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