At 11%, California had the lowest up-to-date lung cancer screening rate in 2024, while Connecticut, Massachusetts and Pennsylvania had the highest rate at 28%, according to American Cancer Society data.
The national median rate for up-to-date lung cancer screening in 2024 was 18%.
Lung cancer mortality and incidence remain highest in Kentucky and West Virginia, despite having above-average lung cancer screening rates.
Here are lung cancer screening, mortality and incidence rates, by state according to American Cancer Society data:
| State | Up-to-date lung cancer screening rate, ages 50-80 (2024) | Lung cancer mortality rate per 100,000 (2019-2023) | Lung cancer incidence rate per 100,000 (2018-2022) |
| Alabama | 16% | 39.1 | 57.8 |
| Alaska | 13% | 31.3 | 53.4 |
| Arizona | 17% | 25 | 41.7 |
| Arkansas | 17% | 44.6 | 74.4 |
| California | 11% | 22.6 | 36.7 |
| Colorado | 19% | 21.8 | 37.2 |
| Connecticut | 28% | 27.4 | 54.7 |
| Delaware | 18% | 34.9 | 56.9 |
| District of Columbia | 22% | 26 | 45.1 |
| Florida | 18% | 30.7 | 54.4 |
| Georgia | 17% | 32.7 | 55.9 |
| Hawaii | 14% | 23.3 | 38.2 |
| Idaho | 14% | 25.3 | 44.7 |
| Illinois | 17% | 33.7 | 58.5 |
| Indiana | 19% | 41.6 | 69.6 |
| Iowa | 17% | 34.3 | 60.6 |
| Kansas | 20% | 35.6 | 52.2 |
| Kentucky | 23% | 50.2 | 84.8 |
| Louisiana | 16% | 39.7 | 61.4 |
| Maine | 24% | 38.4 | 67.3 |
| Maryland | 21% | 29.2 | 49.5 |
| Massachusetts | 28% | 29.6 | 57.5 |
| Michigan | 22% | 37.4 | 59.6 |
| Minnesota | 18% | 29.4 | 54.8 |
| Mississippi | 16% | 45.9 | 69.5 |
| Missouri | 18% | 41.5 | 69.3 |
| Montana | 18% | 26.9 | 45.8 |
| Nebraska | 21% | 31.5 | 51.9 |
| Nevada | 17% | 30.1 | 44.1 |
| New Hampshire | 24% | 31.8 | 59.3 |
| New Jersey | 19% | 25.8 | 49.2 |
| New Mexico | 17% | 20.9 | 32.8 |
| New York | 25% | 25.7 | 52.8 |
| North Carolina | 27% | 36.9 | 62.7 |
| North Dakota | 14% | 29.7 | 54.6 |
| Ohio | 21% | 38.7 | 64.8 |
| Oklahoma | 14% | 43.9 | 63.3 |
| Oregon | 16% | 30.2 | 48.1 |
| Pennsylvania | 28% | 33.3 | 57.1 |
| Rhode Island | 27% | 32.1 | 60.2 |
| South Carolina | 17% | 36.5 | 57.9 |
| South Dakota | 13% | 33.1 | 54.5 |
| Tennessee | Not available | 43.6 | 67.2 |
| Texas | 14% | 28.2 | 46.1 |
| Utah | 12% | 15.5 | 25.1 |
| Vermont | 23% | 31.7 | 54.7 |
| Virginia | 18% | 32.5 | 51.5 |
| Washington | 17% | 29.1 | 48.8 |
| West Virginia | 24% | 48.2 | 77.1 |
| Wisconsin | 23% | 31.8 | 55.6 |
| Wyoming | 14% | 27.9 | 38.2 |
