Incidence Rates Table
Incidence Rate Report for California 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)
|
|---|---|---|---|---|---|---|
| California 7 | N/A | 1,217.0 (1,214.3, 1,219.7) | N/A | 157,719 |
stable 
|
-0.4 (-0.7, 0.1) |
| 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) |
| Alpine County 7 | Rural | 696.1 (412.7, 1,100.4) | 58 (25, 58) | 4 |
|
|
| Sierra County 7 | Rural | 792.1 (625.3, 992.4) | 57 (50, 58) | 16 |
stable
|
-1.9 (-3.8, 0.1) |
| Trinity County 7 | Rural | 810.4 (725.2, 903.0) | 56 (54, 58) | 73 |
falling
|
-5.4 (-9.6, -3.9) |
| Modoc County 7 | Rural | 809.9 (694.1, 939.5) | 55 (53, 58) | 38 |
falling
|
-2.0 (-3.6, -0.4) |
| Mono County 7 | Rural | 951.9 (830.8, 1,086.2) | 54 (44, 58) | 49 |
stable
|
-0.5 (-2.4, 2.1) |
| Del Norte County 7 | Rural | 1,031.7 (946.5, 1,122.8) | 53 (42, 55) | 115 |
falling
|
-2.1 (-3.1, -1.2) |
| Lassen County 7 | Rural | 1,060.8 (972.1, 1,155.6) | 52 (35, 55) | 110 |
stable
|
0.0 (-1.0, 1.1) |
| Imperial County 7 | Urban | 1,073.4 (1,033.7, 1,114.2) | 51 (45, 54) | 564 |
falling
|
-2.4 (-5.4, -0.9) |
| Inyo County 7 | Rural | 1,072.7 (976.8, 1,175.5) | 50 (28, 55) | 99 |
falling
|
-1.2 (-2.2, -0.2) |
| Siskiyou County 7 | Rural | 1,090.7 (1,027.9, 1,156.5) | 49 (39, 54) | 247 |
falling
|
-2.4 (-6.6, -1.5) |
| Plumas County 7 | Rural | 1,093.2 (1,000.8, 1,191.9) | 48 (26, 54) | 120 |
falling
|
-1.3 (-2.0, -0.6) |
| Tulare County 7 | Urban | 1,102.9 (1,076.4, 1,130.0) | 47 (44, 52) | 1,358 |
falling
|
-1.2 (-1.4, -0.9) |
| Los Angeles County 7 | Urban | 1,137.0 (1,131.7, 1,142.3) | 46 (43, 49) | 36,434 |
stable
|
-0.4 (-0.8, 0.2) |
| Kings County 7 | Urban | 1,141.1 (1,092.1, 1,191.8) | 45 (32, 52) | 422 |
falling
|
-0.9 (-1.4, -0.5) |
| Alameda County 7 | Urban | 1,154.3 (1,141.3, 1,167.5) | 44 (41, 47) | 6,218 |
stable
|
-0.3 (-0.8, 0.9) |
| Colusa County 7 | Rural | 1,166.3 (1,053.7, 1,287.7) | 43 (13, 54) | 81 |
stable
|
0.3 (-0.9, 1.7) |
| San Francisco County 7 | Urban | 1,178.8 (1,161.4, 1,196.5) | 42 (33, 45) | 3,567 |
stable
|
1.1 (-0.9, 2.3) |
| Monterey County 7 | Urban | 1,180.2 (1,154.0, 1,206.9) | 41 (31, 46) | 1,586 |
falling
|
-0.8 (-0.9, -0.6) |
| Santa Clara County 7 | Urban | 1,180.7 (1,168.4, 1,193.1) | 40 (35, 44) | 7,197 |
rising 
|
0.6 (0.2, 1.2) |
| Merced County 7 | Urban | 1,182.6 (1,147.1, 1,219.0) | 39 (29, 47) | 869 |
falling
|
-0.9 (-1.3, -0.6) |
| San Bernardino County 7 | Urban | 1,194.8 (1,182.2, 1,207.5) | 38 (31, 42) | 7,303 |
falling
|
-0.9 (-1.1, -0.8) |
| Riverside County 7 | Urban | 1,196.3 (1,185.5, 1,207.2) | 37 (31, 42) | 9,504 |
falling
|
-1.8 (-2.5, -0.9) |
| Nevada County 7 | Rural | 1,202.1 (1,160.0, 1,245.3) | 36 (23, 46) | 675 |
stable
|
-1.1 (-1.5, 0.3) |
| Fresno County 7 | Urban | 1,203.4 (1,185.0, 1,222.0) | 35 (29, 43) | 3,373 |
falling
|
-0.6 (-0.9, -0.3) |
| San Joaquin County 7 | Urban | 1,203.6 (1,183.3, 1,224.2) | 34 (28, 43) | 2,767 |
falling
|
-2.7 (-3.5, -2.1) |
| Kern County 7 | Urban | 1,209.8 (1,189.5, 1,230.3) | 33 (27, 42) | 2,866 |
falling
|
-0.8 (-1.1, -0.5) |
| Madera County 7 | Urban | 1,222.3 (1,177.6, 1,268.4) | 32 (19, 44) | 585 |
stable
|
-0.4 (-0.9, 0.2) |
| San Mateo County 7 | Urban | 1,228.4 (1,209.8, 1,247.3) | 31 (24, 37) | 3,382 |
stable
|
-0.2 (-1.0, 1.0) |
| Sacramento County 7 | Urban | 1,233.2 (1,219.3, 1,247.1) | 30 (24, 34) | 6,303 |
falling
|
-1.2 (-1.5, -1.1) |
| Orange County 7 | Urban | 1,237.6 (1,228.2, 1,247.1) | 29 (24, 33) | 13,469 |
stable
|
-0.3 (-0.9, 0.8) |
| San Benito County 7 | Urban | 1,248.9 (1,177.8, 1,323.3) | 28 (11, 46) | 242 |
stable
|
-0.5 (-0.9, 0.0) |
| Solano County 7 | Urban | 1,248.8 (1,224.0, 1,274.0) | 27 (19, 34) | 2,022 |
falling
|
-1.3 (-2.3, -0.9) |
| Mendocino County 7 | Rural | 1,251.5 (1,202.0, 1,302.5) | 26 (14, 42) | 524 |
stable
|
-0.2 (-1.2, 2.2) |
| Sutter County 7 | Urban | 1,254.2 (1,201.0, 1,309.2) | 25 (13, 42) | 426 |
stable
|
-0.6 (-1.1, 0.0) |
| Contra Costa County 7 | Urban | 1,257.9 (1,242.5, 1,273.4) | 24 (19, 30) | 5,234 |
stable
|
-0.4 (-0.8, 0.5) |
| Calaveras County 7 | Rural | 1,259.0 (1,195.8, 1,324.8) | 23 (10, 43) | 323 |
stable
|
-0.6 (-1.1, 0.0) |
| Stanislaus County 7 | Urban | 1,277.0 (1,252.3, 1,302.1) | 22 (15, 29) | 2,096 |
falling
|
-2.5 (-4.2, -1.1) |
| El Dorado County 7 | Urban | 1,280.6 (1,246.6, 1,315.3) | 21 (14, 31) | 1,137 |
falling
|
-0.9 (-1.3, -0.4) |
| Yolo County 7 | Urban | 1,287.5 (1,247.1, 1,328.9) | 20 (11, 31) | 791 |
falling
|
-0.6 (-1.0, -0.1) |
| Lake County 7 | Rural | 1,293.7 (1,237.1, 1,352.2) | 19 (8, 34) | 418 |
falling
|
-1.1 (-1.6, -0.6) |
| Napa County 7 | Urban | 1,296.3 (1,254.7, 1,339.0) | 18 (10, 30) | 750 |
stable
|
2.3 (0.0, 5.1) |
| San Diego County 7 | Urban | 1,299.2 (1,289.3, 1,309.1) | 17 (14, 23) | 13,780 |
falling
|
-2.3 (-3.2, -1.6) |
| Placer County 7 | Urban | 1,320.0 (1,295.3, 1,345.0) | 16 (10, 21) | 2,224 |
falling
|
-0.7 (-1.0, -0.5) |
| Amador County 7 | Rural | 1,326.5 (1,257.1, 1,398.8) | 15 (3, 32) | 292 |
falling
|
-1.0 (-1.5, -0.4) |
| Ventura County 7 | Urban | 1,342.2 (1,323.5, 1,361.1) | 14 (8, 17) | 4,057 |
rising
|
0.5 (0.1, 1.2) |
| Mariposa County 7 | Rural | 1,343.3 (1,239.3, 1,453.9) | 13 (1, 40) | 134 |
rising
|
5.7 (0.5, 10.7) |
| Humboldt County 7 | Rural | 1,350.4 (1,304.3, 1,397.6) | 12 (3, 21) | 698 |
falling
|
-1.0 (-1.3, -0.6) |
| Tuolumne County 7 | Rural | 1,351.5 (1,290.7, 1,414.6) | 11 (2, 25) | 398 |
stable
|
3.6 (-0.1, 9.3) |
| Marin County 7 | Urban | 1,360.7 (1,331.4, 1,390.6) | 10 (4, 16) | 1,666 |
falling
|
-0.6 (-0.9, -0.4) |
| Sonoma County 7 | Urban | 1,373.9 (1,350.8, 1,397.3) | 9 (4, 14) | 2,825 |
stable
|
0.3 (-0.2, 1.2) |
| Tehama County 7 | Rural | 1,384.4 (1,321.2, 1,449.8) | 8 (1, 20) | 373 |
falling
|
-4.4 (-7.1, -1.0) |
| San Luis Obispo County 7 | Urban | 1,391.2 (1,360.7, 1,422.2) | 7 (2, 13) | 1,668 |
stable
|
-1.2 (-2.7, 0.3) |
| Shasta County 7 | Urban | 1,393.9 (1,356.5, 1,432.1) | 6 (2, 14) | 1,097 |
falling
|
-0.7 (-1.0, -0.3) |
| Santa Cruz County 7 | Urban | 1,398.9 (1,365.3, 1,433.2) | 5 (2, 13) | 1,395 |
stable
|
1.0 (-0.4, 3.3) |
| Yuba County 7 | Urban | 1,403.2 (1,334.0, 1,475.1) | 4 (1, 18) | 329 |
stable
|
-0.5 (-1.1, 0.1) |
| Santa Barbara County 7 | Urban | 1,409.7 (1,382.5, 1,437.2) | 3 (2, 10) | 2,111 |
stable
|
-0.1 (-0.4, 0.3) |
| Butte County 7 | Urban | 1,462.8 (1,424.6, 1,501.7) | 2 (1, 5) | 1,166 |
stable
|
-0.1 (-0.6, 1.4) |
| Glenn County 7 | Rural | 1,534.0 (1,425.0, 1,649.2) | 1 (1, 10) | 152 |
stable
|
0.2 (-0.6, 1.0) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 7:02 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 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.