Incidence Rates Table
Incidence Rate Report for Missouri by County
All Cancer Sites (All Stages^), 2017-2021
All Races (includes Hispanic), Both Sexes, Ages <65
Sorted by Rate
County
|
2023 Rural-Urban Continuum Codes Φ
|
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 | N/A | 231.1 (229.3, 232.9) | N/A | 14,664 |
stable 
|
-0.1 (-0.3, 0.2) |
| US (SEER+NPCR) 1 | N/A | 222.9 (222.7, 223.2) | N/A | 734,330 |
stable
|
-0.3 (-1.7, 0.0) |
| Ripley County 6 | Rural | 299.7 (255.0, 350.5) | 1 (1, 74) | 36 |
stable
|
0.3 (-2.7, 3.0) |
| Oregon County 6 | Rural | 297.3 (244.6, 358.5) | 2 (1, 95) | 27 |
stable
|
5.1 (-8.9, 18.8) |
| Worth County 6 | Rural | 289.1 (180.4, 440.5) | 3 (1, 115) | 5 |
stable
|
-0.3 (-7.4, 6.8) |
| Madison County 6 | Rural | 282.8 (242.7, 328.1) | 4 (1, 85) | 40 |
stable
|
0.0 (-1.8, 1.8) |
| Wayne County 6 | Rural | 282.1 (239.3, 331.1) | 5 (1, 90) | 37 |
stable
|
1.1 (-0.7, 2.9) |
| Crawford County 6 | Rural | 276.7 (246.5, 309.8) | 6 (1, 68) | 71 |
stable
|
-9.7 (-21.1, 0.9) |
| Dunklin County 6 | Rural | 275.1 (247.7, 304.7) | 7 (1, 66) | 82 |
stable
|
1.3 (0.0, 2.6) |
| Chariton County 6 | Rural | 274.2 (220.9, 337.4) | 8 (1, 107) | 22 |
stable
|
0.1 (-2.2, 2.3) |
| Osage County 6 | Urban | 269.5 (230.7, 313.4) | 9 (1, 94) | 39 |
rising 
|
1.8 (0.3, 3.4) |
| Macon County 6 | Rural | 267.4 (229.7, 309.8) | 10 (1, 98) | 40 |
stable
|
1.1 (-0.3, 2.5) |
| Scott County 6 | Rural | 264.8 (241.5, 289.8) | 11 (2, 69) | 105 |
stable
|
0.0 (-0.9, 0.9) |
| St. Francois County 6 | Rural | 264.6 (247.5, 282.7) | 12 (3, 53) | 189 |
stable
|
-0.4 (-2.8, 2.0) |
| Iron County 6 | Rural | 261.5 (216.5, 313.8) | 13 (1, 105) | 28 |
stable
|
1.2 (-1.1, 3.6) |
| Marion County 6 | Rural | 261.0 (233.7, 290.8) | 14 (1, 86) | 74 |
stable
|
-4.8 (-12.4, 0.5) |
| Livingston County 6 | Rural | 260.9 (223.8, 302.6) | 15 (1, 98) | 38 |
stable
|
-0.5 (-3.4, 2.3) |
| Grundy County 6 | Rural | 259.4 (212.0, 314.4) | 16 (1, 108) | 25 |
stable
|
1.2 (-0.7, 3.1) |
| Dent County 6 | Rural | 259.2 (222.6, 300.5) | 17 (1, 101) | 42 |
stable
|
0.6 (-1.2, 2.3) |
| Morgan County 6 | Rural | 257.3 (225.5, 292.7) | 18 (1, 95) | 58 |
stable
|
-0.1 (-2.0, 1.8) |
| Randolph County 6 | Rural | 257.3 (229.5, 287.6) | 19 (2, 91) | 66 |
stable
|
0.6 (-0.8, 2.0) |
| Bollinger County 6 | Urban | 256.1 (213.6, 305.1) | 20 (1, 107) | 30 |
stable
|
1.4 (-0.7, 3.5) |
| Lewis County 6 | Rural | 255.9 (209.1, 310.1) | 21 (1, 108) | 24 |
stable
|
0.3 (-8.4, 2.0) |
| Mississippi County 6 | Rural | 254.9 (217.2, 297.6) | 22 (1, 106) | 35 |
stable
|
-0.2 (-2.1, 1.7) |
| Dallas County 6 | Urban | 254.1 (220.0, 292.2) | 23 (1, 101) | 47 |
rising
|
2.1 (0.2, 4.1) |
| Jasper County 6 | Urban | 253.4 (240.3, 267.1) | 24 (8, 61) | 298 |
rising
|
0.9 (0.2, 1.6) |
| Stoddard County 6 | Rural | 253.4 (227.4, 281.7) | 25 (3, 92) | 76 |
stable
|
0.4 (-0.9, 1.8) |
| Montgomery County 6 | Rural | 253.1 (211.7, 300.7) | 26 (1, 109) | 31 |
stable
|
0.9 (-0.7, 2.6) |
| Pulaski County 6 | Rural | 252.4 (230.3, 276.1) | 27 (4, 85) | 101 |
stable
|
0.1 (-1.0, 1.2) |
| Barton County 6 | Rural | 252.1 (210.2, 300.2) | 28 (1, 107) | 30 |
stable
|
1.2 (-1.3, 3.9) |
| Butler County 6 | Rural | 251.7 (230.1, 274.8) | 29 (4, 85) | 111 |
stable
|
0.2 (-0.7, 1.1) |
| St. Clair County 6 | Rural | 251.5 (206.2, 304.8) | 30 (1, 110) | 26 |
stable
|
1.5 (-1.6, 4.8) |
| Lincoln County 6 | Urban | 250.4 (232.3, 269.5) | 31 (6, 81) | 157 |
stable
|
-0.2 (-1.3, 1.0) |
| Henry County 6 | Rural | 250.3 (220.2, 283.6) | 32 (2, 100) | 58 |
stable
|
-8.6 (-15.2, 0.0) |
| Holt County 6 | Rural | 250.3 (182.3, 336.8) | 33 (1, 114) | 11 |
stable
|
1.3 (-2.7, 5.2) |
| Phelps County 6 | Rural | 250.1 (228.2, 273.7) | 34 (4, 86) | 106 |
stable
|
1.5 (-4.5, 7.7) |
| Moniteau County 6 | Urban | 250.1 (215.2, 289.2) | 35 (2, 103) | 39 |
rising
|
3.8 (1.7, 8.8) |
| Franklin County 6 | Urban | 249.3 (235.7, 263.6) | 36 (10, 69) | 289 |
stable
|
0.4 (-0.2, 1.1) |
| Pike County 6 | Rural | 248.0 (215.7, 284.0) | 37 (2, 103) | 46 |
stable
|
0.5 (-0.7, 1.7) |
| Hickory County 6 | Rural | 247.8 (197.4, 308.5) | 38 (1, 112) | 23 |
stable
|
1.8 (-0.9, 4.5) |
| Ozark County 6 | Rural | 247.0 (198.2, 305.2) | 39 (1, 112) | 23 |
stable
|
1.7 (0.0, 3.3) |
| Cooper County 6 | Urban | 246.4 (212.3, 284.5) | 40 (2, 107) | 42 |
stable
|
0.6 (-1.4, 2.6) |
| Shannon County 6 | Rural | 242.2 (192.3, 302.0) | 41 (1, 113) | 19 |
stable
|
0.3 (-1.8, 2.3) |
| Polk County 6 | Urban | 241.0 (215.6, 268.5) | 42 (6, 100) | 74 |
stable
|
8.8 (-1.1, 21.0) |
| Howard County 6 | Urban | 240.7 (198.0, 290.4) | 43 (1, 111) | 26 |
stable
|
0.0 (-2.6, 2.5) |
| New Madrid County 6 | Rural | 240.6 (208.8, 276.3) | 44 (4, 106) | 46 |
stable
|
-0.6 (-2.3, 0.9) |
| Carter County 6 | Rural | 240.4 (182.5, 311.8) | 45 (1, 114) | 13 |
stable
|
-1.0 (-3.4, 1.2) |
| Cape Girardeau County 6 | Urban | 240.2 (224.2, 257.0) | 46 (12, 89) | 183 |
stable
|
0.5 (-0.6, 1.5) |
| Buchanan County 6 | Urban | 239.2 (224.3, 254.8) | 47 (15, 87) | 210 |
stable
|
-4.8 (-10.4, 0.5) |
| Miller County 6 | Rural | 238.9 (211.6, 269.0) | 48 (5, 104) | 62 |
rising
|
1.6 (0.7, 2.5) |
| Saline County 6 | Rural | 238.5 (209.6, 270.4) | 49 (5, 106) | 56 |
stable
|
-0.2 (-1.5, 1.1) |
| Jefferson County 6 | Urban | 238.3 (229.5, 247.4) | 50 (26, 77) | 609 |
stable
|
0.1 (-0.4, 0.6) |
| Perry County 6 | Rural | 238.1 (207.7, 271.9) | 51 (5, 107) | 49 |
stable
|
1.0 (-0.9, 2.9) |
| Cole County 6 | Urban | 238.0 (222.6, 254.3) | 52 (16, 91) | 191 |
stable
|
-1.2 (-11.9, 0.3) |
| Andrew County 6 | Urban | 237.4 (206.3, 272.1) | 53 (4, 108) | 47 |
stable
|
0.7 (-0.8, 2.4) |
| Gasconade County 6 | Rural | 236.5 (202.8, 274.8) | 54 (2, 110) | 43 |
stable
|
0.0 (-1.5, 1.5) |
| Taney County 6 | Rural | 235.2 (216.7, 255.0) | 55 (12, 96) | 134 |
stable
|
0.4 (-0.3, 1.1) |
| Warren County 6 | Urban | 234.8 (212.4, 259.0) | 56 (11, 101) | 92 |
stable
|
1.1 (-0.1, 2.3) |
| Putnam County 6 | Rural | 234.5 (174.0, 310.6) | 57 (1, 115) | 11 |
rising
|
3.3 (0.5, 6.2) |
| Pettis County 6 | Rural | 233.6 (213.0, 255.6) | 58 (14, 102) | 104 |
stable
|
-0.2 (-2.1, 1.7) |
| Stone County 6 | Rural | 233.4 (208.1, 261.3) | 59 (9, 105) | 82 |
stable
|
0.2 (-1.4, 1.8) |
| Benton County 6 | Rural | 233.1 (201.5, 268.8) | 60 (4, 108) | 53 |
stable
|
-0.9 (-2.8, 0.9) |
| Monroe County 6 | Rural | 231.8 (187.3, 284.7) | 61 (2, 114) | 23 |
stable
|
1.2 (-1.0, 3.5) |
| Howell County 6 | Rural | 231.8 (209.9, 255.5) | 62 (14, 102) | 91 |
stable
|
0.0 (-1.6, 1.5) |
| St. Louis County 6 | Urban | 231.2 (226.9, 235.6) | 63 (44, 78) | 2,434 |
stable
|
-0.2 (-0.5, 0.0) |
| St. Charles County 6 | Urban | 230.9 (224.2, 237.7) | 64 (40, 83) | 981 |
stable
|
-0.4 (-1.1, 0.2) |
| Pemiscot County 6 | Rural | 230.5 (197.2, 268.2) | 65 (5, 111) | 38 |
stable
|
1.4 (-0.7, 3.6) |
| Ste. Genevieve County 6 | Rural | 230.0 (200.0, 263.7) | 66 (7, 109) | 49 |
stable
|
1.3 (-0.2, 2.9) |
| Boone County 6 | Urban | 229.6 (218.8, 240.8) | 67 (33, 91) | 362 |
stable
|
-0.2 (-0.9, 0.6) |
| Callaway County 6 | Urban | 229.4 (209.7, 250.5) | 68 (17, 103) | 110 |
stable
|
0.1 (-1.1, 1.4) |
| Washington County 6 | Rural | 229.1 (203.2, 257.6) | 69 (8, 108) | 63 |
stable
|
0.5 (-1.2, 2.2) |
| St. Louis City 6 | Urban | 228.9 (221.2, 236.8) | 70 (41, 87) | 727 |
falling 
|
-1.1 (-1.4, -0.7) |
| Johnson County 6 | Rural | 228.4 (208.5, 249.6) | 71 (18, 104) | 107 |
stable
|
0.5 (-0.6, 1.5) |
| Jackson County 6 | Urban | 227.4 (222.3, 232.5) | 72 (48, 85) | 1,639 |
stable
|
-0.3 (-0.8, 0.1) |
| Cass County 6 | Urban | 226.7 (213.9, 240.1) | 73 (32, 95) | 257 |
stable
|
0.2 (-0.4, 0.8) |
| Audrain County 6 | Rural | 225.6 (199.1, 254.7) | 74 (11, 109) | 58 |
stable
|
-10.1 (-24.5, 1.6) |
| Laclede County 6 | Rural | 224.2 (201.8, 248.4) | 75 (18, 108) | 82 |
falling
|
-9.0 (-16.1, -3.9) |
| Clay County 6 | Urban | 223.4 (215.0, 232.0) | 76 (47, 94) | 562 |
stable
|
-0.3 (-1.0, 0.5) |
| Dade County 6 | Rural | 222.6 (175.7, 279.2) | 77 (1, 114) | 19 |
stable
|
-0.2 (-3.6, 3.4) |
| Wright County 6 | Rural | 222.5 (191.9, 256.9) | 78 (10, 112) | 43 |
stable
|
-0.9 (-2.9, 1.0) |
| Texas County 6 | Rural | 221.4 (195.0, 250.6) | 79 (14, 110) | 58 |
stable
|
-0.5 (-1.7, 0.6) |
| Schuyler County 6 | Rural | 219.2 (157.1, 298.9) | 80 (1, 115) | 9 |
stable
|
0.3 (-2.9, 3.6) |
| Harrison County 6 | Rural | 219.2 (172.5, 275.1) | 81 (2, 114) | 18 |
stable
|
-0.1 (-3.2, 2.7) |
| Greene County 6 | Urban | 218.8 (210.8, 227.0) | 82 (53, 98) | 610 |
stable
|
-0.4 (-0.8, 0.0) |
| Ralls County 6 | Rural | 218.2 (178.8, 264.3) | 83 (4, 114) | 25 |
stable
|
0.6 (-1.9, 3.3) |
| Lafayette County 6 | Urban | 217.8 (195.4, 242.3) | 84 (22, 109) | 78 |
stable
|
0.3 (-0.9, 1.4) |
| Webster County 6 | Urban | 217.5 (196.6, 240.1) | 85 (27, 109) | 86 |
falling
|
-7.4 (-12.6, -0.7) |
| Reynolds County 6 | Rural | 216.8 (167.2, 278.0) | 86 (1, 115) | 16 |
stable
|
0.3 (-1.9, 2.5) |
| Bates County 6 | Urban | 214.3 (182.6, 250.2) | 87 (14, 113) | 37 |
stable
|
-0.3 (-2.5, 1.8) |
| Barry County 6 | Rural | 214.3 (192.5, 238.0) | 88 (25, 110) | 82 |
stable
|
0.4 (-0.8, 1.7) |
| Shelby County 6 | Rural | 214.2 (162.6, 277.8) | 89 (1, 115) | 14 |
stable
|
-0.4 (-2.9, 2.0) |
| Ray County 6 | Urban | 213.8 (188.1, 242.3) | 90 (22, 112) | 57 |
stable
|
-0.2 (-1.9, 1.5) |
| Lawrence County 6 | Rural | 212.8 (192.0, 235.3) | 91 (29, 110) | 84 |
stable
|
-0.4 (-1.1, 0.4) |
| Clinton County 6 | Urban | 211.5 (184.5, 241.6) | 92 (22, 112) | 50 |
falling
|
-3.8 (-14.6, -0.8) |
| Atchison County 6 | Rural | 211.0 (156.0, 280.4) | 93 (1, 115) | 11 |
stable
|
1.7 (-0.7, 4.1) |
| Linn County 6 | Rural | 210.8 (173.6, 254.1) | 94 (7, 114) | 27 |
stable
|
-0.6 (-2.8, 1.5) |
| Gentry County 6 | Rural | 210.8 (160.4, 272.6) | 95 (3, 115) | 13 |
stable
|
0.4 (-2.8, 3.9) |
| Camden County 6 | Rural | 208.5 (188.8, 230.0) | 96 (40, 111) | 110 |
stable
|
0.1 (-1.1, 1.4) |
| Christian County 6 | Urban | 207.9 (194.2, 222.3) | 97 (60, 109) | 182 |
stable
|
-0.6 (-1.8, 0.5) |
| Newton County 6 | Urban | 206.7 (190.3, 224.2) | 98 (51, 111) | 131 |
stable
|
-0.2 (-1.2, 0.7) |
| Daviess County 6 | Rural | 204.9 (160.4, 258.3) | 99 (5, 115) | 17 |
stable
|
0.3 (-2.8, 3.3) |
| Platte County 6 | Urban | 203.8 (191.6, 216.5) | 100 (71, 109) | 222 |
stable
|
-0.2 (-0.7, 0.3) |
| Nodaway County 6 | Rural | 202.9 (173.2, 236.4) | 101 (25, 114) | 38 |
stable
|
-0.5 (-2.4, 1.5) |
| Cedar County 6 | Rural | 202.8 (170.2, 240.4) | 102 (18, 114) | 31 |
stable
|
-0.2 (-1.9, 1.5) |
| Adair County 6 | Rural | 202.4 (174.0, 234.0) | 103 (27, 114) | 41 |
stable
|
-9.7 (-19.8, 0.1) |
| Mercer County 6 | Rural | 198.7 (136.1, 282.3) | 104 (1, 115) | 8 |
stable
|
-0.3 (-5.1, 4.6) |
| McDonald County 6 | Rural | 196.9 (172.2, 224.5) | 105 (38, 114) | 50 |
stable
|
0.5 (-1.8, 2.9) |
| Caldwell County 6 | Urban | 196.6 (155.7, 245.5) | 106 (10, 115) | 18 |
stable
|
-1.0 (-3.2, 1.0) |
| Douglas County 6 | Rural | 195.2 (159.7, 236.8) | 107 (19, 115) | 26 |
rising
|
7.2 (5.3, 9.4) |
| Clark County 6 | Rural | 193.0 (145.4, 251.9) | 108 (6, 115) | 13 |
stable
|
1.1 (-2.8, 5.1) |
| Vernon County 6 | Rural | 182.5 (155.9, 212.6) | 109 (57, 115) | 38 |
stable
|
-0.7 (-3.1, 1.7) |
| Knox County 6 | Rural | 181.9 (122.5, 261.3) | 110 (3, 115) | 7 |
stable
|
-0.8 (-3.9, 2.1) |
| DeKalb County 6 | Urban | 179.9 (147.3, 218.2) | 111 (37, 115) | 23 |
stable
|
1.2 (-1.2, 3.8) |
| Maries County 6 | Rural | 177.2 (141.6, 220.6) | 112 (38, 115) | 19 |
stable
|
0.2 (-2.6, 3.1) |
| Sullivan County 6 | Rural | 176.4 (130.7, 233.9) | 113 (15, 115) | 11 |
stable
|
-2.0 (-6.0, 1.6) |
| Carroll County 6 | Rural | 162.3 (125.2, 207.9) | 114 (60, 115) | 14 |
stable
|
-1.7 (-4.3, 0.6) |
| Scotland County 6 | Rural | 118.9 (76.6, 176.8) | 115 (88, 115) | 5 |
stable
|
-2.6 (-7.6, 2.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/05/2025 7:19 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 (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.
Φ Rural-Urban Continuum Codes provided by the USDA.
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.
6 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).
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.
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 07/05/2025 7:19 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.
Φ Rural-Urban Continuum Codes provided by the USDA.
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.
6 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).
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.
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.