Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2017-2021
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Recentaapc
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) 
|
|---|---|---|---|---|---|---|
| North Carolina 6 | N/A | 475.5 (473.8, 477.2) | N/A | 60,626 |
stable 
|
-0.2 (-0.4, 0.0) |
| US (SEER+NPCR) 1 | N/A | 444.4 (444.1, 444.7) | N/A | 1,744,459 |
falling 
|
-0.5 (-0.7, -0.3) |
| Rutherford County 6 | Rural | 506.2 (485.2, 528.0) | 15 (2, 60) | 487 |
rising 
|
3.6 (0.4, 5.6) |
| Beaufort County 6 | Rural | 463.7 (440.2, 488.3) | 67 (17, 91) | 337 |
rising
|
3.4 (0.7, 6.5) |
| Tyrrell County 6 | Rural | 514.1 (425.5, 618.0) | 10 (1, 97) | 27 |
rising
|
2.6 (0.2, 5.2) |
| Anson County 6 | Urban | 554.9 (516.8, 595.3) | 1 (1, 33) | 170 |
rising
|
2.2 (1.5, 2.9) |
| Jackson County 6 | Rural | 431.4 (406.0, 458.1) | 87 (55, 97) | 242 |
stable
|
2.0 (-0.7, 6.5) |
| Yancey County 6 | Rural | 487.7 (451.2, 526.9) | 39 (2, 92) | 151 |
stable
|
1.9 (-1.4, 8.0) |
| Duplin County 6 | Rural | 482.2 (458.0, 507.5) | 48 (7, 82) | 321 |
rising
|
1.2 (0.6, 1.8) |
| McDowell County 6 | Rural | 537.2 (511.3, 564.3) | 2 (1, 32) | 351 |
stable
|
0.8 (0.0, 1.6) |
| Pitt County 6 | Urban | 455.6 (441.3, 470.1) | 78 (47, 89) | 816 |
stable
|
0.8 (-0.6, 3.3) |
| Polk County 6 | Rural | 464.6 (428.8, 503.1) | 66 (5, 96) | 169 |
stable
|
0.8 (-0.4, 2.0) |
| Sampson County 6 | Rural | 512.7 (489.5, 536.7) | 11 (1, 56) | 392 |
rising
|
0.8 (0.1, 1.6) |
| Wayne County 6 | Urban | 522.2 (505.2, 539.7) | 6 (1, 33) | 751 |
stable
|
0.8 (-0.2, 1.2) |
| Cleveland County 6 | Rural | 511.2 (493.5, 529.4) | 12 (2, 50) | 681 |
rising
|
0.7 (0.2, 1.2) |
| Haywood County 6 | Rural | 509.2 (488.4, 530.7) | 14 (2, 58) | 519 |
stable
|
0.7 (-0.2, 1.7) |
| Mitchell County 6 | Rural | 478.8 (438.1, 522.9) | 54 (1, 95) | 117 |
stable
|
0.7 (-0.3, 1.7) |
| Caldwell County 6 | Urban | 497.2 (478.6, 516.5) | 25 (6, 64) | 581 |
stable
|
0.6 (-0.1, 1.4) |
| Bertie County 6 | Rural | 460.7 (423.2, 500.9) | 70 (6, 96) | 128 |
stable
|
0.5 (-9.1, 6.1) |
| Bladen County 6 | Rural | 459.7 (430.6, 490.4) | 72 (15, 95) | 211 |
stable
|
0.5 (-0.3, 1.3) |
| Columbus County 6 | Rural | 487.0 (463.7, 511.4) | 41 (6, 80) | 352 |
stable
|
0.5 (-0.1, 1.0) |
| Washington County 6 | Rural | 484.0 (435.1, 537.6) | 46 (1, 95) | 89 |
stable
|
0.5 (-0.8, 1.7) |
| Avery County 6 | Rural | 445.6 (409.5, 484.5) | 82 (15, 97) | 121 |
stable
|
0.4 (-0.7, 1.5) |
| Clay County 6 | Rural | 445.7 (401.6, 494.4) | 81 (6, 97) | 96 |
stable
|
0.4 (-1.3, 2.2) |
| Johnston County 6 | Urban | 489.6 (476.5, 502.9) | 34 (12, 64) | 1,136 |
stable
|
0.4 (0.0, 0.8) |
| Martin County 6 | Rural | 494.0 (459.4, 530.9) | 29 (1, 88) | 175 |
stable
|
0.4 (-0.3, 1.2) |
| Onslow County 6 | Urban | 536.5 (519.8, 553.5) | 3 (1, 15) | 829 |
stable
|
0.4 (-0.1, 1.0) |
| Richmond County 6 | Rural | 518.5 (491.6, 546.7) | 9 (1, 57) | 295 |
stable
|
0.4 (-0.6, 1.4) |
| Surry County 6 | Rural | 500.6 (480.8, 521.0) | 20 (4, 63) | 521 |
stable
|
0.4 (-0.4, 1.1) |
| Alexander County 6 | Urban | 474.6 (447.6, 503.1) | 59 (8, 90) | 247 |
stable
|
0.3 (-0.4, 1.1) |
| Davidson County 6 | Urban | 495.6 (482.3, 509.2) | 27 (8, 57) | 1,128 |
stable
|
0.3 (0.0, 0.7) |
| Jones County 6 | Rural | 522.3 (467.6, 582.3) | 5 (1, 87) | 78 |
stable
|
0.3 (-1.1, 1.8) |
| Montgomery County 6 | Rural | 454.1 (422.6, 487.5) | 79 (13, 95) | 172 |
stable
|
0.3 (-0.7, 1.4) |
| New Hanover County 6 | Urban | 484.4 (472.7, 496.2) | 45 (17, 66) | 1,407 |
stable
|
0.3 (-0.2, 0.7) |
| Pender County 6 | Urban | 493.2 (471.0, 516.4) | 31 (4, 73) | 397 |
stable
|
0.3 (-0.6, 1.3) |
| Person County 6 | Urban | 510.5 (483.0, 539.3) | 13 (1, 65) | 286 |
stable
|
0.3 (-0.2, 0.8) |
| Union County 6 | Urban | 487.9 (475.6, 500.6) | 37 (14, 64) | 1,242 |
stable
|
0.3 (-0.2, 0.9) |
| Alamance County 6 | Urban | 504.7 (491.0, 518.8) | 17 (4, 48) | 1,072 |
stable
|
0.2 (-0.2, 0.7) |
| Franklin County 6 | Urban | 481.7 (460.6, 503.6) | 49 (9, 82) | 421 |
stable
|
0.2 (-0.2, 0.7) |
| Northampton County 6 | Rural | 476.2 (438.1, 517.1) | 57 (3, 94) | 145 |
stable
|
0.2 (-0.5, 0.9) |
| Transylvania County 6 | Rural | 428.2 (402.9, 455.0) | 90 (58, 97) | 271 |
stable
|
0.2 (-0.7, 1.2) |
| Warren County 6 | Rural | 476.3 (439.5, 515.7) | 55 (3, 93) | 149 |
stable
|
0.2 (-0.6, 1.1) |
| Yadkin County 6 | Urban | 459.8 (433.4, 487.6) | 71 (18, 93) | 246 |
stable
|
0.2 (-0.6, 1.0) |
| Burke County 6 | Urban | 480.0 (462.5, 498.1) | 52 (13, 80) | 621 |
stable
|
0.1 (-0.5, 0.8) |
| Chatham County 6 | Urban | 470.8 (452.5, 489.7) | 62 (20, 85) | 573 |
stable
|
0.1 (-0.4, 0.6) |
| Cumberland County 6 | Urban | 474.8 (464.1, 485.7) | 58 (32, 75) | 1,551 |
stable
|
0.1 (-0.2, 0.3) |
| Gaston County 6 | Urban | 502.9 (491.0, 515.1) | 18 (6, 46) | 1,415 |
stable
|
0.1 (-0.4, 0.6) |
| Lincoln County 6 | Urban | 500.0 (481.3, 519.3) | 22 (4, 61) | 580 |
stable
|
0.1 (-0.5, 0.8) |
| Pamlico County 6 | Rural | 495.3 (450.1, 544.6) | 28 (1, 91) | 113 |
stable
|
0.1 (-1.2, 1.5) |
| Ashe County 6 | Rural | 423.6 (395.2, 453.8) | 94 (57, 97) | 194 |
stable
|
0.0 (-0.9, 0.9) |
| Edgecombe County 6 | Urban | 499.0 (474.5, 524.4) | 24 (3, 72) | 350 |
stable
|
0.0 (-0.8, 0.8) |
| Graham County 6 | Rural | 422.7 (371.3, 480.2) | 95 (8, 98) | 55 |
stable
|
0.0 (-16.5, 6.2) |
| Greene County 6 | Rural | 472.5 (434.9, 512.7) | 61 (3, 95) | 123 |
stable
|
0.0 (-1.3, 1.2) |
| Hyde County 6 | Rural | 441.4 (372.6, 521.0) | 84 (1, 99) | 33 |
stable
|
0.0 (-2.7, 2.6) |
| Rockingham County 6 | Urban | 488.9 (471.6, 506.8) | 35 (8, 71) | 658 |
stable
|
0.0 (-0.5, 0.5) |
| Stanly County 6 | Rural | 519.7 (497.3, 543.0) | 7 (1, 47) | 434 |
stable
|
0.0 (-1.0, 0.6) |
| Caswell County 6 | Rural | 487.6 (453.4, 524.0) | 40 (2, 88) | 171 |
stable
|
-0.1 (-0.8, 0.6) |
| Cherokee County 6 | Rural | 467.0 (438.2, 497.5) | 64 (9, 92) | 248 |
stable
|
-0.1 (-0.8, 0.4) |
| Chowan County 6 | Rural | 427.7 (387.9, 471.2) | 91 (29, 98) | 98 |
stable
|
-0.1 (-1.2, 1.0) |
| Madison County 6 | Urban | 474.4 (439.4, 511.8) | 60 (5, 93) | 152 |
stable
|
-0.1 (-1.2, 1.1) |
| Mecklenburg County 6 | Urban | 462.4 (456.5, 468.4) | 69 (56, 80) | 4,949 |
stable
|
-0.2 (-0.6, 0.1) |
| Moore County 6 | Urban | 499.4 (482.7, 516.7) | 23 (5, 60) | 765 |
stable
|
-0.2 (-0.9, 0.6) |
| Swain County 6 | Rural | 534.3 (487.9, 584.3) | 4 (1, 71) | 105 |
stable
|
-0.2 (-4.7, 1.2) |
| Vance County 6 | Rural | 486.0 (459.5, 513.7) | 42 (5, 85) | 276 |
stable
|
-0.2 (-0.7, 0.3) |
| Dare County 6 | Rural | 426.6 (401.3, 453.3) | 93 (58, 97) | 245 |
stable
|
-0.3 (-1.4, 0.7) |
| Hoke County 6 | Urban | 488.4 (459.4, 518.6) | 36 (4, 84) | 234 |
stable
|
-0.3 (-1.2, 0.6) |
| Perquimans County 6 | Rural | 427.1 (385.9, 472.3) | 92 (26, 98) | 97 |
stable
|
-0.3 (-1.6, 0.9) |
| Wilson County 6 | Rural | 456.4 (437.7, 475.8) | 77 (39, 91) | 480 |
stable
|
-0.3 (-1.0, 0.4) |
| Buncombe County 6 | Urban | 457.3 (447.3, 467.5) | 76 (55, 86) | 1,720 |
stable
|
-0.4 (-0.7, 0.0) |
| Craven County 6 | Rural | 501.5 (484.0, 519.6) | 19 (4, 61) | 679 |
stable
|
-0.4 (-0.9, 0.1) |
| Forsyth County 6 | Urban | 469.3 (460.3, 478.5) | 63 (42, 77) | 2,169 |
falling
|
-0.4 (-0.7, -0.1) |
| Henderson County 6 | Urban | 466.7 (452.2, 481.5) | 65 (32, 84) | 907 |
stable
|
-0.4 (-0.9, 0.1) |
| Orange County 6 | Urban | 459.2 (444.0, 474.7) | 73 (40, 88) | 744 |
stable
|
-0.4 (-0.8, 0.1) |
| Iredell County 6 | Urban | 482.7 (469.7, 496.0) | 47 (17, 70) | 1,104 |
falling
|
-0.5 (-1.1, -0.1) |
| Lee County 6 | Rural | 462.7 (441.0, 485.3) | 68 (24, 90) | 361 |
stable
|
-0.5 (-1.2, 0.2) |
| Alleghany County 6 | Rural | 364.5 (325.4, 408.0) | 97 (88, 100) | 73 |
stable
|
-0.6 (-1.7, 0.5) |
| Durham County 6 | Urban | 458.3 (447.9, 468.9) | 74 (53, 85) | 1,559 |
falling
|
-0.6 (-1.1, -0.1) |
| Guilford County 6 | Urban | 480.5 (472.7, 488.4) | 50 (30, 66) | 3,002 |
falling
|
-0.6 (-2.2, -0.2) |
| Lenoir County 6 | Rural | 506.1 (482.9, 530.2) | 16 (2, 62) | 398 |
stable
|
-0.6 (-1.5, 0.2) |
| Macon County 6 | Rural | 440.0 (415.4, 466.0) | 86 (47, 96) | 291 |
stable
|
-0.6 (-1.7, 0.4) |
| Scotland County 6 | Rural | 484.6 (455.2, 515.5) | 44 (3, 87) | 217 |
stable
|
-0.6 (-1.9, 0.7) |
| Wake County 6 | Urban | 457.5 (451.8, 463.3) | 75 (60, 83) | 5,126 |
falling
|
-0.6 (-1.0, -0.3) |
| Watauga County 6 | Rural | 428.8 (404.7, 454.1) | 89 (58, 97) | 262 |
stable
|
-0.6 (-1.2, 0.0) |
| Granville County 6 | Rural | 519.0 (496.1, 542.8) | 8 (1, 49) | 414 |
stable
|
-0.7 (-3.1, 0.1) |
| Hertford County 6 | Rural | 441.0 (406.7, 477.6) | 85 (25, 97) | 136 |
stable
|
-0.7 (-1.7, 0.3) |
| Wilkes County 6 | Rural | 441.6 (422.3, 461.5) | 83 (55, 95) | 440 |
falling
|
-0.7 (-3.9, -0.1) |
| Carteret County 6 | Rural | 479.6 (460.3, 499.7) | 53 (13, 82) | 549 |
falling
|
-0.8 (-1.2, -0.4) |
| Nash County 6 | Urban | 429.6 (413.0, 446.7) | 88 (73, 96) | 546 |
falling
|
-0.8 (-1.5, -0.1) |
| Randolph County 6 | Urban | 493.5 (479.1, 508.3) | 30 (8, 62) | 942 |
stable
|
-0.9 (-3.9, 1.1) |
| Cabarrus County 6 | Urban | 476.3 (463.7, 489.0) | 56 (26, 76) | 1,135 |
falling
|
-1.0 (-1.7, -0.5) |
| Davie County 6 | Urban | 492.4 (466.9, 519.1) | 33 (4, 79) | 307 |
stable
|
-1.1 (-4.6, 0.2) |
| Rowan County 6 | Urban | 485.1 (470.7, 499.7) | 43 (13, 70) | 925 |
falling
|
-1.1 (-2.2, -0.2) |
| Gates County 6 | Urban | 293.7 (256.2, 336.0) | 100 (97, 100) | 49 |
stable
|
-1.3 (-3.0, 0.5) |
| Robeson County 6 | Rural | 496.2 (479.3, 513.6) | 26 (6, 63) | 690 |
stable
|
-1.5 (-4.8, 0.9) |
| Stokes County 6 | Urban | 480.2 (455.9, 505.6) | 51 (7, 85) | 326 |
falling
|
-1.7 (-4.2, -0.1) |
| Camden County 6 | Urban | 359.6 (313.8, 410.7) | 98 (85, 100) | 47 |
falling
|
-2.0 (-3.9, -0.2) |
| Brunswick County 6 | Urban | 493.0 (478.9, 507.4) | 32 (9, 62) | 1,290 |
stable
|
-2.1 (-4.5, 0.3) |
| Harnett County 6 | Rural | 487.9 (471.3, 505.0) | 38 (9, 73) | 675 |
stable
|
-2.6 (-5.3, 0.0) |
| Catawba County 6 | Urban | 451.9 (438.7, 465.3) | 80 (57, 90) | 957 |
falling
|
-3.4 (-6.5, -0.4) |
| Halifax County 6 | Rural | 500.2 (476.2, 525.3) | 21 (2, 72) | 361 |
stable
|
-4.2 (-9.0, 0.2) |
| Currituck County 6 | Urban | 318.7 (292.1, 347.3) | 99 (97, 100) | 117 |
falling
|
-6.0 (-15.6, -2.0) |
| Pasquotank County 6 | Rural | 402.6 (377.8, 428.6) | 96 (79, 98) | 209 |
falling
|
-6.2 (-15.0, -0.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/15/2025 7:30 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 07/15/2025 7:30 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.