Incidence Rates Table
Incidence Rate Report for North Carolina by County
All Cancer Sites (All Stages^), 2017-2021
White Non-Hispanic, Both Sexes, All Ages
Sorted by Count
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 | 483.1 (481.1, 485.2) | N/A | 45,354 |
stable 
|
-0.1 (-0.3, 0.0) |
| US (SEER+NPCR) § 1 | N/A | 463.1 (462.7, 463.4) | N/A | 1,300,948 |
falling 
|
-0.4 (-0.5, -0.2) |
| Wake County 6 | Urban | 467.6 (460.7, 474.6) | 67 (55, 78) | 3,668 |
falling
|
-0.5 (-1.0, -0.2) |
| Mecklenburg County 6 | Urban | 477.6 (469.8, 485.5) | 59 (43, 71) | 2,983 |
stable
|
0.0 (-0.7, 0.3) |
| Guilford County 6 | Urban | 488.2 (478.1, 498.4) | 51 (27, 65) | 1,965 |
falling
|
-0.6 (-1.3, -0.2) |
| Buncombe County 6 | Urban | 457.2 (446.6, 468.0) | 75 (59, 88) | 1,556 |
falling
|
-0.4 (-0.7, -0.1) |
| Forsyth County 6 | Urban | 474.3 (463.2, 485.6) | 61 (42, 78) | 1,524 |
falling
|
-0.7 (-2.1, -0.3) |
| Brunswick County 6 | Urban | 500.0 (484.5, 516.0) | 32 (12, 62) | 1,171 |
falling
|
-1.6 (-3.5, -0.1) |
| New Hanover County 6 | Urban | 478.4 (465.8, 491.4) | 58 (32, 77) | 1,170 |
stable
|
0.2 (-0.2, 0.6) |
| Gaston County 6 | Urban | 511.0 (497.6, 524.8) | 21 (10, 48) | 1,165 |
stable
|
0.2 (-0.3, 0.7) |
| Union County 6 | Urban | 497.5 (483.5, 511.8) | 35 (15, 63) | 1,010 |
stable
|
0.4 (-0.2, 1.1) |
| Davidson County 6 | Urban | 496.0 (481.6, 510.8) | 38 (15, 65) | 982 |
stable
|
0.2 (-0.1, 0.5) |
| Iredell County 6 | Urban | 492.3 (477.8, 507.1) | 43 (18, 67) | 942 |
stable
|
-0.5 (-1.4, 0.1) |
| Cabarrus County 6 | Urban | 489.0 (474.4, 504.0) | 49 (19, 71) | 887 |
falling
|
-1.0 (-1.8, -0.4) |
| Johnston County 6 | Urban | 492.2 (477.3, 507.4) | 44 (17, 70) | 878 |
rising 
|
0.4 (0.1, 0.8) |
| Durham County 6 | Urban | 469.3 (454.9, 484.2) | 65 (41, 84) | 866 |
stable
|
-0.4 (-0.8, 0.1) |
| Henderson County 6 | Urban | 473.2 (457.7, 489.1) | 63 (31, 82) | 855 |
stable
|
-0.3 (-0.8, 0.2) |
| Randolph County 6 | Urban | 498.5 (482.8, 514.6) | 34 (13, 65) | 839 |
stable
|
-0.4 (-2.9, 0.2) |
| Catawba County 6 | Urban | 454.6 (440.1, 469.4) | 78 (58, 90) | 826 |
falling
|
-2.5 (-4.9, -0.7) |
| Alamance County 6 | Urban | 513.5 (497.1, 530.4) | 19 (7, 49) | 810 |
stable
|
0.3 (-0.2, 0.8) |
| Cumberland County 6 | Urban | 496.6 (481.0, 512.5) | 37 (14, 66) | 809 |
stable
|
0.3 (0.0, 0.6) |
| Rowan County 6 | Urban | 490.7 (474.5, 507.3) | 47 (17, 71) | 761 |
falling
|
-1.0 (-1.8, -0.3) |
| Moore County 6 | Urban | 497.1 (478.6, 516.2) | 36 (12, 68) | 653 |
stable
|
-0.2 (-1.1, 0.8) |
| Onslow County 6 | Urban | 546.8 (527.4, 566.8) | 5 (1, 23) | 630 |
rising
|
0.5 (0.1, 1.1) |
| Orange County 6 | Urban | 462.3 (445.0, 480.1) | 73 (45, 89) | 589 |
stable
|
-0.4 (-0.8, 0.1) |
| Burke County 6 | Urban | 487.5 (468.7, 507.1) | 53 (15, 77) | 566 |
stable
|
0.1 (-0.5, 0.8) |
| Caldwell County 6 | Urban | 501.6 (482.0, 521.9) | 30 (10, 66) | 542 |
stable
|
0.7 (-0.1, 1.5) |
| Cleveland County 6 | Rural | 515.8 (495.6, 536.7) | 17 (6, 54) | 542 |
rising
|
0.7 (0.2, 1.2) |
| Lincoln County 6 | Urban | 506.4 (486.4, 527.0) | 25 (8, 62) | 530 |
stable
|
0.1 (-0.4, 0.7) |
| Rockingham County 6 | Urban | 490.8 (471.1, 511.3) | 46 (12, 76) | 522 |
stable
|
0.1 (-0.5, 0.6) |
| Craven County 6 | Rural | 505.8 (485.1, 527.2) | 26 (8, 66) | 520 |
stable
|
0.5 (-0.4, 3.3) |
| Carteret County 6 | Rural | 490.9 (470.3, 512.4) | 45 (14, 76) | 518 |
falling
|
-0.7 (-1.1, -0.2) |
| Haywood County 6 | Rural | 515.5 (493.9, 537.9) | 18 (5, 57) | 503 |
stable
|
0.8 (-0.1, 1.7) |
| Harnett County 6 | Rural | 504.7 (484.6, 525.4) | 27 (9, 65) | 498 |
stable
|
-2.4 (-5.9, 0.7) |
| Pitt County 6 | Urban | 449.7 (431.6, 468.3) | 80 (57, 94) | 497 |
stable
|
-0.2 (-0.7, 0.3) |
| Surry County 6 | Rural | 509.6 (488.6, 531.4) | 22 (6, 60) | 486 |
stable
|
0.4 (-0.3, 1.2) |
| Wayne County 6 | Urban | 540.3 (518.0, 563.4) | 7 (2, 31) | 481 |
stable
|
1.3 (-4.1, 2.9) |
| Chatham County 6 | Urban | 476.9 (456.0, 498.6) | 60 (20, 85) | 480 |
stable
|
0.2 (-0.3, 0.8) |
| Rutherford County 6 | Rural | 503.1 (480.8, 526.4) | 29 (7, 68) | 430 |
stable
|
0.3 (-0.2, 0.8) |
| Wilkes County 6 | Rural | 455.3 (434.7, 476.7) | 77 (46, 93) | 418 |
stable
|
-0.2 (-0.9, 0.6) |
| Stanly County 6 | Rural | 525.3 (501.0, 550.7) | 14 (3, 53) | 383 |
stable
|
0.1 (-0.9, 0.6) |
| Nash County 6 | Urban | 444.0 (421.6, 467.5) | 83 (52, 96) | 336 |
stable
|
-0.7 (-1.4, 0.0) |
| McDowell County 6 | Rural | 543.4 (516.1, 572.0) | 6 (1, 42) | 331 |
rising
|
0.8 (0.2, 1.4) |
| Pender County 6 | Urban | 506.4 (481.0, 532.9) | 24 (5, 71) | 325 |
stable
|
0.2 (-0.7, 1.3) |
| Stokes County 6 | Urban | 486.5 (461.1, 513.2) | 56 (12, 84) | 308 |
stable
|
-1.8 (-7.7, 1.4) |
| Franklin County 6 | Urban | 487.6 (462.0, 514.4) | 52 (11, 83) | 298 |
stable
|
0.1 (-0.4, 0.5) |
| Wilson County 6 | Rural | 463.2 (437.8, 489.9) | 70 (26, 92) | 281 |
stable
|
-0.3 (-1.3, 0.7) |
| Macon County 6 | Rural | 443.6 (417.6, 471.0) | 84 (45, 96) | 278 |
stable
|
-0.6 (-1.6, 0.3) |
| Davie County 6 | Urban | 494.9 (467.6, 523.6) | 40 (8, 81) | 278 |
stable
|
-0.9 (-5.6, 0.4) |
| Robeson County 6 | Rural | 574.3 (542.2, 608.1) | 2 (1, 15) | 272 |
stable
|
0.5 (-0.6, 1.6) |
| Lee County 6 | Rural | 473.9 (447.3, 501.9) | 62 (16, 89) | 264 |
stable
|
-0.5 (-1.0, 0.1) |
| Sampson County 6 | Rural | 560.3 (528.6, 593.5) | 4 (1, 23) | 260 |
rising
|
1.1 (0.2, 2.1) |
| Transylvania County 6 | Rural | 423.4 (397.3, 451.1) | 95 (66, 98) | 256 |
stable
|
0.0 (-0.8, 0.9) |
| Watauga County 6 | Rural | 437.4 (412.3, 463.7) | 87 (54, 97) | 256 |
stable
|
-0.5 (-1.1, 0.1) |
| Granville County 6 | Rural | 494.3 (466.1, 523.9) | 41 (8, 81) | 255 |
falling
|
-0.9 (-4.0, -0.1) |
| Beaufort County 6 | Rural | 459.3 (431.6, 488.7) | 74 (22, 94) | 250 |
rising
|
5.7 (0.9, 8.8) |
| Lenoir County 6 | Rural | 539.0 (506.4, 573.3) | 8 (1, 52) | 238 |
stable
|
-0.1 (-1.2, 1.0) |
| Yadkin County 6 | Urban | 468.0 (439.9, 497.7) | 66 (18, 93) | 233 |
stable
|
0.2 (-0.9, 1.3) |
| Columbus County 6 | Rural | 488.2 (459.0, 519.0) | 50 (9, 85) | 232 |
stable
|
0.4 (-0.1, 0.9) |
| Dare County 6 | Rural | 427.9 (401.4, 456.0) | 92 (60, 97) | 231 |
stable
|
-0.2 (-1.1, 0.8) |
| Alexander County 6 | Urban | 465.6 (437.4, 495.2) | 69 (18, 93) | 224 |
stable
|
0.1 (-0.8, 0.9) |
| Cherokee County 6 | Rural | 442.6 (413.4, 473.6) | 85 (43, 97) | 221 |
stable
|
-0.3 (-1.1, 0.4) |
| Jackson County 6 | Rural | 433.2 (405.8, 462.2) | 89 (56, 97) | 217 |
stable
|
1.0 (-1.3, 4.8) |
| Person County 6 | Urban | 521.5 (488.4, 556.6) | 16 (2, 69) | 206 |
stable
|
0.5 (-0.2, 1.2) |
| Duplin County 6 | Rural | 487.2 (455.6, 520.8) | 54 (8, 89) | 205 |
rising
|
1.0 (0.3, 1.7) |
| Richmond County 6 | Rural | 529.0 (495.4, 564.7) | 12 (1, 63) | 203 |
stable
|
0.5 (-0.4, 1.4) |
| Ashe County 6 | Rural | 424.5 (395.2, 455.7) | 94 (59, 98) | 188 |
stable
|
0.0 (-1.0, 1.0) |
| Halifax County 6 | Rural | 513.4 (475.7, 553.6) | 20 (2, 79) | 164 |
stable
|
0.4 (-0.6, 1.3) |
| Polk County 6 | Rural | 462.4 (424.9, 503.0) | 72 (12, 96) | 158 |
stable
|
0.9 (-0.3, 2.1) |
| Edgecombe County 6 | Urban | 527.6 (488.3, 569.7) | 13 (1, 71) | 158 |
stable
|
0.4 (-0.7, 1.4) |
| Madison County 6 | Urban | 478.9 (443.0, 517.3) | 57 (7, 94) | 149 |
stable
|
0.0 (-1.1, 1.1) |
| Yancey County 6 | Rural | 494.1 (456.4, 534.7) | 42 (4, 88) | 148 |
stable
|
2.3 (-0.8, 8.2) |
| Vance County 6 | Rural | 499.8 (461.0, 541.5) | 33 (3, 85) | 146 |
stable
|
-0.1 (-0.7, 0.6) |
| Pasquotank County 6 | Rural | 426.0 (393.1, 461.1) | 93 (48, 98) | 137 |
stable
|
-0.2 (-1.5, 1.3) |
| Bladen County 6 | Rural | 462.9 (425.7, 503.1) | 71 (14, 96) | 133 |
stable
|
-6.7 (-15.2, 1.4) |
| Montgomery County 6 | Rural | 450.7 (413.6, 490.7) | 79 (17, 97) | 133 |
stable
|
0.1 (-0.9, 1.1) |
| Scotland County 6 | Rural | 503.8 (461.4, 549.7) | 28 (2, 88) | 119 |
falling
|
-1.3 (-3.2, -0.4) |
| Avery County 6 | Rural | 446.3 (409.0, 486.8) | 81 (19, 97) | 116 |
stable
|
0.3 (-0.8, 1.4) |
| Mitchell County 6 | Rural | 490.6 (448.0, 536.8) | 48 (4, 93) | 115 |
stable
|
0.8 (-0.2, 1.7) |
| Hoke County 6 | Urban | 538.5 (492.6, 587.5) | 9 (1, 70) | 108 |
stable
|
-0.5 (-1.5, 0.6) |
| Currituck County 6 | Urban | 310.5 (282.9, 340.4) | 99 (97, 100) | 104 |
falling
|
-3.0 (-11.0, -1.4) |
| Caswell County 6 | Rural | 465.6 (423.5, 511.4) | 68 (10, 96) | 103 |
stable
|
0.1 (-0.9, 1.1) |
| Martin County 6 | Rural | 495.7 (449.5, 546.2) | 39 (2, 92) | 98 |
stable
|
0.1 (-1.0, 1.2) |
| Anson County 6 | Urban | 600.0 (543.6, 661.5) | 1 (1, 25) | 96 |
rising
|
2.6 (1.6, 3.6) |
| Pamlico County 6 | Rural | 507.8 (455.4, 566.1) | 23 (1, 93) | 93 |
stable
|
0.4 (-1.0, 1.8) |
| Clay County 6 | Rural | 429.6 (385.3, 478.8) | 90 (22, 98) | 89 |
stable
|
-0.8 (-5.0, 0.5) |
| Swain County 6 | Rural | 533.3 (478.6, 593.6) | 11 (1, 82) | 80 |
stable
|
0.7 (-0.3, 1.8) |
| Perquimans County 6 | Rural | 429.4 (381.8, 482.4) | 91 (21, 98) | 76 |
stable
|
-0.2 (-1.8, 1.5) |
| Greene County 6 | Rural | 500.7 (448.1, 558.7) | 31 (1, 94) | 74 |
stable
|
0.0 (-1.2, 1.2) |
| Alleghany County 6 | Rural | 378.1 (336.2, 425.2) | 97 (78, 99) | 71 |
stable
|
-0.5 (-2.1, 1.0) |
| Warren County 6 | Rural | 487.0 (428.8, 552.7) | 55 (1, 97) | 71 |
stable
|
0.3 (-0.9, 1.5) |
| Chowan County 6 | Rural | 436.9 (388.0, 491.7) | 88 (12, 98) | 69 |
stable
|
0.2 (-1.0, 1.3) |
| Northampton County 6 | Rural | 438.6 (384.6, 500.1) | 86 (11, 98) | 63 |
stable
|
0.4 (-0.7, 1.5) |
| Bertie County 6 | Rural | 525.1 (461.0, 597.4) | 15 (1, 93) | 60 |
rising
|
2.2 (0.7, 6.2) |
| Hertford County 6 | Rural | 471.8 (413.8, 536.9) | 64 (3, 97) | 57 |
stable
|
-0.2 (-1.4, 1.0) |
| Jones County 6 | Rural | 534.9 (466.7, 611.9) | 10 (1, 92) | 51 |
stable
|
0.6 (-1.1, 2.5) |
| Graham County 6 | Rural | 423.1 (369.0, 484.3) | 96 (15, 98) | 51 |
stable
|
1.2 (-1.5, 4.0) |
| Washington County 6 | Rural | 455.7 (390.3, 532.1) | 76 (2, 98) | 47 |
stable
|
-0.4 (-2.6, 1.7) |
| Camden County 6 | Urban | 359.4 (309.0, 416.2) | 98 (78, 100) | 38 |
stable
|
-1.8 (-3.5, 0.0) |
| Gates County 6 | Urban | 271.8 (225.5, 326.0) | 100 (98, 100) | 27 |
falling
|
-3.1 (-9.4, -1.2) |
| Hyde County 6 | Rural | 445.0 (362.3, 545.8) | 82 (2, 99) | 23 |
stable
|
-0.3 (-2.4, 1.7) |
| Tyrrell County 6 | Rural | 567.8 (440.5, 724.7) | 3 (1, 98) | 17 |
stable
|
2.0 (-1.0, 5.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/03/2025 7:41 am.
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 07/03/2025 7:41 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.
† 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.