Interpretation of Incidence Rates Data
Incidence Rate Report by State
Lung & Bronchus (All Stages^), 2021
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
Explanation of Column HeadersObjective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.
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 49.1 with a 95% confidence interval from 48.9 to 49.3 and 209,500 average annual cases over 2021.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -3.5 with a 95% confidence interval from -4.2 to -2.9.
Kentucky7
- Rate : The incidence rate is 79.3 with a 95% confidence interval from 77.0 to 81.6 and 4,797 average annual cases over 2021.
- CI*Rank ⋔ : 1 (1, 2)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.4.
West Virginia2
- Rate : The incidence rate is 74.0 with a 95% confidence interval from 70.7 to 77.4 and 2,055 average annual cases over 2021.
- CI*Rank ⋔ : 2 (1, 2)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.
Mississippi2
- Rate : The incidence rate is 65.6 with a 95% confidence interval from 63.0 to 68.2 and 2,547 average annual cases over 2021.
- CI*Rank ⋔ : 3 (3, 6)
- Recent Trend : The trend is falling
because the trend is -3.3 with a 95% confidence interval from -4.5 to -1.1.
Arkansas2
- Rate : The incidence rate is 64.3 with a 95% confidence interval from 61.9 to 66.9 and 2,630 average annual cases over 2021.
- CI*Rank ⋔ : 4 (3, 8)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.6.
Maine2
- Rate : The incidence rate is 62.9 with a 95% confidence interval from 59.6 to 66.5 and 1,416 average annual cases over 2021.
- CI*Rank ⋔ : 5 (3, 12)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -5.4 to -0.8.
Tennessee2
- Rate : The incidence rate is 61.2 with a 95% confidence interval from 59.6 to 62.8 and 5,695 average annual cases over 2021.
- CI*Rank ⋔ : 6 (4, 10)
- Recent Trend : The trend is falling
because the trend is -4.5 with a 95% confidence interval from -6.3 to -3.2.
Missouri2
- Rate : The incidence rate is 60.9 with a 95% confidence interval from 59.2 to 62.7 and 5,144 average annual cases over 2021.
- CI*Rank ⋔ : 7 (4, 11)
- Recent Trend : The trend is falling
because the trend is -3.6 with a 95% confidence interval from -5.2 to -2.1.
Oklahoma2
- Rate : The incidence rate is 60.7 with a 95% confidence interval from 58.5 to 63.0 and 3,042 average annual cases over 2021.
- CI*Rank ⋔ : 8 (4, 12)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.1 to -1.3.
Ohio2
- Rate : The incidence rate is 60.6 with a 95% confidence interval from 59.3 to 61.8 and 9,876 average annual cases over 2021.
- CI*Rank ⋔ : 9 (5, 11)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -3.7 to -1.6.
Iowa7
- Rate : The incidence rate is 58.5 with a 95% confidence interval from 56.2 to 60.8 and 2,549 average annual cases over 2021.
- CI*Rank ⋔ : 10 (6, 17)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.6.
Louisiana7
- Rate : The incidence rate is 58.0 with a 95% confidence interval from 56.1 to 60.0 and 3,442 average annual cases over 2021.
- CI*Rank ⋔ : 11 (7, 17)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.5 to -1.6.
North Carolina2
- Rate : The incidence rate is 57.3 with a 95% confidence interval from 56.1 to 58.6 and 8,062 average annual cases over 2021.
- CI*Rank ⋔ : 12 (9, 17)
- Recent Trend : The trend is falling
because the trend is -3.9 with a 95% confidence interval from -4.8 to -3.1.
Illinois7
- Rate : The incidence rate is 55.8 with a 95% confidence interval from 54.7 to 57.0 and 9,167 average annual cases over 2021.
- CI*Rank ⋔ : 13 (11, 19)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.3 to -1.6.
Alabama2
- Rate : The incidence rate is 55.8 with a 95% confidence interval from 54.0 to 57.6 and 3,874 average annual cases over 2021.
- CI*Rank ⋔ : 14 (10, 21)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -2.7 to -2.0.
Connecticut7
- Rate : The incidence rate is 55.5 with a 95% confidence interval from 53.4 to 57.7 and 2,772 average annual cases over 2021.
- CI*Rank ⋔ : 15 (10, 23)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.1.
Rhode Island2
- Rate : The incidence rate is 55.5 with a 95% confidence interval from 51.7 to 59.4 and 850 average annual cases over 2021.
- CI*Rank ⋔ : 16 (6, 30)
- Recent Trend : The trend is falling
because the trend is -4.6 with a 95% confidence interval from -6.9 to -2.9.
Delaware2
- Rate : The incidence rate is 54.1 with a 95% confidence interval from 50.3 to 58.0 and 824 average annual cases over 2021.
- CI*Rank ⋔ : 17 (9, 32)
- Recent Trend : The trend is falling
because the trend is -4.5 with a 95% confidence interval from -9.4 to -2.4.
New Hampshire2
- Rate : The incidence rate is 54.0 with a 95% confidence interval from 50.8 to 57.3 and 1,138 average annual cases over 2021.
- CI*Rank ⋔ : 18 (10, 32)
- Recent Trend : The trend is falling
because the trend is -3.7 with a 95% confidence interval from -5.9 to -1.3.
Michigan2
- Rate : The incidence rate is 52.7 with a 95% confidence interval from 51.5 to 53.9 and 7,448 average annual cases over 2021.
- CI*Rank ⋔ : 19 (16, 29)
- Recent Trend : The trend is falling
because the trend is -4.6 with a 95% confidence interval from -6.6 to -2.7.
Pennsylvania2
- Rate : The incidence rate is 52.5 with a 95% confidence interval from 51.5 to 53.6 and 9,911 average annual cases over 2021.
- CI*Rank ⋔ : 20 (17, 28)
- Recent Trend : The trend is falling
because the trend is -4.0 with a 95% confidence interval from -4.9 to -3.2.
Nebraska2
- Rate : The incidence rate is 52.4 with a 95% confidence interval from 49.5 to 55.4 and 1,292 average annual cases over 2021.
- CI*Rank ⋔ : 21 (13, 32)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -1.5 to -0.9.
North Dakota2
- Rate : The incidence rate is 52.3 with a 95% confidence interval from 47.7 to 57.3 and 499 average annual cases over 2021.
- CI*Rank ⋔ : 22 (10, 37)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.4.
Georgia7
- Rate : The incidence rate is 52.3 with a 95% confidence interval from 51.0 to 53.6 and 6,677 average annual cases over 2021.
- CI*Rank ⋔ : 23 (17, 31)
- Recent Trend : The trend is falling
because the trend is -4.1 with a 95% confidence interval from -5.3 to -2.7.
South Carolina2
- Rate : The incidence rate is 52.1 with a 95% confidence interval from 50.5 to 53.9 and 3,846 average annual cases over 2021.
- CI*Rank ⋔ : 24 (16, 31)
- Recent Trend : The trend is falling
because the trend is -5.0 with a 95% confidence interval from -7.5 to -3.2.
Vermont2
- Rate : The incidence rate is 51.9 with a 95% confidence interval from 47.4 to 56.7 and 528 average annual cases over 2021.
- CI*Rank ⋔ : 25 (10, 37)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -3.1 to -1.9.
Alaska2
- Rate : The incidence rate is 51.6 with a 95% confidence interval from 46.4 to 57.3 and 391 average annual cases over 2021.
- CI*Rank ⋔ : 26 (9, 39)
- Recent Trend : The trend is falling
because the trend is -2.7 with a 95% confidence interval from -4.1 to -2.3.
Wisconsin2
- Rate : The incidence rate is 51.6 with a 95% confidence interval from 50.0 to 53.2 and 4,260 average annual cases over 2021.
- CI*Rank ⋔ : 27 (17, 32)
- Recent Trend : The trend is falling
because the trend is -3.4 with a 95% confidence interval from -4.8 to -2.3.
Minnesota2
- Rate : The incidence rate is 51.2 with a 95% confidence interval from 49.5 to 52.8 and 3,829 average annual cases over 2021.
- CI*Rank ⋔ : 28 (18, 32)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.8 to -0.5.
South Dakota2
- Rate : The incidence rate is 50.9 with a 95% confidence interval from 46.7 to 55.3 and 597 average annual cases over 2021.
- CI*Rank ⋔ : 29 (12, 38)
- Recent Trend : The trend is falling
because the trend is -3.1 with a 95% confidence interval from -5.2 to -0.7.
Florida2
- Rate : The incidence rate is 50.8 with a 95% confidence interval from 50.0 to 51.6 and 17,608 average annual cases over 2021.
- CI*Rank ⋔ : 30 (23, 32)
- Recent Trend : The trend is falling
because the trend is -3.1 with a 95% confidence interval from -4.6 to -1.9.
New York7
- Rate : The incidence rate is 50.8 with a 95% confidence interval from 49.9 to 51.7 and 13,672 average annual cases over 2021.
- CI*Rank ⋔ : 31 (22, 32)
- Recent Trend : The trend is falling
because the trend is -3.2 with a 95% confidence interval from -4.2 to -2.3.
Kansas2
- Rate : The incidence rate is 49.3 with a 95% confidence interval from 47.0 to 51.6 and 1,863 average annual cases over 2021.
- CI*Rank ⋔ : 32 (21, 37)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.7 to -1.4.
Virginia2
- Rate : The incidence rate is 47.8 with a 95% confidence interval from 46.5 to 49.2 and 5,337 average annual cases over 2021.
- CI*Rank ⋔ : 33 (30, 37)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.7 to -1.9.
Massachusetts7
- Rate : The incidence rate is 46.8 with a 95% confidence interval from 45.4 to 48.2 and 4,447 average annual cases over 2021.
- CI*Rank ⋔ : 34 (31, 39)
- Recent Trend : The trend is falling
because the trend is -5.9 with a 95% confidence interval from -8.1 to -2.6.
Washington4
- Rate : The incidence rate is 46.7 with a 95% confidence interval from 45.3 to 48.1 and 4,535 average annual cases over 2021.
- CI*Rank ⋔ : 35 (31, 39)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -4.0 to -2.1.
New Jersey7
- Rate : The incidence rate is 46.3 with a 95% confidence interval from 45.1 to 47.6 and 5,688 average annual cases over 2021.
- CI*Rank ⋔ : 36 (32, 39)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.9.
Maryland2
- Rate : The incidence rate is 45.7 with a 95% confidence interval from 44.2 to 47.2 and 3,675 average annual cases over 2021.
- CI*Rank ⋔ : 37 (32, 39)
- Recent Trend : The trend is falling
because the trend is -4.0 with a 95% confidence interval from -6.3 to -2.0.
Montana2
- Rate : The incidence rate is 44.6 with a 95% confidence interval from 41.3 to 48.1 and 722 average annual cases over 2021.
- CI*Rank ⋔ : 38 (31, 43)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -7.0 to -1.4.
District of Columbia2
- Rate : The incidence rate is 42.6 with a 95% confidence interval from 37.8 to 47.9 and 290 average annual cases over 2021.
- CI*Rank ⋔ : 39 (30, 46)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -2.9 to -1.9.
Texas7
- Rate : The incidence rate is 42.0 with a 95% confidence interval from 41.3 to 42.7 and 13,001 average annual cases over 2021.
- CI*Rank ⋔ : 40 (38, 43)
- Recent Trend : The trend is falling
because the trend is -4.4 with a 95% confidence interval from -5.2 to -3.7.
Oregon2
- Rate : The incidence rate is 41.5 with a 95% confidence interval from 39.8 to 43.2 and 2,487 average annual cases over 2021.
- CI*Rank ⋔ : 41 (38, 44)
- Recent Trend : The trend is falling
because the trend is -6.1 with a 95% confidence interval from -8.4 to -4.5.
Nevada2
- Rate : The incidence rate is 41.2 with a 95% confidence interval from 39.2 to 43.3 and 1,636 average annual cases over 2021.
- CI*Rank ⋔ : 42 (38, 44)
- Recent Trend : The trend is falling
because the trend is -4.9 with a 95% confidence interval from -10.0 to -3.6.
Idaho7
- Rate : The incidence rate is 41.0 with a 95% confidence interval from 38.5 to 43.8 and 979 average annual cases over 2021.
- CI*Rank ⋔ : 43 (38, 45)
- Recent Trend : The trend is falling
because the trend is -4.4 with a 95% confidence interval from -7.0 to -1.6.
Arizona2
- Rate : The incidence rate is 37.7 with a 95% confidence interval from 36.5 to 38.9 and 3,819 average annual cases over 2021.
- CI*Rank ⋔ : 44 (43, 46)
- Recent Trend : The trend is falling
because the trend is -5.3 with a 95% confidence interval from -7.3 to -4.0.
Hawaii7
- Rate : The incidence rate is 37.1 with a 95% confidence interval from 34.5 to 39.9 and 791 average annual cases over 2021.
- CI*Rank ⋔ : 45 (42, 48)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -4.0 to -1.4.
Wyoming2
- Rate : The incidence rate is 35.0 with a 95% confidence interval from 30.8 to 39.6 and 268 average annual cases over 2021.
- CI*Rank ⋔ : 46 (41, 49)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -2.7 to -1.3.
Colorado2
- Rate : The incidence rate is 33.8 with a 95% confidence interval from 32.4 to 35.3 and 2,291 average annual cases over 2021.
- CI*Rank ⋔ : 47 (45, 48)
- Recent Trend : The trend is falling
because the trend is -4.3 with a 95% confidence interval from -7.3 to -1.9.
California7
- Rate : The incidence rate is 33.7 with a 95% confidence interval from 33.2 to 34.2 and 15,647 average annual cases over 2021.
- CI*Rank ⋔ : 48 (46, 48)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -3.7 to -2.7.
New Mexico7
- Rate : The incidence rate is 29.9 with a 95% confidence interval from 27.9 to 32.0 and 883 average annual cases over 2021.
- CI*Rank ⋔ : 49 (48, 49)
- Recent Trend : The trend is falling
because the trend is -5.3 with a 95% confidence interval from -7.2 to -4.1.
Utah7
- Rate : The incidence rate is 24.4 with a 95% confidence interval from 22.6 to 26.2 and 754 average annual cases over 2021.
- CI*Rank ⋔ : 50 (50, 50)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.6.
Puerto Rico2
- Rate : The incidence rate is 14.6 with a 95% confidence interval from 13.5 to 15.7 and 794 average annual cases over 2021.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -6.1 to -1.4.
- Rate : Data not available for this combination of data selections.
- CI*Rank ⋔ : N/A
- Recent Trend : Data not available for this combination of data selections.
Notes:
Created by statecancerprofiles.cancer.gov on 07/01/2025 8:40 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.
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.