.9) | 56 (9, 107) | 95 |
stable
|
-0.3 (-1.4, 0.9) |
| Boone County 2 | Urban | 1,419.7 (1,373.2, 1,467.3) | 57 (30, 85) | 742 |
stable
|
-0.3 (-0.7, 0.3) |
| Wright County 2 | Rural | 1,419.1 (1,299.3, 1,547.1) | 58 (8, 108) | 107 |
stable
|
-0.5 (-1.4, 0.5) |
| Morgan County 2 | Rural | 1,412.7 (1,309.1, 1,522.4) | 59 (14, 104) | 145 |
stable
|
-0.6 (-1.6, 0.4) |
| Benton County 2 | Rural | 1,406.5 (1,309.3, 1,509.1) | 60 (15, 104) | 168 |
stable
|
-0.7 (-2.0, 0.7) |
| Cape Girardeau County 2 | Urban | 1,405.9 (1,345.2, 1,468.7) | 61 (27, 92) | 416 |
stable
|
0.3 (-0.7, 1.3) |
| St. Clair County 2 | Rural | 1,402.2 (1,251.5, 1,566.1) | 62 (5, 110) | 67 |
rising
|
2.6 (0.2, 10.2) |
| Cole County 2 | Urban | 1,399.0 (1,337.7, 1,462.4) | 63 (30, 95) | 404 |
stable
|
-0.5 (-1.2, 0.2) |
| Macon County 2 | Rural | 1,397.8 (1,272.6, 1,532.0) | 64 (10, 107) | 95 |
stable
|
-0.4 (-1.4, 0.7) |
| Cass County 2 | Urban | 1,397.1 (1,345.7, 1,449.9) | 65 (33, 92) | 572 |
stable
|
0.0 (-0.4, 0.4) |
| Grundy County 2 | Rural | 1,396.6 (1,238.7, 1,569.1) | 66 (5, 112) | 60 |
stable
|
-0.5 (-1.8, 0.8) |
| Taney County 2 | Rural | 1,396.5 (1,330.0, 1,465.5) | 67 (27, 98) | 346 |
rising
|
2.4 (0.5, 6.2) |
| Greene County 2 | Urban | 1,385.1 (1,353.1, 1,417.7) | 68 (44, 88) | 1,457 |
rising
|
5.7 (1.5, 7.8) |
| Mercer County 2 | Rural | 1,383.4 (1,131.8, 1,674.7) | 69 (1, 115) | 22 |
stable
|
1.1 (-1.6, 3.8) |
| St. Charles County 2 | Urban | 1,383.2 (1,355.8, 1,411.1) | 70 (48, 88) | 2,005 |
falling
|
-0.8 (-1.1, -0.5) |
| Audrain County 2 | Rural | 1,380.2 (1,276.7, 1,489.8) | 71 (18, 107) | 136 |
falling
|
-1.0 (-1.7, -0.3) |
| Cedar County 2 | Rural | 1,379.8 (1,255.6, 1,513.1) | 72 (13, 109) | 93 |
stable
|
-0.1 (-0.8, 0.7) |
| Carroll County 2 | Rural | 1,377.5 (1,215.2, 1,555.8) | 73 (6, 113) | 54 |
stable
|
0.3 (-1.0, 1.5) |
| Howell County 2 | Rural | 1,373.5 (1,293.2, 1,457.6) | 74 (29, 104) | 225 |
stable
|
-0.3 (-1.3, 0.7) |
| Adair County 2 | Rural | 1,373.1 (1,259.7, 1,493.9) | 75 (15, 109) | 111 |
stable
|
0.0 (-1.2, 1.3) |
| Jackson County 2 | Urban | 1,373.0 (1,351.8, 1,394.5) | 76 (56, 87) | 3,324 |
falling
|
-0.4 (-1.3, -0.3) |
| Miller County 2 | Rural | 1,369.1 (1,268.2, 1,475.9) | 77 (21, 107) | 141 |
stable
|
-5.2 (-10.7, 0.8) |
| Bates County 2 | Urban | 1,368.4 (1,244.5, 1,501.4) | 78 (15, 109) | 92 |
stable
|
-0.2 (-1.4, 1.0) |
| Andrew County 2 | Urban | 1,367.8 (1,249.9, 1,494.0) | 79 (16, 109) | 102 |
stable
|
0.0 (-1.2, 1.4) |
| Webster County 2 | Urban | 1,366.5 (1,278.9, 1,458.6) | 80 (25, 106) | 186 |
stable
|
-0.2 (-0.8, 0.6) |
| Barry County 2 | Rural | 1,365.4 (1,283.0, 1,451.8) | 81 (29, 106) | 213 |
falling
|
-4.7 (-7.6, -1.1) |
| Harrison County 2 | Rural | 1,362.7 (1,197.6, 1,544.4) | 82 (8, 113) | 51 |
stable
|
0.0 (-1.6, 1.5) |
| Camden County 2 | Rural | 1,359.9 (1,293.1, 1,429.3) | 83 (34, 103) | 340 |
stable
|
-0.2 (-0.9, 0.6) |
| Polk County 2 | Urban | 1,355.5 (1,264.2, 1,451.6) | 84 (28, 108) | 168 |
stable
|
2.7 (-0.8, 8.0) |
| Putnam County 2 | Rural | 1,353.1 (1,137.7, 1,597.2) | 85 (2, 115) | 30 |
stable
|
0.8 (-1.6, 3.3) |
| Moniteau County 2 | Urban | 1,349.5 (1,214.7, 1,495.4) | 86 (14, 113) | 75 |
stable
|
0.2 (-1.2, 1.6) |
| Ozark County 2 | Rural | 1,344.7 (1,196.5, 1,506.3) | 87 (10, 112) | 66 |
stable
|
0.2 (-1.6, 2.1) |
| Clinton County 2 | Urban | 1,338.5 (1,229.8, 1,454.2) | 88 (26, 112) | 116 |
stable
|
0.0 (-1.0, 1.0) |
| Barton County 2 | Rural | 1,338.3 (1,196.4, 1,492.6) | 89 (17, 113) | 68 |
stable
|
0.7 (-1.0, 2.5) |
| McDonald County 2 | Rural | 1,336.4 (1,224.3, 1,456.1) | 90 (24, 111) | 110 |
stable
|
1.1 (-0.1, 2.5) |
| Christian County 2 | Urban | 1,315.0 (1,257.8, 1,374.3) | 91 (53, 107) | 409 |
falling
|
-0.8 (-1.4, -0.1) |
| Caldwell County 2 | Urban | 1,314.2 (1,155.4, 1,489.0) | 92 (12, 114) | 50 |
rising
|
9.5 (1.8, 20.4) |
| Laclede County 2 | Rural | 1,312.8 (1,228.2, 1,401.7) | 93 (40, 110) | 184 |
falling
|
-0.9 (-1.6, -0.3) |
| Stone County 2 | Rural | 1,311.8 (1,235.9, 1,391.2) | 94 (47, 108) | 250 |
stable
|
1.5 (-0.2, 4.8) |
| Ray County 2 | Urban | 1,306.1 (1,204.4, 1,414.2) | 95 (34, 112) | 126 |
stable
|
-0.8 (-2.0, 0.5) |
| Daviess County 2 | Rural | 1,303.4 (1,136.8, 1,487.7) | 96 (11, 115) | 46 |
stable
|
-0.1 (-1.6, 1.6) |
| St. Louis City 2 | Urban | 1,297.8 (1,265.0, 1,331.2) | 97 (77, 105) | 1,282 |
falling
|
-6.4 (-10.2, -2.1) |
| Pemiscot County 2 | Rural | 1,291.5 (1,162.4, 1,430.9) | 98 (25, 114) | 76 |
stable
|
0.5 (-0.9, 1.9) |
| Nodaway County 2 | Rural | 1,290.2 (1,177.2, 1,411.2) | 99 (34, 114) | 98 |
stable
|
0.0 (-1.0, 1.0) |
| Dallas County 2 | Urban | 1,283.5 (1,168.5, 1,406.9) | 100 (30, 113) | 96 |
stable
|
-6.4 (-13.5, 0.8) |
| Lawrence County 2 | Rural | 1,264.7 (1,184.0, 1,349.5) | 101 (56, 113) | 187 |
stable
|
-0.3 (-0.8, 0.3) |
| Newton County 2 | Urban | 1,262.3 (1,198.0, 1,329.2) | 102 (70, 112) | 296 |
stable
|
-0.2 (-1.3, 1.0) |
| Atchison County 2 | Rural | 1,261.0 (1,071.8, 1,474.1) | 103 (12, 115) | 33 |
stable
|
-0.9 (-2.4, 0.6) |
| Maries County 2 | Rural | 1,244.0 (1,091.2, 1,412.5) | 104 (29, 115) | 49 |
stable
|
0.2 (-1.3, 1.8) |
| Texas County 2 | Rural | 1,243.9 (1,149.9, 1,343.6) | 105 (61, 113) | 134 |
stable
|
-0.7 (-1.6, 0.2) |
| Hickory County 2 | Rural | 1,227.1 (1,090.5, 1,376.2) | 106 (37, 115) | 65 |
rising
|
3.1 (0.3, 9.2) |
| Vernon County 2 | Rural | 1,213.0 (1,107.6, 1,325.9) | 107 (54, 115) | 100 |
stable
|
-0.5 (-1.3, 0.3) |
| Dade County 2 | Rural | 1,212.1 (1,057.5, 1,383.2) | 108 (38, 115) | 46 |
stable
|
-0.1 (-2.8, 8.2) |
| DeKalb County 2 | Urban | 1,189.3 (1,048.6, 1,343.5) | 109 (51, 115) | 53 |
stable
|
-0.1 (-1.7, 1.6) |
| Douglas County 2 | Rural | 1,188.3 (1,062.6, 1,325.0) | 110 (57, 115) | 70 |
rising
|
2.7 (0.1, 10.3) |
| Sullivan County 2 | Rural | 1,165.3 (985.4, 1,368.6) | 111 (40, 115) | 30 |
stable
|
-1.3 (-3.3, 0.5) |
| Platte County 2 | Urban | 1,157.1 (1,107.3, 1,208.5) | 112 (101, 115) | 422 |
falling
|
-4.1 (-8.0, -1.2) |
| Schuyler County 2 | Rural | 1,086.3 (872.3, 1,337.5) | 113 (35, 115) | 18 |
stable
|
-0.7 (-2.7, 1.3) |
| Ralls County 2 | Rural | 1,079.6 (951.4, 1,220.6) | 114 (91, 115) | 53 |
falling
|
-13.5 (-24.7, -1.6) |
| Scotland County 2 | Rural | 1,030.6 (830.1, 1,265.4) | 115 (56, 115) | 19 |
stable
|
-1.9 (-4.6, 0.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 4:10 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 for United States does not include Puerto Rico.