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