Incidence Rates Table
Incidence Rate Report for North Carolina by County
Melanoma of the Skin (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)
|
|---|---|---|---|---|---|---|
| North Carolina 2 | N/A | 28.0 (27.6, 28.5) | N/A | 3,490 |
rising
|
2.0 (1.0, 2.6) |
| US (SEER+NPCR) 1 | N/A | 23.1 (23.0, 23.2) | N/A | 91,120 |
stable
|
0.2 (-1.1, 1.2) |
| Carteret County 2 | Rural | 52.0 (45.3, 59.4) | 1 (1, 8) | 54 |
rising
|
6.9 (3.8, 19.4) |
| Watauga County 2 | Rural | 47.9 (39.8, 57.3) | 2 (1, 20) | 27 |
rising
|
5.4 (3.5, 7.8) |
| Dare County 2 | Rural | 47.2 (38.6, 57.4) | 3 (1, 21) | 25 |
rising
|
5.1 (2.4, 8.7) |
| Ashe County 2 | Rural | 43.9 (34.0, 55.9) | 4 (1, 47) | 17 |
|
|
| Moore County 2 | Urban | 41.6 (36.9, 46.9) | 5 (2, 24) | 63 |
rising
|
2.0 (0.7, 3.4) |
| Macon County 2 | Rural | 41.1 (33.2, 50.6) | 6 (1, 44) | 24 |
rising
|
4.3 (2.2, 6.9) |
| Brunswick County 2 | Urban | 40.6 (36.7, 44.9) | 7 (2, 22) | 108 |
rising
|
7.1 (3.6, 17.9) |
| Lincoln County 2 | Urban | 40.1 (34.8, 46.0) | 8 (2, 29) | 46 |
rising
|
4.7 (2.8, 7.2) |
| Alexander County 2 | Urban | 39.7 (31.9, 49.0) | 9 (1, 48) | 20 |
rising
|
3.5 (0.8, 7.1) |
| Madison County 2 | Urban | 38.9 (28.8, 51.7) | 10 (1, 62) | 11 |
|
|
| Catawba County 2 | Urban | 38.8 (35.0, 43.0) | 11 (3, 27) | 80 |
rising
|
3.5 (1.8, 5.5) |
| Iredell County 2 | Urban | 38.5 (34.8, 42.5) | 12 (3, 25) | 86 |
stable
|
3.2 (-4.4, 5.4) |
| Mitchell County 2 | Rural | 38.0 (25.7, 54.3) | 13 (1, 80) | 8 |
rising
|
5.7 (3.2, 8.9) |
| Davie County 2 | Urban | 37.9 (31.0, 46.0) | 14 (2, 48) | 24 |
stable
|
0.0 (-2.3, 2.6) |
| Avery County 2 | Rural | 35.9 (26.2, 48.6) | 15 (1, 71) | 10 |
rising
|
4.1 (0.1, 9.7) |
| Caldwell County 2 | Urban | 35.8 (30.8, 41.5) | 16 (4, 46) | 40 |
rising
|
3.1 (1.5, 4.9) |
| New Hanover County 2 | Urban | 35.8 (32.6, 39.2) | 17 (7, 33) | 100 |
rising
|
5.4 (3.3, 8.2) |
| Henderson County 2 | Urban | 35.6 (31.6, 40.1) | 18 (5, 37) | 67 |
stable
|
1.8 (-0.2, 4.1) |
| Burke County 2 | Urban | 34.1 (29.4, 39.3) | 19 (6, 49) | 42 |
rising
|
3.3 (1.8, 5.1) |
| Gaston County 2 | Urban | 33.8 (30.6, 37.1) | 20 (10, 39) | 91 |
rising
|
5.8 (4.3, 7.9) |
| Jackson County 2 | Rural | 32.9 (26.2, 40.8) | 21 (3, 67) | 19 |
rising
|
4.0 (1.3, 7.6) |
| Union County 2 | Urban | 32.8 (29.7, 36.2) | 22 (11, 43) | 84 |
rising
|
4.0 (2.6, 5.9) |
| Yancey County 2 | Rural | 32.8 (23.6, 45.0) | 23 (1, 80) | 9 |
stable
|
1.3 (-3.7, 7.3) |
| Rutherford County 2 | Rural | 32.8 (27.3, 39.1) | 24 (6, 60) | 29 |
rising
|
3.9 (1.2, 7.1) |
| Buncombe County 2 | Urban | 32.7 (30.0, 35.5) | 25 (13, 41) | 118 |
rising
|
3.0 (1.8, 4.4) |
| Chatham County 2 | Urban | 32.5 (27.7, 37.9) | 26 (7, 57) | 39 |
stable
|
0.0 (-2.3, 2.7) |
| Transylvania County 2 | Rural | 32.1 (25.3, 40.5) | 27 (4, 68) | 20 |
stable
|
2.2 (-0.2, 5.2) |
| Camden County 2 | Urban | 31.3 (18.7, 49.7) | 28 (1, 92) | 4 |
|
|
| Orange County 2 | Urban | 31.2 (27.4, 35.4) | 29 (12, 55) | 51 |
stable
|
0.6 (-4.9, 2.3) |
| Davidson County 2 | Urban | 31.1 (27.7, 34.7) | 30 (13, 52) | 68 |
stable
|
3.0 (-1.0, 11.1) |
| Stanly County 2 | Rural | 31.0 (25.7, 37.1) | 31 (8, 65) | 26 |
stable
|
0.1 (-10.5, 5.1) |
| Pender County 2 | Urban | 30.7 (25.2, 37.2) | 32 (8, 66) | 24 |
rising
|
3.7 (1.1, 7.2) |
| Person County 2 | Urban | 30.3 (23.7, 38.3) | 33 (6, 72) | 16 |
stable
|
-1.3 (-13.5, 3.3) |
| Haywood County 2 | Rural | 29.9 (25.1, 35.6) | 34 (11, 67) | 30 |
stable
|
0.4 (-1.6, 2.6) |
| Randolph County 2 | Urban | 29.3 (25.7, 33.2) | 35 (16, 63) | 53 |
stable
|
0.2 (-6.9, 2.2) |
| Polk County 2 | Rural | 29.2 (20.3, 41.1) | 36 (3, 86) | 10 |
|
|
| Columbus County 2 | Rural | 29.1 (23.5, 35.7) | 37 (9, 73) | 21 |
rising
|
14.7 (4.4, 33.3) |
| McDowell County 2 | Rural | 29.1 (23.0, 36.4) | 38 (8, 74) | 17 |
stable
|
1.0 (-2.5, 4.9) |
| Cleveland County 2 | Rural | 28.1 (23.9, 32.8) | 39 (16, 72) | 35 |
rising
|
4.4 (2.1, 7.4) |
| Wake County 2 | Urban | 28.0 (26.6, 29.5) | 40 (30, 53) | 320 |
rising
|
2.2 (1.2, 3.5) |
| Craven County 2 | Rural | 27.7 (23.6, 32.4) | 41 (18, 70) | 36 |
stable
|
1.6 (-0.1, 3.4) |
| Guilford County 2 | Urban | 27.7 (25.8, 29.6) | 42 (28, 58) | 171 |
stable
|
-1.7 (-7.3, 0.9) |
| Johnston County 2 | Urban | 27.5 (24.4, 30.8) | 43 (25, 66) | 63 |
rising
|
3.6 (1.9, 5.9) |
| Onslow County 2 | Urban | 27.3 (23.6, 31.3) | 44 (21, 68) | 43 |
rising
|
3.0 (1.1, 5.3) |
| Wilkes County 2 | Rural | 27.1 (22.4, 32.6) | 45 (18, 74) | 26 |
rising
|
2.4 (0.4, 4.7) |
| Rowan County 2 | Urban | 27.1 (23.7, 30.8) | 46 (22, 68) | 49 |
stable
|
0.8 (-3.1, 3.1) |
| Cherokee County 2 | Rural | 27.0 (20.0, 35.9) | 47 (9, 84) | 13 |
stable
|
-1.1 (-7.9, 2.0) |
| Cabarrus County 2 | Urban | 26.6 (23.7, 29.8) | 48 (29, 68) | 63 |
stable
|
1.3 (0.0, 2.8) |
| Stokes County 2 | Urban | 26.5 (20.9, 33.3) | 49 (14, 81) | 17 |
stable
|
0.0 (-2.9, 3.1) |
| Pamlico County 2 | Rural | 26.4 (17.6, 39.8) | 50 (6, 91) | 6 |
stable
|
2.7 (-1.4, 7.8) |
| Surry County 2 | Rural | 25.9 (21.5, 31.1) | 51 (22, 77) | 27 |
stable
|
0.8 (-1.6, 3.4) |
| Mecklenburg County 2 | Urban | 25.9 (24.5, 27.3) | 52 (38, 63) | 276 |
stable
|
1.3 (-4.0, 3.0) |
| Montgomery County 2 | Rural | 25.5 (18.6, 34.6) | 53 (11, 87) | 10 |
stable
|
-9.9 (-28.4, 2.4) |
| Durham County 2 | Urban | 25.5 (23.1, 28.1) | 54 (34, 69) | 87 |
rising
|
3.7 (2.5, 5.4) |
| Caswell County 2 | Rural | 25.3 (17.6, 35.5) | 55 (7, 90) | 8 |
rising
|
5.6 (2.9, 9.3) |
| Chowan County 2 | Rural | 25.0 (16.1, 37.7) | 56 (5, 93) | 6 |
rising
|
18.5 (3.7, 45.2) |
| Franklin County 2 | Urban | 24.8 (20.0, 30.4) | 57 (23, 82) | 20 |
rising
|
4.5 (2.3, 7.4) |
| Pasquotank County 2 | Rural | 24.7 (18.5, 32.4) | 58 (14, 89) | 11 |
stable
|
2.5 (-1.2, 6.9) |
| Alamance County 2 | Urban | 24.6 (21.7, 27.9) | 59 (33, 75) | 53 |
stable
|
0.2 (-1.6, 2.3) |
| Granville County 2 | Rural | 24.4 (19.4, 30.2) | 60 (23, 84) | 18 |
rising
|
2.7 (0.9, 4.8) |
| Rockingham County 2 | Urban | 24.1 (20.4, 28.5) | 61 (30, 80) | 32 |
stable
|
17.3 (-2.2, 32.3) |
| Sampson County 2 | Rural | 23.2 (18.2, 29.2) | 62 (24, 87) | 16 |
rising
|
3.5 (1.0, 6.4) |
| Swain County 2 | Rural | 23.2 (13.6, 37.0) | 63 (5, 94) | 4 |
|
|
| Yadkin County 2 | Urban | 22.8 (17.3, 29.7) | 64 (23, 89) | 13 |
stable
|
-0.3 (-2.5, 2.1) |
| Forsyth County 2 | Urban | 22.7 (20.7, 24.8) | 65 (48, 77) | 102 |
stable
|
6.5 (-2.5, 13.5) |
| Beaufort County 2 | Rural | 21.5 (16.5, 27.8) | 66 (31, 89) | 15 |
stable
|
-1.3 (-3.6, 0.9) |
| Lenoir County 2 | Rural | 21.5 (17.0, 27.0) | 67 (34, 87) | 17 |
stable
|
1.7 (-0.7, 4.3) |
| Vance County 2 | Rural | 21.4 (16.2, 27.8) | 68 (30, 91) | 12 |
rising
|
5.0 (2.9, 7.9) |
| Wayne County 2 | Urban | 21.2 (17.7, 25.1) | 69 (43, 86) | 29 |
rising
|
4.3 (2.3, 7.0) |
| Currituck County 2 | Urban | 20.8 (14.5, 29.2) | 70 (22, 94) | 8 |
stable
|
-2.5 (-12.8, 2.1) |
| Richmond County 2 | Rural | 20.4 (15.4, 26.6) | 71 (33, 91) | 12 |
rising
|
3.7 (0.3, 7.8) |
| Lee County 2 | Rural | 19.4 (15.1, 24.5) | 72 (41, 91) | 15 |
stable
|
-0.6 (-2.7, 1.6) |
| Duplin County 2 | Rural | 19.2 (14.5, 25.2) | 73 (40, 92) | 12 |
stable
|
2.7 (-0.2, 6.0) |
| Wilson County 2 | Rural | 19.2 (15.3, 23.7) | 74 (49, 90) | 19 |
stable
|
1.8 (-2.2, 6.4) |
| Anson County 2 | Urban | 19.1 (12.4, 28.3) | 75 (22, 94) | 6 |
rising
|
6.4 (2.5, 11.8) |
| Bladen County 2 | Rural | 18.8 (13.0, 26.6) | 76 (31, 94) | 8 |
rising
|
2.9 (0.1, 6.3) |
| Harnett County 2 | Rural | 18.7 (15.6, 22.3) | 77 (56, 89) | 26 |
stable
|
0.1 (-2.4, 2.9) |
| Alleghany County 2 | Rural | 18.4 (10.7, 31.1) | 78 (17, 94) | 4 |
stable
|
-0.6 (-6.4, 6.3) |
| Pitt County 2 | Urban | 18.2 (15.5, 21.4) | 79 (60, 90) | 32 |
stable
|
1.4 (-0.3, 3.3) |
| Perquimans County 2 | Rural | 18.1 (11.3, 29.0) | 80 (28, 94) | 5 |
stable
|
-2.7 (-7.1, 2.1) |
| Nash County 2 | Urban | 18.0 (14.7, 21.8) | 81 (59, 91) | 23 |
stable
|
0.1 (-2.2, 2.5) |
| Washington County 2 | Rural | 17.6 (10.0, 30.2) | 82 (20, 94) | 3 |
|
|
| Martin County 2 | Rural | 16.9 (10.5, 26.0) | 83 (30, 94) | 5 |
stable
|
-1.7 (-5.9, 2.6) |
| Hoke County 2 | Urban | 16.4 (11.3, 23.0) | 84 (49, 94) | 7 |
stable
|
2.2 (-0.8, 6.2) |
| Cumberland County 2 | Urban | 16.3 (14.3, 18.4) | 85 (71, 91) | 52 |
stable
|
-0.3 (-4.9, 1.2) |
| Clay County 2 | Rural | 15.7 (9.5, 27.2) | 86 (36, 94) | 4 |
|
|
| Warren County 2 | Rural | 15.5 (9.7, 24.4) | 87 (39, 94) | 5 |
stable
|
1.9 (-3.2, 7.7) |
| Northampton County 2 | Rural | 14.9 (9.4, 23.6) | 88 (47, 94) | 5 |
stable
|
3.7 (-2.1, 11.1) |
| Greene County 2 | Rural | 14.9 (8.7, 24.0) | 89 (41, 94) | 4 |
stable
|
1.1 (-3.6, 5.9) |
| Halifax County 2 | Rural | 13.9 (10.0, 18.9) | 90 (66, 94) | 10 |
stable
|
0.6 (-2.1, 3.6) |
| Scotland County 2 | Rural | 13.1 (8.7, 19.1) | 91 (62, 94) | 6 |
stable
|
-3.0 (-21.4, 0.8) |
| Bertie County 2 | Rural | 12.8 (7.1, 21.7) | 92 (52, 94) | 4 |
|
|
| Robeson County 2 | Rural | 11.8 (9.2, 14.9) | 93 (81, 94) | 15 |
rising
|
3.5 (1.2, 6.3) |
| Edgecombe County 2 | Urban | 10.9 (7.5, 15.5) | 94 (78, 94) | 7 |
stable
|
1.7 (-3.0, 7.4) |
| Gates County 2 | Urban |
|
|
|
|
|
| Graham County 2 | Rural |
|
|
|
|
|
| Hertford County 2 | Rural |
|
|
|
|
|
| Hyde County 2 | Rural |
|
|
|
|
|
| Jones County 2 | Rural |
|
|
|
|
|
| Tyrrell County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/15/2026 9:59 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 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.


