Incidence Rates Table
Incidence Rate Report for North Carolina by County
Breast (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by CI*Rank
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 | 144.3 (142.9, 145.6) | N/A | 9,621 |
stable 
|
-0.3 (-1.7, 1.0) |
| US (SEER+NPCR) 1 | N/A | 131.3 (131.1, 131.6) | N/A | 270,245 |
rising 
|
0.6 (0.5, 0.8) |
| Martin County 2 | Rural | 188.8 (158.4, 223.9) | 1 (1, 48) | 33 |
stable
|
1.6 (-0.2, 3.4) |
| Greene County 2 | Rural | 169.5 (135.2, 210.2) | 2 (1, 85) | 20 |
rising
|
12.9 (3.0, 37.0) |
| Pitt County 2 | Urban | 165.8 (154.2, 178.0) | 3 (1, 35) | 161 |
stable
|
1.1 (0.0, 2.4) |
| Sampson County 2 | Rural | 163.3 (144.5, 184.0) | 4 (1, 66) | 61 |
rising
|
2.8 (1.8, 3.9) |
| Johnston County 2 | Urban | 161.2 (151.3, 171.6) | 5 (1, 39) | 205 |
rising
|
4.1 (2.7, 9.2) |
| Person County 2 | Urban | 159.3 (137.7, 183.5) | 6 (1, 78) | 45 |
rising
|
2.5 (0.3, 5.1) |
| Union County 2 | Urban | 158.5 (149.1, 168.4) | 7 (2, 41) | 218 |
rising
|
2.0 (1.3, 3.0) |
| Pender County 2 | Urban | 158.4 (140.7, 177.9) | 8 (1, 71) | 63 |
stable
|
1.7 (-0.3, 4.1) |
| Richmond County 2 | Rural | 156.7 (136.5, 179.3) | 9 (1, 78) | 46 |
stable
|
1.5 (-0.5, 3.7) |
| Henderson County 2 | Urban | 156.6 (144.5, 169.5) | 10 (1, 57) | 152 |
rising
|
1.6 (0.6, 2.7) |
| Wake County 2 | Urban | 156.5 (152.1, 161.0) | 11 (4, 31) | 985 |
rising
|
1.1 (0.7, 1.5) |
| Polk County 2 | Rural | 156.1 (126.9, 191.2) | 12 (1, 92) | 28 |
stable
|
0.5 (-2.5, 3.5) |
| Buncombe County 2 | Urban | 155.3 (147.1, 163.9) | 13 (3, 46) | 298 |
rising
|
0.9 (0.2, 1.6) |
| Jones County 2 | Rural | 154.9 (112.8, 209.2) | 14 (1, 98) | 11 |
stable
|
2.4 (-0.5, 5.8) |
| Anson County 2 | Urban | 154.7 (127.2, 187.1) | 15 (1, 91) | 25 |
stable
|
2.7 (-0.5, 6.2) |
| Brunswick County 2 | Urban | 153.0 (141.8, 165.0) | 16 (3, 60) | 206 |
rising
|
1.3 (0.2, 2.6) |
| Wayne County 2 | Urban | 152.2 (139.2, 166.2) | 17 (3, 65) | 111 |
rising
|
1.6 (0.3, 2.9) |
| Dare County 2 | Rural | 151.4 (130.0, 175.8) | 18 (1, 84) | 43 |
stable
|
0.3 (-1.3, 1.9) |
| Guilford County 2 | Urban | 151.1 (145.1, 157.4) | 19 (8, 47) | 502 |
stable
|
-1.7 (-5.3, 1.1) |
| Lenoir County 2 | Rural | 150.8 (133.0, 170.6) | 20 (1, 80) | 60 |
stable
|
0.6 (-0.6, 1.8) |
| Orange County 2 | Urban | 150.5 (138.8, 163.1) | 21 (3, 67) | 129 |
stable
|
0.8 (-0.4, 2.1) |
| New Hanover County 2 | Urban | 150.5 (141.6, 159.8) | 22 (5, 57) | 236 |
stable
|
1.1 (0.0, 2.3) |
| Beaufort County 2 | Rural | 150.1 (130.9, 171.7) | 23 (1, 84) | 54 |
stable
|
1.3 (0.0, 2.6) |
| Mecklenburg County 2 | Urban | 150.0 (145.6, 154.6) | 24 (11, 44) | 898 |
rising
|
1.0 (0.5, 1.6) |
| Durham County 2 | Urban | 149.4 (141.5, 157.7) | 25 (7, 59) | 281 |
stable
|
-1.2 (-6.0, 0.5) |
| Tyrrell County 2 | Rural | 148.4 (79.3, 256.6) | 26 (1, 100) | 3 |
stable
|
2.8 (-2.0, 8.1) |
| Rowan County 2 | Urban | 148.0 (137.0, 159.8) | 27 (5, 69) | 144 |
stable
|
-4.5 (-9.5, 0.6) |
| Mitchell County 2 | Rural | 147.9 (115.6, 187.6) | 28 (1, 97) | 17 |
stable
|
2.4 (-0.3, 5.4) |
| Alamance County 2 | Urban | 147.3 (137.1, 158.1) | 29 (5, 67) | 165 |
stable
|
1.0 (-0.2, 1.8) |
| Hertford County 2 | Rural | 146.9 (118.9, 180.1) | 30 (1, 94) | 23 |
stable
|
0.9 (-0.9, 2.9) |
| Yancey County 2 | Rural | 146.3 (117.4, 180.9) | 31 (1, 97) | 22 |
stable
|
1.0 (-0.7, 2.7) |
| Vance County 2 | Rural | 145.8 (126.0, 168.0) | 32 (2, 89) | 44 |
rising
|
2.4 (1.1, 3.9) |
| Bertie County 2 | Rural | 145.6 (114.8, 182.9) | 33 (1, 97) | 20 |
stable
|
1.6 (-0.7, 3.9) |
| Robeson County 2 | Rural | 145.0 (132.4, 158.5) | 34 (5, 77) | 105 |
rising
|
4.8 (2.1, 12.8) |
| Nash County 2 | Urban | 145.0 (131.4, 159.7) | 35 (4, 80) | 93 |
stable
|
0.4 (-0.8, 1.6) |
| Chatham County 2 | Urban | 144.6 (130.4, 160.0) | 36 (4, 80) | 90 |
stable
|
0.8 (-0.4, 2.1) |
| Moore County 2 | Urban | 144.0 (131.1, 158.0) | 37 (5, 78) | 109 |
stable
|
0.1 (-0.8, 1.0) |
| Warren County 2 | Rural | 144.0 (115.7, 178.1) | 38 (1, 96) | 23 |
stable
|
0.0 (-2.7, 2.7) |
| Graham County 2 | Rural | 143.8 (101.5, 200.0) | 39 (1, 99) | 9 |
stable
|
0.3 (-5.0, 3.6) |
| Madison County 2 | Urban | 143.4 (117.5, 174.1) | 40 (1, 96) | 25 |
stable
|
0.6 (-1.6, 3.1) |
| Wilson County 2 | Rural | 143.1 (128.8, 158.7) | 41 (4, 84) | 80 |
stable
|
0.6 (-0.4, 1.7) |
| Chowan County 2 | Rural | 142.8 (109.8, 183.7) | 42 (1, 98) | 16 |
stable
|
1.5 (-1.9, 5.1) |
| Craven County 2 | Rural | 142.6 (129.2, 157.2) | 43 (6, 80) | 97 |
stable
|
0.7 (-0.3, 1.6) |
| Cleveland County 2 | Rural | 141.4 (128.4, 155.4) | 44 (6, 83) | 97 |
stable
|
1.0 (-0.2, 2.4) |
| Forsyth County 2 | Urban | 141.3 (134.5, 148.4) | 45 (20, 69) | 346 |
stable
|
0.5 (-0.2, 1.3) |
| Lincoln County 2 | Urban | 139.9 (126.4, 154.6) | 46 (6, 85) | 85 |
rising
|
1.0 (0.2, 1.9) |
| Randolph County 2 | Urban | 139.8 (128.9, 151.5) | 47 (10, 81) | 133 |
rising
|
1.0 (0.1, 2.1) |
| Haywood County 2 | Rural | 139.3 (123.4, 157.0) | 48 (6, 89) | 69 |
stable
|
1.2 (-0.4, 2.8) |
| Cumberland County 2 | Urban | 139.3 (131.5, 147.5) | 49 (18, 75) | 248 |
rising
|
0.9 (0.2, 1.6) |
| Halifax County 2 | Rural | 139.0 (120.7, 159.5) | 50 (3, 91) | 50 |
stable
|
0.1 (-1.2, 1.4) |
| Iredell County 2 | Urban | 138.9 (129.2, 149.1) | 51 (15, 81) | 164 |
stable
|
0.9 (0.0, 2.0) |
| Carteret County 2 | Rural | 138.8 (124.0, 155.2) | 52 (6, 87) | 79 |
falling 
|
-12.6 (-18.3, -7.8) |
| Rockingham County 2 | Urban | 138.7 (125.9, 152.7) | 53 (9, 84) | 97 |
rising
|
1.1 (0.1, 2.2) |
| Granville County 2 | Rural | 137.5 (120.9, 156.0) | 54 (5, 92) | 54 |
stable
|
1.2 (-0.6, 3.2) |
| Cabarrus County 2 | Urban | 137.4 (128.4, 146.9) | 55 (22, 80) | 178 |
stable
|
0.9 (0.0, 2.0) |
| Onslow County 2 | Urban | 136.6 (125.3, 148.7) | 56 (12, 84) | 112 |
stable
|
0.8 (-0.2, 1.9) |
| Stanly County 2 | Rural | 136.3 (120.0, 154.4) | 57 (5, 92) | 56 |
stable
|
1.0 (-0.2, 2.3) |
| Duplin County 2 | Rural | 136.2 (117.9, 156.7) | 58 (4, 94) | 45 |
stable
|
1.3 (-0.6, 3.2) |
| Gaston County 2 | Urban | 135.8 (127.4, 144.7) | 59 (23, 81) | 204 |
stable
|
1.0 (0.0, 2.0) |
| Rutherford County 2 | Rural | 135.5 (120.6, 151.9) | 60 (10, 91) | 69 |
stable
|
0.3 (-0.5, 1.1) |
| McDowell County 2 | Rural | 135.3 (116.8, 156.1) | 61 (4, 94) | 44 |
stable
|
0.2 (-1.6, 2.1) |
| Davie County 2 | Urban | 135.0 (115.9, 156.7) | 62 (4, 94) | 41 |
rising
|
2.2 (0.4, 4.2) |
| Bladen County 2 | Rural | 134.9 (113.3, 159.9) | 63 (3, 95) | 32 |
stable
|
1.0 (-1.6, 3.8) |
| Washington County 2 | Rural | 134.2 (101.4, 176.2) | 64 (1, 99) | 13 |
stable
|
0.8 (-1.7, 3.4) |
| Davidson County 2 | Urban | 134.1 (124.4, 144.4) | 65 (23, 84) | 155 |
rising
|
1.3 (0.4, 2.4) |
| Caldwell County 2 | Urban | 134.1 (120.6, 148.8) | 66 (13, 91) | 80 |
stable
|
0.8 (-0.9, 2.6) |
| Franklin County 2 | Urban | 134.0 (118.7, 150.8) | 67 (9, 92) | 61 |
stable
|
1.0 (-0.2, 2.5) |
| Hoke County 2 | Urban | 133.7 (114.0, 155.8) | 68 (4, 95) | 35 |
rising
|
1.6 (0.1, 3.5) |
| Surry County 2 | Rural | 130.5 (116.5, 146.0) | 69 (15, 93) | 70 |
stable
|
0.8 (-0.5, 2.3) |
| Northampton County 2 | Rural | 130.5 (102.8, 164.5) | 70 (1, 98) | 21 |
stable
|
0.6 (-1.7, 3.0) |
| Perquimans County 2 | Rural | 128.6 (96.3, 169.6) | 71 (1, 99) | 14 |
stable
|
-0.8 (-4.2, 2.6) |
| Cherokee County 2 | Rural | 127.8 (106.5, 152.8) | 72 (5, 98) | 35 |
stable
|
0.2 (-1.6, 2.3) |
| Transylvania County 2 | Rural | 127.5 (108.9, 149.2) | 73 (6, 97) | 43 |
stable
|
0.7 (-1.0, 2.6) |
| Scotland County 2 | Rural | 127.0 (105.7, 151.5) | 74 (6, 98) | 28 |
stable
|
-0.2 (-2.6, 2.1) |
| Pamlico County 2 | Rural | 126.9 (92.7, 171.7) | 75 (1, 99) | 14 |
stable
|
0.2 (-2.4, 2.6) |
| Columbus County 2 | Rural | 126.6 (110.1, 145.2) | 76 (15, 96) | 48 |
stable
|
1.7 (-0.5, 4.2) |
| Alexander County 2 | Urban | 125.9 (106.6, 148.2) | 77 (9, 97) | 33 |
stable
|
1.2 (-0.5, 3.0) |
| Harnett County 2 | Rural | 123.6 (112.3, 135.8) | 78 (38, 94) | 91 |
stable
|
0.3 (-0.7, 1.3) |
| Swain County 2 | Rural | 122.8 (92.4, 160.8) | 79 (2, 99) | 12 |
stable
|
-0.3 (-2.9, 2.2) |
| Macon County 2 | Rural | 122.5 (103.5, 144.3) | 80 (15, 97) | 40 |
stable
|
-0.6 (-2.1, 0.8) |
| Burke County 2 | Urban | 121.8 (109.4, 135.4) | 81 (38, 96) | 79 |
stable
|
0.1 (-0.8, 1.1) |
| Montgomery County 2 | Rural | 120.7 (98.6, 146.9) | 82 (10, 99) | 24 |
stable
|
-0.3 (-2.2, 1.6) |
| Edgecombe County 2 | Urban | 120.4 (103.9, 138.9) | 83 (24, 97) | 44 |
stable
|
0.2 (-1.3, 1.7) |
| Lee County 2 | Rural | 120.3 (105.1, 137.1) | 84 (30, 97) | 49 |
stable
|
-0.4 (-2.1, 1.4) |
| Stokes County 2 | Urban | 119.8 (103.2, 138.7) | 85 (26, 97) | 43 |
stable
|
0.5 (-1.3, 2.3) |
| Jackson County 2 | Rural | 118.8 (99.6, 140.9) | 86 (22, 98) | 32 |
stable
|
1.3 (-0.4, 3.2) |
| Pasquotank County 2 | Rural | 118.4 (99.8, 139.6) | 87 (20, 98) | 32 |
falling
|
-6.2 (-14.9, -0.5) |
| Catawba County 2 | Urban | 118.1 (108.8, 128.1) | 88 (57, 95) | 129 |
stable
|
-0.1 (-1.0, 0.8) |
| Watauga County 2 | Rural | 115.6 (97.9, 135.8) | 89 (27, 98) | 35 |
stable
|
-0.5 (-2.2, 1.4) |
| Ashe County 2 | Rural | 111.2 (90.0, 136.6) | 90 (29, 99) | 24 |
stable
|
1.0 (-2.4, 4.6) |
| Wilkes County 2 | Rural | 111.1 (97.4, 126.3) | 91 (59, 98) | 56 |
stable
|
0.2 (-1.6, 2.1) |
| Camden County 2 | Urban | 108.9 (76.0, 152.5) | 92 (4, 100) | 7 |
stable
|
-0.8 (-5.2, 3.9) |
| Caswell County 2 | Rural | 108.3 (86.3, 135.2) | 93 (31, 100) | 20 |
falling
|
-12.6 (-22.0, -1.1) |
| Yadkin County 2 | Urban | 107.5 (89.7, 128.1) | 94 (46, 99) | 29 |
stable
|
-0.2 (-2.1, 1.7) |
| Avery County 2 | Rural | 105.8 (80.2, 138.1) | 95 (15, 100) | 14 |
stable
|
1.6 (-1.4, 4.7) |
| Alleghany County 2 | Rural | 104.5 (75.6, 143.4) | 96 (10, 100) | 11 |
stable
|
0.3 (-2.8, 3.6) |
| Clay County 2 | Rural | 101.1 (72.7, 139.9) | 97 (13, 100) | 11 |
stable
|
-25.3 (-50.5, 1.6) |
| Hyde County 2 | Rural | 88.9 (46.8, 160.6) | 98 (2, 100) | 3 |
stable
|
-1.2 (-5.8, 3.3) |
| Currituck County 2 | Urban | 81.0 (63.2, 102.6) | 99 (85, 100) | 16 |
stable
|
-0.7 (-2.9, 1.8) |
| Gates County 2 | Urban | 66.1 (41.3, 102.2) | 100 (86, 100) | 5 |
falling
|
-3.6 (-7.5, -0.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 5:42 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.