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Incidence Rates Table

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Incidence Rate Report for Tennessee by County

All Cancer Sites (All Stages^), 2018-2022

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

Sorted by CI*Rank

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Tennessee 2 N/A 457.1 (455.0, 459.2) N/A 39,137 falling falling trend -1.5 (-2.3, -0.7)
US (SEER+NPCR) 1 N/A 448.6 (448.3, 448.9) N/A 1,821,045 falling falling trend -1.0 (-1.6, -0.5)
Trousdale County 2 Urban 568.5 (507.3, 635.1) 1 (1, 37) 67 stable stable trend 1.0 (-0.1, 2.2)
Marshall County 2 Rural 558.8 (526.5, 592.6) 2 (1, 14) 239 rising rising trend 0.8 (0.1, 1.5)
Macon County 2 Urban 549.1 (511.4, 588.9) 3 (1, 27) 168 stable stable trend 0.8 (0.0, 1.8)
Hancock County 2 Rural 528.8 (461.3, 604.1) 4 (1, 86) 51 stable stable trend 0.6 (-3.4, 2.2)
Humphreys County 2 Rural 526.0 (486.6, 568.0) 5 (1, 54) 143 stable stable trend -0.6 (-1.6, 0.4)
Dickson County 2 Urban 523.7 (498.8, 549.6) 6 (1, 27) 354 rising rising trend 0.7 (0.1, 1.3)
Decatur County 2 Rural 519.2 (470.3, 572.6) 7 (1, 80) 93 rising rising trend 1.0 (0.4, 1.7)
Marion County 2 Urban 519.1 (487.0, 553.0) 8 (1, 49) 215 stable stable trend 0.6 (-0.6, 1.9)
Smith County 2 Urban 503.7 (464.4, 545.8) 9 (1, 75) 131 stable stable trend 0.0 (-5.1, 1.1)
Tipton County 2 Urban 503.7 (480.0, 528.3) 10 (3, 49) 363 stable stable trend 0.3 (-0.8, 1.0)
Cheatham County 2 Urban 502.2 (473.5, 532.3) 11 (2, 59) 253 stable stable trend -0.8 (-4.7, 0.2)
Haywood County 2 Rural 501.8 (461.1, 545.4) 12 (1, 79) 125 rising rising trend 1.5 (0.5, 2.6)
Benton County 2 Rural 501.4 (460.3, 545.7) 13 (1, 82) 125 stable stable trend -0.5 (-4.7, 0.7)
Carroll County 2 Rural 497.8 (465.6, 531.8) 14 (2, 71) 197 stable stable trend 0.0 (-2.3, 0.7)
Sevier County 2 Rural 497.7 (480.3, 515.5) 15 (5, 44) 689 stable stable trend -0.3 (-1.8, 0.2)
Rhea County 2 Rural 497.3 (467.6, 528.6) 16 (3, 68) 224 falling falling trend -1.2 (-3.9, -0.4)
Union County 2 Urban 496.7 (458.4, 537.7) 17 (2, 80) 136 falling falling trend -1.4 (-5.3, -0.1)
Crockett County 2 Urban 495.0 (449.3, 544.4) 18 (1, 88) 92 rising rising trend 1.3 (0.4, 2.4)
Henry County 2 Rural 492.8 (464.5, 522.7) 19 (3, 71) 255 stable stable trend 0.1 (-3.9, 0.9)
Campbell County 2 Urban 490.9 (464.7, 518.4) 20 (4, 67) 284 stable stable trend -0.4 (-5.4, 0.4)
Meigs County 2 Rural 489.5 (442.8, 540.2) 21 (1, 89) 91 stable stable trend 0.6 (-3.1, 1.9)
Gibson County 2 Urban 488.7 (464.5, 513.9) 22 (5, 68) 321 rising rising trend 0.7 (0.2, 1.3)
Cannon County 2 Urban 487.4 (443.0, 535.3) 23 (2, 90) 94 stable stable trend 0.8 (-0.3, 1.9)
McNairy County 2 Rural 484.8 (451.7, 519.8) 24 (3, 84) 176 rising rising trend 1.3 (0.4, 2.3)
Henderson County 2 Rural 484.0 (452.2, 517.7) 25 (4, 82) 183 stable stable trend -0.2 (-3.1, 0.5)
Hardeman County 2 Rural 483.0 (449.8, 518.3) 26 (4, 84) 166 stable stable trend 0.0 (-1.9, 0.8)
Warren County 2 Rural 482.0 (455.2, 510.0) 27 (6, 78) 258 stable stable trend -0.1 (-1.0, 0.4)
Hickman County 2 Urban 480.9 (447.0, 516.9) 28 (4, 86) 159 stable stable trend 0.0 (-1.2, 1.3)
Cocke County 2 Rural 479.3 (452.2, 507.7) 29 (6, 80) 263 stable stable trend 0.6 (0.0, 1.2)
Dyer County 2 Rural 477.5 (449.3, 507.1) 30 (6, 84) 227 stable stable trend 1.0 (0.0, 2.0)
Monroe County 2 Rural 476.5 (452.4, 501.7) 31 (8, 79) 330 stable stable trend 0.3 (-0.8, 1.4)
Maury County 2 Urban 474.1 (456.7, 492.0) 32 (13, 72) 601 stable stable trend 0.0 (-0.6, 0.8)
Lewis County 2 Rural 473.1 (427.9, 522.2) 33 (3, 92) 88 stable stable trend 0.2 (-1.0, 1.6)
Hawkins County 2 Urban 472.0 (450.5, 494.5) 34 (10, 79) 400 falling falling trend -1.0 (-2.7, -0.1)
Blount County 2 Urban 471.9 (457.8, 486.4) 35 (17, 69) 928 falling falling trend -0.8 (-1.3, -0.4)
Houston County 2 Rural 471.8 (415.4, 534.6) 36 (2, 94) 56 stable stable trend -6.6 (-15.1, 0.6)
Chester County 2 Urban 471.6 (430.6, 515.7) 37 (3, 92) 103 stable stable trend -4.6 (-10.5, 0.4)
Greene County 2 Rural 471.0 (451.6, 491.1) 38 (13, 77) 494 stable stable trend -2.6 (-7.4, 0.6)
Sumner County 2 Urban 470.7 (458.2, 483.5) 39 (20, 70) 1,133 stable stable trend -0.4 (-0.9, 0.0)
Sullivan County 2 Urban 469.5 (456.6, 482.7) 40 (20, 72) 1,108 stable stable trend -0.1 (-1.5, 0.2)
Robertson County 2 Urban 469.5 (448.5, 491.2) 41 (12, 81) 406 falling falling trend -3.0 (-5.0, -0.6)
Wayne County 2 Rural 469.1 (429.5, 511.8) 42 (4, 91) 109 stable stable trend 0.2 (-1.6, 1.0)
Claiborne County 2 Rural 468.4 (439.6, 498.8) 43 (8, 86) 216 falling falling trend -2.4 (-9.0, -0.2)
Grainger County 2 Urban 468.2 (434.9, 503.7) 44 (6, 90) 165 stable stable trend -0.4 (-1.2, 0.4)
Cumberland County 2 Rural 467.8 (447.5, 489.0) 45 (14, 80) 533 falling falling trend -0.8 (-1.3, -0.4)
Lauderdale County 2 Rural 467.3 (433.0, 503.7) 46 (5, 90) 145 stable stable trend -0.1 (-2.9, 0.8)
White County 2 Rural 467.3 (436.1, 500.3) 47 (7, 89) 182 stable stable trend -0.3 (-1.2, 0.7)
Grundy County 2 Rural 467.1 (423.5, 514.3) 48 (4, 93) 91 stable stable trend 0.2 (-0.7, 1.2)
Jefferson County 2 Urban 466.5 (444.5, 489.5) 49 (13, 83) 370 stable stable trend -0.1 (-4.1, 1.2)
McMinn County 2 Rural 466.1 (443.6, 489.4) 50 (12, 84) 353 stable stable trend 0.5 (-0.3, 1.3)
Roane County 2 Urban 465.1 (443.7, 487.5) 51 (14, 85) 399 falling falling trend -0.9 (-3.6, -0.3)
Sequatchie County 2 Urban 464.3 (424.3, 507.4) 52 (4, 92) 110 stable stable trend -0.4 (-2.5, 0.7)
Hamblen County 2 Urban 463.4 (442.4, 485.2) 53 (16, 85) 385 stable stable trend 0.1 (-0.7, 0.9)
Loudon County 2 Urban 463.3 (442.1, 485.3) 54 (15, 86) 438 stable stable trend 0.1 (-0.4, 0.7)
Anderson County 2 Urban 463.1 (444.5, 482.4) 55 (19, 82) 507 falling falling trend -1.3 (-2.7, -0.5)
Weakley County 2 Rural 462.7 (432.8, 494.1) 56 (9, 90) 194 stable stable trend 0.6 (-3.1, 1.5)
Hamilton County 2 Urban 459.9 (451.0, 468.9) 57 (35, 74) 2,171 falling falling trend -0.7 (-3.4, -0.2)
Coffee County 2 Rural 457.9 (435.6, 481.0) 58 (16, 87) 337 stable stable trend 0.0 (-0.9, 0.9)
Bedford County 2 Rural 457.4 (432.5, 483.4) 59 (15, 90) 266 stable stable trend 0.0 (-3.3, 0.7)
Fentress County 2 Rural 457.0 (420.8, 495.9) 60 (8, 93) 134 falling falling trend -6.8 (-13.1, -0.3)
Fayette County 2 Urban 456.9 (432.0, 482.9) 61 (16, 89) 291 stable stable trend -0.5 (-2.2, 0.3)
Scott County 2 Rural 456.8 (420.8, 495.2) 62 (8, 93) 127 falling falling trend -2.3 (-5.7, -0.8)
Clay County 2 Rural 456.6 (401.0, 518.9) 63 (2, 94) 56 stable stable trend -0.1 (-1.2, 1.0)
Wilson County 2 Urban 455.9 (441.7, 470.5) 64 (29, 84) 824 stable stable trend -0.4 (-2.7, 0.1)
Van Buren County 2 Rural 455.1 (392.8, 525.6) 65 (2, 94) 45 stable stable trend 0.9 (-1.1, 3.2)
Knox County 2 Urban 453.9 (445.9, 462.0) 66 (44, 78) 2,596 falling falling trend -0.6 (-1.0, -0.3)
Lawrence County 2 Rural 453.8 (428.9, 479.9) 67 (19, 89) 262 stable stable trend -0.1 (-0.7, 0.5)
Franklin County 2 Rural 452.7 (427.8, 478.8) 68 (17, 90) 274 stable stable trend -0.8 (-3.1, 0.1)
Hardin County 2 Rural 450.6 (420.3, 482.7) 69 (14, 93) 188 stable stable trend 0.5 (-0.3, 1.4)
Stewart County 2 Urban 450.0 (406.9, 496.9) 70 (6, 94) 88 falling falling trend -8.7 (-13.6, -4.2)
Rutherford County 2 Urban 449.9 (439.2, 460.8) 71 (43, 84) 1,438 falling falling trend -2.4 (-4.2, -0.4)
Putnam County 2 Rural 447.5 (428.1, 467.6) 72 (30, 89) 423 falling falling trend -4.0 (-7.0, -0.5)
Washington County 2 Urban 447.2 (432.9, 462.0) 73 (40, 86) 786 stable stable trend 0.2 (-0.3, 0.5)
DeKalb County 2 Rural 447.0 (411.6, 485.0) 74 (11, 93) 127 stable stable trend -0.3 (-1.0, 0.3)
Polk County 2 Urban 445.5 (408.4, 485.4) 75 (9, 94) 117 falling falling trend -2.4 (-7.1, -0.9)
Williamson County 2 Urban 444.9 (433.6, 456.5) 76 (50, 87) 1,235 stable stable trend -0.3 (-1.2, 0.0)
Shelby County 2 Urban 444.8 (438.8, 450.8) 77 (58, 83) 4,533 falling falling trend -0.4 (-0.7, -0.1)
Madison County 2 Urban 443.1 (426.2, 460.5) 78 (41, 89) 559 stable stable trend 0.3 (-0.3, 0.9)
Montgomery County 2 Urban 439.4 (425.5, 453.6) 79 (52, 90) 818 stable stable trend -3.1 (-6.1, 0.2)
Bledsoe County 2 Rural 436.6 (397.3, 479.3) 80 (12, 94) 97 falling falling trend -1.0 (-2.5, -0.1)
Perry County 2 Rural 436.3 (383.7, 494.9) 81 (6, 95) 54 falling falling trend -1.7 (-5.0, -0.4)
Obion County 2 Rural 433.9 (405.7, 463.8) 82 (28, 93) 191 stable stable trend -0.3 (-9.0, 2.7)
Morgan County 2 Urban 433.7 (399.5, 470.3) 83 (20, 94) 127 falling falling trend -1.6 (-2.2, -1.2)
Davidson County 2 Urban 432.6 (425.7, 439.7) 84 (70, 90) 3,111 stable stable trend -0.5 (-0.9, 0.5)
Unicoi County 2 Urban 428.1 (392.6, 466.4) 85 (24, 94) 120 falling falling trend -3.5 (-7.9, -1.0)
Overton County 2 Rural 426.1 (393.5, 460.9) 86 (28, 94) 138 falling falling trend -7.5 (-13.0, -3.6)
Carter County 2 Urban 423.6 (403.4, 444.6) 87 (56, 93) 366 stable stable trend 0.2 (-2.2, 0.8)
Giles County 2 Rural 421.7 (393.5, 451.5) 88 (42, 94) 185 stable stable trend -0.1 (-1.0, 0.9)
Bradley County 2 Urban 420.9 (405.2, 437.0) 89 (70, 94) 575 falling falling trend -4.0 (-8.8, -1.1)
Pickett County 2 Rural 410.0 (348.2, 482.1) 90 (8, 95) 37 stable stable trend -0.5 (-2.2, 1.2)
Lake County 2 Rural 406.2 (348.1, 472.1) 91 (14, 95) 36 stable stable trend 1.1 (-0.4, 2.8)
Johnson County 2 Rural 403.7 (369.8, 440.4) 92 (47, 95) 114 stable stable trend -3.2 (-10.9, 0.0)
Jackson County 2 Rural 402.9 (360.8, 449.2) 93 (35, 95) 77 stable stable trend -1.9 (-11.7, 1.6)
Moore County 2 Rural 394.5 (337.2, 459.8) 94 (17, 95) 38 stable stable trend -3.3 (-16.3, 1.2)
Lincoln County 2 Rural 345.9 (322.1, 371.1) 95 (92, 95) 172 falling falling trend -1.7 (-3.6, -0.5)

Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 4:02 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.


† 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.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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).

Data for United States does not include Puerto Rico.

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