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


