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 65+
Sorted by CI*Rank
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 | 2,140.5 (2,130.5, 2,150.6) | N/A | 36,181 |
falling 
|
-1.1 (-1.7, -0.7) |
| US (SEER+NPCR) 1 | N/A | 2,004.7 (2,002.9, 2,006.4) | N/A | 1,067,371 |
falling
|
-1.2 (-1.8, -0.8) |
| McDowell County 2 | Rural | 2,470.8 (2,327.2, 2,621.1) | 1 (1, 23) | 227 |
stable 
|
0.8 (-0.2, 1.9) |
| Richmond County 2 | Rural | 2,468.7 (2,310.0, 2,635.5) | 2 (1, 31) | 186 |
stable
|
4.3 (-0.2, 10.8) |
| Onslow County 2 | Urban | 2,413.0 (2,313.4, 2,515.9) | 3 (1, 21) | 461 |
stable
|
0.5 (-0.1, 1.3) |
| Swain County 2 | Rural | 2,356.2 (2,103.9, 2,630.8) | 4 (1, 84) | 65 |
stable
|
-0.1 (-7.0, 2.0) |
| Caldwell County 2 | Urban | 2,344.7 (2,238.5, 2,454.6) | 5 (1, 41) | 378 |
rising 
|
0.7 (0.1, 1.5) |
| Haywood County 2 | Rural | 2,314.1 (2,206.8, 2,425.4) | 6 (1, 49) | 354 |
rising
|
1.2 (0.4, 2.0) |
| Alamance County 2 | Urban | 2,303.3 (2,224.1, 2,384.6) | 7 (2, 39) | 649 |
stable
|
0.3 (-0.1, 0.8) |
| Johnston County 2 | Urban | 2,284.8 (2,203.7, 2,368.1) | 8 (2, 43) | 646 |
rising
|
0.9 (0.5, 1.4) |
| Pender County 2 | Urban | 2,279.0 (2,149.1, 2,414.8) | 9 (1, 66) | 243 |
stable
|
0.5 (-0.5, 1.7) |
| Rutherford County 2 | Rural | 2,278.2 (2,165.4, 2,395.4) | 10 (2, 56) | 314 |
stable
|
0.0 (-0.5, 0.6) |
| Scotland County 2 | Rural | 2,275.0 (2,105.7, 2,454.5) | 11 (1, 78) | 138 |
stable
|
-0.2 (-1.8, 1.5) |
| Surry County 2 | Rural | 2,273.3 (2,164.0, 2,386.7) | 12 (2, 57) | 329 |
stable
|
0.6 (-0.2, 1.5) |
| Granville County 2 | Rural | 2,256.9 (2,126.3, 2,393.6) | 13 (1, 68) | 232 |
stable
|
0.2 (-0.5, 1.0) |
| Lincoln County 2 | Urban | 2,255.8 (2,150.0, 2,365.6) | 14 (2, 62) | 357 |
stable
|
-0.1 (-0.7, 0.6) |
| Stanly County 2 | Rural | 2,254.5 (2,131.5, 2,382.8) | 15 (1, 69) | 259 |
stable
|
-0.3 (-6.9, 1.9) |
| Person County 2 | Urban | 2,251.9 (2,101.6, 2,410.1) | 16 (1, 73) | 173 |
stable
|
0.0 (-0.8, 1.0) |
| Brunswick County 2 | Urban | 2,251.5 (2,184.3, 2,320.2) | 17 (4, 45) | 967 |
falling
|
-2.0 (-3.5, -0.2) |
| Sampson County 2 | Rural | 2,250.4 (2,121.1, 2,385.6) | 18 (1, 68) | 233 |
rising
|
1.4 (0.6, 2.3) |
| Wayne County 2 | Urban | 2,249.2 (2,153.8, 2,347.8) | 19 (3, 57) | 430 |
stable
|
0.4 (-3.4, 1.3) |
| Guilford County 2 | Urban | 2,244.8 (2,198.1, 2,292.2) | 20 (7, 41) | 1,802 |
stable
|
0.0 (-0.5, 0.5) |
| Henderson County 2 | Urban | 2,236.4 (2,159.9, 2,314.9) | 21 (4, 55) | 653 |
stable
|
0.0 (-0.5, 0.4) |
| Union County 2 | Urban | 2,233.5 (2,157.2, 2,311.9) | 22 (4, 54) | 675 |
stable
|
0.2 (-0.3, 0.9) |
| New Hanover County 2 | Urban | 2,228.0 (2,162.0, 2,295.4) | 23 (6, 55) | 894 |
rising
|
0.6 (0.1, 1.1) |
| Gaston County 2 | Urban | 2,227.7 (2,158.3, 2,298.6) | 24 (6, 53) | 805 |
stable
|
0.0 (-0.5, 0.5) |
| Jones County 2 | Rural | 2,227.3 (1,949.6, 2,534.0) | 25 (1, 94) | 48 |
stable
|
-0.4 (-1.8, 1.1) |
| Anson County 2 | Urban | 2,222.5 (2,026.0, 2,433.0) | 26 (1, 89) | 96 |
rising
|
1.7 (0.9, 2.7) |
| Franklin County 2 | Urban | 2,221.4 (2,097.0, 2,351.3) | 27 (3, 73) | 252 |
stable
|
0.2 (-0.5, 1.1) |
| Macon County 2 | Rural | 2,209.8 (2,080.7, 2,344.8) | 28 (3, 78) | 224 |
stable
|
0.0 (-0.8, 0.9) |
| Moore County 2 | Urban | 2,207.5 (2,123.6, 2,293.8) | 29 (5, 64) | 524 |
stable
|
-0.2 (-0.9, 0.6) |
| Vance County 2 | Rural | 2,201.1 (2,054.2, 2,355.9) | 30 (2, 82) | 172 |
stable
|
-0.1 (-1.0, 0.8) |
| Forsyth County 2 | Urban | 2,191.0 (2,137.8, 2,245.2) | 31 (12, 56) | 1,325 |
stable
|
-0.2 (-0.4, 0.1) |
| Davidson County 2 | Urban | 2,188.6 (2,114.2, 2,265.0) | 32 (9, 66) | 669 |
stable
|
0.3 (-0.1, 0.8) |
| Yancey County 2 | Rural | 2,185.0 (1,999.5, 2,383.3) | 33 (1, 89) | 104 |
rising
|
2.8 (0.1, 8.2) |
| Cleveland County 2 | Rural | 2,177.4 (2,080.7, 2,277.4) | 34 (5, 74) | 396 |
stable
|
0.3 (-0.3, 0.9) |
| Mitchell County 2 | Rural | 2,177.3 (1,968.5, 2,402.4) | 35 (1, 93) | 81 |
stable
|
1.1 (0.0, 2.3) |
| Yadkin County 2 | Urban | 2,177.3 (2,029.6, 2,332.9) | 36 (2, 86) | 163 |
stable
|
0.7 (-0.3, 1.9) |
| Rockingham County 2 | Urban | 2,175.5 (2,080.5, 2,273.7) | 37 (7, 74) | 404 |
stable
|
-0.2 (-0.7, 0.3) |
| Martin County 2 | Rural | 2,167.3 (1,990.1, 2,356.2) | 38 (1, 90) | 113 |
stable
|
0.6 (-0.1, 1.4) |
| Hoke County 2 | Urban | 2,165.9 (1,985.5, 2,358.6) | 39 (1, 92) | 117 |
stable
|
0.3 (-1.3, 2.2) |
| Randolph County 2 | Urban | 2,155.2 (2,073.9, 2,238.8) | 40 (11, 72) | 546 |
stable
|
-0.7 (-2.7, 0.0) |
| Rowan County 2 | Urban | 2,151.0 (2,069.4, 2,234.9) | 41 (13, 74) | 541 |
stable
|
-0.6 (-1.9, 0.2) |
| Beaufort County 2 | Rural | 2,148.8 (2,024.2, 2,279.1) | 42 (5, 85) | 230 |
rising
|
3.9 (0.3, 9.4) |
| Burke County 2 | Urban | 2,145.2 (2,049.9, 2,243.7) | 43 (8, 79) | 387 |
stable
|
-0.1 (-0.9, 0.8) |
| Cabarrus County 2 | Urban | 2,141.6 (2,065.6, 2,219.7) | 44 (15, 73) | 622 |
falling
|
-1.0 (-3.3, -0.4) |
| Davie County 2 | Urban | 2,135.3 (2,001.7, 2,275.4) | 45 (5, 88) | 193 |
stable
|
-1.1 (-5.2, 0.3) |
| Mecklenburg County 2 | Urban | 2,132.8 (2,095.5, 2,170.6) | 46 (29, 64) | 2,616 |
stable
|
-1.9 (-4.3, 0.4) |
| Greene County 2 | Rural | 2,132.1 (1,913.6, 2,369.0) | 47 (1, 95) | 73 |
stable
|
0.5 (-0.8, 1.8) |
| Craven County 2 | Rural | 2,123.5 (2,032.9, 2,217.2) | 48 (13, 82) | 421 |
stable
|
-0.7 (-1.5, 0.1) |
| Wake County 2 | Urban | 2,120.5 (2,084.6, 2,156.8) | 49 (32, 67) | 2,790 |
falling
|
-2.0 (-2.9, -1.3) |
| Iredell County 2 | Urban | 2,113.7 (2,039.3, 2,190.1) | 50 (21, 78) | 630 |
falling
|
-0.7 (-1.4, -0.1) |
| Chatham County 2 | Urban | 2,112.1 (2,019.3, 2,208.1) | 51 (15, 83) | 393 |
stable
|
-0.7 (-3.6, 0.7) |
| Robeson County 2 | Rural | 2,108.1 (2,012.2, 2,207.6) | 52 (15, 85) | 380 |
falling
|
-3.6 (-7.5, -1.0) |
| Stokes County 2 | Urban | 2,105.2 (1,977.4, 2,239.0) | 53 (7, 88) | 205 |
stable
|
0.7 (0.0, 1.4) |
| Harnett County 2 | Rural | 2,103.2 (2,006.2, 2,203.7) | 54 (15, 84) | 367 |
falling
|
-2.9 (-6.5, -0.2) |
| Lenoir County 2 | Rural | 2,098.5 (1,979.5, 2,222.9) | 55 (10, 88) | 236 |
stable
|
-1.1 (-2.2, 0.1) |
| Orange County 2 | Urban | 2,091.6 (2,003.3, 2,182.8) | 56 (22, 84) | 444 |
stable
|
0.7 (-0.3, 3.4) |
| Cumberland County 2 | Urban | 2,080.2 (2,017.4, 2,144.6) | 57 (32, 81) | 855 |
stable
|
0.2 (-0.1, 0.5) |
| Carteret County 2 | Rural | 2,077.5 (1,979.9, 2,178.6) | 58 (20, 88) | 354 |
falling
|
-1.2 (-1.7, -0.6) |
| Avery County 2 | Rural | 2,077.4 (1,876.2, 2,294.3) | 59 (3, 95) | 80 |
stable
|
0.0 (-1.0, 1.0) |
| Hertford County 2 | Rural | 2,077.2 (1,885.6, 2,283.2) | 60 (3, 96) | 88 |
rising
|
5.3 (0.3, 11.1) |
| Clay County 2 | Rural | 2,065.2 (1,853.7, 2,294.5) | 61 (2, 96) | 72 |
stable
|
0.2 (-0.9, 1.4) |
| Buncombe County 2 | Urban | 2,064.3 (2,009.4, 2,120.2) | 62 (39, 82) | 1,106 |
stable
|
-0.3 (-0.6, 0.0) |
| Watauga County 2 | Rural | 2,063.9 (1,925.3, 2,209.8) | 63 (10, 92) | 172 |
stable
|
-0.4 (-0.9, 0.2) |
| Lee County 2 | Rural | 2,053.9 (1,930.1, 2,183.5) | 64 (14, 92) | 212 |
stable
|
-0.6 (-1.4, 0.4) |
| Pamlico County 2 | Rural | 2,048.2 (1,844.0, 2,269.1) | 65 (5, 96) | 75 |
stable
|
0.1 (-0.9, 1.2) |
| Columbus County 2 | Rural | 2,048.2 (1,924.2, 2,178.2) | 66 (15, 93) | 208 |
stable
|
0.1 (-0.9, 1.2) |
| Caswell County 2 | Rural | 2,046.5 (1,871.1, 2,234.1) | 67 (6, 95) | 103 |
stable
|
-0.1 (-1.1, 1.1) |
| Chowan County 2 | Rural | 2,045.5 (1,833.4, 2,275.5) | 68 (3, 96) | 69 |
stable
|
0.2 (-0.9, 1.3) |
| Montgomery County 2 | Rural | 2,045.4 (1,877.5, 2,224.6) | 69 (7, 95) | 113 |
stable
|
0.6 (-0.6, 1.9) |
| Halifax County 2 | Rural | 2,036.6 (1,912.4, 2,166.8) | 70 (19, 93) | 206 |
falling
|
-5.0 (-9.1, -0.1) |
| Hyde County 2 | Rural | 2,031.4 (1,656.0, 2,467.7) | 71 (1, 99) | 22 |
stable
|
-1.3 (-3.4, 0.7) |
| Transylvania County 2 | Rural | 2,030.4 (1,907.5, 2,159.0) | 72 (21, 93) | 204 |
stable
|
0.6 (-0.2, 1.5) |
| Pitt County 2 | Urban | 2,028.7 (1,946.0, 2,114.0) | 73 (37, 90) | 473 |
rising
|
1.1 (0.1, 3.9) |
| Edgecombe County 2 | Urban | 2,023.6 (1,897.7, 2,155.8) | 74 (21, 93) | 200 |
stable
|
-0.1 (-1.1, 0.9) |
| Duplin County 2 | Rural | 2,022.2 (1,894.3, 2,156.5) | 75 (16, 94) | 190 |
stable
|
0.6 (-0.1, 1.4) |
| Graham County 2 | Rural | 2,019.0 (1,743.9, 2,325.3) | 76 (1, 97) | 39 |
stable
|
0.6 (-1.7, 3.2) |
| Washington County 2 | Rural | 2,018.1 (1,789.2, 2,268.3) | 77 (3, 97) | 58 |
stable
|
0.9 (-0.3, 2.2) |
| Madison County 2 | Urban | 2,016.4 (1,837.8, 2,207.9) | 78 (7, 96) | 96 |
stable
|
0.0 (-0.9, 1.0) |
| Catawba County 2 | Urban | 2,010.7 (1,936.8, 2,086.7) | 79 (42, 91) | 574 |
stable
|
-0.2 (-0.8, 0.3) |
| Durham County 2 | Urban | 2,002.7 (1,941.4, 2,065.5) | 80 (52, 89) | 851 |
falling
|
-3.8 (-6.0, -1.1) |
| Wilson County 2 | Rural | 1,979.0 (1,875.8, 2,086.5) | 81 (41, 95) | 283 |
stable
|
-0.6 (-1.2, 0.0) |
| Alexander County 2 | Urban | 1,975.2 (1,831.6, 2,127.3) | 82 (25, 96) | 143 |
stable
|
-0.2 (-1.0, 0.6) |
| Northampton County 2 | Rural | 1,974.4 (1,799.9, 2,161.3) | 83 (14, 97) | 95 |
stable
|
0.4 (-0.4, 1.2) |
| Tyrrell County 2 | Rural | 1,973.8 (1,565.7, 2,456.0) | 84 (1, 100) | 16 |
stable
|
1.5 (-0.3, 3.5) |
| Cherokee County 2 | Rural | 1,966.5 (1,833.8, 2,106.3) | 85 (26, 96) | 169 |
stable
|
-0.5 (-1.4, 0.2) |
| Bladen County 2 | Rural | 1,964.0 (1,813.8, 2,123.5) | 86 (25, 96) | 131 |
stable
|
0.4 (-0.5, 1.4) |
| Warren County 2 | Rural | 1,960.1 (1,786.2, 2,146.5) | 87 (17, 97) | 96 |
stable
|
-0.7 (-1.6, 0.2) |
| Ashe County 2 | Rural | 1,921.8 (1,777.1, 2,075.3) | 88 (32, 97) | 133 |
stable
|
-0.4 (-1.6, 0.8) |
| Wilkes County 2 | Rural | 1,915.8 (1,815.4, 2,020.3) | 89 (57, 96) | 276 |
falling
|
-0.8 (-1.5, -0.3) |
| Bertie County 2 | Rural | 1,881.2 (1,696.6, 2,080.5) | 90 (25, 98) | 78 |
stable
|
-0.7 (-1.7, 0.4) |
| Dare County 2 | Rural | 1,871.7 (1,735.8, 2,015.5) | 91 (54, 97) | 153 |
stable
|
-0.9 (-1.8, 0.1) |
| Perquimans County 2 | Rural | 1,862.8 (1,664.9, 2,078.0) | 92 (29, 98) | 66 |
stable
|
-0.6 (-2.0, 0.8) |
| Polk County 2 | Rural | 1,862.7 (1,713.5, 2,021.5) | 93 (51, 97) | 115 |
stable
|
0.0 (-0.9, 1.0) |
| Nash County 2 | Urban | 1,840.6 (1,749.8, 1,935.1) | 94 (75, 97) | 321 |
falling
|
-0.9 (-1.5, -0.3) |
| Jackson County 2 | Rural | 1,837.5 (1,706.3, 1,976.3) | 95 (61, 97) | 151 |
falling
|
-1.7 (-2.8, -0.9) |
| Alleghany County 2 | Rural | 1,755.8 (1,546.5, 1,985.6) | 96 (43, 99) | 52 |
stable
|
0.1 (-1.1, 1.3) |
| Pasquotank County 2 | Rural | 1,655.5 (1,522.5, 1,797.1) | 97 (89, 99) | 117 |
falling
|
-6.5 (-14.1, -2.2) |
| Camden County 2 | Urban | 1,435.4 (1,188.7, 1,719.2) | 98 (86, 100) | 25 |
falling
|
-10.3 (-21.6, -3.7) |
| Currituck County 2 | Urban | 1,407.5 (1,251.0, 1,578.7) | 99 (96, 100) | 65 |
falling
|
-2.1 (-3.6, -0.5) |
| Gates County 2 | Urban | 1,274.7 (1,072.0, 1,504.9) | 100 (97, 100) | 29 |
stable
|
-1.8 (-3.6, 0.0) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 3:16 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 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.