2019-2023 North Carolina Cancer Incidence by County for Selected Sites: Table 2

Per 100,000 Population

Age-Adjusted to the 2000 U.S. Standard Population

Back to Cancer Incidence Reports

County Female Breast Cervix Uteri Prostate All Cancers
Cases Rate Lower_CI Upper_CI Cases Rate Lower_CI Upper_CI Cases Rate Lower_CI Upper_CI Cases Rate Lower_CI Upper_CI
NORTH CAROLINA 60,665 179.5 178.1 181.0 2,008 7.2 6.8 7.5 45,892 138.1 136.8 139.4 331,901 504.1 502.3 505.9
Alamance 1,105 194.9 183.1 207.3 41 8.8 6.3 12.1 729 136.8 126.9 147.4 5,844 534.6 520.7 548.9
Alexander 198 149.6 128.3 173.8 7 ** ** ** 169 121.0 103.1 141.7 1,238 466.9 440.1 495.0
Alleghany 62 128.3 93.6 173.4 * * * * 52 92.5 68.2 125.5 412 408.5 366.2 455.2
Anson 143 178.4 148.5 213.0 5 ** ** ** 138 170.8 142.6 203.5 864 558.9 520.6 599.4
Ashe 161 148.8 124.1 177.5 8 ** ** ** 158 122.9 104.0 145.3 1,088 469.7 439.7 501.6
Avery 84 136.2 105.9 173.4 * * * * 82 109.2 86.5 137.4 647 468.5 431.3 508.4
Beaufort 323 178.9 157.8 202.2 9 ** ** ** 312 159.5 141.6 179.5 1,856 505.7 480.9 531.6
Bertie 125 181.0 146.4 222.3 * * * * 112 150.5 122.9 183.6 672 484.8 445.6 526.9
Bladen 200 164.1 140.3 191.2 7 ** ** ** 151 122.7 103.3 145.5 1,101 468.7 439.5 499.4
Brunswick 1,268 177.2 165.3 189.8 27 5.7 3.3 9.2 948 110.9 103.3 119.1 7,354 506.5 492.7 520.7
Buncombe 1,874 193.2 184.1 202.8 47 6.4 4.7 8.7 1,213 124.4 117.3 131.8 9,398 489.0 478.8 499.5
Burke 491 148.6 134.8 163.5 18 9.1 5.2 14.6 425 124.1 112.4 137.0 3,322 506.5 488.5 525.1
Cabarrus 1,157 175.0 164.9 185.5 52 8.5 6.4 11.2 824 131.9 122.8 141.5 6,094 488.7 476.3 501.4
Caldwell 476 161.1 146.0 177.4 16 8.6 4.7 14.2 398 127.6 115.0 141.4 3,277 551.8 532.2 572.1
Camden 45 128.6 92.8 174.9 * * * * 33 84.9 57.8 122.0 285 411.6 363.7 464.6
Carteret 500 178.1 160.9 196.9 14 ** ** ** 299 88.1 78.1 99.4 2,939 501.1 481.3 521.7
Caswell 126 154.5 125.7 188.5 * * * * 133 140.7 117.1 168.5 897 518.5 482.6 556.6
Catawba 839 151.3 140.7 162.5 29 6.9 4.5 10.1 761 135.2 125.5 145.5 5,134 474.6 461.2 488.3
Chatham 600 190.0 173.8 207.6 8 ** ** ** 443 133.0 120.6 146.5 3,243 504.3 485.8 523.4
Cherokee 186 143.5 120.0 170.9 * * * * 164 101.5 85.8 120.4 1,311 480.1 450.7 511.3
Chowan 95 164.2 128.9 207.2 5 ** ** ** 89 151.2 120.4 189.3 568 502.8 458.3 550.9
Clay 67 124.2 91.6 167.3 * * * * 80 126.6 98.8 163.3 550 470.8 426.7 519.3
Cleveland 581 166.8 152.7 181.9 22 8.7 5.3 13.4 452 131.9 119.6 145.2 3,539 527.9 509.8 546.5
Columbus 309 167.2 147.7 188.8 13 ** ** ** 272 150.4 132.6 170.1 1,828 505.2 481.2 530.2
Craven 582 170.9 156.1 186.9 22 10.3 6.3 15.8 510 143.7 131.1 157.4 3,598 520.6 502.7 539.0
Cumberland 1,486 168.0 159.3 177.0 73 9.0 7.0 11.4 1,252 158.8 149.9 168.1 8,209 496.5 485.5 507.6
Currituck 111 111.0 90.1 135.5 6 ** ** ** 96 88.8 71.3 109.9 717 365.9 338.0 395.6
Dare 230 157.5 135.8 182.1 5 ** ** ** 198 114.7 98.5 133.4 1,391 459.9 433.9 487.2
Davidson 969 165.1 154.4 176.5 31 6.6 4.3 9.5 754 124.7 115.7 134.3 6,092 521.1 507.6 534.9
Davie 262 165.3 144.4 188.6 9 ** ** ** 229 133.2 116.2 152.4 1,725 528.0 502.1 555.1
Duplin 272 158.7 139.2 180.4 13 ** ** ** 262 144.3 127.0 163.7 1,752 505.7 481.2 531.3
Durham 1,853 194.6 185.6 203.9 40 4.4 3.1 6.0 1,218 143.9 135.7 152.4 8,666 489.1 478.6 499.7
Edgecombe 309 171.2 151.1 193.3 15 ** ** ** 335 193.1 172.2 216.2 1,793 508.7 483.9 534.5
Forsyth 2,120 171.0 163.5 178.7 74 7.0 5.5 8.9 1,824 157.6 150.2 165.2 11,987 504.8 495.5 514.2
Franklin 384 162.7 146.1 180.9 13 ** ** ** 333 139.0 123.9 155.6 2,340 501.6 480.7 523.3
Gaston 1,279 171.2 161.6 181.2 69 10.4 8.0 13.2 974 137.1 128.3 146.3 7,785 545.8 533.4 558.4
Gates 29 71.7 46.8 107.3 * * * * 42 96.7 68.7 134.6 263 306.0 268.4 348.1
Graham 50 162.6 116.1 223.3 * * * * 31 83.1 56.1 122.1 289 439.6 386.6 498.7
Granville 343 166.5 148.5 186.3 16 9.5 5.3 15.8 316 148.0 131.6 166.0 2,266 557.2 533.6 581.6
Greene 117 201.2 163.6 245.3 5 ** ** ** 100 145.8 117.4 179.4 650 486.4 448.5 526.7
Guilford 3,317 196.7 189.9 203.7 96 6.4 5.1 7.8 2,337 148.6 142.5 154.9 16,286 510.8 502.8 518.9
Halifax 330 177.9 157.6 200.3 12 ** ** ** 283 155.8 137.6 176.1 1,889 524.1 499.3 550.0
Harnett 622 166.6 153.5 180.5 34 10.0 6.9 14.1 426 118.4 107.1 130.6 3,574 494.5 478.1 511.4
Haywood 395 155.4 138.8 173.7 7 ** ** ** 323 115.5 103.0 129.4 2,669 515.1 494.3 536.8
Henderson 994 208.7 194.5 223.8 16 4.9 2.6 8.3 591 114.5 105.2 124.5 5,002 509.1 494.0 524.7
Hertford 129 165.2 134.8 200.8 * * * * 133 176.4 146.6 211.1 713 465.1 429.4 503.2
Hoke 210 155.1 134.2 178.4 10 ** ** ** 214 173.2 149.2 199.9 1,281 506.8 478.1 536.7
Hyde 23 127.7 75.3 209.6 * * * * 31 171.2 112.9 253.4 190 504.0 429.7 589.5
Iredell 1,022 171.2 160.5 182.5 32 6.8 4.6 9.7 989 159.0 148.9 169.6 6,039 502.8 489.8 516.0
Jackson 200 147.0 125.6 171.2 14 ** ** ** 172 112.0 95.4 131.1 1,309 456.8 430.8 484.1
Johnston 1,301 196.6 185.9 207.9 48 8.0 5.8 10.6 854 137.6 128.0 147.7 6,682 538.4 525.2 551.9
Jones 63 173.0 128.7 229.3 * * * * 54 135.5 100.6 181.5 394 517.8 463.6 577.6
Lee 307 148.7 131.8 167.2 12 ** ** ** 276 135.2 119.2 152.8 1,958 487.2 465.2 510.0
Lenoir 369 183.9 164.0 205.6 13 ** ** ** 286 147.9 130.7 166.9 2,047 523.8 500.0 548.5
Lincoln 560 173.6 158.8 189.5 12 ** ** ** 477 140.6 127.9 154.3 3,233 516.1 497.7 535.1
McDowell 285 175.5 154.2 199.2 13 ** ** ** 207 119.2 103.1 137.5 1,867 561.9 535.4 589.5
Macon 255 154.4 133.1 178.6 7 ** ** ** 183 98.4 84.3 115.0 1,628 490.6 464.3 518.2
Madison 139 166.2 137.6 199.5 6 ** ** ** 81 95.9 75.5 121.0 828 511.1 474.7 549.8
Martin 179 190.4 161.1 224.1 13 ** ** ** 147 168.3 141.2 200.1 973 550.8 513.9 590.0
Mecklenburg 5,949 194.7 189.7 199.8 196 6.8 5.9 7.8 4,277 160.1 155.2 165.2 27,435 492.4 486.4 498.4
Mitchell 102 178.6 142.5 222.2 * * * * 87 125.3 99.9 156.9 658 541.0 497.0 588.4
Montgomery 133 138.6 114.0 167.3 5 ** ** ** 126 117.1 97.1 140.9 964 489.7 457.3 524.0
Moore 643 165.5 151.7 180.3 16 5.9 3.2 9.9 653 160.0 147.6 173.2 4,069 513.6 496.9 530.9
Nash 620 188.3 172.9 204.8 13 ** ** ** 453 136.4 123.7 150.2 3,154 485.2 467.6 503.3
New Hanover 1,431 174.9 165.5 184.7 48 8.0 5.8 10.7 989 130.3 122.1 138.9 7,740 507.5 495.9 519.4
Northampton 131 172.2 138.7 212.1 5 ** ** ** 146 186.9 156.0 223.5 795 513.2 473.3 556.0
Onslow 674 163.9 151.4 177.2 44 11.6 8.3 15.6 523 134.9 123.2 147.4 4,541 564.9 548.1 582.1
Orange 837 194.8 181.3 209.1 14 ** ** ** 577 135.3 124.2 147.2 4,163 494.1 478.7 509.8
Pamlico 85 151.2 115.3 197.0 * * * * 101 148.6 119.8 185.1 626 526.9 481.0 576.9
Pasquotank 197 144.2 123.7 167.5 8 ** ** ** 162 124.7 105.8 146.3 1,131 430.6 404.9 457.6
Pender 419 203.1 183.3 224.6 9 ** ** ** 286 127.3 112.5 143.8 2,335 555.2 532.0 579.2
Perquimans 84 167.7 128.3 216.1 0 0 0 0 89 139.6 110.8 176.0 521 452.6 409.9 499.2
Person 286 189.5 166.8 214.8 5 ** ** ** 204 138.4 119.4 160.1 1,559 537.4 509.6 566.5
Pitt 906 182.1 170.1 194.8 40 9.0 6.3 12.4 691 153.6 142.0 165.9 4,529 484.8 470.4 499.5
Polk 171 184.9 152.9 222.7 5 ** ** ** 128 126.7 104.6 153.8 856 450.4 415.5 487.9
Randolph 861 180.4 167.9 193.5 32 8.5 5.7 12.1 588 114.4 105.1 124.4 5,017 519.1 504.3 534.3
Richmond 258 176.0 154.4 199.9 15 ** ** ** 241 169.5 148.3 193.2 1,628 573.2 544.7 602.8
Robeson 618 166.9 153.5 181.3 32 11.2 7.6 15.9 590 167.7 154.1 182.4 3,557 501.6 484.7 519.0
Rockingham 681 196.3 180.8 212.9 28 10.4 6.7 15.6 434 124.1 112.4 137.0 3,695 541.4 523.2 560.2
Rowan 844 175.5 163.3 188.5 37 9.1 6.2 12.7 604 121.1 111.3 131.6 4,846 502.6 488.0 517.5
Rutherford 418 172.5 155.1 191.5 10 ** ** ** 293 113.2 100.2 127.7 2,567 524.3 503.0 546.4
Sampson 347 183.6 163.8 205.3 14 ** ** ** 263 131.6 115.8 149.1 2,031 524.4 501.1 548.7
Scotland 168 145.4 123.1 170.8 10 ** ** ** 165 147.4 125.2 172.7 1,203 544.3 512.9 577.2
Stanly 336 160.8 143.1 180.2 12 ** ** ** 279 124.1 109.6 140.3 2,244 524.1 501.8 547.3
Stokes 258 152.5 132.8 174.6 8 ** ** ** 233 126.2 110.2 144.4 1,817 518.7 493.6 544.9
Surry 404 153.1 137.7 169.9 15 ** ** ** 307 115.6 102.8 129.9 2,753 524.6 504.4 545.5
Swain 67 134.2 101.9 174.1 * * * * 73 151.6 118.4 192.6 582 605.6 555.3 659.6
Transylvania 238 144.4 124.1 167.8 5 ** ** ** 175 100.3 85.3 118.2 1,413 430.3 405.3 456.7
Tyrrell 19 184.2 105.3 302.8 * * * * 22 139.4 86.9 219.4 143 533.1 443.0 638.1
Union 1,456 204.3 193.8 215.3 34 5.0 3.4 7.1 986 143.2 134.1 152.8 6,968 516.0 503.6 528.6
Vance 277 181.4 159.2 205.9 12 ** ** ** 199 143.1 123.3 165.6 1,574 546.3 518.3 575.4
Wake 6,309 195.7 190.8 200.6 147 4.8 4.1 5.7 4,096 140.0 135.6 144.6 29,120 489.6 483.9 495.4
Warren 141 189.9 155.1 230.9 6 ** ** ** 119 140.4 115.0 170.9 807 502.7 464.8 543.2
Washington 81 157.3 122.2 201.4 * * * * 88 168.8 134.1 212.6 500 536.3 485.1 592.1
Watauga 229 153.4 132.7 176.6 7 ** ** ** 220 128.8 111.8 147.9 1,405 445.2 421.0 470.6
Wayne 635 173.0 159.1 187.8 28 9.4 6.1 13.7 521 139.5 127.4 152.4 3,949 543.1 525.7 561.0
Wilkes 349 135.2 120.2 151.8 12 ** ** ** 214 81.1 70.3 93.3 2,329 461.4 441.7 481.9
Wilson 477 168.5 153.0 185.2 23 10.0 6.1 15.4 371 143.8 129.0 159.9 2,625 488.8 469.5 508.6
Yadkin 204 148.6 127.5 172.4 9 ** ** ** 164 114.3 97.1 134.0 1,393 508.1 480.4 537.1
Yancey 142 198.6 163.3 240.0 * * * * 84 98.5 78.1 124.0 825 536.4 497.2 578.2

Produced by the NC Central Cancer Registry, 02/2026.

Numbers are subject to change as files are updated.

*Cell sizes with fewer than five cases of cancer incidence are suppressed for confidentiality.

** Cancer incidence rates for cell sizes with fewer than 16 cases of cancer are suppressed as they are not stable.

Cases may not sum to totals due to unknown or other values.

Cancer of the female breast include in situ cases.

Rates are based on patient county of residence at diagnosis as verified by address level geocoding, otherwise as reported by medical provider.

Rates are calculated using vintage 2019 non-bridged population estimates for 2019 (based on the 2010 Census), and vintage 2024 non-bridged population estimates for 2020-2023 (based on the 2020 Census).


Age-adjusted rates are point estimates. The standard error (SE) for an age-adjusted rate defines the variability in this point estimate. 95% Confidence Interval (CI) based on a formula for estimating the (SE) is provided to illustrate how precise an estimate is; the wider the CI range, the less precise the estimate and the more the estimate could vary. Age-adjusted rates for two different populations are significantly different when 95% confidence intervals for their age-adjusted rates do not overlap. CI should be framed in the following statement: We are 95 percent confident that the age-adjusted rate for the given population is between Lower_CI and Upper_CI.


Reference: Tiwari RC, Clegg LX, Zou Z. Efficient interval estimation for age-adjusted cancer rates. Statistical Methods in Medical Research. 2006;15(6):547-69.