Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
White Non-Hispanic, Both Sexes, All Ages
Sorted by Count
County
|
2023 Rural-Urban Continuum Codes Φ
|
Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|
| Emporia City 2 | Rural | 471.7 (352.6, 627.0) | 38 (1, 131) | 14 |
stable 
|
-0.2 (-3.2, 2.6) |
| Highland County 2 | Rural | 401.4 (296.3, 538.3) | 104 (3, 133) | 17 |
stable
|
0.7 (-1.2, 2.6) |
| Norton City 2 | Rural | 429.8 (345.7, 529.9) | 80 (4, 131) | 19 |
falling 
|
-2.3 (-4.3, -0.5) |
| Franklin City 2 | Rural | 424.6 (344.9, 520.3) | 87 (7, 131) | 24 |
stable
|
-0.3 (-2.1, 1.6) |
| Manassas Park City 2 | Urban | 419.8 (347.5, 503.3) | 93 (9, 131) | 25 |
stable
|
-1.7 (-4.6, 1.3) |
| Charles City County 2 | Urban | 469.5 (384.1, 572.7) | 40 (2, 127) | 25 |
stable
|
-0.1 (-2.4, 2.4) |
| Greensville County 2 | Rural | 404.0 (334.2, 487.2) | 102 (11, 131) | 25 |
falling
|
-14.3 (-27.3, -0.7) |
| Surry County 2 | Urban | 447.3 (369.1, 540.4) | 65 (5, 128) | 28 |
stable
|
-1.4 (-10.4, 0.9) |
| Lexington City 2 | Rural | 532.5 (447.8, 630.0) | 12 (1, 107) | 32 |
rising 
|
2.7 (0.3, 5.4) |
| Craig County 2 | Urban | 444.7 (374.3, 526.5) | 68 (6, 126) | 34 |
stable
|
1.1 (-0.7, 3.0) |
| Bath County 2 | Rural | 485.2 (409.3, 574.4) | 31 (2, 120) | 35 |
stable
|
1.2 (-0.7, 3.3) |
| Sussex County 2 | Urban | 544.6 (465.0, 636.0) | 10 (1, 98) | 37 |
stable
|
1.1 (-0.6, 2.9) |
| King and Queen County 2 | Urban | 539.5 (460.8, 629.8) | 11 (1, 94) | 40 |
stable
|
1.1 (-0.2, 2.6) |
| Covington City 2 | Rural | 625.9 (538.1, 725.0) | 1 (1, 37) | 40 |
rising
|
4.1 (2.2, 6.1) |
| Cumberland County 2 | Rural | 399.8 (344.0, 463.6) | 105 (22, 130) | 42 |
falling
|
-2.5 (-8.5, -0.9) |
| Richmond County 2 | Rural | 445.9 (383.5, 517.4) | 67 (8, 123) | 43 |
stable
|
0.9 (-0.9, 2.7) |
| Bland County 2 | Rural | 443.3 (383.9, 511.1) | 70 (7, 123) | 44 |
stable
|
0.0 (-2.2, 2.3) |
| Petersburg City 2 | Urban | 615.8 (531.9, 710.3) | 2 (1, 33) | 44 |
stable
|
0.7 (-1.7, 3.1) |
| Falls Church City 2 | Urban | 332.9 (289.4, 381.5) | 127 (89, 132) | 44 |
falling
|
-1.7 (-3.2, -0.1) |
| Galax City 2 | Rural | 612.7 (531.9, 703.5) | 3 (1, 40) | 45 |
stable
|
1.7 (-0.5, 4.0) |
| Rappahannock County 2 | Urban | 385.2 (329.8, 448.9) | 111 (28, 131) | 45 |
falling
|
-1.7 (-2.9, -0.5) |
| Buena Vista City 2 | Rural | 572.6 (496.9, 657.4) | 5 (1, 68) | 45 |
stable
|
1.5 (-0.2, 3.2) |
| Radford City 2 | Urban | 442.8 (386.1, 505.6) | 71 (10, 123) | 47 |
falling
|
-1.6 (-2.8, -0.5) |
| Williamsburg City 2 | Urban | 364.5 (313.5, 422.8) | 119 (58, 131) | 48 |
falling
|
-1.8 (-3.2, -0.4) |
| Martinsville City 2 | Rural | 503.0 (437.6, 576.7) | 23 (2, 106) | 49 |
stable
|
0.5 (-0.8, 1.8) |
| Charlotte County 2 | Rural | 435.9 (381.3, 497.0) | 75 (10, 124) | 54 |
stable
|
0.7 (-0.6, 2.1) |
| Bristol City 2 | Urban | 253.8 (223.4, 287.6) | 132 (130, 133) | 57 |
falling
|
-4.8 (-8.2, -2.4) |
| Brunswick County 2 | Rural | 456.7 (401.5, 519.5) | 57 (7, 117) | 57 |
stable
|
0.1 (-0.9, 1.0) |
| Lunenburg County 2 | Rural | 500.3 (439.4, 568.4) | 24 (3, 104) | 57 |
stable
|
0.7 (-0.6, 2.0) |
| Essex County 2 | Rural | 566.1 (498.0, 642.8) | 6 (1, 56) | 62 |
rising
|
2.5 (0.6, 9.8) |
| Prince Edward County 2 | Rural | 449.3 (399.3, 504.3) | 63 (11, 120) | 68 |
stable
|
-0.5 (-2.3, 1.2) |
| Nottoway County 2 | Rural | 513.9 (459.2, 574.3) | 19 (2, 89) | 69 |
stable
|
0.3 (-0.9, 1.5) |
| Buckingham County 2 | Rural | 456.9 (408.7, 509.8) | 56 (11, 111) | 72 |
stable
|
0.2 (-1.0, 1.4) |
| Appomattox County 2 | Urban | 374.2 (334.8, 417.5) | 115 (67, 130) | 72 |
stable
|
-0.9 (-2.5, 0.8) |
| Poquoson City 2 | Urban | 456.4 (409.4, 507.9) | 58 (12, 112) | 73 |
stable
|
-0.7 (-1.8, 0.5) |
| Dickenson County 2 | Rural | 332.9 (297.9, 371.4) | 126 (102, 132) | 74 |
falling
|
-2.5 (-3.8, -1.3) |
| Northampton County 2 | Rural | 521.5 (459.1, 592.0) | 14 (1, 87) | 75 |
falling
|
-7.5 (-14.0, -1.5) |
| Mathews County 2 | Urban | 515.7 (456.8, 581.7) | 18 (2, 96) | 76 |
stable
|
1.0 (-0.1, 2.1) |
| Fairfax City 2 | Urban | 412.2 (370.7, 457.4) | 99 (33, 125) | 77 |
stable
|
0.7 (-1.0, 2.3) |
| Clarke County 2 | Urban | 372.5 (333.7, 415.3) | 116 (71, 130) | 77 |
falling
|
-1.5 (-2.7, -0.3) |
| Southampton County 2 | Rural | 439.5 (395.0, 488.5) | 73 (14, 118) | 78 |
stable
|
0.7 (-0.7, 2.2) |
| Fredericksburg City 2 | Urban | 457.6 (412.2, 506.8) | 55 (10, 109) | 79 |
falling
|
-4.4 (-12.4, -1.6) |
| Amelia County 2 | Urban | 554.8 (498.5, 616.2) | 7 (1, 48) | 79 |
stable
|
0.6 (-0.5, 1.8) |
| Madison County 2 | Rural | 428.6 (384.9, 476.5) | 82 (21, 122) | 81 |
stable
|
-0.4 (-1.4, 0.1) |
| Manassas City 2 | Urban | 399.1 (359.8, 441.9) | 106 (44, 126) | 82 |
falling
|
-1.6 (-2.8, -0.5) |
| Middlesex County 2 | Rural | 467.0 (415.9, 524.4) | 43 (8, 112) | 85 |
stable
|
-0.9 (-6.2, 0.4) |
| Scott County 2 | Urban | 252.3 (227.1, 279.8) | 133 (130, 133) | 85 |
falling
|
-5.9 (-22.8, -3.9) |
| King William County 2 | Urban | 520.7 (471.9, 573.4) | 16 (2, 76) | 90 |
stable
|
0.1 (-1.1, 1.4) |
| Buchanan County 2 | Rural | 300.3 (271.3, 332.0) | 131 (120, 133) | 91 |
falling
|
-2.1 (-3.8, -0.6) |
| Lancaster County 2 | Rural | 554.6 (485.2, 633.2) | 8 (1, 69) | 93 |
rising
|
7.3 (2.1, 17.1) |
| Northumberland County 2 | Rural | 440.5 (389.1, 499.3) | 72 (10, 121) | 93 |
stable
|
-0.2 (-1.9, 1.4) |
| Hopewell City 2 | Urban | 598.3 (542.0, 659.4) | 4 (1, 20) | 93 |
stable
|
1.0 (-0.2, 2.2) |
| Nelson County 2 | Urban | 424.6 (383.7, 469.5) | 88 (24, 122) | 99 |
falling
|
-1.3 (-2.3, -0.4) |
| Greene County 2 | Urban | 428.0 (390.0, 469.1) | 83 (27, 118) | 102 |
falling
|
-0.7 (-1.3, -0.2) |
| Colonial Heights City 2 | Urban | 520.9 (473.4, 572.3) | 15 (2, 66) | 103 |
stable
|
0.8 (-0.1, 1.7) |
| Alleghany County and Clifton Forge City 2 | Rural | 443.7 (403.6, 487.3) | 69 (17, 114) | 106 |
stable
|
-0.3 (-1.4, 0.9) |
| Grayson County 2 | Rural | 448.9 (407.9, 493.5) | 64 (15, 111) | 106 |
stable
|
0.1 (-1.0, 1.2) |
| Lee County 2 | Rural | 326.8 (297.9, 358.1) | 128 (111, 131) | 106 |
falling
|
-3.1 (-5.1, -1.3) |
| Westmoreland County 2 | Rural | 452.1 (409.8, 498.6) | 59 (12, 113) | 106 |
stable
|
-0.4 (-1.3, 0.4) |
| Floyd County 2 | Urban | 459.7 (418.6, 504.2) | 51 (12, 109) | 106 |
stable
|
0.7 (-0.5, 1.9) |
| Winchester City 2 | Urban | 413.6 (378.3, 451.6) | 97 (37, 122) | 111 |
stable
|
-0.5 (-1.3, 0.3) |
| Patrick County 2 | Rural | 391.6 (357.0, 429.3) | 107 (56, 127) | 113 |
stable
|
0.0 (-1.5, 1.6) |
| King George County 2 | Rural | 492.9 (452.1, 536.4) | 27 (6, 87) | 114 |
stable
|
-0.3 (-1.4, 0.8) |
| Harrisonburg City 2 | Urban | 388.7 (356.2, 423.4) | 109 (58, 127) | 115 |
stable
|
-0.7 (-1.4, 0.0) |
| Charlottesville City 2 | Urban | 377.4 (346.6, 410.3) | 114 (78, 128) | 119 |
stable
|
-0.8 (-1.7, 0.1) |
| Giles County 2 | Urban | 493.5 (452.9, 537.2) | 26 (7, 83) | 120 |
falling
|
-6.7 (-12.0, -2.4) |
| Caroline County 2 | Rural | 506.1 (466.1, 548.8) | 22 (5, 71) | 128 |
stable
|
0.0 (-0.9, 0.9) |
| Waynesboro City 2 | Urban | 526.4 (484.5, 571.3) | 13 (3, 60) | 128 |
stable
|
0.0 (-1.0, 0.9) |
| Russell County 2 | Rural | 346.2 (318.5, 376.0) | 124 (103, 131) | 131 |
falling
|
-1.9 (-3.4, -0.5) |
| Dinwiddie County 2 | Urban | 518.9 (478.4, 562.2) | 17 (4, 61) | 132 |
stable
|
4.8 (0.0, 11.9) |
| New Kent County 2 | Urban | 548.0 (505.0, 593.9) | 9 (1, 38) | 139 |
stable
|
0.4 (-0.7, 1.7) |
| Prince George County 2 | Urban | 506.5 (468.8, 546.6) | 21 (6, 70) | 141 |
stable
|
-0.2 (-1.2, 0.9) |
| Accomack County 2 | Rural | 359.9 (330.4, 391.8) | 120 (91, 130) | 143 |
stable
|
-1.3 (-2.8, 0.0) |
| Fluvanna County 2 | Urban | 446.3 (412.6, 482.4) | 66 (21, 108) | 145 |
falling
|
-0.8 (-1.4, -0.2) |
| Halifax County with South Boston City 2 | Rural | 420.5 (388.0, 455.4) | 91 (33, 117) | 147 |
stable
|
0.9 (-0.3, 2.1) |
| Page County 2 | Rural | 419.8 (388.5, 453.4) | 92 (36, 117) | 148 |
falling
|
-3.5 (-11.3, -0.2) |
| Salem City 2 | Urban | 477.2 (442.1, 514.7) | 36 (11, 94) | 149 |
stable
|
0.3 (-0.8, 1.5) |
| Staunton City 2 | Urban | 477.8 (442.6, 515.3) | 35 (11, 87) | 152 |
stable
|
-4.6 (-9.3, 0.0) |
| Danville City 2 | Rural | 485.8 (448.0, 526.5) | 30 (8, 84) | 155 |
stable
|
0.0 (-1.0, 1.0) |
| Smyth County 2 | Rural | 351.8 (326.4, 378.9) | 123 (102, 130) | 158 |
falling
|
-1.4 (-4.0, -0.2) |
| Goochland County 2 | Urban | 475.1 (439.6, 513.3) | 37 (12, 92) | 158 |
stable
|
-0.2 (-1.2, 0.9) |
| Rockbridge County 2 | Rural | 430.2 (397.8, 465.1) | 78 (32, 113) | 158 |
stable
|
-0.3 (-1.5, 0.8) |
| Mecklenburg County 2 | Rural | 485.0 (448.1, 524.7) | 32 (8, 89) | 166 |
stable
|
0.9 (-0.1, 1.9) |
| Amherst County 2 | Urban | 462.3 (430.0, 496.6) | 47 (15, 98) | 170 |
stable
|
1.1 (-0.5, 6.3) |
| Wise County 2 | Rural | 365.3 (340.1, 392.0) | 118 (94, 129) | 171 |
falling
|
-2.9 (-4.8, -1.4) |
| Powhatan County 2 | Urban | 462.4 (430.5, 496.3) | 46 (16, 100) | 175 |
rising
|
3.4 (1.3, 6.9) |
| Isle of Wight County 2 | Urban | 460.8 (429.9, 493.6) | 49 (18, 97) | 185 |
stable
|
-0.4 (-1.3, 0.6) |
| Tazewell County 2 | Rural | 324.4 (302.7, 347.4) | 129 (116, 131) | 189 |
falling
|
-2.8 (-6.2, -1.8) |
| Wythe County 2 | Rural | 483.8 (452.5, 517.0) | 33 (11, 78) | 196 |
rising
|
1.0 (0.3, 1.8) |
| Carroll County 2 | Rural | 414.7 (386.8, 444.3) | 95 (47, 117) | 197 |
stable
|
0.4 (-1.3, 2.1) |
| Pulaski County 2 | Urban | 408.2 (381.7, 436.2) | 100 (55, 119) | 200 |
stable
|
-0.3 (-0.7, 0.2) |
| Warren County 2 | Urban | 430.8 (403.5, 459.5) | 77 (37, 110) | 206 |
stable
|
-0.1 (-1.0, 0.9) |
| Louisa County 2 | Rural | 483.0 (452.6, 515.1) | 34 (12, 78) | 215 |
stable
|
-0.2 (-1.0, 0.6) |
| Orange County 2 | Rural | 509.9 (479.0, 542.5) | 20 (7, 54) | 226 |
rising
|
2.2 (0.5, 6.1) |
| Botetourt County 2 | Urban | 451.2 (423.5, 480.5) | 60 (22, 99) | 228 |
stable
|
0.6 (-0.3, 1.5) |
| Portsmouth City 2 | Urban | 461.3 (433.8, 490.3) | 48 (19, 92) | 230 |
stable
|
-5.5 (-11.6, 0.3) |
| Lynchburg City 2 | Urban | 413.0 (388.4, 438.9) | 98 (57, 116) | 234 |
stable
|
-0.6 (-1.6, 0.3) |
| Culpeper County 2 | Urban | 469.3 (441.9, 498.0) | 41 (16, 85) | 236 |
stable
|
-0.5 (-1.3, 0.3) |
| Gloucester County 2 | Urban | 486.0 (457.5, 515.9) | 29 (11, 75) | 244 |
stable
|
-0.1 (-0.8, 0.6) |
| Shenandoah County 2 | Rural | 414.4 (390.3, 439.7) | 96 (54, 114) | 253 |
stable
|
0.3 (-0.6, 1.2) |
| Washington County 2 | Urban | 314.5 (296.5, 333.5) | 130 (122, 131) | 261 |
falling
|
-3.0 (-4.0, -2.1) |
| Henry County 2 | Rural | 429.1 (404.0, 455.6) | 81 (40, 108) | 262 |
stable
|
-0.6 (-1.6, 0.4) |
| Pittsylvania County 2 | Rural | 359.6 (338.9, 381.4) | 121 (102, 128) | 264 |
falling
|
-1.3 (-2.0, -0.5) |
| York County 2 | Urban | 422.0 (399.7, 445.2) | 90 (49, 109) | 288 |
falling
|
-0.8 (-1.5, -0.1) |
| Campbell County 2 | Urban | 433.7 (410.4, 458.1) | 76 (38, 107) | 288 |
stable
|
-0.7 (-1.6, 0.3) |
| Suffolk City 2 | Urban | 496.3 (470.8, 523.1) | 25 (9, 62) | 305 |
stable
|
0.5 (-0.4, 1.4) |
| Fauquier County 2 | Urban | 389.2 (369.4, 409.9) | 108 (82, 122) | 313 |
stable
|
-1.0 (-1.9, 0.0) |
| Hampton City 2 | Urban | 458.4 (435.2, 482.5) | 54 (26, 90) | 328 |
falling
|
-0.7 (-1.3, -0.2) |
| Montgomery County 2 | Urban | 387.1 (368.4, 406.5) | 110 (88, 121) | 342 |
stable
|
-0.7 (-1.4, 0.0) |
| Franklin County 2 | Urban | 439.1 (416.6, 462.5) | 74 (35, 103) | 346 |
stable
|
0.2 (-0.8, 1.2) |
| Alexandria City 2 | Urban | 359.4 (342.2, 377.2) | 122 (104, 127) | 351 |
falling
|
-0.9 (-1.7, -0.1) |
| Roanoke City 2 | Urban | 492.3 (470.2, 515.2) | 28 (12, 62) | 415 |
stable
|
1.0 (0.0, 4.0) |
| Frederick County 2 | Urban | 402.2 (384.6, 420.4) | 103 (76, 115) | 432 |
stable
|
1.0 (-1.6, 3.1) |
| Newport News City 2 | Urban | 427.8 (409.5, 446.9) | 85 (51, 105) | 441 |
falling
|
-0.8 (-1.5, -0.2) |
| Rockingham County 2 | Urban | 419.2 (401.1, 437.9) | 94 (61, 109) | 449 |
stable
|
-0.2 (-1.0, 0.6) |
| Stafford County 2 | Urban | 425.6 (407.7, 444.1) | 86 (55, 105) | 451 |
falling
|
-1.0 (-1.7, -0.3) |
| James City County 2 | Urban | 422.9 (404.0, 442.6) | 89 (57, 107) | 469 |
falling
|
-1.5 (-2.3, -0.1) |
| Richmond City 2 | Urban | 450.8 (432.0, 470.4) | 61 (31, 89) | 471 |
falling
|
-0.9 (-1.6, -0.2) |
| Bedford City and County 2 | Urban | 428.0 (409.7, 447.0) | 84 (51, 104) | 479 |
falling
|
-0.9 (-2.1, -0.3) |
| Augusta County 2 | Urban | 458.5 (439.7, 477.9) | 53 (29, 82) | 506 |
stable
|
0.0 (-0.5, 0.5) |
| Arlington County 2 | Urban | 341.5 (328.1, 355.4) | 125 (116, 130) | 507 |
falling
|
-1.5 (-2.1, -0.9) |
| Albemarle County 2 | Urban | 405.6 (389.2, 422.6) | 101 (74, 113) | 519 |
falling
|
-1.2 (-1.8, -0.5) |
| Norfolk City 2 | Urban | 463.6 (445.5, 482.4) | 44 (26, 79) | 534 |
stable
|
0.3 (-0.2, 0.7) |
| Roanoke County 2 | Urban | 430.1 (413.3, 447.5) | 79 (54, 103) | 553 |
stable
|
0.1 (-0.5, 0.8) |
| Spotsylvania County 2 | Urban | 463.6 (446.0, 481.7) | 45 (26, 76) | 563 |
falling
|
-0.7 (-1.3, -0.1) |
| Hanover County 2 | Urban | 449.7 (432.9, 467.0) | 62 (35, 91) | 585 |
falling
|
-0.7 (-1.2, -0.2) |
| Chesapeake City 2 | Urban | 471.3 (456.5, 486.5) | 39 (24, 68) | 818 |
stable
|
0.0 (-0.7, 0.8) |
| Prince William County 2 | Urban | 380.7 (369.5, 392.1) | 112 (100, 120) | 920 |
falling
|
-1.2 (-1.7, -0.6) |
| Loudoun County 2 | Urban | 380.3 (369.4, 391.5) | 113 (99, 121) | 960 |
falling
|
-1.1 (-1.6, -0.4) |
| Henrico County 2 | Urban | 460.1 (447.9, 472.6) | 50 (32, 72) | 1,171 |
stable
|
-0.4 (-1.7, 0.0) |
| Chesterfield County 2 | Urban | 467.3 (456.1, 478.7) | 42 (30, 66) | 1,432 |
falling
|
-0.6 (-1.0, -0.1) |
| Virginia Beach City 2 | Urban | 459.2 (449.2, 469.4) | 52 (35, 72) | 1,697 |
falling
|
-4.9 (-7.0, -3.2) |
| Fairfax County 2 | Urban | 367.7 (361.5, 374.0) | 117 (109, 123) | 2,815 |
rising
|
1.5 (0.1, 3.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 1:56 pm.
State Cancer Registries may provide more current or more local data.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.
Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.
Source: SEER and NPCR data. For more specific information please see the table.
Data for United States does not include Puerto Rico.