State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report by State

Bladder (All Stages^), 2018-2022

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

Sorted by Ruralurban

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 18.8 with a 95% confidence interval from 18.7 to 18.8 and 77,545 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.6.

District of Columbia²

• Rate : The incidence rate is 13.7 with a 95% confidence interval from 12.4 to 15.0 and 89 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (46, 51)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.7 to 0.6.

Puerto Rico²

• Rate : The incidence rate is 9.6 with a 95% confidence interval from 9.2 to 10.0 and 507 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -2.9 to -0.4.

Alabama²

• Rate : The incidence rate is 17.0 with a 95% confidence interval from 16.5 to 17.5 and 1,105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (38, 45)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.7 to -0.4.

Alaska²

• Rate : The incidence rate is 18.4 with a 95% confidence interval from 16.9 to 20.0 and 129 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (17, 45)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Arizona²

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 17.1 to 17.9 and 1,697 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (35, 43)
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -6.9 to -1.6.

Arkansas²

• Rate : The incidence rate is 19.3 with a 95% confidence interval from 18.7 to 20.0 and 750 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (19, 34)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.5 to 0.2.

California⁷

• Rate : The incidence rate is 15.6 with a 95% confidence interval from 15.4 to 15.7 and 6,963 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (46, 48)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.1 to -1.7.

Colorado²

• Rate : The incidence rate is 17.2 with a 95% confidence interval from 16.8 to 17.7 and 1,099 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (36, 45)
• Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -7.7 to -2.7.

Connecticut⁷

• Rate : The incidence rate is 23.5 with a 95% confidence interval from 22.9 to 24.2 and 1,144 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (3, 5)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.0 to -0.9.

Delaware²

• Rate : The incidence rate is 22.3 with a 95% confidence interval from 21.2 to 23.5 and 311 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (3, 18)
• Recent Trend : The trend is falling because the trend is -4.9 with a 95% confidence interval from -7.6 to -1.6.

Florida²

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 18.6 to 19.0 and 6,313 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (27, 34)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -6.0 to -0.9.

Georgia⁷

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 17.6 to 18.3 and 2,110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (32, 39)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.1 to -0.2.

Hawaii⁷

• Rate : The incidence rate is 13.2 with a 95% confidence interval from 12.5 to 13.9 and 274 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (49, 51)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.4.

Idaho⁷

• Rate : The incidence rate is 20.1 with a 95% confidence interval from 19.3 to 21.0 and 447 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (11, 30)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -7.8 to -0.9.

Illinois⁷

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 19.4 to 20.0 and 3,093 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (20, 28)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.6.

Indiana²

• Rate : The incidence rate is 20.2 with a 95% confidence interval from 19.7 to 20.6 and 1,672 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (15, 26)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -6.7 to -2.2.

Iowa⁷

• Rate : The incidence rate is 21.8 with a 95% confidence interval from 21.2 to 22.4 and 911 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (4, 16)
• Recent Trend : The trend is falling because the trend is -0.4 with a 95% confidence interval from -0.8 to -0.1.

Kansas²

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 19.2 to 20.5 and 719 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (15, 31)
• Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -10.7 to -1.0.

Kentucky⁷

• Rate : The incidence rate is 22.0 with a 95% confidence interval from 21.5 to 22.6 and 1,246 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (4, 13)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.6 to 0.2.

Louisiana⁷

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 17.6 to 18.6 and 1,008 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (30, 40)
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.1.

Maine²

• Rate : The incidence rate is 26.7 with a 95% confidence interval from 25.7 to 27.7 and 571 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 2)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Maryland²

• Rate : The incidence rate is 15.8 with a 95% confidence interval from 15.4 to 16.2 and 1,184 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (45, 48)
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -8.5 to -2.1.

Massachusetts²

• Rate : The incidence rate is 20.2 with a 95% confidence interval from 19.8 to 20.7 and 1,838 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (15, 25)
• Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -6.8 to -3.1.

Michigan²

• Rate : The incidence rate is 20.8 with a 95% confidence interval from 20.5 to 21.2 and 2,784 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (11, 20)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -2.1 to -0.7.

Minnesota²

• Rate : The incidence rate is 21.0 with a 95% confidence interval from 20.5 to 21.5 and 1,489 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (8, 20)
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.2.

Mississippi²

• Rate : The incidence rate is 16.9 with a 95% confidence interval from 16.3 to 17.6 and 621 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (37, 45)
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -5.0 to 0.1.

Missouri²

• Rate : The incidence rate is 18.9 with a 95% confidence interval from 18.5 to 19.4 and 1,515 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (24, 35)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -5.4 to -0.5.

Montana²

• Rate : The incidence rate is 21.6 with a 95% confidence interval from 20.5 to 22.7 and 324 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (4, 22)
• Recent Trend : The trend is falling because the trend is -5.3 with a 95% confidence interval from -8.1 to -2.3.

Nebraska²

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 17.4 to 18.9 and 435 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (26, 43)
• Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -9.0 to -3.3.

Nevada²

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 17.4 to 18.7 and 675 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (28, 42)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.6.

New Hampshire²

• Rate : The incidence rate is 25.5 with a 95% confidence interval from 24.5 to 26.5 and 502 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 2)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.

New Jersey⁷

• Rate : The incidence rate is 21.2 with a 95% confidence interval from 20.8 to 21.5 and 2,487 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (8, 18)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -3.3 to -0.8.

New Mexico⁷

• Rate : The incidence rate is 13.6 with a 95% confidence interval from 13.0 to 14.3 and 389 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (49, 51)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.4.

New York⁷

• Rate : The incidence rate is 20.6 with a 95% confidence interval from 20.3 to 20.8 and 5,342 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (14, 21)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.9 to -1.4.

North Carolina²

• Rate : The incidence rate is 19.0 with a 95% confidence interval from 18.7 to 19.3 and 2,477 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (25, 34)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.7 to -0.7.

North Dakota²

• Rate : The incidence rate is 18.6 with a 95% confidence interval from 17.4 to 19.9 and 173 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (17, 44)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

Ohio²

• Rate : The incidence rate is 21.8 with a 95% confidence interval from 21.4 to 22.1 and 3,378 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (4, 13)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.3.

Oklahoma²

• Rate : The incidence rate is 18.3 with a 95% confidence interval from 17.7 to 18.8 and 870 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (27, 39)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.4.

Oregon²

• Rate : The incidence rate is 19.4 with a 95% confidence interval from 18.9 to 20.0 and 1,090 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (19, 32)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -5.3 to -1.2.

Pennsylvania²

• Rate : The incidence rate is 21.2 with a 95% confidence interval from 20.9 to 21.5 and 3,867 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (7, 17)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.1 to -2.1.

Rhode Island²

• Rate : The incidence rate is 22.5 with a 95% confidence interval from 21.4 to 23.6 and 335 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (3, 15)
• Recent Trend : The trend is falling because the trend is -7.6 with a 95% confidence interval from -12.5 to -2.4.

South Carolina²

• Rate : The incidence rate is 16.9 with a 95% confidence interval from 16.5 to 17.4 and 1,152 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (38, 45)
• Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.2 to -1.3.

South Dakota²

• Rate : The incidence rate is 20.6 with a 95% confidence interval from 19.4 to 21.8 and 233 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (4, 31)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Tennessee²

• Rate : The incidence rate is 18.9 with a 95% confidence interval from 18.5 to 19.3 and 1,631 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (25, 35)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -5.5 to -2.6.

Texas⁷

• Rate : The incidence rate is 15.3 with a 95% confidence interval from 15.1 to 15.5 and 4,454 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (46, 49)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.0 to -0.7.

Utah⁷

• Rate : The incidence rate is 16.7 with a 95% confidence interval from 16.0 to 17.4 and 471 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (38, 46)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.3 to 0.4.

Vermont²

• Rate : The incidence rate is 21.5 with a 95% confidence interval from 20.1 to 22.9 and 206 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (3, 26)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.7.

Virginia²

• Rate : The incidence rate is 17.0 with a 95% confidence interval from 16.7 to 17.4 and 1,773 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (38, 45)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.4.

Washington¹

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 19.5 to 20.3 and 1,814 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (17, 27)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.7.

West Virginia²

• Rate : The incidence rate is 21.6 with a 95% confidence interval from 20.8 to 22.5 and 578 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (4, 18)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.

Wisconsin²

• Rate : The incidence rate is 21.4 with a 95% confidence interval from 21.0 to 21.9 and 1,660 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (5, 17)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.8.

Wyoming²

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 18.2 to 21.2 and 146 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (7, 39)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.5.

Notes:
Created by statecancerprofiles.cancer.gov on 02/18/2026 7:55 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.