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