Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
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)
|
|---|---|---|---|---|---|---|
| Virginia 2 | N/A | 414.6 (412.8, 416.4) | N/A | 43,276 |
stable 
|
-0.3 (-0.6, 0.7) |
| US (SEER+NPCR) 1 | N/A | 448.6 (448.3, 448.9) | N/A | 1,821,045 |
falling 
|
-1.0 (-1.6, -0.5) |
| Bristol City 2 | Urban | 248.3 (219.7, 280.0) | 133 (130, 133) | 60 |
falling
|
-4.9 (-7.9, -2.5) |
| Scott County 2 | Urban | 250.8 (226.1, 277.9) | 132 (131, 133) | 86 |
falling
|
-5.9 (-20.0, -3.9) |
| Buchanan County 2 | Rural | 296.8 (268.8, 327.2) | 131 (122, 133) | 94 |
falling
|
-2.1 (-3.9, -0.6) |
| Washington County 2 | Urban | 311.3 (293.7, 329.9) | 130 (122, 131) | 266 |
falling
|
-3.1 (-4.0, -2.1) |
| Lee County 2 | Rural | 317.3 (289.7, 347.1) | 129 (115, 132) | 107 |
falling
|
-3.2 (-5.0, -1.5) |
| Tazewell County 2 | Rural | 323.5 (302.5, 345.8) | 128 (116, 131) | 197 |
falling
|
-2.7 (-7.7, -1.7) |
| Arlington County 2 | Urban | 331.2 (320.4, 342.3) | 127 (119, 130) | 740 |
falling
|
-1.5 (-2.0, -1.0) |
| Dickenson County 2 | Rural | 332.3 (297.5, 370.6) | 126 (103, 131) | 74 |
falling
|
-2.4 (-3.8, -1.1) |
| Falls Church City 2 | Urban | 334.1 (295.9, 376.1) | 125 (97, 132) | 57 |
stable
|
-1.3 (-2.6, 0.2) |
| Russell County 2 | Rural | 343.5 (316.2, 372.9) | 124 (103, 131) | 133 |
falling
|
-1.8 (-3.1, -0.6) |
| Fairfax County 2 | Urban | 344.5 (339.9, 349.2) | 123 (118, 127) | 4,432 |
stable
|
1.0 (-1.0, 3.3) |
| Smyth County 2 | Rural | 346.2 (321.5, 372.4) | 122 (105, 130) | 160 |
falling
|
-1.7 (-5.2, -0.3) |
| Wise County 2 | Rural | 357.0 (332.9, 382.6) | 121 (100, 129) | 175 |
falling
|
-2.9 (-4.6, -1.5) |
| Alexandria City 2 | Urban | 357.0 (343.7, 370.8) | 120 (107, 126) | 573 |
falling
|
-1.0 (-1.7, -0.3) |
| Manassas Park City 2 | Urban | 357.4 (312.8, 406.2) | 119 (76, 131) | 52 |
stable
|
-1.7 (-3.6, 0.7) |
| Prince William County 2 | Urban | 360.5 (352.4, 368.7) | 118 (109, 123) | 1,636 |
stable
|
1.1 (-1.3, 3.9) |
| Clarke County 2 | Urban | 364.3 (328.3, 403.7) | 117 (79, 130) | 84 |
falling
|
-1.4 (-2.5, -0.4) |
| Manassas City 2 | Urban | 364.9 (336.4, 395.1) | 116 (90, 128) | 136 |
falling
|
-1.9 (-3.2, -0.5) |
| Pittsylvania County 2 | Rural | 366.4 (348.2, 385.4) | 115 (100, 126) | 352 |
falling
|
-1.3 (-1.9, -0.6) |
| Harrisonburg City 2 | Urban | 368.7 (342.1, 396.7) | 114 (91, 127) | 149 |
falling
|
-1.8 (-5.3, -1.0) |
| Loudoun County 2 | Urban | 369.0 (360.3, 377.8) | 113 (105, 121) | 1,457 |
stable
|
0.6 (-1.2, 3.2) |
| Montgomery County 2 | Urban | 375.4 (358.0, 393.4) | 112 (95, 122) | 367 |
stable
|
-0.8 (-1.6, 0.0) |
| Charlottesville City 2 | Urban | 376.4 (350.6, 403.6) | 111 (85, 126) | 170 |
falling
|
-1.1 (-2.0, -0.2) |
| Appomattox County 2 | Urban | 380.0 (344.4, 418.7) | 110 (64, 128) | 90 |
stable
|
-1.0 (-2.1, 0.1) |
| Rappahannock County 2 | Urban | 385.4 (332.5, 445.6) | 109 (30, 130) | 48 |
falling
|
-1.6 (-2.8, -0.4) |
| Accomack County 2 | Rural | 387.2 (362.2, 413.8) | 108 (74, 123) | 209 |
stable
|
-1.0 (-2.1, 0.0) |
| Fauquier County 2 | Urban | 388.1 (370.1, 406.8) | 107 (88, 119) | 371 |
falling
|
-1.1 (-1.8, -0.4) |
| Patrick County 2 | Rural | 388.8 (355.7, 424.6) | 106 (62, 126) | 121 |
stable
|
0.0 (-1.6, 1.6) |
| Frederick County 2 | Urban | 392.8 (376.6, 409.6) | 105 (86, 116) | 471 |
falling
|
-1.3 (-2.2, -0.9) |
| Highland County 2 | Rural | 393.6 (293.2, 523.9) | 104 (2, 133) | 18 |
stable
|
0.5 (-1.4, 2.3) |
| Williamsburg City 2 | Urban | 395.6 (349.4, 446.7) | 103 (37, 129) | 63 |
falling
|
-4.7 (-9.7, -1.5) |
| Winchester City 2 | Urban | 400.4 (370.0, 432.7) | 102 (55, 120) | 135 |
stable
|
-0.7 (-1.4, 0.1) |
| Albemarle County 2 | Urban | 401.6 (386.8, 416.8) | 101 (82, 112) | 604 |
falling
|
-1.2 (-1.8, -0.5) |
| Shenandoah County 2 | Rural | 408.2 (385.5, 432.0) | 100 (59, 114) | 267 |
stable
|
0.3 (-0.6, 1.2) |
| Fairfax City 2 | Urban | 408.6 (374.6, 444.8) | 99 (37, 120) | 112 |
stable
|
0.9 (-0.3, 2.1) |
| Pulaski County 2 | Urban | 408.7 (383.2, 435.7) | 98 (56, 115) | 215 |
stable
|
-0.3 (-0.8, 0.2) |
| Carroll County 2 | Rural | 409.1 (382.0, 437.9) | 97 (50, 116) | 200 |
stable
|
0.3 (-1.4, 2.0) |
| Norton City 2 | Rural | 410.0 (331.5, 502.9) | 96 (3, 131) | 20 |
falling
|
-2.2 (-4.0, -0.6) |
| Halifax County with South Boston City 2 | Rural | 411.3 (385.5, 438.5) | 95 (50, 114) | 224 |
stable
|
0.3 (-0.8, 1.4) |
| Page County 2 | Rural | 413.4 (383.0, 445.8) | 94 (45, 118) | 152 |
falling
|
-4.0 (-12.7, -0.6) |
| Rockingham County 2 | Urban | 413.4 (396.3, 431.2) | 93 (66, 108) | 473 |
stable
|
-0.3 (-1.0, 0.5) |
| Henry County 2 | Rural | 413.9 (393.0, 435.8) | 92 (57, 111) | 340 |
stable
|
-0.6 (-1.6, 0.4) |
| Greene County 2 | Urban | 420.1 (385.1, 457.7) | 91 (31, 116) | 115 |
falling
|
-0.8 (-1.4, -0.1) |
| Stafford County 2 | Urban | 420.9 (405.9, 436.3) | 90 (63, 104) | 642 |
falling
|
-1.0 (-1.5, -0.5) |
| Warren County 2 | Urban | 421.6 (396.2, 448.3) | 89 (41, 110) | 223 |
stable
|
-0.2 (-1.0, 0.7) |
| Hampton City 2 | Urban | 424.6 (410.1, 439.6) | 88 (57, 102) | 696 |
falling
|
-1.0 (-1.5, -0.6) |
| York County 2 | Urban | 425.3 (405.9, 445.6) | 87 (50, 105) | 375 |
falling
|
-0.7 (-1.3, -0.1) |
| Madison County 2 | Rural | 426.0 (385.5, 470.1) | 86 (23, 117) | 92 |
stable
|
-0.6 (-2.1, 0.0) |
| Bedford City and County 2 | Urban | 427.0 (409.7, 444.9) | 85 (50, 104) | 526 |
falling
|
-0.9 (-2.6, -0.3) |
| Nelson County 2 | Urban | 428.8 (391.2, 469.7) | 84 (25, 114) | 117 |
falling
|
-1.1 (-2.2, -0.1) |
| Roanoke County 2 | Urban | 429.6 (413.8, 446.0) | 83 (52, 100) | 606 |
stable
|
0.1 (-0.5, 0.8) |
| Campbell County 2 | Urban | 429.9 (408.9, 451.8) | 82 (45, 106) | 344 |
stable
|
-0.7 (-1.5, 0.2) |
| James City County 2 | Urban | 430.0 (413.0, 447.5) | 81 (49, 101) | 565 |
falling
|
-1.1 (-2.9, -0.4) |
| Rockbridge County 2 | Rural | 430.0 (398.5, 463.7) | 80 (29, 110) | 166 |
stable
|
-0.4 (-1.4, 0.7) |
| Lynchburg City 2 | Urban | 430.7 (410.0, 452.2) | 79 (43, 103) | 350 |
stable
|
-0.3 (-1.0, 0.5) |
| Newport News City 2 | Urban | 436.2 (422.8, 449.8) | 78 (49, 94) | 856 |
falling
|
-0.6 (-1.1, -0.1) |
| Cumberland County 2 | Rural | 436.5 (387.8, 490.3) | 77 (12, 118) | 66 |
stable
|
-0.4 (-1.5, 0.8) |
| Grayson County 2 | Rural | 436.9 (398.7, 478.4) | 76 (19, 113) | 110 |
stable
|
0.0 (-1.0, 1.0) |
| Buckingham County 2 | Rural | 437.6 (400.3, 478.0) | 75 (20, 114) | 107 |
stable
|
-0.1 (-1.1, 1.0) |
| Surry County 2 | Urban | 438.8 (381.0, 504.4) | 74 (6, 123) | 50 |
stable
|
-0.1 (-7.8, 2.9) |
| Virginia Beach City 2 | Urban | 443.5 (435.3, 451.8) | 73 (49, 82) | 2,333 |
falling
|
-3.2 (-4.9, -1.7) |
| Craig County 2 | Urban | 443.9 (374.7, 524.0) | 72 (3, 125) | 34 |
stable
|
1.2 (-0.5, 3.0) |
| Franklin County 2 | Urban | 444.2 (422.9, 466.5) | 71 (31, 97) | 386 |
stable
|
0.1 (-0.5, 0.9) |
| Fluvanna County 2 | Urban | 444.4 (414.0, 476.7) | 70 (23, 104) | 173 |
falling
|
-1.0 (-1.5, -0.4) |
| Botetourt County 2 | Urban | 444.5 (417.9, 472.5) | 69 (25, 101) | 238 |
stable
|
0.5 (-0.4, 1.4) |
| Hanover County 2 | Urban | 444.8 (429.3, 460.8) | 68 (38, 90) | 669 |
falling
|
-0.7 (-1.3, -0.1) |
| Radford City 2 | Urban | 445.2 (391.6, 504.1) | 67 (7, 120) | 53 |
stable
|
-1.1 (-2.6, 0.4) |
| Bland County 2 | Rural | 445.8 (387.8, 511.9) | 66 (5, 122) | 46 |
stable
|
0.1 (-2.4, 2.6) |
| Northumberland County 2 | Rural | 446.3 (404.0, 493.1) | 65 (12, 112) | 120 |
stable
|
-0.3 (-1.7, 1.0) |
| Southampton County 2 | Rural | 446.9 (410.8, 485.8) | 64 (18, 107) | 125 |
stable
|
0.6 (-0.5, 1.7) |
| Chesapeake City 2 | Urban | 447.6 (436.2, 459.3) | 63 (41, 83) | 1,240 |
stable
|
-0.2 (-0.6, 0.3) |
| Isle of Wight County 2 | Urban | 447.9 (422.0, 475.1) | 62 (24, 99) | 248 |
stable
|
-0.5 (-1.1, 0.2) |
| Portsmouth City 2 | Urban | 448.3 (430.3, 466.9) | 61 (34, 91) | 498 |
stable
|
-0.3 (-0.9, 0.2) |
| Alleghany County and Clifton Forge City 2 | Rural | 448.8 (409.5, 491.5) | 60 (16, 109) | 113 |
stable
|
-0.3 (-1.4, 0.8) |
| Amherst County 2 | Urban | 450.0 (421.8, 479.7) | 59 (22, 101) | 211 |
stable
|
-0.5 (-1.3, 0.3) |
| Henrico County 2 | Urban | 451.0 (441.6, 460.5) | 58 (41, 78) | 1,839 |
falling
|
-0.6 (-2.4, -0.2) |
| Westmoreland County 2 | Rural | 451.9 (416.0, 490.5) | 57 (16, 105) | 143 |
stable
|
-0.4 (-1.1, 0.3) |
| Richmond County 2 | Rural | 452.6 (401.0, 509.9) | 56 (5, 114) | 60 |
stable
|
0.7 (-0.6, 2.1) |
| Poquoson City 2 | Urban | 452.9 (407.9, 502.0) | 55 (10, 111) | 78 |
stable
|
-0.7 (-1.7, 0.3) |
| Augusta County 2 | Urban | 453.4 (435.5, 471.9) | 54 (30, 86) | 532 |
stable
|
0.0 (-0.6, 0.6) |
| Middlesex County 2 | Rural | 453.7 (408.4, 503.9) | 53 (7, 110) | 100 |
stable
|
-0.7 (-3.6, 0.2) |
| Norfolk City 2 | Urban | 454.4 (441.8, 467.3) | 52 (33, 79) | 1,060 |
stable
|
-0.2 (-2.5, 0.1) |
| Charlotte County 2 | Rural | 455.2 (408.9, 505.9) | 51 (8, 109) | 82 |
stable
|
0.4 (-0.6, 1.5) |
| Floyd County 2 | Urban | 455.7 (415.9, 498.8) | 50 (12, 108) | 110 |
stable
|
0.6 (-0.3, 1.5) |
| Culpeper County 2 | Urban | 457.5 (433.8, 482.2) | 49 (23, 90) | 294 |
stable
|
-0.6 (-1.5, 0.2) |
| Richmond City 2 | Urban | 458.2 (445.7, 471.0) | 48 (32, 75) | 1,103 |
falling
|
-2.0 (-4.1, -0.2) |
| Chesterfield County 2 | Urban | 458.4 (449.1, 467.8) | 47 (36, 71) | 1,981 |
falling
|
-0.6 (-1.0, -0.1) |
| Spotsylvania County 2 | Urban | 459.0 (444.0, 474.5) | 46 (28, 78) | 745 |
falling
|
-0.8 (-1.2, -0.3) |
| Powhatan County 2 | Urban | 463.9 (434.1, 495.3) | 45 (15, 94) | 201 |
rising 
|
3.2 (0.7, 7.7) |
| Suffolk City 2 | Urban | 467.0 (448.7, 485.8) | 44 (22, 74) | 521 |
stable
|
0.1 (-0.5, 0.8) |
| Greensville County 2 | Rural | 467.7 (417.2, 523.1) | 43 (5, 107) | 66 |
stable
|
-0.3 (-2.2, 1.7) |
| Louisa County 2 | Rural | 469.4 (442.7, 497.4) | 42 (17, 86) | 262 |
stable
|
-0.5 (-1.3, 0.4) |
| Charles City County 2 | Urban | 470.8 (412.7, 536.6) | 41 (2, 111) | 57 |
stable
|
0.3 (-1.5, 2.2) |
| Salem City 2 | Urban | 474.0 (440.9, 509.1) | 40 (9, 92) | 164 |
stable
|
0.4 (-0.8, 1.6) |
| Goochland County 2 | Urban | 474.8 (443.3, 508.3) | 39 (11, 84) | 195 |
stable
|
-0.5 (-1.1, 0.2) |
| Emporia City 2 | Rural | 475.1 (404.3, 555.2) | 38 (1, 116) | 35 |
stable
|
-0.8 (-2.4, 0.7) |
| Fredericksburg City 2 | Urban | 475.3 (437.4, 515.7) | 37 (7, 94) | 121 |
falling
|
-1.2 (-2.1, -0.3) |
| Staunton City 2 | Urban | 475.7 (443.4, 509.9) | 36 (10, 85) | 175 |
stable
|
-2.8 (-7.6, 0.2) |
| Danville City 2 | Rural | 479.6 (453.8, 506.6) | 35 (11, 72) | 290 |
stable
|
-0.2 (-1.1, 0.7) |
| Bath County 2 | Rural | 479.8 (406.7, 565.1) | 34 (1, 119) | 37 |
stable
|
1.2 (-0.8, 3.2) |
| Wythe County 2 | Rural | 480.8 (450.3, 513.0) | 33 (10, 79) | 203 |
rising
|
1.0 (0.2, 1.8) |
| Prince George County 2 | Urban | 480.9 (451.5, 511.9) | 32 (11, 81) | 207 |
stable
|
-0.7 (-1.6, 0.3) |
| Prince Edward County 2 | Rural | 481.5 (441.4, 524.3) | 31 (5, 96) | 118 |
stable
|
-0.1 (-1.2, 1.1) |
| Giles County 2 | Urban | 482.1 (442.8, 524.3) | 30 (7, 93) | 122 |
falling
|
-7.2 (-12.4, -3.1) |
| Roanoke City 2 | Urban | 484.2 (466.5, 502.5) | 29 (15, 58) | 603 |
stable
|
0.8 (0.0, 2.7) |
| King George County 2 | Rural | 485.9 (450.3, 523.6) | 28 (6, 82) | 146 |
stable
|
-0.3 (-1.4, 1.1) |
| Mecklenburg County 2 | Rural | 487.4 (458.4, 518.1) | 27 (6, 73) | 253 |
stable
|
0.4 (-0.5, 1.3) |
| Caroline County 2 | Rural | 488.2 (456.9, 521.3) | 26 (6, 73) | 191 |
stable
|
-0.3 (-1.2, 0.8) |
| Gloucester County 2 | Urban | 489.6 (463.0, 517.6) | 25 (7, 65) | 281 |
stable
|
-0.1 (-0.7, 0.6) |
| Brunswick County 2 | Rural | 491.7 (451.7, 534.9) | 24 (4, 83) | 121 |
stable
|
0.8 (0.0, 1.6) |
| Franklin City 2 | Rural | 493.5 (433.9, 559.4) | 23 (1, 105) | 55 |
stable
|
0.2 (-1.0, 1.4) |
| Lunenburg County 2 | Rural | 495.9 (449.0, 547.0) | 22 (2, 91) | 92 |
stable
|
0.3 (-1.0, 1.6) |
| Lexington City 2 | Rural | 504.0 (429.2, 589.0) | 21 (1, 108) | 36 |
rising
|
2.5 (0.4, 4.7) |
| Waynesboro City 2 | Urban | 509.3 (472.1, 548.7) | 20 (3, 60) | 147 |
stable
|
-0.1 (-1.0, 0.9) |
| Orange County 2 | Rural | 510.7 (482.5, 540.3) | 19 (3, 48) | 267 |
stable
|
2.7 (-0.5, 6.1) |
| King William County 2 | Urban | 513.1 (470.7, 558.6) | 18 (2, 66) | 116 |
stable
|
-0.2 (-1.3, 1.0) |
| Colonial Heights City 2 | Urban | 515.5 (474.2, 559.7) | 17 (1, 62) | 124 |
stable
|
0.8 (-0.2, 1.7) |
| Nottoway County 2 | Rural | 516.2 (473.3, 562.2) | 16 (1, 64) | 112 |
stable
|
0.2 (-1.0, 1.4) |
| Petersburg City 2 | Urban | 520.7 (488.7, 554.3) | 15 (2, 40) | 217 |
stable
|
0.0 (-1.1, 1.0) |
| Northampton County 2 | Rural | 524.3 (476.8, 576.0) | 14 (1, 63) | 115 |
stable
|
-0.4 (-1.3, 0.5) |
| King and Queen County 2 | Urban | 525.6 (461.5, 597.5) | 13 (1, 85) | 57 |
stable
|
1.2 (-0.1, 2.5) |
| Mathews County 2 | Urban | 525.7 (469.6, 588.0) | 12 (1, 79) | 86 |
stable
|
0.6 (-0.7, 1.9) |
| Dinwiddie County 2 | Urban | 527.1 (493.7, 562.2) | 11 (1, 43) | 203 |
rising
|
4.6 (0.6, 10.2) |
| New Kent County 2 | Urban | 530.0 (492.0, 570.3) | 10 (1, 43) | 165 |
stable
|
0.3 (-0.6, 1.5) |
| Amelia County 2 | Urban | 535.0 (487.8, 586.0) | 9 (1, 49) | 105 |
stable
|
0.4 (-0.5, 1.4) |
| Sussex County 2 | Urban | 537.9 (484.5, 596.1) | 8 (1, 61) | 79 |
rising
|
1.3 (0.3, 2.3) |
| Hopewell City 2 | Urban | 541.0 (501.4, 583.1) | 7 (1, 36) | 145 |
stable
|
0.1 (-0.8, 1.0) |
| Martinsville City 2 | Rural | 541.6 (492.0, 595.1) | 6 (1, 48) | 94 |
stable
|
0.4 (-0.8, 1.6) |
| Essex County 2 | Rural | 550.9 (498.4, 608.3) | 5 (1, 45) | 94 |
stable
|
2.2 (-1.9, 9.6) |
| Buena Vista City 2 | Rural | 554.1 (483.5, 632.9) | 4 (1, 72) | 48 |
stable
|
1.4 (-0.1, 3.0) |
| Lancaster County 2 | Rural | 558.5 (504.1, 618.2) | 3 (1, 45) | 123 |
rising
|
5.7 (1.5, 13.3) |
| Covington City 2 | Rural | 564.5 (489.2, 649.0) | 2 (1, 72) | 44 |
rising
|
3.3 (1.8, 4.8) |
| Galax City 2 | Rural | 605.2 (530.9, 687.5) | 1 (1, 39) | 51 |
stable
|
1.4 (-0.5, 3.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 11:44 am.
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.
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.