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