Incidence Rates Table
Incidence Rate Report for Kentucky by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
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)
|
|---|---|---|---|---|---|---|
| Kentucky 7 | N/A | 519.0 (516.2, 521.8) | N/A | 29,054 |
stable 
|
-0.6 (-1.2, 0.0) |
| US (SEER+NPCR) 1 | N/A | 448.6 (448.3, 448.9) | N/A | 1,821,045 |
falling 
|
-1.0 (-1.6, -0.5) |
| Elliott County 7 | Rural | 404.6 (350.7, 465.4) | 120 (81, 120) | 42 |
stable
|
-0.4 (-1.6, 1.1) |
| Crittenden County 7 | Rural | 414.2 (364.1, 469.8) | 119 (81, 120) | 54 |
stable
|
-0.3 (-1.4, 0.8) |
| Union County 7 | Rural | 424.9 (382.0, 471.7) | 118 (85, 120) | 79 |
stable
|
-9.4 (-19.6, 0.5) |
| Henderson County 7 | Rural | 439.7 (415.3, 465.2) | 117 (100, 120) | 262 |
falling
|
-10.4 (-14.4, -6.6) |
| Webster County 7 | Rural | 444.1 (399.0, 493.3) | 116 (62, 120) | 75 |
stable
|
-0.5 (-1.4, 0.5) |
| Hickman County 7 | Rural | 448.0 (375.1, 532.5) | 115 (8, 120) | 32 |
stable
|
0.3 (-1.1, 1.8) |
| Caldwell County 7 | Rural | 458.7 (414.7, 506.6) | 114 (43, 120) | 87 |
falling
|
-0.7 (-1.1, -0.2) |
| Lee County 7 | Rural | 465.9 (406.4, 532.5) | 113 (13, 120) | 48 |
stable
|
-0.5 (-2.0, 1.0) |
| Todd County 7 | Rural | 467.4 (418.0, 521.2) | 111 (19, 120) | 69 |
stable
|
0.3 (-0.5, 1.2) |
| Edmonson County 7 | Urban | 468.1 (422.7, 517.6) | 112 (31, 120) | 85 |
falling
|
-0.5 (-1.7, -0.1) |
| Breathitt County 7 | Rural | 468.3 (422.6, 518.1) | 110 (28, 120) | 85 |
stable
|
-1.3 (-5.1, 0.0) |
| Ballard County 7 | Urban | 470.4 (414.1, 533.2) | 109 (11, 120) | 55 |
stable
|
-0.3 (-1.4, 0.9) |
| Lyon County 7 | Rural | 475.8 (422.9, 534.6) | 108 (14, 120) | 67 |
stable
|
0.6 (-0.4, 1.8) |
| Rowan County 7 | Rural | 476.5 (438.6, 516.8) | 107 (35, 119) | 124 |
falling
|
-1.4 (-4.0, -0.5) |
| Morgan County 7 | Rural | 477.6 (431.9, 527.1) | 106 (22, 120) | 86 |
stable
|
0.3 (-7.5, 4.6) |
| Warren County 7 | Urban | 479.6 (463.0, 496.6) | 105 (79, 115) | 660 |
stable
|
-0.5 (-0.9, 0.1) |
| Knott County 7 | Rural | 479.6 (435.3, 527.5) | 104 (25, 119) | 97 |
stable
|
0.4 (-0.5, 1.3) |
| Allen County 7 | Urban | 480.9 (443.1, 521.2) | 103 (28, 119) | 130 |
stable
|
0.3 (-0.5, 1.2) |
| Muhlenberg County 7 | Rural | 483.0 (453.3, 514.2) | 102 (48, 117) | 212 |
stable
|
-0.3 (-0.8, 0.3) |
| Hancock County 7 | Rural | 484.0 (427.4, 546.4) | 101 (12, 120) | 57 |
rising 
|
1.5 (0.3, 3.0) |
| Shelby County 7 | Urban | 485.1 (459.7, 511.7) | 100 (50, 115) | 289 |
stable
|
0.1 (-0.5, 0.8) |
| Menifee County 7 | Rural | 485.3 (420.6, 558.4) | 99 (4, 120) | 45 |
stable
|
-0.5 (-1.7, 0.9) |
| Simpson County 7 | Rural | 486.1 (446.3, 528.6) | 98 (26, 119) | 118 |
falling
|
-1.5 (-2.7, -0.5) |
| Scott County 7 | Urban | 491.7 (465.8, 518.7) | 97 (45, 115) | 289 |
stable
|
-0.1 (-0.5, 0.4) |
| Graves County 7 | Rural | 493.4 (464.8, 523.5) | 95 (38, 114) | 239 |
stable
|
0.1 (-0.7, 1.0) |
| Bell County 7 | Rural | 493.8 (459.0, 530.6) | 94 (29, 117) | 164 |
stable
|
-0.2 (-0.9, 0.6) |
| Martin County 7 | Rural | 493.8 (442.2, 550.1) | 96 (12, 119) | 71 |
stable
|
0.0 (-0.9, 1.1) |
| Fayette County 7 | Urban | 494.2 (483.5, 505.1) | 93 (70, 106) | 1,692 |
stable
|
1.5 (-0.3, 2.8) |
| Nicholas County 7 | Rural | 494.7 (432.5, 564.0) | 92 (5, 120) | 48 |
stable
|
0.2 (-1.1, 1.6) |
| Franklin County 7 | Rural | 497.9 (473.5, 523.3) | 91 (38, 112) | 334 |
stable
|
-0.4 (-0.9, 0.1) |
| Jackson County 7 | Rural | 500.1 (451.8, 552.4) | 90 (11, 118) | 86 |
falling
|
-1.8 (-7.7, -0.2) |
| Trigg County 7 | Urban | 500.5 (456.4, 548.3) | 89 (13, 118) | 109 |
stable
|
-0.2 (-1.0, 0.6) |
| Boone County 7 | Urban | 500.6 (484.4, 517.2) | 87 (50, 107) | 761 |
stable
|
0.0 (-0.3, 0.3) |
| Lewis County 7 | Rural | 500.6 (452.7, 552.6) | 88 (12, 119) | 88 |
stable
|
0.7 (-0.2, 1.8) |
| Laurel County 7 | Rural | 501.4 (478.8, 524.8) | 85 (37, 111) | 394 |
stable
|
-0.2 (-0.6, 0.4) |
| Carroll County 7 | Rural | 501.7 (447.3, 561.1) | 86 (6, 119) | 66 |
stable
|
-0.3 (-1.3, 0.8) |
| Greenup County 7 | Urban | 502.2 (474.1, 531.7) | 84 (28, 113) | 262 |
stable
|
-0.2 (-0.8, 0.5) |
| Hopkins County 7 | Rural | 502.7 (476.8, 529.6) | 83 (30, 111) | 307 |
stable
|
-0.4 (-1.0, 0.3) |
| Johnson County 7 | Rural | 504.3 (468.3, 542.5) | 82 (18, 114) | 158 |
stable
|
0.1 (-0.6, 0.8) |
| Barren County 7 | Rural | 506.7 (480.3, 534.2) | 81 (27, 110) | 293 |
stable
|
0.5 (-0.1, 1.1) |
| Daviess County 7 | Urban | 508.8 (490.9, 527.2) | 79 (40, 105) | 650 |
stable
|
0.2 (-0.3, 0.7) |
| Leslie County 7 | Rural | 509.0 (456.5, 566.4) | 80 (5, 118) | 75 |
stable
|
0.1 (-1.2, 1.4) |
| Casey County 7 | Rural | 510.9 (467.6, 557.4) | 78 (11, 116) | 113 |
stable
|
-0.1 (-0.8, 0.7) |
| Larue County 7 | Urban | 511.4 (465.2, 561.1) | 77 (9, 115) | 98 |
stable
|
0.4 (-0.4, 1.2) |
| Harlan County 7 | Rural | 516.1 (482.1, 552.0) | 76 (14, 112) | 188 |
stable
|
0.2 (-0.6, 1.0) |
| Logan County 7 | Rural | 517.0 (483.3, 552.6) | 75 (15, 110) | 188 |
stable
|
-0.1 (-0.9, 0.6) |
| Jefferson County 7 | Urban | 518.0 (511.3, 524.7) | 74 (49, 83) | 4,944 |
stable
|
-0.2 (-0.4, 0.0) |
| Jessamine County 7 | Urban | 518.1 (492.6, 544.6) | 73 (21, 105) | 327 |
stable
|
0.1 (-0.4, 0.6) |
| Meade County 7 | Urban | 518.4 (484.5, 554.3) | 72 (15, 111) | 186 |
stable
|
0.3 (-0.4, 1.0) |
| Ohio County 7 | Rural | 519.5 (483.3, 557.8) | 71 (12, 111) | 163 |
stable
|
-0.8 (-5.0, 0.5) |
| Madison County 7 | Rural | 520.9 (500.7, 541.7) | 70 (26, 99) | 528 |
stable
|
-0.3 (-0.8, 0.3) |
| Breckinridge County 7 | Rural | 521.2 (482.5, 562.4) | 69 (9, 113) | 150 |
stable
|
0.5 (-0.3, 1.3) |
| Wayne County 7 | Rural | 522.2 (482.8, 564.2) | 68 (10, 112) | 147 |
stable
|
0.3 (-0.4, 1.2) |
| Campbell County 7 | Urban | 523.5 (504.4, 543.1) | 67 (22, 93) | 611 |
stable
|
-0.1 (-0.5, 0.3) |
| Perry County 7 | Rural | 523.6 (489.6, 559.4) | 66 (11, 110) | 193 |
stable
|
-0.1 (-0.7, 0.7) |
| Woodford County 7 | Urban | 523.9 (490.0, 559.7) | 64 (11, 108) | 196 |
stable
|
-0.4 (-1.1, 0.3) |
| Letcher County 7 | Rural | 524.1 (486.1, 564.6) | 62 (9, 111) | 158 |
stable
|
-0.1 (-0.8, 0.6) |
| Mason County 7 | Rural | 524.2 (481.5, 570.1) | 65 (6, 113) | 120 |
stable
|
-0.2 (-0.8, 0.5) |
| Boyle County 7 | Rural | 524.3 (492.2, 558.0) | 63 (14, 108) | 212 |
rising
|
0.6 (0.1, 1.1) |
| Carlisle County 7 | Urban | 524.7 (447.7, 612.2) | 61 (1, 120) | 36 |
stable
|
0.1 (-1.5, 1.7) |
| Robertson County 7 | Rural | 525.1 (412.0, 662.6) | 57 (1, 120) | 18 |
stable
|
0.9 (-1.1, 3.2) |
| Kenton County 7 | Urban | 525.3 (510.5, 540.4) | 60 (28, 87) | 1,025 |
falling
|
-2.1 (-3.5, -0.6) |
| Calloway County 7 | Rural | 526.0 (495.4, 558.0) | 59 (12, 104) | 238 |
stable
|
0.3 (-0.6, 1.3) |
| Christian County 7 | Urban | 526.1 (501.2, 551.9) | 58 (18, 99) | 352 |
stable
|
2.6 (0.0, 6.1) |
| Russell County 7 | Rural | 526.3 (485.5, 569.9) | 56 (6, 113) | 136 |
stable
|
0.4 (-0.8, 1.6) |
| Marshall County 7 | Rural | 528.3 (497.9, 560.2) | 55 (10, 103) | 251 |
stable
|
0.2 (-0.4, 0.9) |
| McCracken County 7 | Urban | 529.0 (507.6, 551.1) | 54 (17, 92) | 499 |
rising
|
1.4 (0.2, 4.1) |
| Anderson County 7 | Rural | 530.1 (492.7, 569.7) | 52 (7, 108) | 159 |
stable
|
-0.2 (-1.0, 0.8) |
| Hart County 7 | Rural | 530.2 (488.2, 575.1) | 51 (6, 110) | 128 |
stable
|
0.5 (-0.6, 1.7) |
| Fleming County 7 | Rural | 530.4 (484.9, 579.3) | 53 (4, 113) | 108 |
stable
|
0.0 (-0.8, 0.9) |
| McCreary County 7 | Rural | 531.6 (487.0, 579.3) | 50 (4, 111) | 110 |
stable
|
-0.2 (-1.1, 0.7) |
| Garrard County 7 | Rural | 532.5 (490.0, 578.0) | 49 (5, 112) | 126 |
stable
|
-0.2 (-2.0, 0.5) |
| Metcalfe County 7 | Rural | 534.2 (480.2, 593.1) | 47 (2, 115) | 77 |
stable
|
0.7 (-0.2, 1.6) |
| Owen County 7 | Rural | 534.5 (482.4, 591.1) | 48 (2, 115) | 84 |
stable
|
0.3 (-0.6, 1.3) |
| Clinton County 7 | Rural | 534.6 (477.7, 597.1) | 45 (1, 114) | 70 |
stable
|
0.9 (-0.7, 2.6) |
| Monroe County 7 | Rural | 534.6 (481.0, 592.9) | 46 (1, 115) | 81 |
stable
|
-9.1 (-15.9, 0.2) |
| Pulaski County 7 | Rural | 535.8 (513.8, 558.6) | 44 (16, 89) | 481 |
stable
|
0.0 (-0.3, 0.3) |
| Clark County 7 | Urban | 536.6 (506.8, 567.8) | 43 (9, 99) | 258 |
stable
|
0.1 (-0.7, 0.9) |
| Magoffin County 7 | Rural | 537.0 (484.4, 594.0) | 42 (2, 113) | 84 |
stable
|
0.1 (-1.0, 1.3) |
| Bullitt County 7 | Urban | 537.5 (517.0, 558.7) | 38 (14, 85) | 554 |
stable
|
0.1 (-0.3, 0.6) |
| Spencer County 7 | Urban | 537.6 (494.4, 583.7) | 40 (3, 109) | 129 |
stable
|
0.1 (-0.6, 0.9) |
| Henry County 7 | Urban | 538.2 (493.4, 586.4) | 39 (3, 112) | 115 |
stable
|
0.0 (-0.8, 0.9) |
| Washington County 7 | Rural | 538.4 (487.0, 594.1) | 41 (2, 113) | 87 |
rising
|
1.4 (0.5, 2.4) |
| Pendleton County 7 | Urban | 540.1 (491.6, 592.3) | 37 (3, 109) | 101 |
stable
|
0.4 (-0.2, 1.0) |
| Boyd County 7 | Urban | 540.5 (515.1, 566.9) | 36 (10, 88) | 366 |
stable
|
0.4 (-0.4, 3.2) |
| Marion County 7 | Rural | 541.0 (499.2, 585.6) | 33 (3, 107) | 132 |
rising
|
0.9 (0.3, 1.6) |
| McLean County 7 | Urban | 541.0 (483.0, 604.7) | 35 (1, 113) | 69 |
stable
|
0.7 (-0.1, 1.5) |
| Oldham County 7 | Urban | 541.3 (517.4, 565.9) | 34 (11, 89) | 414 |
stable
|
-0.3 (-0.7, 0.2) |
| Pike County 7 | Rural | 541.4 (518.1, 565.7) | 32 (10, 84) | 440 |
stable
|
0.2 (-0.2, 0.6) |
| Gallatin County 7 | Urban | 545.4 (481.6, 615.8) | 31 (1, 116) | 58 |
stable
|
0.8 (-0.8, 2.6) |
| Hardin County 7 | Urban | 545.6 (527.1, 564.5) | 30 (13, 73) | 691 |
stable
|
0.1 (-0.3, 0.5) |
| Bourbon County 7 | Urban | 547.1 (507.6, 589.2) | 29 (3, 102) | 153 |
rising
|
1.3 (0.2, 4.6) |
| Harrison County 7 | Rural | 547.3 (505.3, 592.1) | 28 (2, 105) | 137 |
stable
|
0.1 (-0.5, 0.8) |
| Mercer County 7 | Rural | 549.1 (511.7, 588.7) | 27 (3, 99) | 174 |
stable
|
0.4 (-0.4, 1.4) |
| Green County 7 | Rural | 550.8 (498.4, 607.8) | 26 (1, 108) | 90 |
rising
|
1.3 (0.4, 2.2) |
| Nelson County 7 | Urban | 552.9 (525.0, 582.0) | 25 (4, 78) | 315 |
stable
|
0.0 (-0.6, 0.8) |
| Butler County 7 | Urban | 556.3 (504.6, 612.2) | 24 (1, 107) | 92 |
stable
|
0.5 (-0.5, 1.6) |
| Lawrence County 7 | Urban | 558.1 (512.1, 607.4) | 23 (1, 104) | 119 |
stable
|
0.6 (0.0, 1.2) |
| Montgomery County 7 | Rural | 558.6 (523.2, 595.9) | 22 (2, 88) | 194 |
rising
|
0.6 (0.1, 1.1) |
| Owsley County 7 | Rural | 564.4 (477.6, 663.8) | 21 (1, 119) | 33 |
stable
|
0.1 (-1.7, 2.0) |
| Bath County 7 | Rural | 564.6 (511.7, 621.6) | 20 (1, 103) | 90 |
stable
|
-0.5 (-2.9, 0.2) |
| Taylor County 7 | Rural | 565.3 (528.0, 604.6) | 19 (2, 82) | 187 |
stable
|
-2.6 (-8.1, 0.1) |
| Grayson County 7 | Rural | 566.8 (530.7, 604.9) | 18 (1, 81) | 199 |
stable
|
0.7 (-0.1, 1.7) |
| Carter County 7 | Urban | 572.6 (537.0, 610.2) | 17 (1, 74) | 209 |
rising
|
0.9 (0.5, 2.1) |
| Grant County 7 | Urban | 572.7 (532.7, 614.9) | 16 (1, 85) | 164 |
rising
|
0.6 (0.1, 1.2) |
| Estill County 7 | Rural | 572.7 (523.5, 625.5) | 15 (1, 94) | 111 |
stable
|
0.6 (-0.3, 1.6) |
| Clay County 7 | Rural | 573.2 (530.8, 618.4) | 14 (1, 90) | 144 |
stable
|
0.7 (0.0, 1.5) |
| Rockcastle County 7 | Rural | 578.7 (532.6, 628.0) | 13 (1, 84) | 128 |
rising
|
0.9 (0.3, 1.7) |
| Whitley County 7 | Rural | 578.7 (546.2, 612.7) | 12 (1, 57) | 250 |
rising
|
0.6 (0.2, 1.2) |
| Trimble County 7 | Rural | 579.7 (515.2, 650.6) | 11 (1, 102) | 64 |
rising
|
1.6 (0.3, 3.1) |
| Adair County 7 | Rural | 579.8 (536.8, 625.4) | 10 (1, 77) | 148 |
rising
|
0.7 (0.1, 1.5) |
| Fulton County 7 | Rural | 581.1 (508.2, 662.3) | 9 (1, 110) | 52 |
rising
|
9.6 (0.3, 16.1) |
| Floyd County 7 | Rural | 588.0 (556.5, 620.8) | 7 (1, 47) | 289 |
stable
|
0.0 (-0.5, 0.5) |
| Knox County 7 | Rural | 588.0 (553.4, 624.3) | 8 (1, 53) | 227 |
stable
|
0.5 (-0.1, 1.1) |
| Powell County 7 | Rural | 594.3 (539.5, 653.4) | 6 (1, 84) | 94 |
stable
|
0.4 (-0.5, 1.4) |
| Lincoln County 7 | Rural | 598.0 (559.1, 639.1) | 4 (1, 52) | 190 |
rising
|
0.8 (0.4, 1.2) |
| Livingston County 7 | Urban | 598.4 (537.9, 664.6) | 5 (1, 81) | 82 |
stable
|
0.4 (-0.6, 1.4) |
| Cumberland County 7 | Rural | 606.5 (531.5, 690.0) | 3 (1, 99) | 55 |
stable
|
1.0 (-0.3, 2.4) |
| Wolfe County 7 | Rural | 615.5 (542.3, 696.5) | 2 (1, 95) | 57 |
stable
|
-0.1 (-1.3, 1.3) |
| Bracken County 7 | Urban | 621.8 (555.0, 695.0) | 1 (1, 77) | 68 |
stable
|
0.7 (-0.6, 2.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/14/2026 6:46 am.
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.
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.
7 Source: SEER November 2024 submission.
Data for United States does not include Puerto Rico.