2019-2023 North Carolina Cancer Incidence by County for Selected Sites: Table 1

Per 100,000 Population

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

Back to Cancer Incidence Reports

County Colon/Rectum Lung/Bronchus Melanoma (Skin) 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 22,694 35.8 35.3 36.3 42,488 61.0 60.4 61.6 19,027 30.0 29.5 30.4 331,901 504.1 502.3 505.9
Alamance 444 41.7 37.9 45.9 787 68.3 63.5 73.3 270 24.8 21.9 28.1 5,844 534.6 520.7 548.9
Alexander 78 30.3 23.6 38.4 194 68.8 59.2 79.7 115 45.7 37.3 55.6 1,238 466.9 440.1 495
Alleghany 27 29.9 18.8 46.2 71 64.1 49.3 83.5 24 21.8 13.7 34.8 412 408.5 366.2 455.2
Anson 72 48.1 37.3 61.3 116 68.9 56.6 83.4 29 19.7 13.0 29.0 864 558.9 520.6 599.4
Ashe 60 24.7 18.5 32.7 146 54.3 45.6 64.6 96 47.3 37.3 59.4 1,088 469.7 439.7 501.6
Avery 40 31.0 21.7 43.4 77 52.1 40.7 66.2 52 36.9 27.1 49.7 647 468.5 431.3 508.4
Beaufort 141 41.0 33.9 49.2 234 57.5 50.1 66.0 76 22.8 17.4 29.5 1,856 505.7 480.9 531.6
Bertie 48 38.7 27.8 53.0 90 61.1 48.5 76.5 14 ** ** ** 672 484.8 445.6 526.9
Bladen 84 37.7 29.6 47.6 172 63.7 54.3 74.6 47 21.3 15.2 29.4 1,101 468.7 439.5 499.4
Brunswick 481 37.0 33.1 41.2 936 56.9 52.9 61.2 598 41.3 37.5 45.5 7,354 506.5 492.7 520.7
Buncombe 629 33.8 31.1 36.7 1,171 56.9 53.6 60.4 623 34.3 31.6 37.3 9,398 489 478.8 499.5
Burke 250 40.2 35.1 45.9 519 72.8 66.5 79.6 210 34.9 30.0 40.4 3,322 506.5 488.5 525.1
Cabarrus 439 35.9 32.6 39.5 724 57.3 53.1 61.7 334 27.3 24.4 30.4 6,094 488.7 476.3 501.4
Caldwell 251 45.1 39.3 51.5 482 74.1 67.5 81.3 208 37.1 31.9 42.9 3,277 551.8 532.2 572.1
Camden 34 49.0 33.4 69.9 35 48.7 33.5 68.9 21 33.1 20.0 51.9 285 411.6 363.7 464.6
Carteret 191 34.4 29.3 40.3 429 66.8 60.3 74.0 287 51.9 45.4 59.2 2,939 501.1 481.3 521.7
Caswell 61 37.9 28.3 49.9 173 90.7 77.1 106.3 45 26.6 18.8 36.9 897 518.5 482.6 556.6
Catawba 335 32.4 28.9 36.2 661 57.0 52.7 61.7 458 43.8 39.7 48.2 5,134 474.6 461.2 488.3
Chatham 214 36.1 31.1 41.9 332 46.3 41.3 51.9 234 37.8 32.7 43.6 3,243 504.3 485.8 523.4
Cherokee 119 48.0 38.6 59.2 217 67.7 58.4 78.5 63 25.0 18.5 33.5 1,311 480.1 450.7 511.3
Chowan 42 34.8 24.4 49.1 67 53.6 41.2 69.6 29 24.5 15.8 37.2 568 502.8 458.3 550.9
Clay 40 37.2 24.7 55.1 83 66.6 52.1 85.6 21 15.9 9.7 27.2 550 470.8 426.7 519.3
Cleveland 286 44.7 39.4 50.6 537 73.6 67.4 80.4 195 30.6 26.3 35.5 3,539 527.9 509.8 546.5
Columbus 146 42.6 35.6 50.5 274 69.4 61.3 78.5 105 29.8 24.2 36.6 1,828 505.2 481.2 530.2
Craven 233 37.1 32.2 42.6 550 74.6 68.3 81.5 210 30.9 26.6 35.7 3,598 520.6 502.7 539
Cumberland 500 31.4 28.6 34.3 1,133 66.8 62.9 70.9 275 17.2 15.1 19.4 8,209 496.5 485.5 507.6
Currituck 43 24.1 17.0 33.3 109 53.1 43.1 64.9 49 26.9 19.5 36.3 717 365.9 338 395.6
Dare 90 30.7 24.1 38.6 181 53.9 46.0 63.1 132 47.4 38.8 57.5 1,391 459.9 433.9 487.2
Davidson 458 41.6 37.8 45.8 944 75.5 70.7 80.6 367 33.0 29.5 36.7 6,092 521.1 507.6 534.9
Davie 128 40.1 33.1 48.3 236 66.3 58.0 75.7 119 37.2 30.5 45.2 1,725 528 502.1 555.1
Duplin 144 42.5 35.5 50.5 243 63.1 55.3 71.8 60 18.7 14.1 24.4 1,752 505.7 481.2 531.3
Durham 515 30.4 27.8 33.2 833 47.0 43.8 50.3 499 28.6 26.1 31.3 8,666 489.1 478.6 499.7
Edgecombe 111 33.2 27.0 40.6 252 65.3 57.2 74.4 44 12.2 8.7 16.9 1,793 508.7 483.9 534.5
Forsyth 759 33.4 31.0 35.9 1,507 60.8 57.7 64.0 541 23.4 21.4 25.6 11,987 504.8 495.5 514.2
Franklin 155 34.5 29.1 40.6 304 61.6 54.7 69.2 119 27.4 22.5 33.1 2,340 501.6 480.7 523.3
Gaston 591 42.6 39.2 46.3 1,066 70.4 66.1 74.8 519 38.0 34.7 41.5 7,785 545.8 533.4 558.4
Gates 22 27.1 16.4 43.2 42 48.8 34.6 68.0 12 ** ** ** 263 306 268.4 348.1
Graham 19 28.1 16.2 47.0 56 78.0 58.5 103.6 11 ** ** ** 289 439.6 386.6 498.7
Granville 204 53.4 46.0 61.7 308 70.9 63.0 79.6 94 24.1 19.3 29.9 2,266 557.2 533.6 581.6
Greene 40 30.8 21.7 42.6 95 68.6 55.2 84.5 21 17.0 10.4 26.4 650 486.4 448.5 526.7
Guilford 1,083 35.2 33.0 37.4 1,967 59.6 57.0 62.4 884 28.1 26.2 30.1 16,286 510.8 502.8 518.9
Halifax 124 35.2 28.8 42.6 251 64.4 56.4 73.3 56 15.5 11.5 20.7 1,889 524.1 499.3 550
Harnett 263 37.5 33.0 42.4 541 72.6 66.5 79.1 140 20.0 16.8 23.7 3,574 494.5 478.1 511.4
Haywood 206 43.0 36.9 50.0 393 69.8 62.8 77.6 156 31.6 26.5 37.6 2,669 515.1 494.3 536.8
Henderson 323 35.0 30.9 39.4 582 52.9 48.6 57.7 354 35.8 31.9 40.1 5,002 509.1 494 524.7
Hertford 55 35.9 26.6 47.7 103 59.8 48.6 73.4 8 ** ** ** 713 465.1 429.4 503.2
Hoke 91 39.1 31.1 48.4 196 79.5 68.2 92.0 35 14.7 10.1 20.7 1,281 506.8 478.1 536.7
Hyde 20 54.1 31.7 89.1 27 62.8 40.8 96.1 13 ** ** ** 190 504 429.7 589.5
Iredell 419 36.0 32.5 39.8 756 59.6 55.4 64.1 459 39.9 36.2 43.8 6,039 502.8 489.8 516
Jackson 96 35.1 28.0 43.5 156 50.1 42.3 59.2 96 34.2 27.3 42.5 1,309 456.8 430.8 484.1
Johnston 423 35.0 31.7 38.7 942 74.8 69.9 79.9 340 28.4 25.4 31.7 6,682 538.4 525.2 551.9
Jones 31 46.0 29.8 68.7 75 86.9 67.6 111.4 11 ** ** ** 394 517.8 463.6 577.6
Lee 153 38.6 32.6 45.6 286 66.6 59.0 75.0 82 21.1 16.7 26.5 1,958 487.2 465.2 510
Lenoir 136 38.1 31.6 45.7 313 73.6 65.5 82.7 94 24.1 19.2 30.0 2,047 523.8 500 548.5
Lincoln 211 36.3 31.3 41.8 447 67.5 61.2 74.3 256 42.6 37.3 48.5 3,233 516.1 497.7 535.1
McDowell 146 45.8 38.4 54.4 314 85.7 76.3 96.2 97 31.6 25.3 39.2 1,867 561.9 535.4 589.5
Macon 131 41.2 33.7 50.2 205 54.7 47.0 63.6 124 41.1 33.2 50.4 1,628 490.6 464.3 518.2
Madison 66 44.4 33.8 57.7 133 74.4 61.8 89.2 56 37.1 27.4 49.4 828 511.1 474.7 549.8
Martin 57 34.5 25.4 46.1 145 73.8 61.9 87.9 27 18.2 11.4 27.7 973 550.8 513.9 590
Mecklenburg 1,844 33.5 32.0 35.2 2,538 47.3 45.4 49.2 1,526 27.8 26.4 29.3 27,435 492.4 486.4 498.4
Mitchell 50 44.3 31.8 60.7 102 73.3 59.4 90.4 42 40.7 28.2 57.2 658 541 497 588.4
Montgomery 70 35.4 27.3 45.5 137 63.2 52.8 75.6 54 28.6 21.0 38.4 964 489.7 457.3 524
Moore 222 29.3 25.3 33.8 523 58.9 53.8 64.4 324 42.4 37.6 47.7 4,069 513.6 496.9 530.9
Nash 190 30.3 25.9 35.2 420 58.3 52.7 64.4 118 18.7 15.4 22.7 3,154 485.2 467.6 503.3
New Hanover 418 29.0 26.2 32.1 849 51.9 48.4 55.6 577 40.4 37.0 44.0 7,740 507.5 495.9 519.4
Northampton 55 39.1 28.1 53.6 122 72.2 58.5 88.8 31 17.6 11.8 26.5 795 513.2 473.3 556
Onslow 296 39.0 34.6 43.8 697 85.9 79.5 92.7 250 31.7 27.8 36.0 4,541 564.9 548.1 582.1
Orange 237 29.3 25.5 33.4 416 47.3 42.8 52.3 275 33.3 29.4 37.7 4,163 494.1 478.7 509.8
Pamlico 46 43.6 30.1 62.2 91 64.8 51.8 81.9 46 35.3 25.2 49.9 626 526.9 481 576.9
Pasquotank 100 39.4 31.8 48.5 159 56.1 47.6 65.9 63 28.0 21.2 36.2 1,131 430.6 404.9 457.6
Pender 164 39.6 33.5 46.5 292 63.1 55.9 71.1 131 33.2 27.6 39.7 2,335 555.2 532 579.2
Perquimans 39 35.1 23.9 50.5 78 59.8 46.5 77.0 23 19.3 11.7 31.1 521 452.6 409.9 499.2
Person 117 42.9 35.1 52.0 218 68.3 59.3 78.6 86 31.7 25.0 39.9 1,559 537.4 509.6 566.5
Pitt 270 30.4 26.8 34.4 558 57.3 52.6 62.4 164 18.3 15.5 21.4 4,529 484.8 470.4 499.5
Polk 69 35.3 26.2 47.2 99 46.4 36.6 58.8 53 27.1 19.2 37.8 856 450.4 415.5 487.9
Randolph 360 39.2 35.1 43.7 784 75.0 69.8 80.6 291 31.7 28.0 35.7 5,017 519.1 504.3 534.3
Richmond 123 46.4 38.2 55.9 266 86.0 75.8 97.4 55 18.8 14.1 24.9 1,628 573.2 544.7 602.8
Robeson 286 39.7 35.1 44.7 607 81.6 75.1 88.6 75 11.7 9.1 14.8 3,557 501.6 484.7 519
Rockingham 259 40.5 35.4 46.1 614 81.6 75.1 88.5 185 28.0 23.9 32.6 3,695 541.4 523.2 560.2
Rowan 357 38.8 34.7 43.2 702 68.5 63.4 73.9 270 29.5 25.9 33.4 4,846 502.6 488 517.5
Rutherford 204 42.0 36.1 48.7 361 66.9 60.0 74.5 164 37.4 31.5 44.2 2,567 524.3 503 546.4
Sampson 132 33.6 28.0 40.1 338 80.0 71.6 89.3 90 25.5 20.2 31.7 2,031 524.4 501.1 548.7
Scotland 97 45.1 36.2 55.5 205 87.2 75.5 100.5 29 12.6 8.4 18.5 1,203 544.3 512.9 577.2
Stanly 184 43.6 37.4 50.8 329 71.2 63.6 79.6 136 31.7 26.4 37.8 2,244 524.1 501.8 547.3
Stokes 129 39.9 32.9 48.2 325 83.4 74.4 93.4 95 28.4 22.7 35.4 1,817 518.7 493.6 544.9
Surry 213 41.4 35.8 47.7 418 73.9 66.9 81.6 144 28.4 23.7 33.8 2,753 524.6 504.4 545.5
Swain 69 77.6 59.6 99.6 91 86.1 69.1 106.8 22 25.6 15.5 40.1 582 605.6 555.3 659.6
Transylvania 81 27.3 20.9 35.4 202 54.5 46.8 63.6 104 31.1 24.8 38.9 1,413 430.3 405.3 456.7
Tyrrell 12 ** ** ** 25 81.8 52.3 126.1 * * * * 143 533.1 443 638.1
Union 460 34.8 31.6 38.3 773 57.8 53.7 62.1 468 35.7 32.5 39.2 6,968 516 503.6 528.6
Vance 126 44.2 36.5 53.1 214 68.2 59.1 78.5 62 22.0 16.6 28.6 1,574 546.3 518.3 575.4
Wake 1,794 30.8 29.4 32.3 2,705 47.2 45.4 49.1 1,844 31.3 29.9 32.8 29,120 489.6 483.9 495.4
Warren 65 40.6 30.6 53.5 107 61.1 49.5 75.2 31 22.9 14.6 34.4 807 502.7 464.8 543.2
Washington 47 55.7 38.7 78.1 71 70.4 53.7 91.8 15 ** ** ** 500 536.3 485.1 592.1
Watauga 96 31.7 25.3 39.3 144 43.7 36.6 51.8 133 44.6 36.9 53.5 1,405 445.2 421 470.6
Wayne 310 44.5 39.5 49.9 575 73.3 67.3 79.8 155 22.3 18.8 26.2 3,949 543.1 525.7 561
Wilkes 180 37.0 31.5 43.3 366 65.8 59.0 73.2 136 27.3 22.6 32.8 2,329 461.4 441.7 481.9
Wilson 189 36.9 31.7 42.8 361 62.3 55.9 69.4 104 21.0 17.0 25.8 2,625 488.8 469.5 508.6
Yadkin 72 27.6 21.2 35.4 257 87.2 76.6 99.0 70 26.3 20.2 33.9 1,393 508.1 480.4 537.1
Yancey 58 42.9 31.4 57.6 126 75.1 62.0 90.8 53 38.1 27.9 51.2 825 536.4 497.2 578.2

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.