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