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 | 1,451.6 (1,446.1, 1,457.1) | N/A | 54,965 |
falling 
|
-1.4 (-2.3, -0.7) |
| US (SEER+NPCR) 1 | N/A | 1,350.7 (1,349.8, 1,351.7) | N/A | 1,608,177 |
falling
|
-1.2 (-1.8, -0.7) |
| Tyrrell County 2 | Rural | 1,530.0 (1,267.1, 1,831.4) | 20 (1, 97) | 25 |
rising 
|
2.4 (0.6, 4.4) |
| Hyde County 2 | Rural | 1,452.1 (1,228.3, 1,705.5) | 55 (1, 98) | 32 |
stable 
|
-0.6 (-2.3, 1.2) |
| Camden County 2 | Urban | 1,045.5 (906.0, 1,200.7) | 98 (90, 100) | 42 |
falling
|
-2.4 (-4.0, -0.8) |
| Gates County 2 | Urban | 883.4 (768.6, 1,010.7) | 100 (98, 100) | 44 |
stable
|
-1.9 (-3.8, 0.1) |
| Graham County 2 | Rural | 1,274.8 (1,120.5, 1,444.7) | 93 (15, 98) | 51 |
stable
|
-0.3 (-12.2, 4.5) |
| Jones County 2 | Rural | 1,512.6 (1,354.9, 1,683.8) | 24 (1, 94) | 71 |
stable
|
-0.1 (-1.2, 1.1) |
| Alleghany County 2 | Rural | 1,200.1 (1,076.4, 1,334.5) | 96 (62, 98) | 72 |
stable
|
-0.2 (-1.3, 0.9) |
| Washington County 2 | Rural | 1,474.4 (1,332.5, 1,627.3) | 45 (1, 94) | 85 |
stable
|
0.9 (-0.1, 1.9) |
| Perquimans County 2 | Rural | 1,231.3 (1,115.6, 1,355.9) | 94 (53, 98) | 88 |
stable
|
-0.5 (-1.9, 1.0) |
| Clay County 2 | Rural | 1,401.4 (1,272.3, 1,540.5) | 73 (4, 96) | 96 |
stable
|
0.2 (-0.9, 1.5) |
| Chowan County 2 | Rural | 1,408.7 (1,283.1, 1,543.3) | 70 (4, 95) | 99 |
stable
|
0.3 (-0.7, 1.4) |
| Swain County 2 | Rural | 1,668.1 (1,521.8, 1,824.8) | 2 (1, 63) | 99 |
rising
|
1.3 (0.3, 2.4) |
| Currituck County 2 | Urban | 951.4 (867.7, 1,041.1) | 99 (97, 100) | 105 |
falling
|
-5.6 (-13.6, -2.2) |
| Pamlico County 2 | Rural | 1,488.5 (1,359.2, 1,626.9) | 39 (1, 91) | 108 |
stable
|
0.2 (-0.8, 1.3) |
| Avery County 2 | Rural | 1,355.3 (1,242.5, 1,475.7) | 85 (14, 97) | 110 |
stable
|
0.0 (-0.8, 0.9) |
| Mitchell County 2 | Rural | 1,471.2 (1,349.4, 1,601.2) | 47 (2, 93) | 112 |
stable
|
0.8 (0.0, 1.8) |
| Greene County 2 | Rural | 1,462.7 (1,341.5, 1,592.1) | 51 (2, 93) | 112 |
stable
|
-0.1 (-1.1, 1.0) |
| Bertie County 2 | Rural | 1,384.9 (1,271.2, 1,505.9) | 79 (10, 96) | 117 |
stable
|
-0.1 (-0.9, 0.8) |
| Hertford County 2 | Rural | 1,415.4 (1,306.0, 1,531.5) | 68 (6, 95) | 129 |
stable
|
-0.3 (-1.1, 0.4) |
| Northampton County 2 | Rural | 1,380.2 (1,274.4, 1,492.5) | 81 (9, 95) | 135 |
stable
|
0.0 (-0.5, 0.4) |
| Warren County 2 | Rural | 1,391.4 (1,285.7, 1,503.7) | 78 (10, 96) | 138 |
stable
|
-0.3 (-1.1, 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) |
| Yancey County 2 | Rural | 1,508.1 (1,397.3, 1,625.4) | 26 (2, 88) | 144 |
stable
|
0.5 (-0.3, 1.5) |
| Anson County 2 | Urban | 1,620.5 (1,504.6, 1,742.9) | 5 (1, 59) | 150 |
rising
|
1.9 (1.3, 2.6) |
| Polk County 2 | Rural | 1,231.1 (1,141.4, 1,326.0) | 95 (75, 98) | 150 |
stable
|
0.0 (-0.9, 0.9) |
| Caswell County 2 | Rural | 1,437.8 (1,336.3, 1,545.0) | 59 (5, 93) | 155 |
stable
|
-0.3 (-1.0, 0.5) |
| Montgomery County 2 | Rural | 1,438.3 (1,340.1, 1,541.9) | 58 (6, 92) | 167 |
stable
|
0.3 (-0.7, 1.4) |
| Martin County 2 | Rural | 1,556.4 (1,450.0, 1,668.6) | 10 (1, 78) | 168 |
stable
|
0.4 (-0.9, 0.8) |
| Pasquotank County 2 | Rural | 1,164.4 (1,088.4, 1,244.3) | 97 (89, 98) | 181 |
falling
|
-6.0 (-12.2, -2.1) |
| Ashe County 2 | Rural | 1,325.0 (1,239.3, 1,415.2) | 88 (43, 96) | 187 |
stable
|
-0.3 (-1.1, 0.6) |
| Bladen County 2 | Rural | 1,405.7 (1,316.7, 1,499.2) | 72 (12, 94) | 196 |
stable
|
0.5 (-0.3, 1.3) |
| Hoke County 2 | Urban | 1,468.3 (1,373.5, 1,568.0) | 48 (4, 89) | 200 |
stable
|
-0.3 (-1.5, 1.2) |
| Scotland County 2 | Rural | 1,530.6 (1,435.6, 1,630.2) | 19 (2, 82) | 201 |
stable
|
-0.3 (-1.6, 1.0) |
| Alexander County 2 | Urban | 1,380.4 (1,298.5, 1,466.1) | 80 (24, 95) | 217 |
stable
|
0.0 (-0.7, 0.8) |
| Jackson County 2 | Rural | 1,285.2 (1,208.6, 1,365.4) | 92 (65, 97) | 222 |
falling
|
-1.4 (-2.7, -0.6) |
| Dare County 2 | Rural | 1,295.5 (1,218.7, 1,375.9) | 90 (61, 97) | 232 |
stable
|
-0.6 (-1.5, 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) |
| Yadkin County 2 | Urban | 1,458.8 (1,376.5, 1,544.8) | 53 (6, 88) | 239 |
stable
|
0.4 (-0.4, 1.3) |
| Watauga County 2 | Rural | 1,327.2 (1,251.9, 1,406.0) | 87 (51, 96) | 244 |
stable
|
-0.4 (-1.0, 0.2) |
| Person County 2 | Urban | 1,513.9 (1,431.0, 1,600.5) | 23 (3, 78) | 260 |
stable
|
0.0 (-0.5, 0.5) |
| Transylvania County 2 | Rural | 1,330.4 (1,256.3, 1,407.9) | 86 (51, 96) | 262 |
stable
|
0.4 (-0.4, 1.2) |
| Vance County 2 | Rural | 1,540.2 (1,456.8, 1,627.3) | 18 (2, 74) | 264 |
stable
|
0.0 (-0.4, 0.4) |
| Richmond County 2 | Rural | 1,719.1 (1,629.6, 1,812.3) | 1 (1, 11) | 286 |
rising
|
5.0 (0.3, 10.1) |
| Macon County 2 | Rural | 1,427.6 (1,352.6, 1,505.8) | 63 (14, 90) | 291 |
stable
|
0.0 (-0.9, 0.9) |
| Davie County 2 | Urban | 1,509.5 (1,432.2, 1,589.9) | 25 (4, 78) | 292 |
stable
|
-0.5 (-5.9, 0.8) |
| Duplin County 2 | Rural | 1,456.5 (1,381.6, 1,534.4) | 54 (9, 88) | 294 |
rising
|
0.8 (0.4, 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) |
| Edgecombe County 2 | Urban | 1,481.2 (1,406.7, 1,558.6) | 42 (5, 82) | 313 |
stable
|
-0.2 (-1.0, 0.7) |
| Beaufort County 2 | Rural | 1,430.0 (1,358.8, 1,503.9) | 62 (16, 90) | 320 |
rising
|
2.7 (0.3, 6.5) |
| Columbus County 2 | Rural | 1,489.3 (1,415.9, 1,565.5) | 38 (5, 82) | 320 |
stable
|
0.5 (-0.2, 1.2) |
| Halifax County 2 | Rural | 1,484.6 (1,411.4, 1,560.6) | 41 (6, 81) | 322 |
stable
|
-2.4 (-7.1, 0.3) |
| Lee County 2 | Rural | 1,399.8 (1,331.6, 1,470.7) | 75 (26, 91) | 327 |
stable
|
-0.6 (-1.4, 0.2) |
| McDowell County 2 | Rural | 1,665.6 (1,585.1, 1,749.3) | 3 (1, 21) | 331 |
rising
|
0.8 (0.1, 1.6) |
| Sampson County 2 | Rural | 1,556.2 (1,483.4, 1,631.6) | 11 (2, 59) | 353 |
rising
|
1.0 (0.3, 1.7) |
| Lenoir County 2 | Rural | 1,499.1 (1,429.3, 1,571.4) | 29 (5, 76) | 360 |
stable
|
-0.8 (-1.6, 0.0) |
| Pender County 2 | Urban | 1,549.1 (1,477.7, 1,623.1) | 12 (2, 61) | 373 |
stable
|
0.5 (-0.2, 1.3) |
| Granville County 2 | Rural | 1,581.4 (1,509.4, 1,656.0) | 7 (1, 51) | 378 |
stable
|
-0.2 (-0.8, 0.5) |
| Stanly County 2 | Rural | 1,543.2 (1,474.1, 1,614.6) | 16 (3, 61) | 388 |
stable
|
-0.2 (-4.3, 0.7) |
| Franklin County 2 | Urban | 1,491.6 (1,424.4, 1,561.1) | 34 (6, 77) | 392 |
stable
|
0.2 (-0.4, 0.9) |
| Wilkes County 2 | Rural | 1,322.9 (1,265.0, 1,382.8) | 89 (64, 95) | 404 |
falling
|
-0.9 (-5.0, -0.1) |
| Wilson County 2 | Rural | 1,411.4 (1,352.1, 1,472.6) | 69 (27, 88) | 442 |
stable
|
-0.3 (-0.8, 0.2) |
| Rutherford County 2 | Rural | 1,556.6 (1,492.4, 1,622.8) | 9 (2, 53) | 459 |
stable
|
0.2 (-0.2, 0.7) |
| Haywood County 2 | Rural | 1,520.1 (1,458.6, 1,583.5) | 21 (4, 65) | 479 |
stable
|
0.6 (-0.3, 1.7) |
| Surry County 2 | Rural | 1,543.5 (1,481.6, 1,607.3) | 15 (3, 56) | 480 |
stable
|
0.5 (-0.2, 1.2) |
| Nash County 2 | Urban | 1,291.4 (1,240.0, 1,344.4) | 91 (76, 96) | 495 |
falling
|
-0.8 (-1.5, -0.1) |
| Carteret County 2 | Rural | 1,417.2 (1,360.9, 1,475.2) | 65 (23, 88) | 508 |
falling
|
-0.9 (-1.4, -0.4) |
| Lincoln County 2 | Urban | 1,476.2 (1,419.4, 1,534.7) | 44 (9, 77) | 533 |
stable
|
-0.1 (-0.6, 0.5) |
| Chatham County 2 | Urban | 1,396.1 (1,343.0, 1,450.9) | 76 (34, 90) | 537 |
stable
|
-0.1 (-0.4, 0.3) |
| Caldwell County 2 | Urban | 1,592.8 (1,533.5, 1,653.9) | 6 (1, 37) | 561 |
rising
|
0.9 (0.4, 1.5) |
| Burke County 2 | Urban | 1,488.4 (1,434.1, 1,544.1) | 40 (8, 74) | 582 |
stable
|
0.1 (-0.5, 0.8) |
| Harnett County 2 | Rural | 1,444.6 (1,391.6, 1,499.1) | 57 (20, 82) | 582 |
falling
|
-2.7 (-6.1, -0.3) |
| Robeson County 2 | Rural | 1,492.7 (1,438.8, 1,548.2) | 31 (8, 72) | 607 |
stable
|
-2.0 (-4.3, 0.3) |
| Craven County 2 | Rural | 1,491.3 (1,437.7, 1,546.4) | 36 (8, 73) | 615 |
falling
|
-0.6 (-1.0, -0.1) |
| Rockingham County 2 | Urban | 1,506.9 (1,453.3, 1,562.0) | 27 (6, 69) | 617 |
stable
|
-0.1 (-0.5, 0.3) |
| Cleveland County 2 | Rural | 1,540.6 (1,485.8, 1,597.0) | 17 (4, 54) | 617 |
stable
|
0.2 (-1.7, 0.6) |
| Wayne County 2 | Urban | 1,557.4 (1,504.0, 1,612.3) | 8 (2, 46) | 663 |
stable
|
0.5 (-1.7, 1.1) |
| Orange County 2 | Urban | 1,392.7 (1,344.8, 1,441.8) | 77 (43, 89) | 670 |
stable
|
-0.4 (-0.9, 0.2) |
| Moore County 2 | Urban | 1,499.3 (1,449.2, 1,550.6) | 28 (7, 68) | 713 |
stable
|
-0.1 (-0.8, 0.6) |
| Onslow County 2 | Urban | 1,642.5 (1,588.0, 1,698.3) | 4 (1, 18) | 722 |
falling
|
-2.7 (-4.4, -0.5) |
| Pitt County 2 | Urban | 1,415.4 (1,369.4, 1,462.7) | 67 (32, 86) | 744 |
stable
|
1.3 (0.0, 4.3) |
| Rowan County 2 | Urban | 1,479.7 (1,434.5, 1,526.1) | 43 (13, 72) | 837 |
stable
|
-0.7 (-1.4, 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) |
| Henderson County 2 | Urban | 1,459.6 (1,415.5, 1,504.8) | 52 (19, 76) | 866 |
stable
|
-0.2 (-0.6, 0.1) |
| Catawba County 2 | Urban | 1,376.0 (1,334.9, 1,418.0) | 83 (53, 90) | 875 |
stable
|
-0.1 (-0.4, 0.3) |
| Alamance County 2 | Urban | 1,547.2 (1,503.6, 1,591.7) | 13 (5, 44) | 976 |
stable
|
0.2 (-0.2, 0.7) |
| Cabarrus County 2 | Urban | 1,423.5 (1,383.0, 1,464.8) | 64 (35, 83) | 980 |
falling
|
-1.0 (-1.8, -0.5) |
| Iredell County 2 | Urban | 1,431.8 (1,391.5, 1,473.0) | 61 (31, 81) | 992 |
falling
|
-0.7 (-1.4, -0.2) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 1:26 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.
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.