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