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