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