Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Female, 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 | 395.4 (392.9, 397.8) | N/A | 21,439 |
stable 
|
-0.1 (-0.4, 0.1) |
| US (SEER+NPCR) 1 | N/A | 424.8 (424.4, 425.2) | N/A | 891,437 |
falling 
|
-0.6 (-1.1, -0.1) |
| Bristol City 2 | Urban | 245.2 (205.4, 291.1) | 133 (126, 133) | 31 |
falling
|
-3.6 (-7.7, -0.6) |
| Scott County 2 | Urban | 272.4 (234.9, 314.9) | 132 (115, 133) | 45 |
falling
|
-3.1 (-6.5, -0.3) |
| Buchanan County 2 | Rural | 308.2 (266.1, 355.8) | 131 (90, 133) | 47 |
falling
|
-2.4 (-10.8, -0.8) |
| Tazewell County 2 | Rural | 315.5 (285.7, 347.8) | 130 (101, 133) | 98 |
falling
|
-1.4 (-2.7, -0.2) |
| Lee County 2 | Rural | 324.2 (284.3, 368.9) | 129 (84, 133) | 55 |
falling
|
-2.5 (-5.1, -0.2) |
| Washington County 2 | Urban | 328.8 (303.1, 356.4) | 128 (100, 132) | 143 |
falling
|
-2.1 (-3.1, -1.1) |
| Arlington County 2 | Urban | 335.0 (320.0, 350.5) | 127 (107, 131) | 389 |
falling
|
-2.6 (-6.3, -1.2) |
| Montgomery County 2 | Urban | 335.3 (312.3, 359.6) | 126 (96, 131) | 169 |
stable
|
-0.9 (-1.8, 0.1) |
| Dickenson County 2 | Rural | 336.2 (285.6, 394.3) | 125 (46, 133) | 36 |
falling
|
-1.8 (-3.4, -0.2) |
| Charlottesville City 2 | Urban | 336.4 (303.4, 372.2) | 124 (84, 132) | 81 |
stable
|
-0.9 (-2.0, 0.2) |
| Clarke County 2 | Urban | 336.5 (287.8, 392.2) | 123 (55, 133) | 39 |
stable
|
-1.4 (-3.4, 0.4) |
| Harrisonburg City 2 | Urban | 340.4 (305.3, 378.4) | 122 (76, 132) | 72 |
stable
|
-0.6 (-1.7, 0.5) |
| Russell County 2 | Rural | 341.1 (302.8, 383.5) | 121 (66, 132) | 67 |
stable
|
-1.3 (-3.1, 0.4) |
| Fairfax County 2 | Urban | 343.6 (337.2, 350.1) | 120 (108, 126) | 2,281 |
falling
|
-0.5 (-0.9, -0.2) |
| Smyth County 2 | Rural | 345.0 (310.2, 383.1) | 119 (73, 131) | 82 |
stable
|
-1.5 (-13.3, 0.8) |
| Falls Church City 2 | Urban | 347.1 (293.8, 407.8) | 118 (36, 133) | 31 |
stable
|
-1.0 (-2.9, 1.1) |
| Prince William County 2 | Urban | 354.7 (343.8, 365.7) | 117 (96, 124) | 852 |
stable
|
-0.7 (-1.2, 0.0) |
| Loudoun County 2 | Urban | 360.0 (348.4, 371.9) | 116 (93, 122) | 752 |
falling
|
-0.7 (-1.2, -0.1) |
| Bland County 2 | Rural | 361.1 (282.5, 459.1) | 115 (4, 133) | 17 |
stable
|
0.4 (-2.4, 3.3) |
| Accomack County 2 | Rural | 363.0 (328.2, 400.9) | 114 (45, 130) | 98 |
stable
|
-0.5 (-1.7, 0.6) |
| Patrick County 2 | Rural | 364.0 (316.6, 417.5) | 113 (32, 131) | 54 |
stable
|
0.9 (-1.5, 3.3) |
| Pittsylvania County 2 | Rural | 364.5 (338.3, 392.4) | 112 (70, 128) | 175 |
stable
|
0.0 (-0.6, 0.7) |
| Wise County 2 | Rural | 365.8 (330.7, 403.8) | 111 (52, 130) | 90 |
falling
|
-3.8 (-7.0, -2.6) |
| Albemarle County 2 | Urban | 367.2 (347.3, 388.0) | 110 (77, 124) | 288 |
falling
|
-1.1 (-1.8, -0.2) |
| Appomattox County 2 | Urban | 369.7 (319.8, 425.7) | 109 (24, 131) | 44 |
stable
|
-0.7 (-2.2, 0.9) |
| Alexandria City 2 | Urban | 370.0 (351.7, 389.0) | 108 (74, 122) | 321 |
stable
|
-0.3 (-1.2, 0.6) |
| Shenandoah County 2 | Rural | 370.4 (339.2, 403.8) | 107 (47, 128) | 119 |
stable
|
0.7 (-0.5, 1.8) |
| Surry County 2 | Urban | 370.5 (293.7, 464.2) | 106 (4, 133) | 21 |
falling
|
-2.4 (-5.3, -0.5) |
| Nelson County 2 | Urban | 371.6 (322.2, 427.7) | 105 (26, 131) | 51 |
stable
|
-0.8 (-2.5, 0.9) |
| Fauquier County 2 | Urban | 372.1 (347.0, 398.7) | 104 (63, 124) | 176 |
stable
|
-0.6 (-1.6, 0.4) |
| Radford City 2 | Urban | 373.5 (307.7, 449.2) | 103 (8, 132) | 24 |
stable
|
-2.0 (-4.3, 0.1) |
| Manassas Park City 2 | Urban | 374.6 (313.7, 443.7) | 102 (14, 132) | 28 |
stable
|
-0.9 (-2.8, 1.5) |
| Page County 2 | Rural | 375.6 (334.2, 421.3) | 101 (36, 130) | 68 |
stable
|
-0.4 (-2.3, 1.6) |
| Manassas City 2 | Urban | 376.5 (337.4, 418.7) | 100 (32, 129) | 73 |
stable
|
-0.9 (-2.2, 0.5) |
| Greene County 2 | Urban | 376.7 (330.3, 428.1) | 99 (20, 131) | 52 |
stable
|
0.0 (-1.5, 1.8) |
| Madison County 2 | Rural | 377.8 (322.9, 440.1) | 98 (15, 131) | 40 |
stable
|
0.2 (-1.1, 1.5) |
| Winchester City 2 | Urban | 382.0 (340.9, 426.8) | 97 (27, 129) | 67 |
stable
|
0.1 (-1.7, 2.0) |
| Southampton County 2 | Rural | 382.8 (332.9, 438.8) | 96 (17, 131) | 49 |
stable
|
1.1 (-0.3, 2.6) |
| Rappahannock County 2 | Urban | 385.9 (307.4, 480.5) | 95 (2, 132) | 23 |
stable
|
9.2 (-2.0, 17.2) |
| Fluvanna County 2 | Urban | 386.5 (347.6, 428.9) | 94 (28, 128) | 79 |
stable
|
-0.8 (-1.9, 0.3) |
| Frederick County 2 | Urban | 388.1 (365.4, 412.0) | 93 (50, 116) | 234 |
stable
|
-0.3 (-1.0, 0.3) |
| Rockingham County 2 | Urban | 389.0 (365.3, 414.0) | 92 (45, 116) | 224 |
stable
|
-3.0 (-8.8, 0.1) |
| Pulaski County 2 | Urban | 390.4 (354.4, 429.5) | 91 (26, 125) | 102 |
stable
|
0.6 (-0.5, 1.7) |
| Hampton City 2 | Urban | 391.5 (372.4, 411.4) | 90 (53, 110) | 343 |
stable
|
-0.3 (-0.9, 0.2) |
| Fairfax City 2 | Urban | 392.4 (347.5, 441.6) | 89 (20, 129) | 58 |
stable
|
1.1 (0.0, 2.3) |
| Carroll County 2 | Rural | 392.9 (354.1, 435.3) | 88 (24, 126) | 93 |
stable
|
1.1 (-0.7, 3.1) |
| Williamsburg City 2 | Urban | 394.0 (327.3, 470.8) | 87 (4, 131) | 32 |
stable
|
-1.2 (-3.1, 0.7) |
| Isle of Wight County 2 | Urban | 394.7 (360.6, 431.4) | 86 (27, 122) | 111 |
stable
|
0.2 (-0.7, 1.1) |
| Highland County 2 | Rural | 396.4 (235.9, 629.9) | 85 (1, 133) | 7 |
stable
|
0.2 (-2.9, 3.1) |
| James City County 2 | Urban | 396.6 (373.4, 421.0) | 84 (42, 114) | 267 |
rising 
|
4.0 (0.5, 6.9) |
| Newport News City 2 | Urban | 398.0 (380.8, 415.7) | 83 (49, 106) | 428 |
stable
|
-0.1 (-0.7, 0.5) |
| Emporia City 2 | Rural | 398.1 (309.7, 504.8) | 82 (1, 133) | 16 |
stable
|
-0.1 (-2.4, 2.2) |
| Powhatan County 2 | Urban | 398.3 (358.0, 442.3) | 81 (21, 123) | 81 |
stable
|
-0.5 (-1.5, 0.5) |
| York County 2 | Urban | 399.8 (373.4, 427.7) | 80 (35, 113) | 181 |
stable
|
-0.2 (-1.6, 1.2) |
| Norton City 2 | Rural | 400.2 (296.1, 532.2) | 79 (1, 133) | 11 |
stable
|
13.4 (-2.3, 26.4) |
| Buckingham County 2 | Rural | 402.8 (349.6, 462.9) | 78 (8, 130) | 47 |
stable
|
0.1 (-1.1, 1.2) |
| Botetourt County 2 | Urban | 403.0 (366.8, 442.2) | 77 (17, 120) | 108 |
rising
|
1.2 (0.2, 2.4) |
| Warren County 2 | Urban | 403.2 (368.1, 440.9) | 76 (23, 119) | 106 |
stable
|
0.2 (-1.2, 1.7) |
| Halifax County with South Boston City 2 | Rural | 404.5 (367.9, 444.1) | 75 (16, 120) | 112 |
stable
|
1.1 (-0.2, 2.4) |
| Richmond City 2 | Urban | 407.7 (391.5, 424.3) | 74 (41, 96) | 525 |
falling
|
-0.9 (-3.5, -0.2) |
| Floyd County 2 | Urban | 408.4 (354.4, 469.2) | 73 (6, 128) | 49 |
stable
|
0.3 (-1.1, 1.8) |
| Roanoke County 2 | Urban | 409.0 (387.4, 431.7) | 72 (34, 102) | 304 |
stable
|
0.8 (0.0, 1.7) |
| Charles City County 2 | Urban | 409.2 (333.2, 501.3) | 71 (1, 131) | 25 |
stable
|
0.4 (-2.9, 3.9) |
| Middlesex County 2 | Rural | 409.7 (347.5, 482.3) | 70 (2, 130) | 45 |
stable
|
-0.8 (-10.4, 0.7) |
| Henry County 2 | Rural | 410.8 (381.0, 442.6) | 69 (22, 108) | 172 |
stable
|
0.7 (-0.2, 1.6) |
| Stafford County 2 | Urban | 411.6 (391.4, 432.5) | 68 (34, 98) | 326 |
stable
|
-0.1 (-0.7, 0.5) |
| Portsmouth City 2 | Urban | 414.2 (390.9, 438.6) | 67 (30, 102) | 254 |
stable
|
0.2 (-0.4, 0.8) |
| Amherst County 2 | Urban | 415.0 (377.1, 456.0) | 66 (13, 114) | 101 |
stable
|
0.4 (-0.5, 1.4) |
| Bedford City and County 2 | Urban | 415.4 (391.1, 440.9) | 65 (27, 100) | 255 |
stable
|
-0.2 (-4.6, 1.5) |
| Suffolk City 2 | Urban | 415.6 (392.1, 440.3) | 64 (27, 103) | 244 |
stable
|
0.5 (-0.6, 1.6) |
| Grayson County 2 | Rural | 415.7 (359.9, 478.9) | 63 (4, 127) | 50 |
stable
|
0.9 (-0.8, 2.7) |
| Bath County 2 | Rural | 416.4 (315.3, 544.9) | 62 (1, 132) | 15 |
stable
|
2.3 (-0.5, 5.2) |
| Lynchburg City 2 | Urban | 418.8 (391.0, 448.1) | 61 (21, 103) | 188 |
stable
|
0.6 (-0.4, 1.7) |
| Campbell County 2 | Urban | 419.5 (390.0, 450.8) | 60 (19, 105) | 172 |
stable
|
0.3 (-0.4, 1.0) |
| Westmoreland County 2 | Rural | 421.8 (371.2, 478.1) | 59 (4, 123) | 66 |
stable
|
0.4 (-0.9, 1.7) |
| Chesapeake City 2 | Urban | 422.6 (407.6, 438.1) | 58 (30, 84) | 627 |
stable
|
-2.2 (-5.6, 1.1) |
| Hanover County 2 | Urban | 423.2 (402.1, 445.2) | 57 (25, 93) | 328 |
stable
|
0.2 (-0.5, 0.9) |
| Virginia Beach City 2 | Urban | 423.5 (412.5, 434.7) | 56 (36, 78) | 1,193 |
falling
|
-1.3 (-3.1, -0.4) |
| Petersburg City 2 | Urban | 423.5 (385.0, 465.0) | 55 (9, 112) | 100 |
stable
|
0.4 (-1.0, 1.8) |
| Chesterfield County 2 | Urban | 423.6 (411.4, 436.0) | 54 (35, 79) | 975 |
stable
|
0.2 (-0.3, 0.8) |
| Culpeper County 2 | Urban | 426.4 (394.3, 460.5) | 53 (14, 104) | 139 |
stable
|
-0.4 (-1.5, 0.8) |
| Norfolk City 2 | Urban | 426.5 (409.9, 443.7) | 52 (29, 83) | 535 |
stable
|
0.1 (-0.5, 0.5) |
| Louisa County 2 | Rural | 427.5 (390.8, 466.9) | 51 (8, 106) | 116 |
stable
|
0.4 (-0.6, 1.5) |
| Henrico County 2 | Urban | 427.9 (415.5, 440.6) | 50 (29, 74) | 957 |
stable
|
0.4 (0.0, 0.9) |
| Rockbridge County 2 | Rural | 428.3 (382.9, 478.4) | 49 (5, 116) | 81 |
stable
|
0.5 (-0.7, 1.7) |
| Charlotte County 2 | Rural | 429.2 (364.5, 503.1) | 48 (2, 128) | 37 |
stable
|
1.1 (-0.6, 2.9) |
| Greensville County 2 | Rural | 430.7 (353.7, 520.7) | 47 (1, 130) | 25 |
stable
|
1.2 (-1.3, 3.8) |
| Caroline County 2 | Rural | 438.7 (397.2, 483.5) | 46 (4, 103) | 88 |
stable
|
0.6 (-0.3, 1.6) |
| Northumberland County 2 | Rural | 440.3 (379.3, 510.8) | 45 (1, 118) | 57 |
stable
|
0.8 (-0.8, 2.5) |
| Prince Edward County 2 | Rural | 440.4 (385.7, 501.1) | 44 (1, 119) | 55 |
stable
|
0.8 (-0.5, 2.2) |
| Danville City 2 | Rural | 441.1 (407.5, 477.1) | 43 (5, 93) | 149 |
stable
|
0.4 (-0.7, 1.6) |
| Richmond County 2 | Rural | 444.2 (363.4, 539.3) | 42 (1, 129) | 28 |
stable
|
1.3 (-0.3, 3.1) |
| Gloucester County 2 | Urban | 444.6 (408.4, 483.4) | 41 (5, 94) | 127 |
stable
|
0.7 (-0.4, 1.8) |
| Spotsylvania County 2 | Urban | 445.9 (425.4, 467.2) | 40 (13, 71) | 375 |
stable
|
0.3 (-0.3, 1.0) |
| Sussex County 2 | Urban | 447.4 (373.2, 533.4) | 39 (1, 126) | 31 |
stable
|
1.6 (-0.2, 3.4) |
| Lunenburg County 2 | Rural | 447.7 (380.9, 524.1) | 38 (1, 123) | 40 |
stable
|
0.8 (-1.0, 2.6) |
| Poquoson City 2 | Urban | 448.6 (385.4, 520.3) | 37 (1, 120) | 39 |
stable
|
-0.1 (-1.8, 1.8) |
| Lexington City 2 | Rural | 448.9 (349.1, 570.2) | 36 (1, 131) | 17 |
rising
|
2.9 (0.5, 5.7) |
| Augusta County 2 | Urban | 449.1 (423.3, 476.2) | 35 (7, 79) | 259 |
stable
|
1.0 (0.0, 2.1) |
| Goochland County 2 | Urban | 449.5 (405.2, 497.9) | 34 (2, 102) | 90 |
rising
|
0.8 (0.2, 1.4) |
| Franklin City 2 | Rural | 449.6 (373.3, 537.9) | 33 (1, 128) | 28 |
stable
|
1.0 (-0.5, 2.4) |
| Franklin County 2 | Urban | 452.5 (421.3, 485.6) | 32 (4, 76) | 192 |
rising
|
1.4 (0.6, 2.3) |
| Fredericksburg City 2 | Urban | 453.5 (403.4, 508.0) | 31 (2, 105) | 62 |
stable
|
-0.1 (-1.0, 0.9) |
| Cumberland County 2 | Rural | 457.0 (386.2, 538.3) | 30 (1, 122) | 35 |
stable
|
0.5 (-1.2, 2.4) |
| Brunswick County 2 | Rural | 457.5 (400.5, 521.6) | 29 (1, 108) | 55 |
rising
|
2.2 (0.8, 3.7) |
| Salem City 2 | Urban | 457.6 (412.4, 506.7) | 28 (2, 95) | 84 |
stable
|
1.0 (0.0, 2.0) |
| Northampton County 2 | Rural | 458.5 (394.3, 531.4) | 27 (1, 116) | 51 |
stable
|
-0.7 (-2.3, 0.8) |
| Mathews County 2 | Urban | 460.7 (384.9, 549.8) | 26 (1, 119) | 37 |
stable
|
-0.2 (-2.0, 1.6) |
| King and Queen County 2 | Urban | 461.0 (374.6, 563.9) | 25 (1, 126) | 24 |
stable
|
1.9 (-0.1, 4.2) |
| Craig County 2 | Urban | 462.1 (360.0, 587.4) | 24 (1, 131) | 17 |
stable
|
1.9 (-0.6, 4.6) |
| Orange County 2 | Rural | 462.6 (425.3, 502.7) | 23 (2, 83) | 127 |
stable
|
1.7 (-2.9, 7.1) |
| New Kent County 2 | Urban | 463.6 (414.0, 517.9) | 22 (1, 98) | 72 |
stable
|
1.0 (-0.2, 2.3) |
| Colonial Heights City 2 | Urban | 464.0 (410.9, 522.5) | 21 (1, 100) | 62 |
stable
|
0.7 (-0.4, 1.9) |
| Alleghany County and Clifton Forge City 2 | Rural | 464.3 (406.8, 528.7) | 20 (1, 106) | 58 |
stable
|
0.5 (-0.9, 2.0) |
| Giles County 2 | Urban | 465.7 (411.5, 525.9) | 19 (1, 97) | 60 |
stable
|
0.5 (-1.2, 2.2) |
| Wythe County 2 | Rural | 465.8 (423.7, 511.4) | 18 (2, 85) | 101 |
rising
|
1.8 (0.5, 3.2) |
| Mecklenburg County 2 | Rural | 467.6 (426.3, 512.2) | 17 (1, 80) | 122 |
rising
|
1.5 (0.2, 2.7) |
| Roanoke City 2 | Urban | 467.7 (443.9, 492.5) | 16 (4, 51) | 318 |
rising
|
0.8 (0.1, 1.5) |
| Waynesboro City 2 | Urban | 471.4 (422.2, 525.1) | 15 (1, 96) | 73 |
stable
|
0.3 (-0.7, 1.3) |
| King William County 2 | Urban | 472.4 (416.5, 534.1) | 14 (1, 96) | 56 |
stable
|
0.4 (-1.2, 2.2) |
| Amelia County 2 | Urban | 473.4 (410.0, 544.6) | 13 (1, 111) | 46 |
rising
|
1.4 (0.3, 2.7) |
| Hopewell City 2 | Urban | 473.7 (423.8, 528.1) | 12 (1, 88) | 70 |
stable
|
0.0 (-1.1, 1.1) |
| Staunton City 2 | Urban | 476.5 (431.5, 525.2) | 11 (1, 76) | 94 |
stable
|
1.0 (-0.3, 2.4) |
| Essex County 2 | Rural | 476.6 (409.3, 553.3) | 10 (1, 105) | 43 |
rising
|
1.7 (0.4, 3.1) |
| Covington City 2 | Rural | 481.9 (388.5, 593.0) | 9 (1, 125) | 21 |
rising
|
3.3 (1.3, 5.5) |
| Prince George County 2 | Urban | 482.0 (438.7, 528.5) | 8 (1, 72) | 97 |
stable
|
0.6 (-0.7, 2.0) |
| King George County 2 | Rural | 483.4 (433.8, 537.2) | 7 (1, 83) | 73 |
stable
|
0.2 (-1.2, 1.8) |
| Dinwiddie County 2 | Urban | 485.9 (440.8, 534.7) | 6 (1, 71) | 94 |
rising
|
6.8 (2.3, 13.9) |
| Lancaster County 2 | Rural | 490.2 (418.4, 572.8) | 5 (1, 103) | 56 |
rising
|
2.1 (0.7, 3.4) |
| Nottoway County 2 | Rural | 490.8 (430.4, 558.1) | 4 (1, 93) | 54 |
stable
|
0.5 (-0.4, 1.5) |
| Buena Vista City 2 | Rural | 497.2 (403.7, 606.9) | 3 (1, 116) | 23 |
stable
|
1.5 (-1.4, 4.7) |
| Martinsville City 2 | Rural | 504.2 (439.3, 576.5) | 2 (1, 89) | 49 |
stable
|
0.3 (-1.0, 1.7) |
| Galax City 2 | Rural | 533.1 (443.0, 637.7) | 1 (1, 96) | 26 |
stable
|
1.4 (-0.2, 3.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 7:53 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.