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 CI*Rank
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) |
| Mathews County 2 | Urban | 710.4 (477.4, 1,036.9) | 1 (1, 102) | 9 |
stable
|
-0.7 (-4.5, 3.0) |
| Lancaster County 2 | Rural | 649.7 (540.4, 776.3) | 2 (1, 48) | 29 |
stable
|
1.9 (-0.1, 4.1) |
| Martinsville City 2 | Rural | 623.5 (538.2, 718.6) | 3 (1, 39) | 44 |
stable
|
0.5 (-1.2, 2.1) |
| Colonial Heights City 2 | Urban | 593.5 (443.9, 773.7) | 4 (1, 104) | 13 |
|
|
| 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) |
| Dinwiddie County 2 | Urban | 570.0 (507.7, 638.5) | 6 (1, 48) | 69 |
stable
|
0.3 (-1.2, 1.9) |
| Orange County 2 | Rural | 560.4 (474.6, 657.5) | 7 (1, 74) | 33 |
stable
|
0.9 (-0.9, 2.8) |
| Prince Edward County 2 | Rural | 559.7 (488.2, 639.2) | 8 (1, 63) | 47 |
stable
|
1.1 (-0.9, 3.1) |
| Galax City 2 | Rural | 558.4 (316.0, 930.4) | 9 (1, 112) | 3 |
stable
|
-3.3 (-8.2, 1.6) |
| Gloucester County 2 | Urban | 548.7 (451.9, 662.1) | 10 (1, 93) | 27 |
stable
|
-0.4 (-2.5, 1.7) |
| Fredericksburg City 2 | Urban | 546.9 (459.1, 646.0) | 11 (1, 86) | 31 |
stable
|
0.4 (-1.7, 2.8) |
| Sussex County 2 | Urban | 544.3 (470.6, 627.2) | 12 (1, 75) | 41 |
stable
|
1.4 (-0.2, 3.1) |
| Northampton County 2 | Rural | 542.9 (458.5, 640.1) | 13 (1, 85) | 35 |
stable
|
-0.4 (-2.2, 1.3) |
| Franklin City 2 | Rural | 539.6 (449.7, 642.5) | 14 (1, 93) | 28 |
stable
|
0.0 (-1.7, 1.7) |
| Nottoway County 2 | Rural | 527.9 (457.0, 607.5) | 15 (2, 78) | 41 |
stable
|
0.0 (-1.3, 1.2) |
| Brunswick County 2 | Rural | 524.1 (465.4, 588.9) | 16 (3, 74) | 61 |
rising
|
1.4 (0.3, 2.6) |
| Cumberland County 2 | Rural | 522.2 (423.7, 638.9) | 17 (1, 100) | 23 |
stable
|
1.1 (-1.6, 4.0) |
| Lunenburg County 2 | Rural | 521.5 (441.0, 614.4) | 18 (2, 92) | 33 |
stable
|
-0.1 (-1.8, 1.6) |
| Essex County 2 | Rural | 520.3 (434.8, 619.0) | 19 (2, 97) | 29 |
stable
|
0.3 (-1.8, 2.5) |
| Charlotte County 2 | Rural | 520.2 (430.0, 626.4) | 20 (2, 96) | 27 |
stable
|
0.1 (-1.8, 2.0) |
| Waynesboro City 2 | Urban | 518.4 (402.3, 657.1) | 21 (1, 107) | 15 |
stable
|
0.4 (-1.5, 2.5) |
| Petersburg City 2 | Urban | 511.7 (475.9, 549.6) | 22 (8, 60) | 168 |
stable
|
0.0 (-0.9, 0.9) |
| Goochland County 2 | Urban | 510.0 (431.9, 601.0) | 23 (3, 98) | 32 |
falling
|
-5.0 (-14.9, -1.5) |
| Mecklenburg County 2 | Rural | 509.9 (459.1, 565.3) | 24 (5, 73) | 82 |
stable
|
-0.4 (-1.3, 0.5) |
| Lexington City 2 | Rural | 509.8 (282.2, 861.8) | 25 (1, 112) | 3 |
stable
|
2.8 (-1.1, 7.2) |
| Greensville County 2 | Rural | 507.1 (435.5, 587.6) | 26 (3, 93) | 39 |
stable
|
-0.3 (-1.7, 1.3) |
| Roanoke City 2 | Urban | 502.5 (466.9, 540.2) | 27 (9, 64) | 160 |
stable
|
0.5 (-0.2, 1.3) |
| Hopewell City 2 | Urban | 499.8 (433.9, 572.5) | 28 (4, 94) | 44 |
stable
|
-1.4 (-2.9, 0.1) |
| King and Queen County 2 | Urban | 496.9 (382.1, 640.9) | 29 (1, 109) | 15 |
stable
|
0.8 (-2.3, 3.9) |
| Radford City 2 | Urban | 494.6 (302.7, 756.5) | 30 (1, 112) | 5 |
|
|
| Lynchburg City 2 | Urban | 492.8 (450.4, 538.0) | 31 (11, 75) | 106 |
stable
|
0.4 (-0.6, 1.3) |
| Richmond County 2 | Rural | 491.4 (387.4, 616.6) | 32 (2, 107) | 16 |
stable
|
0.3 (-1.9, 2.8) |
| Northumberland County 2 | Rural | 489.8 (400.1, 596.4) | 33 (2, 106) | 23 |
stable
|
-0.9 (-4.2, 2.5) |
| Roanoke County 2 | Urban | 489.0 (413.9, 573.7) | 34 (3, 99) | 33 |
stable
|
1.4 (-0.8, 4.2) |
| Amelia County 2 | Urban | 486.0 (397.3, 592.9) | 35 (3, 103) | 24 |
stable
|
-0.4 (-3.7, 2.8) |
| Danville City 2 | Rural | 484.6 (446.0, 525.8) | 36 (12, 76) | 129 |
stable
|
-0.2 (-1.7, 1.3) |
| Franklin County 2 | Urban | 483.9 (404.1, 575.9) | 37 (3, 101) | 30 |
stable
|
0.6 (-1.5, 2.8) |
| Richmond City 2 | Urban | 483.3 (464.9, 502.3) | 38 (22, 62) | 585 |
stable
|
-0.3 (-0.7, 0.0) |
| Pulaski County 2 | Urban | 480.2 (361.7, 627.7) | 39 (1, 110) | 12 |
stable
|
-0.1 (-2.8, 2.8) |
| Chesterfield County 2 | Urban | 479.0 (456.7, 502.1) | 40 (21, 66) | 415 |
stable
|
-0.5 (-1.2, 0.3) |
| Emporia City 2 | Rural | 477.8 (385.8, 585.4) | 41 (3, 106) | 20 |
stable
|
-1.4 (-3.6, 0.9) |
| Spotsylvania County 2 | Urban | 475.3 (436.1, 517.0) | 42 (15, 80) | 122 |
stable
|
-0.7 (-2.1, 1.0) |
| Staunton City 2 | Urban | 475.2 (378.6, 589.8) | 43 (2, 106) | 18 |
stable
|
-1.2 (-4.0, 1.6) |
| King William County 2 | Urban | 473.6 (380.4, 585.3) | 44 (3, 106) | 20 |
stable
|
-0.7 (-3.0, 1.5) |
| Williamsburg City 2 | Urban | 472.4 (349.6, 624.6) | 45 (2, 111) | 11 |
stable
|
-1.9 (-4.0, 0.2) |
| Henrico County 2 | Urban | 470.3 (452.1, 489.1) | 46 (27, 68) | 539 |
stable
|
-0.5 (-1.2, 0.2) |
| Nelson County 2 | Urban | 468.1 (351.6, 616.8) | 47 (2, 110) | 14 |
falling
|
-12.6 (-33.0, -3.1) |
| Prince George County 2 | Urban | 468.0 (412.7, 528.5) | 48 (10, 95) | 56 |
falling
|
-1.8 (-3.2, -0.3) |
| Winchester City 2 | Urban | 466.8 (361.2, 592.9) | 49 (3, 108) | 15 |
stable
|
-0.9 (-4.1, 2.5) |
| Fluvanna County 2 | Urban | 465.1 (381.8, 561.8) | 50 (4, 107) | 23 |
stable
|
-1.3 (-3.4, 0.8) |
| Norfolk City 2 | Urban | 464.8 (445.0, 485.3) | 51 (29, 73) | 450 |
falling
|
-1.0 (-4.6, -0.1) |
| Caroline County 2 | Rural | 464.2 (410.2, 524.0) | 52 (11, 96) | 57 |
stable
|
-1.0 (-2.2, 0.4) |
| Accomack County 2 | Rural | 461.6 (406.5, 522.5) | 53 (12, 98) | 57 |
stable
|
-0.4 (-1.9, 1.0) |
| Newport News City 2 | Urban | 457.0 (434.7, 480.0) | 54 (31, 78) | 346 |
stable
|
-0.6 (-1.2, 0.0) |
| Southampton County 2 | Rural | 455.7 (393.1, 526.8) | 55 (11, 101) | 44 |
stable
|
0.3 (-0.8, 1.4) |
| Charles City County 2 | Urban | 453.2 (372.5, 550.9) | 56 (5, 107) | 26 |
stable
|
-1.2 (-5.1, 0.3) |
| Powhatan County 2 | Urban | 453.1 (363.5, 562.3) | 57 (5, 109) | 20 |
stable
|
-1.2 (-3.0, 0.6) |
| Augusta County 2 | Urban | 452.8 (358.6, 564.3) | 58 (3, 110) | 17 |
stable
|
0.3 (-2.1, 3.2) |
| Culpeper County 2 | Urban | 452.7 (390.2, 522.6) | 59 (11, 104) | 40 |
stable
|
-0.3 (-2.2, 1.8) |
| Patrick County 2 | Rural | 452.2 (305.0, 656.4) | 60 (1, 112) | 7 |
stable
|
1.8 (-1.7, 5.9) |
| Salem City 2 | Urban | 450.1 (318.4, 615.5) | 61 (2, 112) | 9 |
stable
|
1.5 (-1.5, 5.1) |
| Westmoreland County 2 | Rural | 448.4 (375.4, 532.4) | 62 (8, 106) | 32 |
stable
|
-0.6 (-2.3, 1.1) |
| Fauquier County 2 | Urban | 444.1 (379.7, 517.3) | 63 (10, 106) | 37 |
stable
|
-1.2 (-2.9, 0.5) |
| Montgomery County 2 | Urban | 443.0 (340.5, 565.5) | 64 (3, 111) | 14 |
stable
|
0.7 (-2.7, 4.5) |
| Falls Church City 2 | Urban | 441.5 (262.5, 702.1) | 65 (1, 112) | 4 |
stable
|
0.5 (-3.7, 6.1) |
| Portsmouth City 2 | Urban | 436.0 (411.2, 461.8) | 66 (40, 92) | 250 |
stable
|
-0.5 (-1.0, 0.1) |
| New Kent County 2 | Urban | 434.8 (349.3, 536.9) | 67 (7, 109) | 20 |
stable
|
-0.8 (-2.7, 1.5) |
| King George County 2 | Rural | 434.3 (353.5, 528.5) | 68 (9, 109) | 22 |
stable
|
-0.4 (-3.1, 2.7) |
| Wythe County 2 | Rural | 431.9 (281.0, 642.9) | 69 (1, 112) | 5 |
stable
|
-0.3 (-3.9, 3.7) |
| Bedford City and County 2 | Urban | 431.3 (366.0, 505.8) | 70 (13, 107) | 35 |
stable
|
-0.7 (-2.1, 0.8) |
| Campbell County 2 | Urban | 430.9 (376.8, 491.2) | 71 (19, 105) | 49 |
stable
|
1.5 (-0.5, 6.9) |
| Suffolk City 2 | Urban | 430.7 (402.8, 460.1) | 72 (40, 95) | 193 |
falling
|
-2.3 (-8.1, -0.6) |
| Greene County 2 | Urban | 429.3 (300.2, 596.2) | 73 (2, 112) | 8 |
stable
|
0.8 (-3.1, 5.8) |
| Surry County 2 | Urban | 428.4 (340.9, 535.4) | 74 (5, 110) | 21 |
stable
|
0.0 (-1.7, 1.8) |
| Hanover County 2 | Urban | 428.0 (379.8, 481.0) | 75 (25, 103) | 62 |
stable
|
-0.7 (-1.9, 0.6) |
| Louisa County 2 | Rural | 426.7 (365.7, 496.1) | 76 (16, 108) | 40 |
falling
|
-3.1 (-4.9, -2.0) |
| Virginia Beach City 2 | Urban | 424.2 (404.1, 445.0) | 77 (50, 94) | 366 |
stable
|
-0.6 (-1.4, 0.3) |
| James City County 2 | Urban | 423.8 (375.3, 477.2) | 78 (27, 104) | 59 |
stable
|
-0.8 (-2.1, 0.6) |
| Buckingham County 2 | Rural | 421.8 (359.8, 492.8) | 79 (17, 107) | 34 |
stable
|
-0.5 (-1.8, 0.8) |
| Amherst County 2 | Urban | 421.8 (360.0, 492.1) | 80 (19, 107) | 37 |
stable
|
-0.6 (-1.8, 0.6) |
| Charlottesville City 2 | Urban | 417.6 (359.7, 482.6) | 81 (22, 107) | 42 |
stable
|
-1.4 (-3.0, 0.1) |
| Albemarle County 2 | Urban | 416.3 (364.7, 473.1) | 82 (27, 106) | 49 |
stable
|
-0.9 (-2.4, 0.7) |
| Appomattox County 2 | Urban | 415.0 (328.1, 519.3) | 83 (7, 111) | 17 |
stable
|
-1.3 (-4.1, 1.4) |
| York County 2 | Urban | 413.8 (363.3, 469.7) | 84 (27, 107) | 51 |
falling
|
-1.7 (-2.8, -0.7) |
| Isle of Wight County 2 | Urban | 411.2 (361.7, 466.3) | 85 (29, 106) | 56 |
stable
|
-1.0 (-2.3, 0.2) |
| Madison County 2 | Rural | 411.1 (297.6, 562.7) | 86 (4, 112) | 9 |
stable
|
-1.0 (-4.0, 2.1) |
| Chesapeake City 2 | Urban | 410.8 (390.9, 431.4) | 87 (59, 98) | 341 |
falling
|
-1.2 (-3.4, -0.6) |
| Loudoun County 2 | Urban | 408.3 (374.8, 443.9) | 88 (47, 104) | 126 |
rising
|
7.6 (0.5, 13.3) |
| Stafford County 2 | Urban | 408.0 (369.8, 449.0) | 89 (44, 104) | 110 |
stable
|
-1.4 (-2.4, 0.0) |
| Hampton City 2 | Urban | 407.4 (387.4, 428.1) | 90 (60, 100) | 335 |
stable
|
2.3 (-2.6, 6.1) |
| 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) |
| Manassas City 2 | Urban | 395.6 (315.6, 489.1) | 92 (14, 112) | 21 |
stable
|
-3.1 (-5.9, 0.1) |
| Fairfax City 2 | Urban | 388.6 (248.1, 582.3) | 93 (2, 112) | 6 |
stable
|
-0.6 (-6.7, 7.1) |
| Rockbridge County 2 | Rural | 387.9 (223.6, 627.4) | 94 (1, 112) | 4 |
stable
|
1.2 (-3.3, 6.2) |
| Clarke County 2 | Urban | 387.2 (220.4, 640.4) | 95 (1, 112) | 4 |
falling
|
-6.0 (-27.5, -0.2) |
| Pittsylvania County 2 | Rural | 385.7 (346.2, 429.0) | 96 (54, 109) | 80 |
falling
|
-1.2 (-2.3, -0.1) |
| Middlesex County 2 | Rural | 383.8 (283.7, 515.1) | 97 (7, 112) | 13 |
stable
|
-0.5 (-2.7, 1.7) |
| Harrisonburg City 2 | Urban | 382.4 (278.9, 509.7) | 98 (9, 112) | 11 |
falling
|
-4.0 (-13.7, -0.8) |
| Alexandria City 2 | Urban | 381.0 (349.3, 414.7) | 99 (64, 108) | 121 |
stable
|
-1.2 (-2.4, 0.0) |
| Henry County 2 | Rural | 374.9 (334.1, 419.9) | 100 (59, 110) | 71 |
stable
|
-0.8 (-2.2, 0.7) |
| Rockingham County 2 | Urban | 372.7 (249.8, 531.9) | 101 (5, 112) | 7 |
falling
|
-8.2 (-14.2, -5.0) |
| Warren County 2 | Urban | 367.8 (267.1, 494.3) | 102 (9, 112) | 9 |
stable
|
-1.5 (-4.4, 1.6) |
| Arlington County 2 | Urban | 359.1 (322.8, 398.3) | 103 (73, 110) | 78 |
falling
|
-1.5 (-2.4, -0.5) |
| Grayson County 2 | Rural | 358.4 (197.4, 607.7) | 104 (1, 112) | 3 |
|
|
| Frederick County 2 | Urban | 352.5 (267.0, 455.7) | 105 (26, 112) | 14 |
stable
|
0.0 (-5.5, 7.3) |
| Prince William County 2 | Urban | 351.6 (332.6, 371.4) | 106 (90, 109) | 324 |
stable
|
-1.1 (-2.1, 0.1) |
| Shenandoah County 2 | Rural | 346.7 (208.4, 538.0) | 107 (3, 112) | 4 |
|
|
| Botetourt County 2 | Urban | 338.8 (228.2, 496.4) | 108 (11, 112) | 7 |
stable
|
0.1 (-3.5, 4.6) |
| Manassas Park City 2 | Urban | 337.9 (231.9, 474.7) | 109 (15, 112) | 8 |
|
|
| Covington City 2 | Rural | 322.6 (193.0, 519.9) | 110 (6, 112) | 4 |
stable
|
-1.6 (-5.5, 2.2) |
| Fairfax County 2 | Urban | 316.0 (300.9, 331.5) | 111 (100, 112) | 373 |
falling
|
-1.9 (-2.6, -1.2) |
| Tazewell County 2 | Rural | 259.3 (155.0, 409.3) | 112 (28, 112) | 4 |
stable
|
1.1 (-3.1, 6.0) |
| Bath County 2 | Rural |
|
|
|
|
|
| Bland County 2 | Rural |
|
|
|
|
|
| Bristol City 2 | Urban |
|
|
|
|
|
| Buchanan County 2 | Rural |
|
|
|
|
|
| Buena Vista City 2 | Rural |
|
|
|
|
|
| Carroll County 2 | Rural |
|
|
|
|
|
| Craig County 2 | Urban |
|
|
|
|
|
| Dickenson County 2 | Rural |
|
|
|
|
|
| Floyd County 2 | Urban |
|
|
|
|
|
| Giles County 2 | Urban |
|
|
|
|
|
| Highland County 2 | Rural |
|
|
|
|
|
| Lee County 2 | Rural |
|
|
|
|
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| Norton City 2 | Rural |
|
|
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|
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| Page County 2 | Rural |
|
|
|
|
|
| Poquoson City 2 | Urban |
|
|
|
|
|
| Rappahannock County 2 | Urban |
|
|
|
|
|
| Russell County 2 | Rural |
|
|
|
|
|
| Scott County 2 | Urban |
|
|
|
|
|
| Smyth County 2 | Rural |
|
|
|
|
|
| Washington County 2 | Urban |
|
|
|
|
|
| Wise County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 12:37 am.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
† 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.
‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
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.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.
When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.
2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).
* 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.


