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 Recentaapc
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) |
| Audrain County 2 | Rural | 2,090.0 (1,904.0, 2,289.4) | 53 (10, 102) | 94 |
falling
|
-9.8 (-12.6, -6.7) |
| Crawford County 2 | Rural | 2,152.2 (1,962.7, 2,355.2) | 40 (6, 97) | 97 |
stable 
|
-8.0 (-17.4, 1.1) |
| Barry County 2 | Rural | 2,038.2 (1,892.7, 2,192.0) | 65 (20, 103) | 149 |
stable
|
-3.7 (-8.3, 1.1) |
| 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) |
| Ralls County 2 | Rural | 1,576.9 (1,352.1, 1,829.0) | 114 (74, 115) | 36 |
falling
|
-2.1 (-3.9, -0.2) |
| Dade County 2 | Rural | 1,814.2 (1,542.7, 2,119.8) | 101 (16, 115) | 32 |
falling
|
-1.8 (-3.2, -0.6) |
| Scotland County 2 | Rural | 1,590.8 (1,237.0, 2,014.1) | 113 (24, 115) | 14 |
stable
|
-1.5 (-3.6, 0.6) |
| Saline County 2 | Rural | 2,085.7 (1,890.0, 2,296.3) | 54 (8, 106) | 84 |
stable
|
-1.3 (-2.9, 0.2) |
| Platte County 2 | Urban | 1,685.8 (1,595.1, 1,780.3) | 110 (96, 115) | 268 |
falling
|
-1.2 (-2.2, -0.1) |
| Pulaski County 2 | Rural | 2,067.0 (1,887.6, 2,259.0) | 56 (11, 106) | 101 |
falling
|
-1.2 (-2.0, -0.4) |
| Stone County 2 | Rural | 1,872.9 (1,750.0, 2,002.2) | 98 (53, 111) | 180 |
falling
|
-1.1 (-1.9, -0.2) |
| Laclede County 2 | Rural | 1,914.9 (1,764.3, 2,075.0) | 92 (35, 110) | 122 |
falling
|
-1.0 (-1.8, -0.3) |
| Gasconade County 2 | Rural | 2,066.7 (1,851.1, 2,300.5) | 57 (7, 108) | 68 |
stable
|
-0.9 (-2.2, 0.4) |
| Morgan County 2 | Rural | 2,016.1 (1,841.0, 2,203.6) | 74 (17, 107) | 99 |
stable
|
-0.9 (-2.1, 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) |
| Benton County 2 | Rural | 2,046.0 (1,884.2, 2,217.9) | 63 (18, 103) | 121 |
stable
|
-0.8 (-1.9, 0.5) |
| Grundy County 2 | Rural | 1,951.7 (1,692.8, 2,238.5) | 85 (9, 114) | 41 |
stable
|
-0.8 (-2.9, 1.2) |
| 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) |
| Texas County 2 | Rural | 1,742.7 (1,584.6, 1,912.3) | 108 (68, 115) | 90 |
stable
|
-0.8 (-1.9, 0.4) |
| Christian County 2 | Urban | 2,016.3 (1,911.1, 2,125.8) | 73 (33, 99) | 283 |
stable
|
-0.7 (-1.6, 0.3) |
| DeKalb County 2 | Urban | 1,803.5 (1,547.3, 2,089.6) | 103 (19, 115) | 36 |
stable
|
-0.7 (-2.5, 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) |
| Ray County 2 | Urban | 1,945.2 (1,760.8, 2,143.8) | 87 (25, 111) | 83 |
stable
|
-0.7 (-1.6, 0.3) |
| Vernon County 2 | Rural | 1,766.2 (1,583.0, 1,964.8) | 106 (50, 115) | 69 |
stable
|
-0.7 (-1.8, 0.5) |
| Camden County 2 | Rural | 2,004.4 (1,890.2, 2,123.9) | 78 (33, 101) | 242 |
falling
|
-0.6 (-1.1, -0.1) |
| Cedar County 2 | Rural | 2,021.9 (1,809.1, 2,252.7) | 71 (10, 110) | 66 |
stable
|
-0.6 (-1.7, 0.5) |
| Cole County 2 | Urban | 2,014.9 (1,905.8, 2,128.6) | 75 (32, 99) | 263 |
stable
|
-0.6 (-1.4, 0.2) |
| Dallas County 2 | Urban | 1,861.5 (1,660.0, 2,080.9) | 99 (29, 114) | 63 |
stable
|
-0.6 (-1.6, 0.5) |
| Dent County 2 | Rural | 1,943.8 (1,730.5, 2,176.2) | 88 (18, 113) | 61 |
stable
|
-0.6 (-2.0, 0.7) |
| Clay County 2 | Urban | 2,125.7 (2,057.5, 2,195.6) | 43 (26, 73) | 759 |
falling
|
-0.5 (-0.9, -0.1) |
| Lawrence County 2 | Rural | 1,791.9 (1,651.5, 1,941.1) | 105 (63, 114) | 121 |
stable
|
-0.5 (-1.4, 0.4) |
| 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) |
| 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) |
| Boone County 2 | Urban | 2,063.1 (1,978.9, 2,150.0) | 59 (32, 91) | 474 |
stable
|
-0.4 (-1.0, 0.4) |
| Callaway County 2 | Urban | 2,098.6 (1,951.6, 2,253.8) | 50 (14, 98) | 157 |
stable
|
-0.4 (-1.2, 0.4) |
| Hickory County 2 | Rural | 1,600.4 (1,395.8, 1,826.6) | 112 (78, 115) | 44 |
stable
|
-0.4 (-1.6, 0.9) |
| Pettis County 2 | Rural | 2,156.8 (2,005.6, 2,316.3) | 39 (8, 92) | 154 |
stable
|
-0.4 (-1.0, 0.3) |
| Polk County 2 | Urban | 1,917.1 (1,759.1, 2,085.5) | 91 (32, 111) | 109 |
stable
|
-0.4 (-1.2, 0.3) |
| Sullivan County 2 | Rural | 1,925.6 (1,590.1, 2,311.0) | 90 (4, 115) | 23 |
stable
|
-0.4 (-2.6, 1.7) |
| Bates County 2 | Urban | 1,974.3 (1,757.3, 2,210.9) | 84 (13, 112) | 61 |
stable
|
-0.3 (-1.8, 1.2) |
| 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) |
| Lincoln County 2 | Urban | 2,184.4 (2,039.0, 2,337.5) | 36 (7, 84) | 177 |
stable
|
-0.3 (-1.1, 0.5) |
| 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) |
| Butler County 2 | Rural | 2,176.1 (2,031.6, 2,328.1) | 37 (8, 86) | 171 |
stable
|
-0.2 (-1.1, 0.8) |
| Jefferson County 2 | Urban | 2,201.7 (2,129.9, 2,275.4) | 33 (15, 58) | 758 |
stable
|
-0.2 (-0.6, 0.2) |
| Maries County 2 | Rural | 1,732.1 (1,469.5, 2,028.3) | 109 (30, 115) | 31 |
stable
|
-0.2 (-1.7, 1.4) |
| Moniteau County 2 | Urban | 1,897.9 (1,662.9, 2,157.0) | 96 (14, 114) | 48 |
stable
|
-0.2 (-2.1, 1.7) |
| 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) |
| Shelby County 2 | Rural | 2,196.5 (1,845.2, 2,594.9) | 35 (1, 112) | 28 |
stable
|
-0.2 (-1.8, 1.4) |
| Caldwell County 2 | Urban | 1,980.6 (1,693.1, 2,302.9) | 83 (5, 114) | 34 |
stable
|
-0.1 (-1.9, 1.7) |
| Clinton County 2 | Urban | 1,990.6 (1,792.3, 2,204.9) | 81 (14, 110) | 75 |
stable
|
-0.1 (-1.3, 1.2) |
| Henry County 2 | Rural | 2,196.8 (2,013.6, 2,392.2) | 34 (4, 92) | 107 |
stable
|
-0.1 (-1.2, 1.1) |
| Howell County 2 | Rural | 2,056.2 (1,915.0, 2,205.0) | 60 (20, 100) | 160 |
stable
|
-0.1 (-1.4, 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) |
| Pike County 2 | Rural | 2,254.0 (2,025.8, 2,501.0) | 25 (2, 95) | 72 |
stable
|
-0.1 (-1.8, 1.6) |
| Webster County 2 | Urban | 2,017.2 (1,857.8, 2,186.7) | 72 (20, 106) | 121 |
stable
|
-0.1 (-1.1, 1.0) |
| 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) |
| Montgomery County 2 | Rural | 2,351.9 (2,073.4, 2,657.2) | 11 (1, 91) | 53 |
stable
|
0.0 (-1.9, 1.8) |
| Phelps County 2 | Rural | 2,023.9 (1,880.9, 2,174.9) | 69 (24, 104) | 150 |
stable
|
0.0 (-0.9, 0.9) |
| Warren County 2 | Urban | 2,143.8 (1,980.8, 2,316.7) | 41 (8, 95) | 131 |
stable
|
0.0 (-1.1, 1.2) |
| Wright County 2 | Rural | 2,109.2 (1,898.7, 2,336.9) | 46 (6, 105) | 74 |
stable
|
0.0 (-0.6, 0.6) |
| Cass County 2 | Urban | 2,092.5 (1,998.9, 2,189.4) | 52 (23, 89) | 381 |
stable
|
0.1 (-0.4, 0.6) |
| Chariton County 2 | Rural | 1,949.5 (1,665.0, 2,268.2) | 86 (7, 115) | 34 |
stable
|
0.1 (-1.4, 1.6) |
| Lewis County 2 | Rural | 2,363.4 (2,059.6, 2,699.6) | 10 (1, 95) | 44 |
stable
|
0.1 (-1.5, 1.7) |
| Miller County 2 | Rural | 1,998.1 (1,820.7, 2,188.2) | 79 (18, 108) | 95 |
stable
|
0.1 (-1.0, 1.2) |
| Randolph County 2 | Rural | 2,237.6 (2,035.2, 2,454.6) | 29 (2, 90) | 91 |
stable
|
0.1 (-1.1, 1.4) |
| Reynolds County 2 | Rural | 2,117.4 (1,793.1, 2,483.3) | 44 (1, 113) | 30 |
stable
|
0.1 (-1.9, 2.2) |
| Daviess County 2 | Rural | 2,004.7 (1,710.3, 2,335.2) | 76 (4, 114) | 34 |
stable
|
0.2 (-1.3, 1.9) |
| Nodaway County 2 | Rural | 2,048.3 (1,841.5, 2,271.9) | 62 (9, 107) | 73 |
stable
|
0.2 (-1.2, 1.7) |
| Barton County 2 | Rural | 1,903.5 (1,662.5, 2,169.9) | 94 (17, 114) | 45 |
stable
|
0.3 (-1.3, 1.9) |
| Livingston County 2 | Rural | 2,106.2 (1,872.2, 2,361.2) | 47 (4, 107) | 60 |
stable
|
0.3 (-0.6, 1.3) |
| Perry County 2 | Rural | 2,171.1 (1,959.9, 2,398.9) | 38 (4, 98) | 79 |
stable
|
0.3 (-0.9, 1.5) |
| Putnam County 2 | Rural | 1,805.1 (1,468.9, 2,195.3) | 102 (8, 115) | 20 |
stable
|
0.3 (-2.4, 3.2) |
| Harrison County 2 | Rural | 2,242.3 (1,939.7, 2,578.5) | 28 (1, 104) | 40 |
stable
|
0.4 (-1.8, 2.6) |
| 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) |
| 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) |
| Madison County 2 | Rural | 2,340.8 (2,072.6, 2,634.1) | 15 (1, 91) | 56 |
stable
|
0.5 (-0.6, 1.7) |
| Holt County 2 | Rural | 2,402.6 (1,992.6, 2,871.0) | 7 (1, 108) | 25 |
stable
|
0.7 (-1.7, 3.2) |
| Lafayette County 2 | Urban | 2,130.1 (1,967.2, 2,302.9) | 42 (9, 97) | 128 |
stable
|
0.7 (-0.2, 1.8) |
| Shannon County 2 | Rural | 2,073.7 (1,767.1, 2,419.1) | 55 (2, 113) | 33 |
stable
|
0.7 (-1.4, 3.1) |
| Cooper County 2 | Urban | 2,243.3 (2,013.4, 2,492.3) | 27 (2, 94) | 71 |
stable
|
0.8 (-0.2, 1.8) |
| Marion County 2 | Rural | 2,430.8 (2,240.6, 2,632.8) | 5 (1, 48) | 124 |
stable
|
0.8 (-0.2, 1.8) |
| Dunklin County 2 | Rural | 2,301.0 (2,117.7, 2,495.9) | 20 (2, 76) | 118 |
stable
|
0.9 (-0.1, 1.9) |
| Gentry County 2 | Rural | 2,426.2 (2,038.6, 2,865.9) | 6 (1, 104) | 28 |
stable
|
0.9 (-1.0, 2.8) |
| Scott County 2 | Rural | 2,261.4 (2,104.1, 2,427.3) | 24 (3, 72) | 156 |
rising 
|
0.9 (0.4, 1.3) |
| Stoddard County 2 | Rural | 2,395.0 (2,218.2, 2,582.1) | 8 (1, 53) | 137 |
stable
|
0.9 (0.0, 1.9) |
| Bollinger County 2 | Urban | 2,296.8 (2,019.6, 2,601.8) | 21 (1, 99) | 51 |
stable
|
1.0 (-0.7, 2.8) |
| Franklin County 2 | Urban | 2,329.0 (2,230.3, 2,430.8) | 18 (4, 40) | 430 |
stable
|
1.0 (0.0, 3.7) |
| Jasper County 2 | Urban | 2,341.6 (2,243.7, 2,442.7) | 14 (3, 39) | 439 |
rising
|
1.0 (0.3, 1.8) |
| Linn County 2 | Rural | 2,371.0 (2,103.3, 2,663.3) | 9 (1, 87) | 58 |
stable
|
1.0 (-0.8, 2.9) |
| Mississippi County 2 | Rural | 2,437.6 (2,159.0, 2,742.5) | 3 (1, 85) | 56 |
stable
|
1.0 (-0.1, 2.1) |
| Osage County 2 | Urban | 2,049.7 (1,794.0, 2,331.9) | 61 (5, 111) | 47 |
stable
|
1.0 (-0.2, 2.2) |
| Carroll County 2 | Rural | 2,216.8 (1,924.3, 2,541.4) | 31 (1, 106) | 41 |
stable
|
1.1 (-0.3, 2.6) |
| McDonald County 2 | Rural | 2,025.7 (1,816.1, 2,253.2) | 68 (10, 109) | 71 |
stable
|
1.1 (0.0, 2.3) |
| Iron County 2 | Rural | 2,431.6 (2,137.8, 2,754.7) | 4 (1, 82) | 50 |
rising
|
1.2 (0.3, 2.2) |
| Monroe County 2 | Rural | 2,329.2 (2,040.3, 2,647.5) | 17 (1, 98) | 47 |
stable
|
1.2 (-0.1, 2.6) |
| Buchanan County 2 | Urban | 2,301.0 (2,187.5, 2,418.9) | 19 (4, 50) | 315 |
stable
|
1.3 (-1.0, 6.0) |
| Mercer County 2 | Rural | 2,221.0 (1,755.0, 2,770.5) | 30 (1, 114) | 16 |
stable
|
1.3 (-1.9, 4.6) |
| 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) |
| Ripley County 2 | Rural | 2,441.7 (2,154.2, 2,757.2) | 2 (1, 78) | 53 |
rising
|
1.4 (0.5, 2.3) |
| Carter County 2 | Rural | 2,825.8 (2,387.3, 3,322.3) | 1 (1, 47) | 30 |
stable
|
1.7 (-0.1, 3.8) |
| Worth County 2 | Rural | 2,064.7 (1,540.9, 2,710.0) | 58 (1, 115) | 11 |
stable
|
1.7 (-1.2, 4.6) |
| Clark County 2 | Rural | 2,346.7 (1,994.1, 2,743.8) | 12 (1, 104) | 32 |
stable
|
1.8 (-0.1, 3.9) |
| Oregon County 2 | Rural | 2,205.0 (1,920.0, 2,520.5) | 32 (1, 109) | 43 |
rising
|
2.1 (0.1, 4.3) |
| Taney County 2 | Rural | 1,996.7 (1,884.5, 2,113.9) | 80 (35, 101) | 241 |
stable
|
2.1 (-0.3, 7.0) |
| Douglas County 2 | Rural | 1,747.5 (1,536.4, 1,979.9) | 107 (44, 115) | 50 |
stable
|
2.2 (-0.7, 11.7) |
| 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) |
| Washington County 2 | Rural | 2,289.4 (2,078.6, 2,516.1) | 22 (2, 88) | 91 |
rising
|
4.1 (0.3, 9.6) |
| Greene County 2 | Urban | 2,030.2 (1,973.7, 2,087.9) | 67 (44, 89) | 992 |
rising
|
6.6 (2.7, 8.8) |
| Atchison County 2 | Rural | 1,903.4 (1,580.2, 2,273.0) | 95 (7, 115) | 25 |
stable
|
9.7 (-2.1, 19.4) |
| Howard County 2 | Urban | 1,935.5 (1,661.6, 2,241.8) | 89 (9, 115) | 36 |
stable
|
10.8 (-0.9, 20.3) |
| Wayne County 2 | Rural | 2,330.2 (2,075.6, 2,607.4) | 16 (1, 91) | 61 |
rising
|
17.7 (8.0, 26.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 2:04 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.