Incidence Rates Table
Incidence Rate Report for Missouri by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 65+
Sorted by Name
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)
|
|---|---|---|---|---|---|---|
| Missouri 2 | N/A | 2,067.6 (2,055.0, 2,080.1) | N/A | 21,392 |
falling 
|
-0.3 (-0.5, -0.1) |
| 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) |
| Adair County 2 | Rural | 2,023.6 (1,825.6, 2,237.2) | 70 (14, 108) | 77 |
stable 
|
-0.2 (-1.6, 1.2) |
| Andrew County 2 | Urban | 2,004.4 (1,796.1, 2,230.4) | 77 (12, 111) | 69 |
stable
|
-0.2 (-2.0, 1.7) |
| Atchison County 2 | Rural | 1,903.4 (1,580.2, 2,273.0) | 95 (7, 115) | 25 |
stable
|
9.7 (-2.1, 19.4) |
| Audrain County 2 | Rural | 2,090.0 (1,904.0, 2,289.4) | 53 (10, 102) | 94 |
falling
|
-9.8 (-12.6, -6.7) |
| Barry County 2 | Rural | 2,038.2 (1,892.7, 2,192.0) | 65 (20, 103) | 149 |
stable
|
-3.7 (-8.3, 1.1) |
| Barton County 2 | Rural | 1,903.5 (1,662.5, 2,169.9) | 94 (17, 114) | 45 |
stable
|
0.3 (-1.3, 1.9) |
| Bates County 2 | Urban | 1,974.3 (1,757.3, 2,210.9) | 84 (13, 112) | 61 |
stable
|
-0.3 (-1.8, 1.2) |
| Benton County 2 | Rural | 2,046.0 (1,884.2, 2,217.9) | 63 (18, 103) | 121 |
stable
|
-0.8 (-1.9, 0.5) |
| Bollinger County 2 | Urban | 2,296.8 (2,019.6, 2,601.8) | 21 (1, 99) | 51 |
stable
|
1.0 (-0.7, 2.8) |
| Boone County 2 | Urban | 2,063.1 (1,978.9, 2,150.0) | 59 (32, 91) | 474 |
stable
|
-0.4 (-1.0, 0.4) |
| Buchanan County 2 | Urban | 2,301.0 (2,187.5, 2,418.9) | 19 (4, 50) | 315 |
stable
|
1.3 (-1.0, 6.0) |
| Butler County 2 | Rural | 2,176.1 (2,031.6, 2,328.1) | 37 (8, 86) | 171 |
stable
|
-0.2 (-1.1, 0.8) |
| Caldwell County 2 | Urban | 1,980.6 (1,693.1, 2,302.9) | 83 (5, 114) | 34 |
stable
|
-0.1 (-1.9, 1.7) |
| Callaway County 2 | Urban | 2,098.6 (1,951.6, 2,253.8) | 50 (14, 98) | 157 |
stable
|
-0.4 (-1.2, 0.4) |
| Camden County 2 | Rural | 2,004.4 (1,890.2, 2,123.9) | 78 (33, 101) | 242 |
falling
|
-0.6 (-1.1, -0.1) |
| Cape Girardeau County 2 | Urban | 2,097.5 (1,989.7, 2,209.5) | 51 (21, 89) | 289 |
stable
|
0.5 (-0.3, 1.4) |
| Carroll County 2 | Rural | 2,216.8 (1,924.3, 2,541.4) | 31 (1, 106) | 41 |
stable
|
1.1 (-0.3, 2.6) |
| Carter County 2 | Rural | 2,825.8 (2,387.3, 3,322.3) | 1 (1, 47) | 30 |
stable
|
1.7 (-0.1, 3.8) |
| Cass County 2 | Urban | 2,092.5 (1,998.9, 2,189.4) | 52 (23, 89) | 381 |
stable
|
0.1 (-0.4, 0.6) |
| Cedar County 2 | Rural | 2,021.9 (1,809.1, 2,252.7) | 71 (10, 110) | 66 |
stable
|
-0.6 (-1.7, 0.5) |
| Chariton County 2 | Rural | 1,949.5 (1,665.0, 2,268.2) | 86 (7, 115) | 34 |
stable
|
0.1 (-1.4, 1.6) |
| Christian County 2 | Urban | 2,016.3 (1,911.1, 2,125.8) | 73 (33, 99) | 283 |
stable
|
-0.7 (-1.6, 0.3) |
| Clark County 2 | Rural | 2,346.7 (1,994.1, 2,743.8) | 12 (1, 104) | 32 |
stable
|
1.8 (-0.1, 3.9) |
| Clay County 2 | Urban | 2,125.7 (2,057.5, 2,195.6) | 43 (26, 73) | 759 |
falling
|
-0.5 (-0.9, -0.1) |
| Clinton County 2 | Urban | 1,990.6 (1,792.3, 2,204.9) | 81 (14, 110) | 75 |
stable
|
-0.1 (-1.3, 1.2) |
| Cole County 2 | Urban | 2,014.9 (1,905.8, 2,128.6) | 75 (32, 99) | 263 |
stable
|
-0.6 (-1.4, 0.2) |
| Cooper County 2 | Urban | 2,243.3 (2,013.4, 2,492.3) | 27 (2, 94) | 71 |
stable
|
0.8 (-0.2, 1.8) |
| Crawford County 2 | Rural | 2,152.2 (1,962.7, 2,355.2) | 40 (6, 97) | 97 |
stable
|
-8.0 (-17.4, 1.1) |
| Dade County 2 | Rural | 1,814.2 (1,542.7, 2,119.8) | 101 (16, 115) | 32 |
falling
|
-1.8 (-3.2, -0.6) |
| Dallas County 2 | Urban | 1,861.5 (1,660.0, 2,080.9) | 99 (29, 114) | 63 |
stable
|
-0.6 (-1.6, 0.5) |
| Daviess County 2 | Rural | 2,004.7 (1,710.3, 2,335.2) | 76 (4, 114) | 34 |
stable
|
0.2 (-1.3, 1.9) |
| DeKalb County 2 | Urban | 1,803.5 (1,547.3, 2,089.6) | 103 (19, 115) | 36 |
stable
|
-0.7 (-2.5, 1.3) |
| Dent County 2 | Rural | 1,943.8 (1,730.5, 2,176.2) | 88 (18, 113) | 61 |
stable
|
-0.6 (-2.0, 0.7) |
| Douglas County 2 | Rural | 1,747.5 (1,536.4, 1,979.9) | 107 (44, 115) | 50 |
stable
|
2.2 (-0.7, 11.7) |
| Dunklin County 2 | Rural | 2,301.0 (2,117.7, 2,495.9) | 20 (2, 76) | 118 |
stable
|
0.9 (-0.1, 1.9) |
| Franklin County 2 | Urban | 2,329.0 (2,230.3, 2,430.8) | 18 (4, 40) | 430 |
stable
|
1.0 (0.0, 3.7) |
| Gasconade County 2 | Rural | 2,066.7 (1,851.1, 2,300.5) | 57 (7, 108) | 68 |
stable
|
-0.9 (-2.2, 0.4) |
| Gentry County 2 | Rural | 2,426.2 (2,038.6, 2,865.9) | 6 (1, 104) | 28 |
stable
|
0.9 (-1.0, 2.8) |
| Greene County 2 | Urban | 2,030.2 (1,973.7, 2,087.9) | 67 (44, 89) | 992 |
rising 
|
6.6 (2.7, 8.8) |
| Grundy County 2 | Rural | 1,951.7 (1,692.8, 2,238.5) | 85 (9, 114) | 41 |
stable
|
-0.8 (-2.9, 1.2) |
| Harrison County 2 | Rural | 2,242.3 (1,939.7, 2,578.5) | 28 (1, 104) | 40 |
stable
|
0.4 (-1.8, 2.6) |
| Henry County 2 | Rural | 2,196.8 (2,013.6, 2,392.2) | 34 (4, 92) | 107 |
stable
|
-0.1 (-1.2, 1.1) |
| Hickory County 2 | Rural | 1,600.4 (1,395.8, 1,826.6) | 112 (78, 115) | 44 |
stable
|
-0.4 (-1.6, 0.9) |
| Holt County 2 | Rural | 2,402.6 (1,992.6, 2,871.0) | 7 (1, 108) | 25 |
stable
|
0.7 (-1.7, 3.2) |
| Howard County 2 | Urban | 1,935.5 (1,661.6, 2,241.8) | 89 (9, 115) | 36 |
stable
|
10.8 (-0.9, 20.3) |
| Howell County 2 | Rural | 2,056.2 (1,915.0, 2,205.0) | 60 (20, 100) | 160 |
stable
|
-0.1 (-1.4, 1.1) |
| Iron County 2 | Rural | 2,431.6 (2,137.8, 2,754.7) | 4 (1, 82) | 50 |
rising
|
1.2 (0.3, 2.2) |
| Jackson County 2 | Urban | 1,982.3 (1,943.9, 2,021.2) | 82 (60, 92) | 2,100 |
stable
|
-0.3 (-0.7, 0.0) |
| Jasper County 2 | Urban | 2,341.6 (2,243.7, 2,442.7) | 14 (3, 39) | 439 |
rising
|
1.0 (0.3, 1.8) |
| Jefferson County 2 | Urban | 2,201.7 (2,129.9, 2,275.4) | 33 (15, 58) | 758 |
stable
|
-0.2 (-0.6, 0.2) |
| Johnson County 2 | Rural | 2,105.3 (1,951.7, 2,267.8) | 48 (11, 98) | 143 |
stable
|
0.0 (-0.7, 0.8) |
| Knox County 2 | Rural | 2,245.8 (1,802.4, 2,765.6) | 26 (1, 114) | 18 |
stable
|
0.0 (-1.2, 1.1) |
| Laclede County 2 | Rural | 1,914.9 (1,764.3, 2,075.0) | 92 (35, 110) | 122 |
falling
|
-1.0 (-1.8, -0.3) |
| Lafayette County 2 | Urban | 2,130.1 (1,967.2, 2,302.9) | 42 (9, 97) | 128 |
stable
|
0.7 (-0.2, 1.8) |
| Lawrence County 2 | Rural | 1,791.9 (1,651.5, 1,941.1) | 105 (63, 114) | 121 |
stable
|
-0.5 (-1.4, 0.4) |
| Lewis County 2 | Rural | 2,363.4 (2,059.6, 2,699.6) | 10 (1, 95) | 44 |
stable
|
0.1 (-1.5, 1.7) |
| Lincoln County 2 | Urban | 2,184.4 (2,039.0, 2,337.5) | 36 (7, 84) | 177 |
stable
|
-0.3 (-1.1, 0.5) |
| Linn County 2 | Rural | 2,371.0 (2,103.3, 2,663.3) | 9 (1, 87) | 58 |
stable
|
1.0 (-0.8, 2.9) |
| Livingston County 2 | Rural | 2,106.2 (1,872.2, 2,361.2) | 47 (4, 107) | 60 |
stable
|
0.3 (-0.6, 1.3) |
| Macon County 2 | Rural | 2,033.0 (1,821.2, 2,262.8) | 66 (8, 109) | 67 |
stable
|
-0.7 (-1.6, 0.2) |
| Madison County 2 | Rural | 2,340.8 (2,072.6, 2,634.1) | 15 (1, 91) | 56 |
stable
|
0.5 (-0.6, 1.7) |
| Maries County 2 | Rural | 1,732.1 (1,469.5, 2,028.3) | 109 (30, 115) | 31 |
stable
|
-0.2 (-1.7, 1.4) |
| Marion County 2 | Rural | 2,430.8 (2,240.6, 2,632.8) | 5 (1, 48) | 124 |
stable
|
0.8 (-0.2, 1.8) |
| McDonald County 2 | Rural | 2,025.7 (1,816.1, 2,253.2) | 68 (10, 109) | 71 |
stable
|
1.1 (0.0, 2.3) |
| Mercer County 2 | Rural | 2,221.0 (1,755.0, 2,770.5) | 30 (1, 114) | 16 |
stable
|
1.3 (-1.9, 4.6) |
| Miller County 2 | Rural | 1,998.1 (1,820.7, 2,188.2) | 79 (18, 108) | 95 |
stable
|
0.1 (-1.0, 1.2) |
| Mississippi County 2 | Rural | 2,437.6 (2,159.0, 2,742.5) | 3 (1, 85) | 56 |
stable
|
1.0 (-0.1, 2.1) |
| Moniteau County 2 | Urban | 1,897.9 (1,662.9, 2,157.0) | 96 (14, 114) | 48 |
stable
|
-0.2 (-2.1, 1.7) |
| Monroe County 2 | Rural | 2,329.2 (2,040.3, 2,647.5) | 17 (1, 98) | 47 |
stable
|
1.2 (-0.1, 2.6) |
| Montgomery County 2 | Rural | 2,351.9 (2,073.4, 2,657.2) | 11 (1, 91) | 53 |
stable
|
0.0 (-1.9, 1.8) |
| Morgan County 2 | Rural | 2,016.1 (1,841.0, 2,203.6) | 74 (17, 107) | 99 |
stable
|
-0.9 (-2.1, 0.2) |
| New Madrid County 2 | Rural | 2,098.8 (1,875.3, 2,341.8) | 49 (5, 106) | 65 |
stable
|
-0.2 (-1.5, 1.1) |
| Newton County 2 | Urban | 1,894.1 (1,778.1, 2,015.8) | 97 (52, 109) | 202 |
stable
|
-0.1 (-1.4, 1.2) |
| Nodaway County 2 | Rural | 2,048.3 (1,841.5, 2,271.9) | 62 (9, 107) | 73 |
stable
|
0.2 (-1.2, 1.7) |
| Oregon County 2 | Rural | 2,205.0 (1,920.0, 2,520.5) | 32 (1, 109) | 43 |
rising
|
2.1 (0.1, 4.3) |
| Osage County 2 | Urban | 2,049.7 (1,794.0, 2,331.9) | 61 (5, 111) | 47 |
stable
|
1.0 (-0.2, 2.2) |
| Ozark County 2 | Rural | 1,914.9 (1,678.0, 2,176.3) | 93 (15, 114) | 48 |
stable
|
-0.5 (-2.4, 1.6) |
| Pemiscot County 2 | Rural | 1,626.8 (1,416.3, 1,859.9) | 111 (74, 115) | 44 |
stable
|
-0.5 (-2.1, 1.1) |
| Perry County 2 | Rural | 2,171.1 (1,959.9, 2,398.9) | 38 (4, 98) | 79 |
stable
|
0.3 (-0.9, 1.5) |
| Pettis County 2 | Rural | 2,156.8 (2,005.6, 2,316.3) | 39 (8, 92) | 154 |
stable
|
-0.4 (-1.0, 0.3) |
| Phelps County 2 | Rural | 2,023.9 (1,880.9, 2,174.9) | 69 (24, 104) | 150 |
stable
|
0.0 (-0.9, 0.9) |
| Pike County 2 | Rural | 2,254.0 (2,025.8, 2,501.0) | 25 (2, 95) | 72 |
stable
|
-0.1 (-1.8, 1.6) |
| Platte County 2 | Urban | 1,685.8 (1,595.1, 1,780.3) | 110 (96, 115) | 268 |
falling
|
-1.2 (-2.2, -0.1) |
| Polk County 2 | Urban | 1,917.1 (1,759.1, 2,085.5) | 91 (32, 111) | 109 |
stable
|
-0.4 (-1.2, 0.3) |
| Pulaski County 2 | Rural | 2,067.0 (1,887.6, 2,259.0) | 56 (11, 106) | 101 |
falling
|
-1.2 (-2.0, -0.4) |
| Putnam County 2 | Rural | 1,805.1 (1,468.9, 2,195.3) | 102 (8, 115) | 20 |
stable
|
0.3 (-2.4, 3.2) |
| Ralls County 2 | Rural | 1,576.9 (1,352.1, 1,829.0) | 114 (74, 115) | 36 |
falling
|
-2.1 (-3.9, -0.2) |
| Randolph County 2 | Rural | 2,237.6 (2,035.2, 2,454.6) | 29 (2, 90) | 91 |
stable
|
0.1 (-1.1, 1.4) |
| Ray County 2 | Urban | 1,945.2 (1,760.8, 2,143.8) | 87 (25, 111) | 83 |
stable
|
-0.7 (-1.6, 0.3) |
| Reynolds County 2 | Rural | 2,117.4 (1,793.1, 2,483.3) | 44 (1, 113) | 30 |
stable
|
0.1 (-1.9, 2.2) |
| Ripley County 2 | Rural | 2,441.7 (2,154.2, 2,757.2) | 2 (1, 78) | 53 |
rising
|
1.4 (0.5, 2.3) |
| Saline County 2 | Rural | 2,085.7 (1,890.0, 2,296.3) | 54 (8, 106) | 84 |
stable
|
-1.3 (-2.9, 0.2) |
| Schuyler County 2 | Rural | 1,539.6 (1,171.7, 1,986.1) | 115 (27, 115) | 12 |
stable
|
-0.9 (-2.8, 0.8) |
| Scotland County 2 | Rural | 1,590.8 (1,237.0, 2,014.1) | 113 (24, 115) | 14 |
stable
|
-1.5 (-3.6, 0.6) |
| Scott County 2 | Rural | 2,261.4 (2,104.1, 2,427.3) | 24 (3, 72) | 156 |
rising
|
0.9 (0.4, 1.3) |
| Shannon County 2 | Rural | 2,073.7 (1,767.1, 2,419.1) | 55 (2, 113) | 33 |
stable
|
0.7 (-1.4, 3.1) |
| Shelby County 2 | Rural | 2,196.5 (1,845.2, 2,594.9) | 35 (1, 112) | 28 |
stable
|
-0.2 (-1.8, 1.4) |
| St. Charles County 2 | Urban | 2,045.4 (1,995.1, 2,096.7) | 64 (42, 85) | 1,289 |
falling
|
-0.8 (-1.1, -0.4) |
| St. Clair County 2 | Rural | 1,852.6 (1,617.4, 2,112.4) | 100 (23, 115) | 45 |
stable
|
2.5 (-0.2, 9.3) |
| St. Francois County 2 | Rural | 2,343.3 (2,215.5, 2,476.5) | 13 (2, 48) | 256 |
stable
|
0.4 (-0.2, 1.0) |
| St. Louis City 2 | Urban | 1,802.4 (1,743.6, 1,862.8) | 104 (88, 110) | 758 |
falling
|
-2.9 (-6.5, -1.7) |
| St. Louis County 2 | Urban | 2,117.3 (2,086.9, 2,148.0) | 45 (34, 63) | 3,784 |
falling
|
-0.5 (-0.7, -0.2) |
| Ste. Genevieve County 2 | Rural | 2,276.7 (2,057.3, 2,513.1) | 23 (1, 89) | 81 |
stable
|
1.3 (-0.1, 2.8) |
| Stoddard County 2 | Rural | 2,395.0 (2,218.2, 2,582.1) | 8 (1, 53) | 137 |
stable
|
0.9 (0.0, 1.9) |
| Stone County 2 | Rural | 1,872.9 (1,750.0, 2,002.2) | 98 (53, 111) | 180 |
falling
|
-1.1 (-1.9, -0.2) |
| Sullivan County 2 | Rural | 1,925.6 (1,590.1, 2,311.0) | 90 (4, 115) | 23 |
stable
|
-0.4 (-2.6, 1.7) |
| Taney County 2 | Rural | 1,996.7 (1,884.5, 2,113.9) | 80 (35, 101) | 241 |
stable
|
2.1 (-0.3, 7.0) |
| Texas County 2 | Rural | 1,742.7 (1,584.6, 1,912.3) | 108 (68, 115) | 90 |
stable
|
-0.8 (-1.9, 0.4) |
| Vernon County 2 | Rural | 1,766.2 (1,583.0, 1,964.8) | 106 (50, 115) | 69 |
stable
|
-0.7 (-1.8, 0.5) |
| Warren County 2 | Urban | 2,143.8 (1,980.8, 2,316.7) | 41 (8, 95) | 131 |
stable
|
0.0 (-1.1, 1.2) |
| Washington County 2 | Rural | 2,289.4 (2,078.6, 2,516.1) | 22 (2, 88) | 91 |
rising
|
4.1 (0.3, 9.6) |
| Wayne County 2 | Rural | 2,330.2 (2,075.6, 2,607.4) | 16 (1, 91) | 61 |
rising
|
17.7 (8.0, 26.8) |
| Webster County 2 | Urban | 2,017.2 (1,857.8, 2,186.7) | 72 (20, 106) | 121 |
stable
|
-0.1 (-1.1, 1.0) |
| Worth County 2 | Rural | 2,064.7 (1,540.9, 2,710.0) | 58 (1, 115) | 11 |
stable
|
1.7 (-1.2, 4.6) |
| Wright County 2 | Rural | 2,109.2 (1,898.7, 2,336.9) | 46 (6, 105) | 74 |
stable
|
0.0 (-0.6, 0.6) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 8:34 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.