Incidence Rates Table
Incidence Rate Report for Missouri by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Recentaapc
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) 
|
|---|---|---|---|---|---|---|
| Missouri 2 | N/A | 467.2 (465.0, 469.4) | N/A | 36,330 |
stable 
|
-0.1 (-0.3, 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) |
| Schuyler County 2 | Rural | 374.0 (301.6, 459.6) | 112 (22, 115) | 20 |
falling
|
-8.1 (-18.4, -1.5) |
| Crawford County 2 | Rural | 495.8 (460.6, 533.2) | 33 (4, 88) | 163 |
falling
|
-7.2 (-11.7, -1.1) |
| St. Louis City 2 | Urban | 424.0 (413.9, 434.3) | 98 (86, 107) | 1,454 |
falling
|
-5.6 (-9.4, -1.7) |
| Platte County 2 | Urban | 391.4 (375.7, 407.6) | 109 (96, 114) | 492 |
falling
|
-3.3 (-6.5, -1.0) |
| Barry County 2 | Rural | 446.6 (419.8, 474.8) | 88 (35, 107) | 231 |
stable
|
-3.0 (-6.2, 0.8) |
| Scotland County 2 | Rural | 323.8 (261.7, 397.0) | 115 (87, 115) | 20 |
stable
|
-1.8 (-4.3, 0.5) |
| Gasconade County 2 | Rural | 462.5 (422.5, 505.8) | 71 (12, 107) | 110 |
falling
|
-1.3 (-3.8, -0.4) |
| Sullivan County 2 | Rural | 377.8 (320.6, 443.3) | 111 (34, 115) | 33 |
stable
|
-1.3 (-2.9, 0.1) |
| Dade County 2 | Rural | 401.4 (349.8, 459.5) | 107 (33, 115) | 50 |
stable
|
-1.2 (-2.5, 0.0) |
| Ralls County 2 | Rural | 370.4 (326.4, 419.2) | 114 (79, 115) | 59 |
stable
|
-1.2 (-3.0, 0.6) |
| Audrain County 2 | Rural | 459.5 (426.3, 494.7) | 75 (13, 106) | 152 |
falling
|
-1.0 (-1.7, -0.2) |
| Pulaski County 2 | Rural | 472.5 (442.9, 503.5) | 58 (16, 100) | 199 |
stable
|
-0.8 (-1.5, 0.0) |
| Cole County 2 | Urban | 464.9 (445.5, 485.0) | 68 (30, 96) | 456 |
stable
|
-0.7 (-3.8, 0.1) |
| Laclede County 2 | Rural | 431.8 (404.8, 460.3) | 95 (45, 111) | 204 |
falling
|
-0.7 (-1.3, -0.1) |
| Ray County 2 | Urban | 427.3 (394.8, 461.9) | 97 (40, 112) | 138 |
stable
|
-0.7 (-2.1, 0.7) |
| Benton County 2 | Rural | 469.8 (434.9, 507.3) | 61 (11, 102) | 178 |
stable
|
-0.6 (-2.0, 0.7) |
| Christian County 2 | Urban | 438.8 (420.8, 457.4) | 91 (58, 105) | 468 |
falling
|
-0.6 (-1.2, -0.1) |
| St. Charles County 2 | Urban | 457.3 (448.7, 466.1) | 78 (53, 89) | 2,270 |
falling
|
-0.6 (-0.9, -0.3) |
| Texas County 2 | Rural | 416.8 (385.9, 449.8) | 103 (59, 113) | 148 |
stable
|
-0.6 (-1.5, 0.2) |
| Atchison County 2 | Rural | 413.5 (351.1, 485.5) | 105 (18, 115) | 36 |
stable
|
-0.4 (-1.6, 0.8) |
| Howard County 2 | Urban | 460.4 (408.4, 517.7) | 73 (6, 111) | 63 |
stable
|
-0.4 (-1.9, 1.2) |
| Jackson County 2 | Urban | 454.1 (447.5, 460.8) | 82 (60, 90) | 3,779 |
falling
|
-0.4 (-1.1, -0.2) |
| Morgan County 2 | Rural | 484.3 (448.2, 522.8) | 42 (7, 98) | 159 |
stable
|
-0.4 (-1.4, 0.6) |
| New Madrid County 2 | Rural | 478.6 (438.0, 522.3) | 47 (7, 105) | 110 |
stable
|
-0.4 (-1.7, 0.9) |
| Stone County 2 | Rural | 455.8 (427.7, 485.5) | 80 (27, 105) | 268 |
stable
|
-0.4 (-1.2, 0.5) |
| Vernon County 2 | Rural | 396.6 (362.6, 433.1) | 108 (74, 115) | 110 |
stable
|
-0.4 (-1.3, 0.5) |
| Wright County 2 | Rural | 459.6 (421.5, 500.6) | 74 (13, 107) | 116 |
stable
|
-0.4 (-1.1, 0.4) |
| Clay County 2 | Urban | 474.6 (463.1, 486.2) | 54 (33, 77) | 1,359 |
stable
|
-0.3 (-0.7, 0.1) |
| Lawrence County 2 | Rural | 421.3 (395.4, 448.6) | 100 (59, 112) | 209 |
stable
|
-0.3 (-0.8, 0.2) |
| Lincoln County 2 | Urban | 490.6 (466.5, 515.6) | 38 (13, 81) | 336 |
stable
|
-0.3 (-1.0, 0.5) |
| St. Louis County 2 | Urban | 474.0 (468.6, 479.5) | 55 (39, 69) | 6,240 |
stable
|
-0.3 (-0.5, 0.0) |
| Callaway County 2 | Urban | 467.5 (442.0, 494.3) | 63 (22, 98) | 267 |
stable
|
-0.2 (-0.9, 0.6) |
| Cedar County 2 | Rural | 450.9 (409.9, 495.3) | 83 (18, 112) | 101 |
stable
|
-0.2 (-1.1, 0.7) |
| Clinton County 2 | Urban | 442.6 (407.7, 479.9) | 90 (27, 110) | 128 |
stable
|
-0.2 (-1.1, 0.7) |
| Knox County 2 | Rural | 499.2 (413.0, 599.5) | 30 (1, 114) | 27 |
stable
|
-0.2 (-1.7, 1.3) |
| Newton County 2 | Urban | 416.5 (395.8, 437.9) | 104 (78, 112) | 327 |
stable
|
-0.2 (-1.1, 0.7) |
| Nodaway County 2 | Rural | 423.6 (387.1, 462.8) | 99 (43, 114) | 108 |
stable
|
-0.2 (-1.0, 0.7) |
| St. Francois County 2 | Rural | 535.2 (512.9, 558.2) | 11 (2, 33) | 452 |
stable
|
-0.2 (-1.1, 1.5) |
| Boone County 2 | Urban | 474.6 (460.2, 489.4) | 53 (29, 82) | 864 |
stable
|
-0.1 (-0.5, 0.3) |
| Camden County 2 | Rural | 449.5 (426.4, 473.9) | 86 (36, 105) | 361 |
stable
|
-0.1 (-0.7, 0.6) |
| DeKalb County 2 | Urban | 373.8 (331.1, 421.0) | 113 (78, 115) | 57 |
stable
|
-0.1 (-1.9, 1.7) |
| Jefferson County 2 | Urban | 485.3 (473.4, 497.5) | 41 (24, 67) | 1,370 |
stable
|
-0.1 (-0.5, 0.3) |
| Pettis County 2 | Rural | 479.7 (453.2, 507.4) | 44 (16, 94) | 259 |
stable
|
-0.1 (-0.9, 0.6) |
| Butler County 2 | Rural | 497.6 (471.1, 525.3) | 32 (7, 79) | 282 |
stable
|
0.0 (-0.7, 0.8) |
| Chariton County 2 | Rural | 487.4 (427.2, 554.6) | 39 (1, 109) | 56 |
stable
|
0.0 (-1.2, 1.2) |
| Dent County 2 | Rural | 478.4 (435.6, 524.7) | 49 (6, 104) | 104 |
stable
|
0.0 (-1.3, 1.2) |
| Grundy County 2 | Rural | 492.7 (437.0, 553.9) | 36 (1, 106) | 67 |
stable
|
0.0 (-1.8, 1.7) |
| Howell County 2 | Rural | 465.8 (439.4, 493.5) | 66 (23, 100) | 252 |
stable
|
0.0 (-1.0, 1.0) |
| Macon County 2 | Rural | 478.2 (435.8, 524.0) | 50 (7, 106) | 105 |
stable
|
0.0 (-0.9, 0.9) |
| Maries County 2 | Rural | 383.3 (335.8, 436.5) | 110 (50, 115) | 51 |
stable
|
0.0 (-1.3, 1.4) |
| Webster County 2 | Urban | 447.0 (419.6, 475.8) | 87 (34, 107) | 208 |
stable
|
0.0 (-0.6, 0.6) |
| Adair County 2 | Rural | 431.8 (396.6, 469.4) | 96 (33, 113) | 119 |
stable
|
0.1 (-1.0, 1.3) |
| Andrew County 2 | Urban | 450.7 (412.7, 491.4) | 84 (20, 111) | 113 |
stable
|
0.1 (-1.0, 1.2) |
| Bates County 2 | Urban | 460.8 (419.8, 504.9) | 72 (13, 108) | 102 |
stable
|
0.1 (-1.1, 1.4) |
| Henry County 2 | Rural | 503.0 (467.5, 540.9) | 26 (4, 84) | 168 |
stable
|
0.1 (-1.1, 1.4) |
| Livingston County 2 | Rural | 487.0 (442.8, 534.6) | 40 (3, 105) | 96 |
stable
|
0.1 (-0.9, 1.1) |
| Cass County 2 | Urban | 469.0 (452.6, 486.0) | 62 (31, 88) | 647 |
stable
|
0.2 (-0.3, 0.7) |
| Daviess County 2 | Rural | 432.3 (377.5, 493.2) | 94 (13, 114) | 51 |
stable
|
0.2 (-1.0, 1.5) |
| Harrison County 2 | Rural | 467.3 (410.5, 530.5) | 64 (3, 113) | 56 |
stable
|
0.2 (-1.3, 1.7) |
| Carroll County 2 | Rural | 445.1 (392.8, 503.1) | 89 (8, 114) | 58 |
stable
|
0.3 (-1.1, 1.6) |
| Franklin County 2 | Urban | 518.1 (500.7, 536.1) | 17 (6, 41) | 728 |
stable
|
0.3 (-0.2, 0.8) |
| Shelby County 2 | Rural | 518.5 (448.6, 597.1) | 16 (1, 106) | 45 |
stable
|
0.3 (-0.7, 1.4) |
| Warren County 2 | Urban | 473.7 (445.2, 503.7) | 56 (16, 97) | 223 |
stable
|
0.3 (-0.6, 1.3) |
| Cape Girardeau County 2 | Urban | 469.8 (450.4, 490.0) | 60 (26, 91) | 469 |
stable
|
0.4 (-0.4, 1.2) |
| Johnson County 2 | Rural | 478.4 (451.9, 506.1) | 48 (17, 93) | 257 |
stable
|
0.4 (-0.3, 1.1) |
| Montgomery County 2 | Rural | 527.2 (475.6, 583.3) | 13 (1, 88) | 85 |
stable
|
0.4 (-0.6, 1.4) |
| Perry County 2 | Rural | 482.2 (444.4, 522.6) | 43 (7, 101) | 129 |
stable
|
0.4 (-0.6, 1.4) |
| Pike County 2 | Rural | 526.9 (485.1, 571.5) | 14 (1, 84) | 124 |
stable
|
0.4 (-0.9, 1.8) |
| Reynolds County 2 | Rural | 495.4 (431.2, 567.8) | 34 (1, 108) | 49 |
stable
|
0.4 (-1.0, 1.9) |
| Scott County 2 | Rural | 515.5 (487.0, 545.4) | 20 (3, 65) | 260 |
stable
|
0.4 (-0.1, 1.0) |
| Washington County 2 | Rural | 499.9 (464.2, 537.7) | 29 (4, 88) | 157 |
stable
|
0.4 (-0.5, 1.3) |
| Mercer County 2 | Rural | 434.5 (354.4, 529.2) | 93 (2, 115) | 23 |
stable
|
0.5 (-1.6, 2.7) |
| Moniteau County 2 | Urban | 463.8 (420.3, 510.9) | 69 (11, 109) | 87 |
stable
|
0.5 (-0.5, 1.7) |
| Randolph County 2 | Rural | 514.1 (478.3, 552.0) | 21 (2, 76) | 159 |
stable
|
0.5 (-0.3, 1.2) |
| Buchanan County 2 | Urban | 511.9 (492.2, 532.4) | 24 (6, 51) | 535 |
stable
|
0.6 (0.0, 1.2) |
| Hickory County 2 | Rural | 418.6 (367.3, 476.4) | 102 (25, 115) | 69 |
stable
|
0.6 (-0.7, 1.8) |
| Lafayette County 2 | Urban | 465.7 (436.9, 496.0) | 67 (20, 101) | 209 |
stable
|
0.6 (0.0, 1.1) |
| Linn County 2 | Rural | 499.1 (450.5, 552.0) | 31 (2, 103) | 86 |
stable
|
0.6 (-0.7, 1.9) |
| Madison County 2 | Rural | 554.2 (504.1, 608.4) | 4 (1, 60) | 97 |
stable
|
0.6 (-0.6, 1.7) |
| Miller County 2 | Rural | 455.8 (423.0, 490.7) | 79 (19, 108) | 156 |
stable
|
0.6 (-0.3, 1.4) |
| Mississippi County 2 | Rural | 530.9 (481.8, 584.0) | 12 (1, 82) | 90 |
stable
|
0.6 (-0.5, 1.6) |
| Ozark County 2 | Rural | 471.9 (417.3, 532.7) | 59 (3, 110) | 72 |
stable
|
0.6 (-0.6, 1.8) |
| Pemiscot County 2 | Rural | 419.5 (378.7, 463.6) | 101 (32, 114) | 83 |
stable
|
0.6 (-0.9, 2.1) |
| Cooper County 2 | Urban | 502.3 (460.1, 547.7) | 27 (3, 97) | 113 |
rising 
|
0.7 (0.1, 1.4) |
| Dallas County 2 | Urban | 455.0 (415.1, 497.9) | 81 (17, 109) | 108 |
stable
|
0.7 (-0.1, 1.5) |
| Lewis County 2 | Rural | 536.8 (478.2, 600.8) | 9 (1, 90) | 69 |
stable
|
0.7 (-0.9, 2.3) |
| Stoddard County 2 | Rural | 516.2 (484.4, 549.7) | 19 (3, 66) | 211 |
stable
|
0.7 (-0.2, 1.5) |
| Barton County 2 | Rural | 472.9 (423.7, 526.6) | 57 (4, 107) | 76 |
stable
|
0.8 (-0.7, 2.3) |
| Gentry County 2 | Rural | 512.0 (443.2, 589.2) | 23 (1, 109) | 43 |
stable
|
0.8 (-0.7, 2.3) |
| Holt County 2 | Rural | 513.4 (433.1, 606.0) | 22 (1, 110) | 35 |
stable
|
0.9 (-1.5, 3.3) |
| Phelps County 2 | Rural | 475.2 (448.7, 502.9) | 52 (17, 96) | 258 |
stable
|
0.9 (-0.3, 4.8) |
| Shannon County 2 | Rural | 491.9 (431.1, 559.9) | 37 (1, 109) | 54 |
stable
|
0.9 (-0.9, 2.8) |
| Wayne County 2 | Rural | 540.0 (489.7, 594.7) | 8 (1, 70) | 98 |
rising
|
0.9 (0.1, 1.6) |
| Marion County 2 | Rural | 549.1 (514.4, 585.5) | 5 (1, 38) | 202 |
rising
|
1.0 (0.3, 1.7) |
| McDonald County 2 | Rural | 437.1 (402.1, 474.4) | 92 (31, 111) | 123 |
stable
|
1.0 (-0.2, 2.3) |
| Ripley County 2 | Rural | 585.5 (530.3, 645.4) | 1 (1, 45) | 90 |
stable
|
1.0 (0.0, 2.1) |
| Bollinger County 2 | Urban | 516.3 (463.9, 573.6) | 18 (1, 98) | 80 |
stable
|
1.1 (0.0, 2.3) |
| Ste. Genevieve County 2 | Rural | 479.1 (441.2, 519.7) | 46 (7, 103) | 129 |
rising
|
1.1 (0.2, 2.1) |
| Monroe County 2 | Rural | 506.3 (450.9, 567.4) | 25 (1, 105) | 70 |
stable
|
1.2 (-0.1, 2.6) |
| Iron County 2 | Rural | 548.1 (492.5, 609.0) | 6 (1, 75) | 79 |
rising
|
1.3 (0.2, 2.4) |
| Osage County 2 | Urban | 492.8 (445.6, 544.0) | 35 (3, 103) | 86 |
rising
|
1.3 (0.3, 2.3) |
| Saline County 2 | Rural | 479.4 (443.4, 517.7) | 45 (8, 99) | 141 |
stable
|
1.4 (-0.2, 5.9) |
| Putnam County 2 | Rural | 450.5 (378.8, 533.3) | 85 (1, 115) | 32 |
stable
|
1.5 (-0.8, 3.9) |
| Clark County 2 | Rural | 502.2 (436.6, 575.6) | 28 (1, 108) | 48 |
rising
|
1.8 (0.4, 3.2) |
| Jasper County 2 | Urban | 526.8 (509.7, 544.3) | 15 (4, 34) | 750 |
rising
|
1.8 (0.6, 5.0) |
| Worth County 2 | Rural | 583.1 (449.7, 746.1) | 2 (1, 114) | 17 |
stable
|
2.1 (-0.7, 5.0) |
| Oregon County 2 | Rural | 542.1 (482.1, 608.1) | 7 (1, 85) | 70 |
rising
|
2.4 (0.6, 4.2) |
| Dunklin County 2 | Rural | 535.9 (501.9, 571.6) | 10 (1, 47) | 199 |
stable
|
2.5 (-2.6, 7.0) |
| Taney County 2 | Rural | 466.7 (444.7, 489.6) | 65 (26, 96) | 380 |
rising
|
2.7 (1.1, 5.9) |
| St. Clair County 2 | Rural | 476.2 (423.9, 534.0) | 51 (3, 110) | 73 |
rising
|
3.2 (0.6, 10.7) |
| Polk County 2 | Urban | 463.2 (432.9, 495.1) | 70 (19, 103) | 189 |
stable
|
4.0 (-0.1, 10.2) |
| Douglas County 2 | Rural | 407.3 (363.7, 455.2) | 106 (39, 115) | 76 |
rising
|
4.3 (1.4, 10.5) |
| Greene County 2 | Urban | 459.3 (449.2, 469.6) | 76 (46, 90) | 1,644 |
rising
|
5.7 (2.9, 7.3) |
| Caldwell County 2 | Urban | 457.4 (403.2, 517.5) | 77 (6, 112) | 57 |
rising
|
7.6 (3.1, 16.1) |
| Carter County 2 | Rural | 581.9 (502.9, 670.7) | 3 (1, 79) | 44 |
rising
|
15.0 (3.8, 23.5) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 11:58 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.
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.