2020-2024 North Carolina Preliminary 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 59,973 175.6 174.2 177.1 1,982 7.0 6.7 7.4 45,837 135.4 134.2 136.7 327,890 490.2 488.5 492.0
Alamance 1,084 189.2 177.6 201.4 38 8.0 5.5 11.1 746 137.3 127.4 147.8 5,766 519.6 505.9 533.6
Alexander 175 134.0 113.7 157.3 6 ** ** ** 149 107.1 90.1 126.7 1,156 437.7 411.6 465.1
Alleghany 60 122.2 89.2 165.5 * * * * 50 91.0 66.2 124.8 414 415.7 372.6 463.4
Anson 139 178.3 147.9 213.7 8 ** ** ** 134 169.9 141.5 203.0 868 569.9 531.0 611.1
Ashe 169 154.6 129.5 183.8 7 ** ** ** 171 131.1 111.7 154.0 1,071 461.0 431.2 492.7
Avery 85 138.3 107.6 176.1 * * * * 88 111.7 89.3 139.5 643 455.2 418.8 494.3
Beaufort 315 178.3 156.9 202.1 15 ** ** ** 343 174.2 155.5 195.1 1,928 526.7 501.1 553.3
Bertie 119 176.4 141.6 218.0 * * * * 131 177.2 147.1 212.8 693 501.1 461.0 544.2
Bladen 178 152.3 128.7 179.3 8 ** ** ** 170 140.0 119.1 164.2 1,073 474.1 444.0 505.8
Brunswick 1,237 168.5 157.0 180.7 31 7.5 4.6 11.4 1,003 114.2 106.6 122.5 7,439 493.3 479.9 507.0
Buncombe 1,780 179.3 170.6 188.4 39 5.1 3.6 7.1 1,202 120.5 113.7 127.7 9,184 466.6 456.7 476.7
Burke 448 137.9 124.5 152.5 17 8.6 4.9 14.0 356 103.4 92.7 115.2 3,065 465.4 448.2 483.2
Cabarrus 1,196 176.4 166.4 186.9 55 8.9 6.6 11.6 789 123.8 115.1 133.1 6,041 471.7 459.6 483.9
Caldwell 482 164.2 148.9 180.8 22 11.6 7.1 17.9 375 119.0 106.9 132.3 3,147 529.4 510.1 549.3
Camden 49 136.1 99.7 182.8 * * * * 35 88.6 61.2 125.9 281 397.7 351.0 449.4
Carteret 490 174.0 156.9 192.6 10 ** ** ** 307 90.0 80.0 101.5 2,928 499.2 479.3 519.9
Caswell 126 159.5 129.5 194.8 * * * * 130 139.9 116.1 168.0 850 493.0 457.8 530.3
Catawba 775 137.7 127.7 148.3 32 7.7 5.1 11.1 704 122.8 113.7 132.5 4,856 440.9 428.1 454.0
Chatham 596 183.5 167.7 200.5 9 ** ** ** 472 135.3 123.2 148.6 3,267 493.7 475.7 512.4
Cherokee 176 140.7 116.8 168.5 * * * * 145 86.8 72.5 104.3 1,176 432.4 404.0 462.6
Chowan 93 158.8 124.5 200.9 8 ** ** ** 99 166.7 134.1 206.5 558 485.8 442.5 532.8
Clay 57 95.4 68.4 132.5 * * * * 66 101.6 77.0 135.1 472 391.1 351.4 435.3
Cleveland 570 165.6 151.4 180.9 21 8.0 4.8 12.5 399 113.3 102.2 125.5 3,515 521.8 503.8 540.3
Columbus 313 174.8 154.5 197.2 13 ** ** ** 289 161.6 143.0 182.1 1,755 497.1 473.0 522.3
Craven 573 165.7 151.1 181.4 19 8.9 5.2 14.1 531 146.6 134.0 160.3 3,576 507.9 490.3 526.0
Cumberland 1,342 150.7 142.5 159.2 66 8.1 6.2 10.3 1,147 145.0 136.5 153.9 7,377 442.7 432.4 453.1
Currituck 118 117.9 96.3 143.2 5 ** ** ** 95 85.2 68.3 105.7 732 361.0 333.7 390.1
Dare 244 162.1 140.3 186.8 7 ** ** ** 217 122.4 105.9 141.4 1,462 473.5 447.3 501.1
Davidson 973 164.1 153.4 175.4 30 6.3 4.1 9.2 805 130.6 121.5 140.3 6,151 518.4 505.0 532.1
Davie 267 163.2 142.8 186.1 8 ** ** ** 238 136.4 119.3 155.6 1,754 528.7 502.9 555.6
Duplin 281 171.4 150.5 194.4 12 ** ** ** 263 150.4 132.3 170.5 1,712 506.6 481.8 532.6
Durham 1,784 185.1 176.3 194.1 37 3.9 2.8 5.5 1,195 138.2 130.3 146.5 8,199 452.3 442.4 462.5
Edgecombe 314 176.6 156.1 199.1 16 11.7 6.2 19.9 300 173.4 153.6 195.3 1,753 502.5 477.7 528.3
Forsyth 2,138 169.8 162.4 177.5 74 7.2 5.6 9.1 1,879 158.7 151.4 166.2 12,147 504.3 495.1 513.6
Franklin 411 169.1 152.3 187.3 17 8.7 4.9 14.2 330 134.7 120.0 150.9 2,377 494.5 474.0 515.7
Gaston 1,265 167.3 157.9 177.2 65 9.7 7.4 12.4 938 129.7 121.3 138.6 7,678 530.8 518.6 543.1
Gates 23 54.2 33.5 85.7 0 0 0 0 40 88.6 62.9 124.4 253 298.2 260.7 340.4
Graham 45 149.7 104.5 209.4 * * * * 29 78.8 52.5 117.5 273 423.0 370.2 482.2
Granville 335 160.4 142.9 179.7 15 ** ** ** 308 142.5 126.6 160.2 2,192 535.5 512.5 559.4
Greene 120 200.8 163.9 243.9 * * * * 99 146.1 117.6 179.9 663 496.3 458.1 537.0
Guilford 3,306 194.3 187.5 201.3 88 5.8 4.6 7.2 2,340 147.1 141.0 153.3 16,216 502.6 494.7 510.6
Halifax 344 190.0 168.6 213.5 8 ** ** ** 293 161.1 142.7 181.7 1,844 518.0 493.0 543.9
Harnett 606 159.7 146.9 173.2 34 9.7 6.7 13.7 416 111.8 101.1 123.5 3,475 469.4 453.6 485.6
Haywood 378 147.7 131.6 165.5 9 ** ** ** 349 124.5 111.5 138.9 2,617 499.4 479.0 520.6
Henderson 977 203.2 189.2 218.1 15 ** ** ** 556 105.8 97.1 115.4 4,775 480.6 465.9 495.7
Hertford 126 168.0 136.7 204.8 * * * * 141 190.9 159.3 227.7 736 494.3 456.7 534.5
Hoke 215 156.7 135.8 179.9 8 ** ** ** 219 174.2 150.3 200.8 1,276 499.5 471.2 529.1
Hyde 22 131.3 77.8 215.0 * * * * 35 181.5 123.6 262.5 192 499.2 426.6 582.8
Iredell 970 157.5 147.4 168.2 35 7.5 5.1 10.4 920 142.9 133.5 152.8 5,823 469.5 457.1 482.1
Jackson 195 140.6 119.8 164.2 13 ** ** ** 170 108.3 92.1 126.8 1,288 442.0 416.6 468.6
Johnston 1,371 199.1 188.5 210.2 48 7.9 5.8 10.5 828 128.5 119.4 138.1 6,879 533.3 520.3 546.4
Jones 63 172.3 127.9 228.9 * * * * 54 128.5 95.7 172.3 366 475.7 423.9 533.0
Lee 333 159.3 141.9 178.4 13 ** ** ** 261 123.7 108.7 140.3 1,926 467.4 446.1 489.5
Lenoir 345 177.0 157.2 198.8 7 ** ** ** 275 141.5 124.7 160.2 1,946 496.6 473.4 520.7
Lincoln 599 179.1 164.4 195.0 14 ** ** ** 482 135.6 123.5 148.8 3,275 502.2 484.4 520.6
McDowell 257 159.6 139.2 182.4 12 ** ** ** 210 120.8 104.6 139.2 1,782 538.4 512.3 565.5
Macon 255 154.9 133.8 178.7 7 ** ** ** 183 95.5 81.8 111.6 1,659 494.6 468.3 522.1
Madison 130 156.5 128.8 189.1 7 ** ** ** 83 97.8 77.1 123.3 814 495.0 459.4 532.9
Martin 168 177.9 149.3 211.1 9 ** ** ** 137 158.2 131.7 189.5 958 544.2 507.3 583.4
Mecklenburg 5,965 192.2 187.3 197.2 202 6.8 5.9 7.9 4,170 152.5 147.8 157.4 27,447 481.7 475.9 487.5
Mitchell 95 167.2 132.0 209.8 * * * * 83 117.9 93.5 148.4 637 522.0 478.8 568.6
Montgomery 136 151.6 124.7 182.7 6 ** ** ** 129 118.7 98.7 142.5 965 492.7 460.0 527.4
Moore 636 162.0 148.4 176.5 18 6.9 3.9 11.1 655 157.8 145.6 170.8 4,011 497.2 480.8 514.0
Nash 596 180.7 165.5 196.9 17 7.4 4.1 12.1 455 135.0 122.4 148.6 3,103 473.6 456.3 491.5
New Hanover 1,392 169.5 160.2 179.2 42 6.5 4.6 8.9 969 124.9 117.0 133.2 7,660 495.5 484.0 507.1
Northampton 130 172.4 139.2 212.3 * * * * 145 187.2 155.7 224.7 775 511.4 470.7 555.1
Onslow 683 162.5 150.2 175.6 38 9.6 6.7 13.3 524 130.5 119.2 142.6 4,505 545.1 528.8 561.7
Orange 837 193.3 179.9 207.4 12 ** ** ** 627 143.5 132.2 155.5 4,161 482.9 467.8 498.3
Pamlico 85 157.9 120.0 206.2 * * * * 99 145.1 116.3 181.8 606 512.6 466.8 562.6
Pasquotank 176 125.1 106.3 146.5 8 ** ** ** 145 107.7 90.5 127.6 1,092 411.1 386.1 437.4
Pender 414 194.7 175.6 215.5 10 ** ** ** 288 124.2 109.8 140.3 2,364 553.7 530.7 577.4
Perquimans 81 150.2 114.0 195.1 0 0 0 0 93 147.4 117.3 185.2 517 438.0 396.5 483.4
Person 280 186.9 164.1 212.2 8 ** ** ** 194 131.3 112.7 152.6 1,530 524.2 496.7 552.9
Pitt 887 177.5 165.7 190.0 39 8.9 6.3 12.3 749 167.9 155.7 180.7 4,696 500.1 485.6 515.1
Polk 174 189.2 156.2 228.2 5 ** ** ** 127 125.5 103.6 152.4 837 438.9 404.6 476.0
Randolph 839 175.8 163.5 188.9 36 9.5 6.5 13.3 612 118.8 109.3 129.0 4,948 507.8 493.2 522.8
Richmond 238 163.7 142.8 187.2 15 ** ** ** 230 164.4 143.3 188.0 1,559 558.1 529.8 587.7
Robeson 597 164.7 151.2 179.1 25 8.8 5.6 13.1 588 172.0 158.0 187.1 3,349 482.1 465.4 499.3
Rockingham 668 191.9 176.6 208.3 31 11.7 7.7 17.2 416 114.7 103.6 126.8 3,597 525.0 506.9 543.5
Rowan 832 168.8 157.0 181.4 41 10.2 7.1 14.0 615 121.5 111.7 131.9 4,841 494.4 480.0 509.0
Rutherford 426 179.9 161.8 199.6 12 ** ** ** 248 96.1 84.1 109.7 2,499 512.5 491.3 534.5
Sampson 323 171.5 152.3 192.6 15 ** ** ** 261 133.2 117.1 151.1 1,951 508.7 485.6 532.8
Scotland 169 149.2 126.4 175.3 9 ** ** ** 181 162.4 139.0 188.9 1,183 537.6 506.4 570.4
Stanly 336 159.1 141.6 178.3 11 ** ** ** 248 111.3 97.4 126.7 2,171 504.0 482.1 526.6
Stokes 246 142.7 123.9 163.9 8 ** ** ** 248 130.4 114.4 148.5 1,848 516.6 491.8 542.5
Surry 412 160.4 144.3 177.9 18 11.2 6.4 17.9 298 110.0 97.6 123.8 2,728 521.5 501.2 542.5
Swain 75 150.3 116.3 191.9 * * * * 70 145.9 113.3 186.4 576 603.8 553.3 658.0
Transylvania 238 148.9 127.6 173.4 * * * * 186 104.8 89.6 122.7 1,383 420.7 396.0 446.9
Tyrrell 21 192.9 111.4 314.8 * * * * 26 169.6 109.0 259.0 151 553.1 461.8 659.6
Union 1,463 200.5 190.2 211.3 36 5.3 3.7 7.4 1,001 140.0 131.2 149.3 6,924 498.0 486.0 510.2
Vance 262 174.4 152.5 198.7 13 ** ** ** 200 142.6 122.9 164.8 1,544 539.9 511.9 569.0
Wake 6,321 190.8 186.1 195.6 135 4.3 3.6 5.1 4,310 141.8 137.4 146.2 29,341 476.2 470.7 481.8
Warren 147 198.0 162.1 240.2 5 ** ** ** 123 142.9 117.6 173.4 806 493.8 456.7 533.5
Washington 79 158.2 121.6 204.4 * * * * 94 180.7 144.9 225.8 493 537.9 485.7 594.8
Watauga 224 152.0 131.3 175.3 9 ** ** ** 217 125.9 109.2 144.8 1,385 440.8 416.6 466.2
Wayne 626 172.7 158.7 187.6 31 10.3 6.8 14.8 529 141.8 129.6 154.8 3,943 545.8 528.3 563.8
Wilkes 342 134.8 119.6 151.5 10 ** ** ** 217 81.3 70.6 93.4 2,328 463.2 443.3 483.8
Wilson 483 170.6 155.0 187.4 22 10.1 6.1 15.7 410 157.7 142.3 174.4 2,641 490.3 471.1 510.2
Yadkin 202 149.4 128.0 173.7 10 ** ** ** 164 114.6 97.4 134.4 1,400 509.7 481.9 538.8
Yancey 140 194.6 159.7 235.4 * * * * 82 94.2 74.4 119.0 793 507.6 469.8 548.1

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

Updated 2024 Incidence rates will be available in January 2027.

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 2024 non-bridged population estimates for 2020-2024 (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.