Incidence Rates Table
Incidence Rate Report for North Carolina by County
Colon & Rectum (Late Stage^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 50+
Sorted by CI*Rank
County
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2023 Rural-Urban Continuum Codes Φ
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Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)
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CI*Rank ⋔ (95% Confidence Interval) 
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Average Annual Count
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Percent of Cases with Late Stage
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|---|---|---|---|---|---|
| North Carolina 2 | N/A | 64.6 (63.5, 65.8) | N/A | 2,393 | 62.3 |
| US (SEER+NPCR) 1 | N/A | 64.3 (64.1, 64.5) | N/A | 75,131 | 59.3 |
| Swain County 2 | Rural | 148.4 (105.1, 203.3) | 1 (1, 15) | 8 | 67.8 |
| Granville County 2 | Rural | 104.1 (85.8, 125.0) | 2 (1, 30) | 24 | 68.8 |
| Anson County 2 | Urban | 95.2 (68.1, 129.4) | 3 (1, 81) | 8 | 64.6 |
| McDowell County 2 | Rural | 90.3 (71.9, 112.0) | 4 (1, 63) | 17 | 59.4 |
| Person County 2 | Urban | 89.3 (69.6, 112.9) | 5 (1, 73) | 15 | 68.9 |
| Davidson County 2 | Urban | 86.6 (76.7, 97.4) | 6 (2, 37) | 57 | 71.9 |
| Duplin County 2 | Rural | 86.5 (68.7, 107.4) | 7 (1, 73) | 17 | 65.4 |
| Robeson County 2 | Rural | 86.3 (73.7, 100.5) | 8 (2, 51) | 35 | 66.3 |
| Haywood County 2 | Rural | 86.0 (71.3, 102.8) | 9 (2, 63) | 25 | 67.9 |
| Cherokee County 2 | Rural | 85.4 (65.3, 109.8) | 10 (1, 80) | 13 | 63.8 |
| Bladen County 2 | Rural | 84.9 (63.5, 111.2) | 11 (1, 84) | 11 | 70.0 |
| Washington County 2 | Rural | 83.4 (52.4, 126.2) | 12 (1, 93) | 5 | 55.8 |
| Wayne County 2 | Urban | 83.3 (71.1, 97.0) | 13 (2, 55) | 34 | 66.5 |
| Wilkes County 2 | Rural | 83.3 (68.9, 99.8) | 14 (2, 64) | 24 | 69.5 |
| Columbus County 2 | Rural | 83.2 (66.1, 103.4) | 15 (2, 74) | 17 | 60.7 |
| Sampson County 2 | Rural | 82.2 (66.2, 100.9) | 16 (2, 72) | 19 | 78.3 |
| Richmond County 2 | Rural | 81.3 (62.7, 103.7) | 17 (2, 84) | 13 | 66.3 |
| Davie County 2 | Urban | 80.7 (63.4, 101.3) | 18 (2, 82) | 15 | 72.4 |
| Surry County 2 | Rural | 80.6 (66.9, 96.3) | 19 (2, 69) | 25 | 67.0 |
| Warren County 2 | Rural | 79.7 (54.1, 112.7) | 20 (1, 92) | 7 | 62.5 |
| Caldwell County 2 | Urban | 78.6 (65.7, 93.2) | 21 (3, 69) | 27 | 61.0 |
| Macon County 2 | Rural | 76.4 (59.8, 96.3) | 22 (2, 83) | 16 | 62.4 |
| Montgomery County 2 | Rural | 75.9 (54.4, 103.2) | 23 (2, 91) | 8 | 64.6 |
| Greene County 2 | Rural | 74.0 (48.5, 108.2) | 24 (1, 93) | 6 | 73.7 |
| Harnett County 2 | Rural | 73.4 (61.6, 86.7) | 25 (5, 80) | 29 | 64.7 |
| Stanly County 2 | Rural | 73.1 (58.6, 90.2) | 26 (3, 86) | 18 | 58.8 |
| Carteret County 2 | Rural | 72.5 (60.1, 86.6) | 27 (5, 81) | 26 | 71.5 |
| Halifax County 2 | Rural | 72.2 (56.7, 90.6) | 28 (3, 87) | 16 | 62.4 |
| Vance County 2 | Rural | 72.1 (54.4, 93.7) | 29 (3, 90) | 12 | 54.2 |
| Pender County 2 | Urban | 71.5 (56.7, 89.1) | 30 (3, 87) | 17 | 61.3 |
| Chowan County 2 | Rural | 71.3 (46.3, 105.5) | 31 (1, 93) | 5 | 61.9 |
| Gaston County 2 | Urban | 71.2 (63.2, 80.1) | 32 (11, 72) | 58 | 58.3 |
| Scotland County 2 | Rural | 71.1 (51.8, 95.4) | 33 (2, 91) | 9 | 60.5 |
| Jackson County 2 | Rural | 71.0 (54.0, 91.7) | 34 (3, 89) | 12 | 71.3 |
| Rutherford County 2 | Rural | 70.7 (57.6, 86.1) | 35 (4, 84) | 21 | 55.0 |
| Stokes County 2 | Urban | 70.7 (55.2, 89.1) | 36 (4, 90) | 15 | 68.9 |
| Burke County 2 | Urban | 70.7 (59.1, 83.9) | 37 (6, 82) | 27 | 62.0 |
| Onslow County 2 | Urban | 70.0 (59.0, 82.6) | 38 (8, 84) | 30 | 62.4 |
| Polk County 2 | Rural | 69.4 (49.4, 95.0) | 39 (2, 92) | 8 | 67.2 |
| Alamance County 2 | Urban | 69.3 (60.2, 79.4) | 40 (12, 78) | 43 | 57.1 |
| Wilson County 2 | Rural | 69.0 (55.9, 84.2) | 41 (5, 87) | 20 | 62.1 |
| Cleveland County 2 | Rural | 68.9 (57.8, 81.5) | 42 (8, 83) | 28 | 53.4 |
| Caswell County 2 | Rural | 68.7 (47.3, 96.4) | 43 (2, 93) | 7 | 60.3 |
| Randolph County 2 | Urban | 68.7 (59.2, 79.2) | 44 (11, 81) | 39 | 61.6 |
| Buncombe County 2 | Urban | 68.3 (61.4, 75.7) | 45 (18, 73) | 75 | 69.3 |
| Rockingham County 2 | Urban | 67.6 (56.6, 80.2) | 46 (10, 85) | 27 | 59.8 |
| Rowan County 2 | Urban | 67.0 (57.5, 77.7) | 47 (12, 81) | 37 | 59.2 |
| Forsyth County 2 | Urban | 66.6 (60.4, 73.2) | 48 (22, 73) | 89 | 68.3 |
| Lee County 2 | Rural | 66.0 (51.8, 82.8) | 49 (7, 90) | 15 | 58.8 |
| Chatham County 2 | Urban | 65.9 (54.3, 79.1) | 50 (11, 88) | 24 | 66.3 |
| Northampton County 2 | Rural | 65.8 (43.4, 95.4) | 51 (2, 93) | 6 | 58.8 |
| Craven County 2 | Rural | 64.9 (53.9, 77.4) | 52 (13, 89) | 26 | 65.8 |
| Hoke County 2 | Urban | 64.9 (46.1, 88.8) | 53 (3, 93) | 9 | 65.7 |
| Lenoir County 2 | Rural | 64.6 (50.5, 81.5) | 54 (8, 91) | 15 | 62.2 |
| Brunswick County 2 | Urban | 63.9 (55.5, 73.2) | 55 (21, 85) | 50 | 60.6 |
| Union County 2 | Urban | 62.7 (54.6, 71.6) | 56 (23, 86) | 46 | 59.9 |
| Moore County 2 | Urban | 62.2 (51.9, 73.9) | 57 (17, 89) | 28 | 65.7 |
| Mecklenburg County 2 | Urban | 61.9 (57.9, 66.2) | 58 (37, 77) | 185 | 63.5 |
| Yadkin County 2 | Urban | 61.0 (45.1, 80.7) | 59 (7, 93) | 10 | 74.6 |
| Beaufort County 2 | Rural | 61.0 (46.4, 78.7) | 60 (9, 93) | 13 | 54.3 |
| Mitchell County 2 | Rural | 60.8 (38.6, 91.4) | 61 (3, 93) | 5 | 54.5 |
| Guilford County 2 | Urban | 60.7 (55.6, 66.0) | 62 (38, 82) | 110 | 58.9 |
| Yancey County 2 | Rural | 60.6 (40.7, 87.1) | 63 (3, 93) | 6 | 57.7 |
| Alexander County 2 | Urban | 60.4 (44.2, 80.6) | 64 (7, 93) | 9 | 67.1 |
| Johnston County 2 | Urban | 59.9 (51.6, 69.3) | 65 (26, 89) | 40 | 59.2 |
| Alleghany County 2 | Rural | 59.9 (34.1, 97.4) | 66 (2, 93) | 3 | 70.8 |
| Franklin County 2 | Urban | 59.5 (46.8, 74.6) | 67 (14, 92) | 16 | 59.7 |
| Bertie County 2 | Rural | 59.1 (37.6, 88.5) | 68 (3, 93) | 5 | 56.8 |
| Lincoln County 2 | Urban | 59.0 (48.0, 71.7) | 69 (19, 92) | 21 | 60.3 |
| Watauga County 2 | Rural | 58.7 (43.5, 77.6) | 70 (11, 93) | 10 | 58.4 |
| Catawba County 2 | Urban | 58.7 (50.4, 68.0) | 71 (28, 90) | 36 | 63.9 |
| Cabarrus County 2 | Urban | 58.0 (50.0, 67.0) | 72 (29, 91) | 39 | 51.3 |
| Perquimans County 2 | Rural | 57.8 (34.2, 91.3) | 73 (2, 93) | 4 | 54.3 |
| Nash County 2 | Urban | 57.8 (47.2, 70.0) | 74 (19, 92) | 22 | 67.5 |
| Cumberland County 2 | Urban | 56.8 (50.0, 64.2) | 75 (40, 90) | 52 | 58.4 |
| Wake County 2 | Urban | 56.5 (52.8, 60.5) | 76 (53, 87) | 178 | 66.4 |
| Iredell County 2 | Urban | 56.5 (48.6, 65.4) | 77 (35, 91) | 38 | 53.5 |
| Clay County 2 | Rural | 55.9 (33.0, 89.4) | 78 (2, 93) | 4 | 59.4 |
| Ashe County 2 | Rural | 55.6 (38.5, 77.5) | 79 (10, 93) | 7 | 63.8 |
| Transylvania County 2 | Rural | 54.9 (40.2, 73.2) | 80 (11, 93) | 10 | 74.3 |
| Orange County 2 | Urban | 54.8 (45.5, 65.3) | 81 (33, 92) | 26 | 66.3 |
| New Hanover County 2 | Urban | 54.5 (47.6, 62.1) | 82 (43, 91) | 47 | 65.8 |
| Avery County 2 | Rural | 54.4 (33.9, 82.9) | 83 (5, 93) | 4 | 68.8 |
| Edgecombe County 2 | Urban | 53.5 (39.7, 70.6) | 84 (18, 93) | 11 | 52.5 |
| Henderson County 2 | Urban | 53.3 (44.8, 63.0) | 85 (41, 92) | 30 | 53.8 |
| Martin County 2 | Rural | 52.3 (34.0, 76.7) | 86 (10, 93) | 5 | 45.8 |
| Durham County 2 | Urban | 51.2 (44.8, 58.2) | 87 (57, 92) | 48 | 62.2 |
| Pamlico County 2 | Rural | 50.8 (28.2, 83.8) | 88 (3, 93) | 3 | 42.5 |
| Hertford County 2 | Rural | 50.4 (32.5, 75.2) | 89 (11, 93) | 5 | 47.2 |
| Madison County 2 | Urban | 49.8 (31.9, 74.2) | 90 (11, 93) | 5 | 59.5 |
| Pasquotank County 2 | Rural | 48.6 (34.2, 67.1) | 91 (24, 93) | 8 | 60.3 |
| Dare County 2 | Rural | 44.3 (31.5, 60.7) | 92 (38, 93) | 9 | 62.3 |
| Pitt County 2 | Urban | 42.6 (34.9, 51.6) | 93 (71, 93) | 22 | 51.9 |
| Camden County 2 | Urban |
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| Currituck County 2 | Urban |
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| Gates County 2 | Urban |
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| Graham County 2 | Rural |
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| Hyde County 2 | Rural |
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| Jones County 2 | Rural |
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| Tyrrell County 2 | Rural |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 7:20 pm.
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 are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.
^ Late Stage is defined as cases determined to be regional or distant. 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.