Interpretation of Incidence Rates Data
Incidence Rate Report for Washington by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 65+
Sorted by Count
Explanation of Column HeadersIncidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.
Recent Trends - This is an interpretation of the AAPC/APC:
- Rising when 95% confidence interval of AAPC/APC is above 0.
- Stable when 95% confidence interval of AAPC/APC includes 0.
- Falling when 95% confidence interval of AAPC/APC is below 0.
AAPC/APC (95% Confidence Interval) - the change in rate over time
- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.
Other Notes
- Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
- Data is currently being suppressed if there are fewer than 16 counts for the time period.
Line by Line Interpretation of the Report
Washington1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 2,017.9 with a 95% confidence interval from 2,006.2 to 2,029.6 and 23,736 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.1 to -0.8.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 2,004.7 with a 95% confidence interval from 2,002.9 to 2,006.4 and 1,067,371 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.8.
Garfield County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,338.0 with a 95% confidence interval from 940.8 to 1,846.2 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (16, 39)
- Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -7.5 to 1.1.
Columbia County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,473.6 with a 95% confidence interval from 1,169.8 to 1,832.4 and 16 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (17, 39)
- Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -5.0 to 0.0.
Wahkiakum County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,706.6 with a 95% confidence interval from 1,407.1 to 2,051.4 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (12, 37)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.7 to 1.8.
Ferry County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,206.7 with a 95% confidence interval from 991.9 to 1,454.7 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (31, 39)
- Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -5.7 to -1.2.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,540.9 with a 95% confidence interval from 1,319.9 to 1,788.5 and 36 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (19, 38)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.7 to 0.0.
Skamania County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,507.4 with a 95% confidence interval from 1,298.3 to 1,740.7 and 40 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (21, 38)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.7 to 0.8.
Lincoln County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,648.7 with a 95% confidence interval from 1,437.8 to 1,881.9 and 45 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (17, 36)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.1 to 0.4.
Pend Oreille County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,522.0 with a 95% confidence interval from 1,336.6 to 1,726.2 and 53 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (22, 37)
- Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -4.9 to -2.2.
Whitman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,122.6 with a 95% confidence interval from 994.6 to 1,262.5 and 57 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (36, 39)
- Recent Trend : The trend is because the trend is -3.9 with a 95% confidence interval from -5.6 to -2.4.
Asotin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,278.3 with a 95% confidence interval from 1,146.1 to 1,421.6 and 69 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (32, 39)
- Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -5.5 to -1.1.
Klickitat County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,564.6 with a 95% confidence interval from 1,414.9 to 1,726.1 and 84 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (23, 36)
- Recent Trend : The trend is because the trend is -16.2 with a 95% confidence interval from -24.3 to -7.7.
San Juan County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 2,203.5 with a 95% confidence interval from 2,031.1 to 2,387.0 and 129 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 17)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.6.
Pacific County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,913.5 with a 95% confidence interval from 1,769.3 to 2,066.3 and 138 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (13, 27)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.7.
Kittitas County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,873.5 with a 95% confidence interval from 1,733.5 to 2,021.9 and 139 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (14, 28)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.
Stevens County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,377.5 with a 95% confidence interval from 1,278.0 to 1,482.8 and 151 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (31, 38)
- Recent Trend : The trend is because the trend is -3.0 with a 95% confidence interval from -3.9 to -2.1.
Douglas County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,186.7 with a 95% confidence interval from 2,037.1 to 2,344.5 and 162 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 17)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.6.
Franklin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,832.3 with a 95% confidence interval from 1,704.2 to 1,967.6 and 163 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (16, 28)
- Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.4.
Walla Walla County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,568.9 with a 95% confidence interval from 1,467.6 to 1,675.4 and 182 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (26, 35)
- Recent Trend : The trend is because the trend is -4.3 with a 95% confidence interval from -8.9 to -2.6.
Okanogan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,985.0 with a 95% confidence interval from 1,856.3 to 2,120.4 and 186 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (12, 24)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,905.1 with a 95% confidence interval from 1,800.9 to 2,013.9 and 258 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (15, 26)
- Recent Trend : The trend is because the trend is -5.2 with a 95% confidence interval from -8.6 to -1.3.
Jefferson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 2,244.0 with a 95% confidence interval from 2,122.2 to 2,371.1 and 271 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 14)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.7 to 0.1.
Lewis County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 1,832.8 with a 95% confidence interval from 1,740.7 to 1,928.4 and 308 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (16, 28)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -1.9 to -1.0.
Chelan County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,142.9 with a 95% confidence interval from 2,039.1 to 2,250.7 and 329 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (4, 16)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.
Mason County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 2,366.7 with a 95% confidence interval from 2,253.6 to 2,484.2 and 348 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 12)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.2.
Cowlitz County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,770.8 with a 95% confidence interval from 1,689.1 to 1,855.5 and 365 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (18, 29)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.
Grays Harbor County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 2,282.3 with a 95% confidence interval from 2,176.6 to 2,391.8 and 372 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 14)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.2.
Island County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 2,293.1 with a 95% confidence interval from 2,200.2 to 2,388.8 and 481 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 13)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.4 to 3.5.
Clallam County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 2,365.5 with a 95% confidence interval from 2,276.1 to 2,457.5 and 541 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 10)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.3.
Benton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,842.2 with a 95% confidence interval from 1,773.8 to 1,912.6 and 567 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (16, 26)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.8.
Skagit County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,222.0 with a 95% confidence interval from 2,141.5 to 2,304.7 and 594 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (2, 14)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.3 to -0.5.
Yakima County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,883.2 with a 95% confidence interval from 1,818.6 to 1,949.5 and 657 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (16, 24)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.4.
Whatcom County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,234.8 with a 95% confidence interval from 2,167.5 to 2,303.7 and 871 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (2, 14)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.0 to -0.4.
Kitsap County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,256.9 with a 95% confidence interval from 2,196.3 to 2,318.7 and 1,107 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (2, 14)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.4 to -0.1.
Thurston County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,242.4 with a 95% confidence interval from 2,183.0 to 2,303.0 and 1,132 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (2, 14)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.1.
Clark County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,773.2 with a 95% confidence interval from 1,730.1 to 1,817.2 and 1,350 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (21, 28)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.0.
Spokane County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 1,613.7 with a 95% confidence interval from 1,575.4 to 1,652.7 and 1,401 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (26, 33)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.6.
Snohomish County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,232.0 with a 95% confidence interval from 2,191.6 to 2,273.0 and 2,463 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (3, 14)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.1 to -0.3.
Pierce County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,243.9 with a 95% confidence interval from 2,206.1 to 2,282.3 and 2,794 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (3, 13)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to -0.4.
King County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 2,034.0 with a 95% confidence interval from 2,010.5 to 2,057.7 and 5,947 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (14, 17)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.2 to -0.6.
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 1:58 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 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 for United States does not include Puerto Rico.


