Interpretation of Incidence Rates Data
Incidence Rate Report by State
Brain & ONS (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Recentaapc
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 6.3 with a 95% confidence interval from 6.2 to 6.3 and 23,548 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.
Massachusetts2
- Rate : The incidence rate is 6.4 with a 95% confidence interval from 6.2 to 6.7 and 522 average annual cases over 2018-2022.
- CI*Rank ⋔ : 25 (11, 36)
- Recent Trend : The trend is falling
because the trend is -5.0 with a 95% confidence interval from -8.6 to -1.1.
Ohio2
- Rate : The incidence rate is 6.5 with a 95% confidence interval from 6.3 to 6.7 and 888 average annual cases over 2018-2022.
- CI*Rank ⋔ : 22 (10, 31)
- Recent Trend : The trend is falling
because the trend is -4.0 with a 95% confidence interval from -7.7 to -0.5.
Oregon2
- Rate : The incidence rate is 6.3 with a 95% confidence interval from 6.0 to 6.6 and 314 average annual cases over 2018-2022.
- CI*Rank ⋔ : 29 (13, 43)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -5.5 to -1.8.
Pennsylvania2
- Rate : The incidence rate is 6.7 with a 95% confidence interval from 6.5 to 6.9 and 1,037 average annual cases over 2018-2022.
- CI*Rank ⋔ : 15 (7, 26)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -4.1 to -1.0.
Iowa7
- Rate : The incidence rate is 6.6 with a 95% confidence interval from 6.2 to 7.0 and 242 average annual cases over 2018-2022.
- CI*Rank ⋔ : 20 (4, 38)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -5.5 to -0.4.
Puerto Rico2
- Rate : The incidence rate is 4.1 with a 95% confidence interval from 3.8 to 4.4 and 162 average annual cases over 2018-2022.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -3.9 to -0.8.
Michigan2
- Rate : The incidence rate is 6.1 with a 95% confidence interval from 5.9 to 6.3 and 718 average annual cases over 2018-2022.
- CI*Rank ⋔ : 35 (25, 43)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -3.9 to -1.1.
South Dakota2
- Rate : The incidence rate is 5.4 with a 95% confidence interval from 4.7 to 6.1 and 52 average annual cases over 2018-2022.
- CI*Rank ⋔ : 49 (23, 51)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -3.1 to -0.1.
Delaware2
- Rate : The incidence rate is 6.1 with a 95% confidence interval from 5.5 to 6.8 and 73 average annual cases over 2018-2022.
- CI*Rank ⋔ : 32 (5, 50)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -5.5 to -0.6.
Virginia2
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 5.4 to 5.9 and 545 average annual cases over 2018-2022.
- CI*Rank ⋔ : 43 (37, 50)
- Recent Trend : The trend is stable
because the trend is -1.5 with a 95% confidence interval from -8.6 to 0.6.
Wyoming2
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 4.8 to 6.5 and 38 average annual cases over 2018-2022.
- CI*Rank ⋔ : 44 (8, 51)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -3.2 to 0.6.
Arizona2
- Rate : The incidence rate is 6.2 with a 95% confidence interval from 5.9 to 6.4 and 513 average annual cases over 2018-2022.
- CI*Rank ⋔ : 30 (21, 42)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.6 to -0.8.
Kentucky7
- Rate : The incidence rate is 7.0 with a 95% confidence interval from 6.7 to 7.4 and 360 average annual cases over 2018-2022.
- CI*Rank ⋔ : 8 (1, 23)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -3.3 to -0.2.
Rhode Island2
- Rate : The incidence rate is 6.5 with a 95% confidence interval from 5.8 to 7.1 and 85 average annual cases over 2018-2022.
- CI*Rank ⋔ : 24 (2, 47)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.2.
Wisconsin2
- Rate : The incidence rate is 6.8 with a 95% confidence interval from 6.6 to 7.1 and 473 average annual cases over 2018-2022.
- CI*Rank ⋔ : 13 (3, 27)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -3.5 to -0.6.
North Dakota2
- Rate : The incidence rate is 6.0 with a 95% confidence interval from 5.2 to 6.8 and 51 average annual cases over 2018-2022.
- CI*Rank ⋔ : 39 (5, 50)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -2.4 to 0.5.
Alaska2
- Rate : The incidence rate is 5.9 with a 95% confidence interval from 5.1 to 6.8 and 45 average annual cases over 2018-2022.
- CI*Rank ⋔ : 40 (4, 50)
- Recent Trend : The trend is stable
because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.9.
Georgia7
- Rate : The incidence rate is 5.9 with a 95% confidence interval from 5.7 to 6.1 and 678 average annual cases over 2018-2022.
- CI*Rank ⋔ : 41 (31, 47)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -2.0 to -0.6.
Texas7
- Rate : The incidence rate is 6.0 with a 95% confidence interval from 5.9 to 6.1 and 1,799 average annual cases over 2018-2022.
- CI*Rank ⋔ : 38 (29, 43)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.0 to -0.7.
Maine2
- Rate : The incidence rate is 7.0 with a 95% confidence interval from 6.4 to 7.6 and 124 average annual cases over 2018-2022.
- CI*Rank ⋔ : 10 (1, 35)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.2.
Nevada2
- Rate : The incidence rate is 5.4 with a 95% confidence interval from 5.1 to 5.8 and 189 average annual cases over 2018-2022.
- CI*Rank ⋔ : 48 (38, 50)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.0.
Oklahoma2
- Rate : The incidence rate is 6.3 with a 95% confidence interval from 6.0 to 6.7 and 277 average annual cases over 2018-2022.
- CI*Rank ⋔ : 28 (10, 42)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
Colorado2
- Rate : The incidence rate is 6.1 with a 95% confidence interval from 5.8 to 6.4 and 386 average annual cases over 2018-2022.
- CI*Rank ⋔ : 33 (20, 44)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.4 to -0.1.
Illinois7
- Rate : The incidence rate is 6.1 with a 95% confidence interval from 5.9 to 6.3 and 867 average annual cases over 2018-2022.
- CI*Rank ⋔ : 34 (25, 43)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -2.1 to -0.4.
Maryland2
- Rate : The incidence rate is 6.0 with a 95% confidence interval from 5.8 to 6.3 and 419 average annual cases over 2018-2022.
- CI*Rank ⋔ : 37 (23, 45)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.
Mississippi2
- Rate : The incidence rate is 5.5 with a 95% confidence interval from 5.2 to 5.9 and 183 average annual cases over 2018-2022.
- CI*Rank ⋔ : 47 (33, 50)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.3.
California7
- Rate : The incidence rate is 5.8 with a 95% confidence interval from 5.7 to 5.9 and 2,491 average annual cases over 2018-2022.
- CI*Rank ⋔ : 42 (37, 46)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -1.5 to -0.4.
Indiana2
- Rate : The incidence rate is 6.5 with a 95% confidence interval from 6.3 to 6.8 and 493 average annual cases over 2018-2022.
- CI*Rank ⋔ : 23 (9, 34)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -1.3 to -0.1.
New Jersey7
- Rate : The incidence rate is 6.6 with a 95% confidence interval from 6.4 to 6.8 and 700 average annual cases over 2018-2022.
- CI*Rank ⋔ : 21 (8, 30)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.3.
New York7
- Rate : The incidence rate is 6.2 with a 95% confidence interval from 6.0 to 6.3 and 1,408 average annual cases over 2018-2022.
- CI*Rank ⋔ : 31 (24, 40)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.4.
South Carolina2
- Rate : The incidence rate is 6.1 with a 95% confidence interval from 5.8 to 6.4 and 372 average annual cases over 2018-2022.
- CI*Rank ⋔ : 36 (22, 45)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -1.2 to -0.1.
West Virginia2
- Rate : The incidence rate is 7.0 with a 95% confidence interval from 6.4 to 7.5 and 151 average annual cases over 2018-2022.
- CI*Rank ⋔ : 11 (1, 32)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.1.
Arkansas2
- Rate : The incidence rate is 6.7 with a 95% confidence interval from 6.3 to 7.1 and 233 average annual cases over 2018-2022.
- CI*Rank ⋔ : 16 (3, 35)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -5.2 to 0.8.
Idaho7
- Rate : The incidence rate is 7.0 with a 95% confidence interval from 6.5 to 7.6 and 144 average annual cases over 2018-2022.
- CI*Rank ⋔ : 7 (1, 31)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.5.
North Carolina2
- Rate : The incidence rate is 6.4 with a 95% confidence interval from 6.2 to 6.6 and 758 average annual cases over 2018-2022.
- CI*Rank ⋔ : 27 (16, 37)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.
Washington1
- Rate : The incidence rate is 7.0 with a 95% confidence interval from 6.8 to 7.3 and 599 average annual cases over 2018-2022.
- CI*Rank ⋔ : 6 (1, 19)
- Recent Trend : The trend is falling
because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.
Florida2
- Rate : The incidence rate is 6.8 with a 95% confidence interval from 6.6 to 6.9 and 1,816 average annual cases over 2018-2022.
- CI*Rank ⋔ : 14 (7, 23)
- Recent Trend : The trend is falling
because the trend is -0.4 with a 95% confidence interval from -0.7 to -0.1.
Montana2
- Rate : The incidence rate is 7.4 with a 95% confidence interval from 6.7 to 8.1 and 97 average annual cases over 2018-2022.
- CI*Rank ⋔ : 1 (1, 27)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.3.
Tennessee2
- Rate : The incidence rate is 6.4 with a 95% confidence interval from 6.2 to 6.7 and 503 average annual cases over 2018-2022.
- CI*Rank ⋔ : 26 (11, 37)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.
Hawaii7
- Rate : The incidence rate is 4.2 with a 95% confidence interval from 3.8 to 4.7 and 72 average annual cases over 2018-2022.
- CI*Rank ⋔ : 51 (50, 51)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.6.
Missouri2
- Rate : The incidence rate is 6.6 with a 95% confidence interval from 6.4 to 6.9 and 471 average annual cases over 2018-2022.
- CI*Rank ⋔ : 19 (6, 31)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.2.
Alabama2
- Rate : The incidence rate is 6.7 with a 95% confidence interval from 6.4 to 7.0 and 387 average annual cases over 2018-2022.
- CI*Rank ⋔ : 17 (4, 31)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.4.
Kansas2
- Rate : The incidence rate is 6.7 with a 95% confidence interval from 6.3 to 7.1 and 217 average annual cases over 2018-2022.
- CI*Rank ⋔ : 18 (3, 36)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.5.
Louisiana7
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 5.3 to 5.9 and 289 average annual cases over 2018-2022.
- CI*Rank ⋔ : 46 (36, 50)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.
New Hampshire2
- Rate : The incidence rate is 7.4 with a 95% confidence interval from 6.8 to 8.0 and 124 average annual cases over 2018-2022.
- CI*Rank ⋔ : 3 (1, 25)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.0.
New Mexico7
- Rate : The incidence rate is 5.3 with a 95% confidence interval from 4.9 to 5.7 and 130 average annual cases over 2018-2022.
- CI*Rank ⋔ : 50 (39, 50)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.3.
Connecticut7
- Rate : The incidence rate is 7.2 with a 95% confidence interval from 6.8 to 7.6 and 306 average annual cases over 2018-2022.
- CI*Rank ⋔ : 4 (1, 20)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.2.
District of Columbia2
- Rate : The incidence rate is 5.6 with a 95% confidence interval from 4.8 to 6.5 and 38 average annual cases over 2018-2022.
- CI*Rank ⋔ : 45 (9, 50)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.5.
Nebraska2
- Rate : The incidence rate is 6.9 with a 95% confidence interval from 6.4 to 7.5 and 148 average annual cases over 2018-2022.
- CI*Rank ⋔ : 12 (1, 33)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.
Utah7
- Rate : The incidence rate is 7.1 with a 95% confidence interval from 6.7 to 7.5 and 220 average annual cases over 2018-2022.
- CI*Rank ⋔ : 5 (1, 26)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.4 to 0.4.
Vermont2
- Rate : The incidence rate is 7.4 with a 95% confidence interval from 6.5 to 8.4 and 59 average annual cases over 2018-2022.
- CI*Rank ⋔ : 2 (1, 36)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.7.
Minnesota2
- Rate : The incidence rate is 7.0 with a 95% confidence interval from 6.7 to 7.3 and 446 average annual cases over 2018-2022.
- CI*Rank ⋔ : 9 (1, 22)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.2.
Notes:
Created by statecancerprofiles.cancer.gov on 03/10/2026 3:05 am.
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.


