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 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)
|
|---|---|---|---|---|---|---|
| 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) |
| Gates County 2 | Urban | 883.4 (768.6, 1,010.7) | 100 (98, 100) | 44 |
stable 
|
-1.9 (-3.8, 0.1) |
| Currituck County 2 | Urban | 951.4 (867.7, 1,041.1) | 99 (97, 100) | 105 |
falling
|
-5.6 (-13.6, -2.2) |
| Camden County 2 | Urban | 1,045.5 (906.0, 1,200.7) | 98 (90, 100) | 42 |
falling
|
-2.4 (-4.0, -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) |
| Alleghany County 2 | Rural | 1,200.1 (1,076.4, 1,334.5) | 96 (62, 98) | 72 |
stable
|
-0.2 (-1.3, 0.9) |
| Polk County 2 | Rural | 1,231.1 (1,141.4, 1,326.0) | 95 (75, 98) | 150 |
stable
|
0.0 (-0.9, 0.9) |
| Perquimans County 2 | Rural | 1,231.3 (1,115.6, 1,355.9) | 94 (53, 98) | 88 |
stable
|
-0.5 (-1.9, 1.0) |
| Graham County 2 | Rural | 1,274.8 (1,120.5, 1,444.7) | 93 (15, 98) | 51 |
stable
|
-0.3 (-12.2, 4.5) |
| Jackson County 2 | Rural | 1,285.2 (1,208.6, 1,365.4) | 92 (65, 97) | 222 |
falling
|
-1.4 (-2.7, -0.6) |
| Nash County 2 | Urban | 1,291.4 (1,240.0, 1,344.4) | 91 (76, 96) | 495 |
falling
|
-0.8 (-1.5, -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) |
| Wilkes County 2 | Rural | 1,322.9 (1,265.0, 1,382.8) | 89 (64, 95) | 404 |
falling
|
-0.9 (-5.0, -0.1) |
| Ashe County 2 | Rural | 1,325.0 (1,239.3, 1,415.2) | 88 (43, 96) | 187 |
stable
|
-0.3 (-1.1, 0.6) |
| Watauga County 2 | Rural | 1,327.2 (1,251.9, 1,406.0) | 87 (51, 96) | 244 |
stable
|
-0.4 (-1.0, 0.2) |
| Transylvania County 2 | Rural | 1,330.4 (1,256.3, 1,407.9) | 86 (51, 96) | 262 |
stable
|
0.4 (-0.4, 1.2) |
| Avery County 2 | Rural | 1,355.3 (1,242.5, 1,475.7) | 85 (14, 97) | 110 |
stable
|
0.0 (-0.8, 0.9) |
| 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) |
| Catawba County 2 | Urban | 1,376.0 (1,334.9, 1,418.0) | 83 (53, 90) | 875 |
stable
|
-0.1 (-0.4, 0.3) |
| Cherokee County 2 | Rural | 1,377.2 (1,296.0, 1,462.3) | 82 (25, 94) | 234 |
stable
|
0.0 (-0.9, 0.6) |
| Northampton County 2 | Rural | 1,380.2 (1,274.4, 1,492.5) | 81 (9, 95) | 135 |
stable
|
0.0 (-0.5, 0.4) |
| Alexander County 2 | Urban | 1,380.4 (1,298.5, 1,466.1) | 80 (24, 95) | 217 |
stable
|
0.0 (-0.7, 0.8) |
| Bertie County 2 | Rural | 1,384.9 (1,271.2, 1,505.9) | 79 (10, 96) | 117 |
stable
|
-0.1 (-0.9, 0.8) |
| Warren County 2 | Rural | 1,391.4 (1,285.7, 1,503.7) | 78 (10, 96) | 138 |
stable
|
-0.3 (-1.1, 0.5) |
| Orange County 2 | Urban | 1,392.7 (1,344.8, 1,441.8) | 77 (43, 89) | 670 |
stable
|
-0.4 (-0.9, 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) |
| Lee County 2 | Rural | 1,399.8 (1,331.6, 1,470.7) | 75 (26, 91) | 327 |
stable
|
-0.6 (-1.4, 0.2) |
| 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) |
| Clay County 2 | Rural | 1,401.4 (1,272.3, 1,540.5) | 73 (4, 96) | 96 |
stable
|
0.2 (-0.9, 1.5) |
| Bladen County 2 | Rural | 1,405.7 (1,316.7, 1,499.2) | 72 (12, 94) | 196 |
stable
|
0.5 (-0.3, 1.3) |
| 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) |
| Chowan County 2 | Rural | 1,408.7 (1,283.1, 1,543.3) | 70 (4, 95) | 99 |
stable
|
0.3 (-0.7, 1.4) |
| Wilson County 2 | Rural | 1,411.4 (1,352.1, 1,472.6) | 69 (27, 88) | 442 |
stable
|
-0.3 (-0.8, 0.2) |
| Hertford County 2 | Rural | 1,415.4 (1,306.0, 1,531.5) | 68 (6, 95) | 129 |
stable
|
-0.3 (-1.1, 0.4) |
| Pitt County 2 | Urban | 1,415.4 (1,369.4, 1,462.7) | 67 (32, 86) | 744 |
stable
|
1.3 (0.0, 4.3) |
| 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) |
| Carteret County 2 | Rural | 1,417.2 (1,360.9, 1,475.2) | 65 (23, 88) | 508 |
falling
|
-0.9 (-1.4, -0.4) |
| Cabarrus County 2 | Urban | 1,423.5 (1,383.0, 1,464.8) | 64 (35, 83) | 980 |
falling
|
-1.0 (-1.8, -0.5) |
| Macon County 2 | Rural | 1,427.6 (1,352.6, 1,505.8) | 63 (14, 90) | 291 |
stable
|
0.0 (-0.9, 0.9) |
| Beaufort County 2 | Rural | 1,430.0 (1,358.8, 1,503.9) | 62 (16, 90) | 320 |
rising 
|
2.7 (0.3, 6.5) |
| Iredell County 2 | Urban | 1,431.8 (1,391.5, 1,473.0) | 61 (31, 81) | 992 |
falling
|
-0.7 (-1.4, -0.2) |
| Madison County 2 | Urban | 1,434.6 (1,327.8, 1,547.6) | 60 (6, 93) | 141 |
stable
|
-0.1 (-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) |
| Harnett County 2 | Rural | 1,444.6 (1,391.6, 1,499.1) | 57 (20, 82) | 582 |
falling
|
-2.7 (-6.1, -0.3) |
| Stokes County 2 | Urban | 1,450.4 (1,377.8, 1,525.9) | 56 (12, 86) | 306 |
rising
|
0.7 (0.3, 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) |
| Duplin County 2 | Rural | 1,456.5 (1,381.6, 1,534.4) | 54 (9, 88) | 294 |
rising
|
0.8 (0.4, 1.2) |
| Yadkin County 2 | Urban | 1,458.8 (1,376.5, 1,544.8) | 53 (6, 88) | 239 |
stable
|
0.4 (-0.4, 1.3) |
| Henderson County 2 | Urban | 1,459.6 (1,415.5, 1,504.8) | 52 (19, 76) | 866 |
stable
|
-0.2 (-0.6, 0.1) |
| Greene County 2 | Rural | 1,462.7 (1,341.5, 1,592.1) | 51 (2, 93) | 112 |
stable
|
-0.1 (-1.1, 1.0) |
| 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) |
| 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) |
| Hoke County 2 | Urban | 1,468.3 (1,373.5, 1,568.0) | 48 (4, 89) | 200 |
stable
|
-0.3 (-1.5, 1.2) |
| Mitchell County 2 | Rural | 1,471.2 (1,349.4, 1,601.2) | 47 (2, 93) | 112 |
stable
|
0.8 (0.0, 1.8) |
| 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) |
| Washington County 2 | Rural | 1,474.4 (1,332.5, 1,627.3) | 45 (1, 94) | 85 |
stable
|
0.9 (-0.1, 1.9) |
| Lincoln County 2 | Urban | 1,476.2 (1,419.4, 1,534.7) | 44 (9, 77) | 533 |
stable
|
-0.1 (-0.6, 0.5) |
| Rowan County 2 | Urban | 1,479.7 (1,434.5, 1,526.1) | 43 (13, 72) | 837 |
stable
|
-0.7 (-1.4, 0.0) |
| Edgecombe County 2 | Urban | 1,481.2 (1,406.7, 1,558.6) | 42 (5, 82) | 313 |
stable
|
-0.2 (-1.0, 0.7) |
| Halifax County 2 | Rural | 1,484.6 (1,411.4, 1,560.6) | 41 (6, 81) | 322 |
stable
|
-2.4 (-7.1, 0.3) |
| Burke County 2 | Urban | 1,488.4 (1,434.1, 1,544.1) | 40 (8, 74) | 582 |
stable
|
0.1 (-0.5, 0.8) |
| Pamlico County 2 | Rural | 1,488.5 (1,359.2, 1,626.9) | 39 (1, 91) | 108 |
stable
|
0.2 (-0.8, 1.3) |
| Columbus County 2 | Rural | 1,489.3 (1,415.9, 1,565.5) | 38 (5, 82) | 320 |
stable
|
0.5 (-0.2, 1.2) |
| 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) |
| Craven County 2 | Rural | 1,491.3 (1,437.7, 1,546.4) | 36 (8, 73) | 615 |
falling
|
-0.6 (-1.0, -0.1) |
| 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) |
| Franklin County 2 | Urban | 1,491.6 (1,424.4, 1,561.1) | 34 (6, 77) | 392 |
stable
|
0.2 (-0.4, 0.9) |
| 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) |
| 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) |
| Robeson County 2 | Rural | 1,492.7 (1,438.8, 1,548.2) | 31 (8, 72) | 607 |
stable
|
-2.0 (-4.3, 0.3) |
| Randolph County 2 | Urban | 1,497.9 (1,452.6, 1,544.3) | 30 (9, 66) | 852 |
falling
|
-2.2 (-3.9, -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) |
| Moore County 2 | Urban | 1,499.3 (1,449.2, 1,550.6) | 28 (7, 68) | 713 |
stable
|
-0.1 (-0.8, 0.6) |
| Rockingham County 2 | Urban | 1,506.9 (1,453.3, 1,562.0) | 27 (6, 69) | 617 |
stable
|
-0.1 (-0.5, 0.3) |
| Yancey County 2 | Rural | 1,508.1 (1,397.3, 1,625.4) | 26 (2, 88) | 144 |
stable
|
0.5 (-0.3, 1.5) |
| Davie County 2 | Urban | 1,509.5 (1,432.2, 1,589.9) | 25 (4, 78) | 292 |
stable
|
-0.5 (-5.9, 0.8) |
| Jones County 2 | Rural | 1,512.6 (1,354.9, 1,683.8) | 24 (1, 94) | 71 |
stable
|
-0.1 (-1.2, 1.1) |
| Person County 2 | Urban | 1,513.9 (1,431.0, 1,600.5) | 23 (3, 78) | 260 |
stable
|
0.0 (-0.5, 0.5) |
| 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) |
| Haywood County 2 | Rural | 1,520.1 (1,458.6, 1,583.5) | 21 (4, 65) | 479 |
stable
|
0.6 (-0.3, 1.7) |
| Tyrrell County 2 | Rural | 1,530.0 (1,267.1, 1,831.4) | 20 (1, 97) | 25 |
rising
|
2.4 (0.6, 4.4) |
| Scotland County 2 | Rural | 1,530.6 (1,435.6, 1,630.2) | 19 (2, 82) | 201 |
stable
|
-0.3 (-1.6, 1.0) |
| Vance County 2 | Rural | 1,540.2 (1,456.8, 1,627.3) | 18 (2, 74) | 264 |
stable
|
0.0 (-0.4, 0.4) |
| Cleveland County 2 | Rural | 1,540.6 (1,485.8, 1,597.0) | 17 (4, 54) | 617 |
stable
|
0.2 (-1.7, 0.6) |
| Stanly County 2 | Rural | 1,543.2 (1,474.1, 1,614.6) | 16 (3, 61) | 388 |
stable
|
-0.2 (-4.3, 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) |
| 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) |
| Alamance County 2 | Urban | 1,547.2 (1,503.6, 1,591.7) | 13 (5, 44) | 976 |
stable
|
0.2 (-0.2, 0.7) |
| Pender County 2 | Urban | 1,549.1 (1,477.7, 1,623.1) | 12 (2, 61) | 373 |
stable
|
0.5 (-0.2, 1.3) |
| Sampson County 2 | Rural | 1,556.2 (1,483.4, 1,631.6) | 11 (2, 59) | 353 |
rising
|
1.0 (0.3, 1.7) |
| Martin County 2 | Rural | 1,556.4 (1,450.0, 1,668.6) | 10 (1, 78) | 168 |
stable
|
0.4 (-0.9, 0.8) |
| Rutherford County 2 | Rural | 1,556.6 (1,492.4, 1,622.8) | 9 (2, 53) | 459 |
stable
|
0.2 (-0.2, 0.7) |
| Wayne County 2 | Urban | 1,557.4 (1,504.0, 1,612.3) | 8 (2, 46) | 663 |
stable
|
0.5 (-1.7, 1.1) |
| Granville County 2 | Rural | 1,581.4 (1,509.4, 1,656.0) | 7 (1, 51) | 378 |
stable
|
-0.2 (-0.8, 0.5) |
| Caldwell County 2 | Urban | 1,592.8 (1,533.5, 1,653.9) | 6 (1, 37) | 561 |
rising
|
0.9 (0.4, 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) |
| Onslow County 2 | Urban | 1,642.5 (1,588.0, 1,698.3) | 4 (1, 18) | 722 |
falling
|
-2.7 (-4.4, -0.5) |
| McDowell County 2 | Rural | 1,665.6 (1,585.1, 1,749.3) | 3 (1, 21) | 331 |
rising
|
0.8 (0.1, 1.6) |
| Swain County 2 | Rural | 1,668.1 (1,521.8, 1,824.8) | 2 (1, 63) | 99 |
rising
|
1.3 (0.3, 2.4) |
| Richmond County 2 | Rural | 1,719.1 (1,629.6, 1,812.3) | 1 (1, 11) | 286 |
rising
|
5.0 (0.3, 10.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 10:02 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.