Incidence Rates Table
Incidence Rate Report for Kentucky by County
Colon & Rectum (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 | 46.5 (45.6, 47.3) | N/A | 2,529 |
stable 
|
-0.9 (-1.3, 0.3) |
| US (SEER+NPCR) 1 | N/A | 36.7 (36.6, 36.7) | N/A | 145,073 |
falling 
|
-0.9 (-1.0, -0.8) |
| Hancock County 7 | Rural | 33.7 (20.3, 53.3) | 115 (16, 115) | 4 |
stable
|
-1.8 (-5.7, 2.4) |
| Ballard County 7 | Urban | 33.9 (21.4, 52.9) | 114 (25, 115) | 5 |
stable
|
-2.9 (-6.4, 0.3) |
| Union County 7 | Rural | 35.3 (23.8, 51.0) | 112 (27, 115) | 6 |
stable
|
-1.9 (-5.9, 1.7) |
| Edmonson County 7 | Urban | 35.5 (22.9, 52.8) | 113 (17, 115) | 6 |
stable
|
-1.6 (-5.0, 1.9) |
| Carroll County 7 | Rural | 36.1 (23.1, 54.2) | 111 (19, 115) | 5 |
stable
|
-2.8 (-6.1, 0.7) |
| Shelby County 7 | Urban | 36.6 (29.8, 44.6) | 110 (56, 115) | 21 |
stable
|
-2.5 (-4.8, 0.0) |
| Lee County 7 | Rural | 37.6 (22.8, 59.9) | 109 (6, 115) | 4 |
stable
|
-0.5 (-4.4, 3.9) |
| Fayette County 7 | Urban | 38.3 (35.3, 41.4) | 108 (80, 113) | 127 |
stable
|
5.2 (-1.9, 10.2) |
| Anderson County 7 | Rural | 38.5 (28.7, 50.8) | 107 (34, 115) | 11 |
stable
|
-2.3 (-4.4, 0.0) |
| Scott County 7 | Urban | 38.9 (31.7, 47.3) | 106 (39, 115) | 21 |
falling
|
-2.2 (-3.6, -0.6) |
| Boone County 7 | Urban | 40.0 (35.4, 45.0) | 105 (60, 113) | 58 |
stable
|
-0.2 (-2.1, 6.6) |
| Jessamine County 7 | Urban | 40.0 (33.1, 48.1) | 104 (41, 115) | 24 |
falling
|
-2.0 (-3.5, -0.3) |
| Larue County 7 | Urban | 40.1 (28.1, 55.9) | 103 (15, 115) | 8 |
falling
|
-3.0 (-5.6, -0.5) |
| Oldham County 7 | Urban | 40.6 (34.2, 48.0) | 102 (44, 114) | 30 |
stable
|
-2.2 (-4.9, 1.1) |
| Jackson County 7 | Rural | 40.7 (27.9, 57.7) | 101 (8, 115) | 7 |
stable
|
-0.8 (-3.3, 2.0) |
| McCracken County 7 | Urban | 40.7 (34.6, 47.6) | 100 (46, 114) | 35 |
falling
|
-2.5 (-3.8, -1.2) |
| Trigg County 7 | Urban | 40.9 (29.1, 56.5) | 99 (10, 115) | 9 |
falling
|
-2.3 (-4.3, -0.5) |
| Franklin County 7 | Rural | 41.2 (34.4, 49.2) | 98 (39, 115) | 27 |
falling
|
-2.1 (-3.4, -0.8) |
| Jefferson County 7 | Urban | 41.8 (39.9, 43.8) | 96 (71, 104) | 386 |
falling
|
-2.3 (-2.6, -2.0) |
| Fulton County 7 | Rural | 42.0 (23.6, 69.7) | 97 (1, 115) | 3 |
stable
|
-1.8 (-5.7, 1.9) |
| Marshall County 7 | Rural | 42.0 (33.7, 52.0) | 95 (28, 115) | 19 |
falling
|
-1.5 (-2.9, -0.1) |
| Graves County 7 | Rural | 42.1 (33.7, 52.1) | 94 (23, 115) | 19 |
stable
|
-0.8 (-4.0, 8.9) |
| Livingston County 7 | Urban | 42.2 (28.2, 62.1) | 93 (5, 115) | 6 |
stable
|
-1.3 (-3.9, 1.5) |
| McCreary County 7 | Rural | 42.2 (30.3, 57.5) | 92 (10, 115) | 9 |
stable
|
-0.7 (-3.0, 1.9) |
| Meade County 7 | Urban | 42.3 (33.1, 53.4) | 90 (18, 115) | 15 |
stable
|
-1.9 (-4.3, 0.8) |
| Daviess County 7 | Urban | 42.3 (37.2, 48.0) | 91 (49, 112) | 52 |
falling
|
-1.9 (-2.8, -1.0) |
| Pendleton County 7 | Urban | 42.7 (29.7, 59.7) | 87 (6, 115) | 8 |
stable
|
-2.7 (-6.1, 0.8) |
| Green County 7 | Rural | 42.8 (29.5, 60.8) | 89 (5, 115) | 7 |
stable
|
1.3 (-1.9, 5.2) |
| Christian County 7 | Urban | 42.9 (35.8, 50.9) | 88 (32, 113) | 27 |
stable
|
-2.0 (-8.8, 0.8) |
| Campbell County 7 | Urban | 43.4 (38.0, 49.4) | 86 (37, 111) | 50 |
falling
|
-2.0 (-3.2, -0.7) |
| Grant County 7 | Urban | 43.6 (33.1, 56.3) | 85 (13, 115) | 13 |
stable
|
-2.3 (-4.7, 0.1) |
| Martin County 7 | Rural | 44.8 (30.1, 64.6) | 84 (4, 115) | 6 |
stable
|
-1.3 (-4.7, 2.3) |
| Henderson County 7 | Rural | 45.0 (37.2, 54.0) | 83 (20, 112) | 25 |
falling
|
-2.2 (-3.6, -0.7) |
| Bourbon County 7 | Urban | 45.2 (34.1, 59.0) | 81 (9, 115) | 12 |
stable
|
-3.0 (-9.9, 0.5) |
| Kenton County 7 | Urban | 45.3 (40.9, 49.9) | 82 (40, 104) | 85 |
stable
|
0.0 (-1.7, 4.1) |
| Woodford County 7 | Urban | 45.4 (35.8, 57.1) | 80 (13, 114) | 16 |
stable
|
-1.1 (-2.9, 1.0) |
| Metcalfe County 7 | Rural | 45.8 (30.9, 66.0) | 79 (2, 115) | 7 |
stable
|
-1.8 (-5.1, 1.8) |
| Allen County 7 | Urban | 46.0 (35.2, 59.3) | 78 (8, 115) | 13 |
stable
|
-0.9 (-3.5, 2.0) |
| Clark County 7 | Urban | 46.2 (37.6, 56.1) | 77 (18, 113) | 21 |
falling
|
-1.4 (-2.5, -0.2) |
| Washington County 7 | Rural | 46.6 (31.7, 66.1) | 76 (4, 115) | 7 |
stable
|
0.2 (-2.9, 3.8) |
| Madison County 7 | Rural | 46.6 (40.6, 53.3) | 75 (28, 106) | 46 |
stable
|
-1.1 (-2.2, 0.1) |
| Muhlenberg County 7 | Rural | 46.8 (37.9, 57.4) | 74 (14, 112) | 20 |
stable
|
-1.3 (-3.4, 0.8) |
| Laurel County 7 | Rural | 46.9 (40.1, 54.6) | 73 (22, 108) | 36 |
stable
|
-1.7 (-3.3, 0.0) |
| Letcher County 7 | Rural | 47.0 (36.0, 60.6) | 72 (6, 114) | 14 |
falling
|
-1.9 (-3.6, -0.2) |
| Ohio County 7 | Rural | 47.3 (36.7, 60.1) | 71 (9, 114) | 15 |
stable
|
-0.5 (-2.5, 1.7) |
| Warren County 7 | Urban | 47.3 (42.1, 52.9) | 70 (28, 104) | 63 |
stable
|
-0.5 (-2.2, 1.6) |
| Gallatin County 7 | Urban | 47.4 (29.9, 71.9) | 69 (1, 115) | 5 |
stable
|
-0.3 (-2.8, 2.6) |
| Henry County 7 | Urban | 47.5 (35.3, 63.0) | 68 (6, 115) | 11 |
stable
|
-2.1 (-5.5, 1.3) |
| Calloway County 7 | Rural | 47.6 (38.4, 58.4) | 67 (12, 113) | 20 |
stable
|
-0.9 (-2.5, 0.7) |
| Nelson County 7 | Urban | 47.6 (39.5, 56.9) | 66 (15, 110) | 26 |
stable
|
-1.6 (-3.3, 0.2) |
| Greenup County 7 | Urban | 47.6 (39.3, 57.3) | 65 (16, 111) | 25 |
falling
|
-1.7 (-3.2, -0.2) |
| Hart County 7 | Rural | 47.6 (35.6, 62.6) | 64 (5, 115) | 11 |
stable
|
-1.6 (-4.3, 1.3) |
| Menifee County 7 | Rural | 48.1 (28.5, 77.2) | 62 (1, 115) | 4 |
|
|
| Elliott County 7 | Rural | 48.2 (30.9, 73.0) | 63 (1, 115) | 5 |
stable
|
0.5 (-3.6, 5.9) |
| Bullitt County 7 | Urban | 48.5 (42.3, 55.3) | 60 (19, 102) | 48 |
stable
|
8.7 (-2.1, 20.0) |
| Rowan County 7 | Rural | 48.6 (36.9, 62.9) | 61 (5, 114) | 12 |
stable
|
-0.4 (-2.6, 2.0) |
| Trimble County 7 | Rural | 48.8 (31.5, 72.9) | 59 (1, 115) | 5 |
stable
|
0.1 (-2.7, 3.4) |
| Hopkins County 7 | Rural | 49.0 (41.1, 58.0) | 58 (14, 107) | 29 |
stable
|
-1.3 (-3.6, 1.0) |
| Johnson County 7 | Rural | 49.3 (38.4, 62.6) | 57 (7, 113) | 15 |
stable
|
-0.5 (-2.3, 1.3) |
| Bell County 7 | Rural | 49.4 (38.7, 62.5) | 56 (6, 113) | 16 |
stable
|
-1.0 (-2.5, 0.4) |
| Whitley County 7 | Rural | 49.6 (40.4, 60.2) | 55 (11, 110) | 22 |
stable
|
-1.0 (-2.5, 0.5) |
| Barren County 7 | Rural | 50.0 (42.0, 59.2) | 54 (11, 105) | 29 |
stable
|
-0.4 (-2.3, 1.6) |
| Montgomery County 7 | Rural | 50.2 (40.0, 62.4) | 53 (8, 110) | 17 |
stable
|
-0.8 (-3.9, 2.7) |
| Clinton County 7 | Rural | 50.3 (35.2, 70.8) | 52 (2, 115) | 7 |
stable
|
0.4 (-2.9, 4.6) |
| Spencer County 7 | Urban | 50.4 (37.8, 66.1) | 51 (4, 114) | 12 |
stable
|
-2.4 (-4.8, 0.3) |
| Pulaski County 7 | Rural | 50.5 (43.8, 58.1) | 49 (15, 100) | 44 |
falling
|
-1.8 (-2.9, -0.7) |
| Morgan County 7 | Rural | 50.6 (36.2, 69.2) | 48 (2, 114) | 9 |
stable
|
-0.6 (-3.8, 3.0) |
| Breathitt County 7 | Rural | 50.6 (36.4, 69.0) | 50 (2, 115) | 9 |
stable
|
-0.2 (-3.3, 3.1) |
| Russell County 7 | Rural | 50.6 (38.3, 65.9) | 47 (4, 113) | 13 |
stable
|
-0.6 (-2.9, 1.9) |
| Nicholas County 7 | Rural | 51.1 (32.8, 76.8) | 46 (1, 115) | 5 |
|
|
| Owen County 7 | Rural | 51.7 (36.9, 71.1) | 44 (2, 115) | 8 |
stable
|
-0.3 (-2.8, 2.5) |
| Boyle County 7 | Rural | 51.7 (41.9, 63.2) | 43 (6, 110) | 21 |
stable
|
-0.3 (-1.9, 1.4) |
| Wayne County 7 | Rural | 51.8 (39.8, 66.6) | 45 (4, 113) | 14 |
stable
|
0.9 (-0.7, 2.7) |
| Hardin County 7 | Urban | 52.0 (46.3, 58.2) | 42 (16, 89) | 63 |
stable
|
2.2 (-1.5, 10.1) |
| Boyd County 7 | Urban | 52.2 (44.4, 61.1) | 41 (10, 99) | 34 |
stable
|
0.9 (-2.1, 11.9) |
| Mason County 7 | Rural | 52.3 (39.7, 68.0) | 37 (2, 113) | 12 |
stable
|
-2.2 (-5.1, 0.6) |
| Pike County 7 | Rural | 52.3 (45.1, 60.5) | 40 (10, 95) | 41 |
falling
|
-1.3 (-2.4, -0.3) |
| Grayson County 7 | Rural | 52.6 (42.0, 65.2) | 39 (4, 108) | 18 |
stable
|
-1.7 (-3.6, 0.2) |
| Simpson County 7 | Rural | 52.8 (40.1, 68.4) | 38 (3, 113) | 12 |
stable
|
-0.7 (-3.2, 2.1) |
| Mercer County 7 | Rural | 53.0 (41.8, 66.5) | 36 (4, 110) | 16 |
stable
|
0.4 (-1.3, 2.3) |
| Caldwell County 7 | Rural | 53.6 (39.4, 71.9) | 35 (1, 114) | 10 |
stable
|
-2.2 (-4.8, 0.2) |
| Casey County 7 | Rural | 54.0 (41.0, 70.3) | 34 (2, 111) | 12 |
stable
|
-1.4 (-4.1, 1.5) |
| Harlan County 7 | Rural | 54.1 (43.6, 66.6) | 33 (3, 106) | 20 |
stable
|
-1.3 (-3.1, 0.5) |
| Knott County 7 | Rural | 55.3 (40.6, 74.0) | 32 (1, 113) | 11 |
stable
|
-0.6 (-2.8, 1.7) |
| Logan County 7 | Rural | 55.4 (44.7, 68.0) | 31 (3, 100) | 20 |
stable
|
-0.4 (-2.2, 1.4) |
| Todd County 7 | Rural | 55.8 (39.5, 76.9) | 30 (1, 114) | 8 |
stable
|
-1.8 (-5.5, 1.6) |
| Lawrence County 7 | Urban | 56.3 (42.1, 74.0) | 29 (1, 113) | 11 |
stable
|
0.2 (-1.7, 2.4) |
| Estill County 7 | Rural | 57.0 (41.8, 76.3) | 28 (1, 112) | 10 |
stable
|
0.2 (-2.2, 2.8) |
| Perry County 7 | Rural | 58.0 (47.0, 70.8) | 27 (2, 98) | 21 |
stable
|
-0.2 (-1.8, 1.4) |
| Breckinridge County 7 | Rural | 58.0 (45.3, 73.3) | 25 (1, 106) | 16 |
stable
|
-0.3 (-2.9, 2.7) |
| Fleming County 7 | Rural | 58.2 (43.8, 76.2) | 26 (1, 110) | 12 |
stable
|
-0.5 (-2.8, 2.1) |
| Lyon County 7 | Rural | 58.4 (40.6, 82.8) | 24 (1, 114) | 8 |
stable
|
-0.2 (-3.4, 3.3) |
| Leslie County 7 | Rural | 58.7 (41.8, 80.8) | 23 (1, 113) | 9 |
stable
|
0.9 (-2.8, 5.1) |
| Harrison County 7 | Rural | 58.8 (45.7, 74.8) | 22 (1, 104) | 15 |
stable
|
-0.1 (-2.3, 2.4) |
| Knox County 7 | Rural | 59.2 (48.4, 71.7) | 20 (1, 89) | 23 |
stable
|
0.9 (-0.6, 2.5) |
| Marion County 7 | Rural | 59.2 (45.5, 75.8) | 21 (1, 108) | 13 |
stable
|
0.5 (-2.5, 3.8) |
| Rockcastle County 7 | Rural | 59.2 (45.1, 76.8) | 19 (1, 107) | 13 |
stable
|
-0.9 (-3.7, 2.1) |
| Taylor County 7 | Rural | 59.3 (47.6, 73.2) | 17 (1, 96) | 19 |
stable
|
0.7 (-1.9, 3.6) |
| Webster County 7 | Rural | 59.3 (43.3, 79.6) | 18 (1, 111) | 10 |
stable
|
-0.8 (-3.9, 2.3) |
| Garrard County 7 | Rural | 59.7 (45.9, 76.7) | 16 (1, 105) | 14 |
stable
|
0.1 (-2.1, 2.5) |
| Floyd County 7 | Rural | 60.2 (50.3, 71.6) | 15 (2, 84) | 29 |
stable
|
-0.5 (-1.9, 1.0) |
| Clay County 7 | Rural | 61.5 (48.1, 77.9) | 14 (1, 106) | 15 |
stable
|
-0.2 (-2.5, 2.3) |
| Lewis County 7 | Rural | 63.3 (46.2, 84.8) | 12 (1, 105) | 10 |
stable
|
0.3 (-1.6, 2.5) |
| McLean County 7 | Urban | 63.4 (44.8, 87.9) | 13 (1, 110) | 8 |
stable
|
0.9 (-2.2, 4.5) |
| Monroe County 7 | Rural | 63.9 (46.1, 86.8) | 11 (1, 107) | 9 |
|
|
| Lincoln County 7 | Rural | 64.4 (52.2, 78.8) | 10 (1, 78) | 21 |
stable
|
-0.2 (-1.9, 1.6) |
| Magoffin County 7 | Rural | 65.1 (47.4, 87.7) | 9 (1, 106) | 10 |
stable
|
0.4 (-2.1, 3.2) |
| Adair County 7 | Rural | 65.1 (50.8, 82.5) | 8 (1, 96) | 16 |
stable
|
1.2 (-1.5, 4.5) |
| Bath County 7 | Rural | 65.7 (48.3, 87.7) | 7 (1, 107) | 10 |
stable
|
-0.9 (-3.3, 1.6) |
| Carter County 7 | Urban | 67.7 (55.5, 81.9) | 6 (1, 62) | 23 |
stable
|
-1.1 (-2.7, 0.5) |
| Cumberland County 7 | Rural | 70.6 (47.0, 103.4) | 5 (1, 111) | 6 |
stable
|
1.3 (-2.6, 5.7) |
| Bracken County 7 | Urban | 70.9 (50.0, 98.4) | 4 (1, 105) | 8 |
stable
|
-0.1 (-3.9, 4.6) |
| Butler County 7 | Urban | 71.2 (53.1, 93.7) | 3 (1, 94) | 11 |
rising 
|
2.8 (0.9, 5.3) |
| Powell County 7 | Rural | 71.5 (52.7, 95.0) | 2 (1, 93) | 11 |
stable
|
1.2 (-2.1, 5.2) |
| Wolfe County 7 | Rural | 71.9 (49.2, 102.6) | 1 (1, 107) | 7 |
stable
|
-1.6 (-4.8, 1.8) |
| Carlisle County 7 | Urban |
|
|
|
|
|
| Crittenden County 7 | Rural |
|
|
|
|
|
| Hickman County 7 | Rural |
|
|
|
|
|
| Owsley County 7 | Rural |
|
|
|
|
|
| Robertson County 7 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 10:04 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 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.