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 Rate
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)
|
|---|---|---|---|---|---|---|
| Missouri 2 | N/A | 1,411.2 (1,404.2, 1,418.2) | N/A | 32,423 |
stable 
|
-0.2 (-0.4, 0.0) |
| 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) |
| Scotland County 2 | Rural | 1,030.6 (830.1, 1,265.4) | 115 (56, 115) | 19 |
stable
|
-1.9 (-4.6, 0.7) |
| Ralls County 2 | Rural | 1,079.6 (951.4, 1,220.6) | 114 (91, 115) | 53 |
falling
|
-13.5 (-24.7, -1.6) |
| Schuyler County 2 | Rural | 1,086.3 (872.3, 1,337.5) | 113 (35, 115) | 18 |
stable
|
-0.7 (-2.7, 1.3) |
| Platte County 2 | Urban | 1,157.1 (1,107.3, 1,208.5) | 112 (101, 115) | 422 |
falling
|
-4.1 (-8.0, -1.2) |
| Sullivan County 2 | Rural | 1,165.3 (985.4, 1,368.6) | 111 (40, 115) | 30 |
stable
|
-1.3 (-3.3, 0.5) |
| Douglas County 2 | Rural | 1,188.3 (1,062.6, 1,325.0) | 110 (57, 115) | 70 |
rising 
|
2.7 (0.1, 10.3) |
| DeKalb County 2 | Urban | 1,189.3 (1,048.6, 1,343.5) | 109 (51, 115) | 53 |
stable
|
-0.1 (-1.7, 1.6) |
| Dade County 2 | Rural | 1,212.1 (1,057.5, 1,383.2) | 108 (38, 115) | 46 |
stable
|
-0.1 (-2.8, 8.2) |
| Vernon County 2 | Rural | 1,213.0 (1,107.6, 1,325.9) | 107 (54, 115) | 100 |
stable
|
-0.5 (-1.3, 0.3) |
| Hickory County 2 | Rural | 1,227.1 (1,090.5, 1,376.2) | 106 (37, 115) | 65 |
rising
|
3.1 (0.3, 9.2) |
| Texas County 2 | Rural | 1,243.9 (1,149.9, 1,343.6) | 105 (61, 113) | 134 |
stable
|
-0.7 (-1.6, 0.2) |
| Maries County 2 | Rural | 1,244.0 (1,091.2, 1,412.5) | 104 (29, 115) | 49 |
stable
|
0.2 (-1.3, 1.8) |
| Atchison County 2 | Rural | 1,261.0 (1,071.8, 1,474.1) | 103 (12, 115) | 33 |
stable
|
-0.9 (-2.4, 0.6) |
| Newton County 2 | Urban | 1,262.3 (1,198.0, 1,329.2) | 102 (70, 112) | 296 |
stable
|
-0.2 (-1.3, 1.0) |
| Lawrence County 2 | Rural | 1,264.7 (1,184.0, 1,349.5) | 101 (56, 113) | 187 |
stable
|
-0.3 (-0.8, 0.3) |
| Dallas County 2 | Urban | 1,283.5 (1,168.5, 1,406.9) | 100 (30, 113) | 96 |
stable
|
-6.4 (-13.5, 0.8) |
| Nodaway County 2 | Rural | 1,290.2 (1,177.2, 1,411.2) | 99 (34, 114) | 98 |
stable
|
0.0 (-1.0, 1.0) |
| Pemiscot County 2 | Rural | 1,291.5 (1,162.4, 1,430.9) | 98 (25, 114) | 76 |
stable
|
0.5 (-0.9, 1.9) |
| 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) |
| Daviess County 2 | Rural | 1,303.4 (1,136.8, 1,487.7) | 96 (11, 115) | 46 |
stable
|
-0.1 (-1.6, 1.6) |
| Ray County 2 | Urban | 1,306.1 (1,204.4, 1,414.2) | 95 (34, 112) | 126 |
stable
|
-0.8 (-2.0, 0.5) |
| Stone County 2 | Rural | 1,311.8 (1,235.9, 1,391.2) | 94 (47, 108) | 250 |
stable
|
1.5 (-0.2, 4.8) |
| Laclede County 2 | Rural | 1,312.8 (1,228.2, 1,401.7) | 93 (40, 110) | 184 |
falling
|
-0.9 (-1.6, -0.3) |
| Caldwell County 2 | Urban | 1,314.2 (1,155.4, 1,489.0) | 92 (12, 114) | 50 |
rising
|
9.5 (1.8, 20.4) |
| Christian County 2 | Urban | 1,315.0 (1,257.8, 1,374.3) | 91 (53, 107) | 409 |
falling
|
-0.8 (-1.4, -0.1) |
| McDonald County 2 | Rural | 1,336.4 (1,224.3, 1,456.1) | 90 (24, 111) | 110 |
stable
|
1.1 (-0.1, 2.5) |
| Barton County 2 | Rural | 1,338.3 (1,196.4, 1,492.6) | 89 (17, 113) | 68 |
stable
|
0.7 (-1.0, 2.5) |
| Clinton County 2 | Urban | 1,338.5 (1,229.8, 1,454.2) | 88 (26, 112) | 116 |
stable
|
0.0 (-1.0, 1.0) |
| Ozark County 2 | Rural | 1,344.7 (1,196.5, 1,506.3) | 87 (10, 112) | 66 |
stable
|
0.2 (-1.6, 2.1) |
| Moniteau County 2 | Urban | 1,349.5 (1,214.7, 1,495.4) | 86 (14, 113) | 75 |
stable
|
0.2 (-1.2, 1.6) |
| Putnam County 2 | Rural | 1,353.1 (1,137.7, 1,597.2) | 85 (2, 115) | 30 |
stable
|
0.8 (-1.6, 3.3) |
| Polk County 2 | Urban | 1,355.5 (1,264.2, 1,451.6) | 84 (28, 108) | 168 |
stable
|
2.7 (-0.8, 8.0) |
| Camden County 2 | Rural | 1,359.9 (1,293.1, 1,429.3) | 83 (34, 103) | 340 |
stable
|
-0.2 (-0.9, 0.6) |
| Harrison County 2 | Rural | 1,362.7 (1,197.6, 1,544.4) | 82 (8, 113) | 51 |
stable
|
0.0 (-1.6, 1.5) |
| Barry County 2 | Rural | 1,365.4 (1,283.0, 1,451.8) | 81 (29, 106) | 213 |
falling
|
-4.7 (-7.6, -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) |
| Andrew County 2 | Urban | 1,367.8 (1,249.9, 1,494.0) | 79 (16, 109) | 102 |
stable
|
0.0 (-1.2, 1.4) |
| Bates County 2 | Urban | 1,368.4 (1,244.5, 1,501.4) | 78 (15, 109) | 92 |
stable
|
-0.2 (-1.4, 1.0) |
| Miller County 2 | Rural | 1,369.1 (1,268.2, 1,475.9) | 77 (21, 107) | 141 |
stable
|
-5.2 (-10.7, 0.8) |
| 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) |
| Adair County 2 | Rural | 1,373.1 (1,259.7, 1,493.9) | 75 (15, 109) | 111 |
stable
|
0.0 (-1.2, 1.3) |
| Howell County 2 | Rural | 1,373.5 (1,293.2, 1,457.6) | 74 (29, 104) | 225 |
stable
|
-0.3 (-1.3, 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) |
| Cedar County 2 | Rural | 1,379.8 (1,255.6, 1,513.1) | 72 (13, 109) | 93 |
stable
|
-0.1 (-0.8, 0.7) |
| Audrain County 2 | Rural | 1,380.2 (1,276.7, 1,489.8) | 71 (18, 107) | 136 |
falling
|
-1.0 (-1.7, -0.3) |
| 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) |
| Mercer County 2 | Rural | 1,383.4 (1,131.8, 1,674.7) | 69 (1, 115) | 22 |
stable
|
1.1 (-1.6, 3.8) |
| 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) |
| Taney County 2 | Rural | 1,396.5 (1,330.0, 1,465.5) | 67 (27, 98) | 346 |
rising
|
2.4 (0.5, 6.2) |
| Grundy County 2 | Rural | 1,396.6 (1,238.7, 1,569.1) | 66 (5, 112) | 60 |
stable
|
-0.5 (-1.8, 0.8) |
| Cass County 2 | Urban | 1,397.1 (1,345.7, 1,449.9) | 65 (33, 92) | 572 |
stable
|
0.0 (-0.4, 0.4) |
| Macon County 2 | Rural | 1,397.8 (1,272.6, 1,532.0) | 64 (10, 107) | 95 |
stable
|
-0.4 (-1.4, 0.7) |
| Cole County 2 | Urban | 1,399.0 (1,337.7, 1,462.4) | 63 (30, 95) | 404 |
stable
|
-0.5 (-1.2, 0.2) |
| 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) |
| 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) |
| Benton County 2 | Rural | 1,406.5 (1,309.3, 1,509.1) | 60 (15, 104) | 168 |
stable
|
-0.7 (-2.0, 0.7) |
| Morgan County 2 | Rural | 1,412.7 (1,309.1, 1,522.4) | 59 (14, 104) | 145 |
stable
|
-0.6 (-1.6, 0.4) |
| Wright County 2 | Rural | 1,419.1 (1,299.3, 1,547.1) | 58 (8, 108) | 107 |
stable
|
-0.5 (-1.4, 0.5) |
| 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) |
| Howard County 2 | Urban | 1,423.1 (1,259.6, 1,602.0) | 55 (3, 111) | 58 |
stable
|
3.6 (-1.3, 15.5) |
| 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) |
| Clark County 2 | Rural | 1,426.6 (1,239.1, 1,634.8) | 53 (1, 112) | 43 |
stable
|
1.6 (0.0, 3.4) |
| Phelps County 2 | Rural | 1,428.0 (1,345.6, 1,514.2) | 52 (16, 96) | 231 |
stable
|
-0.1 (-0.9, 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) |
| Callaway County 2 | Urban | 1,428.7 (1,347.3, 1,513.7) | 50 (18, 96) | 240 |
stable
|
-0.2 (-0.9, 0.5) |
| Worth County 2 | Rural | 1,431.1 (1,111.4, 1,814.1) | 49 (1, 115) | 15 |
stable
|
1.2 (-1.9, 4.6) |
| Lafayette County 2 | Urban | 1,433.7 (1,343.0, 1,528.8) | 48 (13, 97) | 191 |
stable
|
0.5 (-0.1, 1.2) |
| Warren County 2 | Urban | 1,437.4 (1,348.3, 1,530.8) | 47 (14, 94) | 202 |
stable
|
0.2 (-0.8, 1.2) |
| Osage County 2 | Urban | 1,438.0 (1,294.7, 1,592.9) | 46 (3, 109) | 76 |
stable
|
0.2 (-9.9, 4.9) |
| Johnson County 2 | Rural | 1,447.2 (1,362.0, 1,536.3) | 45 (13, 91) | 224 |
stable
|
0.2 (-0.4, 0.9) |
| Shannon County 2 | Rural | 1,447.5 (1,267.7, 1,645.9) | 44 (1, 111) | 49 |
stable
|
0.8 (-1.0, 2.7) |
| Gasconade County 2 | Rural | 1,447.9 (1,323.7, 1,580.8) | 43 (4, 104) | 104 |
stable
|
-0.6 (-1.5, 0.4) |
| Bollinger County 2 | Urban | 1,454.2 (1,303.9, 1,617.3) | 42 (2, 107) | 70 |
stable
|
0.7 (-0.6, 2.0) |
| Cooper County 2 | Urban | 1,456.4 (1,329.3, 1,592.4) | 41 (4, 104) | 100 |
stable
|
0.5 (-0.7, 1.8) |
| Pulaski County 2 | Rural | 1,460.6 (1,361.6, 1,565.0) | 40 (9, 93) | 169 |
stable
|
-0.7 (-1.4, 0.0) |
| Reynolds County 2 | Rural | 1,460.7 (1,271.8, 1,670.1) | 39 (1, 113) | 44 |
stable
|
-0.2 (-1.9, 1.7) |
| Livingston County 2 | Rural | 1,462.2 (1,324.4, 1,610.4) | 38 (3, 103) | 86 |
stable
|
0.1 (-1.0, 1.1) |
| Saline County 2 | Rural | 1,465.9 (1,352.9, 1,585.8) | 37 (5, 98) | 128 |
stable
|
1.7 (-1.0, 9.6) |
| Chariton County 2 | Rural | 1,474.9 (1,294.8, 1,673.0) | 36 (1, 109) | 52 |
stable
|
0.0 (-1.1, 1.2) |
| Lincoln County 2 | Urban | 1,475.3 (1,398.1, 1,555.7) | 35 (12, 82) | 294 |
stable
|
-0.5 (-1.3, 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) |
| Linn County 2 | Rural | 1,484.9 (1,339.2, 1,642.4) | 33 (2, 104) | 79 |
stable
|
0.4 (-0.8, 1.6) |
| Henry County 2 | Rural | 1,486.3 (1,380.9, 1,597.7) | 32 (4, 91) | 153 |
stable
|
-0.3 (-1.3, 0.8) |
| Knox County 2 | Rural | 1,488.8 (1,234.8, 1,779.9) | 31 (1, 114) | 25 |
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) |
| 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) |
| Crawford County 2 | Rural | 1,498.5 (1,390.7, 1,612.5) | 28 (3, 90) | 149 |
stable
|
-5.8 (-11.9, 0.4) |
| Pettis County 2 | Rural | 1,498.6 (1,412.7, 1,588.3) | 27 (7, 79) | 236 |
stable
|
-0.1 (-0.9, 0.8) |
| Holt County 2 | Rural | 1,499.5 (1,272.3, 1,755.8) | 26 (1, 111) | 33 |
stable
|
0.9 (-0.8, 2.7) |
| Perry County 2 | Rural | 1,515.0 (1,394.2, 1,643.5) | 25 (3, 92) | 119 |
stable
|
0.6 (-0.5, 1.9) |
| Butler County 2 | Rural | 1,519.1 (1,435.9, 1,605.9) | 24 (5, 68) | 256 |
stable
|
0.0 (-0.7, 0.7) |
| 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) |
| Gentry County 2 | Rural | 1,535.1 (1,324.4, 1,770.0) | 22 (1, 108) | 39 |
stable
|
0.8 (-0.9, 2.6) |
| Montgomery County 2 | Rural | 1,535.3 (1,382.0, 1,701.1) | 21 (1, 97) | 76 |
stable
|
0.1 (-0.9, 1.2) |
| Shelby County 2 | Rural | 1,537.6 (1,329.1, 1,769.8) | 20 (1, 107) | 41 |
stable
|
-0.2 (-1.4, 1.1) |
| Oregon County 2 | Rural | 1,537.8 (1,368.2, 1,722.7) | 19 (1, 101) | 63 |
rising
|
2.0 (0.3, 3.8) |
| Franklin County 2 | Urban | 1,553.7 (1,499.9, 1,608.9) | 18 (6, 42) | 656 |
stable
|
0.5 (-0.1, 2.4) |
| Buchanan County 2 | Urban | 1,555.7 (1,492.9, 1,620.4) | 17 (4, 46) | 478 |
stable
|
0.5 (-0.3, 1.2) |
| 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) |
| Monroe County 2 | Rural | 1,581.3 (1,410.4, 1,767.3) | 14 (1, 93) | 66 |
stable
|
1.2 (-0.4, 2.9) |
| Scott County 2 | Rural | 1,585.4 (1,495.4, 1,679.5) | 13 (1, 54) | 237 |
stable
|
0.6 (0.0, 1.2) |
| Jasper County 2 | Urban | 1,587.1 (1,532.5, 1,643.0) | 12 (3, 33) | 659 |
rising
|
1.1 (0.3, 1.9) |
| Iron County 2 | Rural | 1,601.7 (1,437.0, 1,780.2) | 11 (1, 82) | 71 |
stable
|
1.0 (-0.1, 2.2) |
| Stoddard County 2 | Rural | 1,604.5 (1,503.7, 1,710.3) | 10 (1, 48) | 194 |
stable
|
0.8 (0.0, 1.6) |
| Marion County 2 | Rural | 1,616.3 (1,510.3, 1,727.9) | 9 (1, 48) | 179 |
rising
|
0.8 (0.2, 1.5) |
| Wayne County 2 | Rural | 1,627.3 (1,478.3, 1,787.4) | 8 (1, 77) | 91 |
rising
|
9.3 (0.1, 15.4) |
| Dunklin County 2 | Rural | 1,632.0 (1,525.8, 1,743.6) | 7 (1, 42) | 180 |
rising
|
1.1 (0.4, 1.9) |
| Pike County 2 | Rural | 1,639.2 (1,505.3, 1,781.7) | 6 (1, 61) | 113 |
stable
|
0.5 (-1.2, 2.4) |
| Carter County 2 | Rural | 1,645.0 (1,416.6, 1,900.4) | 5 (1, 96) | 38 |
stable
|
0.7 (-1.0, 2.3) |
| 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) |
| Madison County 2 | Rural | 1,671.7 (1,517.1, 1,838.0) | 3 (1, 57) | 88 |
stable
|
0.8 (-0.1, 1.7) |
| Mississippi County 2 | Rural | 1,682.3 (1,523.2, 1,853.8) | 2 (1, 56) | 83 |
stable
|
0.8 (-0.1, 1.8) |
| Ripley County 2 | Rural | 1,738.1 (1,570.6, 1,918.8) | 1 (1, 42) | 81 |
rising
|
1.1 (0.1, 2.0) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 10:09 pm.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
† 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.
‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
Data for United States does not include Puerto Rico.