Incidence Rates Table
Incidence Rate Report for Virginia by County
Lung & Bronchus (Late Stage^), 2018-2022
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
County
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2023 Rural-Urban Continuum Codes Φ
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Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval) 
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CI*Rank ⋔ (95% Confidence Interval)
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Average Annual Count
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Percent of Cases with Late Stage
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|---|---|---|---|---|---|
| Virginia 2 | N/A | 32.1 (31.6, 32.6) | N/A | 3,493 | 63.4 |
| US (SEER+NPCR) 1 | N/A | 33.6 (33.6, 33.7) | N/A | 143,218 | 64.3 |
| Arlington County 2 | Urban | 16.4 (14.0, 19.0) | 127 (119, 127) | 35 | 64.7 |
| Fairfax County 2 | Urban | 17.5 (16.4, 18.5) | 126 (120, 127) | 225 | 66.0 |
| Buchanan County 2 | Rural | 18.4 (12.5, 26.7) | 125 (99, 127) | 7 | 41.8 |
| Alexandria City 2 | Urban | 19.1 (16.0, 22.5) | 124 (114, 127) | 29 | 65.0 |
| Albemarle County 2 | Urban | 19.7 (16.7, 23.1) | 123 (111, 127) | 32 | 53.2 |
| Loudoun County 2 | Urban | 21.0 (18.9, 23.3) | 122 (113, 126) | 75 | 66.1 |
| Williamsburg City 2 | Urban | 21.1 (11.9, 35.5) | 121 (39, 127) | 4 | 54.5 |
| Bristol City 2 | Urban | 22.3 (14.9, 32.7) | 120 (61, 127) | 6 | 48.4 |
| Manassas City 2 | Urban | 23.1 (16.0, 32.0) | 119 (65, 127) | 8 | 60.9 |
| Scott County 2 | Urban | 23.4 (16.7, 32.4) | 118 (63, 127) | 9 | 43.6 |
| Charlottesville City 2 | Urban | 23.8 (17.8, 31.2) | 117 (74, 127) | 11 | 65.1 |
| Harrisonburg City 2 | Urban | 24.0 (17.6, 32.0) | 116 (60, 127) | 10 | 69.6 |
| Montgomery County 2 | Urban | 25.8 (21.5, 30.8) | 115 (80, 124) | 26 | 66.2 |
| Fauquier County 2 | Urban | 26.7 (22.3, 31.8) | 114 (76, 123) | 27 | 67.0 |
| James City County 2 | Urban | 26.8 (23.0, 31.3) | 113 (79, 121) | 38 | 61.5 |
| Clarke County 2 | Urban | 27.0 (18.7, 38.8) | 112 (37, 127) | 7 | 59.3 |
| Prince William County 2 | Urban | 27.1 (24.8, 29.5) | 111 (92, 120) | 115 | 67.2 |
| Fairfax City 2 | Urban | 27.8 (19.4, 38.6) | 110 (35, 127) | 7 | 66.1 |
| Frederick County 2 | Urban | 28.2 (24.2, 32.8) | 109 (69, 120) | 37 | 58.2 |
| Shenandoah County 2 | Rural | 28.3 (22.7, 35.1) | 108 (49, 123) | 19 | 57.7 |
| Tazewell County 2 | Rural | 28.4 (22.6, 35.4) | 107 (53, 124) | 18 | 49.5 |
| Rappahannock County 2 | Urban | 28.7 (17.1, 48.1) | 106 (13, 127) | 4 | 67.7 |
| Russell County 2 | Rural | 29.5 (22.8, 38.1) | 105 (36, 125) | 14 | 51.9 |
| Isle of Wight County 2 | Urban | 29.9 (24.0, 37.1) | 104 (45, 122) | 18 | 59.4 |
| Washington County 2 | Urban | 30.3 (25.3, 36.1) | 103 (47, 119) | 28 | 56.0 |
| Accomack County 2 | Rural | 30.5 (24.5, 37.8) | 102 (41, 121) | 19 | 61.9 |
| Culpeper County 2 | Urban | 30.5 (24.7, 37.4) | 101 (41, 121) | 20 | 59.9 |
| Rockingham County 2 | Urban | 31.0 (26.7, 35.8) | 100 (52, 117) | 39 | 62.8 |
| Chesterfield County 2 | Urban | 31.5 (29.2, 34.1) | 99 (67, 109) | 139 | 62.0 |
| Greene County 2 | Urban | 32.0 (23.3, 43.3) | 98 (19, 125) | 9 | 58.8 |
| York County 2 | Urban | 32.4 (27.3, 38.2) | 97 (41, 117) | 30 | 68.7 |
| Greensville County 2 | Rural | 32.9 (21.3, 49.6) | 96 (8, 127) | 5 | 74.3 |
| Stafford County 2 | Urban | 33.0 (28.9, 37.7) | 95 (46, 112) | 49 | 61.8 |
| Mathews County 2 | Urban | 33.2 (22.3, 50.7) | 94 (10, 127) | 7 | 63.5 |
| Fluvanna County 2 | Urban | 33.3 (25.8, 42.8) | 93 (22, 120) | 14 | 59.0 |
| Nelson County 2 | Urban | 33.4 (24.2, 46.1) | 92 (12, 124) | 10 | 53.3 |
| Powhatan County 2 | Urban | 33.6 (26.4, 42.5) | 91 (21, 119) | 16 | 61.4 |
| Roanoke County 2 | Urban | 33.6 (29.6, 38.2) | 90 (44, 111) | 52 | 63.4 |
| Cumberland County 2 | Rural | 33.7 (21.8, 51.1) | 89 (7, 127) | 6 | 65.1 |
| Patrick County 2 | Rural | 33.8 (25.2, 45.2) | 88 (16, 123) | 11 | 60.9 |
| Chesapeake City 2 | Urban | 33.8 (30.7, 37.1) | 87 (49, 106) | 97 | 61.7 |
| Staunton City 2 | Urban | 34.2 (26.6, 43.6) | 86 (21, 120) | 14 | 55.9 |
| Salem City 2 | Urban | 34.2 (26.0, 44.5) | 85 (21, 120) | 12 | 57.5 |
| Goochland County 2 | Urban | 34.2 (26.7, 43.8) | 84 (20, 120) | 15 | 67.6 |
| Spotsylvania County 2 | Urban | 34.3 (30.3, 38.7) | 83 (41, 107) | 56 | 58.0 |
| Pittsylvania County 2 | Rural | 34.4 (29.2, 40.4) | 82 (33, 112) | 35 | 67.2 |
| Lee County 2 | Rural | 34.6 (26.6, 44.7) | 81 (18, 120) | 13 | 53.2 |
| Suffolk City 2 | Urban | 34.6 (29.9, 39.9) | 80 (35, 112) | 40 | 61.6 |
| Hanover County 2 | Urban | 34.7 (30.6, 39.3) | 79 (39, 108) | 54 | 65.9 |
| Poquoson City 2 | Urban | 34.8 (23.5, 50.4) | 78 (8, 127) | 6 | 63.3 |
| Carroll County 2 | Rural | 35.2 (28.5, 43.6) | 77 (23, 116) | 20 | 62.7 |
| Newport News City 2 | Urban | 35.3 (31.7, 39.3) | 76 (42, 104) | 71 | 64.9 |
| Henrico County 2 | Urban | 35.5 (33.0, 38.2) | 75 (47, 97) | 149 | 63.3 |
| Manassas Park City 2 | Urban | 35.5 (21.5, 54.7) | 74 (3, 127) | 4 | 65.6 |
| Martinsville City 2 | Rural | 35.6 (24.4, 50.7) | 73 (7, 126) | 7 | 58.6 |
| Dickenson County 2 | Rural | 35.8 (25.6, 49.7) | 72 (11, 123) | 9 | 57.3 |
| Louisa County 2 | Rural | 35.9 (29.3, 43.9) | 71 (21, 114) | 22 | 59.9 |
| Hampton City 2 | Urban | 36.0 (32.1, 40.4) | 70 (37, 104) | 63 | 63.4 |
| Virginia Beach City 2 | Urban | 36.1 (33.9, 38.5) | 69 (46, 92) | 195 | 63.7 |
| Winchester City 2 | Urban | 36.2 (27.8, 46.5) | 68 (13, 119) | 13 | 61.9 |
| Augusta County 2 | Urban | 36.6 (32.0, 41.9) | 67 (30, 105) | 46 | 59.2 |
| Henry County 2 | Rural | 37.0 (31.4, 43.6) | 66 (24, 108) | 33 | 65.4 |
| Richmond City 2 | Urban | 37.1 (33.6, 40.9) | 65 (33, 95) | 92 | 62.2 |
| Richmond County 2 | Rural | 37.3 (24.5, 56.0) | 64 (4, 126) | 5 | 54.0 |
| Halifax County with South Boston City 2 | Rural | 37.3 (30.2, 45.9) | 63 (17, 112) | 22 | 69.7 |
| Charles City County 2 | Urban | 37.6 (23.8, 59.8) | 62 (3, 127) | 5 | 61.5 |
| Madison County 2 | Rural | 38.1 (27.3, 52.6) | 61 (6, 121) | 9 | 64.2 |
| Orange County 2 | Rural | 38.3 (31.2, 46.8) | 60 (15, 112) | 21 | 54.4 |
| Appomattox County 2 | Urban | 38.5 (28.3, 51.7) | 59 (6, 120) | 10 | 66.2 |
| Rockbridge County 2 | Rural | 38.6 (29.8, 49.7) | 58 (7, 117) | 16 | 63.9 |
| Warren County 2 | Urban | 38.8 (31.7, 47.2) | 57 (12, 111) | 22 | 58.9 |
| Gloucester County 2 | Urban | 38.9 (32.0, 47.1) | 56 (14, 109) | 24 | 59.1 |
| Floyd County 2 | Urban | 39.0 (28.4, 53.1) | 55 (5, 119) | 10 | 66.7 |
| Emporia City 2 | Rural | 39.1 (22.2, 65.6) | 54 (1, 127) | 3 | 66.7 |
| Franklin County 2 | Urban | 39.3 (33.6, 46.0) | 53 (18, 101) | 37 | 66.9 |
| Surry County 2 | Urban | 39.4 (25.0, 62.1) | 52 (2, 127) | 5 | 72.7 |
| Bedford City and County 2 | Urban | 39.4 (34.7, 44.7) | 51 (23, 94) | 54 | 66.9 |
| Essex County 2 | Rural | 39.8 (27.4, 57.2) | 50 (3, 123) | 7 | 62.1 |
| Campbell County 2 | Urban | 40.4 (34.4, 47.3) | 49 (15, 99) | 34 | 67.3 |
| Southampton County 2 | Rural | 40.5 (30.7, 53.0) | 48 (7, 115) | 12 | 75.3 |
| Radford City 2 | Urban | 40.5 (25.6, 61.1) | 47 (1, 127) | 5 | 72.7 |
| Northumberland County 2 | Rural | 40.7 (30.1, 56.1) | 46 (4, 117) | 12 | 60.8 |
| Portsmouth City 2 | Urban | 41.1 (35.9, 46.8) | 45 (17, 89) | 48 | 66.0 |
| Grayson County 2 | Rural | 41.3 (31.2, 54.7) | 44 (5, 115) | 12 | 65.2 |
| Fredericksburg City 2 | Urban | 41.6 (30.9, 54.8) | 43 (4, 117) | 10 | 64.2 |
| Page County 2 | Rural | 42.0 (33.3, 52.8) | 42 (7, 108) | 17 | 62.9 |
| Wythe County 2 | Rural | 42.0 (33.9, 51.9) | 41 (7, 104) | 20 | 63.6 |
| Brunswick County 2 | Rural | 42.1 (31.9, 55.4) | 40 (4, 114) | 12 | 67.0 |
| Botetourt County 2 | Urban | 42.4 (34.9, 51.4) | 39 (8, 100) | 24 | 70.6 |
| Lynchburg City 2 | Urban | 42.6 (36.5, 49.5) | 38 (10, 94) | 36 | 70.0 |
| Pulaski County 2 | Urban | 42.7 (35.1, 51.8) | 37 (7, 102) | 24 | 65.6 |
| Smyth County 2 | Rural | 42.7 (34.8, 52.2) | 36 (8, 103) | 21 | 59.6 |
| Giles County 2 | Urban | 42.9 (32.8, 55.9) | 35 (5, 110) | 12 | 63.3 |
| Franklin City 2 | Rural | 43.1 (28.2, 64.3) | 34 (1, 122) | 5 | 84.4 |
| Wise County 2 | Rural | 43.2 (35.5, 52.4) | 33 (7, 99) | 23 | 57.2 |
| Lunenburg County 2 | Rural | 43.7 (31.1, 60.5) | 32 (3, 118) | 8 | 52.5 |
| Petersburg City 2 | Urban | 44.5 (35.9, 54.6) | 31 (5, 98) | 20 | 62.0 |
| Danville City 2 | Rural | 44.9 (37.6, 53.2) | 30 (8, 88) | 29 | 71.2 |
| Norfolk City 2 | Urban | 44.9 (41.0, 49.0) | 29 (13, 61) | 107 | 64.8 |
| Colonial Heights City 2 | Urban | 46.0 (35.1, 59.6) | 28 (2, 104) | 12 | 66.3 |
| Caroline County 2 | Rural | 46.1 (37.1, 56.7) | 27 (4, 95) | 19 | 59.9 |
| Middlesex County 2 | Rural | 46.2 (34.2, 63.1) | 26 (1, 109) | 12 | 65.9 |
| Nottoway County 2 | Rural | 46.5 (34.4, 61.8) | 25 (2, 108) | 10 | 63.0 |
| Amherst County 2 | Urban | 46.7 (38.3, 56.6) | 24 (4, 90) | 23 | 70.1 |
| Mecklenburg County 2 | Rural | 47.0 (39.3, 56.2) | 23 (5, 82) | 28 | 64.2 |
| Westmoreland County 2 | Rural | 47.6 (37.5, 60.4) | 22 (2, 94) | 17 | 67.7 |
| King George County 2 | Rural | 47.6 (36.8, 60.7) | 21 (2, 103) | 14 | 60.3 |
| Buckingham County 2 | Rural | 48.2 (36.6, 62.8) | 20 (1, 104) | 12 | 67.8 |
| Waynesboro City 2 | Urban | 49.5 (38.8, 62.6) | 19 (2, 89) | 15 | 62.5 |
| King William County 2 | Urban | 49.9 (38.2, 64.4) | 18 (1, 101) | 13 | 67.4 |
| Covington City 2 | Rural | 50.3 (30.7, 79.3) | 17 (1, 123) | 4 | 61.8 |
| Alleghany County and Clifton Forge City 2 | Rural | 51.4 (39.6, 66.6) | 16 (1, 97) | 14 | 64.5 |
| Roanoke City 2 | Urban | 51.5 (46.0, 57.5) | 15 (4, 42) | 68 | 67.5 |
| Charlotte County 2 | Rural | 52.2 (38.7, 69.9) | 14 (1, 99) | 10 | 76.5 |
| Northampton County 2 | Rural | 52.4 (37.9, 71.5) | 13 (1, 104) | 11 | 74.3 |
| Lancaster County 2 | Rural | 52.5 (38.2, 72.3) | 12 (1, 100) | 12 | 60.8 |
| Prince George County 2 | Urban | 53.0 (43.5, 64.0) | 11 (1, 58) | 23 | 67.7 |
| Amelia County 2 | Urban | 53.0 (40.1, 69.7) | 10 (1, 93) | 12 | 59.6 |
| New Kent County 2 | Urban | 55.4 (43.8, 69.3) | 9 (1, 73) | 18 | 69.8 |
| Prince Edward County 2 | Rural | 55.8 (43.2, 71.2) | 8 (1, 80) | 14 | 66.1 |
| King and Queen County 2 | Urban | 56.8 (38.2, 83.4) | 7 (1, 112) | 6 | 68.1 |
| Hopewell City 2 | Urban | 58.1 (46.0, 72.5) | 6 (1, 57) | 16 | 68.3 |
| Galax City 2 | Rural | 58.8 (37.8, 88.0) | 5 (1, 112) | 5 | 58.1 |
| Dinwiddie County 2 | Urban | 62.3 (51.3, 75.2) | 4 (1, 33) | 25 | 71.1 |
| Bath County 2 | Rural | 64.8 (41.5, 101.4) | 3 (1, 110) | 5 | 74.3 |
| Sussex County 2 | Urban | 65.6 (48.5, 87.7) | 2 (1, 64) | 10 | 68.9 |
| Buena Vista City 2 | Rural | 76.2 (53.5, 106.8) | 1 (1, 59) | 7 | 75.5 |
| Bland County 2 | Rural |
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| Craig County 2 | Urban |
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| Falls Church City 2 | Urban |
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| Highland County 2 | Rural |
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| Lexington City 2 | Rural |
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| Norton City 2 | Rural |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 4:38 pm.
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.
Rates are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.
^ Late Stage is defined as cases determined to be regional or distant. 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.