Interpretation of Incidence Rates Data
Incidence Rate Report for Washington by County
All Cancer Sites (All Stages^), 2018-2022
White Non-Hispanic, Both Sexes, All Ages
Sorted by Recentaapc
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
Washington1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 447.9 with a 95% confidence interval from 445.6 to 450.2 and 32,865 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.7.
US (SEER+NPCR) § 1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 467.1 with a 95% confidence interval from 466.7 to 467.5 and 1,354,187 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.7.
Clark County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 391.7 with a 95% confidence interval from 383.8 to 399.7 and 2,019 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (20, 29)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -2.0 to 2.4.
Island County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 489.5 with a 95% confidence interval from 470.3 to 509.4 and 617 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 15)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.8 to 3.5.
San Juan County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 469.9 with a 95% confidence interval from 431.2 to 512.1 and 162 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (1, 20)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.7.
Clallam County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 498.0 with a 95% confidence interval from 478.5 to 518.3 and 673 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 14)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.3.
Douglas County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 488.4 with a 95% confidence interval from 457.6 to 521.0 and 219 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 17)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.
Chelan County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 485.1 with a 95% confidence interval from 463.6 to 507.6 and 457 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 17)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.6.
Kitsap County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 487.9 with a 95% confidence interval from 476.4 to 499.6 and 1,530 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 14)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.2 to 0.1.
Okanogan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 453.6 with a 95% confidence interval from 425.5 to 483.5 and 246 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (4, 21)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.5.
Grays Harbor County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 491.9 with a 95% confidence interval from 471.6 to 513.1 and 519 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 15)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to -0.1.
King County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 463.8 with a 95% confidence interval from 459.2 to 468.6 and 7,907 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (12, 17)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.7.
Snohomish County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 499.5 with a 95% confidence interval from 492.0 to 507.0 and 3,681 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 9)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to -0.1.
Wahkiakum County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 405.7 with a 95% confidence interval from 332.9 to 493.2 and 32 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (1, 37)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.4.
Kittitas County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 382.1 with a 95% confidence interval from 357.4 to 408.3 and 198 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (19, 34)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.5.
Mason County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 488.4 with a 95% confidence interval from 466.9 to 510.7 and 467 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 16)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.2.
Thurston County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 488.0 with a 95% confidence interval from 476.7 to 499.5 and 1,553 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 14)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.3.
Yakima County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 445.3 with a 95% confidence interval from 430.4 to 460.6 and 788 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (13, 20)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.0 to -0.1.
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 428.3 with a 95% confidence interval from 406.9 to 450.5 and 338 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (15, 24)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.0.
Skagit County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 493.9 with a 95% confidence interval from 477.5 to 510.8 and 812 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 14)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.3.
Pierce County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 492.8 with a 95% confidence interval from 485.7 to 500.0 and 3,884 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 12)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.5.
Whatcom County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 479.7 with a 95% confidence interval from 467.0 to 492.6 and 1,204 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (3, 16)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.5.
Pacific County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 401.6 with a 95% confidence interval from 370.9 to 435.0 and 174 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (17, 32)
- Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.7 to 0.0.
Skamania County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 349.2 with a 95% confidence interval from 307.3 to 396.1 and 61 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (20, 38)
- Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.7.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 375.3 with a 95% confidence interval from 319.8 to 438.3 and 40 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (15, 38)
- Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.1.
Cowlitz County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 389.6 with a 95% confidence interval from 374.3 to 405.5 and 540 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (20, 31)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.5.
Garfield County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 364.1 with a 95% confidence interval from 258.5 to 500.6 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (1, 39)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -4.1 to 1.2.
Lewis County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 399.7 with a 95% confidence interval from 382.0 to 418.1 and 438 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (18, 29)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -1.9 to -1.0.
Columbia County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 360.3 with a 95% confidence interval from 290.2 to 446.2 and 24 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (12, 38)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.6 to 0.5.
Franklin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 405.7 with a 95% confidence interval from 379.9 to 432.9 and 197 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (17, 30)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.
Lincoln County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 348.6 with a 95% confidence interval from 307.1 to 395.0 and 62 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (20, 38)
- Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.5.
Spokane County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 365.7 with a 95% confidence interval from 358.6 to 372.8 and 2,198 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (26, 34)
- Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -2.5 to -1.4.
Ferry County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 296.8 with a 95% confidence interval from 245.4 to 358.7 and 33 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (28, 39)
- Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -3.9 to -1.6.
Asotin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 305.5 with a 95% confidence interval from 276.5 to 337.1 and 99 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (32, 38)
- Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -5.1 to -1.0.
Pend Oreille County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 337.1 with a 95% confidence interval from 298.9 to 379.7 and 74 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (24, 38)
- Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -4.6 to -1.4.
Stevens County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 329.3 with a 95% confidence interval from 308.2 to 351.7 and 224 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (30, 38)
- Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -8.8 to -2.2.
Whitman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 251.7 with a 95% confidence interval from 228.0 to 277.2 and 90 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (37, 39)
- Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -5.1 to -2.4.
Benton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 411.1 with a 95% confidence interval from 398.1 to 424.5 and 817 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (18, 25)
- Recent Trend : The trend is because the trend is -4.5 with a 95% confidence interval from -6.9 to -1.6.
Jefferson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 472.0 with a 95% confidence interval from 444.3 to 501.6 and 335 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 19)
- Recent Trend : The trend is because the trend is -4.7 with a 95% confidence interval from -7.8 to -0.7.
Walla Walla County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 382.3 with a 95% confidence interval from 360.1 to 405.6 and 260 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (20, 33)
- Recent Trend : The trend is because the trend is -5.1 with a 95% confidence interval from -9.8 to -1.8.
Klickitat County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 356.3 with a 95% confidence interval from 325.9 to 389.3 and 122 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (22, 37)
- Recent Trend : The trend is because the trend is -13.3 with a 95% confidence interval from -19.3 to -6.7.
Notes:
Created by statecancerprofiles.cancer.gov on 03/15/2026 9:36 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.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
7 Source: SEER November 2024 submission.
Data for United States does not include Puerto Rico.


