Incidence Rates Table
Incidence Rate Report for Virginia by County
Lung & Bronchus (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Count
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 | 50.9 (50.3, 51.5) | N/A | 5,510 |
falling 
|
-2.1 (-2.5, -1.8) |
| US (SEER+NPCR) 1 | N/A | 52.5 (52.4, 52.6) | N/A | 222,606 |
falling
|
-3.5 (-4.0, -3.1) |
| Highland County 2 | Rural | 82.5 (42.0, 156.3) | 11 (1, 131) | 4 |
|
|
| Lexington City 2 | Rural | 52.9 (31.7, 84.7) | 93 (2, 132) | 4 |
|
|
| Craig County 2 | Urban | 53.0 (31.3, 86.7) | 92 (1, 132) | 4 |
stable 
|
-1.8 (-6.1, 2.9) |
| Bland County 2 | Rural | 38.1 (23.7, 61.5) | 124 (28, 132) | 4 |
stable
|
-2.9 (-7.5, 1.5) |
| Falls Church City 2 | Urban | 27.3 (17.2, 41.5) | 130 (105, 132) | 5 |
stable
|
-4.1 (-8.5, 0.2) |
| Emporia City 2 | Rural | 57.9 (36.8, 88.2) | 69 (2, 132) | 5 |
stable
|
-1.3 (-4.6, 1.9) |
| Rappahannock County 2 | Urban | 41.9 (27.8, 63.3) | 117 (26, 132) | 6 |
stable
|
-2.2 (-5.5, 1.4) |
| Franklin City 2 | Rural | 51.0 (34.7, 73.6) | 102 (9, 132) | 6 |
stable
|
-1.0 (-3.8, 1.6) |
| Manassas Park City 2 | Urban | 51.4 (34.5, 73.3) | 99 (6, 132) | 6 |
stable
|
-3.3 (-8.1, 2.2) |
| Radford City 2 | Urban | 55.0 (37.4, 78.0) | 83 (5, 131) | 7 |
stable
|
-2.2 (-5.1, 0.4) |
| Surry County 2 | Urban | 52.7 (36.0, 77.4) | 96 (6, 132) | 7 |
stable
|
-3.4 (-8.6, 8.6) |
| Williamsburg City 2 | Urban | 40.5 (27.0, 59.1) | 121 (36, 132) | 7 |
stable
|
-2.2 (-6.0, 1.8) |
| Covington City 2 | Rural | 78.0 (53.5, 111.5) | 16 (1, 124) | 7 |
stable
|
-2.9 (-18.9, 1.7) |
| Bath County 2 | Rural | 83.9 (57.6, 123.0) | 9 (1, 119) | 7 |
stable
|
-24.8 (-50.7, 5.5) |
| Greensville County 2 | Rural | 47.4 (32.7, 67.2) | 111 (17, 132) | 7 |
stable
|
-1.5 (-5.4, 2.5) |
| Charles City County 2 | Urban | 59.1 (41.7, 84.5) | 62 (4, 128) | 8 |
stable
|
-0.5 (-3.9, 3.4) |
| Cumberland County 2 | Rural | 51.0 (36.3, 70.8) | 103 (15, 131) | 9 |
stable
|
-2.6 (-6.2, 1.0) |
| Galax City 2 | Rural | 99.1 (70.9, 135.4) | 2 (1, 87) | 9 |
stable
|
2.6 (-0.8, 6.4) |
| King and Queen County 2 | Urban | 82.7 (59.5, 114.0) | 10 (1, 114) | 9 |
stable
|
-1.6 (-4.9, 1.9) |
| Buena Vista City 2 | Rural | 100.7 (74.3, 134.8) | 1 (1, 78) | 10 |
|
|
| Poquoson City 2 | Urban | 54.4 (40.1, 72.9) | 88 (10, 129) | 10 |
stable
|
0.4 (-3.3, 5.0) |
| Richmond County 2 | Rural | 69.0 (51.1, 92.5) | 34 (2, 121) | 10 |
stable
|
0.5 (-2.8, 4.2) |
| Mathews County 2 | Urban | 54.9 (40.0, 76.2) | 84 (10, 129) | 10 |
stable
|
-1.8 (-4.3, 0.7) |
| Fairfax City 2 | Urban | 40.7 (30.6, 53.3) | 119 (55, 132) | 11 |
stable
|
-0.6 (-3.4, 2.0) |
| Essex County 2 | Rural | 65.9 (49.3, 87.4) | 42 (2, 119) | 12 |
stable
|
-0.7 (-3.3, 1.9) |
| Martinsville City 2 | Rural | 60.9 (45.9, 79.8) | 55 (6, 126) | 12 |
stable
|
-0.5 (-3.8, 2.6) |
| Clarke County 2 | Urban | 46.0 (34.9, 60.5) | 114 (39, 131) | 12 |
stable
|
-2.0 (-5.1, 1.1) |
| Bristol City 2 | Urban | 44.6 (34.1, 58.0) | 115 (43, 130) | 12 |
falling
|
-5.0 (-9.4, -1.8) |
| Manassas City 2 | Urban | 40.1 (30.3, 51.8) | 122 (63, 132) | 13 |
falling
|
-3.4 (-6.1, -0.8) |
| Madison County 2 | Rural | 58.3 (44.9, 75.3) | 65 (10, 124) | 13 |
stable
|
0.7 (-1.4, 3.0) |
| Charlotte County 2 | Rural | 68.4 (52.8, 88.2) | 35 (2, 114) | 14 |
stable
|
0.2 (-2.5, 3.2) |
| Harrisonburg City 2 | Urban | 34.9 (27.0, 44.4) | 127 (99, 132) | 14 |
falling
|
-6.8 (-21.9, -3.0) |
| Appomattox County 2 | Urban | 56.9 (44.5, 72.3) | 75 (13, 125) | 15 |
falling
|
-2.5 (-7.6, -0.8) |
| Northampton County 2 | Rural | 66.3 (50.4, 86.5) | 41 (3, 119) | 15 |
falling
|
-3.2 (-5.6, -1.0) |
| Sussex County 2 | Urban | 96.5 (75.4, 122.6) | 3 (1, 48) | 15 |
stable
|
-14.2 (-28.9, 2.6) |
| Dickenson County 2 | Rural | 63.1 (49.2, 80.5) | 50 (5, 120) | 15 |
falling
|
-2.9 (-5.8, -0.3) |
| Floyd County 2 | Urban | 57.7 (44.8, 73.8) | 70 (10, 124) | 15 |
stable
|
0.6 (-1.4, 2.8) |
| Buchanan County 2 | Rural | 46.9 (36.9, 59.5) | 113 (32, 129) | 16 |
falling
|
-3.2 (-5.1, -1.5) |
| Greene County 2 | Urban | 54.8 (43.2, 69.0) | 85 (16, 124) | 16 |
stable
|
-1.9 (-3.9, 0.4) |
| Lunenburg County 2 | Rural | 80.9 (63.6, 102.2) | 13 (1, 87) | 16 |
stable
|
0.9 (-1.8, 3.8) |
| Fredericksburg City 2 | Urban | 64.6 (51.0, 80.6) | 46 (5, 116) | 16 |
stable
|
-0.8 (-3.7, 2.4) |
| Nottoway County 2 | Rural | 72.5 (57.4, 90.8) | 24 (2, 108) | 16 |
stable
|
-1.4 (-3.6, 0.8) |
| Southampton County 2 | Rural | 53.5 (42.3, 67.5) | 90 (23, 125) | 16 |
stable
|
-1.8 (-5.0, 1.5) |
| Charlottesville City 2 | Urban | 36.6 (29.1, 45.6) | 125 (97, 132) | 17 |
falling
|
-16.9 (-35.1, -2.9) |
| Brunswick County 2 | Rural | 65.1 (51.8, 81.4) | 45 (5, 117) | 18 |
stable
|
0.0 (-2.4, 2.6) |
| Middlesex County 2 | Rural | 70.4 (55.6, 89.9) | 28 (2, 111) | 18 |
falling
|
-2.2 (-5.7, -0.1) |
| Grayson County 2 | Rural | 62.3 (49.8, 77.9) | 51 (8, 117) | 18 |
falling
|
-1.8 (-3.1, -0.5) |
| Buckingham County 2 | Rural | 71.4 (57.2, 88.7) | 25 (2, 111) | 18 |
stable
|
-0.2 (-2.8, 2.7) |
| Nelson County 2 | Urban | 60.8 (48.4, 76.4) | 56 (8, 119) | 18 |
stable
|
-2.1 (-4.4, 0.3) |
| Colonial Heights City 2 | Urban | 69.1 (55.6, 85.2) | 33 (4, 110) | 18 |
stable
|
0.4 (-1.9, 2.7) |
| Patrick County 2 | Rural | 53.5 (42.8, 66.9) | 91 (23, 125) | 18 |
stable
|
-0.3 (-3.1, 2.6) |
| King William County 2 | Urban | 77.4 (62.2, 95.5) | 20 (1, 96) | 19 |
stable
|
-0.7 (-4.8, 4.0) |
| Northumberland County 2 | Rural | 66.6 (52.9, 84.9) | 38 (3, 113) | 19 |
stable
|
-0.3 (-4.1, 3.6) |
| Giles County 2 | Urban | 69.2 (56.0, 85.1) | 32 (3, 108) | 20 |
falling
|
-13.7 (-25.7, -1.0) |
| Amelia County 2 | Urban | 90.0 (72.8, 110.8) | 4 (1, 65) | 20 |
stable
|
-0.4 (-2.0, 1.4) |
| Scott County 2 | Urban | 52.3 (42.3, 64.6) | 98 (30, 124) | 20 |
falling
|
-4.0 (-6.8, -1.7) |
| Lancaster County 2 | Rural | 84.7 (66.2, 108.5) | 7 (1, 84) | 20 |
rising 
|
1.9 (0.2, 3.7) |
| Winchester City 2 | Urban | 58.2 (47.4, 70.8) | 67 (16, 120) | 21 |
falling
|
-2.1 (-3.9, -0.3) |
| Salem City 2 | Urban | 58.2 (47.5, 70.9) | 66 (16, 121) | 21 |
stable
|
-1.4 (-3.3, 0.4) |
| Alleghany County and Clifton Forge City 2 | Rural | 77.6 (63.2, 95.1) | 19 (1, 89) | 21 |
stable
|
-1.2 (-3.5, 1.0) |
| Prince Edward County 2 | Rural | 85.2 (69.5, 103.7) | 6 (1, 66) | 22 |
stable
|
0.0 (-2.3, 2.4) |
| Goochland County 2 | Urban | 50.7 (41.4, 62.0) | 104 (35, 124) | 22 |
stable
|
-2.3 (-4.6, 0.3) |
| King George County 2 | Rural | 78.8 (64.7, 95.0) | 14 (1, 83) | 23 |
stable
|
0.0 (-3.6, 4.2) |
| Fluvanna County 2 | Urban | 55.5 (45.7, 67.2) | 81 (22, 121) | 23 |
stable
|
-1.2 (-4.0, 1.8) |
| Hopewell City 2 | Urban | 84.4 (69.8, 101.4) | 8 (1, 62) | 24 |
stable
|
-1.5 (-3.1, 0.0) |
| Waynesboro City 2 | Urban | 77.6 (64.2, 93.4) | 18 (1, 80) | 24 |
stable
|
-0.4 (-2.3, 1.6) |
| Rockbridge County 2 | Rural | 58.0 (47.5, 70.7) | 68 (16, 117) | 24 |
rising
|
3.8 (0.9, 10.8) |
| Lee County 2 | Rural | 65.2 (54.1, 78.6) | 43 (8, 110) | 25 |
falling
|
-3.8 (-5.6, -2.2) |
| Westmoreland County 2 | Rural | 70.2 (57.9, 85.0) | 30 (4, 102) | 25 |
stable
|
-1.4 (-3.5, 0.7) |
| Staunton City 2 | Urban | 62.1 (51.7, 74.4) | 52 (11, 112) | 25 |
stable
|
-0.8 (-2.9, 1.4) |
| New Kent County 2 | Urban | 81.7 (67.2, 98.6) | 12 (1, 73) | 26 |
stable
|
-1.6 (-4.0, 1.3) |
| Russell County 2 | Rural | 59.0 (49.1, 70.8) | 63 (15, 118) | 26 |
falling
|
-2.9 (-4.8, -1.2) |
| Page County 2 | Rural | 66.4 (55.3, 79.4) | 39 (7, 108) | 26 |
stable
|
-0.8 (-2.7, 1.1) |
| Powhatan County 2 | Urban | 57.1 (47.4, 68.5) | 73 (20, 117) | 26 |
stable
|
-1.7 (-3.6, 0.4) |
| Wythe County 2 | Rural | 66.3 (56.0, 78.3) | 40 (9, 106) | 31 |
stable
|
-0.2 (-1.6, 1.2) |
| Accomack County 2 | Rural | 49.5 (41.9, 58.4) | 107 (46, 125) | 31 |
falling
|
-3.6 (-5.1, -2.2) |
| Halifax County with South Boston City 2 | Rural | 52.7 (44.3, 62.5) | 95 (31, 122) | 31 |
stable
|
-1.3 (-2.7, 0.2) |
| Isle of Wight County 2 | Urban | 51.0 (43.1, 60.2) | 100 (42, 123) | 31 |
falling
|
-2.4 (-4.0, -0.6) |
| Carroll County 2 | Rural | 56.4 (47.8, 66.6) | 77 (24, 117) | 32 |
stable
|
-0.3 (-2.3, 1.8) |
| Caroline County 2 | Rural | 77.7 (66.0, 91.2) | 17 (2, 67) | 32 |
stable
|
-0.8 (-3.2, 1.8) |
| Petersburg City 2 | Urban | 71.4 (60.5, 83.8) | 26 (4, 84) | 33 |
falling
|
-2.0 (-3.4, -0.6) |
| Shenandoah County 2 | Rural | 47.2 (40.1, 55.5) | 112 (58, 126) | 33 |
stable
|
-1.3 (-3.0, 0.5) |
| Amherst County 2 | Urban | 65.2 (55.4, 76.6) | 44 (9, 103) | 33 |
falling
|
-2.2 (-4.1, -0.3) |
| Culpeper County 2 | Urban | 50.1 (42.7, 58.6) | 106 (48, 124) | 33 |
falling
|
-2.4 (-4.4, -0.4) |
| Prince George County 2 | Urban | 78.3 (66.7, 91.5) | 15 (1, 68) | 33 |
stable
|
-0.6 (-2.4, 1.4) |
| Botetourt County 2 | Urban | 59.7 (50.7, 70.2) | 59 (18, 113) | 34 |
stable
|
0.5 (-0.9, 2.1) |
| Dinwiddie County 2 | Urban | 87.5 (74.4, 102.4) | 5 (1, 44) | 35 |
stable
|
-0.3 (-2.8, 2.6) |
| Smyth County 2 | Rural | 70.6 (60.5, 82.4) | 27 (5, 88) | 36 |
falling
|
-3.1 (-6.3, -1.6) |
| Pulaski County 2 | Urban | 64.5 (55.1, 75.2) | 47 (10, 106) | 36 |
stable
|
-6.9 (-14.1, 0.2) |
| Tazewell County 2 | Rural | 56.3 (48.1, 65.7) | 79 (25, 118) | 37 |
falling
|
-2.0 (-3.7, -0.5) |
| Warren County 2 | Urban | 66.8 (57.3, 77.6) | 37 (9, 95) | 37 |
stable
|
-0.6 (-2.7, 1.7) |
| Louisa County 2 | Rural | 61.3 (52.5, 71.4) | 53 (17, 109) | 37 |
stable
|
-1.7 (-3.5, 0.2) |
| Orange County 2 | Rural | 70.2 (60.5, 81.2) | 29 (7, 89) | 39 |
stable
|
0.1 (-2.2, 2.5) |
| Montgomery County 2 | Urban | 39.8 (34.3, 45.8) | 123 (99, 129) | 40 |
falling
|
-2.1 (-3.8, -0.5) |
| Wise County 2 | Rural | 75.7 (65.3, 87.4) | 22 (2, 66) | 40 |
falling
|
-3.1 (-4.9, -1.7) |
| Fauquier County 2 | Urban | 40.7 (35.2, 46.9) | 120 (98, 128) | 41 |
falling
|
-9.0 (-15.3, -3.2) |
| Gloucester County 2 | Urban | 67.1 (57.9, 77.6) | 36 (9, 96) | 41 |
falling
|
-5.1 (-19.4, -0.7) |
| Danville City 2 | Rural | 63.1 (54.5, 72.9) | 49 (14, 106) | 41 |
falling
|
-1.7 (-3.3, -0.3) |
| York County 2 | Urban | 47.5 (41.3, 54.4) | 110 (63, 124) | 43 |
falling
|
-1.9 (-3.6, -0.1) |
| Mecklenburg County 2 | Rural | 73.7 (63.9, 84.9) | 23 (4, 68) | 44 |
stable
|
0.5 (-0.6, 1.7) |
| Alexandria City 2 | Urban | 29.5 (25.7, 33.8) | 129 (122, 132) | 45 |
falling
|
-3.1 (-4.2, -2.1) |
| Washington County 2 | Urban | 54.0 (47.3, 61.6) | 89 (40, 118) | 50 |
falling
|
-2.4 (-3.4, -1.4) |
| Campbell County 2 | Urban | 59.5 (52.3, 67.7) | 60 (26, 109) | 51 |
falling
|
-2.3 (-3.9, -0.8) |
| Henry County 2 | Rural | 55.5 (48.7, 63.2) | 82 (35, 116) | 51 |
falling
|
-1.3 (-2.5, -0.1) |
| Lynchburg City 2 | Urban | 60.1 (52.9, 68.2) | 58 (23, 105) | 51 |
falling
|
-1.5 (-3.1, -0.1) |
| Pittsylvania County 2 | Rural | 50.7 (44.5, 57.7) | 105 (51, 120) | 52 |
falling
|
-2.0 (-3.5, -0.6) |
| Arlington County 2 | Urban | 25.9 (22.8, 29.2) | 132 (127, 132) | 54 |
falling
|
-3.8 (-7.3, -2.6) |
| Franklin County 2 | Urban | 57.3 (50.4, 65.0) | 72 (31, 111) | 55 |
stable
|
0.1 (-1.6, 2.0) |
| Albemarle County 2 | Urban | 36.5 (32.4, 41.1) | 126 (112, 129) | 59 |
falling
|
-3.3 (-4.5, -2.1) |
| Rockingham County 2 | Urban | 49.3 (43.9, 55.3) | 108 (64, 120) | 62 |
stable
|
-0.2 (-1.5, 1.3) |
| James City County 2 | Urban | 42.6 (37.9, 47.9) | 116 (93, 127) | 62 |
stable
|
-0.9 (-2.3, 0.7) |
| Frederick County 2 | Urban | 48.6 (43.3, 54.5) | 109 (66, 121) | 63 |
falling
|
-2.5 (-3.9, -1.1) |
| Suffolk City 2 | Urban | 56.7 (50.6, 63.5) | 76 (35, 109) | 65 |
stable
|
-1.5 (-2.9, 0.1) |
| Portsmouth City 2 | Urban | 63.6 (57.1, 70.7) | 48 (20, 92) | 73 |
stable
|
-1.1 (-2.3, 0.1) |
| Augusta County 2 | Urban | 61.2 (55.2, 67.8) | 54 (24, 98) | 78 |
stable
|
-1.3 (-2.6, 0.2) |
| Stafford County 2 | Urban | 54.8 (49.3, 60.8) | 86 (45, 112) | 79 |
falling
|
-5.2 (-9.4, -3.3) |
| Bedford City and County 2 | Urban | 59.0 (53.2, 65.4) | 64 (32, 103) | 80 |
stable
|
-0.9 (-2.2, 0.3) |
| Roanoke County 2 | Urban | 52.8 (47.7, 58.4) | 94 (54, 114) | 82 |
stable
|
-0.7 (-2.1, 0.7) |
| Hanover County 2 | Urban | 52.5 (47.5, 58.0) | 97 (52, 115) | 82 |
falling
|
-1.9 (-3.3, -0.3) |
| Spotsylvania County 2 | Urban | 59.3 (54.0, 65.0) | 61 (33, 100) | 97 |
falling
|
-1.4 (-2.6, -0.1) |
| Hampton City 2 | Urban | 57.6 (52.5, 63.1) | 71 (38, 103) | 100 |
falling
|
-1.9 (-2.8, -1.0) |
| Roanoke City 2 | Urban | 76.7 (70.0, 84.0) | 21 (5, 46) | 100 |
falling
|
-2.0 (-4.0, -1.2) |
| Newport News City 2 | Urban | 54.6 (50.1, 59.5) | 87 (47, 108) | 110 |
falling
|
-1.9 (-2.8, -1.0) |
| Loudoun County 2 | Urban | 32.2 (29.5, 35.0) | 128 (121, 130) | 114 |
falling
|
-2.8 (-3.9, -1.6) |
| Richmond City 2 | Urban | 60.4 (55.9, 65.2) | 57 (33, 90) | 147 |
falling
|
-2.9 (-9.1, -2.1) |
| Chesapeake City 2 | Urban | 56.0 (52.0, 60.2) | 80 (47, 103) | 157 |
falling
|
-1.9 (-2.7, -1.1) |
| Norfolk City 2 | Urban | 69.3 (64.4, 74.3) | 31 (14, 59) | 164 |
stable
|
-0.5 (-1.2, 0.2) |
| Prince William County 2 | Urban | 41.3 (38.4, 44.3) | 118 (107, 125) | 172 |
falling
|
-2.6 (-3.6, -1.5) |
| Chesterfield County 2 | Urban | 51.0 (48.0, 54.2) | 101 (72, 112) | 224 |
falling
|
-2.3 (-3.1, -1.4) |
| Henrico County 2 | Urban | 56.3 (53.1, 59.7) | 78 (52, 99) | 235 |
falling
|
-1.2 (-1.8, -0.6) |
| Virginia Beach City 2 | Urban | 56.9 (54.1, 59.9) | 74 (51, 95) | 306 |
falling
|
-1.5 (-2.5, -0.6) |
| Fairfax County 2 | Urban | 26.9 (25.6, 28.3) | 131 (127, 132) | 342 |
falling
|
-3.4 (-3.9, -2.9) |
| Norton City 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 4:46 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.