Interpretation of Incidence Rates Data
Incidence Rate Report by State
All Cancer Sites (All Stages^), 2018-2022
White Non-Hispanic, Both Sexes, All Ages
Sorted by Name
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
US (SEER+NPCR) § 1
- Rate : The incidence rate is 467.1 with a 95% confidence interval from 466.7 to 467.5 and 1,354,187 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.7.
Alabama2
- Rate : The incidence rate is 437.0 with a 95% confidence interval from 434.2 to 439.8 and 20,285 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (41, 41)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.4.
Alaska2
- Rate : The incidence rate is 421.6 with a 95% confidence interval from 413.5 to 429.8 and 2,331 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (42, 47)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -1.9 to 1.9.
Arizona2
- Rate : The incidence rate is 407.1 with a 95% confidence interval from 404.7 to 409.4 and 27,198 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (47, 48)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -3.2 to -0.7.
Arkansas2
- Rate : The incidence rate is 480.2 with a 95% confidence interval from 476.6 to 483.8 and 14,816 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (13, 21)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -3.0 to -1.3.
California7
- Rate : The incidence rate is 447.4 with a 95% confidence interval from 446.1 to 448.7 and 101,001 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (33, 40)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -2.0 to -0.4.
Colorado2
- Rate : The incidence rate is 401.8 with a 95% confidence interval from 399.2 to 404.3 and 20,737 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (49, 49)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.7.
Connecticut7
- Rate : The incidence rate is 484.7 with a 95% confidence interval from 481.3 to 488.1 and 18,033 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (11, 18)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.2 to 1.0.
Delaware2
- Rate : The incidence rate is 485.8 with a 95% confidence interval from 479.2 to 492.5 and 4,886 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (8, 19)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.4 to -0.4.
District of Columbia2
- Rate : The incidence rate is 370.1 with a 95% confidence interval from 359.0 to 381.5 and 879 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (50, 51)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.
Florida2
- Rate : The incidence rate is 500.5 with a 95% confidence interval from 499.0 to 502.0 and 102,961 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (3, 8)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -3.0 to 0.3.
Georgia7
- Rate : The incidence rate is 490.7 with a 95% confidence interval from 488.4 to 493.0 and 37,327 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (8, 12)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from 0.0 to 0.3.
Hawaii7
- Rate : The incidence rate is 497.5 with a 95% confidence interval from 487.8 to 507.4 and 2,398 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (3, 15)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.1 to 1.3.
Idaho7
- Rate : The incidence rate is 449.2 with a 95% confidence interval from 444.9 to 453.6 and 8,908 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (31, 40)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.6 to -1.1.
Illinois7
- Rate : The incidence rate is 484.7 with a 95% confidence interval from 482.8 to 486.6 and 53,484 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (12, 17)
- Recent Trend : The trend is falling
because the trend is -0.2 with a 95% confidence interval from -0.4 to -0.1.
Indiana2
- Rate : The incidence rate is 467.0 with a 95% confidence interval from 464.7 to 469.4 and 33,033 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (22, 26)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -3.7 to -2.6.
Iowa7
- Rate : The incidence rate is 501.6 with a 95% confidence interval from 498.3 to 505.0 and 18,809 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (3, 8)
- Recent Trend : The trend is rising
because the trend is 0.2 with a 95% confidence interval from 0.1 to 0.3.
Kansas2
- Rate : The incidence rate is 461.1 with a 95% confidence interval from 457.5 to 464.7 and 13,865 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (24, 31)
- Recent Trend : The trend is falling
because the trend is -0.3 with a 95% confidence interval from -1.1 to -0.1.
Kentucky7
- Rate : The incidence rate is 524.4 with a 95% confidence interval from 521.4 to 527.3 and 26,357 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 1)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.1.
Louisiana7
- Rate : The incidence rate is 502.0 with a 95% confidence interval from 498.7 to 505.4 and 18,379 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (3, 8)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from 0.0 to 0.3.
Maine2
- Rate : The incidence rate is 483.3 with a 95% confidence interval from 478.7 to 487.9 and 9,514 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (11, 19)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.5 to 0.7.
Maryland2
- Rate : The incidence rate is 482.8 with a 95% confidence interval from 479.8 to 485.8 and 21,511 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (12, 19)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.6.
Massachusetts2
- Rate : The incidence rate is 444.2 with a 95% confidence interval from 441.9 to 446.4 and 32,461 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (36, 40)
- Recent Trend : The trend is falling
because the trend is -3.6 with a 95% confidence interval from -5.8 to -1.3.
Michigan2
- Rate : The incidence rate is 450.2 with a 95% confidence interval from 448.4 to 452.1 and 48,382 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (31, 37)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.6.
Minnesota2
- Rate : The incidence rate is 491.4 with a 95% confidence interval from 488.8 to 493.9 and 30,664 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (8, 12)
- Recent Trend : The trend is rising
because the trend is 0.7 with a 95% confidence interval from 0.1 to 2.0.
Mississippi2
- Rate : The incidence rate is 478.9 with a 95% confidence interval from 474.8 to 483.1 and 11,333 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (13, 21)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.3.
Missouri2
- Rate : The incidence rate is 474.5 with a 95% confidence interval from 472.1 to 477.0 and 31,725 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (18, 22)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.1.
Montana2
- Rate : The incidence rate is 448.1 with a 95% confidence interval from 442.8 to 453.5 and 6,103 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (31, 40)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.5 to -1.4.
Nebraska2
- Rate : The incidence rate is 457.3 with a 95% confidence interval from 453.0 to 461.7 and 9,360 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (26, 32)
- Recent Trend : The trend is falling
because the trend is -3.3 with a 95% confidence interval from -4.0 to -2.3.
Nevada2
- Rate : The incidence rate is 419.0 with a 95% confidence interval from 415.1 to 422.9 and 10,086 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (42, 47)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -1.4 to -0.9.
New Hampshire2
- Rate : The incidence rate is 477.0 with a 95% confidence interval from 472.2 to 481.7 and 8,684 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (14, 22)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.7 to -0.3.
New Jersey7
- Rate : The incidence rate is 514.5 with a 95% confidence interval from 512.1 to 516.9 and 39,065 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (2, 2)
- Recent Trend : The trend is falling
because the trend is -0.3 with a 95% confidence interval from -0.5 to -0.1.
New Mexico7
- Rate : The incidence rate is 385.8 with a 95% confidence interval from 380.7 to 390.9 and 5,538 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (50, 51)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.2 to 1.1.
New York7
- Rate : The incidence rate is 499.9 with a 95% confidence interval from 498.3 to 501.5 and 80,411 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (4, 8)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.3.
North Carolina2
- Rate : The incidence rate is 490.4 with a 95% confidence interval from 488.3 to 492.5 and 46,273 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (8, 12)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.1.
North Dakota2
- Rate : The incidence rate is 450.8 with a 95% confidence interval from 444.1 to 457.6 and 3,773 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (28, 40)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.5 to 0.0.
Ohio2
- Rate : The incidence rate is 477.1 with a 95% confidence interval from 475.3 to 478.8 and 61,309 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (17, 21)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.2 to 0.2.
Oklahoma2
- Rate : The incidence rate is 445.6 with a 95% confidence interval from 442.5 to 448.8 and 16,547 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (33, 40)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.8.
Oregon2
- Rate : The incidence rate is 420.3 with a 95% confidence interval from 417.5 to 423.0 and 19,910 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (42, 47)
- Recent Trend : The trend is falling
because the trend is -3.1 with a 95% confidence interval from -4.1 to -2.1.
Pennsylvania2
- Rate : The incidence rate is 459.0 with a 95% confidence interval from 457.4 to 460.7 and 67,698 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (27, 31)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -3.0 to -1.2.
Rhode Island2
- Rate : The incidence rate is 460.0 with a 95% confidence interval from 454.3 to 465.8 and 5,550 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (23, 32)
- Recent Trend : The trend is falling
because the trend is -2.8 with a 95% confidence interval from -4.0 to -1.2.
South Carolina2
- Rate : The incidence rate is 447.4 with a 95% confidence interval from 444.6 to 450.2 and 21,642 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (32, 40)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.8.
South Dakota2
- Rate : The incidence rate is 466.8 with a 95% confidence interval from 460.5 to 473.1 and 4,698 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (20, 30)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.1 to 0.5.
Tennessee2
- Rate : The incidence rate is 466.6 with a 95% confidence interval from 464.2 to 468.9 and 32,642 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (23, 26)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.3 to -1.1.
Texas7
- Rate : The incidence rate is 462.4 with a 95% confidence interval from 460.9 to 463.9 and 77,729 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (25, 29)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.3.
Utah7
- Rate : The incidence rate is 423.3 with a 95% confidence interval from 419.7 to 427.0 and 10,793 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (42, 46)
- Recent Trend : The trend is rising
because the trend is 0.6 with a 95% confidence interval from 0.3 to 1.4.
Vermont2
- Rate : The incidence rate is 454.7 with a 95% confidence interval from 448.0 to 461.4 and 3,999 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (25, 39)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.8.
Virginia2
- Rate : The incidence rate is 422.6 with a 95% confidence interval from 420.5 to 424.8 and 31,044 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (42, 46)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.6.
Washington1
- Rate : The incidence rate is 447.9 with a 95% confidence interval from 445.6 to 450.2 and 32,865 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (32, 40)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.7.
West Virginia2
- Rate : The incidence rate is 504.9 with a 95% confidence interval from 500.6 to 509.1 and 12,108 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (3, 7)
- Recent Trend : The trend is rising
because the trend is 0.7 with a 95% confidence interval from 0.2 to 1.7.
Wisconsin2
- Rate : The incidence rate is 471.3 with a 95% confidence interval from 468.9 to 473.8 and 32,334 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (20, 23)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.1 to 0.1.
Wyoming2
- Rate : The incidence rate is 413.3 with a 95% confidence interval from 406.1 to 420.7 and 2,735 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (43, 48)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.2.
- Rate :
- CI*Rank ⋔ : ¶¶¶
- Recent Trend : ¶¶¶
Notes:
Created by statecancerprofiles.cancer.gov on 03/06/2026 3:11 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.
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 Puerto Rico is only available for All Races (includes Hispanics). For more information see data not available.
Data for United States does not include Puerto Rico.


