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