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