Incidence Rates Table
Incidence Rate Report for North Carolina by County
Colon & Rectum (All Stages^), 2017-2021
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by CI*Rank
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 | 35.4 (34.9, 35.9) | N/A | 4,394 |
falling 
|
-1.6 (-2.8, -0.9) |
| US (SEER+NPCR) 1 | N/A | 36.4 (36.3, 36.4) | N/A | 140,088 |
falling
|
-1.1 (-1.3, -0.9) |
| Currituck County 6 | Urban | 21.8 (15.1, 30.7) | 98 (57, 98) | 8 |
falling
|
-3.9 (-7.9, -0.2) |
| Alleghany County 6 | Rural | 22.1 (13.5, 35.9) | 97 (31, 98) | 4 |
stable 
|
-3.6 (-9.2, 1.3) |
| Dare County 6 | Rural | 24.6 (18.8, 31.8) | 96 (58, 98) | 14 |
falling
|
-3.5 (-5.3, -1.7) |
| Ashe County 6 | Rural | 24.7 (18.1, 33.2) | 95 (51, 98) | 11 |
stable
|
-2.0 (-5.3, 1.2) |
| Transylvania County 6 | Rural | 26.5 (20.1, 34.6) | 94 (36, 98) | 15 |
stable
|
-1.6 (-3.5, 0.2) |
| Clay County 6 | Rural | 26.7 (16.9, 41.9) | 93 (6, 98) | 6 |
stable
|
-1.6 (-5.6, 2.3) |
| Graham County 6 | Rural | 27.1 (15.1, 46.1) | 92 (4, 98) | 3 |
stable
|
-0.4 (-6.6, 5.5) |
| Nash County 6 | Urban | 28.5 (24.3, 33.2) | 91 (51, 97) | 36 |
falling
|
-4.9 (-6.8, -3.3) |
| Wake County 6 | Urban | 28.7 (27.3, 30.2) | 90 (76, 95) | 315 |
falling
|
-2.7 (-3.6, -1.7) |
| Orange County 6 | Urban | 29.5 (25.7, 33.7) | 89 (50, 96) | 47 |
falling
|
-1.8 (-2.8, -0.7) |
| New Hanover County 6 | Urban | 29.6 (26.7, 32.8) | 88 (61, 95) | 82 |
falling
|
-2.1 (-3.2, -0.9) |
| Moore County 6 | Urban | 29.9 (25.9, 34.5) | 87 (47, 96) | 45 |
stable
|
-2.6 (-19.3, 7.4) |
| Gates County 6 | Urban | 30.0 (19.0, 46.2) | 86 (4, 98) | 5 |
falling
|
-4.0 (-7.5, -0.9) |
| Camden County 6 | Urban | 30.0 (18.2, 47.3) | 85 (2, 98) | 4 |
falling
|
-5.1 (-9.2, -1.4) |
| Pasquotank County 6 | Rural | 30.2 (23.6, 38.2) | 84 (19, 98) | 15 |
falling
|
-3.7 (-5.8, -1.8) |
| Pitt County 6 | Urban | 30.6 (26.9, 34.7) | 83 (43, 95) | 52 |
falling
|
-2.7 (-4.1, -1.3) |
| Durham County 6 | Urban | 31.0 (28.3, 33.8) | 82 (52, 94) | 103 |
falling
|
-2.7 (-3.5, -1.9) |
| Chowan County 6 | Rural | 31.0 (22.1, 43.6) | 81 (6, 98) | 8 |
falling
|
-4.0 (-7.4, -1.0) |
| Henderson County 6 | Urban | 31.0 (27.3, 35.3) | 80 (42, 95) | 57 |
falling
|
-2.2 (-3.7, -0.8) |
| Avery County 6 | Rural | 31.4 (22.3, 43.5) | 79 (6, 98) | 8 |
stable
|
-0.8 (-4.0, 2.4) |
| Cumberland County 6 | Urban | 32.4 (29.6, 35.3) | 78 (47, 91) | 103 |
stable
|
-1.0 (-4.3, 5.2) |
| Yadkin County 6 | Urban | 32.4 (25.4, 40.8) | 77 (12, 97) | 16 |
falling
|
-2.7 (-5.5, -0.1) |
| Catawba County 6 | Urban | 32.5 (29.1, 36.4) | 76 (37, 93) | 67 |
falling
|
-3.0 (-4.2, -1.8) |
| Alexander County 6 | Urban | 33.0 (26.3, 41.2) | 75 (9, 97) | 17 |
falling
|
-23.3 (-39.0, -3.6) |
| Buncombe County 6 | Urban | 33.1 (30.4, 36.0) | 74 (41, 89) | 121 |
falling
|
-1.7 (-3.0, -0.4) |
| Watauga County 6 | Rural | 33.3 (26.7, 41.1) | 73 (11, 97) | 20 |
stable
|
-1.5 (-4.0, 1.1) |
| Hoke County 6 | Urban | 33.7 (26.4, 42.3) | 72 (6, 97) | 16 |
falling
|
-3.6 (-6.3, -0.7) |
| Mecklenburg County 6 | Urban | 34.0 (32.5, 35.7) | 71 (46, 80) | 361 |
stable
|
-0.4 (-1.7, 3.3) |
| Sampson County 6 | Rural | 34.1 (28.4, 40.6) | 70 (14, 95) | 27 |
stable
|
1.0 (-2.6, 9.0) |
| Guilford County 6 | Urban | 34.2 (32.1, 36.4) | 69 (39, 83) | 210 |
stable
|
-0.3 (-2.4, 4.7) |
| Forsyth County 6 | Urban | 34.2 (31.8, 36.8) | 68 (37, 84) | 153 |
falling
|
-2.0 (-3.5, -0.6) |
| Macon County 6 | Rural | 34.3 (27.9, 42.1) | 67 (10, 95) | 23 |
falling
|
-2.7 (-4.9, -0.5) |
| Pender County 6 | Urban | 34.4 (28.7, 41.0) | 66 (13, 94) | 28 |
stable
|
-0.4 (-2.5, 1.8) |
| Iredell County 6 | Urban | 34.6 (31.1, 38.3) | 65 (27, 87) | 78 |
falling
|
-1.9 (-3.0, -0.8) |
| Brunswick County 6 | Urban | 35.0 (31.3, 39.2) | 64 (21, 87) | 84 |
stable
|
-0.2 (-10.6, 7.0) |
| Franklin County 6 | Urban | 35.2 (29.7, 41.6) | 63 (10, 93) | 31 |
falling
|
-3.1 (-5.3, -0.9) |
| Beaufort County 6 | Rural | 35.5 (29.1, 43.1) | 62 (7, 94) | 24 |
falling
|
-3.4 (-5.3, -1.7) |
| Greene County 6 | Rural | 35.5 (25.5, 48.4) | 61 (2, 98) | 9 |
stable
|
-3.5 (-7.6, 0.1) |
| Warren County 6 | Rural | 35.5 (25.8, 48.2) | 60 (2, 98) | 11 |
stable
|
-1.9 (-4.7, 0.8) |
| Chatham County 6 | Urban | 35.8 (30.7, 41.6) | 59 (11, 91) | 41 |
stable
|
-0.6 (-2.5, 1.4) |
| Lee County 6 | Rural | 35.8 (30.0, 42.5) | 58 (9, 92) | 28 |
falling
|
-3.6 (-5.3, -2.0) |
| Jackson County 6 | Rural | 35.8 (28.9, 44.1) | 57 (6, 95) | 20 |
stable
|
-1.3 (-3.5, 0.9) |
| Madison County 6 | Urban | 35.9 (26.2, 48.3) | 56 (2, 98) | 10 |
stable
|
-0.6 (-3.2, 2.1) |
| Johnston County 6 | Urban | 35.9 (32.4, 39.7) | 55 (22, 83) | 81 |
falling
|
-1.6 (-2.9, -0.2) |
| Rowan County 6 | Urban | 36.2 (32.3, 40.5) | 54 (15, 84) | 67 |
falling
|
-2.0 (-3.7, -0.4) |
| Edgecombe County 6 | Urban | 36.3 (29.9, 43.8) | 53 (7, 94) | 25 |
stable
|
-2.3 (-5.4, 0.6) |
| Lincoln County 6 | Urban | 36.5 (31.5, 42.1) | 52 (9, 88) | 42 |
falling
|
-2.9 (-4.5, -1.2) |
| Alamance County 6 | Urban | 36.8 (33.2, 40.8) | 51 (15, 82) | 77 |
falling
|
-2.0 (-3.4, -0.5) |
| Montgomery County 6 | Rural | 37.0 (28.3, 47.9) | 50 (2, 96) | 13 |
stable
|
-0.1 (-4.0, 3.9) |
| Craven County 6 | Rural | 37.1 (32.3, 42.4) | 49 (10, 87) | 48 |
stable
|
0.1 (-6.8, 8.9) |
| Haywood County 6 | Rural | 37.2 (31.6, 43.6) | 48 (6, 88) | 36 |
stable
|
-1.0 (-3.1, 1.1) |
| Wilson County 6 | Rural | 37.3 (31.9, 43.2) | 47 (8, 89) | 38 |
stable
|
9.8 (-0.9, 25.2) |
| Perquimans County 6 | Rural | 37.4 (26.3, 52.8) | 46 (1, 98) | 9 |
falling
|
-3.9 (-7.4, -0.8) |
| Burke County 6 | Urban | 37.5 (32.7, 42.9) | 45 (8, 86) | 48 |
falling
|
-3.5 (-11.6, -1.8) |
| Vance County 6 | Rural | 37.6 (30.7, 45.8) | 44 (4, 93) | 22 |
falling
|
-3.3 (-5.1, -1.6) |
| Onslow County 6 | Urban | 37.6 (33.2, 42.4) | 43 (10, 84) | 56 |
stable
|
-0.9 (-2.3, 0.7) |
| Davie County 6 | Urban | 37.7 (30.8, 45.8) | 42 (3, 92) | 23 |
stable
|
-0.5 (-4.2, 3.5) |
| Union County 6 | Urban | 37.7 (34.3, 41.4) | 41 (16, 77) | 95 |
stable
|
-1.8 (-3.6, 0.2) |
| Stokes County 6 | Urban | 37.7 (31.0, 45.6) | 40 (4, 93) | 25 |
stable
|
-1.2 (-3.6, 1.3) |
| Yancey County 6 | Rural | 38.2 (27.5, 51.9) | 39 (2, 97) | 11 |
stable
|
-2.8 (-6.2, 0.2) |
| Carteret County 6 | Rural | 38.5 (33.0, 44.7) | 38 (6, 85) | 42 |
falling
|
-2.2 (-3.4, -1.0) |
| Polk County 6 | Rural | 38.7 (28.9, 51.4) | 37 (2, 96) | 14 |
stable
|
13.0 (-2.0, 35.1) |
| Randolph County 6 | Urban | 39.0 (35.0, 43.4) | 36 (9, 75) | 72 |
stable
|
-1.1 (-14.8, 4.0) |
| Person County 6 | Urban | 39.3 (31.9, 48.2) | 35 (2, 91) | 21 |
stable
|
-0.1 (-2.6, 2.4) |
| Scotland County 6 | Rural | 39.4 (31.3, 49.1) | 34 (2, 94) | 17 |
stable
|
-2.2 (-4.9, 0.4) |
| Pamlico County 6 | Rural | 39.7 (27.5, 56.8) | 33 (1, 97) | 9 |
stable
|
-1.0 (-5.4, 3.6) |
| Harnett County 6 | Rural | 39.8 (35.1, 45.0) | 32 (6, 78) | 52 |
falling
|
-2.4 (-4.0, -0.8) |
| Bladen County 6 | Rural | 39.8 (31.4, 50.0) | 31 (2, 92) | 17 |
stable
|
-1.6 (-5.3, 2.1) |
| Caswell County 6 | Rural | 40.5 (31.0, 52.4) | 30 (1, 93) | 14 |
stable
|
-1.0 (-3.4, 1.4) |
| Richmond County 6 | Rural | 40.6 (33.1, 49.4) | 29 (2, 88) | 22 |
stable
|
-1.8 (-3.6, 0.0) |
| Surry County 6 | Rural | 40.7 (35.1, 47.0) | 28 (3, 79) | 41 |
stable
|
-0.7 (-2.0, 0.7) |
| Columbus County 6 | Rural | 40.7 (34.2, 48.2) | 27 (3, 83) | 29 |
stable
|
-0.8 (-2.7, 1.0) |
| Lenoir County 6 | Rural | 40.7 (33.9, 48.5) | 26 (2, 84) | 29 |
falling
|
-2.5 (-4.4, -0.8) |
| Rockingham County 6 | Urban | 40.9 (35.8, 46.6) | 25 (4, 73) | 52 |
falling
|
-2.1 (-3.3, -1.0) |
| Gaston County 6 | Urban | 41.1 (37.7, 44.7) | 24 (7, 57) | 113 |
falling
|
-2.0 (-3.0, -1.0) |
| Wilkes County 6 | Rural | 41.2 (35.4, 47.9) | 23 (3, 76) | 39 |
stable
|
-0.3 (-2.6, 2.1) |
| Stanly County 6 | Rural | 41.3 (35.1, 48.4) | 22 (3, 79) | 33 |
stable
|
-0.9 (-2.9, 1.0) |
| Rutherford County 6 | Rural | 41.5 (35.8, 48.1) | 21 (3, 74) | 40 |
falling
|
-2.3 (-3.7, -0.9) |
| Halifax County 6 | Rural | 41.5 (34.7, 49.5) | 20 (2, 84) | 29 |
falling
|
-1.3 (-2.5, -0.2) |
| Cabarrus County 6 | Urban | 41.6 (37.9, 45.5) | 19 (5, 58) | 96 |
stable
|
-1.3 (-3.2, 0.7) |
| Jones County 6 | Rural | 41.7 (27.4, 61.9) | 18 (1, 98) | 6 |
stable
|
-0.9 (-4.5, 2.7) |
| Martin County 6 | Rural | 41.8 (32.0, 54.0) | 17 (1, 92) | 14 |
stable
|
-1.4 (-3.4, 0.5) |
| Davidson County 6 | Urban | 42.4 (38.5, 46.6) | 16 (4, 55) | 93 |
stable
|
3.5 (-2.0, 10.9) |
| Wayne County 6 | Urban | 42.6 (37.8, 47.9) | 15 (3, 64) | 60 |
stable
|
-1.2 (-2.4, 0.1) |
| Northampton County 6 | Rural | 43.0 (31.4, 57.9) | 14 (1, 94) | 12 |
stable
|
-0.6 (-2.8, 1.5) |
| Cherokee County 6 | Rural | 43.3 (34.6, 53.9) | 13 (1, 82) | 22 |
stable
|
-1.6 (-5.0, 1.8) |
| Robeson County 6 | Rural | 43.7 (38.8, 49.2) | 12 (2, 55) | 60 |
stable
|
1.8 (-5.9, 11.2) |
| Cleveland County 6 | Rural | 43.8 (38.8, 49.4) | 11 (2, 54) | 58 |
stable
|
-1.2 (-2.7, 0.4) |
| Caldwell County 6 | Urban | 43.9 (38.4, 50.1) | 10 (2, 58) | 50 |
stable
|
-1.0 (-2.8, 0.7) |
| Mitchell County 6 | Rural | 44.5 (32.2, 60.4) | 9 (1, 95) | 10 |
stable
|
-1.0 (-4.2, 2.2) |
| Bertie County 6 | Rural | 45.3 (33.7, 59.9) | 8 (1, 91) | 12 |
stable
|
-2.5 (-5.4, 0.1) |
| McDowell County 6 | Rural | 46.1 (38.8, 54.6) | 7 (1, 65) | 30 |
stable
|
0.4 (-1.3, 2.3) |
| Anson County 6 | Urban | 46.4 (36.0, 59.2) | 6 (1, 86) | 14 |
stable
|
1.5 (-1.2, 4.5) |
| Duplin County 6 | Rural | 46.8 (39.4, 55.2) | 5 (1, 62) | 31 |
rising 
|
2.7 (0.3, 10.5) |
| Hertford County 6 | Rural | 47.0 (36.3, 60.1) | 4 (1, 85) | 15 |
falling
|
-3.2 (-5.9, -0.8) |
| Granville County 6 | Rural | 49.8 (42.8, 57.8) | 3 (1, 40) | 38 |
stable
|
-1.8 (-3.8, 0.2) |
| Washington County 6 | Rural | 54.4 (37.8, 76.3) | 2 (1, 86) | 9 |
stable
|
-0.5 (-4.6, 3.8) |
| Swain County 6 | Rural | 61.5 (45.9, 80.9) | 1 (1, 51) | 11 |
stable
|
1.3 (-2.5, 5.6) |
| Hyde County 6 | Rural |
|
|
|
|
|
| Tyrrell County 6 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 07/11/2025 11:31 pm.
State Cancer Registries may provide more current or more local data.
Data cannot be shown for the following areas. For more information on what areas are suppressed or not available, please refer to the table.
Hyde, Tyrrell
† 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.
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+).
Φ Rural-Urban Continuum Codes provided by the USDA.
* 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).
Source: SEER and NPCR data. For more specific information please see the table.
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 07/11/2025 11:31 pm.
State Cancer Registries may provide more current or more local data.
Data cannot be shown for the following areas. For more information on what areas are suppressed or not available, please refer to the table.
Hyde, Tyrrell
† 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.
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+).
Φ Rural-Urban Continuum Codes provided by the USDA.
* 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).
Source: SEER and NPCR data. For more specific information please see the table.
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.