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 Recentaapc
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) 
|
|---|---|---|---|---|---|---|
| Greensville County 2 | Rural | 404.0 (334.2, 487.2) | 102 (11, 131) | 25 |
falling 
|
-14.3 (-27.3, -0.7) |
| Northampton County 2 | Rural | 521.5 (459.1, 592.0) | 14 (1, 87) | 75 |
falling
|
-7.5 (-14.0, -1.5) |
| Giles County 2 | Urban | 493.5 (452.9, 537.2) | 26 (7, 83) | 120 |
falling
|
-6.7 (-12.0, -2.4) |
| Scott County 2 | Urban | 252.3 (227.1, 279.8) | 133 (130, 133) | 85 |
falling
|
-5.9 (-22.8, -3.9) |
| Portsmouth City 2 | Urban | 461.3 (433.8, 490.3) | 48 (19, 92) | 230 |
stable 
|
-5.5 (-11.6, 0.3) |
| Virginia Beach City 2 | Urban | 459.2 (449.2, 469.4) | 52 (35, 72) | 1,697 |
falling
|
-4.9 (-7.0, -3.2) |
| Bristol City 2 | Urban | 253.8 (223.4, 287.6) | 132 (130, 133) | 57 |
falling
|
-4.8 (-8.2, -2.4) |
| Staunton City 2 | Urban | 477.8 (442.6, 515.3) | 35 (11, 87) | 152 |
stable
|
-4.6 (-9.3, 0.0) |
| Fredericksburg City 2 | Urban | 457.6 (412.2, 506.8) | 55 (10, 109) | 79 |
falling
|
-4.4 (-12.4, -1.6) |
| Page County 2 | Rural | 419.8 (388.5, 453.4) | 92 (36, 117) | 148 |
falling
|
-3.5 (-11.3, -0.2) |
| Lee County 2 | Rural | 326.8 (297.9, 358.1) | 128 (111, 131) | 106 |
falling
|
-3.1 (-5.1, -1.3) |
| Washington County 2 | Urban | 314.5 (296.5, 333.5) | 130 (122, 131) | 261 |
falling
|
-3.0 (-4.0, -2.1) |
| Wise County 2 | Rural | 365.3 (340.1, 392.0) | 118 (94, 129) | 171 |
falling
|
-2.9 (-4.8, -1.4) |
| Tazewell County 2 | Rural | 324.4 (302.7, 347.4) | 129 (116, 131) | 189 |
falling
|
-2.8 (-6.2, -1.8) |
| Cumberland County 2 | Rural | 399.8 (344.0, 463.6) | 105 (22, 130) | 42 |
falling
|
-2.5 (-8.5, -0.9) |
| Dickenson County 2 | Rural | 332.9 (297.9, 371.4) | 126 (102, 132) | 74 |
falling
|
-2.5 (-3.8, -1.3) |
| Norton City 2 | Rural | 429.8 (345.7, 529.9) | 80 (4, 131) | 19 |
falling
|
-2.3 (-4.3, -0.5) |
| Buchanan County 2 | Rural | 300.3 (271.3, 332.0) | 131 (120, 133) | 91 |
falling
|
-2.1 (-3.8, -0.6) |
| Russell County 2 | Rural | 346.2 (318.5, 376.0) | 124 (103, 131) | 131 |
falling
|
-1.9 (-3.4, -0.5) |
| Williamsburg City 2 | Urban | 364.5 (313.5, 422.8) | 119 (58, 131) | 48 |
falling
|
-1.8 (-3.2, -0.4) |
| Falls Church City 2 | Urban | 332.9 (289.4, 381.5) | 127 (89, 132) | 44 |
falling
|
-1.7 (-3.2, -0.1) |
| Manassas Park City 2 | Urban | 419.8 (347.5, 503.3) | 93 (9, 131) | 25 |
stable
|
-1.7 (-4.6, 1.3) |
| Rappahannock County 2 | Urban | 385.2 (329.8, 448.9) | 111 (28, 131) | 45 |
falling
|
-1.7 (-2.9, -0.5) |
| Manassas City 2 | Urban | 399.1 (359.8, 441.9) | 106 (44, 126) | 82 |
falling
|
-1.6 (-2.8, -0.5) |
| Radford City 2 | Urban | 442.8 (386.1, 505.6) | 71 (10, 123) | 47 |
falling
|
-1.6 (-2.8, -0.5) |
| Arlington County 2 | Urban | 341.5 (328.1, 355.4) | 125 (116, 130) | 507 |
falling
|
-1.5 (-2.1, -0.9) |
| Clarke County 2 | Urban | 372.5 (333.7, 415.3) | 116 (71, 130) | 77 |
falling
|
-1.5 (-2.7, -0.3) |
| James City County 2 | Urban | 422.9 (404.0, 442.6) | 89 (57, 107) | 469 |
falling
|
-1.5 (-2.3, -0.1) |
| Smyth County 2 | Rural | 351.8 (326.4, 378.9) | 123 (102, 130) | 158 |
falling
|
-1.4 (-4.0, -0.2) |
| Surry County 2 | Urban | 447.3 (369.1, 540.4) | 65 (5, 128) | 28 |
stable
|
-1.4 (-10.4, 0.9) |
| Accomack County 2 | Rural | 359.9 (330.4, 391.8) | 120 (91, 130) | 143 |
stable
|
-1.3 (-2.8, 0.0) |
| Nelson County 2 | Urban | 424.6 (383.7, 469.5) | 88 (24, 122) | 99 |
falling
|
-1.3 (-2.3, -0.4) |
| Pittsylvania County 2 | Rural | 359.6 (338.9, 381.4) | 121 (102, 128) | 264 |
falling
|
-1.3 (-2.0, -0.5) |
| Albemarle County 2 | Urban | 405.6 (389.2, 422.6) | 101 (74, 113) | 519 |
falling
|
-1.2 (-1.8, -0.5) |
| 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) |
| Fauquier County 2 | Urban | 389.2 (369.4, 409.9) | 108 (82, 122) | 313 |
stable
|
-1.0 (-1.9, 0.0) |
| Stafford County 2 | Urban | 425.6 (407.7, 444.1) | 86 (55, 105) | 451 |
falling
|
-1.0 (-1.7, -0.3) |
| Alexandria City 2 | Urban | 359.4 (342.2, 377.2) | 122 (104, 127) | 351 |
falling
|
-0.9 (-1.7, -0.1) |
| Appomattox County 2 | Urban | 374.2 (334.8, 417.5) | 115 (67, 130) | 72 |
stable
|
-0.9 (-2.5, 0.8) |
| Bedford City and County 2 | Urban | 428.0 (409.7, 447.0) | 84 (51, 104) | 479 |
falling
|
-0.9 (-2.1, -0.3) |
| Middlesex County 2 | Rural | 467.0 (415.9, 524.4) | 43 (8, 112) | 85 |
stable
|
-0.9 (-6.2, 0.4) |
| Richmond City 2 | Urban | 450.8 (432.0, 470.4) | 61 (31, 89) | 471 |
falling
|
-0.9 (-1.6, -0.2) |
| Charlottesville City 2 | Urban | 377.4 (346.6, 410.3) | 114 (78, 128) | 119 |
stable
|
-0.8 (-1.7, 0.1) |
| Fluvanna County 2 | Urban | 446.3 (412.6, 482.4) | 66 (21, 108) | 145 |
falling
|
-0.8 (-1.4, -0.2) |
| Newport News City 2 | Urban | 427.8 (409.5, 446.9) | 85 (51, 105) | 441 |
falling
|
-0.8 (-1.5, -0.2) |
| 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) |
| Greene County 2 | Urban | 428.0 (390.0, 469.1) | 83 (27, 118) | 102 |
falling
|
-0.7 (-1.3, -0.2) |
| Hampton City 2 | Urban | 458.4 (435.2, 482.5) | 54 (26, 90) | 328 |
falling
|
-0.7 (-1.3, -0.2) |
| Hanover County 2 | Urban | 449.7 (432.9, 467.0) | 62 (35, 91) | 585 |
falling
|
-0.7 (-1.2, -0.2) |
| Harrisonburg City 2 | Urban | 388.7 (356.2, 423.4) | 109 (58, 127) | 115 |
stable
|
-0.7 (-1.4, 0.0) |
| Montgomery County 2 | Urban | 387.1 (368.4, 406.5) | 110 (88, 121) | 342 |
stable
|
-0.7 (-1.4, 0.0) |
| Poquoson City 2 | Urban | 456.4 (409.4, 507.9) | 58 (12, 112) | 73 |
stable
|
-0.7 (-1.8, 0.5) |
| Spotsylvania County 2 | Urban | 463.6 (446.0, 481.7) | 45 (26, 76) | 563 |
falling
|
-0.7 (-1.3, -0.1) |
| Chesterfield County 2 | Urban | 467.3 (456.1, 478.7) | 42 (30, 66) | 1,432 |
falling
|
-0.6 (-1.0, -0.1) |
| Henry County 2 | Rural | 429.1 (404.0, 455.6) | 81 (40, 108) | 262 |
stable
|
-0.6 (-1.6, 0.4) |
| 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) |
| Prince Edward County 2 | Rural | 449.3 (399.3, 504.3) | 63 (11, 120) | 68 |
stable
|
-0.5 (-2.3, 1.2) |
| Winchester City 2 | Urban | 413.6 (378.3, 451.6) | 97 (37, 122) | 111 |
stable
|
-0.5 (-1.3, 0.3) |
| Henrico County 2 | Urban | 460.1 (447.9, 472.6) | 50 (32, 72) | 1,171 |
stable
|
-0.4 (-1.7, 0.0) |
| Isle of Wight County 2 | Urban | 460.8 (429.9, 493.6) | 49 (18, 97) | 185 |
stable
|
-0.4 (-1.3, 0.6) |
| Madison County 2 | Rural | 428.6 (384.9, 476.5) | 82 (21, 122) | 81 |
stable
|
-0.4 (-1.4, 0.1) |
| Westmoreland County 2 | Rural | 452.1 (409.8, 498.6) | 59 (12, 113) | 106 |
stable
|
-0.4 (-1.3, 0.4) |
| 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) |
| Franklin City 2 | Rural | 424.6 (344.9, 520.3) | 87 (7, 131) | 24 |
stable
|
-0.3 (-2.1, 1.6) |
| King George County 2 | Rural | 492.9 (452.1, 536.4) | 27 (6, 87) | 114 |
stable
|
-0.3 (-1.4, 0.8) |
| Pulaski County 2 | Urban | 408.2 (381.7, 436.2) | 100 (55, 119) | 200 |
stable
|
-0.3 (-0.7, 0.2) |
| Rockbridge County 2 | Rural | 430.2 (397.8, 465.1) | 78 (32, 113) | 158 |
stable
|
-0.3 (-1.5, 0.8) |
| Emporia City 2 | Rural | 471.7 (352.6, 627.0) | 38 (1, 131) | 14 |
stable
|
-0.2 (-3.2, 2.6) |
| Goochland County 2 | Urban | 475.1 (439.6, 513.3) | 37 (12, 92) | 158 |
stable
|
-0.2 (-1.2, 0.9) |
| Louisa County 2 | Rural | 483.0 (452.6, 515.1) | 34 (12, 78) | 215 |
stable
|
-0.2 (-1.0, 0.6) |
| Northumberland County 2 | Rural | 440.5 (389.1, 499.3) | 72 (10, 121) | 93 |
stable
|
-0.2 (-1.9, 1.4) |
| Prince George County 2 | Urban | 506.5 (468.8, 546.6) | 21 (6, 70) | 141 |
stable
|
-0.2 (-1.2, 0.9) |
| Rockingham County 2 | Urban | 419.2 (401.1, 437.9) | 94 (61, 109) | 449 |
stable
|
-0.2 (-1.0, 0.6) |
| Charles City County 2 | Urban | 469.5 (384.1, 572.7) | 40 (2, 127) | 25 |
stable
|
-0.1 (-2.4, 2.4) |
| Gloucester County 2 | Urban | 486.0 (457.5, 515.9) | 29 (11, 75) | 244 |
stable
|
-0.1 (-0.8, 0.6) |
| Warren County 2 | Urban | 430.8 (403.5, 459.5) | 77 (37, 110) | 206 |
stable
|
-0.1 (-1.0, 0.9) |
| Augusta County 2 | Urban | 458.5 (439.7, 477.9) | 53 (29, 82) | 506 |
stable
|
0.0 (-0.5, 0.5) |
| Bland County 2 | Rural | 443.3 (383.9, 511.1) | 70 (7, 123) | 44 |
stable
|
0.0 (-2.2, 2.3) |
| Caroline County 2 | Rural | 506.1 (466.1, 548.8) | 22 (5, 71) | 128 |
stable
|
0.0 (-0.9, 0.9) |
| Chesapeake City 2 | Urban | 471.3 (456.5, 486.5) | 39 (24, 68) | 818 |
stable
|
0.0 (-0.7, 0.8) |
| Danville City 2 | Rural | 485.8 (448.0, 526.5) | 30 (8, 84) | 155 |
stable
|
0.0 (-1.0, 1.0) |
| Patrick County 2 | Rural | 391.6 (357.0, 429.3) | 107 (56, 127) | 113 |
stable
|
0.0 (-1.5, 1.6) |
| Waynesboro City 2 | Urban | 526.4 (484.5, 571.3) | 13 (3, 60) | 128 |
stable
|
0.0 (-1.0, 0.9) |
| Brunswick County 2 | Rural | 456.7 (401.5, 519.5) | 57 (7, 117) | 57 |
stable
|
0.1 (-0.9, 1.0) |
| Grayson County 2 | Rural | 448.9 (407.9, 493.5) | 64 (15, 111) | 106 |
stable
|
0.1 (-1.0, 1.2) |
| King William County 2 | Urban | 520.7 (471.9, 573.4) | 16 (2, 76) | 90 |
stable
|
0.1 (-1.1, 1.4) |
| Roanoke County 2 | Urban | 430.1 (413.3, 447.5) | 79 (54, 103) | 553 |
stable
|
0.1 (-0.5, 0.8) |
| Buckingham County 2 | Rural | 456.9 (408.7, 509.8) | 56 (11, 111) | 72 |
stable
|
0.2 (-1.0, 1.4) |
| Franklin County 2 | Urban | 439.1 (416.6, 462.5) | 74 (35, 103) | 346 |
stable
|
0.2 (-0.8, 1.2) |
| Norfolk City 2 | Urban | 463.6 (445.5, 482.4) | 44 (26, 79) | 534 |
stable
|
0.3 (-0.2, 0.7) |
| Nottoway County 2 | Rural | 513.9 (459.2, 574.3) | 19 (2, 89) | 69 |
stable
|
0.3 (-0.9, 1.5) |
| Salem City 2 | Urban | 477.2 (442.1, 514.7) | 36 (11, 94) | 149 |
stable
|
0.3 (-0.8, 1.5) |
| Shenandoah County 2 | Rural | 414.4 (390.3, 439.7) | 96 (54, 114) | 253 |
stable
|
0.3 (-0.6, 1.2) |
| Carroll County 2 | Rural | 414.7 (386.8, 444.3) | 95 (47, 117) | 197 |
stable
|
0.4 (-1.3, 2.1) |
| New Kent County 2 | Urban | 548.0 (505.0, 593.9) | 9 (1, 38) | 139 |
stable
|
0.4 (-0.7, 1.7) |
| Martinsville City 2 | Rural | 503.0 (437.6, 576.7) | 23 (2, 106) | 49 |
stable
|
0.5 (-0.8, 1.8) |
| Suffolk City 2 | Urban | 496.3 (470.8, 523.1) | 25 (9, 62) | 305 |
stable
|
0.5 (-0.4, 1.4) |
| Amelia County 2 | Urban | 554.8 (498.5, 616.2) | 7 (1, 48) | 79 |
stable
|
0.6 (-0.5, 1.8) |
| Botetourt County 2 | Urban | 451.2 (423.5, 480.5) | 60 (22, 99) | 228 |
stable
|
0.6 (-0.3, 1.5) |
| Charlotte County 2 | Rural | 435.9 (381.3, 497.0) | 75 (10, 124) | 54 |
stable
|
0.7 (-0.6, 2.1) |
| Fairfax City 2 | Urban | 412.2 (370.7, 457.4) | 99 (33, 125) | 77 |
stable
|
0.7 (-1.0, 2.3) |
| Floyd County 2 | Urban | 459.7 (418.6, 504.2) | 51 (12, 109) | 106 |
stable
|
0.7 (-0.5, 1.9) |
| Highland County 2 | Rural | 401.4 (296.3, 538.3) | 104 (3, 133) | 17 |
stable
|
0.7 (-1.2, 2.6) |
| Lunenburg County 2 | Rural | 500.3 (439.4, 568.4) | 24 (3, 104) | 57 |
stable
|
0.7 (-0.6, 2.0) |
| Petersburg City 2 | Urban | 615.8 (531.9, 710.3) | 2 (1, 33) | 44 |
stable
|
0.7 (-1.7, 3.1) |
| Southampton County 2 | Rural | 439.5 (395.0, 488.5) | 73 (14, 118) | 78 |
stable
|
0.7 (-0.7, 2.2) |
| Colonial Heights City 2 | Urban | 520.9 (473.4, 572.3) | 15 (2, 66) | 103 |
stable
|
0.8 (-0.1, 1.7) |
| 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) |
| Mecklenburg County 2 | Rural | 485.0 (448.1, 524.7) | 32 (8, 89) | 166 |
stable
|
0.9 (-0.1, 1.9) |
| Richmond County 2 | Rural | 445.9 (383.5, 517.4) | 67 (8, 123) | 43 |
stable
|
0.9 (-0.9, 2.7) |
| Frederick County 2 | Urban | 402.2 (384.6, 420.4) | 103 (76, 115) | 432 |
stable
|
1.0 (-1.6, 3.1) |
| Hopewell City 2 | Urban | 598.3 (542.0, 659.4) | 4 (1, 20) | 93 |
stable
|
1.0 (-0.2, 2.2) |
| Mathews County 2 | Urban | 515.7 (456.8, 581.7) | 18 (2, 96) | 76 |
stable
|
1.0 (-0.1, 2.1) |
| Roanoke City 2 | Urban | 492.3 (470.2, 515.2) | 28 (12, 62) | 415 |
stable
|
1.0 (0.0, 4.0) |
| Wythe County 2 | Rural | 483.8 (452.5, 517.0) | 33 (11, 78) | 196 |
rising 
|
1.0 (0.3, 1.8) |
| Amherst County 2 | Urban | 462.3 (430.0, 496.6) | 47 (15, 98) | 170 |
stable
|
1.1 (-0.5, 6.3) |
| Craig County 2 | Urban | 444.7 (374.3, 526.5) | 68 (6, 126) | 34 |
stable
|
1.1 (-0.7, 3.0) |
| King and Queen County 2 | Urban | 539.5 (460.8, 629.8) | 11 (1, 94) | 40 |
stable
|
1.1 (-0.2, 2.6) |
| Sussex County 2 | Urban | 544.6 (465.0, 636.0) | 10 (1, 98) | 37 |
stable
|
1.1 (-0.6, 2.9) |
| Bath County 2 | Rural | 485.2 (409.3, 574.4) | 31 (2, 120) | 35 |
stable
|
1.2 (-0.7, 3.3) |
| Buena Vista City 2 | Rural | 572.6 (496.9, 657.4) | 5 (1, 68) | 45 |
stable
|
1.5 (-0.2, 3.2) |
| Fairfax County 2 | Urban | 367.7 (361.5, 374.0) | 117 (109, 123) | 2,815 |
rising
|
1.5 (0.1, 3.8) |
| Galax City 2 | Rural | 612.7 (531.9, 703.5) | 3 (1, 40) | 45 |
stable
|
1.7 (-0.5, 4.0) |
| Orange County 2 | Rural | 509.9 (479.0, 542.5) | 20 (7, 54) | 226 |
rising
|
2.2 (0.5, 6.1) |
| Essex County 2 | Rural | 566.1 (498.0, 642.8) | 6 (1, 56) | 62 |
rising
|
2.5 (0.6, 9.8) |
| Lexington City 2 | Rural | 532.5 (447.8, 630.0) | 12 (1, 107) | 32 |
rising
|
2.7 (0.3, 5.4) |
| Powhatan County 2 | Urban | 462.4 (430.5, 496.3) | 46 (16, 100) | 175 |
rising
|
3.4 (1.3, 6.9) |
| Covington City 2 | Rural | 625.9 (538.1, 725.0) | 1 (1, 37) | 40 |
rising
|
4.1 (2.2, 6.1) |
| Dinwiddie County 2 | Urban | 518.9 (478.4, 562.2) | 17 (4, 61) | 132 |
stable
|
4.8 (0.0, 11.9) |
| Lancaster County 2 | Rural | 554.6 (485.2, 633.2) | 8 (1, 69) | 93 |
rising
|
7.3 (2.1, 17.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 5:41 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.