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