Incidence Rates Table
Incidence Rate Report for Virginia by County
Colon & Rectum (All Stages^), 2018-2022
All Races (includes 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 | 33.8 (33.3, 34.3) | N/A | 3,417 |
falling 
|
-0.8 (-1.2, -0.3) |
| US (SEER+NPCR) 1 | N/A | 36.7 (36.6, 36.7) | N/A | 145,073 |
falling
|
-0.9 (-1.0, -0.8) |
| Bristol City 2 | Urban | 22.7 (14.6, 34.0) | 128 (51, 128) | 5 |
falling
|
-4.7 (-8.7, -1.9) |
| Arlington County 2 | Urban | 24.6 (21.7, 27.8) | 127 (105, 128) | 54 |
falling
|
-3.5 (-4.8, -2.3) |
| Scott County 2 | Urban | 25.1 (17.8, 34.8) | 126 (47, 128) | 8 |
stable 
|
-2.8 (-6.1, 0.1) |
| Lee County 2 | Rural | 26.3 (18.9, 36.1) | 125 (40, 128) | 9 |
falling
|
-5.9 (-9.0, -3.7) |
| Dickenson County 2 | Rural | 26.4 (17.3, 39.4) | 124 (21, 128) | 6 |
falling
|
-4.0 (-8.3, -0.3) |
| Russell County 2 | Rural | 27.4 (20.1, 36.8) | 123 (38, 128) | 11 |
|
|
| Williamsburg City 2 | Urban | 27.5 (16.6, 43.5) | 122 (18, 128) | 5 |
|
|
| Fairfax County 2 | Urban | 27.6 (26.3, 28.9) | 121 (103, 125) | 349 |
stable
|
2.5 (-1.6, 8.5) |
| Smyth County 2 | Rural | 28.3 (21.4, 36.8) | 120 (34, 128) | 13 |
stable
|
-7.3 (-23.2, 0.1) |
| Washington County 2 | Urban | 28.3 (23.1, 34.4) | 119 (55, 128) | 23 |
falling
|
-4.3 (-7.2, -1.9) |
| Loudoun County 2 | Urban | 28.3 (25.9, 30.8) | 118 (87, 125) | 113 |
stable
|
1.1 (-3.3, 9.3) |
| Winchester City 2 | Urban | 28.3 (20.8, 37.8) | 117 (32, 128) | 10 |
falling
|
-2.6 (-5.3, -0.2) |
| Albemarle County 2 | Urban | 28.7 (24.7, 33.2) | 116 (64, 127) | 41 |
falling
|
-3.1 (-4.3, -2.0) |
| Alexandria City 2 | Urban | 29.9 (26.1, 34.1) | 115 (62, 126) | 47 |
falling
|
-1.8 (-3.5, -0.1) |
| Prince William County 2 | Urban | 30.0 (27.7, 32.5) | 114 (75, 122) | 135 |
falling
|
-2.2 (-3.2, -1.0) |
| Middlesex County 2 | Rural | 30.1 (19.9, 45.8) | 113 (14, 128) | 7 |
stable
|
-1.9 (-4.6, 0.7) |
| Poquoson City 2 | Urban | 30.3 (19.2, 46.1) | 112 (12, 128) | 5 |
falling
|
-6.0 (-9.6, -3.0) |
| Patrick County 2 | Rural | 30.6 (21.3, 43.1) | 111 (16, 128) | 9 |
stable
|
-2.4 (-5.6, 0.4) |
| Stafford County 2 | Urban | 30.9 (26.9, 35.4) | 110 (54, 125) | 45 |
falling
|
-3.3 (-4.9, -1.5) |
| Greene County 2 | Urban | 30.9 (21.7, 42.9) | 109 (16, 128) | 8 |
stable
|
-3.5 (-7.1, 0.1) |
| Spotsylvania County 2 | Urban | 31.0 (27.2, 35.2) | 108 (55, 124) | 50 |
falling
|
-2.8 (-4.1, -1.5) |
| Clarke County 2 | Urban | 31.0 (21.1, 44.7) | 107 (14, 128) | 7 |
falling
|
-4.2 (-6.2, -2.4) |
| King George County 2 | Rural | 31.2 (22.7, 42.1) | 106 (19, 128) | 9 |
falling
|
-4.3 (-7.2, -1.3) |
| Chesapeake City 2 | Urban | 31.8 (28.8, 35.1) | 105 (57, 120) | 85 |
falling
|
-2.5 (-4.0, -1.0) |
| Fairfax City 2 | Urban | 31.9 (22.8, 43.5) | 104 (16, 128) | 8 |
stable
|
-0.4 (-2.4, 1.7) |
| York County 2 | Urban | 32.0 (26.6, 38.1) | 103 (35, 126) | 26 |
stable
|
1.2 (-1.8, 11.0) |
| Buchanan County 2 | Rural | 32.1 (23.9, 42.9) | 102 (20, 128) | 11 |
falling
|
-26.6 (-44.0, -5.8) |
| Wise County 2 | Rural | 32.4 (25.2, 41.1) | 101 (23, 128) | 15 |
falling
|
-5.1 (-7.9, -2.9) |
| Fluvanna County 2 | Urban | 32.4 (24.4, 42.5) | 100 (17, 128) | 12 |
falling
|
-3.6 (-6.5, -0.8) |
| Virginia Beach City 2 | Urban | 32.6 (30.4, 35.0) | 99 (63, 112) | 165 |
falling
|
-2.2 (-3.1, -1.3) |
| Rockingham County 2 | Urban | 32.7 (27.9, 38.1) | 98 (33, 124) | 36 |
falling
|
-1.9 (-3.5, -0.3) |
| James City County 2 | Urban | 32.8 (28.2, 38.1) | 97 (36, 124) | 42 |
stable
|
-1.1 (-2.6, 0.5) |
| Charlottesville City 2 | Urban | 32.9 (25.5, 41.7) | 96 (20, 128) | 15 |
stable
|
-0.8 (-3.7, 2.3) |
| Lunenburg County 2 | Rural | 33.0 (21.4, 49.2) | 95 (9, 128) | 6 |
falling
|
-4.0 (-7.9, -0.8) |
| Pulaski County 2 | Urban | 33.1 (26.0, 41.7) | 94 (21, 127) | 17 |
stable
|
-2.1 (-4.7, 0.2) |
| Hampton City 2 | Urban | 33.3 (29.2, 37.9) | 93 (37, 120) | 51 |
stable
|
12.7 (-2.0, 21.6) |
| Harrisonburg City 2 | Urban | 33.7 (26.1, 42.8) | 92 (19, 128) | 14 |
falling
|
-3.0 (-5.5, -0.7) |
| Manassas City 2 | Urban | 33.8 (25.4, 43.9) | 91 (15, 128) | 12 |
stable
|
-2.4 (-6.0, 1.3) |
| Roanoke County 2 | Urban | 33.8 (29.4, 38.7) | 90 (36, 121) | 46 |
falling
|
-2.0 (-3.8, -0.3) |
| Tazewell County 2 | Rural | 33.9 (27.3, 41.7) | 89 (24, 126) | 20 |
stable
|
-1.6 (-5.0, 1.5) |
| Chesterfield County 2 | Urban | 34.0 (31.5, 36.7) | 88 (51, 109) | 141 |
stable
|
-1.3 (-8.7, 5.1) |
| Warren County 2 | Urban | 34.3 (27.1, 42.8) | 87 (19, 127) | 17 |
falling
|
-2.9 (-4.9, -0.9) |
| Norfolk City 2 | Urban | 34.4 (31.0, 38.1) | 86 (41, 115) | 79 |
stable
|
4.7 (-2.7, 9.9) |
| Pittsylvania County 2 | Rural | 34.4 (29.1, 40.6) | 85 (28, 122) | 33 |
falling
|
-2.3 (-3.5, -1.2) |
| Newport News City 2 | Urban | 34.4 (30.7, 38.5) | 84 (39, 116) | 65 |
stable
|
5.1 (-2.7, 11.9) |
| Frederick County 2 | Urban | 34.5 (29.8, 39.9) | 83 (29, 120) | 40 |
stable
|
-1.1 (-2.6, 0.6) |
| Mecklenburg County 2 | Rural | 34.7 (27.0, 44.1) | 82 (17, 127) | 17 |
stable
|
-0.7 (-3.7, 2.3) |
| Fauquier County 2 | Urban | 35.2 (29.8, 41.3) | 81 (25, 121) | 32 |
stable
|
-1.4 (-3.5, 0.9) |
| Gloucester County 2 | Urban | 35.2 (28.2, 43.5) | 80 (14, 125) | 20 |
stable
|
1.8 (-1.7, 7.3) |
| Westmoreland County 2 | Rural | 35.4 (25.6, 48.3) | 79 (9, 128) | 10 |
falling
|
-3.4 (-5.6, -1.5) |
| Portsmouth City 2 | Urban | 35.5 (30.4, 41.1) | 78 (25, 119) | 38 |
falling
|
-2.9 (-4.5, -1.6) |
| Culpeper County 2 | Urban | 35.5 (29.1, 42.9) | 77 (20, 124) | 23 |
falling
|
-3.1 (-4.7, -1.6) |
| Northampton County 2 | Rural | 35.6 (23.7, 52.3) | 76 (5, 128) | 7 |
stable
|
-3.1 (-7.2, 0.3) |
| King and Queen County 2 | Urban | 35.6 (19.8, 60.6) | 75 (1, 128) | 4 |
stable
|
-1.2 (-5.3, 2.9) |
| Prince George County 2 | Urban | 36.0 (28.2, 45.3) | 74 (14, 126) | 15 |
stable
|
-2.8 (-5.9, 0.4) |
| Montgomery County 2 | Urban | 36.2 (30.8, 42.2) | 73 (20, 118) | 34 |
stable
|
-1.4 (-2.9, 0.2) |
| Goochland County 2 | Urban | 36.2 (27.6, 47.1) | 72 (12, 126) | 13 |
falling
|
-4.1 (-17.1, -0.8) |
| Sussex County 2 | Urban | 36.2 (23.7, 54.0) | 71 (3, 128) | 5 |
stable
|
0.0 (-3.1, 3.2) |
| Augusta County 2 | Urban | 36.3 (31.4, 41.9) | 70 (26, 114) | 42 |
stable
|
-1.5 (-3.6, 0.7) |
| Louisa County 2 | Rural | 36.4 (29.1, 45.0) | 69 (15, 124) | 20 |
stable
|
-2.3 (-4.9, 0.3) |
| Prince Edward County 2 | Rural | 36.5 (25.6, 50.6) | 68 (6, 128) | 8 |
stable
|
-2.7 (-6.9, 1.1) |
| Isle of Wight County 2 | Urban | 36.6 (29.0, 45.7) | 67 (11, 125) | 18 |
stable
|
-1.3 (-3.7, 1.2) |
| Franklin County 2 | Urban | 36.7 (30.7, 43.6) | 66 (19, 119) | 31 |
falling
|
-12.9 (-22.3, -6.5) |
| Radford City 2 | Urban | 36.7 (22.4, 56.6) | 65 (2, 128) | 4 |
stable
|
-2.0 (-5.0, 0.9) |
| Bedford City and County 2 | Urban | 36.8 (31.7, 42.5) | 64 (23, 113) | 44 |
stable
|
0.5 (-1.9, 8.7) |
| Henrico County 2 | Urban | 36.8 (34.1, 39.6) | 63 (35, 96) | 144 |
falling
|
-1.5 (-2.6, -0.4) |
| Suffolk City 2 | Urban | 37.2 (32.1, 43.0) | 62 (19, 111) | 40 |
falling
|
-2.1 (-3.8, -0.4) |
| Botetourt County 2 | Urban | 37.4 (29.4, 47.0) | 61 (11, 125) | 18 |
stable
|
-0.5 (-3.5, 2.6) |
| Manassas Park City 2 | Urban | 37.5 (24.0, 55.5) | 60 (3, 128) | 5 |
stable
|
-4.1 (-9.5, 2.5) |
| Nelson County 2 | Urban | 37.7 (25.7, 53.8) | 59 (3, 128) | 8 |
stable
|
-1.9 (-4.9, 1.0) |
| Southampton County 2 | Rural | 37.7 (27.0, 51.5) | 58 (6, 127) | 10 |
falling
|
-2.5 (-4.7, -0.4) |
| Hanover County 2 | Urban | 37.8 (33.2, 42.8) | 57 (22, 103) | 54 |
stable
|
-1.8 (-4.0, 0.4) |
| Shenandoah County 2 | Rural | 37.8 (31.1, 45.6) | 56 (15, 120) | 24 |
stable
|
3.5 (-0.8, 16.7) |
| Grayson County 2 | Rural | 37.8 (26.6, 52.6) | 55 (4, 128) | 9 |
stable
|
-0.9 (-4.7, 2.4) |
| Powhatan County 2 | Urban | 37.8 (29.4, 48.0) | 54 (9, 124) | 15 |
stable
|
-1.6 (-3.8, 1.0) |
| Lynchburg City 2 | Urban | 38.0 (31.9, 44.9) | 53 (16, 115) | 30 |
stable
|
-1.0 (-2.4, 0.3) |
| King William County 2 | Urban | 38.0 (26.5, 52.8) | 52 (4, 128) | 8 |
falling
|
-3.2 (-6.5, -0.1) |
| Rappahannock County 2 | Urban | 38.6 (23.9, 61.1) | 51 (2, 128) | 5 |
stable
|
-2.2 (-6.3, 2.0) |
| Buckingham County 2 | Rural | 38.9 (28.1, 53.0) | 50 (4, 127) | 9 |
stable
|
-0.3 (-3.3, 3.0) |
| Nottoway County 2 | Rural | 39.0 (27.8, 53.6) | 49 (3, 127) | 8 |
stable
|
-2.1 (-4.5, 0.3) |
| Richmond City 2 | Urban | 39.0 (35.3, 43.0) | 48 (22, 89) | 88 |
falling
|
-2.2 (-3.3, -1.2) |
| Campbell County 2 | Urban | 39.2 (32.9, 46.3) | 47 (12, 111) | 31 |
falling
|
-2.2 (-4.2, -0.3) |
| Colonial Heights City 2 | Urban | 39.7 (28.7, 53.7) | 46 (4, 127) | 9 |
stable
|
-2.7 (-6.1, 0.3) |
| Roanoke City 2 | Urban | 39.8 (34.8, 45.3) | 45 (16, 99) | 49 |
falling
|
-1.5 (-3.0, -0.1) |
| Staunton City 2 | Urban | 39.8 (30.4, 51.3) | 44 (6, 124) | 13 |
falling
|
-2.2 (-4.1, -0.5) |
| Madison County 2 | Rural | 40.3 (28.4, 56.1) | 43 (3, 128) | 8 |
stable
|
-2.6 (-5.4, 0.1) |
| Accomack County 2 | Rural | 40.3 (31.9, 50.5) | 42 (7, 120) | 19 |
stable
|
-1.0 (-4.2, 1.9) |
| Salem City 2 | Urban | 40.4 (31.2, 51.9) | 41 (6, 124) | 14 |
stable
|
-0.5 (-2.5, 1.4) |
| Henry County 2 | Rural | 40.5 (34.1, 47.9) | 40 (12, 105) | 33 |
falling
|
-2.2 (-4.4, -0.2) |
| Amelia County 2 | Urban | 40.6 (28.0, 57.5) | 39 (2, 128) | 7 |
stable
|
-2.0 (-5.7, 1.7) |
| Wythe County 2 | Rural | 40.6 (32.2, 50.9) | 38 (7, 120) | 17 |
stable
|
-0.4 (-2.9, 2.1) |
| Rockbridge County 2 | Rural | 40.7 (31.8, 52.0) | 37 (4, 121) | 16 |
falling
|
-2.9 (-5.6, -0.2) |
| Page County 2 | Rural | 41.0 (31.7, 52.5) | 36 (6, 122) | 14 |
falling
|
-21.2 (-28.2, -14.3) |
| New Kent County 2 | Urban | 41.1 (30.6, 54.2) | 35 (4, 125) | 12 |
stable
|
0.5 (-2.5, 4.5) |
| Waynesboro City 2 | Urban | 41.4 (30.9, 54.5) | 34 (3, 124) | 11 |
stable
|
-2.2 (-5.3, 0.6) |
| Orange County 2 | Rural | 41.7 (33.7, 51.1) | 33 (6, 111) | 21 |
stable
|
2.7 (-0.4, 11.8) |
| Galax City 2 | Rural | 41.7 (23.6, 68.7) | 32 (1, 128) | 3 |
stable
|
-2.4 (-5.9, 0.5) |
| Carroll County 2 | Rural | 41.9 (33.4, 52.1) | 31 (5, 115) | 20 |
stable
|
-0.8 (-3.4, 1.6) |
| Fredericksburg City 2 | Urban | 42.1 (31.3, 55.4) | 30 (4, 125) | 11 |
stable
|
-0.5 (-2.9, 2.1) |
| Caroline County 2 | Rural | 42.2 (33.2, 52.9) | 29 (5, 116) | 16 |
stable
|
-0.6 (-3.0, 2.1) |
| Charlotte County 2 | Rural | 42.7 (28.6, 61.8) | 28 (1, 128) | 7 |
falling
|
-9.8 (-17.5, -6.0) |
| Dinwiddie County 2 | Urban | 43.0 (33.9, 54.1) | 27 (4, 115) | 16 |
stable
|
-2.1 (-4.3, 0.1) |
| Charles City County 2 | Urban | 43.6 (27.8, 68.1) | 26 (1, 128) | 5 |
stable
|
-0.6 (-5.1, 4.4) |
| Giles County 2 | Urban | 43.7 (32.4, 58.1) | 25 (2, 124) | 11 |
stable
|
-1.9 (-4.2, 0.3) |
| Appomattox County 2 | Urban | 44.6 (32.6, 60.0) | 24 (1, 122) | 10 |
stable
|
-0.3 (-2.8, 2.5) |
| Petersburg City 2 | Urban | 45.0 (35.8, 56.0) | 23 (3, 108) | 18 |
stable
|
-1.4 (-3.4, 0.4) |
| Buena Vista City 2 | Rural | 46.2 (28.4, 72.4) | 22 (1, 128) | 4 |
stable
|
-0.3 (-4.6, 4.2) |
| Alleghany County and Clifton Forge City 2 | Rural | 46.2 (34.5, 61.4) | 21 (1, 119) | 12 |
stable
|
-0.6 (-2.8, 1.7) |
| Northumberland County 2 | Rural | 47.5 (34.8, 65.2) | 20 (1, 117) | 13 |
stable
|
0.4 (-2.6, 3.5) |
| Amherst County 2 | Urban | 47.7 (38.5, 58.7) | 19 (2, 95) | 21 |
stable
|
2.8 (-2.7, 16.6) |
| Floyd County 2 | Urban | 48.7 (35.6, 65.5) | 18 (1, 118) | 11 |
stable
|
-0.5 (-4.8, 3.9) |
| Brunswick County 2 | Rural | 48.7 (36.4, 64.4) | 17 (1, 110) | 11 |
stable
|
-1.3 (-3.7, 1.1) |
| Halifax County with South Boston City 2 | Rural | 50.0 (41.0, 60.6) | 16 (2, 71) | 26 |
stable
|
-0.8 (-3.2, 1.6) |
| Richmond County 2 | Rural | 50.5 (34.6, 72.3) | 15 (1, 124) | 7 |
stable
|
-1.0 (-5.3, 3.7) |
| Cumberland County 2 | Rural | 50.9 (33.7, 74.3) | 14 (1, 125) | 7 |
stable
|
-1.7 (-6.1, 2.7) |
| Franklin City 2 | Rural | 50.9 (32.7, 76.2) | 13 (1, 127) | 5 |
stable
|
-1.8 (-6.3, 2.5) |
| Mathews County 2 | Urban | 51.7 (35.6, 74.6) | 12 (1, 118) | 8 |
stable
|
-1.2 (-6.5, 3.9) |
| Danville City 2 | Rural | 52.5 (44.3, 61.8) | 11 (1, 50) | 32 |
stable
|
-0.1 (-1.8, 1.5) |
| Hopewell City 2 | Urban | 53.5 (41.2, 68.4) | 10 (1, 83) | 13 |
stable
|
-0.8 (-4.1, 2.5) |
| Lexington City 2 | Rural | 53.6 (29.5, 89.9) | 9 (1, 128) | 3 |
stable
|
2.1 (-4.4, 9.6) |
| Martinsville City 2 | Rural | 55.6 (40.0, 75.5) | 8 (1, 104) | 9 |
stable
|
-0.7 (-4.6, 2.9) |
| Essex County 2 | Rural | 56.0 (40.0, 77.2) | 7 (1, 106) | 9 |
stable
|
-0.6 (-3.5, 2.5) |
| Greensville County 2 | Rural | 56.7 (39.9, 78.6) | 6 (1, 110) | 8 |
stable
|
-0.7 (-4.6, 3.1) |
| Bland County 2 | Rural | 57.0 (37.7, 85.2) | 5 (1, 123) | 6 |
stable
|
-0.2 (-5.0, 5.0) |
| Lancaster County 2 | Rural | 57.0 (39.4, 80.9) | 4 (1, 110) | 11 |
rising 
|
13.9 (2.7, 39.2) |
| Covington City 2 | Rural | 57.9 (35.9, 89.6) | 3 (1, 127) | 5 |
stable
|
2.9 (-1.2, 7.4) |
| Craig County 2 | Urban | 60.8 (36.4, 97.6) | 2 (1, 127) | 4 |
|
|
| Bath County 2 | Rural | 61.4 (36.0, 101.3) | 1 (1, 126) | 4 |
stable
|
2.2 (-1.8, 6.4) |
| Emporia City 2 | Rural |
|
|
|
|
|
| Falls Church City 2 | Urban |
|
|
|
|
|
| Highland County 2 | Rural |
|
|
|
|
|
| Norton City 2 | Rural |
|
|
|
|
|
| Surry County 2 | Urban |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 2:41 am.
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.