Interpretation of Incidence Rates Data
Incidence Rate Report for California by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
Explanation of Column HeadersIncidence 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
California7
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 405.6 with a 95% confidence interval from 404.7 to 406.4 and 182,061 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.4.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 448.6 with a 95% confidence interval from 448.3 to 448.9 and 1,821,045 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.5.
Glenn County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 501.0 with a 95% confidence interval from 466.8 to 537.0 and 169 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 11)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.
Butte County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 487.6 with a 95% confidence interval from 475.3 to 500.1 and 1,302 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 4)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 1.4.
Santa Cruz County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 464.3 with a 95% confidence interval from 453.6 to 475.2 and 1,562 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (2, 12)
- Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from 0.0 to 3.5.
Santa Barbara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 463.6 with a 95% confidence interval from 455.1 to 472.3 and 2,373 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (2, 11)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.3.
Shasta County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 460.2 with a 95% confidence interval from 448.1 to 472.7 and 1,202 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (2, 15)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.8 to 0.0.
San Luis Obispo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 458.1 with a 95% confidence interval from 448.2 to 468.2 and 1,823 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (2, 14)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.3 to 1.5.
Marin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 457.3 with a 95% confidence interval from 447.5 to 467.3 and 1,836 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (3, 15)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.2.
Yuba County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 455.4 with a 95% confidence interval from 434.4 to 477.1 and 376 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (2, 23)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.2.
Sonoma County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 455.3 with a 95% confidence interval from 447.9 to 462.9 and 3,131 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (3, 14)
- Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from 0.1 to 1.9.
Tehama County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 451.4 with a 95% confidence interval from 431.2 to 472.4 and 407 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (2, 25)
- Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -5.6 to -0.8.
Humboldt County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 447.9 with a 95% confidence interval from 433.4 to 462.9 and 783 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (3, 22)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.4.
Ventura County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 445.6 with a 95% confidence interval from 439.7 to 451.6 and 4,592 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (7, 17)
- Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from 0.0 to 1.3.
Mariposa County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 444.1 with a 95% confidence interval from 407.9 to 483.1 and 142 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 42)
- Recent Trend : The trend is because the trend is 6.2 with a 95% confidence interval from 2.6 to 10.4.
Tuolumne County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 442.8 with a 95% confidence interval from 422.5 to 464.0 and 426 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (3, 29)
- Recent Trend : The trend is because the trend is 3.8 with a 95% confidence interval from -2.2 to 10.5.
Placer County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 439.4 with a 95% confidence interval from 431.5 to 447.5 and 2,481 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (9, 22)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.3.
Napa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 432.8 with a 95% confidence interval from 419.3 to 446.6 and 836 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (8, 30)
- Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from 0.3 to 4.9.
El Dorado County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 432.3 with a 95% confidence interval from 421.0 to 444.0 and 1,252 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (10, 28)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.3.
Lake County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 431.6 with a 95% confidence interval from 412.7 to 451.2 and 455 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (5, 35)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.4.
Calaveras County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 430.9 with a 95% confidence interval from 408.3 to 454.6 and 348 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (3, 41)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.3.
San Diego County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 429.9 with a 95% confidence interval from 426.8 to 432.9 and 15,882 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (15, 24)
- Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.0 to -1.3.
Yolo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 429.1 with a 95% confidence interval from 416.5 to 441.9 and 920 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (10, 31)
- Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -0.7 to 4.2.
Amador County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 425.4 with a 95% confidence interval from 402.9 to 449.2 and 311 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (5, 42)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
Stanislaus County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 425.1 with a 95% confidence interval from 417.5 to 432.9 and 2,440 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (15, 29)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.0.
San Benito County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 421.1 with a 95% confidence interval from 399.0 to 444.0 and 286 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (8, 44)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.
Contra Costa County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 420.5 with a 95% confidence interval from 415.6 to 425.4 and 5,991 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (19, 30)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.8.
Mendocino County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 415.9 with a 95% confidence interval from 399.7 to 432.6 and 573 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (14, 42)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.1.
San Mateo County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 414.6 with a 95% confidence interval from 408.6 to 420.5 and 3,904 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (21, 33)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.4.
Orange County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 414.3 with a 95% confidence interval from 411.3 to 417.2 and 15,501 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (23, 32)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.9.
Solano County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 414.2 with a 95% confidence interval from 406.4 to 422.1 and 2,287 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (20, 35)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.4 to -0.7.
Sutter County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 410.3 with a 95% confidence interval from 393.7 to 427.4 and 479 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (15, 43)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.
Sacramento County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 410.1 with a 95% confidence interval from 405.8 to 414.4 and 7,278 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (25, 35)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.2 to -0.9.
Nevada County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 409.2 with a 95% confidence interval from 394.6 to 424.3 and 732 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (17, 43)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.9 to 1.7.
Kern County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 404.1 with a 95% confidence interval from 397.9 to 410.4 and 3,418 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (28, 41)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.4.
Madera County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 403.0 with a 95% confidence interval from 389.2 to 417.1 and 673 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (21, 45)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.1.
San Joaquin County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 400.1 with a 95% confidence interval from 393.8 to 406.4 and 3,230 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (29, 43)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.4.
San Francisco County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 400.0 with a 95% confidence interval from 394.5 to 405.6 and 4,200 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (30, 43)
- Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from 0.8 to 3.0.
Fresno County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 399.5 with a 95% confidence interval from 393.9 to 405.3 and 3,955 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (31, 43)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.2.
Riverside County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 398.5 with a 95% confidence interval from 395.1 to 401.9 and 10,940 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (32, 42)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -0.8 to -0.5.
San Bernardino County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 398.3 with a 95% confidence interval from 394.4 to 402.1 and 8,624 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (32, 43)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -0.8 to -0.5.
Santa Clara County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 395.8 with a 95% confidence interval from 392.0 to 399.7 and 8,454 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (33, 44)
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.1 to 1.6.
Merced County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 390.1 with a 95% confidence interval from 379.3 to 401.2 and 1,022 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (31, 48)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.4.
Monterey County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 389.3 with a 95% confidence interval from 381.2 to 397.5 and 1,826 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (34, 47)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -0.7 to -0.5.
Colusa County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 384.2 with a 95% confidence interval from 349.1 to 421.9 and 92 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (16, 54)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.7.
Alameda County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 383.1 with a 95% confidence interval from 379.1 to 387.1 and 7,243 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (41, 48)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -0.8 to -0.6.
Los Angeles County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 381.3 with a 95% confidence interval from 379.6 to 382.9 and 42,579 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (42, 48)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.5.
Plumas County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 379.4 with a 95% confidence interval from 346.2 to 415.3 and 129 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (16, 54)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.2.
Kings County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 374.2 with a 95% confidence interval from 359.5 to 389.4 and 505 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (39, 52)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.4.
Tulare County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 365.5 with a 95% confidence interval from 357.4 to 373.7 and 1,605 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (45, 52)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.6.
Imperial County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 363.0 with a 95% confidence interval from 350.6 to 375.8 and 664 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (44, 53)
- Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -6.0 to -0.6.
Inyo County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 360.3 with a 95% confidence interval from 328.2 to 395.0 and 108 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (29, 55)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.
Siskiyou County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 356.5 with a 95% confidence interval from 335.6 to 378.6 and 264 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (42, 55)
- Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -5.6 to -1.5.
Del Norte County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 339.2 with a 95% confidence interval from 312.2 to 368.1 and 127 average annual cases over 2018-2022.
- CI*Rank ⋔ : 52 (44, 56)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -2.7 to -0.9.
Lassen County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 339.0 with a 95% confidence interval from 312.3 to 367.4 and 125 average annual cases over 2018-2022.
- CI*Rank ⋔ : 53 (45, 56)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 1.0.
Mono County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 326.1 with a 95% confidence interval from 286.9 to 369.6 and 56 average annual cases over 2018-2022.
- CI*Rank ⋔ : 54 (41, 58)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.9.
Sierra County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 292.6 with a 95% confidence interval from 226.1 to 376.4 and 18 average annual cases over 2018-2022.
- CI*Rank ⋔ : 55 (33, 58)
- Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -10.8 to 2.3.
Modoc County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 277.0 with a 95% confidence interval from 235.8 to 324.1 and 41 average annual cases over 2018-2022.
- CI*Rank ⋔ : 56 (52, 58)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.7 to -0.1.
Trinity County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 274.6 with a 95% confidence interval from 244.3 to 308.1 and 79 average annual cases over 2018-2022.
- CI*Rank ⋔ : 57 (54, 58)
- Recent Trend : The trend is because the trend is -5.1 with a 95% confidence interval from -10.9 to -3.4.
Alpine County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 242.4 with a 95% confidence interval from 142.4 to 394.4 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 58 (13, 58)
- Recent Trend :
Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 10:26 pm.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
† 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.
‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
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.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
7 Source: SEER November 2024 submission.
* 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.


