Interpretation of Incidence Rates Data
Incidence Rate Report for Montana by County
All Cancer Sites (All Stages^), 2015-2019
All Races (includes Hispanic), Both Sexes, Ages <65
Sorted by Count
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
Montana6
- Rate : The incidence rate is 229.4 with a 95% confidence interval from 225.2 to 233.7 and 2,542 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.2 to 0.4.
US (SEER+NPCR)1
- Rate : The incidence rate is 228.3 with a 95% confidence interval from 228.1 to 228.5 and 750,680 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.
Yellowstone County6
- Rate : The incidence rate is 269.6 with a 95% confidence interval from 258.0 to 281.7 and 441 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (3, 18)
- Recent Trend : The trend is rising
because the trend is 2.8 with a 95% confidence interval from 0.2 to 5.5.
Flathead County6
- Rate : The incidence rate is 234.7 with a 95% confidence interval from 221.1 to 248.9 and 260 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (11, 32)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -0.3 to 1.2.
Missoula County6
- Rate : The incidence rate is 210.8 with a 95% confidence interval from 198.5 to 223.7 and 238 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (21, 42)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.5.
Gallatin County6
- Rate : The incidence rate is 208.8 with a 95% confidence interval from 196.0 to 222.2 and 211 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (22, 42)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.7 to 1.0.
Lewis and Clark County6
- Rate : The incidence rate is 244.1 with a 95% confidence interval from 227.2 to 262.0 and 180 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (8, 30)
- Recent Trend : The trend is stable
because the trend is 0.7 with a 95% confidence interval from -0.2 to 1.5.
Cascade County6
- Rate : The incidence rate is 204.0 with a 95% confidence interval from 189.6 to 219.3 and 168 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (23, 45)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.2.
Ravalli County6
- Rate : The incidence rate is 196.2 with a 95% confidence interval from 177.1 to 216.9 and 96 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (24, 47)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.7.
Silver Bow County6
- Rate : The incidence rate is 250.2 with a 95% confidence interval from 225.9 to 276.5 and 91 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (4, 32)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.2.
Lake County6
- Rate : The incidence rate is 231.0 with a 95% confidence interval from 205.7 to 258.7 and 73 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (7, 40)
- Recent Trend : The trend is stable
because the trend is 0.8 with a 95% confidence interval from -0.3 to 1.9.
Lincoln County6
- Rate : The incidence rate is 228.9 with a 95% confidence interval from 198.3 to 263.5 and 54 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (6, 43)
- Recent Trend : The trend is rising
because the trend is 1.5 with a 95% confidence interval from 0.2 to 2.9.
Park County6
- Rate : The incidence rate is 208.2 with a 95% confidence interval from 179.0 to 241.5 and 44 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (13, 47)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -1.4 to 2.5.
Jefferson County6
- Rate : The incidence rate is 242.9 with a 95% confidence interval from 205.5 to 286.1 and 37 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (3, 42)
- Recent Trend : The trend is stable
because the trend is 1.6 with a 95% confidence interval from -0.7 to 4.0.
Sanders County6
- Rate : The incidence rate is 255.0 with a 95% confidence interval from 212.4 to 304.6 and 36 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (2, 41)
- Recent Trend : The trend is stable
because the trend is 1.1 with a 95% confidence interval from -1.1 to 3.3.
Custer County6
- Rate : The incidence rate is 248.0 with a 95% confidence interval from 208.9 to 292.7 and 32 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (3, 41)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -2.7 to 1.6.
Hill County6
- Rate : The incidence rate is 203.9 with a 95% confidence interval from 171.2 to 241.0 and 31 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (12, 49)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -3.3 to -0.2.
Stillwater County6
- Rate : The incidence rate is 263.5 with a 95% confidence interval from 219.2 to 315.3 and 30 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (1, 39)
- Recent Trend : The trend is stable
because the trend is 1.0 with a 95% confidence interval from -0.9 to 3.0.
Big Horn County6
- Rate : The incidence rate is 253.2 with a 95% confidence interval from 212.5 to 299.4 and 30 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (2, 40)
- Recent Trend : The trend is stable
because the trend is 1.1 with a 95% confidence interval from -0.6 to 2.8.
Glacier County6
- Rate : The incidence rate is 233.8 with a 95% confidence interval from 196.3 to 276.4 and 30 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (4, 44)
- Recent Trend : The trend is stable
because the trend is 0.9 with a 95% confidence interval from -1.6 to 3.5.
Fergus County6
- Rate : The incidence rate is 252.3 with a 95% confidence interval from 209.6 to 301.6 and 29 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (2, 41)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -2.4 to 2.2.
Rosebud County6
- Rate : The incidence rate is 300.9 with a 95% confidence interval from 250.5 to 358.8 and 29 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (1, 25)
- Recent Trend : The trend is rising
because the trend is 2.4 with a 95% confidence interval from 0.5 to 4.3.
Roosevelt County6
- Rate : The incidence rate is 266.0 with a 95% confidence interval from 220.8 to 317.5 and 27 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (1, 38)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -2.6 to 2.5.
Carbon County6
- Rate : The incidence rate is 210.9 with a 95% confidence interval from 172.5 to 256.4 and 27 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (7, 49)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -2.1 to 1.7.
Richland County6
- Rate : The incidence rate is 219.5 with a 95% confidence interval from 182.1 to 262.6 and 27 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (6, 47)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -1.9 to 2.9.
Deer Lodge County6
- Rate : The incidence rate is 185.8 with a 95% confidence interval from 149.1 to 230.3 and 22 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (15, 51)
- Recent Trend : The trend is falling
because the trend is -2.5 with a 95% confidence interval from -4.7 to -0.2.
Dawson County6
- Rate : The incidence rate is 238.5 with a 95% confidence interval from 192.5 to 292.4 and 21 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (2, 46)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -2.9 to 0.6.
Valley County6
- Rate : The incidence rate is 269.1 with a 95% confidence interval from 216.3 to 331.7 and 21 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (1, 41)
- Recent Trend : The trend is stable
because the trend is 2.0 with a 95% confidence interval from -0.7 to 4.7.
Broadwater County6
- Rate : The incidence rate is 281.1 with a 95% confidence interval from 223.6 to 350.6 and 20 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (1, 38)
- Recent Trend : The trend is stable
because the trend is 2.7 with a 95% confidence interval from -0.2 to 5.8.
Powell County6
- Rate : The incidence rate is 231.0 with a 95% confidence interval from 185.1 to 286.8 and 20 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (3, 47)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -2.2 to 2.5.
Musselshell County6
- Rate : The incidence rate is 346.5 with a 95% confidence interval from 269.2 to 441.1 and 19 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (1, 24)
- Recent Trend : The trend is stable
because the trend is 2.6 with a 95% confidence interval from -0.1 to 5.5.
Madison County6
- Rate : The incidence rate is 157.7 with a 95% confidence interval from 121.2 to 203.4 and 17 average annual cases over 2015-2019.
- CI*Rank⋔ : 51 (26, 51)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -4.1 to -0.1.
Beaverhead County6
- Rate : The incidence rate is 163.0 with a 95% confidence interval from 126.5 to 207.6 and 16 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (25, 51)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -4.2 to 1.8.
Pondera County6
- Rate : The incidence rate is 242.2 with a 95% confidence interval from 184.1 to 313.1 and 14 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (2, 48)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -3.2 to 0.9.
Teton County6
- Rate : The incidence rate is 197.5 with a 95% confidence interval from 147.0 to 260.3 and 12 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (6, 51)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -3.6 to 2.0.
Mineral County6
- Rate : The incidence rate is 230.4 with a 95% confidence interval from 166.4 to 313.6 and 12 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (1, 51)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -3.0 to 3.3.
Blaine County6
- Rate : The incidence rate is 173.2 with a 95% confidence interval from 128.9 to 228.0 and 11 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (13, 51)
- Recent Trend : The trend is stable
because the trend is 13.6 with a 95% confidence interval from -5.5 to 36.6.
Chouteau County6
- Rate : The incidence rate is 162.5 with a 95% confidence interval from 118.1 to 219.4 and 10 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (19, 51)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -4.2 to 1.7.
Toole County6
- Rate : The incidence rate is 182.7 with a 95% confidence interval from 133.1 to 246.2 and 10 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (9, 51)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -4.2 to 3.0.
Phillips County6
- Rate : The incidence rate is 189.9 with a 95% confidence interval from 133.4 to 264.4 and 10 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (4, 51)
- Recent Trend : The trend is stable
because the trend is -1.9 with a 95% confidence interval from -3.9 to 0.2.
Sheridan County6
- Rate : The incidence rate is 177.4 with a 95% confidence interval from 122.1 to 252.8 and 8 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (8, 51)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -4.1 to 3.1.
Fallon County6
- Rate : The incidence rate is 268.5 with a 95% confidence interval from 186.1 to 375.3 and 8 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (1, 49)
- Recent Trend : The trend is stable
because the trend is 1.4 with a 95% confidence interval from -2.2 to 5.2.
Granite County6
- Rate : The incidence rate is 190.2 with a 95% confidence interval from 125.0 to 282.5 and 7 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (3, 51)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -4.4 to 3.8.
Sweet Grass County6
- Rate : The incidence rate is 191.5 with a 95% confidence interval from 128.8 to 276.3 and 7 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (3, 51)
- Recent Trend : The trend is stable
because the trend is 0.6 with a 95% confidence interval from -2.5 to 3.7.
Meagher County6
- Rate : The incidence rate is 266.6 with a 95% confidence interval from 169.5 to 407.1 and 6 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (1, 51)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -4.3 to 4.7.
Wheatland County6
- Rate : The incidence rate is 218.4 with a 95% confidence interval from 137.0 to 335.5 and 6 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (1, 51)
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Daniels County6
- Rate : The incidence rate is 188.4 with a 95% confidence interval from 117.2 to 301.0 and 5 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (2, 51)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -2.7 to 3.8.
Liberty County6
- Rate : The incidence rate is 178.6 with a 95% confidence interval from 109.5 to 278.2 and 5 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (3, 51)
- Recent Trend : The trend is stable
because the trend is -2.8 with a 95% confidence interval from -6.9 to 1.5.
McCone County6
- Rate : The incidence rate is 292.7 with a 95% confidence interval from 173.1 to 464.6 and 5 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (1, 51)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -3.8 to 4.8.
Powder River County6
- Rate : The incidence rate is 173.8 with a 95% confidence interval from 102.3 to 289.8 and 4 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (4, 51)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -5.7 to 4.0.
Judith Basin County6
- Rate : The incidence rate is 187.4 with a 95% confidence interval from 108.2 to 309.5 and 4 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (2, 51)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -3.8 to 4.3.
Prairie County6
- Rate : The incidence rate is 355.0 with a 95% confidence interval from 200.7 to 590.0 and 4 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 51)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -4.6 to 5.9.
Carter County6
- Rate : The incidence rate is 205.7 with a 95% confidence interval from 109.0 to 370.0 and 3 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (1, 51)
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- CI*Rank⋔ : *
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- CI*Rank⋔ : *
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- CI*Rank⋔ : *
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- CI*Rank⋔ : *
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- Rate : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
- CI*Rank⋔ : *
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Notes:
Created by statecancerprofiles.cancer.gov on 02/01/2023 11:08 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.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
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.