---
type: "firecrawl-provider"
description: "U.S. Cancer Statistics (USCS), the official federal cancer statistics that CDC's National Program of Cancer Registries and NCI's SEER Program publish: registry counts and rates of new cancer cases (incidence) and of cancer deaths (mortality) by state, county, age group and cancer site, from the delimited ASCII data tables of the newest release on the USCS data-tables page (now 1999-2023: new cases diagnosed 1999-2023, deaths 1999-2024, from the November 2025 data submission). Rates are per 100,000, age-adjusted to the 2000 U.S. standard population except the age table's age-specific rates; counts below 16 are suppressed, and every suppressed or missing value is marked with its reason instead of a number. These are new cases and deaths, not prevalence. Public domain U.S. Government data; every result carries the USCS citation and CDC's terms."
use_when: "U.S. Cancer Statistics (USCS), the official federal cancer statistics that CDC's National Program of Cancer Registries and NCI's SEER Program publish: registry counts and rates of new cancer cases (incidence) and of cancer deaths (mortality) by state, county, age group and cancer site, from the delimited ASCII data tables of the newest release on the USCS data-tables page (now 1999-2023: new cases diagnosed 1999-2023, deaths 1999-2024, from the November 2025 data submission). Rates are per 100,000, age-adjusted to the 2000 U.S. standard population except the age table's age-specific rates; counts below 16 are suppressed, and every suppressed or missing value is marked with its reason instead of a number. These are new cases and deaths, not prevalence. Public domain U.S. Government data; every result carries the USCS citation and CDC's terms."
categories: "Life sciences"
capabilities: 1
credits_per_call: 5
---
# U.S. Cancer Statistics (CDC and NCI) on Firecrawl Alexandria

U.S. Cancer Statistics (USCS), the official federal cancer statistics that CDC's National Program of Cancer Registries and NCI's SEER Program publish: registry counts and rates of new cancer cases (incidence) and of cancer deaths (mortality) by state, county, age group and cancer site, from the delimited ASCII data tables of the newest release on the USCS data-tables page (now 1999-2023: new cases diagnosed 1999-2023, deaths 1999-2024, from the November 2025 data submission). Rates are per 100,000, age-adjusted to the 2000 U.S. standard population except the age table's age-specific rates; counts below 16 are suppressed, and every suppressed or missing value is marked with its reason instead of a number. These are new cases and deaths, not prevalence. Public domain U.S. Government data; every result carries the USCS citation and CDC's terms.

- Categories: Life sciences
- Category index: [Life sciences category](https://firecrawl.dev/alexandria/agents/categories/life-sciences)
- Provider key: `uscs-cdc-gov`
- Access: Firecrawl credits
- Cost: 5 credits per call

## More

- [Human guide](https://firecrawl.dev/app/alexandria/uscs-cdc-gov)
- [OpenAPI spec](https://firecrawl.dev/alexandria/agents/providers/uscs-cdc-gov/openapi.json)

## 1. Choose this provider when

U.S. Cancer Statistics (USCS), the official federal cancer statistics that CDC's National Program of Cancer Registries and NCI's SEER Program publish: registry counts and rates of new cancer cases (incidence) and of cancer deaths (mortality) by state, county, age group and cancer site, from the delimited ASCII data tables of the newest release on the USCS data-tables page (now 1999-2023: new cases diagnosed 1999-2023, deaths 1999-2024, from the November 2025 data submission). Rates are per 100,000, age-adjusted to the 2000 U.S. standard population except the age table's age-specific rates; counts below 16 are suppressed, and every suppressed or missing value is marked with its reason instead of a number. These are new cases and deaths, not prevalence. Public domain U.S. Government data; every result carries the USCS citation and CDC's terms.

## 2. Minimal request

Call `POST https://api.firecrawl.dev/v2/scrape` with `{ alexandria: { provider, capability, options } }`. For a batch, send `{ alexandria: [...] }` with up to 10 calls.

```json
{
  "provider": "uscs-cdc-gov",
  "capability": "cancer-statistics/search",
  "options": {
    "breakdown": "state",
    "event": "incidence",
    "site": "pancreas"
  }
}
```

## 3. Add provider options

Use only the options needed for the task:

- `breakdown` (string, required): `state`: the 50 states and DC by year (BYAREA); `county`: counties for the latest 5-year period (BYAREA_COUNTY); `age`: the U.S. by 19 age groups and year, age-specific rates (BYAGE); `national`: the U.S. by year for 83 detailed sites (BYSITE). Example: `state`
- `event` (string): `incidence`: new cases (cancer registries); `mortality`: cancer deaths (death certificates). Not prevalence. Example: `incidence`
- `from_year` (number): First single year of a trend; with `to_year` (default the latest). Not for counties. Example: `1999`
- `include_combined_sites` (boolean): With `site: all`: false drops sites that group other sites of the same table (All Cancer Sites Combined, Digestive System, Male and Female Breast, Lymphomas and so on), so a ranking lists single sites only. Example: `false`
- `limit` (number): Rows returned after sorting; `total_count` has them all. Example: `100`
- `race` (string): Race and ethnicity, non-Hispanic except `hispanic`. Incidence uses bridged race (`asian_pacific_islander`); deaths from 2018 and county rows use single race, where `asian` and `native_hawaiian_pacific_islander` exist; a race the table lacks for the filters is an empty result with a warning. Example: `all`
- `sex` (string): Default `all` (USCS `Male and Female`). A sex-specific site (Prostate, Cervix, Ovary, Female Breast, Male Breast and similar) is read under its own sex; the other sex fails. Example: `all`
- `site` (string): Cancer site, default `All Cancer Sites Combined`: a USCS name matched case-insensitively (`Pancreas`, `Lung and Bronchus`, `Non-Hodgkin Lymphoma`), an everyday name (`pancreatic`, `lung`, `breast` for Female Breast, `colorectal`, `melanoma`, `leukemia`, `uterine`), or the one site having every word given; `all` for every site of the table. State, county and age tables have 27 to 30 sites, the national table 83. An unknown name fails and lists the table's sites. Example: `All Cancer Sites Combined`
- `sort` (string): Order by rate or count; rows without the value come last. Default: by area, age group, site and year. Example: `rate_desc`
- `state` (string): One state or a list, by name (`Texas`) or USPS code (`TX`), for breakdowns `state` and `county`; omitted means all 50 states and DC. The tables are grouped by state, so a few states read less of the archive. Example: `<state>`
- `to_year` (number): Last single year of a trend; with `from_year` (default 1999). Example: `1999`
- `year` (string): One year (`2023`) or a 5-year period as USCS writes it (`2019-2023`). Default: the latest single year the table has for the event (2023 for incidence, 2024 for deaths in the 1999-2023 release); counties have only their 5-year period. Not with `from_year`/`to_year`. Pattern: ^\d{4}(-\d{4})?$. Example: `2023`

## 4. Request through your preferred interface

### JavaScript

```javascript
const result = await firecrawl.scrape({
  alexandria: {
    provider: "uscs-cdc-gov",
    capability: "cancer-statistics/search",
    options: {
      breakdown: "state",
      event: "incidence",
      site: "pancreas",
    },
  },
});
```

### Python

```python
result = firecrawl.scrape_alexandria({
  "provider": "uscs-cdc-gov",
  "capability": "cancer-statistics/search",
  "options": {
    "breakdown": "state",
    "event": "incidence",
    "site": "pancreas"
  }
})
```

### cURL

```sh
curl https://api.firecrawl.dev/v2/scrape \
  -H "Authorization: Bearer $FIRECRAWL_API_KEY" \
  -H "Content-Type: application/json" \
  -d '{
  "alexandria": {
    "provider": "uscs-cdc-gov",
    "capability": "cancer-statistics/search",
    "options": {
      "breakdown": "state",
      "event": "incidence",
      "site": "pancreas"
    }
  }
}'
```

### CLI

```sh
firecrawl scrape 'uscs-cdc-gov/cancer-statistics/search' \
  --options '{"breakdown":"state","event":"incidence","site":"pancreas"}'
```


### MCP

Call the FCX MCP retrieve tool with this object:

```json
{
  "provider": "uscs-cdc-gov",
  "capability": "cancer-statistics/search",
  "options": {
    "breakdown": "state",
    "event": "incidence",
    "site": "pancreas"
  }
}
```

Ask for only the returned fields needed by the task.

## 5. Full request shape

```json
{
  "provider": "uscs-cdc-gov",
  "capability": "cancer-statistics/search",
  "options": {
    "breakdown": "state",
    "event": "incidence",
    "site": "pancreas"
  }
}
```

## 6. Response data

The response includes `success`, `provider`, `capability`, `creditsCost` and `data`. This example shows the provider payload in `data`:

```json
{
  "breakdown": "state",
  "data_submission": "November 2025",
  "file_url": "https://www.cdc.gov/cancer/uscs/USCS-1999-2023-ASCII.zip",
  "filters": {
    "event": "incidence",
    "include_combined_sites": true,
    "race": "all",
    "race_labels": [
      "All Races"
    ],
    "sex": "Male and Female",
    "site": "Pancreas",
    "states": [],
    "years": [
      "2023"
    ]
  },
  "license": {
    "attribution": "Source: CDC and NCI, U.S. Cancer Statistics data tables (1999-2023), https://www.cdc.gov/united-states-cancer-statistics/dataviz/data-tables.html. Suggested citation: U.S. Cancer Statistics Data Visualizations Tool. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; www.cdc.gov/cancer/dataviz, released in June 2026. These data are provided for statistical reporting and analysis purposes only; CDC's Policy on Releasing and Sharing Data prohibits linking them with other data to identify an individual. Use of them does not imply endorsement by CDC, HHS or the U.S. Government; they are available on www.cdc.gov at no charge.",
    "name": "Public domain (U.S. Government work)",
    "url": "https://www.cdc.gov/other/agencymaterials.html"
  },
  "rate_type": "age_adjusted",
  "rate_unit": "per 100,000 population, age-adjusted to the 2000 U.S. standard population",
  "release": "1999-2023",
  "results": [
    {
      "age_group": null,
      "area": "Alabama",
      "ci_lower": 12.4,
      "ci_upper": 14.1,
      "count": 912,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 5117673,
      "race": "All Races",
      "rate": 13.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AL",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Alaska",
      "ci_lower": 10.4,
      "ci_upper": 15.7,
      "count": 101,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 736510,
      "race": "All Races",
      "rate": 12.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AK",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Arizona",
      "ci_lower": 11.2,
      "ci_upper": 12.5,
      "count": 1226,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 7473027,
      "race": "All Races",
      "rate": 11.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AZ",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Arkansas",
      "ci_lower": 12.4,
      "ci_upper": 14.8,
      "count": 542,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 3069463,
      "race": "All Races",
      "rate": 13.5,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AR",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "California",
      "ci_lower": 13,
      "ci_upper": 13.7,
      "count": 6372,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 39198693,
      "race": "All Races",
      "rate": 13.3,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "CA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Colorado",
      "ci_lower": 10.4,
      "ci_upper": 12,
      "count": 788,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 5901339,
      "race": "All Races",
      "rate": 11.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "CO",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Connecticut",
      "ci_lower": 13.5,
      "ci_upper": 15.7,
      "count": 747,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 3643023,
      "race": "All Races",
      "rate": 14.6,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "CT",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Delaware",
      "ci_lower": 13.2,
      "ci_upper": 17.2,
      "count": 239,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1036423,
      "race": "All Races",
      "rate": 15.1,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "DE",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "District of Columbia",
      "ci_lower": 13.7,
      "ci_upper": 20.1,
      "count": 114,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 687324,
      "race": "All Races",
      "rate": 16.7,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "DC",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Florida",
      "ci_lower": 13.9,
      "ci_upper": 14.7,
      "count": 5082,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 22904868,
      "race": "All Races",
      "rate": 14.3,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "FL",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Georgia",
      "ci_lower": 13.1,
      "ci_upper": 14.4,
      "count": 1808,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 11064432,
      "race": "All Races",
      "rate": 13.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "GA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Hawaii",
      "ci_lower": 11.4,
      "ci_upper": 14.5,
      "count": 284,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1441387,
      "race": "All Races",
      "rate": 12.9,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "HI",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Idaho",
      "ci_lower": 13.8,
      "ci_upper": 17.1,
      "count": 376,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1971122,
      "race": "All Races",
      "rate": 15.4,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "ID",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Illinois",
      "ci_lower": 13.9,
      "ci_upper": 15.1,
      "count": 2408,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 12642259,
      "race": "All Races",
      "rate": 14.5,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "IL",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Indiana",
      "ci_lower": 14,
      "ci_upper": 15.7,
      "count": 1284,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 6880131,
      "race": "All Races",
      "rate": 14.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "IN",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Iowa",
      "ci_lower": 13.1,
      "ci_upper": 15.5,
      "count": 606,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 3218414,
      "race": "All Races",
      "rate": 14.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "IA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Kansas",
      "ci_lower": 12.6,
      "ci_upper": 15,
      "count": 522,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 2951500,
      "race": "All Races",
      "rate": 13.7,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "KS",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Kentucky",
      "ci_lower": 13.3,
      "ci_upper": 15.3,
      "count": 855,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 4550595,
      "race": "All Races",
      "rate": 14.3,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "KY",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Louisiana",
      "ci_lower": 15,
      "ci_upper": 17.1,
      "count": 939,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 4588071,
      "race": "All Races",
      "rate": 16,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "LA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Maine",
      "ci_lower": 12.6,
      "ci_upper": 15.8,
      "count": 323,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1399646,
      "race": "All Races",
      "rate": 14.1,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "ME",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Maryland",
      "ci_lower": 13.2,
      "ci_upper": 14.9,
      "count": 1136,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 6217062,
      "race": "All Races",
      "rate": 14,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "MD",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Massachusetts",
      "ci_lower": 13.1,
      "ci_upper": 14.6,
      "count": 1335,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 7066568,
      "race": "All Races",
      "rate": 13.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "MA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Michigan",
      "ci_lower": 13.7,
      "ci_upper": 15,
      "count": 2034,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 10083356,
      "race": "All Races",
      "rate": 14.4,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "MI",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Minnesota",
      "ci_lower": 13.7,
      "ci_upper": 15.4,
      "count": 1109,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 5753048,
      "race": "All Races",
      "rate": 14.5,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "MN",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Mississippi",
      "ci_lower": 13.5,
      "ci_upper": 16,
      "count": 563,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 2943172,
      "race": "All Races",
      "rate": 14.7,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "MS",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Missouri",
      "ci_lower": 13.4,
      "ci_upper": 15,
      "count": 1200,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 6208038,
      "race": "All Races",
      "rate": 14.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "MO",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Montana",
      "ci_lower": 12,
      "ci_upper": 15.8,
      "count": 223,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1131302,
      "race": "All Races",
      "rate": 13.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "MT",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Nebraska",
      "ci_lower": 10.7,
      "ci_upper": 13.5,
      "count": 305,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1987864,
      "race": "All Races",
      "rate": 12,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "NE",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Nevada",
      "ci_lower": 11.9,
      "ci_upper": 14.2,
      "count": 537,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 3214363,
      "race": "All Races",
      "rate": 13,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "NV",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "New Hampshire",
      "ci_lower": 12.8,
      "ci_upper": 16.2,
      "count": 310,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1402199,
      "race": "All Races",
      "rate": 14.4,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "NH",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "New Jersey",
      "ci_lower": 14.3,
      "ci_upper": 15.7,
      "count": 1874,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 9379642,
      "race": "All Races",
      "rate": 15,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "NJ",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "New Mexico",
      "ci_lower": 11.4,
      "ci_upper": 14.1,
      "count": 375,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 2121164,
      "race": "All Races",
      "rate": 12.7,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "NM",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "New York",
      "ci_lower": 14.5,
      "ci_upper": 15.4,
      "count": 4011,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 19737367,
      "race": "All Races",
      "rate": 15,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "NY",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "North Carolina",
      "ci_lower": 13.8,
      "ci_upper": 15.1,
      "count": 2062,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 10881189,
      "race": "All Races",
      "rate": 14.4,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "NC",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "North Dakota",
      "ci_lower": 10.3,
      "ci_upper": 14.9,
      "count": 122,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 789047,
      "race": "All Races",
      "rate": 12.4,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "ND",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Ohio",
      "ci_lower": 13.5,
      "ci_upper": 14.7,
      "count": 2292,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 11824034,
      "race": "All Races",
      "rate": 14.1,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "OH",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Oklahoma",
      "ci_lower": 12.3,
      "ci_upper": 14.4,
      "count": 661,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 4063882,
      "race": "All Races",
      "rate": 13.3,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "OK",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Oregon",
      "ci_lower": 10.9,
      "ci_upper": 12.8,
      "count": 698,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 4253653,
      "race": "All Races",
      "rate": 11.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "OR",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Pennsylvania",
      "ci_lower": 14.4,
      "ci_upper": 15.5,
      "count": 2815,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 13017721,
      "race": "All Races",
      "rate": 14.9,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "PA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Rhode Island",
      "ci_lower": 14.3,
      "ci_upper": 18.4,
      "count": 260,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1103429,
      "race": "All Races",
      "rate": 16.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "RI",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "South Carolina",
      "ci_lower": 13.1,
      "ci_upper": 14.9,
      "count": 1042,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 5387830,
      "race": "All Races",
      "rate": 14,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "SC",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "South Dakota",
      "ci_lower": 10.7,
      "ci_upper": 14.9,
      "count": 160,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 918305,
      "race": "All Races",
      "rate": 12.7,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "SD",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Tennessee",
      "ci_lower": 12.8,
      "ci_upper": 14.4,
      "count": 1252,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 7148304,
      "race": "All Races",
      "rate": 13.6,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "TN",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Texas",
      "ci_lower": 13.5,
      "ci_upper": 14.3,
      "count": 4531,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 30727890,
      "race": "All Races",
      "rate": 13.9,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "TX",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Utah",
      "ci_lower": 12.5,
      "ci_upper": 15.1,
      "count": 433,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 3443222,
      "race": "All Races",
      "rate": 13.7,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "UT",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Vermont",
      "ci_lower": 12.9,
      "ci_upper": 17.9,
      "count": 160,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 648708,
      "race": "All Races",
      "rate": 15.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "VT",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Virginia",
      "ci_lower": 11.8,
      "ci_upper": 13.1,
      "count": 1387,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 8734685,
      "race": "All Races",
      "rate": 12.4,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "VA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Washington",
      "ci_lower": 12.4,
      "ci_upper": 13.8,
      "count": 1300,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 7857320,
      "race": "All Races",
      "rate": 13.1,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "WA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "West Virginia",
      "ci_lower": 11.8,
      "ci_upper": 14.7,
      "count": 356,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1770495,
      "race": "All Races",
      "rate": 13.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "WV",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Wisconsin",
      "ci_lower": 14.7,
      "ci_upper": 16.5,
      "count": 1298,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 5930405,
      "race": "All Races",
      "rate": 15.6,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "WI",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Wyoming",
      "ci_lower": 10,
      "ci_upper": 15.3,
      "count": 98,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 585067,
      "race": "All Races",
      "rate": 12.4,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "WY",
      "year": "2023"
    }
  ],
  "source_updated_at": "2026-06-04",
  "source_url": "https://www.cdc.gov/united-states-cancer-statistics/dataviz/data-tables.html",
  "table": "BYAREA.TXT",
  "total_count": 51
}
```

## API reference-derived contract

The following capability contract is generated from the same normalized Alexandria API reference exposed in the API spec.

### Search

- Capability: `cancer-statistics/search`
- Description: Cancer incidence (new cases) or mortality (deaths) counts and rates from one USCS table: by state and year (`state`), by county for the latest 5-year period (`county`), by age group for the U.S. (`age`), or for the U.S. by detailed site (`national`), filtered by site, sex, race and ethnicity, states and year or year range, optionally sorted. Each row has the area (state code, county name and FIPS, or age group), year, site, sex, race, count, population, rate per 100,000 (age-adjusted to the 2000 U.S. standard population, or age-specific in the age table) with its 95% confidence interval, and a status for the count and the rate: `suppressed_under_16` (fewer than 16 cases or deaths), `suppressed_state_request`, `suppressed_complementary` (withheld because the other sex's count is suppressed) or `not_available`, never a 0 in their place. Defaults: all sites combined, incidence, both sexes, all races, the latest year. No matching row is an empty result with a warning.
- Instructions: For "incidence of pancreatic cancer by state", "pancreatic cancer incidence in Texas counties", "US lung cancer incidence by age group", "breast cancer mortality trend 1999-2024 in California" or "which cancer sites have the highest incidence nationally". USCS is registry incidence (new cases) and deaths, not prevalence: for model-based adult prevalence of chronic conditions and risk factors by county, tract or ZIP (including one self-reported cancer measure without site), use data-cdc-gov prevalence/search (PLACES); for rare disease prevalence, orphadata-com rare-diseases/epidemiology; for trials, clinicaltrials-gov clinical-trials/search; for plain population counts, census-gov census/data.
- Cost: 5 credits per call
- Capability file: [Search](https://firecrawl.dev/alexandria/agents/providers/uscs-cdc-gov/cancer-statistics/search)

Accepted options:
- `breakdown` (string, required): `state`: the 50 states and DC by year (BYAREA); `county`: counties for the latest 5-year period (BYAREA_COUNTY); `age`: the U.S. by 19 age groups and year, age-specific rates (BYAGE); `national`: the U.S. by year for 83 detailed sites (BYSITE). Example: `state`
- `event` (string): `incidence`: new cases (cancer registries); `mortality`: cancer deaths (death certificates). Not prevalence. Example: `incidence`
- `from_year` (number): First single year of a trend; with `to_year` (default the latest). Not for counties. Example: `1999`
- `include_combined_sites` (boolean): With `site: all`: false drops sites that group other sites of the same table (All Cancer Sites Combined, Digestive System, Male and Female Breast, Lymphomas and so on), so a ranking lists single sites only. Example: `false`
- `limit` (number): Rows returned after sorting; `total_count` has them all. Example: `100`
- `race` (string): Race and ethnicity, non-Hispanic except `hispanic`. Incidence uses bridged race (`asian_pacific_islander`); deaths from 2018 and county rows use single race, where `asian` and `native_hawaiian_pacific_islander` exist; a race the table lacks for the filters is an empty result with a warning. Example: `all`
- `sex` (string): Default `all` (USCS `Male and Female`). A sex-specific site (Prostate, Cervix, Ovary, Female Breast, Male Breast and similar) is read under its own sex; the other sex fails. Example: `all`
- `site` (string): Cancer site, default `All Cancer Sites Combined`: a USCS name matched case-insensitively (`Pancreas`, `Lung and Bronchus`, `Non-Hodgkin Lymphoma`), an everyday name (`pancreatic`, `lung`, `breast` for Female Breast, `colorectal`, `melanoma`, `leukemia`, `uterine`), or the one site having every word given; `all` for every site of the table. State, county and age tables have 27 to 30 sites, the national table 83. An unknown name fails and lists the table's sites. Example: `All Cancer Sites Combined`
- `sort` (string): Order by rate or count; rows without the value come last. Default: by area, age group, site and year. Example: `rate_desc`
- `state` (string): One state or a list, by name (`Texas`) or USPS code (`TX`), for breakdowns `state` and `county`; omitted means all 50 states and DC. The tables are grouped by state, so a few states read less of the archive. Example: `<state>`
- `to_year` (number): Last single year of a trend; with `from_year` (default 1999). Example: `1999`
- `year` (string): One year (`2023`) or a 5-year period as USCS writes it (`2019-2023`). Default: the latest single year the table has for the event (2023 for incidence, 2024 for deaths in the 1999-2023 release); counties have only their 5-year period. Not with `from_year`/`to_year`. Pattern: ^\d{4}(-\d{4})?$. Example: `2023`

Response schema example:
```json
{
  "breakdown": "state",
  "data_submission": "November 2025",
  "file_url": "https://www.cdc.gov/cancer/uscs/USCS-1999-2023-ASCII.zip",
  "filters": {
    "event": "incidence",
    "include_combined_sites": true,
    "race": "all",
    "race_labels": [
      "All Races"
    ],
    "sex": "Male and Female",
    "site": "Pancreas",
    "states": [],
    "years": [
      "2023"
    ]
  },
  "license": {
    "attribution": "Source: CDC and NCI, U.S. Cancer Statistics data tables (1999-2023), https://www.cdc.gov/united-states-cancer-statistics/dataviz/data-tables.html. Suggested citation: U.S. Cancer Statistics Data Visualizations Tool. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; www.cdc.gov/cancer/dataviz, released in June 2026. These data are provided for statistical reporting and analysis purposes only; CDC's Policy on Releasing and Sharing Data prohibits linking them with other data to identify an individual. Use of them does not imply endorsement by CDC, HHS or the U.S. Government; they are available on www.cdc.gov at no charge.",
    "name": "Public domain (U.S. Government work)",
    "url": "https://www.cdc.gov/other/agencymaterials.html"
  },
  "rate_type": "age_adjusted",
  "rate_unit": "per 100,000 population, age-adjusted to the 2000 U.S. standard population",
  "release": "1999-2023",
  "results": [
    {
      "age_group": null,
      "area": "Alabama",
      "ci_lower": 12.4,
      "ci_upper": 14.1,
      "count": 912,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 5117673,
      "race": "All Races",
      "rate": 13.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AL",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Alaska",
      "ci_lower": 10.4,
      "ci_upper": 15.7,
      "count": 101,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 736510,
      "race": "All Races",
      "rate": 12.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AK",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Arizona",
      "ci_lower": 11.2,
      "ci_upper": 12.5,
      "count": 1226,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 7473027,
      "race": "All Races",
      "rate": 11.8,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AZ",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Arkansas",
      "ci_lower": 12.4,
      "ci_upper": 14.8,
      "count": 542,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 3069463,
      "race": "All Races",
      "rate": 13.5,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "AR",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "California",
      "ci_lower": 13,
      "ci_upper": 13.7,
      "count": 6372,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 39198693,
      "race": "All Races",
      "rate": 13.3,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "CA",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Colorado",
      "ci_lower": 10.4,
      "ci_upper": 12,
      "count": 788,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 5901339,
      "race": "All Races",
      "rate": 11.2,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "CO",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Connecticut",
      "ci_lower": 13.5,
      "ci_upper": 15.7,
      "count": 747,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 3643023,
      "race": "All Races",
      "rate": 14.6,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "CT",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Delaware",
      "ci_lower": 13.2,
      "ci_upper": 17.2,
      "count": 239,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 1036423,
      "race": "All Races",
      "rate": 15.1,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "DE",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "District of Columbia",
      "ci_lower": 13.7,
      "ci_upper": 20.1,
      "count": 114,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 687324,
      "race": "All Races",
      "rate": 16.7,
      "rate_status": "published",
      "sex": "Male and Female",
      "site": "Pancreas",
      "state": "DC",
      "year": "2023"
    },
    {
      "age_group": null,
      "area": "Florida",
      "ci_lower": 13.9,
      "ci_upper": 14.7,
      "count": 5082,
      "count_status": "published",
      "county_fips": null,
      "county_name": null,
      "event": "incidence",
      "population": 22904868,
      "race": "All Races",
      "rate": 14.3,
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    },
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      "area": "West Virginia",
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    },
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    },
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      "population": 585067,
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    }
  ],
  "source_updated_at": "2026-06-04",
  "source_url": "https://www.cdc.gov/united-states-cancer-statistics/dataviz/data-tables.html",
  "table": "BYAREA.TXT",
  "total_count": 51
}
```
