Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages <65
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 | 208.0 (206.6, 209.4) | N/A | 18,566 |
stable 
|
-0.2 (-0.6, 0.9) |
| US (SEER+NPCR) 1 | N/A | 223.5 (223.3, 223.8) | N/A | 753,674 |
falling 
|
-0.2 (-0.3, -0.1) |
| Highland County 2 | Rural | 226.8 (131.4, 370.8) | 62 (1, 133) | 6 |
stable
|
0.8 (-1.9, 3.2) |
| Norton City 2 | Rural | 197.9 (137.8, 277.0) | 106 (2, 133) | 8 |
stable
|
-2.2 (-5.5, 0.7) |
| Bath County 2 | Rural | 211.3 (150.8, 291.0) | 94 (2, 133) | 10 |
stable
|
1.1 (-2.6, 4.7) |
| Lexington City 2 | Rural | 238.7 (176.8, 315.7) | 38 (1, 133) | 11 |
stable
|
1.7 (-1.4, 5.3) |
| Craig County 2 | Urban | 257.1 (195.7, 333.9) | 22 (1, 130) | 15 |
stable
|
2.3 (-0.4, 5.1) |
| Emporia City 2 | Rural | 272.2 (211.4, 345.5) | 8 (1, 126) | 16 |
stable
|
-0.7 (-2.6, 1.3) |
| Buena Vista City 2 | Rural | 261.6 (204.8, 329.6) | 15 (1, 125) | 16 |
stable
|
2.2 (-0.9, 5.5) |
| Rappahannock County 2 | Urban | 227.5 (178.3, 287.6) | 60 (2, 133) | 19 |
stable
|
-1.5 (-4.0, 0.7) |
| Surry County 2 | Urban | 206.0 (159.2, 264.1) | 99 (5, 133) | 19 |
stable
|
0.4 (-2.1, 3.0) |
| Galax City 2 | Rural | 262.7 (209.5, 326.1) | 14 (1, 126) | 19 |
stable
|
0.7 (-1.9, 3.4) |
| Bland County 2 | Rural | 260.0 (209.4, 321.7) | 18 (1, 119) | 20 |
stable
|
1.1 (-1.9, 4.2) |
| Charles City County 2 | Urban | 214.8 (168.1, 272.8) | 86 (4, 133) | 20 |
stable
|
-0.1 (-3.0, 2.7) |
| Radford City 2 | Urban | 175.6 (141.1, 216.1) | 123 (37, 133) | 20 |
falling
|
-2.5 (-4.7, -0.4) |
| Covington City 2 | Rural | 324.3 (259.9, 400.6) | 2 (1, 73) | 20 |
rising 
|
5.4 (3.2, 8.0) |
| King and Queen County 2 | Urban | 258.9 (205.8, 323.1) | 19 (1, 123) | 20 |
stable
|
1.1 (-0.6, 2.9) |
| Richmond County 2 | Rural | 231.5 (188.5, 282.3) | 54 (3, 129) | 22 |
stable
|
0.0 (-2.2, 2.1) |
| Williamsburg City 2 | Urban | 212.9 (171.6, 261.3) | 88 (7, 132) | 22 |
stable
|
-1.3 (-2.7, 0.2) |
| Mathews County 2 | Urban | 261.3 (210.0, 322.7) | 16 (1, 118) | 23 |
stable
|
0.5 (-1.9, 2.8) |
| Franklin City 2 | Rural | 277.9 (227.3, 336.9) | 5 (1, 107) | 25 |
stable
|
1.0 (-0.8, 3.0) |
| Charlotte County 2 | Rural | 206.1 (168.3, 250.2) | 98 (10, 133) | 26 |
stable
|
0.2 (-1.9, 2.1) |
| Falls Church City 2 | Urban | 175.3 (146.1, 209.0) | 124 (52, 133) | 27 |
stable
|
-0.5 (-2.7, 1.8) |
| Bristol City 2 | Urban | 154.8 (128.6, 185.1) | 132 (94, 133) | 27 |
falling
|
-3.5 (-6.7, -0.8) |
| Cumberland County 2 | Rural | 240.2 (198.2, 289.4) | 35 (2, 124) | 27 |
stable
|
0.5 (-2.2, 3.4) |
| Manassas Park City 2 | Urban | 167.6 (140.9, 197.9) | 128 (82, 133) | 28 |
stable
|
-0.8 (-2.1, 0.8) |
| Middlesex County 2 | Rural | 224.4 (183.0, 273.6) | 68 (2, 131) | 28 |
stable
|
0.3 (-1.6, 2.1) |
| Poquoson City 2 | Urban | 219.3 (183.7, 260.5) | 81 (6, 130) | 29 |
stable
|
-0.6 (-2.4, 1.2) |
| Greensville County 2 | Rural | 227.5 (191.4, 269.3) | 61 (4, 130) | 29 |
stable
|
0.2 (-2.4, 2.8) |
| Dickenson County 2 | Rural | 184.1 (153.9, 219.3) | 113 (32, 133) | 30 |
falling
|
-2.1 (-4.0, -0.5) |
| Northumberland County 2 | Rural | 213.3 (174.1, 260.0) | 87 (6, 132) | 30 |
stable
|
0.1 (-2.1, 2.2) |
| Appomattox County 2 | Urban | 180.7 (152.4, 213.2) | 117 (51, 133) | 33 |
stable
|
-1.3 (-2.8, 0.0) |
| Clarke County 2 | Urban | 182.0 (152.6, 216.1) | 115 (42, 133) | 33 |
falling
|
-1.6 (-3.0, -0.3) |
| Sussex County 2 | Urban | 289.3 (245.6, 339.3) | 4 (1, 85) | 34 |
stable
|
1.5 (0.0, 3.2) |
| Lunenburg County 2 | Rural | 257.4 (217.9, 302.6) | 21 (2, 107) | 34 |
stable
|
0.7 (-1.2, 2.6) |
| Scott County 2 | Urban | 145.0 (122.7, 170.7) | 133 (110, 133) | 34 |
falling
|
-3.7 (-6.5, -1.4) |
| Essex County 2 | Rural | 298.1 (252.6, 350.3) | 3 (1, 82) | 37 |
stable
|
1.3 (-1.1, 3.8) |
| Lancaster County 2 | Rural | 326.7 (272.6, 389.4) | 1 (1, 48) | 37 |
rising
|
3.0 (0.6, 5.5) |
| Madison County 2 | Rural | 226.8 (192.4, 266.1) | 63 (6, 127) | 37 |
stable
|
-1.4 (-10.0, 0.5) |
| Amelia County 2 | Urban | 237.4 (201.3, 278.6) | 43 (3, 117) | 38 |
stable
|
-0.2 (-1.9, 1.5) |
| Northampton County 2 | Rural | 270.4 (227.5, 319.6) | 9 (1, 102) | 38 |
stable
|
0.0 (-1.8, 1.6) |
| Martinsville City 2 | Rural | 263.5 (225.3, 306.6) | 13 (1, 99) | 38 |
stable
|
-0.2 (-2.1, 1.7) |
| Nelson County 2 | Urban | 211.4 (179.2, 248.5) | 93 (10, 130) | 39 |
stable
|
-1.4 (-3.8, 0.8) |
| Patrick County 2 | Rural | 195.1 (166.3, 228.0) | 107 (27, 133) | 40 |
stable
|
0.6 (-1.7, 2.9) |
| Buchanan County 2 | Rural | 176.9 (151.8, 205.4) | 120 (60, 133) | 41 |
falling
|
-1.7 (-3.5, -0.3) |
| Alleghany County and Clifton Forge City 2 | Rural | 244.3 (209.1, 284.3) | 32 (2, 115) | 42 |
stable
|
0.1 (-1.6, 1.7) |
| Grayson County 2 | Rural | 238.5 (204.8, 276.7) | 41 (4, 115) | 42 |
stable
|
0.7 (-0.7, 2.1) |
| Floyd County 2 | Urban | 247.3 (212.5, 286.7) | 30 (3, 112) | 42 |
stable
|
0.7 (-0.9, 2.3) |
| Lee County 2 | Rural | 174.0 (150.4, 200.8) | 126 (76, 133) | 43 |
falling
|
-3.0 (-5.2, -1.3) |
| Giles County 2 | Urban | 234.3 (202.2, 270.5) | 51 (5, 118) | 43 |
stable
|
-0.3 (-1.5, 0.9) |
| Nottoway County 2 | Rural | 239.6 (207.5, 275.9) | 36 (3, 111) | 43 |
stable
|
-0.2 (-1.4, 1.1) |
| Fairfax City 2 | Urban | 179.8 (156.2, 206.1) | 118 (72, 133) | 45 |
stable
|
0.5 (-1.2, 2.4) |
| Greene County 2 | Urban | 212.7 (184.7, 244.0) | 89 (15, 126) | 46 |
stable
|
0.0 (-1.4, 1.3) |
| Brunswick County 2 | Rural | 249.3 (216.5, 286.2) | 27 (3, 107) | 47 |
rising
|
1.4 (0.4, 2.4) |
| Buckingham County 2 | Rural | 238.5 (208.1, 272.8) | 39 (4, 112) | 48 |
rising
|
1.5 (0.3, 2.8) |
| Prince Edward County 2 | Rural | 264.3 (229.8, 302.5) | 11 (1, 95) | 48 |
stable
|
-0.1 (-1.9, 1.7) |
| Colonial Heights City 2 | Urban | 273.2 (238.3, 311.9) | 6 (1, 82) | 49 |
rising
|
2.0 (0.6, 3.4) |
| Westmoreland County 2 | Rural | 235.0 (203.1, 270.9) | 47 (5, 116) | 49 |
stable
|
-0.1 (-1.3, 1.0) |
| King William County 2 | Urban | 254.1 (222.1, 289.7) | 23 (2, 98) | 50 |
stable
|
0.6 (-1.0, 2.3) |
| Waynesboro City 2 | Urban | 239.4 (210.2, 271.6) | 37 (4, 109) | 53 |
stable
|
-3.6 (-11.8, 0.0) |
| Winchester City 2 | Urban | 193.3 (170.0, 219.1) | 108 (40, 131) | 53 |
stable
|
-0.7 (-2.0, 0.8) |
| Rockbridge County 2 | Rural | 220.6 (192.6, 251.8) | 79 (10, 125) | 55 |
stable
|
0.4 (-1.2, 2.0) |
| Fredericksburg City 2 | Urban | 234.5 (207.2, 264.2) | 50 (6, 111) | 57 |
stable
|
-1.1 (-2.6, 0.3) |
| Southampton County 2 | Rural | 246.2 (215.9, 280.1) | 31 (3, 105) | 57 |
rising
|
1.4 (0.1, 2.7) |
| Russell County 2 | Rural | 203.3 (178.7, 230.6) | 100 (25, 129) | 58 |
stable
|
-1.0 (-3.2, 0.8) |
| Hopewell City 2 | Urban | 263.7 (233.1, 297.3) | 12 (2, 89) | 58 |
stable
|
-0.3 (-1.1, 0.6) |
| Page County 2 | Rural | 211.7 (186.4, 239.9) | 92 (23, 124) | 58 |
stable
|
-9.3 (-18.2, 0.1) |
| Salem City 2 | Urban | 223.6 (197.3, 252.6) | 72 (12, 116) | 58 |
stable
|
-10.9 (-22.5, 0.5) |
| Staunton City 2 | Urban | 224.6 (198.4, 253.4) | 67 (10, 117) | 59 |
stable
|
-0.2 (-1.3, 0.9) |
| Smyth County 2 | Rural | 183.6 (162.7, 206.8) | 114 (71, 132) | 63 |
stable
|
-1.0 (-6.5, 0.1) |
| Harrisonburg City 2 | Urban | 172.7 (153.9, 193.2) | 127 (92, 133) | 64 |
falling
|
-1.2 (-2.3, -0.1) |
| King George County 2 | Rural | 227.6 (202.7, 254.7) | 59 (11, 111) | 65 |
stable
|
0.2 (-1.2, 1.7) |
| New Kent County 2 | Urban | 237.0 (210.4, 266.4) | 45 (6, 106) | 65 |
stable
|
0.2 (-1.0, 1.5) |
| Manassas City 2 | Urban | 161.3 (144.2, 180.0) | 131 (107, 133) | 66 |
stable
|
-1.3 (-2.8, 0.3) |
| Fluvanna County 2 | Urban | 234.8 (209.6, 262.5) | 49 (8, 106) | 70 |
stable
|
-0.7 (-2.1, 0.6) |
| Goochland County 2 | Urban | 234.9 (209.1, 263.5) | 48 (9, 106) | 74 |
falling
|
-2.1 (-9.0, -0.7) |
| Wise County 2 | Rural | 188.5 (168.9, 209.8) | 111 (65, 131) | 74 |
falling
|
-2.6 (-5.1, -0.5) |
| Carroll County 2 | Rural | 224.2 (200.0, 250.9) | 70 (13, 114) | 76 |
stable
|
1.2 (-0.9, 3.4) |
| Charlottesville City 2 | Urban | 189.6 (170.4, 210.4) | 110 (68, 131) | 77 |
stable
|
-0.7 (-1.5, 0.1) |
| Tazewell County 2 | Rural | 181.8 (163.3, 202.0) | 116 (80, 132) | 80 |
stable
|
-0.8 (-2.7, 0.9) |
| Pulaski County 2 | Urban | 212.2 (190.5, 235.9) | 91 (25, 121) | 80 |
stable
|
-0.2 (-1.1, 0.6) |
| Wythe County 2 | Rural | 252.7 (227.1, 280.6) | 24 (3, 90) | 80 |
stable
|
1.9 (-4.0, 7.9) |
| Halifax County with South Boston City 2 | Rural | 223.7 (200.5, 249.1) | 71 (14, 112) | 81 |
stable
|
0.5 (-0.7, 1.7) |
| Caroline County 2 | Rural | 238.2 (214.5, 263.9) | 42 (7, 104) | 81 |
falling
|
-1.2 (-2.3, -0.2) |
| Accomack County 2 | Rural | 212.6 (190.4, 236.9) | 90 (25, 120) | 81 |
stable
|
-0.8 (-6.6, 0.2) |
| Amherst County 2 | Urban | 237.2 (213.2, 263.3) | 44 (8, 104) | 83 |
stable
|
1.6 (-0.1, 7.5) |
| Powhatan County 2 | Urban | 229.6 (206.6, 254.8) | 56 (12, 109) | 84 |
falling
|
-1.1 (-2.2, -0.1) |
| Mecklenburg County 2 | Rural | 252.5 (226.7, 280.7) | 25 (4, 93) | 86 |
stable
|
0.4 (-0.9, 1.7) |
| Botetourt County 2 | Urban | 222.8 (200.3, 247.3) | 73 (17, 111) | 87 |
stable
|
0.2 (-1.1, 1.5) |
| Dinwiddie County 2 | Urban | 272.4 (245.8, 301.4) | 7 (1, 60) | 88 |
rising
|
5.6 (0.6, 12.6) |
| Petersburg City 2 | Urban | 266.5 (240.8, 294.2) | 10 (2, 69) | 91 |
stable
|
-0.3 (-1.5, 0.9) |
| Shenandoah County 2 | Rural | 198.8 (180.0, 219.1) | 105 (48, 127) | 93 |
stable
|
0.3 (-0.6, 1.2) |
| Prince George County 2 | Urban | 247.3 (225.2, 271.1) | 29 (5, 90) | 96 |
stable
|
0.0 (-1.1, 1.0) |
| Orange County 2 | Rural | 243.2 (220.6, 267.7) | 33 (5, 94) | 97 |
stable
|
1.7 (-1.0, 8.7) |
| Washington County 2 | Urban | 163.0 (147.7, 179.6) | 130 (105, 133) | 98 |
falling
|
-2.7 (-4.1, -1.4) |
| Warren County 2 | Urban | 222.3 (202.2, 243.9) | 74 (20, 110) | 103 |
stable
|
0.0 (-1.3, 1.4) |
| Isle of Wight County 2 | Urban | 242.1 (220.6, 265.3) | 34 (6, 95) | 109 |
stable
|
0.0 (-1.1, 1.1) |
| Louisa County 2 | Rural | 251.5 (229.6, 275.1) | 26 (4, 88) | 116 |
stable
|
-0.4 (-1.4, 0.8) |
| Danville City 2 | Rural | 260.1 (237.8, 284.0) | 17 (3, 70) | 117 |
stable
|
0.7 (-0.2, 1.6) |
| Gloucester County 2 | Urban | 248.5 (227.0, 271.6) | 28 (6, 90) | 117 |
stable
|
0.5 (-0.6, 1.7) |
| Culpeper County 2 | Urban | 225.8 (207.7, 245.0) | 64 (19, 105) | 124 |
stable
|
-0.4 (-1.5, 0.8) |
| Henry County 2 | Rural | 218.6 (200.1, 238.4) | 83 (26, 112) | 124 |
stable
|
0.1 (-1.0, 1.1) |
| Lynchburg City 2 | Urban | 216.3 (199.4, 234.1) | 84 (32, 112) | 136 |
stable
|
-0.2 (-1.0, 0.6) |
| Campbell County 2 | Urban | 229.5 (211.6, 248.5) | 58 (17, 101) | 139 |
stable
|
-0.2 (-1.1, 0.7) |
| Pittsylvania County 2 | Rural | 202.9 (186.8, 220.1) | 101 (55, 121) | 142 |
stable
|
-0.7 (-1.8, 0.3) |
| Franklin County 2 | Urban | 233.3 (214.8, 253.2) | 52 (13, 98) | 144 |
stable
|
0.4 (-0.9, 1.7) |
| Montgomery County 2 | Urban | 179.6 (166.4, 193.7) | 119 (96, 131) | 146 |
falling
|
-1.1 (-1.8, -0.5) |
| York County 2 | Urban | 210.7 (195.5, 226.8) | 97 (39, 113) | 155 |
stable
|
0.0 (-1.2, 1.2) |
| Fauquier County 2 | Urban | 191.4 (177.6, 206.0) | 109 (79, 126) | 160 |
falling
|
-1.3 (-2.3, -0.4) |
| James City County 2 | Urban | 210.9 (196.0, 226.6) | 95 (45, 115) | 173 |
falling
|
-1.3 (-7.4, -0.2) |
| Rockingham County 2 | Urban | 210.7 (196.4, 225.8) | 96 (48, 112) | 180 |
stable
|
0.0 (-0.8, 0.9) |
| Frederick County 2 | Urban | 202.1 (189.1, 215.9) | 102 (62, 117) | 196 |
stable
|
-0.8 (-1.6, 0.2) |
| Bedford City and County 2 | Urban | 215.8 (201.3, 231.1) | 85 (37, 110) | 203 |
stable
|
-0.2 (-1.3, 0.9) |
| Augusta County 2 | Urban | 232.0 (217.1, 247.8) | 53 (20, 91) | 205 |
stable
|
0.2 (-0.5, 0.9) |
| Albemarle County 2 | Urban | 200.9 (188.7, 213.8) | 103 (68, 117) | 221 |
falling
|
-0.8 (-1.6, -0.1) |
| Roanoke County 2 | Urban | 219.6 (206.2, 233.7) | 80 (32, 104) | 223 |
stable
|
0.2 (-0.5, 1.0) |
| Portsmouth City 2 | Urban | 235.2 (221.0, 250.0) | 46 (17, 90) | 226 |
stable
|
-0.4 (-1.1, 0.4) |
| Suffolk City 2 | Urban | 238.5 (224.7, 253.0) | 40 (16, 84) | 242 |
stable
|
0.2 (-0.9, 1.4) |
| Roanoke City 2 | Urban | 258.3 (243.9, 273.3) | 20 (5, 49) | 261 |
stable
|
0.2 (-1.0, 1.4) |
| Hanover County 2 | Urban | 220.7 (208.5, 233.4) | 78 (35, 103) | 275 |
stable
|
-0.7 (-1.5, 0.1) |
| Alexandria City 2 | Urban | 176.5 (167.2, 186.2) | 121 (105, 130) | 280 |
stable
|
-0.9 (-1.9, 0.0) |
| Hampton City 2 | Urban | 218.6 (207.0, 230.6) | 82 (39, 103) | 303 |
stable
|
-0.5 (-1.2, 0.1) |
| Stafford County 2 | Urban | 200.1 (190.3, 210.3) | 104 (78, 116) | 323 |
stable
|
-0.3 (-1.1, 0.6) |
| Spotsylvania County 2 | Urban | 229.6 (218.4, 241.2) | 57 (26, 91) | 339 |
stable
|
-0.6 (-1.3, 0.0) |
| Arlington County 2 | Urban | 165.2 (157.6, 173.1) | 129 (115, 133) | 365 |
falling
|
-1.3 (-2.2, -0.4) |
| Newport News City 2 | Urban | 225.7 (215.5, 236.3) | 65 (35, 92) | 398 |
falling
|
-0.5 (-1.0, -0.1) |
| Richmond City 2 | Urban | 224.3 (215.1, 233.8) | 69 (39, 93) | 493 |
falling
|
-1.4 (-5.2, -0.5) |
| Norfolk City 2 | Urban | 231.4 (222.0, 241.1) | 55 (27, 85) | 498 |
stable
|
-2.1 (-5.6, 0.0) |
| Chesapeake City 2 | Urban | 222.1 (213.8, 230.6) | 75 (41, 94) | 577 |
stable
|
-0.1 (-0.7, 0.5) |
| Henrico County 2 | Urban | 221.4 (214.3, 228.8) | 76 (44, 94) | 768 |
stable
|
-0.4 (-1.0, 0.3) |
| Loudoun County 2 | Urban | 185.6 (179.8, 191.5) | 112 (101, 122) | 786 |
stable
|
-0.7 (-1.3, 0.0) |
| Chesterfield County 2 | Urban | 221.0 (214.2, 228.0) | 77 (46, 92) | 843 |
stable
|
-0.5 (-1.0, 0.1) |
| Prince William County 2 | Urban | 176.0 (170.7, 181.5) | 122 (110, 129) | 846 |
falling
|
-1.2 (-1.9, -0.4) |
| Virginia Beach City 2 | Urban | 224.9 (218.6, 231.3) | 66 (42, 87) | 1,034 |
stable
|
-2.5 (-5.0, 0.4) |
| Fairfax County 2 | Urban | 174.2 (170.7, 177.6) | 125 (112, 129) | 2,057 |
stable
|
1.3 (-0.9, 3.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 4:14 pm.
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 for United States does not include Puerto Rico.