Incidence Rates Table
County
|
Age-Adjusted Incidence Rate† cases per 100,000 (95% Confidence Interval) 
|
CI*Rank⋔ (95% Confidence Interval) 
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|
| Missouri 6 | 235.3 (233.6, 237.1) | N/A | 14,892 |
stable 
|
0.0 (-0.1, 0.1) |
| US (SEER+NPCR) 1 | 228.3 (228.1, 228.5) | N/A | 750,680 |
stable
|
-0.8 (-1.5, 0.0) |
| Montgomery County 6 | 289.8 (246.5, 339.1) | 1 (1, 75) | 37 |
rising 
|
1.6 (0.1, 3.0) |
| Marion County 6 | 285.4 (257.1, 316.2) | 2 (1, 47) | 82 |
stable
|
-7.1 (-20.4, 8.3) |
| Iron County 6 | 284.9 (240.2, 336.3) | 3 (1, 86) | 34 |
stable
|
1.1 (-1.1, 3.4) |
| Madison County 6 | 281.5 (240.9, 327.5) | 4 (1, 83) | 38 |
stable
|
-0.1 (-1.9, 1.6) |
| Pulaski County 6 | 274.4 (251.0, 299.3) | 5 (1, 57) | 106 |
stable
|
0.4 (-0.5, 1.3) |
| Dunklin County 6 | 273.4 (246.9, 302.2) | 6 (1, 65) | 85 |
stable
|
1.2 (-0.1, 2.5) |
| Scott County 6 | 272.3 (248.8, 297.6) | 7 (1, 61) | 108 |
stable
|
0.2 (-0.6, 1.1) |
| Crawford County 6 | 272.1 (242.6, 304.4) | 8 (1, 73) | 71 |
stable
|
0.7 (-0.7, 2.2) |
| Mississippi County 6 | 267.8 (230.4, 309.9) | 9 (1, 91) | 38 |
stable
|
-0.1 (-1.6, 1.4) |
| Morgan County 6 | 267.0 (234.6, 303.0) | 10 (1, 81) | 59 |
stable
|
-0.3 (-2.0, 1.5) |
| St. Francois County 6 | 266.5 (249.3, 284.6) | 11 (2, 51) | 189 |
stable
|
-0.6 (-2.0, 0.9) |
| Macon County 6 | 263.1 (225.8, 305.1) | 12 (1, 93) | 40 |
stable
|
1.2 (-0.1, 2.6) |
| Pike County 6 | 262.8 (230.0, 299.2) | 13 (1, 88) | 51 |
stable
|
0.5 (-0.6, 1.7) |
| Stoddard County 6 | 261.1 (234.9, 289.6) | 14 (1, 77) | 80 |
stable
|
0.8 (-0.3, 1.9) |
| New Madrid County 6 | 259.6 (227.0, 295.8) | 15 (1, 92) | 51 |
stable
|
-0.4 (-1.5, 0.8) |
| Dallas County 6 | 259.1 (224.8, 297.5) | 16 (1, 93) | 49 |
rising
|
2.0 (0.2, 3.8) |
| Gasconade County 6 | 258.2 (222.4, 298.7) | 17 (1, 98) | 45 |
stable
|
0.4 (-1.1, 2.0) |
| Harrison County 6 | 257.4 (207.7, 315.8) | 18 (1, 109) | 22 |
stable
|
0.2 (-2.3, 2.7) |
| Monroe County 6 | 256.9 (209.3, 312.8) | 19 (1, 107) | 24 |
stable
|
1.9 (-0.2, 3.9) |
| Osage County 6 | 256.8 (219.1, 299.5) | 20 (1, 98) | 37 |
rising
|
1.4 (0.1, 2.8) |
| Cooper County 6 | 255.6 (221.8, 293.4) | 21 (1, 98) | 45 |
stable
|
0.1 (-1.2, 1.5) |
| Wright County 6 | 254.6 (221.8, 291.0) | 22 (1, 96) | 49 |
stable
|
-0.8 (-2.0, 0.4) |
| Jasper County 6 | 253.3 (240.0, 267.0) | 23 (8, 61) | 293 |
rising
|
0.9 (0.1, 1.6) |
| Ste. Genevieve County 6 | 251.5 (219.6, 287.2) | 24 (1, 97) | 52 |
rising
|
1.7 (0.1, 3.3) |
| Randolph County 6 | 251.4 (224.1, 281.3) | 25 (2, 91) | 65 |
stable
|
0.6 (-0.8, 2.0) |
| Franklin County 6 | 250.3 (236.7, 264.5) | 26 (10, 69) | 286 |
stable
|
0.4 (-0.3, 1.2) |
| Holt County 6 | 250.2 (183.8, 334.2) | 27 (1, 115) | 12 |
stable
|
1.0 (-2.4, 4.6) |
| Wayne County 6 | 250.1 (213.0, 292.3) | 28 (1, 104) | 39 |
stable
|
0.6 (-0.6, 1.8) |
| Lafayette County 6 | 249.7 (225.5, 275.8) | 29 (3, 87) | 88 |
stable
|
0.4 (-0.6, 1.5) |
| Henry County 6 | 249.4 (220.0, 281.8) | 30 (2, 95) | 60 |
stable
|
0.3 (-1.0, 1.6) |
| Grundy County 6 | 249.3 (203.6, 302.5) | 31 (1, 110) | 24 |
stable
|
0.9 (-1.1, 3.0) |
| Butler County 6 | 248.3 (227.0, 271.1) | 32 (4, 83) | 110 |
stable
|
-0.1 (-1.2, 0.9) |
| Washington County 6 | 248.2 (221.4, 277.6) | 33 (2, 96) | 69 |
stable
|
0.8 (-0.7, 2.3) |
| Benton County 6 | 247.5 (214.7, 284.4) | 34 (1, 100) | 55 |
stable
|
-0.8 (-2.7, 1.1) |
| St. Louis City 6 | 245.9 (237.9, 254.0) | 35 (19, 65) | 797 |
falling 
|
-1.0 (-1.3, -0.6) |
| Cape Girardeau County 6 | 245.7 (229.4, 263.0) | 36 (8, 76) | 185 |
stable
|
0.8 (0.0, 1.7) |
| Bollinger County 6 | 245.7 (206.3, 290.9) | 37 (1, 106) | 32 |
stable
|
0.3 (-1.6, 2.3) |
| Worth County 6 | 245.6 (152.2, 378.9) | 38 (1, 115) | 5 |
stable
|
-1.0 (-6.1, 4.3) |
| Chariton County 6 | 245.0 (195.7, 304.0) | 39 (1, 111) | 21 |
stable
|
-0.1 (-1.8, 1.5) |
| Barton County 6 | 244.4 (204.5, 290.1) | 40 (1, 108) | 31 |
stable
|
1.2 (-1.2, 3.5) |
| Laclede County 6 | 244.2 (221.1, 269.2) | 41 (4, 94) | 90 |
stable
|
0.1 (-0.7, 0.9) |
| Buchanan County 6 | 244.1 (229.3, 259.7) | 42 (11, 77) | 219 |
rising
|
0.9 (0.1, 1.6) |
| Cole County 6 | 242.7 (227.1, 259.1) | 43 (13, 78) | 195 |
stable
|
0.8 (-0.5, 2.0) |
| Lincoln County 6 | 241.2 (223.3, 260.2) | 44 (10, 85) | 146 |
stable
|
-0.4 (-1.5, 0.7) |
| Jackson County 6 | 241.2 (235.9, 246.5) | 45 (29, 64) | 1,711 |
stable
|
0.0 (-0.3, 0.3) |
| St. Louis County 6 | 240.5 (236.1, 244.9) | 46 (29, 64) | 2,548 |
stable
|
-0.2 (-0.4, 0.1) |
| Jefferson County 6 | 240.3 (231.4, 249.5) | 47 (22, 71) | 603 |
stable
|
0.0 (-0.5, 0.5) |
| Callaway County 6 | 239.6 (219.6, 261.0) | 48 (10, 91) | 115 |
stable
|
0.3 (-0.9, 1.4) |
| Audrain County 6 | 239.4 (212.6, 268.9) | 49 (3, 98) | 63 |
stable
|
0.2 (-1.0, 1.4) |
| Miller County 6 | 239.3 (212.3, 268.8) | 50 (3, 102) | 64 |
rising
|
1.2 (0.3, 2.1) |
| Ray County 6 | 239.2 (211.6, 269.7) | 51 (5, 99) | 61 |
stable
|
0.1 (-1.6, 1.8) |
| Howard County 6 | 238.8 (195.8, 288.9) | 52 (1, 111) | 25 |
stable
|
0.4 (-1.7, 2.6) |
| Andrew County 6 | 238.4 (207.1, 273.4) | 53 (3, 104) | 46 |
stable
|
1.1 (-0.4, 2.7) |
| Livingston County 6 | 238.1 (203.5, 277.2) | 54 (1, 106) | 36 |
stable
|
-0.5 (-3.1, 2.2) |
| Clinton County 6 | 238.0 (208.5, 270.6) | 55 (3, 104) | 53 |
stable
|
0.5 (-0.5, 1.5) |
| Phelps County 6 | 237.6 (216.2, 260.6) | 56 (9, 94) | 100 |
stable
|
-0.4 (-1.2, 0.5) |
| Lewis County 6 | 236.1 (192.3, 287.2) | 57 (1, 112) | 23 |
stable
|
1.0 (-0.8, 2.9) |
| Ralls County 6 | 235.7 (194.6, 283.7) | 58 (1, 112) | 27 |
stable
|
0.8 (-1.7, 3.4) |
| Shelby County 6 | 235.6 (180.4, 303.0) | 59 (1, 115) | 14 |
stable
|
-0.3 (-2.3, 1.8) |
| Perry County 6 | 235.2 (205.6, 268.2) | 60 (4, 105) | 50 |
stable
|
1.3 (-0.3, 3.0) |
| Pettis County 6 | 234.3 (213.6, 256.5) | 61 (13, 97) | 103 |
stable
|
0.1 (-1.5, 1.7) |
| St. Charles County 6 | 233.9 (227.1, 240.8) | 62 (35, 76) | 967 |
stable
|
-0.5 (-0.9, 0.0) |
| Warren County 6 | 233.9 (211.3, 258.4) | 63 (10, 98) | 89 |
stable
|
-0.7 (-2.2, 0.9) |
| Cass County 6 | 233.6 (220.4, 247.5) | 64 (23, 85) | 254 |
stable
|
0.4 (-0.2, 0.9) |
| Schuyler County 6 | 233.5 (170.8, 312.3) | 65 (1, 115) | 10 |
stable
|
0.3 (-2.8, 3.5) |
| Adair County 6 | 230.5 (199.7, 264.7) | 66 (5, 109) | 45 |
stable
|
1.2 (-0.1, 2.5) |
| Clay County 6 | 229.8 (221.2, 238.6) | 67 (37, 84) | 562 |
stable
|
-0.3 (-1.0, 0.4) |
| Johnson County 6 | 229.2 (209.2, 250.5) | 68 (17, 98) | 106 |
stable
|
0.4 (-0.7, 1.5) |
| Webster County 6 | 227.5 (206.2, 250.5) | 69 (18, 102) | 90 |
stable
|
0.4 (-0.6, 1.3) |
| Moniteau County 6 | 227.5 (194.7, 264.3) | 70 (4, 111) | 36 |
stable
|
2.6 (-0.6, 5.8) |
| Saline County 6 | 227.3 (199.9, 257.7) | 71 (8, 107) | 55 |
stable
|
-0.2 (-1.4, 1.0) |
| Ozark County 6 | 224.3 (180.0, 277.2) | 72 (1, 114) | 23 |
stable
|
1.2 (-0.5, 2.9) |
| Dent County 6 | 223.3 (190.2, 260.9) | 73 (4, 112) | 37 |
stable
|
-0.5 (-2.3, 1.2) |
| Carter County 6 | 222.2 (170.8, 285.1) | 74 (1, 115) | 14 |
stable
|
-2.0 (-4.3, 0.4) |
| Ripley County 6 | 221.8 (187.7, 260.8) | 75 (5, 112) | 34 |
stable
|
-0.9 (-3.3, 1.6) |
| Taney County 6 | 219.7 (201.6, 238.9) | 76 (29, 104) | 123 |
stable
|
0.0 (-0.7, 0.7) |
| Hickory County 6 | 218.7 (173.1, 273.9) | 77 (1, 115) | 22 |
stable
|
0.5 (-2.2, 3.3) |
| Pemiscot County 6 | 217.7 (185.9, 253.6) | 78 (10, 112) | 37 |
stable
|
1.7 (-0.5, 4.0) |
| Greene County 6 | 215.7 (207.7, 223.9) | 79 (63, 96) | 593 |
stable
|
-0.4 (-0.8, 0.0) |
| Dade County 6 | 215.4 (169.3, 271.2) | 80 (1, 115) | 18 |
stable
|
0.4 (-2.8, 3.6) |
| Boone County 6 | 214.9 (204.4, 225.8) | 81 (56, 100) | 337 |
stable
|
-0.3 (-1.0, 0.4) |
| Christian County 6 | 213.4 (199.4, 228.1) | 82 (51, 104) | 182 |
stable
|
-0.9 (-1.9, 0.0) |
| Platte County 6 | 212.2 (199.6, 225.4) | 83 (56, 104) | 224 |
stable
|
-0.2 (-0.8, 0.5) |
| Stone County 6 | 212.0 (188.6, 237.9) | 84 (25, 110) | 79 |
stable
|
0.1 (-1.5, 1.6) |
| Lawrence County 6 | 210.7 (190.0, 233.1) | 85 (36, 108) | 83 |
stable
|
-0.4 (-1.3, 0.4) |
| Howell County 6 | 209.5 (189.1, 231.6) | 86 (42, 110) | 85 |
stable
|
-0.3 (-1.5, 0.9) |
| Camden County 6 | 209.3 (190.3, 229.9) | 87 (41, 110) | 117 |
stable
|
-0.2 (-1.4, 0.9) |
| Mercer County 6 | 208.0 (146.1, 289.5) | 88 (1, 115) | 9 |
stable
|
0.6 (-3.4, 4.7) |
| Bates County 6 | 207.9 (176.4, 243.6) | 89 (15, 114) | 36 |
stable
|
-0.3 (-2.1, 1.6) |
| Atchison County 6 | 207.1 (151.4, 277.6) | 90 (1, 115) | 10 |
stable
|
2.0 (-0.4, 4.4) |
| Cedar County 6 | 207.0 (173.9, 245.1) | 91 (12, 114) | 31 |
stable
|
-0.5 (-1.9, 0.9) |
| Daviess County 6 | 206.2 (161.6, 259.8) | 92 (2, 115) | 17 |
stable
|
0.2 (-2.1, 2.6) |
| McDonald County 6 | 205.9 (180.4, 234.2) | 93 (26, 113) | 51 |
stable
|
0.5 (-1.5, 2.5) |
| Clark County 6 | 204.5 (158.0, 261.4) | 94 (3, 115) | 15 |
stable
|
0.7 (-2.4, 3.9) |
| Reynolds County 6 | 204.1 (154.8, 265.2) | 95 (2, 115) | 14 |
stable
|
0.5 (-1.6, 2.7) |
| Nodaway County 6 | 203.4 (173.7, 236.9) | 96 (23, 114) | 38 |
stable
|
0.2 (-1.9, 2.3) |
| Texas County 6 | 202.4 (177.8, 229.7) | 97 (38, 113) | 55 |
stable
|
-0.7 (-1.8, 0.4) |
| DeKalb County 6 | 201.0 (167.0, 240.5) | 98 (18, 115) | 26 |
stable
|
2.0 (-0.5, 4.6) |
| Putnam County 6 | 198.5 (143.8, 268.8) | 99 (1, 115) | 10 |
stable
|
1.7 (-1.5, 5.0) |
| Newton County 6 | 195.4 (179.4, 212.6) | 100 (67, 112) | 121 |
stable
|
-0.1 (-1.2, 1.0) |
| Polk County 6 | 195.2 (172.5, 220.2) | 101 (53, 114) | 59 |
stable
|
-1.2 (-3.0, 0.6) |
| Barry County 6 | 193.5 (173.3, 215.7) | 102 (64, 113) | 76 |
stable
|
0.1 (-1.5, 1.6) |
| Maries County 6 | 191.7 (152.9, 238.4) | 103 (18, 115) | 19 |
stable
|
-0.1 (-2.6, 2.5) |
| Caldwell County 6 | 191.2 (150.7, 239.5) | 104 (10, 115) | 18 |
stable
|
-1.1 (-3.0, 0.8) |
| Linn County 6 | 190.1 (155.8, 230.1) | 105 (24, 115) | 25 |
stable
|
-1.3 (-3.0, 0.5) |
| Oregon County 6 | 189.6 (151.9, 234.4) | 106 (21, 115) | 21 |
stable
|
0.2 (-1.9, 2.3) |
| St. Clair County 6 | 189.2 (150.9, 235.4) | 107 (19, 115) | 21 |
stable
|
0.6 (-2.2, 3.4) |
| Vernon County 6 | 188.3 (162.3, 217.5) | 108 (55, 115) | 42 |
stable
|
-0.5 (-2.6, 1.6) |
| Carroll County 6 | 183.9 (144.8, 231.1) | 109 (28, 115) | 17 |
stable
|
-2.0 (-4.2, 0.3) |
| Knox County 6 | 177.9 (120.9, 254.2) | 110 (5, 115) | 7 |
stable
|
-1.2 (-4.4, 2.1) |
| Gentry County 6 | 176.8 (132.4, 232.0) | 111 (18, 115) | 12 |
stable
|
0.4 (-2.5, 3.3) |
| Shannon County 6 | 175.4 (135.7, 224.0) | 112 (33, 115) | 16 |
stable
|
-1.1 (-2.8, 0.7) |
| Sullivan County 6 | 172.6 (128.9, 227.4) | 113 (25, 115) | 11 |
stable
|
-2.0 (-4.4, 0.5) |
| Scotland County 6 | 168.3 (116.8, 235.0) | 114 (12, 115) | 8 |
stable
|
-2.3 (-5.9, 1.5) |
| Douglas County 6 | 159.3 (130.5, 193.3) | 115 (78, 115) | 26 |
rising
|
5.1 (0.1, 10.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 02/03/2023 6:10 am.
State Cancer Registries may provide more current or more local data.
⋔ 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.
† 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. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.
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 stage.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2021 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 modifed by NCI. The US Population Data File is used with SEER November 2021 data.
Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.
Created by statecancerprofiles.cancer.gov on 02/03/2023 6:10 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.
⋔ 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.
† 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. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.
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 stage.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2021 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 modifed by NCI. The US Population Data File is used with SEER November 2021 data.
Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.