State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Lung & Bronchus (All Stages^), 2018-2022

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

Sorted by CI*Rank

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 52.5 with a 95% confidence interval from 52.4 to 52.6 and 222,606 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -4.0 to -3.1.

Kentucky⁷

• Rate : The incidence rate is 83.7 with a 95% confidence interval from 82.6 to 84.8 and 4,958 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 1)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.7 to -1.6.

West Virginia²

• Rate : The incidence rate is 75.9 with a 95% confidence interval from 74.4 to 77.4 and 2,073 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (2, 2)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.7.

Arkansas²

• Rate : The incidence rate is 70.4 with a 95% confidence interval from 69.2 to 71.6 and 2,818 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (3, 4)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -6.7 to -1.6.

Mississippi²

• Rate : The incidence rate is 68.3 with a 95% confidence interval from 67.1 to 69.5 and 2,601 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (3, 6)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.6 to -1.3.

Missouri²

• Rate : The incidence rate is 67.9 with a 95% confidence interval from 67.0 to 68.7 and 5,584 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (4, 7)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.3 to -1.5.

Tennessee²

• Rate : The incidence rate is 66.6 with a 95% confidence interval from 65.8 to 67.4 and 5,999 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (5, 7)
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -5.9 to -2.8.

Maine²

• Rate : The incidence rate is 66.3 with a 95% confidence interval from 64.8 to 67.9 and 1,454 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (4, 8)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -5.7 to -2.1.

Indiana²

• Rate : The incidence rate is 65.0 with a 95% confidence interval from 64.3 to 65.8 and 5,569 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (7, 8)
• Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -6.3 to -4.1.

Ohio²

• Rate : The incidence rate is 63.6 with a 95% confidence interval from 63.0 to 64.1 and 10,146 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (9, 10)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -3.6 to -2.2.

Oklahoma²

• Rate : The incidence rate is 62.9 with a 95% confidence interval from 61.9 to 63.9 and 3,081 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (9, 11)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.1 to -1.3.

North Carolina²

• Rate : The incidence rate is 61.9 with a 95% confidence interval from 61.3 to 62.5 and 8,372 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (10, 12)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -4.7 to -2.9.

Louisiana⁷

• Rate : The incidence rate is 60.9 with a 95% confidence interval from 60.0 to 61.8 and 3,539 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (11, 14)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.4 to -1.5.

Iowa⁷

• Rate : The incidence rate is 60.0 with a 95% confidence interval from 58.9 to 61.1 and 2,555 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (12, 16)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.7.

Michigan²

• Rate : The incidence rate is 58.7 with a 95% confidence interval from 58.1 to 59.3 and 8,123 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (13, 17)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.7 to -1.6.

Rhode Island²

• Rate : The incidence rate is 58.6 with a 95% confidence interval from 56.9 to 60.4 and 882 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (12, 21)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -5.9 to -2.7.

New Hampshire²

• Rate : The incidence rate is 58.3 with a 95% confidence interval from 56.7 to 59.8 and 1,181 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (13, 21)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -6.2 to -2.2.

Illinois⁷

• Rate : The incidence rate is 57.8 with a 95% confidence interval from 57.2 to 58.3 and 9,294 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (15, 20)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.6 to -1.8.

Alabama²

• Rate : The incidence rate is 57.6 with a 95% confidence interval from 56.8 to 58.4 and 3,886 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (14, 21)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.5 to -2.0.

South Carolina²

• Rate : The incidence rate is 57.4 with a 95% confidence interval from 56.6 to 58.2 and 4,085 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (15, 21)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -5.6 to -2.5.

Pennsylvania²

• Rate : The incidence rate is 56.5 with a 95% confidence interval from 56.0 to 57.0 and 10,493 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (18, 22)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -4.5 to -3.3.

Delaware²

• Rate : The incidence rate is 56.0 with a 95% confidence interval from 54.3 to 57.8 and 822 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (15, 28)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -5.4 to -1.4.

Georgia⁷

• Rate : The incidence rate is 55.4 with a 95% confidence interval from 54.8 to 56.0 and 6,845 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (21, 26)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -4.8 to -2.8.

Wisconsin²

• Rate : The incidence rate is 55.1 with a 95% confidence interval from 54.4 to 55.8 and 4,415 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (21, 27)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -4.3 to -2.6.

Massachusetts²

• Rate : The incidence rate is 55.0 with a 95% confidence interval from 54.4 to 55.7 and 5,116 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (21, 27)
• Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -7.8 to -4.1.

Connecticut⁷

• Rate : The incidence rate is 54.1 with a 95% confidence interval from 53.1 to 55.0 and 2,672 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (23, 31)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.2.

North Dakota²

• Rate : The incidence rate is 53.8 with a 95% confidence interval from 51.7 to 56.0 and 504 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (20, 35)
• Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -9.4 to 0.1.

Vermont²

• Rate : The incidence rate is 53.8 with a 95% confidence interval from 51.7 to 55.9 and 529 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (20, 35)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -2.8 to -1.9.

Minnesota²

• Rate : The incidence rate is 53.8 with a 95% confidence interval from 53.0 to 54.5 and 3,905 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (24, 31)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.3 to -1.6.

South Dakota²

• Rate : The incidence rate is 53.6 with a 95% confidence interval from 51.7 to 55.6 and 625 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (21, 35)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -5.5 to -2.2.

Florida²

• Rate : The incidence rate is 53.3 with a 95% confidence interval from 52.9 to 53.6 and 17,931 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (26, 31)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -4.3 to -2.3.

New York⁷

• Rate : The incidence rate is 52.4 with a 95% confidence interval from 52.0 to 52.8 and 13,817 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (29, 34)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -3.8 to -2.3.

Kansas²

• Rate : The incidence rate is 52.2 with a 95% confidence interval from 51.1 to 53.2 and 1,921 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (27, 35)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -1.3.

Alaska²

• Rate : The incidence rate is 51.7 with a 95% confidence interval from 49.2 to 54.2 and 387 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (24, 37)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.6 to -2.3.

Nebraska²

• Rate : The incidence rate is 51.5 with a 95% confidence interval from 50.2 to 52.8 and 1,255 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (28, 35)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -1.0.

Virginia²

• Rate : The incidence rate is 50.9 with a 95% confidence interval from 50.3 to 51.5 and 5,510 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (32, 35)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.5 to -1.8.

Maryland²

• Rate : The incidence rate is 48.7 with a 95% confidence interval from 48.0 to 49.5 and 3,787 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (35, 38)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -5.8 to -2.2.

New Jersey⁷

• Rate : The incidence rate is 48.7 with a 95% confidence interval from 48.1 to 49.2 and 5,813 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (35, 38)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.5 to -1.8.

Washington¹

• Rate : The incidence rate is 47.8 with a 95% confidence interval from 47.2 to 48.4 and 4,483 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (36, 39)
• Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -6.1 to -2.9.

Oregon²

• Rate : The incidence rate is 46.9 with a 95% confidence interval from 46.1 to 47.7 and 2,697 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (38, 40)
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -6.9 to -4.1.

Texas⁷

• Rate : The incidence rate is 45.2 with a 95% confidence interval from 44.9 to 45.6 and 13,606 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (40, 42)
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -4.9 to -3.4.

Montana²

• Rate : The incidence rate is 45.2 with a 95% confidence interval from 43.6 to 46.7 and 711 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (39, 44)
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -8.6 to -2.1.

District of Columbia²

• Rate : The incidence rate is 44.4 with a 95% confidence interval from 42.1 to 46.7 and 298 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (39, 44)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -2.9 to -1.9.

Idaho⁷

• Rate : The incidence rate is 43.7 with a 95% confidence interval from 42.4 to 44.9 and 995 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (40, 44)
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -6.6 to -2.3.

Nevada²

• Rate : The incidence rate is 43.4 with a 95% confidence interval from 42.4 to 44.4 and 1,669 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (41, 44)
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -7.1 to -3.4.

Arizona²

• Rate : The incidence rate is 40.8 with a 95% confidence interval from 40.2 to 41.4 and 4,020 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (45, 46)
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -6.9 to -3.8.

Wyoming²

• Rate : The incidence rate is 38.1 with a 95% confidence interval from 36.1 to 40.2 and 292 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (45, 49)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.5.

Hawaii⁷

• Rate : The incidence rate is 38.0 with a 95% confidence interval from 36.8 to 39.2 and 792 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (46, 48)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.7.

Colorado²

• Rate : The incidence rate is 37.0 with a 95% confidence interval from 36.4 to 37.7 and 2,421 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (46, 49)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.4 to -1.9.

California⁷

• Rate : The incidence rate is 36.3 with a 95% confidence interval from 36.0 to 36.5 and 16,420 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (48, 49)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -4.8 to -3.4.

New Mexico⁷

• Rate : The incidence rate is 31.8 with a 95% confidence interval from 30.9 to 32.8 and 920 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (50, 50)
• Recent Trend : The trend is falling because the trend is -4.7 with a 95% confidence interval from -6.1 to -3.8.

Utah⁷

• Rate : The incidence rate is 25.0 with a 95% confidence interval from 24.1 to 25.8 and 733 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (51, 51)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.1 to -0.6.

Puerto Rico²

• Rate : The incidence rate is 14.6 with a 95% confidence interval from 14.1 to 15.0 and 760 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.5 to -1.8.

Notes:
Created by statecancerprofiles.cancer.gov on 03/06/2026 7:49 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.