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