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Incidence Rates Table

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Incidence Rate Report by State

Colon & Rectum (All Stages^), 2021

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

Sorted by Count

State
 sort alphabetically by name ascending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count ascending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
US (SEER+NPCR) 1 36.0 (35.8, 36.2) N/A 141,902 falling falling trend -1.1 (-1.3, -0.9)
California 7 33.6 (33.1, 34.2) 37 (31, 43) 15,096 falling falling trend -1.0 (-1.4, -0.5)
Texas 7 37.9 (37.2, 38.6) 19 (11, 24) 11,563 stable stable trend -0.1 (-0.5, 0.2)
Florida 2 35.8 (35.1, 36.5) 26 (21, 33) 11,073 falling falling trend -1.1 (-1.5, -0.6)
New York 7 36.4 (35.6, 37.1) 25 (18, 31) 8,997 falling falling trend -1.1 (-1.5, -0.5)
Pennsylvania 2 35.4 (34.4, 36.3) 28 (21, 37) 6,042 falling falling trend -1.9 (-2.5, -0.5)
Illinois 7 38.2 (37.2, 39.2) 15 (9, 24) 5,878 falling falling trend -1.8 (-2.3, -0.5)
Ohio 2 38.3 (37.3, 39.4) 14 (8, 24) 5,664 falling falling trend -1.9 (-3.2, -1.3)
Georgia 7 40.5 (39.3, 41.6) 8 (5, 15) 4,906 stable stable trend -0.5 (-2.1, 0.7)
New Jersey 7 39.4 (38.3, 40.6) 9 (6, 20) 4,585 stable stable trend 0.5 (-1.3, 1.6)
North Carolina 2 35.0 (34.0, 36.1) 30 (22, 39) 4,496 falling falling trend -1.6 (-2.8, -0.9)
Michigan 2 33.2 (32.2, 34.3) 39 (30, 45) 4,221 falling falling trend -3.3 (-5.9, -1.3)
Virginia 2 33.4 (32.3, 34.6) 38 (28, 45) 3,441 falling falling trend -1.1 (-1.5, -0.5)
Tennessee 2 37.1 (35.8, 38.5) 22 (11, 31) 3,154 stable stable trend -0.8 (-1.5, 0.6)
Washington 4 34.6 (33.3, 35.8) 33 (23, 42) 3,093 stable stable trend -0.7 (-1.3, 0.3)
Missouri 2 39.4 (37.9, 40.9) 10 (6, 22) 3,012 stable stable trend -0.7 (-1.9, 1.6)
Arizona 2 29.3 (28.2, 30.5) 50 (44, 50) 2,666 falling falling trend -1.9 (-2.3, -1.6)
Massachusetts 7 30.1 (28.9, 31.3) 48 (42, 50) 2,590 falling falling trend -2.5 (-3.0, -1.7)
Wisconsin 2 34.6 (33.2, 36.0) 32 (22, 43) 2,549 stable stable trend -1.1 (-1.8, 0.3)
Maryland 2 34.3 (32.9, 35.7) 35 (23, 43) 2,542 stable stable trend -0.6 (-1.5, 1.2)
Minnesota 2 36.9 (35.4, 38.4) 24 (12, 32) 2,512 stable stable trend -0.7 (-1.5, 1.1)
Alabama 2 39.4 (37.8, 41.0) 11 (5, 23) 2,510 falling falling trend -1.8 (-2.9, -1.3)
Kentucky 7 44.7 (42.9, 46.6) 2 (1, 7) 2,456 stable stable trend -1.1 (-1.7, 0.3)
Louisiana 7 44.5 (42.7, 46.4) 3 (1, 6) 2,448 stable stable trend 0.1 (-1.1, 1.8)
South Carolina 2 34.2 (32.8, 35.7) 36 (23, 44) 2,275 stable stable trend -1.4 (-2.3, 1.3)
Colorado 2 31.7 (30.3, 33.1) 44 (35, 49) 2,047 falling falling trend -1.1 (-1.5, -0.7)
Oklahoma 2 42.6 (40.7, 44.6) 5 (1, 11) 1,971 stable stable trend -0.4 (-1.5, 2.1)
Puerto Rico 2 37.2 (35.4, 39.1) N/A 1,786 falling falling trend -3.1 (-4.6, -1.3)
Oregon 2 30.8 (29.2, 32.3) 47 (39, 50) 1,628 stable stable trend -1.6 (-2.3, 0.0)
Mississippi 2 44.8 (42.6, 47.1) 1 (1, 7) 1,608 falling falling trend -1.0 (-1.2, -0.7)
Connecticut 7 35.0 (33.2, 36.8) 31 (18, 43) 1,578 stable stable trend -0.8 (-2.1, 1.4)
Iowa 7 39.1 (37.1, 41.2) 13 (5, 26) 1,559 stable stable trend -1.5 (-2.2, 0.2)
Arkansas 2 38.0 (36.0, 40.1) 17 (7, 31) 1,417 stable stable trend -0.2 (-1.2, 2.6)
Kansas 2 37.0 (34.9, 39.1) 23 (8, 36) 1,293 stable stable trend -0.5 (-1.9, 2.1)
Nevada 2 32.9 (31.1, 34.9) 41 (26, 48) 1,236 falling falling trend -2.5 (-2.8, -2.2)
West Virginia 2 43.4 (40.8, 46.2) 4 (1, 11) 1,083 stable stable trend -0.7 (-1.4, 0.7)
Utah 7 29.5 (27.6, 31.6) 49 (41, 50) 882 stable stable trend 0.5 (-2.1, 3.5)
New Mexico 7 32.7 (30.5, 35.1) 42 (23, 49) 863 stable stable trend -0.3 (-1.4, 2.0)
Nebraska 2 37.4 (34.9, 40.1) 21 (6, 38) 855 falling falling trend -3.6 (-5.5, -2.5)
Idaho 7 37.9 (35.3, 40.7) 18 (5, 35) 837 stable stable trend 1.7 (-0.5, 3.8)
Hawaii 7 40.8 (37.9, 44.0) 6 (1, 25) 766 stable stable trend 1.2 (-1.9, 3.0)
Maine 2 35.4 (32.7, 38.3) 27 (10, 45) 706 stable stable trend -0.8 (-2.1, 2.0)
New Hampshire 2 32.3 (29.6, 35.1) 43 (23, 50) 601 stable stable trend -1.3 (-2.5, 2.0)
Montana 2 37.7 (34.4, 41.2) 20 (4, 41) 543 falling falling trend -1.9 (-2.5, -1.3)
Rhode Island 2 31.1 (28.2, 34.3) 46 (26, 50) 442 stable stable trend 0.2 (-3.5, 3.6)
Delaware 2 31.7 (28.5, 35.0) 45 (23, 50) 422 falling falling trend -5.0 (-6.6, -3.8)
South Dakota 2 38.1 (34.3, 42.1) 16 (3, 42) 408 stable stable trend -1.7 (-2.4, 0.3)
North Dakota 2 40.6 (36.3, 45.3) 7 (1, 35) 352 falling falling trend -2.1 (-3.0, -1.4)
Alaska 2 39.4 (34.8, 44.4) 12 (1, 43) 292 falling falling trend -1.8 (-2.3, -1.2)
Vermont 2 33.0 (29.0, 37.4) 40 (12, 50) 278 stable stable trend -0.6 (-2.9, 3.0)
Wyoming 2 34.5 (30.2, 39.2) 34 (6, 50) 251 stable stable trend 1.9 (-2.1, 7.3)
District of Columbia 2 35.2 (30.7, 40.1) 29 (5, 50) 231 falling falling trend -2.6 (-3.4, -1.9)
Indiana 2
data not available
N/A
data not available
data not available
data not available
Notes:
Created by statecancerprofiles.cancer.gov on 06/30/2025 10:40 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.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
⋔ 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. More information about methodology can be found on the CI*Rank website.

Data not available for this combination of data selections.
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 2023 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 2023 submission).
4 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 2023 submission.
7 Source: SEER November 2023 submission.
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with SEER November 2023 data.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.
CI*Rank data for Puerto Rico is not available.

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