State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Recentaapc

Explanation of Column Headers
Incidence 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

US (SEER+NPCR)¹

• Rate : The incidence rate is 448.6 with a 95% confidence interval from 448.3 to 448.9 and 1,821,045 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.5.

Massachusetts²

• Rate : The incidence rate is 432.2 with a 95% confidence interval from 430.2 to 434.2 and 38,479 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (37, 40)
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -5.9 to -1.1.

Indiana²

• Rate : The incidence rate is 458.2 with a 95% confidence interval from 456.1 to 460.4 and 37,492 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (22, 27)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.8 to -2.5.

Nebraska²

• Rate : The incidence rate is 450.0 with a 95% confidence interval from 446.0 to 454.0 and 10,405 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (26, 34)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.7 to -2.0.

Oregon²

• Rate : The incidence rate is 418.7 with a 95% confidence interval from 416.2 to 421.2 and 22,862 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (41, 44)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.3 to -1.3.

Rhode Island²

• Rate : The incidence rate is 452.0 with a 95% confidence interval from 447.0 to 457.2 and 6,487 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (23, 34)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.7 to -0.5.

Arkansas²

• Rate : The incidence rate is 476.0 with a 95% confidence interval from 472.8 to 479.2 and 17,980 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (6, 15)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.0 to -1.6.

Pennsylvania²

• Rate : The incidence rate is 456.5 with a 95% confidence interval from 455.0 to 458.0 and 79,597 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (23, 29)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.9 to -1.5.

Montana²

• Rate : The incidence rate is 452.7 with a 95% confidence interval from 447.6 to 457.8 and 6,628 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (23, 34)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.6 to -1.2.

Puerto Rico²

• Rate : The incidence rate is 344.4 with a 95% confidence interval from 341.9 to 347.0 and 16,095 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.2 to -1.3.

Arizona²

• Rate : The incidence rate is 392.4 with a 95% confidence interval from 390.6 to 394.3 and 36,011 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (49, 50)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -1.0.

Idaho⁷

• Rate : The incidence rate is 446.0 with a 95% confidence interval from 442.0 to 450.1 and 9,760 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (29, 35)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -1.0.

Tennessee²

• Rate : The incidence rate is 457.1 with a 95% confidence interval from 455.0 to 459.2 and 39,137 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (22, 29)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.

Mississippi²

• Rate : The incidence rate is 472.8 with a 95% confidence interval from 469.6 to 476.1 and 17,197 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (8, 17)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.9.

Nevada²

• Rate : The incidence rate is 387.7 with a 95% confidence interval from 384.8 to 390.6 and 14,505 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (49, 50)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.6 to -0.9.

South Carolina²

• Rate : The incidence rate is 438.4 with a 95% confidence interval from 436.1 to 440.7 and 29,379 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (35, 37)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.8.

Kansas²

• Rate : The incidence rate is 461.2 with a 95% confidence interval from 458.0 to 464.5 and 16,174 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (19, 26)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.6.

District of Columbia²

• Rate : The incidence rate is 420.9 with a 95% confidence interval from 413.9 to 428.0 and 2,843 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (39, 44)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.7.

Delaware²

• Rate : The incidence rate is 469.9 with a 95% confidence interval from 464.6 to 475.4 and 6,418 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (8, 21)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.7.

Colorado²

• Rate : The incidence rate is 396.8 with a 95% confidence interval from 394.5 to 399.0 and 25,849 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (47, 48)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.7.

Michigan²

• Rate : The incidence rate is 449.2 with a 95% confidence interval from 447.6 to 450.9 and 58,577 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (29, 34)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.7.

New Mexico⁷

• Rate : The incidence rate is 372.9 with a 95% confidence interval from 369.5 to 376.3 and 10,093 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (51, 51)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.5.

Washington¹

• Rate : The incidence rate is 439.7 with a 95% confidence interval from 437.7 to 441.6 and 39,991 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (34, 37)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -0.9 to -0.7.

Alabama²

• Rate : The incidence rate is 432.6 with a 95% confidence interval from 430.3 to 435.0 and 27,512 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (37, 40)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.5.

Kentucky⁷

• Rate : The incidence rate is 519.0 with a 95% confidence interval from 516.2 to 521.8 and 29,054 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 1)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

New Hampshire²

• Rate : The incidence rate is 473.2 with a 95% confidence interval from 468.6 to 477.8 and 9,075 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (7, 19)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.5.

Texas⁷

• Rate : The incidence rate is 430.6 with a 95% confidence interval from 429.6 to 431.7 and 130,184 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (37, 41)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.2.

Wyoming²

• Rate : The incidence rate is 407.0 with a 95% confidence interval from 400.2 to 413.9 and 2,963 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (44, 48)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.3.

New Jersey⁷

• Rate : The incidence rate is 477.4 with a 95% confidence interval from 475.6 to 479.2 and 55,326 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (6, 11)
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.4.

Illinois⁷

• Rate : The incidence rate is 464.2 with a 95% confidence interval from 462.6 to 465.7 and 72,068 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (19, 22)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.5 to -0.2.

Virginia²

• Rate : The incidence rate is 414.6 with a 95% confidence interval from 412.8 to 416.4 and 43,276 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (43, 45)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.7.

California⁷

• Rate : The incidence rate is 405.6 with a 95% confidence interval from 404.7 to 406.4 and 182,061 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (45, 47)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.4.

Florida²

• Rate : The incidence rate is 467.6 with a 95% confidence interval from 466.5 to 468.7 and 144,928 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (16, 20)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.4 to 0.0.

Maryland²

• Rate : The incidence rate is 451.3 with a 95% confidence interval from 449.1 to 453.5 and 33,991 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (27, 33)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.7.

New York⁷

• Rate : The incidence rate is 467.1 with a 95% confidence interval from 465.9 to 468.3 and 117,656 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (16, 20)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.5.

North Dakota²

• Rate : The incidence rate is 453.6 with a 95% confidence interval from 447.2 to 460.1 and 4,078 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (21, 34)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.0.

Maine²

• Rate : The incidence rate is 482.3 with a 95% confidence interval from 477.8 to 486.9 and 9,809 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (4, 10)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.6.

Missouri²

• Rate : The incidence rate is 467.2 with a 95% confidence interval from 465.0 to 469.4 and 36,330 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (15, 21)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.0.

North Carolina²

• Rate : The incidence rate is 479.0 with a 95% confidence interval from 477.2 to 480.7 and 61,926 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (6, 10)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.3 to 0.0.

Ohio²

• Rate : The incidence rate is 472.9 with a 95% confidence interval from 471.3 to 474.5 and 71,356 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (10, 16)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.2 to 0.1.

Georgia⁷

• Rate : The incidence rate is 471.9 with a 95% confidence interval from 470.1 to 473.7 and 57,143 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (10, 17)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.1.

Hawaii⁷

• Rate : The incidence rate is 406.9 with a 95% confidence interval from 402.7 to 411.1 and 7,853 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (45, 47)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.8.

Louisiana⁷

• Rate : The incidence rate is 489.2 with a 95% confidence interval from 486.5 to 491.9 and 27,260 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (4, 6)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.1.

Vermont²

• Rate : The incidence rate is 452.5 with a 95% confidence interval from 446.1 to 459.1 and 4,126 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (22, 34)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.4 to 1.1.

Wisconsin²

• Rate : The incidence rate is 472.2 with a 95% confidence interval from 469.9 to 474.4 and 35,861 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (10, 17)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.1 to 0.1.

Alaska²

• Rate : The incidence rate is 432.6 with a 95% confidence interval from 425.6 to 439.6 and 3,287 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (35, 41)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.7 to 1.7.

Oklahoma²

• Rate : The incidence rate is 456.7 with a 95% confidence interval from 453.9 to 459.5 and 21,377 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (22, 30)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.1 to 0.4.

South Dakota²

• Rate : The incidence rate is 465.3 with a 95% confidence interval from 459.4 to 471.3 and 5,105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (11, 26)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.1 to 0.8.

Connecticut⁷

• Rate : The incidence rate is 476.7 with a 95% confidence interval from 473.8 to 479.5 and 22,517 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (6, 14)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.2 to 1.1.

West Virginia²

• Rate : The incidence rate is 498.1 with a 95% confidence interval from 494.0 to 502.1 and 12,584 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (2, 3)
• Recent Trend : The trend is rising because the trend is 0.5 with a 95% confidence interval from 0.1 to 1.4.

Iowa⁷

• Rate : The incidence rate is 498.8 with a 95% confidence interval from 495.6 to 502.0 and 20,049 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (2, 3)
• Recent Trend : The trend is rising because the trend is 0.7 with a 95% confidence interval from 0.4 to 1.1.

Minnesota²

• Rate : The incidence rate is 486.8 with a 95% confidence interval from 484.4 to 489.1 and 33,837 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (4, 6)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.5 to 2.1.

Utah⁷

• Rate : The incidence rate is 422.1 with a 95% confidence interval from 418.8 to 425.5 and 12,570 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (40, 43)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.6 to 2.1.

Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 12:32 am.

State Cancer Registries may provide more current or more local data.



† 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.

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 for United States does not include Puerto Rico.