Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
Black Non-Hispanic, Both Sexes, 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 | 436.3 (431.9, 440.7) | N/A | 8,167 |
falling 
|
-0.9 (-2.2, -0.6) |
| US (SEER+NPCR) 1 | N/A | 452.3 (451.4, 453.2) | N/A | 199,962 |
falling
|
-1.0 (-1.5, -0.6) |
| Tazewell County 2 | Rural | 259.3 (155.0, 409.3) | 112 (28, 112) | 4 |
stable 
|
1.1 (-3.1, 6.0) |
| Fairfax County 2 | Urban | 316.0 (300.9, 331.5) | 111 (100, 112) | 373 |
falling
|
-1.9 (-2.6, -1.2) |
| Covington City 2 | Rural | 322.6 (193.0, 519.9) | 110 (6, 112) | 4 |
stable
|
-1.6 (-5.5, 2.2) |
| Manassas Park City 2 | Urban | 337.9 (231.9, 474.7) | 109 (15, 112) | 8 |
|
|
| Botetourt County 2 | Urban | 338.8 (228.2, 496.4) | 108 (11, 112) | 7 |
stable
|
0.1 (-3.5, 4.6) |
| Shenandoah County 2 | Rural | 346.7 (208.4, 538.0) | 107 (3, 112) | 4 |
|
|
| Prince William County 2 | Urban | 351.6 (332.6, 371.4) | 106 (90, 109) | 324 |
stable
|
-1.1 (-2.1, 0.1) |
| Frederick County 2 | Urban | 352.5 (267.0, 455.7) | 105 (26, 112) | 14 |
stable
|
0.0 (-5.5, 7.3) |
| Grayson County 2 | Rural | 358.4 (197.4, 607.7) | 104 (1, 112) | 3 |
|
|
| Arlington County 2 | Urban | 359.1 (322.8, 398.3) | 103 (73, 110) | 78 |
falling
|
-1.5 (-2.4, -0.5) |
| Warren County 2 | Urban | 367.8 (267.1, 494.3) | 102 (9, 112) | 9 |
stable
|
-1.5 (-4.4, 1.6) |
| Rockingham County 2 | Urban | 372.7 (249.8, 531.9) | 101 (5, 112) | 7 |
falling
|
-8.2 (-14.2, -5.0) |
| Henry County 2 | Rural | 374.9 (334.1, 419.9) | 100 (59, 110) | 71 |
stable
|
-0.8 (-2.2, 0.7) |
| Alexandria City 2 | Urban | 381.0 (349.3, 414.7) | 99 (64, 108) | 121 |
stable
|
-1.2 (-2.4, 0.0) |
| Harrisonburg City 2 | Urban | 382.4 (278.9, 509.7) | 98 (9, 112) | 11 |
falling
|
-4.0 (-13.7, -0.8) |
| Middlesex County 2 | Rural | 383.8 (283.7, 515.1) | 97 (7, 112) | 13 |
stable
|
-0.5 (-2.7, 1.7) |
| Pittsylvania County 2 | Rural | 385.7 (346.2, 429.0) | 96 (54, 109) | 80 |
falling
|
-1.2 (-2.3, -0.1) |
| Clarke County 2 | Urban | 387.2 (220.4, 640.4) | 95 (1, 112) | 4 |
falling
|
-6.0 (-27.5, -0.2) |
| Rockbridge County 2 | Rural | 387.9 (223.6, 627.4) | 94 (1, 112) | 4 |
stable
|
1.2 (-3.3, 6.2) |
| Fairfax City 2 | Urban | 388.6 (248.1, 582.3) | 93 (2, 112) | 6 |
stable
|
-0.6 (-6.7, 7.1) |
| Manassas City 2 | Urban | 395.6 (315.6, 489.1) | 92 (14, 112) | 21 |
stable
|
-3.1 (-5.9, 0.1) |
| Halifax County with South Boston City 2 | Rural | 405.4 (361.2, 453.9) | 91 (39, 106) | 74 |
stable
|
-0.6 (-1.9, 0.7) |
| Hampton City 2 | Urban | 407.4 (387.4, 428.1) | 90 (60, 100) | 335 |
stable
|
2.3 (-2.6, 6.1) |
| Stafford County 2 | Urban | 408.0 (369.8, 449.0) | 89 (44, 104) | 110 |
stable
|
-1.4 (-2.4, 0.0) |
| Loudoun County 2 | Urban | 408.3 (374.8, 443.9) | 88 (47, 104) | 126 |
rising 
|
7.6 (0.5, 13.3) |
| Chesapeake City 2 | Urban | 410.8 (390.9, 431.4) | 87 (59, 98) | 341 |
falling
|
-1.2 (-3.4, -0.6) |
| Madison County 2 | Rural | 411.1 (297.6, 562.7) | 86 (4, 112) | 9 |
stable
|
-1.0 (-4.0, 2.1) |
| Isle of Wight County 2 | Urban | 411.2 (361.7, 466.3) | 85 (29, 106) | 56 |
stable
|
-1.0 (-2.3, 0.2) |
| York County 2 | Urban | 413.8 (363.3, 469.7) | 84 (27, 107) | 51 |
falling
|
-1.7 (-2.8, -0.7) |
| Appomattox County 2 | Urban | 415.0 (328.1, 519.3) | 83 (7, 111) | 17 |
stable
|
-1.3 (-4.1, 1.4) |
| Albemarle County 2 | Urban | 416.3 (364.7, 473.1) | 82 (27, 106) | 49 |
stable
|
-0.9 (-2.4, 0.7) |
| Charlottesville City 2 | Urban | 417.6 (359.7, 482.6) | 81 (22, 107) | 42 |
stable
|
-1.4 (-3.0, 0.1) |
| Amherst County 2 | Urban | 421.8 (360.0, 492.1) | 80 (19, 107) | 37 |
stable
|
-0.6 (-1.8, 0.6) |
| Buckingham County 2 | Rural | 421.8 (359.8, 492.8) | 79 (17, 107) | 34 |
stable
|
-0.5 (-1.8, 0.8) |
| James City County 2 | Urban | 423.8 (375.3, 477.2) | 78 (27, 104) | 59 |
stable
|
-0.8 (-2.1, 0.6) |
| Virginia Beach City 2 | Urban | 424.2 (404.1, 445.0) | 77 (50, 94) | 366 |
stable
|
-0.6 (-1.4, 0.3) |
| Louisa County 2 | Rural | 426.7 (365.7, 496.1) | 76 (16, 108) | 40 |
falling
|
-3.1 (-4.9, -2.0) |
| Hanover County 2 | Urban | 428.0 (379.8, 481.0) | 75 (25, 103) | 62 |
stable
|
-0.7 (-1.9, 0.6) |
| Surry County 2 | Urban | 428.4 (340.9, 535.4) | 74 (5, 110) | 21 |
stable
|
0.0 (-1.7, 1.8) |
| Greene County 2 | Urban | 429.3 (300.2, 596.2) | 73 (2, 112) | 8 |
stable
|
0.8 (-3.1, 5.8) |
| Suffolk City 2 | Urban | 430.7 (402.8, 460.1) | 72 (40, 95) | 193 |
falling
|
-2.3 (-8.1, -0.6) |
| Campbell County 2 | Urban | 430.9 (376.8, 491.2) | 71 (19, 105) | 49 |
stable
|
1.5 (-0.5, 6.9) |
| Bedford City and County 2 | Urban | 431.3 (366.0, 505.8) | 70 (13, 107) | 35 |
stable
|
-0.7 (-2.1, 0.8) |
| Wythe County 2 | Rural | 431.9 (281.0, 642.9) | 69 (1, 112) | 5 |
stable
|
-0.3 (-3.9, 3.7) |
| King George County 2 | Rural | 434.3 (353.5, 528.5) | 68 (9, 109) | 22 |
stable
|
-0.4 (-3.1, 2.7) |
| New Kent County 2 | Urban | 434.8 (349.3, 536.9) | 67 (7, 109) | 20 |
stable
|
-0.8 (-2.7, 1.5) |
| Portsmouth City 2 | Urban | 436.0 (411.2, 461.8) | 66 (40, 92) | 250 |
stable
|
-0.5 (-1.0, 0.1) |
| Falls Church City 2 | Urban | 441.5 (262.5, 702.1) | 65 (1, 112) | 4 |
stable
|
0.5 (-3.7, 6.1) |
| Montgomery County 2 | Urban | 443.0 (340.5, 565.5) | 64 (3, 111) | 14 |
stable
|
0.7 (-2.7, 4.5) |
| Fauquier County 2 | Urban | 444.1 (379.7, 517.3) | 63 (10, 106) | 37 |
stable
|
-1.2 (-2.9, 0.5) |
| Westmoreland County 2 | Rural | 448.4 (375.4, 532.4) | 62 (8, 106) | 32 |
stable
|
-0.6 (-2.3, 1.1) |
| Salem City 2 | Urban | 450.1 (318.4, 615.5) | 61 (2, 112) | 9 |
stable
|
1.5 (-1.5, 5.1) |
| Patrick County 2 | Rural | 452.2 (305.0, 656.4) | 60 (1, 112) | 7 |
stable
|
1.8 (-1.7, 5.9) |
| Culpeper County 2 | Urban | 452.7 (390.2, 522.6) | 59 (11, 104) | 40 |
stable
|
-0.3 (-2.2, 1.8) |
| Augusta County 2 | Urban | 452.8 (358.6, 564.3) | 58 (3, 110) | 17 |
stable
|
0.3 (-2.1, 3.2) |
| Powhatan County 2 | Urban | 453.1 (363.5, 562.3) | 57 (5, 109) | 20 |
stable
|
-1.2 (-3.0, 0.6) |
| Charles City County 2 | Urban | 453.2 (372.5, 550.9) | 56 (5, 107) | 26 |
stable
|
-1.2 (-5.1, 0.3) |
| Southampton County 2 | Rural | 455.7 (393.1, 526.8) | 55 (11, 101) | 44 |
stable
|
0.3 (-0.8, 1.4) |
| Newport News City 2 | Urban | 457.0 (434.7, 480.0) | 54 (31, 78) | 346 |
stable
|
-0.6 (-1.2, 0.0) |
| Accomack County 2 | Rural | 461.6 (406.5, 522.5) | 53 (12, 98) | 57 |
stable
|
-0.4 (-1.9, 1.0) |
| Caroline County 2 | Rural | 464.2 (410.2, 524.0) | 52 (11, 96) | 57 |
stable
|
-1.0 (-2.2, 0.4) |
| Norfolk City 2 | Urban | 464.8 (445.0, 485.3) | 51 (29, 73) | 450 |
falling
|
-1.0 (-4.6, -0.1) |
| Fluvanna County 2 | Urban | 465.1 (381.8, 561.8) | 50 (4, 107) | 23 |
stable
|
-1.3 (-3.4, 0.8) |
| Winchester City 2 | Urban | 466.8 (361.2, 592.9) | 49 (3, 108) | 15 |
stable
|
-0.9 (-4.1, 2.5) |
| Prince George County 2 | Urban | 468.0 (412.7, 528.5) | 48 (10, 95) | 56 |
falling
|
-1.8 (-3.2, -0.3) |
| Nelson County 2 | Urban | 468.1 (351.6, 616.8) | 47 (2, 110) | 14 |
falling
|
-12.6 (-33.0, -3.1) |
| Henrico County 2 | Urban | 470.3 (452.1, 489.1) | 46 (27, 68) | 539 |
stable
|
-0.5 (-1.2, 0.2) |
| Williamsburg City 2 | Urban | 472.4 (349.6, 624.6) | 45 (2, 111) | 11 |
stable
|
-1.9 (-4.0, 0.2) |
| King William County 2 | Urban | 473.6 (380.4, 585.3) | 44 (3, 106) | 20 |
stable
|
-0.7 (-3.0, 1.5) |
| Staunton City 2 | Urban | 475.2 (378.6, 589.8) | 43 (2, 106) | 18 |
stable
|
-1.2 (-4.0, 1.6) |
| Spotsylvania County 2 | Urban | 475.3 (436.1, 517.0) | 42 (15, 80) | 122 |
stable
|
-0.7 (-2.1, 1.0) |
| Emporia City 2 | Rural | 477.8 (385.8, 585.4) | 41 (3, 106) | 20 |
stable
|
-1.4 (-3.6, 0.9) |
| Chesterfield County 2 | Urban | 479.0 (456.7, 502.1) | 40 (21, 66) | 415 |
stable
|
-0.5 (-1.2, 0.3) |
| Pulaski County 2 | Urban | 480.2 (361.7, 627.7) | 39 (1, 110) | 12 |
stable
|
-0.1 (-2.8, 2.8) |
| Richmond City 2 | Urban | 483.3 (464.9, 502.3) | 38 (22, 62) | 585 |
stable
|
-0.3 (-0.7, 0.0) |
| Franklin County 2 | Urban | 483.9 (404.1, 575.9) | 37 (3, 101) | 30 |
stable
|
0.6 (-1.5, 2.8) |
| Danville City 2 | Rural | 484.6 (446.0, 525.8) | 36 (12, 76) | 129 |
stable
|
-0.2 (-1.7, 1.3) |
| Amelia County 2 | Urban | 486.0 (397.3, 592.9) | 35 (3, 103) | 24 |
stable
|
-0.4 (-3.7, 2.8) |
| Roanoke County 2 | Urban | 489.0 (413.9, 573.7) | 34 (3, 99) | 33 |
stable
|
1.4 (-0.8, 4.2) |
| Northumberland County 2 | Rural | 489.8 (400.1, 596.4) | 33 (2, 106) | 23 |
stable
|
-0.9 (-4.2, 2.5) |
| Richmond County 2 | Rural | 491.4 (387.4, 616.6) | 32 (2, 107) | 16 |
stable
|
0.3 (-1.9, 2.8) |
| Lynchburg City 2 | Urban | 492.8 (450.4, 538.0) | 31 (11, 75) | 106 |
stable
|
0.4 (-0.6, 1.3) |
| Radford City 2 | Urban | 494.6 (302.7, 756.5) | 30 (1, 112) | 5 |
|
|
| King and Queen County 2 | Urban | 496.9 (382.1, 640.9) | 29 (1, 109) | 15 |
stable
|
0.8 (-2.3, 3.9) |
| Hopewell City 2 | Urban | 499.8 (433.9, 572.5) | 28 (4, 94) | 44 |
stable
|
-1.4 (-2.9, 0.1) |
| Roanoke City 2 | Urban | 502.5 (466.9, 540.2) | 27 (9, 64) | 160 |
stable
|
0.5 (-0.2, 1.3) |
| Greensville County 2 | Rural | 507.1 (435.5, 587.6) | 26 (3, 93) | 39 |
stable
|
-0.3 (-1.7, 1.3) |
| Lexington City 2 | Rural | 509.8 (282.2, 861.8) | 25 (1, 112) | 3 |
stable
|
2.8 (-1.1, 7.2) |
| Mecklenburg County 2 | Rural | 509.9 (459.1, 565.3) | 24 (5, 73) | 82 |
stable
|
-0.4 (-1.3, 0.5) |
| Goochland County 2 | Urban | 510.0 (431.9, 601.0) | 23 (3, 98) | 32 |
falling
|
-5.0 (-14.9, -1.5) |
| Petersburg City 2 | Urban | 511.7 (475.9, 549.6) | 22 (8, 60) | 168 |
stable
|
0.0 (-0.9, 0.9) |
| Waynesboro City 2 | Urban | 518.4 (402.3, 657.1) | 21 (1, 107) | 15 |
stable
|
0.4 (-1.5, 2.5) |
| Charlotte County 2 | Rural | 520.2 (430.0, 626.4) | 20 (2, 96) | 27 |
stable
|
0.1 (-1.8, 2.0) |
| Essex County 2 | Rural | 520.3 (434.8, 619.0) | 19 (2, 97) | 29 |
stable
|
0.3 (-1.8, 2.5) |
| Lunenburg County 2 | Rural | 521.5 (441.0, 614.4) | 18 (2, 92) | 33 |
stable
|
-0.1 (-1.8, 1.6) |
| Cumberland County 2 | Rural | 522.2 (423.7, 638.9) | 17 (1, 100) | 23 |
stable
|
1.1 (-1.6, 4.0) |
| Brunswick County 2 | Rural | 524.1 (465.4, 588.9) | 16 (3, 74) | 61 |
rising
|
1.4 (0.3, 2.6) |
| Nottoway County 2 | Rural | 527.9 (457.0, 607.5) | 15 (2, 78) | 41 |
stable
|
0.0 (-1.3, 1.2) |
| Franklin City 2 | Rural | 539.6 (449.7, 642.5) | 14 (1, 93) | 28 |
stable
|
0.0 (-1.7, 1.7) |
| Northampton County 2 | Rural | 542.9 (458.5, 640.1) | 13 (1, 85) | 35 |
stable
|
-0.4 (-2.2, 1.3) |
| Sussex County 2 | Urban | 544.3 (470.6, 627.2) | 12 (1, 75) | 41 |
stable
|
1.4 (-0.2, 3.1) |
| Fredericksburg City 2 | Urban | 546.9 (459.1, 646.0) | 11 (1, 86) | 31 |
stable
|
0.4 (-1.7, 2.8) |
| Gloucester County 2 | Urban | 548.7 (451.9, 662.1) | 10 (1, 93) | 27 |
stable
|
-0.4 (-2.5, 1.7) |
| Galax City 2 | Rural | 558.4 (316.0, 930.4) | 9 (1, 112) | 3 |
stable
|
-3.3 (-8.2, 1.6) |
| Prince Edward County 2 | Rural | 559.7 (488.2, 639.2) | 8 (1, 63) | 47 |
stable
|
1.1 (-0.9, 3.1) |
| Orange County 2 | Rural | 560.4 (474.6, 657.5) | 7 (1, 74) | 33 |
stable
|
0.9 (-0.9, 2.8) |
| Dinwiddie County 2 | Urban | 570.0 (507.7, 638.5) | 6 (1, 48) | 69 |
stable
|
0.3 (-1.2, 1.9) |
| Alleghany County and Clifton Forge City 2 | Rural | 587.1 (363.3, 897.3) | 5 (1, 111) | 6 |
stable
|
-0.7 (-4.5, 3.0) |
| Colonial Heights City 2 | Urban | 593.5 (443.9, 773.7) | 4 (1, 104) | 13 |
|
|
| Martinsville City 2 | Rural | 623.5 (538.2, 718.6) | 3 (1, 39) | 44 |
stable
|
0.5 (-1.2, 2.1) |
| Lancaster County 2 | Rural | 649.7 (540.4, 776.3) | 2 (1, 48) | 29 |
stable
|
1.9 (-0.1, 4.1) |
| Mathews County 2 | Urban | 710.4 (477.4, 1,036.9) | 1 (1, 102) | 9 |
stable
|
-0.7 (-4.5, 3.0) |
| Bath County 2 | Rural |
|
|
|
|
|
| Bland County 2 | Rural |
|
|
|
|
|
| Bristol City 2 | Urban |
|
|
|
|
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| Buchanan County 2 | Rural |
|
|
|
|
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| Buena Vista City 2 | Rural |
|
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|
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| Carroll County 2 | Rural |
|
|
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|
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| Craig County 2 | Urban |
|
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|
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| Dickenson County 2 | Rural |
|
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|
|
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| Floyd County 2 | Urban |
|
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|
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| Giles County 2 | Urban |
|
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|
|
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| Highland County 2 | Rural |
|
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|
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| Lee County 2 | Rural |
|
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| Norton City 2 | Rural |
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| Page County 2 | Rural |
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|
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| Poquoson City 2 | Urban |
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| Rappahannock County 2 | Urban |
|
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| Russell County 2 | Rural |
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| Scott County 2 | Urban |
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|
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| Smyth County 2 | Rural |
|
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|
|
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| Washington County 2 | Urban |
|
|
|
|
|
| Wise County 2 | Rural |
|
|
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|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 1:01 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
Data for United States does not include Puerto Rico.