Incidence Rates Table
Incidence Rate Report for Missouri by County
Colon & Rectum (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 65+
Sorted by CI*Rank
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 | 171.6 (168.0, 175.3) | N/A | 1,745 |
stable 
|
-1.9 (-3.0, 0.5) |
| US (SEER+NPCR) 1 | N/A | 155.0 (154.5, 155.5) | N/A | 81,215 |
falling 
|
-2.6 (-2.8, -2.3) |
| Wayne County 2 | Rural | 344.8 (251.1, 462.2) | 1 (1, 39) | 9 |
stable
|
25.1 (-2.3, 54.1) |
| Gentry County 2 | Rural | 330.0 (197.5, 517.4) | 2 (1, 99) | 4 |
stable
|
-1.1 (-6.5, 3.7) |
| Montgomery County 2 | Rural | 323.4 (225.4, 449.2) | 3 (1, 70) | 7 |
stable
|
0.0 (-4.4, 4.3) |
| Ripley County 2 | Rural | 315.7 (217.0, 443.8) | 4 (1, 78) | 7 |
stable
|
-0.7 (-3.7, 2.3) |
| Macon County 2 | Rural | 312.3 (232.3, 410.9) | 5 (1, 52) | 10 |
stable
|
-0.5 (-3.9, 2.9) |
| Stoddard County 2 | Rural | 293.2 (233.3, 363.9) | 6 (1, 41) | 17 |
stable
|
0.3 (-3.2, 3.8) |
| Nodaway County 2 | Rural | 279.8 (206.4, 370.7) | 7 (1, 70) | 10 |
stable
|
7.0 (-1.8, 30.9) |
| Marion County 2 | Rural | 273.0 (210.9, 347.6) | 8 (1, 64) | 13 |
stable
|
-0.7 (-3.3, 1.9) |
| Harrison County 2 | Rural | 271.5 (173.2, 404.9) | 9 (1, 97) | 5 |
stable
|
-2.0 (-5.8, 1.6) |
| Dunklin County 2 | Rural | 269.3 (209.3, 341.2) | 10 (1, 65) | 14 |
stable
|
0.3 (-3.3, 3.9) |
| Adair County 2 | Rural | 267.4 (198.2, 352.9) | 11 (1, 74) | 10 |
stable
|
-2.2 (-5.6, 1.0) |
| Randolph County 2 | Rural | 260.2 (194.3, 341.2) | 12 (1, 76) | 11 |
stable
|
-0.2 (-3.2, 3.0) |
| Linn County 2 | Rural | 252.8 (171.3, 359.9) | 13 (1, 96) | 6 |
stable
|
-0.5 (-2.8, 1.7) |
| Ralls County 2 | Rural | 251.3 (164.3, 367.8) | 14 (1, 99) | 5 |
|
|
| Ste. Genevieve County 2 | Rural | 245.3 (177.4, 330.7) | 15 (1, 87) | 9 |
stable
|
-26.1 (-52.2, 2.8) |
| Butler County 2 | Rural | 245.0 (198.0, 299.8) | 16 (3, 67) | 19 |
stable
|
-1.7 (-3.4, 0.0) |
| Lewis County 2 | Rural | 243.8 (154.3, 367.0) | 17 (1, 100) | 5 |
|
|
| Reynolds County 2 | Rural | 241.6 (140.4, 387.0) | 18 (1, 101) | 3 |
falling
|
-6.2 (-38.2, -1.0) |
| Daviess County 2 | Rural | 235.6 (141.0, 369.0) | 19 (1, 101) | 4 |
|
|
| Crawford County 2 | Rural | 228.4 (168.4, 302.7) | 20 (3, 93) | 10 |
stable
|
-1.6 (-4.4, 1.1) |
| Carroll County 2 | Rural | 221.4 (136.9, 339.2) | 21 (1, 101) | 4 |
stable
|
0.2 (-4.3, 4.7) |
| Bates County 2 | Urban | 220.3 (151.3, 309.9) | 22 (2, 98) | 7 |
stable
|
-1.0 (-5.2, 3.2) |
| Monroe County 2 | Rural | 214.7 (132.5, 328.4) | 23 (1, 101) | 4 |
stable
|
-0.2 (-4.1, 4.1) |
| Buchanan County 2 | Urban | 214.6 (180.8, 253.0) | 24 (10, 74) | 29 |
falling
|
-2.8 (-4.4, -1.4) |
| Mississippi County 2 | Rural | 213.7 (136.5, 318.8) | 25 (1, 101) | 5 |
stable
|
-2.3 (-6.7, 1.7) |
| St. Francois County 2 | Rural | 213.5 (176.0, 256.7) | 26 (8, 79) | 23 |
falling
|
-2.0 (-3.8, -0.2) |
| Miller County 2 | Rural | 212.4 (155.5, 283.0) | 27 (4, 96) | 9 |
stable
|
-0.8 (-3.2, 1.6) |
| Cooper County 2 | Urban | 211.7 (145.1, 298.3) | 28 (2, 99) | 7 |
stable
|
0.2 (-3.1, 3.6) |
| Osage County 2 | Urban | 210.6 (135.6, 312.9) | 29 (2, 101) | 5 |
stable
|
-0.7 (-5.3, 4.0) |
| Callaway County 2 | Urban | 209.8 (164.5, 263.6) | 30 (7, 91) | 15 |
stable
|
-2.6 (-5.4, 0.3) |
| Shannon County 2 | Rural | 209.0 (120.9, 337.8) | 31 (1, 101) | 3 |
stable
|
-1.5 (-5.9, 2.9) |
| Douglas County 2 | Rural | 206.0 (136.3, 298.6) | 32 (2, 101) | 6 |
stable
|
-3.2 (-7.4, 0.7) |
| Barry County 2 | Rural | 204.3 (159.7, 257.6) | 33 (9, 92) | 15 |
stable
|
-1.8 (-5.1, 1.4) |
| Grundy County 2 | Rural | 204.1 (127.4, 309.7) | 34 (2, 101) | 4 |
stable
|
-2.3 (-5.4, 0.4) |
| Bollinger County 2 | Urban | 203.9 (127.0, 310.5) | 35 (1, 101) | 4 |
stable
|
-1.4 (-5.4, 2.4) |
| Jasper County 2 | Urban | 201.0 (172.9, 232.4) | 36 (14, 76) | 37 |
stable
|
-1.3 (-3.1, 0.4) |
| Phelps County 2 | Rural | 201.0 (157.6, 252.6) | 37 (9, 93) | 15 |
stable
|
-2.0 (-4.6, 0.5) |
| Pike County 2 | Rural | 200.4 (135.9, 284.6) | 38 (3, 101) | 6 |
stable
|
-2.6 (-6.4, 1.2) |
| Vernon County 2 | Rural | 199.0 (140.3, 273.7) | 39 (4, 99) | 8 |
stable
|
-1.4 (-4.7, 1.7) |
| Oregon County 2 | Rural | 198.5 (119.2, 310.2) | 40 (2, 101) | 4 |
|
|
| Clay County 2 | Urban | 197.9 (177.1, 220.4) | 41 (20, 70) | 68 |
stable
|
1.6 (-1.8, 10.8) |
| Audrain County 2 | Rural | 196.0 (142.1, 263.8) | 42 (6, 99) | 9 |
stable
|
-1.3 (-3.6, 0.8) |
| Laclede County 2 | Rural | 195.7 (149.7, 251.6) | 43 (9, 98) | 12 |
stable
|
-2.1 (-4.9, 0.6) |
| Johnson County 2 | Rural | 195.7 (150.6, 250.1) | 44 (8, 95) | 13 |
stable
|
-1.0 (-3.4, 1.6) |
| Morgan County 2 | Rural | 194.7 (142.1, 260.4) | 45 (7, 99) | 9 |
stable
|
-3.1 (-6.6, 0.1) |
| Clinton County 2 | Urban | 192.7 (134.5, 267.5) | 46 (6, 100) | 7 |
stable
|
-3.1 (-7.9, 1.4) |
| Livingston County 2 | Rural | 190.3 (125.8, 276.3) | 47 (4, 101) | 6 |
stable
|
-3.3 (-7.3, 0.1) |
| Howell County 2 | Rural | 190.1 (148.8, 239.5) | 48 (13, 95) | 15 |
stable
|
-0.3 (-2.8, 2.3) |
| Saline County 2 | Rural | 190.1 (134.3, 261.3) | 49 (6, 100) | 8 |
falling
|
-4.8 (-7.5, -2.6) |
| Wright County 2 | Rural | 188.6 (128.6, 266.6) | 50 (4, 101) | 6 |
falling
|
-3.6 (-6.6, -0.9) |
| McDonald County 2 | Rural | 187.1 (126.1, 267.2) | 51 (5, 101) | 6 |
stable
|
-0.5 (-3.3, 2.6) |
| Dallas County 2 | Urban | 187.1 (127.4, 265.3) | 52 (5, 101) | 6 |
|
|
| Cass County 2 | Urban | 185.3 (158.0, 216.0) | 53 (21, 87) | 33 |
falling
|
-3.0 (-12.3, -0.9) |
| Polk County 2 | Urban | 185.3 (138.2, 243.1) | 54 (11, 100) | 10 |
stable
|
-2.6 (-6.0, 0.5) |
| Pettis County 2 | Rural | 185.2 (142.9, 236.2) | 55 (12, 98) | 13 |
stable
|
-2.2 (-5.0, 0.4) |
| Chariton County 2 | Rural | 184.7 (104.9, 300.7) | 56 (2, 101) | 3 |
stable
|
-2.0 (-4.7, 0.5) |
| Ray County 2 | Urban | 182.9 (129.5, 251.0) | 57 (8, 101) | 8 |
stable
|
-2.4 (-5.1, 0.3) |
| Dade County 2 | Rural | 182.3 (103.6, 297.0) | 58 (2, 101) | 3 |
falling
|
-4.0 (-7.3, -1.3) |
| Perry County 2 | Rural | 181.9 (124.8, 256.1) | 59 (8, 101) | 7 |
stable
|
-1.9 (-5.0, 1.1) |
| Newton County 2 | Urban | 179.8 (145.4, 219.9) | 60 (19, 97) | 19 |
falling
|
-1.7 (-3.1, -0.2) |
| Texas County 2 | Rural | 179.3 (130.6, 240.1) | 61 (11, 100) | 9 |
falling
|
-3.5 (-6.7, -0.7) |
| Hickory County 2 | Rural | 177.9 (113.8, 264.9) | 62 (6, 101) | 5 |
stable
|
-0.9 (-5.3, 3.6) |
| Lafayette County 2 | Urban | 175.6 (130.9, 230.4) | 63 (13, 100) | 10 |
stable
|
-1.9 (-5.3, 1.3) |
| Howard County 2 | Urban | 172.8 (99.9, 279.0) | 64 (4, 101) | 3 |
stable
|
-2.6 (-6.7, 1.1) |
| Iron County 2 | Rural | 172.7 (100.1, 277.0) | 65 (4, 101) | 3 |
stable
|
-2.0 (-4.6, 0.4) |
| Franklin County 2 | Urban | 171.4 (145.2, 201.0) | 66 (27, 95) | 31 |
falling
|
-2.9 (-4.6, -1.3) |
| Warren County 2 | Urban | 170.1 (126.0, 224.6) | 67 (16, 101) | 10 |
rising 
|
8.8 (1.9, 26.6) |
| Moniteau County 2 | Urban | 169.4 (104.4, 260.0) | 68 (6, 101) | 4 |
stable
|
-2.9 (-7.1, 1.0) |
| Madison County 2 | Rural | 168.4 (103.7, 259.2) | 69 (7, 101) | 4 |
falling
|
-4.2 (-8.5, -0.8) |
| New Madrid County 2 | Rural | 168.2 (109.4, 247.4) | 70 (7, 101) | 5 |
stable
|
-1.2 (-4.5, 1.9) |
| Barton County 2 | Rural | 166.7 (101.5, 258.5) | 71 (6, 101) | 4 |
stable
|
-1.4 (-5.2, 2.3) |
| Jackson County 2 | Urban | 166.7 (155.6, 178.3) | 72 (47, 83) | 174 |
falling
|
-3.0 (-3.8, -2.2) |
| DeKalb County 2 | Urban | 165.1 (97.0, 263.2) | 73 (6, 101) | 4 |
falling
|
-4.1 (-8.6, -0.2) |
| Camden County 2 | Rural | 164.8 (131.9, 203.2) | 74 (24, 99) | 18 |
falling
|
-3.0 (-5.5, -0.5) |
| Christian County 2 | Urban | 164.5 (135.0, 198.6) | 75 (26, 99) | 22 |
falling
|
-3.7 (-6.2, -0.9) |
| Ozark County 2 | Rural | 164.3 (101.2, 253.1) | 76 (7, 101) | 4 |
stable
|
-2.6 (-7.4, 2.2) |
| Jefferson County 2 | Urban | 163.3 (143.7, 184.8) | 77 (41, 94) | 54 |
falling
|
-4.2 (-6.0, -2.6) |
| Scott County 2 | Rural | 160.3 (120.1, 209.5) | 78 (20, 101) | 11 |
stable
|
-3.0 (-7.1, 0.8) |
| Cedar County 2 | Rural | 160.0 (105.3, 233.3) | 79 (12, 101) | 5 |
falling
|
-4.9 (-8.9, -1.6) |
| Dent County 2 | Rural | 159.9 (103.2, 236.6) | 80 (9, 101) | 5 |
stable
|
-3.3 (-8.2, 1.0) |
| Lawrence County 2 | Rural | 159.1 (119.4, 207.9) | 81 (21, 101) | 11 |
falling
|
-2.7 (-4.7, -0.9) |
| Andrew County 2 | Urban | 156.2 (102.5, 228.4) | 82 (11, 101) | 5 |
falling
|
-4.9 (-9.2, -1.2) |
| Pulaski County 2 | Rural | 155.2 (109.1, 214.6) | 83 (19, 101) | 8 |
falling
|
-4.9 (-7.2, -2.8) |
| St. Louis County 2 | Urban | 153.1 (145.0, 161.5) | 84 (61, 90) | 272 |
falling
|
-3.9 (-4.6, -3.4) |
| Cole County 2 | Urban | 151.6 (122.7, 185.3) | 85 (37, 101) | 20 |
falling
|
-3.1 (-4.9, -1.3) |
| Lincoln County 2 | Urban | 150.0 (113.0, 195.3) | 86 (27, 101) | 12 |
falling
|
-4.0 (-7.4, -0.7) |
| St. Clair County 2 | Rural | 149.5 (88.5, 236.5) | 87 (11, 101) | 4 |
falling
|
-4.3 (-6.9, -2.1) |
| Platte County 2 | Urban | 147.7 (121.7, 177.6) | 88 (43, 100) | 23 |
falling
|
-3.8 (-5.7, -1.9) |
| Benton County 2 | Rural | 146.4 (105.0, 198.6) | 89 (25, 101) | 8 |
falling
|
-3.7 (-6.1, -1.4) |
| Greene County 2 | Urban | 145.6 (130.6, 161.7) | 90 (61, 98) | 70 |
stable
|
-0.7 (-8.5, 8.2) |
| Cape Girardeau County 2 | Urban | 144.6 (116.9, 176.8) | 91 (43, 101) | 19 |
falling
|
-3.4 (-5.5, -1.5) |
| Taney County 2 | Rural | 143.9 (114.4, 178.5) | 92 (42, 101) | 17 |
stable
|
-3.0 (-5.9, 0.0) |
| Henry County 2 | Rural | 142.4 (99.0, 198.5) | 93 (23, 101) | 7 |
falling
|
-4.0 (-6.7, -1.7) |
| Stone County 2 | Rural | 139.7 (106.9, 179.4) | 94 (38, 101) | 13 |
stable
|
-2.8 (-6.2, 0.6) |
| St. Louis City 2 | Urban | 139.3 (123.0, 157.2) | 95 (63, 100) | 56 |
falling
|
-4.9 (-6.4, -3.7) |
| Webster County 2 | Urban | 139.3 (98.6, 191.0) | 96 (30, 101) | 8 |
falling
|
-3.8 (-6.0, -1.8) |
| St. Charles County 2 | Urban | 136.7 (123.8, 150.6) | 97 (69, 100) | 84 |
stable
|
-2.7 (-7.6, 4.2) |
| Boone County 2 | Urban | 136.6 (115.5, 160.6) | 98 (59, 101) | 31 |
falling
|
-7.1 (-14.9, -3.6) |
| Washington County 2 | Rural | 127.0 (79.6, 192.1) | 99 (30, 101) | 5 |
falling
|
-5.7 (-8.7, -3.1) |
| Pemiscot County 2 | Rural | 123.1 (71.2, 198.6) | 100 (25, 101) | 3 |
stable
|
-3.4 (-10.0, 2.0) |
| Gasconade County 2 | Rural | 103.3 (59.9, 166.0) | 101 (50, 101) | 3 |
falling
|
-6.2 (-9.6, -3.7) |
| Atchison County 2 | Rural |
|
|
|
|
|
| Caldwell County 2 | Urban |
|
|
|
|
|
| Carter County 2 | Rural |
|
|
|
|
|
| Clark County 2 | Rural |
|
|
|
|
|
| Holt County 2 | Rural |
|
|
|
|
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| Knox County 2 | Rural |
|
|
|
|
|
| Maries County 2 | Rural |
|
|
|
|
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| Mercer County 2 | Rural |
|
|
|
|
|
| Putnam County 2 | Rural |
|
|
|
|
|
| Schuyler County 2 | Rural |
|
|
|
|
|
| Scotland County 2 | Rural |
|
|
|
|
|
| Shelby County 2 | Rural |
|
|
|
|
|
| Sullivan County 2 | Rural |
|
|
|
|
|
| Worth County 2 | Rural |
|
|
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|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 7:09 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
Data for United States does not include Puerto Rico.