Interpretation of Incidence Rates Data
Incidence Rate Report for Washington by County
Breast (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by CI*Rank
Explanation of Column HeadersIncidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.
Recent Trends - This is an interpretation of the AAPC/APC:
- Rising when 95% confidence interval of AAPC/APC is above 0.
- Stable when 95% confidence interval of AAPC/APC includes 0.
- Falling when 95% confidence interval of AAPC/APC is below 0.
AAPC/APC (95% Confidence Interval) - the change in rate over time
- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.
Other Notes
- Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
- Data is currently being suppressed if there are fewer than 16 counts for the time period.
Line by Line Interpretation of the Report
Washington1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 137.9 with a 95% confidence interval from 136.3 to 139.5 and 6,328 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.2 to 1.0.
US (SEER+NPCR)1
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Rate : The incidence rate is 131.3 with a 95% confidence interval from 131.1 to 131.6 and 270,245 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from 0.5 to 0.8.
San Juan County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 160.8 with a 95% confidence interval from 130.9 to 197.2 and 29 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 24)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.9.
Snohomish County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 152.3 with a 95% confidence interval from 147.2 to 157.4 and 728 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 8)
- Recent Trend : The trend is because the trend is 1.6 with a 95% confidence interval from 0.7 to 4.1.
Skagit County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 149.6 with a 95% confidence interval from 137.6 to 162.5 and 133 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 15)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.3 to 3.0.
King County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 148.2 with a 95% confidence interval from 145.2 to 151.3 and 1,842 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 9)
- Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from 0.2 to 0.8.
Island County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 143.8 with a 95% confidence interval from 129.5 to 159.3 and 97 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 20)
- Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.4.
Chelan County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 143.6 with a 95% confidence interval from 128.5 to 160.2 and 75 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 21)
- Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from 0.1 to 2.3.
Thurston County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 142.6 with a 95% confidence interval from 134.9 to 150.7 and 279 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (2, 16)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.
Pierce County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 142.5 with a 95% confidence interval from 137.8 to 147.3 and 743 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (3, 14)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.5.
Whatcom County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 141.5 with a 95% confidence interval from 132.4 to 151.1 and 199 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 18)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.
Walla Walla County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 138.3 with a 95% confidence interval from 120.8 to 157.8 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 27)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.4 to 1.0.
Kitsap County7
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 137.3 with a 95% confidence interval from 129.3 to 145.6 and 248 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (3, 20)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.3.
Okanogan County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 135.6 with a 95% confidence interval from 115.5 to 158.3 and 39 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 30)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.8 to 2.4.
Wahkiakum County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 135.1 with a 95% confidence interval from 86.2 to 211.5 and 6 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (1, 37)
- Recent Trend :
Clallam County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 133.0 with a 95% confidence interval from 119.6 to 147.7 and 99 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (2, 27)
- Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.
Spokane County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 131.1 with a 95% confidence interval from 125.4 to 136.9 and 434 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (9, 21)
- Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.
Benton County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 128.5 with a 95% confidence interval from 119.2 to 138.2 and 153 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (8, 26)
- Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.7.
Stevens County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 126.1 with a 95% confidence interval from 108.3 to 146.2 and 45 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (2, 33)
- Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -0.5 to 3.2.
Mason County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 125.4 with a 95% confidence interval from 110.3 to 142.1 and 62 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (4, 32)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.9.
Lincoln County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 124.2 with a 95% confidence interval from 89.4 to 169.6 and 11 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (1, 37)
- Recent Trend : The trend is because the trend is -20.8 with a 95% confidence interval from -36.8 to -0.7.
Douglas County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 122.2 with a 95% confidence interval from 103.7 to 143.2 and 34 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (2, 34)
- Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.8 to 2.6.
Yakima County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 121.2 with a 95% confidence interval from 112.9 to 130.0 and 164 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (13, 29)
- Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.8.
Jefferson County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 120.6 with a 95% confidence interval from 100.6 to 144.4 and 41 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (2, 35)
- Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.2.
Clark County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 119.9 with a 95% confidence interval from 114.4 to 125.7 and 374 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (15, 29)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.9.
Grant County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 115.1 with a 95% confidence interval from 102.2 to 129.3 and 60 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (13, 34)
- Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.5 to 1.9.
Grays Harbor County7
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 114.2 with a 95% confidence interval from 101.1 to 128.6 and 66 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (13, 34)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.
Klickitat County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 112.2 with a 95% confidence interval from 89.5 to 139.7 and 20 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (5, 36)
- Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -2.0 to 2.5.
Pacific County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 110.6 with a 95% confidence interval from 91.0 to 134.7 and 28 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (8, 36)
- Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -3.3 to 2.4.
Lewis County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 110.4 with a 95% confidence interval from 97.9 to 124.2 and 65 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (15, 35)
- Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.
Adams County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 110.3 with a 95% confidence interval from 81.2 to 146.3 and 10 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (1, 37)
- Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -5.1 to 2.9.
Franklin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 109.4 with a 95% confidence interval from 95.3 to 125.1 and 44 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (14, 36)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.4.
Pend Oreille County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 104.8 with a 95% confidence interval from 77.1 to 141.1 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (4, 37)
- Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -3.8 to 3.9.
Cowlitz County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 103.0 with a 95% confidence interval from 92.5 to 114.4 and 78 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (21, 36)
- Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.4.
Whitman County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 99.2 with a 95% confidence interval from 79.7 to 121.9 and 19 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (15, 37)
- Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -4.3 to 0.6.
Kittitas County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 98.3 with a 95% confidence interval from 81.4 to 118.0 and 27 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (18, 37)
- Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.6 to 0.6.
Skamania County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 90.7 with a 95% confidence interval from 62.8 to 128.5 and 8 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (11, 37)
- Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -5.8 to 2.3.
Ferry County2
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Rate : The incidence rate is 80.4 with a 95% confidence interval from 48.9 to 129.2 and 5 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (8, 37)
- Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -7.2 to 0.3.
Asotin County2
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Rate : The incidence rate is 73.2 with a 95% confidence interval from 54.4 to 96.9 and 12 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (29, 37)
- Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -5.6 to 0.2.
Notes:
Created by statecancerprofiles.cancer.gov on 03/14/2026 10:40 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.
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).
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.


