State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Colon & Rectum (All Stages^), 2018-2022

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

Sorted by Rate

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 36.7 with a 95% confidence interval from 36.6 to 36.7 and 145,073 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.0 to -0.8.

Kentucky⁷

• Rate : The incidence rate is 46.5 with a 95% confidence interval from 45.6 to 47.3 and 2,529 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 3)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.3 to 0.3.

Mississippi²

• Rate : The incidence rate is 46.0 with a 95% confidence interval from 45.0 to 47.1 and 1,643 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 4)
• Recent Trend : The trend is because the trend is -3.4 with a 95% confidence interval from -5.0 to -1.9.

West Virginia²

• Rate : The incidence rate is 44.4 with a 95% confidence interval from 43.2 to 45.6 and 1,101 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (2, 5)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.3.

Louisiana⁷

• Rate : The incidence rate is 44.3 with a 95% confidence interval from 43.5 to 45.2 and 2,409 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (2, 5)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -3.8 to -0.3.

Arkansas²

• Rate : The incidence rate is 42.2 with a 95% confidence interval from 41.3 to 43.2 and 1,556 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (4, 7)
• Recent Trend : The trend is because the trend is -3.0 with a 95% confidence interval from -6.3 to -0.2.

Alaska²

• Rate : The incidence rate is 41.1 with a 95% confidence interval from 38.9 to 43.4 and 300 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (3, 22)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.2 to -1.1.

Oklahoma²

• Rate : The incidence rate is 40.6 with a 95% confidence interval from 39.7 to 41.4 and 1,854 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (5, 14)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 1.7.

Iowa⁷

• Rate : The incidence rate is 40.3 with a 95% confidence interval from 39.4 to 41.2 and 1,572 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (6, 16)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.8 to 0.7.

Alabama²

• Rate : The incidence rate is 40.2 with a 95% confidence interval from 39.4 to 40.9 and 2,492 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (6, 16)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.8.

Missouri²

• Rate : The incidence rate is 40.2 with a 95% confidence interval from 39.5 to 40.8 and 3,033 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (6, 15)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 1.0.

Georgia⁷

• Rate : The incidence rate is 39.9 with a 95% confidence interval from 39.4 to 40.4 and 4,738 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (6, 15)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.6.

South Dakota²

• Rate : The incidence rate is 39.5 with a 95% confidence interval from 37.8 to 41.3 and 419 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (5, 24)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.1 to -0.3.

Indiana²

• Rate : The incidence rate is 39.4 with a 95% confidence interval from 38.8 to 40.1 and 3,148 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (7, 19)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.8 to -1.5.

Kansas²

• Rate : The incidence rate is 39.4 with a 95% confidence interval from 38.4 to 40.3 and 1,342 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (6, 22)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.4 to 2.1.

Illinois⁷

• Rate : The incidence rate is 39.1 with a 95% confidence interval from 38.6 to 39.5 and 5,945 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (11, 20)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.5.

Tennessee²

• Rate : The incidence rate is 38.8 with a 95% confidence interval from 38.1 to 39.4 and 3,214 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (11, 23)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.5.

North Dakota²

• Rate : The incidence rate is 38.6 with a 95% confidence interval from 36.7 to 40.6 and 337 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (6, 32)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -2.7 to -1.4.

Nebraska²

• Rate : The incidence rate is 38.6 with a 95% confidence interval from 37.4 to 39.8 and 870 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (8, 25)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -5.0 to -2.3.

Ohio²

• Rate : The incidence rate is 38.4 with a 95% confidence interval from 38.0 to 38.9 and 5,635 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (14, 23)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.9 to -0.8.

New Jersey⁷

• Rate : The incidence rate is 38.3 with a 95% confidence interval from 37.8 to 38.8 and 4,381 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (14, 23)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.5 to 1.8.

Texas⁷

• Rate : The incidence rate is 38.3 with a 95% confidence interval from 38.0 to 38.6 and 11,477 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (15, 23)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.6.

Hawaii⁷

• Rate : The incidence rate is 38.2 with a 95% confidence interval from 36.9 to 39.5 and 715 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (9, 27)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.7 to 2.8.

Pennsylvania²

• Rate : The incidence rate is 37.1 with a 95% confidence interval from 36.6 to 37.5 and 6,307 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (21, 27)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.2 to -0.6.

Puerto Rico²

• Rate : The incidence rate is 36.7 with a 95% confidence interval from 35.9 to 37.5 and 1,730 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -3.5 to -1.3.

Montana²

• Rate : The incidence rate is 36.4 with a 95% confidence interval from 35.0 to 38.0 and 511 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (17, 40)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.3.

Minnesota²

• Rate : The incidence rate is 36.3 with a 95% confidence interval from 35.7 to 37.0 and 2,443 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (22, 34)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.9.

District of Columbia²

• Rate : The incidence rate is 36.3 with a 95% confidence interval from 34.2 to 38.4 and 238 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (13, 44)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.2 to -1.8.

Florida²

• Rate : The incidence rate is 36.1 with a 95% confidence interval from 35.8 to 36.4 and 10,964 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (24, 32)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.

Wyoming²

• Rate : The incidence rate is 36.1 with a 95% confidence interval from 34.0 to 38.2 and 252 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (14, 44)
• Recent Trend : The trend is because the trend is 2.0 with a 95% confidence interval from -1.2 to 7.5.

South Carolina²

• Rate : The incidence rate is 35.9 with a 95% confidence interval from 35.3 to 36.6 and 2,318 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (23, 36)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.7 to 0.3.

New York⁷

• Rate : The incidence rate is 35.8 with a 95% confidence interval from 35.4 to 36.1 and 8,828 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (25, 35)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.4.

Maine²

• Rate : The incidence rate is 35.7 with a 95% confidence interval from 34.4 to 37.0 and 685 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (22, 42)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.8.

Michigan²

• Rate : The incidence rate is 35.6 with a 95% confidence interval from 35.1 to 36.1 and 4,456 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (25, 37)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.4 to -0.8.

North Carolina²

• Rate : The incidence rate is 35.5 with a 95% confidence interval from 35.1 to 36.0 and 4,440 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (25, 38)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.9.

Idaho⁷

• Rate : The incidence rate is 35.5 with a 95% confidence interval from 34.3 to 36.7 and 748 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (23, 42)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.2 to 2.4.

Maryland²

• Rate : The incidence rate is 35.1 with a 95% confidence interval from 34.5 to 35.7 and 2,567 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (27, 40)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.3.

Wisconsin²

• Rate : The incidence rate is 34.9 with a 95% confidence interval from 34.3 to 35.6 and 2,531 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (28, 41)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to 0.3.

Nevada²

• Rate : The incidence rate is 34.9 with a 95% confidence interval from 34.0 to 35.7 and 1,280 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (27, 43)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -1.0 to 3.0.

Connecticut⁷

• Rate : The incidence rate is 34.6 with a 95% confidence interval from 33.8 to 35.4 and 1,581 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (30, 44)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.1 to 2.6.

New Hampshire²

• Rate : The incidence rate is 34.6 with a 95% confidence interval from 33.3 to 35.9 and 627 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (25, 45)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.2 to 1.6.

California⁷

• Rate : The incidence rate is 34.2 with a 95% confidence interval from 33.9 to 34.4 and 15,138 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (37, 43)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.4.

Washington¹

• Rate : The incidence rate is 34.0 with a 95% confidence interval from 33.4 to 34.6 and 2,968 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (36, 44)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.7.

Virginia²

• Rate : The incidence rate is 33.8 with a 95% confidence interval from 33.3 to 34.3 and 3,417 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (37, 45)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.

Delaware²

• Rate : The incidence rate is 33.6 with a 95% confidence interval from 32.2 to 35.1 and 437 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (28, 49)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -4.3 to -1.8.

New Mexico⁷

• Rate : The incidence rate is 33.2 with a 95% confidence interval from 32.2 to 34.2 and 864 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (36, 48)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 1.8.

Oregon²

• Rate : The incidence rate is 32.2 with a 95% confidence interval from 31.5 to 33.0 and 1,677 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (43, 50)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.1 to 0.0.

Rhode Island²

• Rate : The incidence rate is 32.0 with a 95% confidence interval from 30.7 to 33.4 and 445 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (40, 51)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.7 to 2.7.

Arizona²

• Rate : The incidence rate is 32.0 with a 95% confidence interval from 31.5 to 32.6 and 2,854 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (44, 50)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to 0.3.

Vermont²

• Rate : The incidence rate is 32.0 with a 95% confidence interval from 30.2 to 33.8 and 276 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (38, 51)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -4.8 to 2.7.

Massachusetts²

• Rate : The incidence rate is 31.3 with a 95% confidence interval from 30.8 to 31.9 and 2,682 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (46, 50)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.5.

Colorado²

• Rate : The incidence rate is 31.2 with a 95% confidence interval from 30.6 to 31.9 and 1,973 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (46, 51)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.

Utah⁷

• Rate : The incidence rate is 29.7 with a 95% confidence interval from 28.8 to 30.6 and 858 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (50, 51)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.8 to 3.9.

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 10:40 pm.

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.