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