Interpretation of Incidence Rates Data
Incidence Rate Report by State
Breast (All Stages^), 2018-2022
All Races (includes Hispanic), Female, All Ages
Sorted by CI*Rank
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 131.3 with a 95% confidence interval from 131.1 to 131.6 and 270,245 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is rising
because the trend is 0.6 with a 95% confidence interval from 0.5 to 0.8.
Connecticut7
- Rate : The incidence rate is 146.2 with a 95% confidence interval from 143.9 to 148.4 and 3,487 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 4)
- Recent Trend : The trend is rising
because the trend is 0.6 with a 95% confidence interval from 0.4 to 1.0.
Delaware2
- Rate : The incidence rate is 144.9 with a 95% confidence interval from 140.6 to 149.3 and 995 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 9)
- Recent Trend : The trend is rising
because the trend is 0.9 with a 95% confidence interval from 0.4 to 1.5.
North Carolina2
- Rate : The incidence rate is 144.3 with a 95% confidence interval from 142.9 to 145.6 and 9,621 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 5)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.0.
Minnesota2
- Rate : The incidence rate is 141.8 with a 95% confidence interval from 140.0 to 143.7 and 4,878 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (2, 8)
- Recent Trend : The trend is rising
because the trend is 0.9 with a 95% confidence interval from 0.7 to 1.5.
New Hampshire2
- Rate : The incidence rate is 141.5 with a 95% confidence interval from 137.9 to 145.2 and 1,335 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 17)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.1 to 0.9.
Rhode Island2
- Rate : The incidence rate is 140.7 with a 95% confidence interval from 136.6 to 144.8 and 1,020 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 21)
- Recent Trend : The trend is rising
because the trend is 0.6 with a 95% confidence interval from 0.2 to 1.0.
Maryland2
- Rate : The incidence rate is 138.6 with a 95% confidence interval from 136.9 to 140.3 and 5,427 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (5, 17)
- Recent Trend : The trend is rising
because the trend is 0.8 with a 95% confidence interval from 0.2 to 2.3.
Hawaii7
- Rate : The incidence rate is 138.4 with a 95% confidence interval from 134.9 to 142.0 and 1,287 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (3, 26)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -1.3 to 0.8.
New Jersey7
- Rate : The incidence rate is 138.0 with a 95% confidence interval from 136.6 to 139.4 and 8,181 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (5, 19)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.4 to 0.9.
Washington1
- Rate : The incidence rate is 137.9 with a 95% confidence interval from 136.3 to 139.5 and 6,328 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (5, 19)
- Recent Trend : The trend is rising
because the trend is 0.4 with a 95% confidence interval from 0.2 to 1.0.
Massachusetts2
- Rate : The incidence rate is 137.5 with a 95% confidence interval from 135.9 to 139.1 and 6,213 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (6, 21)
- Recent Trend : The trend is rising
because the trend is 0.4 with a 95% confidence interval from 0.1 to 0.6.
Montana2
- Rate : The incidence rate is 137.5 with a 95% confidence interval from 133.4 to 141.7 and 955 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (3, 31)
- Recent Trend : The trend is rising
because the trend is 0.7 with a 95% confidence interval from 0.3 to 1.1.
Wisconsin2
- Rate : The incidence rate is 137.5 with a 95% confidence interval from 135.7 to 139.2 and 5,109 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (5, 21)
- Recent Trend : The trend is rising
because the trend is 0.9 with a 95% confidence interval from 0.7 to 1.1.
District of Columbia2
- Rate : The incidence rate is 137.4 with a 95% confidence interval from 131.9 to 143.1 and 492 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (1, 36)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.6.
Iowa7
- Rate : The incidence rate is 137.3 with a 95% confidence interval from 134.8 to 139.7 and 2,716 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (5, 24)
- Recent Trend : The trend is rising
because the trend is 1.6 with a 95% confidence interval from 0.5 to 4.3.
Missouri2
- Rate : The incidence rate is 136.6 with a 95% confidence interval from 134.9 to 138.3 and 5,358 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (6, 24)
- Recent Trend : The trend is rising
because the trend is 1.0 with a 95% confidence interval from 0.7 to 2.0.
Kansas2
- Rate : The incidence rate is 136.5 with a 95% confidence interval from 133.9 to 139.1 and 2,398 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (6, 27)
- Recent Trend : The trend is rising
because the trend is 1.2 with a 95% confidence interval from 0.7 to 2.6.
South Carolina2
- Rate : The incidence rate is 135.7 with a 95% confidence interval from 133.9 to 137.5 and 4,631 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (8, 26)
- Recent Trend : The trend is rising
because the trend is 0.8 with a 95% confidence interval from 0.7 to 1.3.
New York7
- Rate : The incidence rate is 135.6 with a 95% confidence interval from 134.7 to 136.6 and 17,327 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (13, 24)
- Recent Trend : The trend is rising
because the trend is 0.6 with a 95% confidence interval from 0.5 to 1.0.
Illinois7
- Rate : The incidence rate is 135.5 with a 95% confidence interval from 134.3 to 136.7 and 10,722 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (13, 25)
- Recent Trend : The trend is rising
because the trend is 0.7 with a 95% confidence interval from 0.5 to 0.9.
Maine2
- Rate : The incidence rate is 134.7 with a 95% confidence interval from 131.2 to 138.2 and 1,353 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (7, 35)
- Recent Trend : The trend is rising
because the trend is 1.6 with a 95% confidence interval from 0.5 to 3.6.
Georgia7
- Rate : The incidence rate is 134.1 with a 95% confidence interval from 132.9 to 135.5 and 8,576 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (16, 29)
- Recent Trend : The trend is rising
because the trend is 0.8 with a 95% confidence interval from 0.6 to 1.2.
Colorado2
- Rate : The incidence rate is 134.0 with a 95% confidence interval from 132.2 to 135.8 and 4,441 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (14, 31)
- Recent Trend : The trend is rising
because the trend is 0.7 with a 95% confidence interval from 0.4 to 1.8.
Idaho7
- Rate : The incidence rate is 133.4 with a 95% confidence interval from 130.2 to 136.6 and 1,446 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (10, 38)
- Recent Trend : The trend is rising
because the trend is 1.0 with a 95% confidence interval from 0.6 to 1.5.
Ohio2
- Rate : The incidence rate is 133.0 with a 95% confidence interval from 131.8 to 134.2 and 10,161 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (20, 32)
- Recent Trend : The trend is rising
because the trend is 0.8 with a 95% confidence interval from 0.6 to 1.4.
Pennsylvania2
- Rate : The incidence rate is 132.4 with a 95% confidence interval from 131.2 to 133.5 and 11,531 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (21, 33)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.3 to 0.6.
South Dakota2
- Rate : The incidence rate is 132.0 with a 95% confidence interval from 127.4 to 136.7 and 692 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (8, 45)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.0.
Vermont2
- Rate : The incidence rate is 131.9 with a 95% confidence interval from 126.8 to 137.1 and 586 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (7, 46)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.4 to 0.5.
Louisiana7
- Rate : The incidence rate is 131.5 with a 95% confidence interval from 129.6 to 133.5 and 3,753 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (22, 37)
- Recent Trend : The trend is rising
because the trend is 0.9 with a 95% confidence interval from 0.7 to 1.3.
Oregon2
- Rate : The incidence rate is 131.4 with a 95% confidence interval from 129.4 to 133.4 and 3,604 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (21, 38)
- Recent Trend : The trend is falling
because the trend is -2.7 with a 95% confidence interval from -4.4 to -1.5.
Virginia2
- Rate : The incidence rate is 131.4 with a 95% confidence interval from 130.0 to 132.8 and 7,023 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (23, 36)
- Recent Trend : The trend is rising
because the trend is 0.4 with a 95% confidence interval from 0.2 to 0.7.
Michigan2
- Rate : The incidence rate is 130.4 with a 95% confidence interval from 129.1 to 131.7 and 8,495 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (26, 38)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.3 to 0.9.
Alaska2
- Rate : The incidence rate is 130.4 with a 95% confidence interval from 125.1 to 135.9 and 489 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (8, 48)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.
Kentucky7
- Rate : The incidence rate is 130.4 with a 95% confidence interval from 128.5 to 132.4 and 3,718 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (24, 39)
- Recent Trend : The trend is rising
because the trend is 0.7 with a 95% confidence interval from 0.5 to 0.9.
North Dakota2
- Rate : The incidence rate is 130.3 with a 95% confidence interval from 125.3 to 135.4 and 561 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (10, 48)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.1 to 0.9.
Nebraska2
- Rate : The incidence rate is 129.3 with a 95% confidence interval from 126.3 to 132.4 and 1,478 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (23, 46)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.6.
Florida2
- Rate : The incidence rate is 128.7 with a 95% confidence interval from 127.9 to 129.6 and 19,703 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (32, 41)
- Recent Trend : The trend is rising
because the trend is 0.8 with a 95% confidence interval from 0.6 to 1.0.
Alabama2
- Rate : The incidence rate is 127.9 with a 95% confidence interval from 126.1 to 129.7 and 4,181 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (31, 45)
- Recent Trend : The trend is rising
because the trend is 2.6 with a 95% confidence interval from 0.6 to 3.7.
Indiana2
- Rate : The incidence rate is 127.3 with a 95% confidence interval from 125.7 to 128.9 and 5,282 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (33, 46)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.3.
Oklahoma2
- Rate : The incidence rate is 127.1 with a 95% confidence interval from 125.0 to 129.2 and 3,020 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (33, 47)
- Recent Trend : The trend is rising
because the trend is 1.1 with a 95% confidence interval from 0.6 to 2.1.
West Virginia2
- Rate : The incidence rate is 126.8 with a 95% confidence interval from 123.9 to 129.8 and 1,589 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (29, 48)
- Recent Trend : The trend is rising
because the trend is 1.1 with a 95% confidence interval from 0.7 to 2.6.
Tennessee2
- Rate : The incidence rate is 126.1 with a 95% confidence interval from 124.6 to 127.7 and 5,553 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (36, 47)
- Recent Trend : The trend is rising
because the trend is 0.5 with a 95% confidence interval from 0.3 to 0.7.
Arkansas2
- Rate : The incidence rate is 125.8 with a 95% confidence interval from 123.4 to 128.2 and 2,400 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (35, 48)
- Recent Trend : The trend is rising
because the trend is 1.0 with a 95% confidence interval from 0.6 to 2.4.
Wyoming2
- Rate : The incidence rate is 125.8 with a 95% confidence interval from 120.3 to 131.5 and 438 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (23, 49)
- Recent Trend : The trend is rising
because the trend is 1.4 with a 95% confidence interval from 0.5 to 4.4.
Mississippi2
- Rate : The incidence rate is 125.6 with a 95% confidence interval from 123.3 to 128.0 and 2,347 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (35, 48)
- Recent Trend : The trend is rising
because the trend is 0.8 with a 95% confidence interval from 0.4 to 1.2.
California7
- Rate : The incidence rate is 125.6 with a 95% confidence interval from 125.0 to 126.3 and 28,877 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (40, 47)
- Recent Trend : The trend is rising
because the trend is 0.3 with a 95% confidence interval from 0.1 to 0.6.
Texas7
- Rate : The incidence rate is 123.7 with a 95% confidence interval from 122.9 to 124.5 and 19,496 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (44, 48)
- Recent Trend : The trend is rising
because the trend is 1.2 with a 95% confidence interval from 0.5 to 2.4.
Utah7
- Rate : The incidence rate is 123.1 with a 95% confidence interval from 120.6 to 125.7 and 1,856 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (41, 49)
- Recent Trend : The trend is rising
because the trend is 3.0 with a 95% confidence interval from 1.0 to 4.1.
Arizona2
- Rate : The incidence rate is 119.1 with a 95% confidence interval from 117.6 to 120.6 and 5,446 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (48, 50)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.7.
New Mexico7
- Rate : The incidence rate is 115.9 with a 95% confidence interval from 113.2 to 118.6 and 1,584 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (49, 51)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -0.2 to 1.4.
Nevada2
- Rate : The incidence rate is 111.5 with a 95% confidence interval from 109.3 to 113.7 and 2,084 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (50, 51)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.2.
Puerto Rico2
- Rate : The incidence rate is 98.9 with a 95% confidence interval from 97.0 to 100.8 and 2,410 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is rising
because the trend is 1.6 with a 95% confidence interval from 1.1 to 2.2.
Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 12:24 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 United States does not include Puerto Rico.


