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