State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Colon & Rectum (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes, Ages 65+

Sorted by CI*Rank

Explanation of Column Headers
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

US (SEER+NPCR)¹

• Rate : The incidence rate is 155.0 with a 95% confidence interval from 154.5 to 155.5 and 81,215 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -2.8 to -2.3.

Kentucky⁷

• Rate : The incidence rate is 198.1 with a 95% confidence interval from 193.5 to 202.9 and 1,417 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 2)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -2.8 to -2.5.

Mississippi²

• Rate : The incidence rate is 191.0 with a 95% confidence interval from 185.4 to 196.8 and 903 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 4)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -2.2 to -1.6.

West Virginia²

• Rate : The incidence rate is 186.3 with a 95% confidence interval from 179.9 to 192.9 and 658 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 7)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.0 to 0.4.

Arkansas²

• Rate : The incidence rate is 181.6 with a 95% confidence interval from 176.3 to 187.0 and 907 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (2, 9)
• Recent Trend : The trend is because the trend is -4.3 with a 95% confidence interval from -7.5 to -1.0.

Louisiana⁷

• Rate : The incidence rate is 179.7 with a 95% confidence interval from 175.3 to 184.2 and 1,289 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (3, 10)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -3.1 to -2.5.

Alaska²

• Rate : The incidence rate is 177.2 with a 95% confidence interval from 163.8 to 191.3 and 147 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 23)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -4.0 to -2.6.

Iowa⁷

• Rate : The incidence rate is 176.2 with a 95% confidence interval from 171.1 to 181.3 and 948 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (4, 15)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -3.7 to -3.2.

South Dakota²

• Rate : The incidence rate is 175.3 with a 95% confidence interval from 165.7 to 185.4 and 257 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (2, 22)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -5.2 to -3.1.

Illinois⁷

• Rate : The incidence rate is 172.0 with a 95% confidence interval from 169.4 to 174.7 and 3,400 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (6, 16)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -3.6 to -3.1.

Missouri²

• Rate : The incidence rate is 171.6 with a 95% confidence interval from 168.0 to 175.3 and 1,745 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (6, 17)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.0 to 0.5.

Indiana²

• Rate : The incidence rate is 171.6 with a 95% confidence interval from 168.0 to 175.2 and 1,791 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (6, 17)
• Recent Trend : The trend is because the trend is -5.5 with a 95% confidence interval from -7.1 to -4.0.

Nebraska²

• Rate : The incidence rate is 171.4 with a 95% confidence interval from 164.8 to 178.2 and 516 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (4, 21)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -4.4 to -3.0.

New Jersey⁷

• Rate : The incidence rate is 170.4 with a 95% confidence interval from 167.4 to 173.5 and 2,511 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (7, 18)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -2.9 to -1.0.

North Dakota²

• Rate : The incidence rate is 169.1 with a 95% confidence interval from 158.6 to 180.0 and 201 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (3, 26)
• Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -4.2 to -2.8.

Kansas²

• Rate : The incidence rate is 168.9 with a 95% confidence interval from 163.5 to 174.4 and 773 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (6, 22)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.0 to 0.6.

Oklahoma²

• Rate : The incidence rate is 168.6 with a 95% confidence interval from 164.0 to 173.3 and 1,029 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (7, 21)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.8 to 0.7.

Ohio²

• Rate : The incidence rate is 166.5 with a 95% confidence interval from 163.9 to 169.1 and 3,276 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (11, 21)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -5.0 to -2.4.

Georgia⁷

• Rate : The incidence rate is 165.3 with a 95% confidence interval from 162.3 to 168.3 and 2,429 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (12, 22)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.1.

Texas⁷

• Rate : The incidence rate is 163.5 with a 95% confidence interval from 161.6 to 165.4 and 5,925 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (15, 23)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.6.

Tennessee²

• Rate : The incidence rate is 162.1 with a 95% confidence interval from 158.7 to 165.6 and 1,771 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (15, 25)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -2.8 to 0.2.

Alabama²

• Rate : The incidence rate is 162.1 with a 95% confidence interval from 158.2 to 166.0 and 1,355 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (15, 25)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -2.8 to -2.2.

Pennsylvania²

• Rate : The incidence rate is 161.0 with a 95% confidence interval from 158.7 to 163.4 and 3,769 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (18, 25)
• Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -4.0 to -3.7.

Minnesota²

• Rate : The incidence rate is 157.9 with a 95% confidence interval from 154.2 to 161.6 and 1,409 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (19, 28)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -3.1 to -0.6.

Montana²

• Rate : The incidence rate is 156.7 with a 95% confidence interval from 148.9 to 164.9 and 311 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (14, 36)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -3.9 to -2.7.

Wyoming²

• Rate : The incidence rate is 155.2 with a 95% confidence interval from 143.9 to 167.1 and 147 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (9, 43)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -2.8 to 6.0.

New York⁷

• Rate : The incidence rate is 152.5 with a 95% confidence interval from 150.6 to 154.4 and 5,019 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (24, 31)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -3.3 to -2.2.

Michigan²

• Rate : The incidence rate is 152.3 with a 95% confidence interval from 149.6 to 155.0 and 2,561 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (23, 33)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -2.8 to -2.1.

Idaho⁷

• Rate : The incidence rate is 151.6 with a 95% confidence interval from 145.2 to 158.3 and 430 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (21, 40)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -3.3 to -2.4.

Nevada²

• Rate : The incidence rate is 151.2 with a 95% confidence interval from 146.2 to 156.4 and 716 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (23, 38)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -4.2 to -3.1.

Wisconsin²

• Rate : The incidence rate is 149.4 with a 95% confidence interval from 145.9 to 152.9 and 1,459 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (25, 38)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -3.5 to -1.4.

Florida²

• Rate : The incidence rate is 147.5 with a 95% confidence interval from 145.9 to 149.1 and 6,550 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (28, 37)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -2.9 to -0.9.

Maine²

• Rate : The incidence rate is 147.2 with a 95% confidence interval from 140.8 to 153.8 and 407 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (24, 45)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -4.5 to 1.5.

North Carolina²

• Rate : The incidence rate is 147.1 with a 95% confidence interval from 144.5 to 149.8 and 2,428 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (28, 40)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -5.0 to -2.5.

Maryland²

• Rate : The incidence rate is 146.9 with a 95% confidence interval from 143.4 to 150.5 and 1,376 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (26, 41)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -3.1 to -0.5.

District of Columbia²

• Rate : The incidence rate is 145.6 with a 95% confidence interval from 134.0 to 158.0 and 119 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (20, 50)
• Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -4.5 to -2.6.

South Carolina²

• Rate : The incidence rate is 145.2 with a 95% confidence interval from 141.6 to 148.8 and 1,289 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (28, 43)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -3.3 to 0.1.

California⁷

• Rate : The incidence rate is 144.0 with a 95% confidence interval from 142.6 to 145.5 and 8,135 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (33, 42)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -2.8 to -1.7.

Virginia²

• Rate : The incidence rate is 143.0 with a 95% confidence interval from 140.0 to 145.9 and 1,869 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (32, 44)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.0 to -1.7.

Delaware²

• Rate : The incidence rate is 142.8 with a 95% confidence interval from 135.0 to 150.9 and 259 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (25, 48)
• Recent Trend : The trend is because the trend is -4.4 with a 95% confidence interval from -6.8 to -3.3.

New Hampshire²

• Rate : The incidence rate is 142.2 with a 95% confidence interval from 135.5 to 149.1 and 350 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (27, 48)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.6 to 1.3.

Connecticut⁷

• Rate : The incidence rate is 142.2 with a 95% confidence interval from 138.0 to 146.6 and 876 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (31, 46)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.4 to -1.1.

Hawaii⁷

• Rate : The incidence rate is 140.7 with a 95% confidence interval from 134.4 to 147.2 and 388 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (29, 48)
• Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -4.0 to -3.0.

Washington¹

• Rate : The incidence rate is 140.1 with a 95% confidence interval from 136.9 to 143.2 and 1,599 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (36, 46)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -3.6 to -0.9.

Vermont²

• Rate : The incidence rate is 136.4 with a 95% confidence interval from 127.1 to 146.2 and 165 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (28, 50)
• Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -4.8 to -3.3.

Rhode Island²

• Rate : The incidence rate is 136.2 with a 95% confidence interval from 128.8 to 144.0 and 256 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (31, 50)
• Recent Trend : The trend is because the trend is -5.0 with a 95% confidence interval from -5.5 to -4.6.

Oregon²

• Rate : The incidence rate is 135.8 with a 95% confidence interval from 132.0 to 139.8 and 968 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (40, 49)
• Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -4.1 to -3.5.

Arizona²

• Rate : The incidence rate is 133.3 with a 95% confidence interval from 130.4 to 136.2 and 1,685 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (43, 50)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -3.5 to -3.1.

Massachusetts²

• Rate : The incidence rate is 131.7 with a 95% confidence interval from 128.7 to 134.8 and 1,502 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (44, 50)
• Recent Trend : The trend is because the trend is -3.9 with a 95% confidence interval from -4.6 to -1.9.

New Mexico⁷

• Rate : The incidence rate is 130.4 with a 95% confidence interval from 125.2 to 135.8 and 480 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (43, 50)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.4 to 0.3.

Colorado²

• Rate : The incidence rate is 129.7 with a 95% confidence interval from 126.1 to 133.3 and 1,032 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (45, 50)
• Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -4.2 to -3.5.

Utah⁷

• Rate : The incidence rate is 117.4 with a 95% confidence interval from 112.3 to 122.7 and 410 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (51, 51)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -3.3 to 2.1.

Puerto Rico²

• Rate : The incidence rate is 145.8 with a 95% confidence interval from 141.8 to 149.8 and 1,041 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -3.9 with a 95% confidence interval from -5.0 to -3.3.

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 11:24 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.

Source: SEER and NPCR data. For more specific information please see the table.

Data for United States does not include Puerto Rico.