State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Childhood (Ages <20, All Sites) (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes

Sorted by Recentaapc

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 18.4 with a 95% confidence interval from 18.3 to 18.6 and 15,285 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.5.

Nevada²

• Rate : The incidence rate is 17.6 with a 95% confidence interval from 16.3 to 19.0 and 133 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (8, 49)
• Recent Trend : The trend is stable because the trend is -5.7 with a 95% confidence interval from -15.5 to 2.5.

West Virginia²

• Rate : The incidence rate is 19.3 with a 95% confidence interval from 17.4 to 21.3 and 79 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 44)
• Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -9.8 to 0.3.

Virginia²

• Rate : The incidence rate is 15.8 with a 95% confidence interval from 15.1 to 16.6 and 338 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (39, 51)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -8.9 to -0.2.

Minnesota²

• Rate : The incidence rate is 18.9 with a 95% confidence interval from 17.9 to 19.9 and 277 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (3, 36)
• Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -8.1 to 0.7.

Puerto Rico²

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 16.0 to 19.0 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -10.2 to 0.4.

Illinois⁷

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 16.0 to 17.5 and 391 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (6, 33)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.3 to -0.8.

North Carolina²

• Rate : The incidence rate is 17.2 with a 95% confidence interval from 16.5 to 18.0 and 451 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (22, 47)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -8.8 to 1.1.

Louisiana⁷

• Rate : The incidence rate is 15.4 with a 95% confidence interval from 14.3 to 16.6 and 142 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (18, 50)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -6.4 to 0.5.

Michigan²

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 16.1 to 17.5 and 411 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (28, 49)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -8.8 to 0.6.

California⁷

• Rate : The incidence rate is 16.3 with a 95% confidence interval from 15.9 to 16.7 and 1,186 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (15, 33)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.2 to 0.2.

Georgia⁷

• Rate : The incidence rate is 16.2 with a 95% confidence interval from 15.4 to 17.0 and 337 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (15, 42)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.9 to 0.6.

Kansas²

• Rate : The incidence rate is 17.9 with a 95% confidence interval from 16.6 to 19.3 and 142 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (7, 48)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.3 to 0.3.

New York⁷

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 17.4 to 18.7 and 626 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 11)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.3 to 0.5.

Idaho⁷

• Rate : The incidence rate is 15.4 with a 95% confidence interval from 13.6 to 17.2 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (16, 51)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.5.

North Dakota²

• Rate : The incidence rate is 17.0 with a 95% confidence interval from 14.5 to 19.7 and 35 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (2, 51)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.0 to 1.2.

Massachusetts²

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 17.1 to 19.0 and 287 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (9, 44)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -4.0 to 0.3.

New Hampshire²

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 16.9 to 21.5 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 49)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.3 to 0.9.

Texas⁷

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 17.0 to 18.0 and 1,076 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (5, 21)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.4 to 0.4.

New Mexico⁷

• Rate : The incidence rate is 15.1 with a 95% confidence interval from 13.4 to 16.9 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (14, 51)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -3.4 to 0.7.

Alaska²

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 15.5 to 20.9 and 35 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (1, 51)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.4.

Indiana²

• Rate : The incidence rate is 17.6 with a 95% confidence interval from 16.7 to 18.5 and 314 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (15, 46)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.6 to 0.9.

Oregon²

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 16.9 to 19.4 and 174 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (5, 46)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.2.

Wisconsin²

• Rate : The incidence rate is 17.9 with a 95% confidence interval from 16.9 to 18.9 and 258 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (9, 46)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.9.

Colorado²

• Rate : The incidence rate is 17.8 with a 95% confidence interval from 16.8 to 18.8 and 250 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (11, 46)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.4 to 0.9.

New Jersey⁷

• Rate : The incidence rate is 16.4 with a 95% confidence interval from 15.6 to 17.3 and 276 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (2, 26)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.8.

Pennsylvania²

• Rate : The incidence rate is 19.3 with a 95% confidence interval from 18.6 to 20.0 and 589 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (3, 25)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.1 to 0.7.

District of Columbia²

• Rate : The incidence rate is 16.6 with a 95% confidence interval from 13.7 to 19.8 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (2, 51)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.4 to 2.4.

Montana²

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 15.9 to 20.6 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (1, 51)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.0.

Oklahoma²

• Rate : The incidence rate is 17.8 with a 95% confidence interval from 16.7 to 18.9 and 190 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (9, 47)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.6 to 1.3.

Connecticut⁷

• Rate : The incidence rate is 17.6 with a 95% confidence interval from 16.1 to 19.2 and 105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 36)
• Recent Trend : The trend is rising because the trend is 0.5 with a 95% confidence interval from 0.2 to 0.9.

Delaware²

• Rate : The incidence rate is 19.4 with a 95% confidence interval from 17.0 to 22.1 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 48)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.9 to 1.9.

Washington¹

• Rate : The incidence rate is 19.3 with a 95% confidence interval from 18.4 to 20.2 and 358 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (3, 29)
• Recent Trend : The trend is rising because the trend is 0.5 with a 95% confidence interval from 0.1 to 1.0.

Iowa⁷

• Rate : The incidence rate is 16.3 with a 95% confidence interval from 14.9 to 17.8 and 99 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (8, 48)
• Recent Trend : The trend is rising because the trend is 0.6 with a 95% confidence interval from 0.1 to 1.2.

Maryland²

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 15.9 to 17.8 and 258 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (23, 50)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.2 to 1.5.

Nebraska²

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 17.2 to 20.5 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (1, 45)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.4 to 1.6.

South Dakota²

• Rate : The incidence rate is 16.0 with a 95% confidence interval from 13.8 to 18.4 and 39 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (9, 51)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.1 to 2.4.

South Carolina²

• Rate : The incidence rate is 16.0 with a 95% confidence interval from 15.0 to 17.0 and 202 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (32, 51)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.1 to 1.6.

Wyoming²

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 14.6 to 20.8 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (1, 51)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.9 to 2.4.

Arkansas²

• Rate : The incidence rate is 16.7 with a 95% confidence interval from 15.4 to 18.0 and 131 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (19, 51)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.7.

Hawaii⁷

• Rate : The incidence rate is 13.9 with a 95% confidence interval from 12.0 to 16.1 and 36 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (9, 51)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.8.

Mississippi²

• Rate : The incidence rate is 15.3 with a 95% confidence interval from 14.1 to 16.6 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (37, 51)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.2 to 1.8.

Missouri²

• Rate : The incidence rate is 17.4 with a 95% confidence interval from 16.5 to 18.4 and 270 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (16, 48)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.1 to 1.6.

Ohio²

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 18.4 to 19.8 and 560 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (4, 29)
• Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.3 to 1.3.

Arizona²

• Rate : The incidence rate is 19.0 with a 95% confidence interval from 18.1 to 19.9 and 340 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (3, 33)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.1 to 1.7.

Florida²

• Rate : The incidence rate is 20.1 with a 95% confidence interval from 19.5 to 20.7 and 963 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 14)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.5 to 1.3.

Maine²

• Rate : The incidence rate is 21.7 with a 95% confidence interval from 19.4 to 24.3 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 26)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.2 to 1.6.

Tennessee²

• Rate : The incidence rate is 18.4 with a 95% confidence interval from 17.5 to 19.3 and 317 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (7, 40)
• Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.1 to 1.6.

Kentucky⁷

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 16.7 to 19.3 and 152 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 26)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.6 to 1.5.

Rhode Island²

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 16.4 to 21.4 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (1, 50)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.5 to 2.4.

Utah⁷

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 16.9 to 19.6 and 142 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 18)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.7 to 1.4.

Alabama²

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 16.5 to 18.6 and 222 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (13, 48)
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.3 to 2.2.

Vermont²

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 16.5 to 23.3 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 51)
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.9 to 11.9.

Notes:
Created by statecancerprofiles.cancer.gov on 03/05/2026 6:20 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.