Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Male, 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 | 445.3 (442.5, 448.0) | N/A | 21,837 |
stable 
|
-0.3 (-0.8, 0.5) |
| US (SEER+NPCR) 1 | N/A | 484.8 (484.4, 485.3) | N/A | 929,608 |
falling 
|
-1.3 (-1.8, -0.8) |
| Scott County 2 | Urban | 233.8 (201.4, 270.8) | 133 (129, 133) | 41 |
falling
|
-7.1 (-30.6, -3.9) |
| Bristol City 2 | Urban | 263.0 (220.6, 311.7) | 132 (123, 133) | 29 |
stable
|
-3.7 (-7.4, 8.0) |
| Buchanan County 2 | Rural | 294.5 (256.4, 337.6) | 131 (117, 133) | 47 |
falling
|
-2.9 (-4.7, -1.3) |
| Washington County 2 | Urban | 296.6 (272.5, 322.6) | 130 (123, 133) | 123 |
falling
|
-4.3 (-5.5, -3.2) |
| Lee County 2 | Rural | 314.7 (276.3, 357.5) | 129 (113, 132) | 52 |
falling
|
-3.8 (-5.6, -2.1) |
| Arlington County 2 | Urban | 334.1 (318.0, 350.7) | 128 (117, 130) | 351 |
falling
|
-2.1 (-2.8, -1.3) |
| Falls Church City 2 | Urban | 336.9 (278.9, 403.4) | 127 (85, 132) | 26 |
stable
|
-1.5 (-3.5, 0.6) |
| Tazewell County 2 | Rural | 339.3 (308.7, 372.5) | 126 (109, 131) | 99 |
falling
|
-3.3 (-8.2, -2.0) |
| Dickenson County 2 | Rural | 339.7 (290.9, 395.5) | 125 (100, 132) | 38 |
falling
|
-3.1 (-5.0, -1.4) |
| Manassas Park City 2 | Urban | 349.3 (283.2, 425.4) | 124 (72, 133) | 23 |
stable
|
-2.7 (-5.1, 0.2) |
| Alexandria City 2 | Urban | 351.5 (331.5, 372.4) | 123 (112, 129) | 253 |
falling
|
-1.9 (-2.9, -1.0) |
| Smyth County 2 | Rural | 351.9 (316.8, 390.3) | 122 (104, 131) | 78 |
stable
|
-0.4 (-1.6, 0.8) |
| Fairfax County 2 | Urban | 352.4 (345.5, 359.3) | 121 (116, 127) | 2,150 |
stable
|
1.7 (-0.1, 4.7) |
| Russell County 2 | Rural | 352.6 (313.3, 396.1) | 120 (100, 131) | 66 |
falling
|
-3.8 (-11.4, -2.4) |
| Manassas City 2 | Urban | 355.5 (313.5, 401.3) | 119 (95, 131) | 63 |
falling
|
-3.1 (-4.5, -1.7) |
| Wise County 2 | Rural | 364.9 (329.8, 402.9) | 118 (98, 130) | 86 |
falling
|
-3.3 (-4.9, -2.0) |
| Pittsylvania County 2 | Rural | 375.6 (349.9, 402.9) | 117 (100, 127) | 177 |
falling
|
-2.5 (-3.7, -1.3) |
| Prince William County 2 | Urban | 376.7 (364.0, 389.6) | 116 (108, 122) | 784 |
stable
|
0.2 (-0.7, 1.6) |
| Loudoun County 2 | Urban | 386.9 (373.5, 400.6) | 115 (104, 120) | 705 |
stable
|
0.3 (-1.4, 5.1) |
| Rappahannock County 2 | Urban | 388.6 (319.3, 471.8) | 114 (44, 131) | 26 |
falling
|
-1.9 (-3.7, -0.1) |
| Highland County 2 | Rural | 389.7 (283.8, 549.8) | 113 (13, 133) | 10 |
stable
|
-0.2 (-3.2, 3.1) |
| Appomattox County 2 | Urban | 392.4 (341.9, 449.0) | 112 (67, 129) | 46 |
falling
|
-2.7 (-5.7, -1.3) |
| Clarke County 2 | Urban | 400.4 (346.8, 461.1) | 111 (54, 129) | 45 |
falling
|
-1.3 (-2.3, -0.3) |
| Frederick County 2 | Urban | 402.3 (379.1, 426.7) | 110 (91, 119) | 237 |
stable
|
1.4 (-2.0, 3.8) |
| Fauquier County 2 | Urban | 407.9 (381.8, 435.4) | 109 (83, 119) | 195 |
falling
|
-1.6 (-2.5, -0.7) |
| Williamsburg City 2 | Urban | 411.9 (347.2, 486.3) | 108 (32, 129) | 32 |
falling
|
-1.8 (-3.2, -0.3) |
| Cumberland County 2 | Rural | 412.3 (347.8, 487.4) | 107 (28, 129) | 32 |
stable
|
-1.3 (-3.4, 0.9) |
| Accomack County 2 | Rural | 418.2 (382.0, 457.3) | 106 (63, 122) | 110 |
falling
|
-1.6 (-2.7, -0.5) |
| Harrisonburg City 2 | Urban | 419.0 (376.9, 464.4) | 105 (60, 122) | 76 |
stable
|
-1.4 (-2.7, 0.0) |
| Patrick County 2 | Rural | 422.2 (375.6, 474.2) | 104 (52, 124) | 67 |
stable
|
-0.7 (-2.3, 1.0) |
| Henry County 2 | Rural | 425.1 (395.5, 456.6) | 103 (69, 117) | 167 |
falling
|
-1.8 (-2.9, -0.8) |
| Halifax County with South Boston City 2 | Rural | 426.7 (389.9, 466.4) | 102 (60, 118) | 112 |
stable
|
-0.7 (-2.2, 0.7) |
| Carroll County 2 | Rural | 429.5 (391.5, 470.7) | 101 (58, 119) | 107 |
stable
|
-0.7 (-2.9, 1.5) |
| Craig County 2 | Urban | 430.0 (338.4, 543.6) | 100 (14, 131) | 17 |
stable
|
0.2 (-1.8, 2.3) |
| Charlottesville City 2 | Urban | 431.4 (390.1, 475.8) | 99 (51, 118) | 89 |
falling
|
-1.6 (-2.9, -0.2) |
| Montgomery County 2 | Urban | 433.2 (405.9, 462.0) | 98 (66, 113) | 198 |
stable
|
-0.9 (-1.9, 0.3) |
| Alleghany County and Clifton Forge City 2 | Rural | 433.3 (380.3, 492.9) | 97 (37, 124) | 54 |
stable
|
-1.0 (-3.2, 1.2) |
| Rockbridge County 2 | Rural | 434.2 (390.8, 482.0) | 96 (43, 119) | 85 |
stable
|
-1.0 (-2.5, 0.5) |
| Winchester City 2 | Urban | 435.3 (389.0, 485.9) | 95 (40, 120) | 68 |
falling
|
-1.6 (-2.7, -0.4) |
| Stafford County 2 | Urban | 437.3 (414.5, 461.1) | 94 (69, 112) | 316 |
falling
|
-2.1 (-2.8, -1.4) |
| Pulaski County 2 | Urban | 438.8 (401.7, 478.8) | 93 (51, 117) | 112 |
falling
|
-1.3 (-2.4, -0.3) |
| Franklin County 2 | Urban | 439.2 (410.1, 470.2) | 92 (59, 112) | 194 |
falling
|
-1.1 (-2.1, -0.1) |
| Bedford City and County 2 | Urban | 443.7 (418.9, 469.7) | 91 (61, 110) | 271 |
stable
|
-1.6 (-6.1, 0.3) |
| Campbell County 2 | Urban | 448.3 (418.0, 480.5) | 90 (54, 111) | 172 |
falling
|
-1.7 (-2.7, -0.7) |
| Rockingham County 2 | Urban | 448.3 (423.0, 474.9) | 89 (58, 109) | 249 |
falling
|
-1.0 (-1.9, -0.1) |
| Northumberland County 2 | Rural | 449.9 (392.6, 516.2) | 88 (27, 120) | 63 |
stable
|
-1.3 (-3.2, 0.4) |
| Warren County 2 | Urban | 450.0 (412.3, 490.4) | 87 (40, 114) | 117 |
stable
|
-0.6 (-1.8, 0.6) |
| Fairfax City 2 | Urban | 451.1 (395.1, 512.6) | 86 (27, 123) | 54 |
stable
|
0.5 (-1.4, 2.4) |
| Albemarle County 2 | Urban | 451.9 (429.3, 475.4) | 85 (59, 106) | 316 |
falling
|
-1.3 (-1.8, -0.7) |
| Norton City 2 | Rural | 452.7 (328.4, 610.5) | 84 (4, 132) | 9 |
stable
|
-2.2 (-5.7, 1.1) |
| Lynchburg City 2 | Urban | 454.7 (423.1, 488.0) | 83 (46, 109) | 162 |
falling
|
-1.4 (-2.6, -0.3) |
| Shenandoah County 2 | Rural | 458.2 (424.6, 494.0) | 82 (42, 110) | 148 |
stable
|
-0.1 (-1.0, 0.8) |
| York County 2 | Urban | 460.7 (431.4, 491.5) | 81 (46, 108) | 194 |
falling
|
-1.3 (-2.1, -0.4) |
| Roanoke County 2 | Urban | 462.1 (438.3, 487.1) | 80 (52, 103) | 302 |
stable
|
-0.6 (-1.4, 0.1) |
| Page County 2 | Rural | 465.8 (420.3, 515.5) | 79 (28, 113) | 84 |
stable
|
-0.6 (-1.7, 0.6) |
| Augusta County 2 | Urban | 466.1 (440.9, 492.6) | 78 (48, 103) | 273 |
falling
|
-0.9 (-1.5, -0.3) |
| Poquoson City 2 | Urban | 467.3 (402.8, 540.0) | 77 (18, 120) | 39 |
falling
|
-2.9 (-11.4, -0.9) |
| Greene County 2 | Urban | 471.5 (418.5, 529.6) | 76 (20, 114) | 62 |
falling
|
-1.5 (-2.8, -0.1) |
| Grayson County 2 | Rural | 472.0 (417.9, 532.3) | 75 (20, 114) | 60 |
stable
|
-0.9 (-2.1, 0.2) |
| James City County 2 | Urban | 473.1 (448.1, 499.4) | 74 (39, 100) | 297 |
falling
|
-0.8 (-1.4, -0.1) |
| Hampton City 2 | Urban | 473.7 (450.9, 497.4) | 73 (47, 97) | 353 |
falling
|
-1.8 (-2.6, -1.0) |
| Hanover County 2 | Urban | 476.2 (453.1, 500.4) | 72 (42, 98) | 340 |
stable
|
1.3 (-1.0, 4.0) |
| Virginia Beach City 2 | Urban | 478.3 (465.6, 491.3) | 71 (51, 85) | 1,141 |
falling
|
-3.6 (-6.8, -0.6) |
| Spotsylvania County 2 | Urban | 483.2 (460.5, 506.8) | 70 (39, 92) | 370 |
stable
|
-0.7 (-2.0, 2.6) |
| Buckingham County 2 | Rural | 485.0 (430.5, 545.3) | 69 (17, 111) | 61 |
stable
|
-0.4 (-2.0, 1.3) |
| Madison County 2 | Rural | 486.1 (426.2, 553.4) | 68 (14, 112) | 52 |
stable
|
2.8 (0.0, 8.2) |
| Chesapeake City 2 | Urban | 489.0 (471.0, 507.6) | 67 (42, 82) | 613 |
falling
|
-1.1 (-1.7, -0.4) |
| Henrico County 2 | Urban | 490.3 (475.5, 505.4) | 66 (43, 80) | 882 |
stable
|
-0.2 (-1.1, 2.1) |
| Botetourt County 2 | Urban | 492.5 (453.2, 534.7) | 65 (24, 101) | 131 |
stable
|
3.0 (-0.7, 11.4) |
| King George County 2 | Rural | 492.8 (441.7, 548.3) | 64 (18, 108) | 73 |
stable
|
-0.9 (-2.3, 0.7) |
| Westmoreland County 2 | Rural | 493.3 (441.9, 550.1) | 63 (16, 108) | 77 |
falling
|
-1.2 (-2.0, -0.3) |
| Newport News City 2 | Urban | 496.3 (474.6, 518.6) | 62 (33, 83) | 428 |
stable
|
2.9 (-1.3, 5.7) |
| Staunton City 2 | Urban | 496.4 (447.8, 549.3) | 61 (19, 104) | 81 |
falling
|
-1.0 (-1.6, -0.5) |
| Charlotte County 2 | Rural | 497.1 (429.6, 573.5) | 60 (10, 114) | 44 |
stable
|
-0.5 (-1.9, 0.9) |
| Culpeper County 2 | Urban | 497.4 (462.0, 534.9) | 59 (24, 94) | 155 |
stable
|
-0.9 (-1.9, 0.2) |
| Nelson County 2 | Urban | 499.2 (441.4, 563.9) | 58 (14, 107) | 66 |
falling
|
-1.6 (-2.7, -0.5) |
| Amherst County 2 | Urban | 500.8 (458.0, 547.1) | 57 (19, 98) | 110 |
falling
|
-1.6 (-3.0, -0.2) |
| Norfolk City 2 | Urban | 500.9 (480.9, 521.5) | 56 (32, 79) | 525 |
falling
|
-0.5 (-0.9, -0.1) |
| Portsmouth City 2 | Urban | 501.6 (472.7, 531.7) | 55 (26, 85) | 244 |
falling
|
-1.0 (-1.8, -0.2) |
| Middlesex County 2 | Rural | 503.8 (438.9, 578.1) | 54 (9, 112) | 55 |
stable
|
-0.5 (-1.6, 0.6) |
| Goochland County 2 | Urban | 505.4 (460.7, 554.1) | 53 (17, 99) | 105 |
falling
|
-1.5 (-2.7, -0.3) |
| Wythe County 2 | Rural | 507.3 (462.4, 555.9) | 52 (17, 97) | 102 |
stable
|
0.0 (-1.5, 1.5) |
| Prince George County 2 | Urban | 508.7 (465.6, 554.7) | 51 (17, 97) | 110 |
falling
|
-1.8 (-2.9, -0.6) |
| Chesterfield County 2 | Urban | 509.3 (494.7, 524.3) | 50 (31, 68) | 1,006 |
stable
|
0.7 (-0.5, 3.8) |
| Richmond County 2 | Rural | 509.8 (432.2, 598.6) | 49 (7, 114) | 32 |
stable
|
-0.2 (-1.9, 1.6) |
| Salem City 2 | Urban | 512.0 (461.6, 566.7) | 48 (15, 98) | 80 |
stable
|
-0.1 (-2.0, 1.8) |
| Fluvanna County 2 | Urban | 512.9 (465.7, 564.1) | 47 (14, 95) | 94 |
stable
|
-1.1 (-2.1, 0.0) |
| Isle of Wight County 2 | Urban | 513.3 (473.3, 555.9) | 46 (16, 89) | 137 |
stable
|
-1.0 (-2.4, 0.4) |
| Fredericksburg City 2 | Urban | 514.2 (454.8, 578.9) | 45 (10, 103) | 59 |
falling
|
-2.6 (-3.5, -1.6) |
| Mecklenburg County 2 | Rural | 516.0 (474.7, 560.4) | 44 (16, 90) | 131 |
stable
|
-0.6 (-1.3, 0.2) |
| Louisa County 2 | Rural | 516.7 (477.7, 558.3) | 43 (17, 87) | 146 |
falling
|
-1.2 (-2.2, -0.1) |
| Giles County 2 | Urban | 517.0 (458.1, 582.1) | 42 (10, 103) | 62 |
stable
|
-1.1 (-3.0, 0.8) |
| Roanoke City 2 | Urban | 517.9 (490.2, 546.8) | 41 (22, 79) | 285 |
falling
|
-0.9 (-1.6, -0.2) |
| Floyd County 2 | Urban | 519.0 (459.0, 585.7) | 40 (9, 103) | 62 |
stable
|
0.7 (-0.5, 1.9) |
| Southampton County 2 | Rural | 526.4 (472.2, 586.0) | 39 (10, 96) | 77 |
stable
|
0.3 (-1.4, 2.1) |
| Richmond City 2 | Urban | 528.2 (508.0, 549.0) | 38 (22, 62) | 578 |
stable
|
-0.4 (-1.1, 1.9) |
| Surry County 2 | Urban | 530.4 (441.4, 635.2) | 37 (3, 114) | 29 |
stable
|
0.4 (-1.1, 2.0) |
| Bland County 2 | Rural | 533.3 (447.0, 635.2) | 36 (3, 113) | 28 |
stable
|
-0.4 (-3.2, 2.6) |
| Radford City 2 | Urban | 534.1 (446.1, 634.2) | 35 (3, 112) | 29 |
stable
|
-0.3 (-2.7, 2.1) |
| Suffolk City 2 | Urban | 535.6 (506.5, 566.0) | 34 (16, 67) | 277 |
stable
|
-0.3 (-0.9, 0.4) |
| Prince Edward County 2 | Rural | 537.6 (477.8, 603.2) | 33 (6, 97) | 63 |
stable
|
-0.8 (-2.3, 0.7) |
| Powhatan County 2 | Urban | 541.0 (496.1, 589.2) | 32 (10, 78) | 120 |
stable
|
3.9 (-1.8, 14.4) |
| Charles City County 2 | Urban | 545.9 (456.8, 651.1) | 31 (2, 110) | 32 |
stable
|
0.2 (-2.1, 2.7) |
| Bath County 2 | Rural | 546.4 (442.1, 674.8) | 30 (1, 116) | 22 |
stable
|
0.0 (-3.0, 3.2) |
| Gloucester County 2 | Urban | 548.4 (508.3, 591.1) | 29 (10, 67) | 155 |
stable
|
-0.8 (-1.6, 0.1) |
| Danville City 2 | Rural | 548.7 (507.1, 593.0) | 28 (11, 68) | 141 |
stable
|
-0.9 (-2.0, 0.2) |
| Brunswick County 2 | Rural | 553.0 (493.0, 619.2) | 27 (5, 88) | 66 |
stable
|
-0.3 (-1.2, 0.6) |
| Greensville County 2 | Rural | 556.8 (477.3, 646.4) | 26 (3, 103) | 41 |
stable
|
-1.2 (-2.8, 0.4) |
| Caroline County 2 | Rural | 558.9 (509.4, 612.1) | 25 (7, 75) | 103 |
stable
|
-1.0 (-2.5, 0.5) |
| Lunenburg County 2 | Rural | 562.7 (493.6, 639.9) | 24 (3, 92) | 52 |
stable
|
-0.4 (-1.9, 1.2) |
| King William County 2 | Urban | 562.9 (498.3, 633.9) | 23 (3, 84) | 60 |
stable
|
-1.0 (-2.2, 0.4) |
| Nottoway County 2 | Rural | 564.2 (499.8, 635.1) | 22 (4, 82) | 58 |
stable
|
-0.4 (-1.8, 1.1) |
| Waynesboro City 2 | Urban | 566.4 (509.0, 628.7) | 21 (5, 74) | 74 |
stable
|
-0.5 (-1.7, 0.7) |
| Orange County 2 | Rural | 569.4 (526.6, 615.1) | 20 (7, 59) | 140 |
rising 
|
2.8 (1.3, 5.1) |
| Emporia City 2 | Rural | 571.2 (460.4, 702.5) | 19 (1, 112) | 20 |
stable
|
-1.9 (-4.3, 0.4) |
| Franklin City 2 | Rural | 573.1 (474.3, 687.1) | 18 (1, 103) | 27 |
stable
|
-0.4 (-2.2, 1.3) |
| Dinwiddie County 2 | Urban | 579.1 (529.2, 632.8) | 17 (5, 60) | 109 |
stable
|
-0.7 (-1.9, 0.5) |
| Colonial Heights City 2 | Urban | 589.4 (524.0, 661.2) | 16 (2, 62) | 62 |
stable
|
0.4 (-1.1, 1.9) |
| Mathews County 2 | Urban | 601.8 (520.1, 696.0) | 15 (1, 76) | 49 |
stable
|
1.2 (-0.7, 3.2) |
| King and Queen County 2 | Urban | 607.2 (511.0, 718.8) | 14 (1, 89) | 33 |
stable
|
0.5 (-1.0, 2.1) |
| New Kent County 2 | Urban | 608.8 (549.7, 672.9) | 13 (1, 47) | 93 |
stable
|
-0.2 (-1.8, 1.8) |
| Lexington City 2 | Rural | 612.5 (492.9, 754.1) | 12 (1, 103) | 19 |
stable
|
2.1 (-0.5, 5.1) |
| Northampton County 2 | Rural | 618.5 (546.7, 698.6) | 11 (1, 56) | 64 |
stable
|
0.0 (-0.6, 0.6) |
| Amelia County 2 | Urban | 618.9 (545.7, 700.1) | 10 (1, 61) | 59 |
stable
|
-0.4 (-2.1, 1.4) |
| Lancaster County 2 | Rural | 638.6 (557.7, 730.2) | 9 (1, 57) | 67 |
stable
|
6.5 (-0.2, 18.2) |
| Buena Vista City 2 | Rural | 639.0 (529.5, 765.8) | 8 (1, 80) | 25 |
stable
|
0.9 (-0.4, 2.4) |
| Essex County 2 | Rural | 639.7 (558.4, 731.1) | 7 (1, 51) | 51 |
rising
|
2.3 (0.1, 10.3) |
| Hopewell City 2 | Urban | 658.0 (589.4, 732.3) | 6 (1, 35) | 74 |
stable
|
0.3 (-0.9, 1.5) |
| Sussex County 2 | Urban | 667.8 (583.3, 762.0) | 5 (1, 44) | 49 |
stable
|
0.9 (-0.4, 2.3) |
| Petersburg City 2 | Urban | 671.5 (615.1, 731.7) | 4 (1, 20) | 117 |
stable
|
-0.4 (-2.0, 1.1) |
| Martinsville City 2 | Rural | 671.6 (568.8, 786.7) | 3 (1, 61) | 46 |
stable
|
0.7 (-0.8, 2.1) |
| Covington City 2 | Rural | 695.7 (565.6, 847.7) | 2 (1, 75) | 24 |
rising
|
3.2 (0.6, 6.1) |
| Galax City 2 | Rural | 718.0 (592.6, 862.4) | 1 (1, 51) | 25 |
stable
|
1.0 (-1.5, 3.5) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 12:28 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.