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 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)
|
|---|---|---|---|---|---|---|
| Richmond County 2 | Rural | 1,719.1 (1,629.6, 1,812.3) | 1 (1, 11) | 286 |
rising 
|
5.0 (0.3, 10.1) |
| Swain County 2 | Rural | 1,668.1 (1,521.8, 1,824.8) | 2 (1, 63) | 99 |
rising
|
1.3 (0.3, 2.4) |
| McDowell County 2 | Rural | 1,665.6 (1,585.1, 1,749.3) | 3 (1, 21) | 331 |
rising
|
0.8 (0.1, 1.6) |
| Onslow County 2 | Urban | 1,642.5 (1,588.0, 1,698.3) | 4 (1, 18) | 722 |
falling 
|
-2.7 (-4.4, -0.5) |
| Anson County 2 | Urban | 1,620.5 (1,504.6, 1,742.9) | 5 (1, 59) | 150 |
rising
|
1.9 (1.3, 2.6) |
| Caldwell County 2 | Urban | 1,592.8 (1,533.5, 1,653.9) | 6 (1, 37) | 561 |
rising
|
0.9 (0.4, 1.5) |
| Granville County 2 | Rural | 1,581.4 (1,509.4, 1,656.0) | 7 (1, 51) | 378 |
stable 
|
-0.2 (-0.8, 0.5) |
| Wayne County 2 | Urban | 1,557.4 (1,504.0, 1,612.3) | 8 (2, 46) | 663 |
stable
|
0.5 (-1.7, 1.1) |
| Rutherford County 2 | Rural | 1,556.6 (1,492.4, 1,622.8) | 9 (2, 53) | 459 |
stable
|
0.2 (-0.2, 0.7) |
| Martin County 2 | Rural | 1,556.4 (1,450.0, 1,668.6) | 10 (1, 78) | 168 |
stable
|
0.4 (-0.9, 0.8) |
| Sampson County 2 | Rural | 1,556.2 (1,483.4, 1,631.6) | 11 (2, 59) | 353 |
rising
|
1.0 (0.3, 1.7) |
| Pender County 2 | Urban | 1,549.1 (1,477.7, 1,623.1) | 12 (2, 61) | 373 |
stable
|
0.5 (-0.2, 1.3) |
| Alamance County 2 | Urban | 1,547.2 (1,503.6, 1,591.7) | 13 (5, 44) | 976 |
stable
|
0.2 (-0.2, 0.7) |
| Gaston County 2 | Urban | 1,546.7 (1,508.5, 1,585.7) | 14 (5, 42) | 1,281 |
stable
|
0.1 (-0.4, 0.7) |
| Surry County 2 | Rural | 1,543.5 (1,481.6, 1,607.3) | 15 (3, 56) | 480 |
stable
|
0.5 (-0.2, 1.2) |
| Stanly County 2 | Rural | 1,543.2 (1,474.1, 1,614.6) | 16 (3, 61) | 388 |
stable
|
-0.2 (-4.3, 0.7) |
| Cleveland County 2 | Rural | 1,540.6 (1,485.8, 1,597.0) | 17 (4, 54) | 617 |
stable
|
0.2 (-1.7, 0.6) |
| Vance County 2 | Rural | 1,540.2 (1,456.8, 1,627.3) | 18 (2, 74) | 264 |
stable
|
0.0 (-0.4, 0.4) |
| Scotland County 2 | Rural | 1,530.6 (1,435.6, 1,630.2) | 19 (2, 82) | 201 |
stable
|
-0.3 (-1.6, 1.0) |
| Tyrrell County 2 | Rural | 1,530.0 (1,267.1, 1,831.4) | 20 (1, 97) | 25 |
rising
|
2.4 (0.6, 4.4) |
| Haywood County 2 | Rural | 1,520.1 (1,458.6, 1,583.5) | 21 (4, 65) | 479 |
stable
|
0.6 (-0.3, 1.7) |
| Johnston County 2 | Urban | 1,514.1 (1,471.4, 1,557.7) | 22 (7, 59) | 1,029 |
rising
|
0.6 (0.2, 1.0) |
| Person County 2 | Urban | 1,513.9 (1,431.0, 1,600.5) | 23 (3, 78) | 260 |
stable
|
0.0 (-0.5, 0.5) |
| Jones County 2 | Rural | 1,512.6 (1,354.9, 1,683.8) | 24 (1, 94) | 71 |
stable
|
-0.1 (-1.2, 1.1) |
| Davie County 2 | Urban | 1,509.5 (1,432.2, 1,589.9) | 25 (4, 78) | 292 |
stable
|
-0.5 (-5.9, 0.8) |
| Yancey County 2 | Rural | 1,508.1 (1,397.3, 1,625.4) | 26 (2, 88) | 144 |
stable
|
0.5 (-0.3, 1.5) |
| Rockingham County 2 | Urban | 1,506.9 (1,453.3, 1,562.0) | 27 (6, 69) | 617 |
stable
|
-0.1 (-0.5, 0.3) |
| Moore County 2 | Urban | 1,499.3 (1,449.2, 1,550.6) | 28 (7, 68) | 713 |
stable
|
-0.1 (-0.8, 0.6) |
| Lenoir County 2 | Rural | 1,499.1 (1,429.3, 1,571.4) | 29 (5, 76) | 360 |
stable
|
-0.8 (-1.6, 0.0) |
| Randolph County 2 | Urban | 1,497.9 (1,452.6, 1,544.3) | 30 (9, 66) | 852 |
falling
|
-2.2 (-3.9, -0.6) |
| Robeson County 2 | Rural | 1,492.7 (1,438.8, 1,548.2) | 31 (8, 72) | 607 |
stable
|
-2.0 (-4.3, 0.3) |
| Guilford County 2 | Urban | 1,492.2 (1,466.9, 1,517.9) | 32 (17, 56) | 2,719 |
stable
|
-0.5 (-2.5, 0.0) |
| Brunswick County 2 | Urban | 1,491.7 (1,452.3, 1,531.9) | 33 (12, 64) | 1,287 |
falling
|
-3.1 (-4.5, -1.2) |
| Franklin County 2 | Urban | 1,491.6 (1,424.4, 1,561.1) | 34 (6, 77) | 392 |
stable
|
0.2 (-0.4, 0.9) |
| Davidson County 2 | Urban | 1,491.4 (1,450.3, 1,533.4) | 35 (10, 64) | 1,023 |
stable
|
0.3 (-0.1, 0.6) |
| Craven County 2 | Rural | 1,491.3 (1,437.7, 1,546.4) | 36 (8, 73) | 615 |
falling
|
-0.6 (-1.0, -0.1) |
| Union County 2 | Urban | 1,490.6 (1,450.4, 1,531.6) | 37 (13, 63) | 1,101 |
stable
|
0.2 (-0.4, 0.9) |
| Columbus County 2 | Rural | 1,489.3 (1,415.9, 1,565.5) | 38 (5, 82) | 320 |
stable
|
0.5 (-0.2, 1.2) |
| Pamlico County 2 | Rural | 1,488.5 (1,359.2, 1,626.9) | 39 (1, 91) | 108 |
stable
|
0.2 (-0.8, 1.3) |
| Burke County 2 | Urban | 1,488.4 (1,434.1, 1,544.1) | 40 (8, 74) | 582 |
stable
|
0.1 (-0.5, 0.8) |
| Halifax County 2 | Rural | 1,484.6 (1,411.4, 1,560.6) | 41 (6, 81) | 322 |
stable
|
-2.4 (-7.1, 0.3) |
| Edgecombe County 2 | Urban | 1,481.2 (1,406.7, 1,558.6) | 42 (5, 82) | 313 |
stable
|
-0.2 (-1.0, 0.7) |
| Rowan County 2 | Urban | 1,479.7 (1,434.5, 1,526.1) | 43 (13, 72) | 837 |
stable
|
-0.7 (-1.4, 0.0) |
| Lincoln County 2 | Urban | 1,476.2 (1,419.4, 1,534.7) | 44 (9, 77) | 533 |
stable
|
-0.1 (-0.6, 0.5) |
| Washington County 2 | Rural | 1,474.4 (1,332.5, 1,627.3) | 45 (1, 94) | 85 |
stable
|
0.9 (-0.1, 1.9) |
| New Hanover County 2 | Urban | 1,471.7 (1,435.2, 1,508.9) | 46 (18, 69) | 1,284 |
stable
|
0.3 (0.0, 0.7) |
| Mitchell County 2 | Rural | 1,471.2 (1,349.4, 1,601.2) | 47 (2, 93) | 112 |
stable
|
0.8 (0.0, 1.8) |
| Hoke County 2 | Urban | 1,468.3 (1,373.5, 1,568.0) | 48 (4, 89) | 200 |
stable
|
-0.3 (-1.5, 1.2) |
| Cumberland County 2 | Urban | 1,466.9 (1,432.0, 1,502.5) | 49 (20, 71) | 1,389 |
stable
|
0.1 (-0.1, 0.4) |
| Forsyth County 2 | Urban | 1,463.2 (1,434.2, 1,492.7) | 50 (25, 69) | 2,000 |
falling
|
-0.5 (-1.5, -0.2) |
| Greene County 2 | Rural | 1,462.7 (1,341.5, 1,592.1) | 51 (2, 93) | 112 |
stable
|
-0.1 (-1.1, 1.0) |
| Henderson County 2 | Urban | 1,459.6 (1,415.5, 1,504.8) | 52 (19, 76) | 866 |
stable
|
-0.2 (-0.6, 0.1) |
| Yadkin County 2 | Urban | 1,458.8 (1,376.5, 1,544.8) | 53 (6, 88) | 239 |
stable
|
0.4 (-0.4, 1.3) |
| Duplin County 2 | Rural | 1,456.5 (1,381.6, 1,534.4) | 54 (9, 88) | 294 |
rising
|
0.8 (0.4, 1.2) |
| Hyde County 2 | Rural | 1,452.1 (1,228.3, 1,705.5) | 55 (1, 98) | 32 |
stable
|
-0.6 (-2.3, 1.2) |
| Stokes County 2 | Urban | 1,450.4 (1,377.8, 1,525.9) | 56 (12, 86) | 306 |
rising
|
0.7 (0.3, 1.2) |
| Harnett County 2 | Rural | 1,444.6 (1,391.6, 1,499.1) | 57 (20, 82) | 582 |
falling
|
-2.7 (-6.1, -0.3) |
| Montgomery County 2 | Rural | 1,438.3 (1,340.1, 1,541.9) | 58 (6, 92) | 167 |
stable
|
0.3 (-0.7, 1.4) |
| Caswell County 2 | Rural | 1,437.8 (1,336.3, 1,545.0) | 59 (5, 93) | 155 |
stable
|
-0.3 (-1.0, 0.5) |
| Madison County 2 | Urban | 1,434.6 (1,327.8, 1,547.6) | 60 (6, 93) | 141 |
stable
|
-0.1 (-0.9, 0.9) |
| Iredell County 2 | Urban | 1,431.8 (1,391.5, 1,473.0) | 61 (31, 81) | 992 |
falling
|
-0.7 (-1.4, -0.2) |
| Beaufort County 2 | Rural | 1,430.0 (1,358.8, 1,503.9) | 62 (16, 90) | 320 |
rising
|
2.7 (0.3, 6.5) |
| Macon County 2 | Rural | 1,427.6 (1,352.6, 1,505.8) | 63 (14, 90) | 291 |
stable
|
0.0 (-0.9, 0.9) |
| Cabarrus County 2 | Urban | 1,423.5 (1,383.0, 1,464.8) | 64 (35, 83) | 980 |
falling
|
-1.0 (-1.8, -0.5) |
| Carteret County 2 | Rural | 1,417.2 (1,360.9, 1,475.2) | 65 (23, 88) | 508 |
falling
|
-0.9 (-1.4, -0.4) |
| Mecklenburg County 2 | Urban | 1,416.3 (1,396.8, 1,436.1) | 66 (51, 79) | 4,264 |
stable
|
-0.4 (-1.5, 0.0) |
| Pitt County 2 | Urban | 1,415.4 (1,369.4, 1,462.7) | 67 (32, 86) | 744 |
stable
|
1.3 (0.0, 4.3) |
| Hertford County 2 | Rural | 1,415.4 (1,306.0, 1,531.5) | 68 (6, 95) | 129 |
stable
|
-0.3 (-1.1, 0.4) |
| Wilson County 2 | Rural | 1,411.4 (1,352.1, 1,472.6) | 69 (27, 88) | 442 |
stable
|
-0.3 (-0.8, 0.2) |
| Chowan County 2 | Rural | 1,408.7 (1,283.1, 1,543.3) | 70 (4, 95) | 99 |
stable
|
0.3 (-0.7, 1.4) |
| Buncombe County 2 | Urban | 1,407.1 (1,375.7, 1,439.0) | 71 (46, 85) | 1,592 |
falling
|
-0.4 (-0.7, -0.1) |
| Bladen County 2 | Rural | 1,405.7 (1,316.7, 1,499.2) | 72 (12, 94) | 196 |
stable
|
0.5 (-0.3, 1.3) |
| Clay County 2 | Rural | 1,401.4 (1,272.3, 1,540.5) | 73 (4, 96) | 96 |
stable
|
0.2 (-0.9, 1.5) |
| Wake County 2 | Urban | 1,400.8 (1,382.0, 1,419.8) | 74 (56, 82) | 4,491 |
falling
|
-2.1 (-3.0, -1.3) |
| Lee County 2 | Rural | 1,399.8 (1,331.6, 1,470.7) | 75 (26, 91) | 327 |
stable
|
-0.6 (-1.4, 0.2) |
| Chatham County 2 | Urban | 1,396.1 (1,343.0, 1,450.9) | 76 (34, 90) | 537 |
stable
|
-0.1 (-0.4, 0.3) |
| Orange County 2 | Urban | 1,392.7 (1,344.8, 1,441.8) | 77 (43, 89) | 670 |
stable
|
-0.4 (-0.9, 0.2) |
| Warren County 2 | Rural | 1,391.4 (1,285.7, 1,503.7) | 78 (10, 96) | 138 |
stable
|
-0.3 (-1.1, 0.5) |
| Bertie County 2 | Rural | 1,384.9 (1,271.2, 1,505.9) | 79 (10, 96) | 117 |
stable
|
-0.1 (-0.9, 0.8) |
| Alexander County 2 | Urban | 1,380.4 (1,298.5, 1,466.1) | 80 (24, 95) | 217 |
stable
|
0.0 (-0.7, 0.8) |
| Northampton County 2 | Rural | 1,380.2 (1,274.4, 1,492.5) | 81 (9, 95) | 135 |
stable
|
0.0 (-0.5, 0.4) |
| Cherokee County 2 | Rural | 1,377.2 (1,296.0, 1,462.3) | 82 (25, 94) | 234 |
stable
|
0.0 (-0.9, 0.6) |
| Catawba County 2 | Urban | 1,376.0 (1,334.9, 1,418.0) | 83 (53, 90) | 875 |
stable
|
-0.1 (-0.4, 0.3) |
| Durham County 2 | Urban | 1,357.0 (1,323.8, 1,390.9) | 84 (64, 91) | 1,333 |
falling
|
-3.1 (-5.7, -0.5) |
| Avery County 2 | Rural | 1,355.3 (1,242.5, 1,475.7) | 85 (14, 97) | 110 |
stable
|
0.0 (-0.8, 0.9) |
| Transylvania County 2 | Rural | 1,330.4 (1,256.3, 1,407.9) | 86 (51, 96) | 262 |
stable
|
0.4 (-0.4, 1.2) |
| Watauga County 2 | Rural | 1,327.2 (1,251.9, 1,406.0) | 87 (51, 96) | 244 |
stable
|
-0.4 (-1.0, 0.2) |
| Ashe County 2 | Rural | 1,325.0 (1,239.3, 1,415.2) | 88 (43, 96) | 187 |
stable
|
-0.3 (-1.1, 0.6) |
| Wilkes County 2 | Rural | 1,322.9 (1,265.0, 1,382.8) | 89 (64, 95) | 404 |
falling
|
-0.9 (-5.0, -0.1) |
| Dare County 2 | Rural | 1,295.5 (1,218.7, 1,375.9) | 90 (61, 97) | 232 |
stable
|
-0.6 (-1.5, 0.4) |
| Nash County 2 | Urban | 1,291.4 (1,240.0, 1,344.4) | 91 (76, 96) | 495 |
falling
|
-0.8 (-1.5, -0.1) |
| Jackson County 2 | Rural | 1,285.2 (1,208.6, 1,365.4) | 92 (65, 97) | 222 |
falling
|
-1.4 (-2.7, -0.6) |
| Graham County 2 | Rural | 1,274.8 (1,120.5, 1,444.7) | 93 (15, 98) | 51 |
stable
|
-0.3 (-12.2, 4.5) |
| Perquimans County 2 | Rural | 1,231.3 (1,115.6, 1,355.9) | 94 (53, 98) | 88 |
stable
|
-0.5 (-1.9, 1.0) |
| Polk County 2 | Rural | 1,231.1 (1,141.4, 1,326.0) | 95 (75, 98) | 150 |
stable
|
0.0 (-0.9, 0.9) |
| Alleghany County 2 | Rural | 1,200.1 (1,076.4, 1,334.5) | 96 (62, 98) | 72 |
stable
|
-0.2 (-1.3, 0.9) |
| Pasquotank County 2 | Rural | 1,164.4 (1,088.4, 1,244.3) | 97 (89, 98) | 181 |
falling
|
-6.0 (-12.2, -2.1) |
| Camden County 2 | Urban | 1,045.5 (906.0, 1,200.7) | 98 (90, 100) | 42 |
falling
|
-2.4 (-4.0, -0.8) |
| Currituck County 2 | Urban | 951.4 (867.7, 1,041.1) | 99 (97, 100) | 105 |
falling
|
-5.6 (-13.6, -2.2) |
| Gates County 2 | Urban | 883.4 (768.6, 1,010.7) | 100 (98, 100) | 44 |
stable
|
-1.9 (-3.8, 0.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 3:40 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.