Incidence Rates Table
Incidence Rate Report for North Carolina 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)
|
|---|---|---|---|---|---|---|
| North Carolina 2 | N/A | 147.1 (144.5, 149.8) | N/A | 2,428 |
falling 
|
-3.6 (-5.0, -2.5) |
| US (SEER+NPCR) 1 | N/A | 155.0 (154.5, 155.5) | N/A | 81,215 |
falling
|
-2.6 (-2.8, -2.3) |
| Macon County 2 | Rural | 211.6 (172.4, 257.0) | 1 (1, 50) | 21 |
stable 
|
-1.9 (-6.1, 2.3) |
| Granville County 2 | Rural | 210.1 (170.9, 255.6) | 2 (1, 56) | 21 |
stable
|
-2.0 (-4.3, 0.4) |
| McDowell County 2 | Rural | 206.9 (166.3, 254.4) | 3 (1, 61) | 18 |
stable
|
-0.5 (-1.8, 1.0) |
| Anson County 2 | Urban | 199.0 (142.8, 269.9) | 4 (1, 88) | 8 |
stable
|
0.2 (-2.6, 3.2) |
| Stanly County 2 | Rural | 191.1 (156.3, 231.4) | 5 (1, 65) | 22 |
stable
|
-1.3 (-2.8, 0.3) |
| Mitchell County 2 | Rural | 191.1 (133.4, 265.6) | 6 (1, 92) | 7 |
stable
|
0.0 (-3.6, 4.2) |
| Swain County 2 | Rural | 188.8 (122.7, 278.2) | 7 (1, 94) | 5 |
stable
|
-1.9 (-5.5, 1.6) |
| Alamance County 2 | Urban | 186.7 (164.4, 211.2) | 8 (1, 52) | 51 |
stable
|
2.4 (-1.3, 11.8) |
| Duplin County 2 | Rural | 185.7 (148.2, 229.9) | 9 (1, 75) | 17 |
stable
|
-1.2 (-3.4, 1.1) |
| Cleveland County 2 | Rural | 185.7 (158.0, 216.8) | 10 (1, 64) | 33 |
falling
|
-1.9 (-3.2, -0.6) |
| Jones County 2 | Rural | 185.6 (112.0, 290.1) | 11 (1, 95) | 4 |
stable
|
-1.9 (-6.4, 2.7) |
| Montgomery County 2 | Rural | 184.1 (134.6, 245.7) | 12 (1, 88) | 9 |
stable
|
-0.7 (-4.2, 3.1) |
| Person County 2 | Urban | 183.9 (142.1, 234.1) | 13 (1, 83) | 14 |
stable
|
-1.2 (-3.2, 0.9) |
| Haywood County 2 | Rural | 183.1 (153.6, 216.8) | 14 (1, 69) | 27 |
stable
|
13.8 (-1.0, 31.1) |
| Richmond County 2 | Rural | 183.1 (141.8, 232.8) | 15 (1, 82) | 14 |
falling
|
-2.2 (-3.8, -0.6) |
| Robeson County 2 | Rural | 181.3 (153.6, 212.6) | 16 (1, 65) | 32 |
stable
|
-1.7 (-3.8, 0.4) |
| Wayne County 2 | Urban | 179.6 (152.9, 209.7) | 17 (1, 64) | 33 |
falling
|
-1.9 (-3.7, -0.3) |
| Gaston County 2 | Urban | 179.5 (160.0, 200.7) | 18 (3, 53) | 63 |
falling
|
-2.3 (-3.4, -1.2) |
| Caswell County 2 | Rural | 177.1 (127.8, 239.2) | 19 (1, 91) | 9 |
stable
|
-0.2 (-2.5, 2.4) |
| Rutherford County 2 | Rural | 176.9 (146.3, 212.0) | 20 (1, 73) | 24 |
falling
|
-3.5 (-4.8, -2.4) |
| Caldwell County 2 | Urban | 176.0 (147.3, 208.5) | 21 (2, 71) | 28 |
falling
|
-2.8 (-4.9, -0.9) |
| Cherokee County 2 | Rural | 173.8 (134.9, 220.4) | 22 (1, 87) | 14 |
stable
|
-2.7 (-5.4, 0.1) |
| Wilkes County 2 | Rural | 173.1 (143.6, 206.8) | 23 (2, 76) | 25 |
stable
|
-1.3 (-2.8, 0.3) |
| Cabarrus County 2 | Urban | 171.9 (150.5, 195.4) | 24 (3, 66) | 48 |
falling
|
-2.8 (-5.0, -0.5) |
| Davidson County 2 | Urban | 171.2 (150.5, 194.0) | 25 (4, 64) | 50 |
falling
|
-2.6 (-3.5, -1.7) |
| Lee County 2 | Rural | 171.2 (136.6, 211.9) | 26 (1, 82) | 17 |
falling
|
-4.4 (-6.4, -2.5) |
| Surry County 2 | Rural | 170.4 (141.5, 203.5) | 27 (2, 78) | 25 |
falling
|
-2.0 (-3.5, -0.5) |
| Watauga County 2 | Rural | 169.2 (131.1, 214.9) | 28 (1, 86) | 14 |
stable
|
-2.0 (-4.6, 0.7) |
| Chowan County 2 | Rural | 168.0 (112.0, 242.3) | 29 (1, 95) | 6 |
falling
|
-4.6 (-8.2, -1.3) |
| Hertford County 2 | Rural | 166.1 (115.8, 231.1) | 30 (1, 94) | 7 |
falling
|
-4.1 (-6.2, -2.3) |
| Beaufort County 2 | Rural | 165.8 (131.8, 206.0) | 31 (2, 86) | 17 |
falling
|
-3.2 (-5.9, -0.7) |
| Harnett County 2 | Rural | 165.8 (138.9, 196.5) | 32 (3, 78) | 28 |
falling
|
-3.3 (-5.1, -1.6) |
| Perquimans County 2 | Rural | 163.9 (107.4, 239.2) | 33 (1, 95) | 5 |
falling
|
-4.0 (-8.3, -0.2) |
| Columbus County 2 | Rural | 163.4 (130.0, 202.8) | 34 (2, 88) | 17 |
stable
|
-1.9 (-3.9, 0.1) |
| Rowan County 2 | Urban | 162.9 (140.6, 187.8) | 35 (6, 76) | 39 |
falling
|
-2.7 (-4.2, -1.2) |
| Yancey County 2 | Rural | 162.9 (115.5, 223.4) | 36 (1, 94) | 8 |
stable
|
5.0 (-1.0, 20.0) |
| Scotland County 2 | Rural | 162.5 (119.2, 216.5) | 37 (1, 92) | 10 |
falling
|
-4.1 (-7.8, -0.7) |
| Vance County 2 | Rural | 162.1 (124.3, 208.0) | 38 (1, 89) | 13 |
falling
|
-4.1 (-6.9, -1.4) |
| Onslow County 2 | Urban | 160.3 (134.8, 189.2) | 39 (5, 81) | 29 |
falling
|
-2.1 (-3.5, -0.5) |
| Randolph County 2 | Urban | 159.5 (137.8, 183.6) | 40 (7, 76) | 40 |
stable
|
-1.5 (-3.1, 0.3) |
| Martin County 2 | Rural | 157.5 (112.0, 215.3) | 41 (1, 94) | 8 |
stable
|
-17.2 (-35.5, 0.1) |
| Pamlico County 2 | Rural | 155.7 (102.9, 226.2) | 42 (1, 95) | 6 |
stable
|
-0.1 (-5.2, 5.6) |
| Pender County 2 | Urban | 155.5 (123.1, 193.9) | 43 (3, 89) | 17 |
stable
|
-2.2 (-5.4, 1.1) |
| Iredell County 2 | Urban | 155.3 (135.3, 177.5) | 44 (11, 78) | 45 |
falling
|
-2.7 (-3.8, -1.5) |
| Carteret County 2 | Rural | 154.5 (128.2, 184.6) | 45 (7, 87) | 25 |
falling
|
-3.7 (-5.4, -2.2) |
| Hoke County 2 | Urban | 154.1 (107.8, 213.6) | 46 (1, 94) | 8 |
stable
|
11.3 (-3.7, 32.2) |
| Washington County 2 | Rural | 153.7 (95.7, 234.1) | 47 (1, 95) | 4 |
stable
|
-1.2 (-5.4, 3.0) |
| Burke County 2 | Urban | 152.3 (127.6, 180.4) | 48 (9, 86) | 27 |
falling
|
-2.9 (-5.1, -0.7) |
| Rockingham County 2 | Urban | 152.3 (127.6, 180.4) | 49 (8, 86) | 27 |
falling
|
-3.6 (-4.5, -2.9) |
| Brunswick County 2 | Urban | 150.7 (133.0, 170.0) | 50 (16, 78) | 61 |
stable
|
-0.9 (-2.0, 2.2) |
| Polk County 2 | Rural | 149.1 (108.7, 199.4) | 51 (2, 94) | 9 |
stable
|
-1.8 (-5.2, 1.6) |
| Lincoln County 2 | Urban | 148.4 (121.7, 179.3) | 52 (9, 89) | 23 |
falling
|
-4.1 (-5.7, -2.6) |
| Henderson County 2 | Urban | 148.2 (128.8, 169.6) | 53 (17, 82) | 43 |
falling
|
-2.4 (-3.6, -1.2) |
| Union County 2 | Urban | 147.9 (128.6, 169.4) | 54 (17, 82) | 44 |
falling
|
-3.0 (-4.8, -1.0) |
| Guilford County 2 | Urban | 146.6 (134.8, 159.2) | 55 (29, 75) | 117 |
stable
|
-0.9 (-3.1, 4.6) |
| Davie County 2 | Urban | 146.4 (112.8, 186.8) | 56 (5, 93) | 13 |
stable
|
-1.3 (-4.1, 1.9) |
| Sampson County 2 | Rural | 145.9 (114.1, 183.8) | 57 (6, 92) | 15 |
falling
|
-1.7 (-3.1, -0.3) |
| Johnston County 2 | Urban | 145.4 (125.3, 167.9) | 58 (16, 85) | 40 |
falling
|
-2.5 (-4.2, -0.8) |
| Jackson County 2 | Rural | 144.8 (108.7, 189.0) | 59 (3, 94) | 11 |
stable
|
-2.5 (-5.4, 0.5) |
| Chatham County 2 | Urban | 144.7 (121.0, 171.6) | 60 (12, 89) | 27 |
falling
|
-2.3 (-4.1, -0.1) |
| Alleghany County 2 | Rural | 144.0 (87.5, 223.1) | 61 (1, 95) | 4 |
stable
|
-2.7 (-6.9, 1.3) |
| Stokes County 2 | Urban | 143.6 (111.3, 182.3) | 62 (5, 93) | 14 |
stable
|
-2.9 (-5.8, 0.0) |
| Halifax County 2 | Rural | 142.9 (111.5, 180.3) | 63 (7, 93) | 15 |
falling
|
-3.3 (-5.2, -1.6) |
| Craven County 2 | Rural | 142.4 (119.4, 168.7) | 64 (17, 89) | 27 |
falling
|
-3.9 (-5.8, -2.1) |
| Warren County 2 | Rural | 141.1 (97.2, 198.2) | 65 (2, 95) | 7 |
falling
|
-3.7 (-7.0, -0.6) |
| Mecklenburg County 2 | Urban | 140.9 (131.4, 151.0) | 66 (37, 77) | 170 |
falling
|
-3.1 (-4.1, -2.1) |
| Forsyth County 2 | Urban | 139.6 (126.3, 153.8) | 67 (35, 82) | 83 |
falling
|
-3.6 (-4.7, -2.6) |
| Northampton County 2 | Rural | 136.8 (93.9, 192.6) | 68 (3, 95) | 7 |
stable
|
-2.1 (-5.1, 0.7) |
| Bladen County 2 | Rural | 136.1 (98.6, 183.3) | 69 (6, 95) | 9 |
falling
|
-2.9 (-5.6, -0.2) |
| Franklin County 2 | Urban | 134.4 (105.0, 169.6) | 70 (12, 93) | 15 |
falling
|
-4.0 (-6.1, -1.9) |
| Buncombe County 2 | Urban | 133.9 (120.1, 148.9) | 71 (37, 86) | 70 |
falling
|
-3.2 (-4.4, -2.1) |
| Wilson County 2 | Rural | 133.0 (106.6, 164.0) | 72 (14, 93) | 18 |
falling
|
-4.9 (-8.3, -2.1) |
| Edgecombe County 2 | Urban | 130.6 (100.0, 167.8) | 73 (12, 95) | 13 |
stable
|
-1.9 (-5.0, 1.2) |
| Bertie County 2 | Rural | 128.5 (83.4, 189.0) | 74 (3, 95) | 5 |
falling
|
-4.0 (-6.1, -2.0) |
| Catawba County 2 | Urban | 128.2 (109.7, 148.9) | 75 (34, 92) | 35 |
falling
|
-4.2 (-5.8, -2.8) |
| Cumberland County 2 | Urban | 127.2 (111.8, 144.1) | 76 (42, 91) | 51 |
falling
|
-4.8 (-5.9, -3.8) |
| Moore County 2 | Urban | 126.7 (107.3, 148.7) | 77 (35, 92) | 30 |
stable
|
-2.7 (-4.3, 2.2) |
| Wake County 2 | Urban | 124.2 (115.4, 133.3) | 78 (58, 88) | 158 |
falling
|
-3.6 (-4.5, -2.5) |
| Yadkin County 2 | Urban | 124.1 (90.7, 165.8) | 79 (14, 95) | 9 |
falling
|
-3.6 (-6.3, -1.0) |
| Clay County 2 | Rural | 122.5 (76.1, 187.4) | 80 (3, 95) | 4 |
|
|
| Greene County 2 | Rural | 122.3 (73.7, 190.9) | 81 (2, 95) | 4 |
falling
|
-5.0 (-9.2, -1.2) |
| Lenoir County 2 | Rural | 121.2 (93.7, 154.2) | 82 (23, 95) | 13 |
falling
|
-8.1 (-23.2, -5.9) |
| Orange County 2 | Urban | 119.6 (99.1, 143.2) | 83 (42, 94) | 25 |
falling
|
-3.4 (-5.3, -1.5) |
| New Hanover County 2 | Urban | 116.2 (101.4, 132.5) | 84 (57, 94) | 46 |
falling
|
-3.1 (-4.6, -1.5) |
| Alexander County 2 | Urban | 115.7 (82.7, 157.6) | 85 (21, 95) | 8 |
stable
|
-3.4 (-7.4, 0.4) |
| Nash County 2 | Urban | 113.1 (91.4, 138.5) | 86 (43, 95) | 20 |
falling
|
-6.0 (-7.9, -4.4) |
| Pitt County 2 | Urban | 113.0 (93.9, 134.8) | 87 (51, 95) | 26 |
falling
|
-3.6 (-5.3, -2.1) |
| Ashe County 2 | Rural | 110.6 (77.9, 152.3) | 88 (21, 95) | 8 |
falling
|
-4.5 (-8.4, -1.2) |
| Madison County 2 | Urban | 108.9 (70.6, 160.7) | 89 (14, 95) | 5 |
falling
|
-3.4 (-6.5, -0.6) |
| Avery County 2 | Rural | 108.7 (66.0, 168.4) | 90 (7, 95) | 4 |
stable
|
-2.1 (-6.0, 1.8) |
| Durham County 2 | Urban | 106.9 (92.9, 122.5) | 91 (68, 95) | 44 |
falling
|
-15.1 (-21.8, -6.7) |
| Transylvania County 2 | Rural | 105.4 (78.9, 137.9) | 92 (42, 95) | 11 |
falling
|
-2.7 (-4.8, -0.6) |
| Pasquotank County 2 | Rural | 104.5 (72.8, 145.2) | 93 (34, 95) | 7 |
falling
|
-5.6 (-7.9, -3.7) |
| Dare County 2 | Rural | 91.7 (64.6, 126.9) | 94 (47, 95) | 8 |
falling
|
-4.9 (-8.6, -1.4) |
| Currituck County 2 | Urban | 79.6 (44.5, 131.3) | 95 (46, 95) | 3 |
falling
|
-5.5 (-9.4, -2.0) |
| Camden County 2 | Urban |
|
|
|
|
|
| Gates County 2 | Urban |
|
|
|
|
|
| Graham County 2 | Rural |
|
|
|
|
|
| Hyde County 2 | Rural |
|
|
|
|
|
| Tyrrell County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 11:07 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.