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) |
| Fairfax County 2 | Urban | 174.2 (170.7, 177.6) | 125 (112, 129) | 2,057 |
stable
|
1.3 (-0.9, 3.7) |
| Virginia Beach City 2 | Urban | 224.9 (218.6, 231.3) | 66 (42, 87) | 1,034 |
stable
|
-2.5 (-5.0, 0.4) |
| Prince William County 2 | Urban | 176.0 (170.7, 181.5) | 122 (110, 129) | 846 |
falling
|
-1.2 (-1.9, -0.4) |
| Chesterfield County 2 | Urban | 221.0 (214.2, 228.0) | 77 (46, 92) | 843 |
stable
|
-0.5 (-1.0, 0.1) |
| Loudoun County 2 | Urban | 185.6 (179.8, 191.5) | 112 (101, 122) | 786 |
stable
|
-0.7 (-1.3, 0.0) |
| 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) |
| Norfolk City 2 | Urban | 231.4 (222.0, 241.1) | 55 (27, 85) | 498 |
stable
|
-2.1 (-5.6, 0.0) |
| Richmond City 2 | Urban | 224.3 (215.1, 233.8) | 69 (39, 93) | 493 |
falling
|
-1.4 (-5.2, -0.5) |
| Newport News City 2 | Urban | 225.7 (215.5, 236.3) | 65 (35, 92) | 398 |
falling
|
-0.5 (-1.0, -0.1) |
| Arlington County 2 | Urban | 165.2 (157.6, 173.1) | 129 (115, 133) | 365 |
falling
|
-1.3 (-2.2, -0.4) |
| Spotsylvania County 2 | Urban | 229.6 (218.4, 241.2) | 57 (26, 91) | 339 |
stable
|
-0.6 (-1.3, 0.0) |
| Stafford County 2 | Urban | 200.1 (190.3, 210.3) | 104 (78, 116) | 323 |
stable
|
-0.3 (-1.1, 0.6) |
| Hampton City 2 | Urban | 218.6 (207.0, 230.6) | 82 (39, 103) | 303 |
stable
|
-0.5 (-1.2, 0.1) |
| Alexandria City 2 | Urban | 176.5 (167.2, 186.2) | 121 (105, 130) | 280 |
stable
|
-0.9 (-1.9, 0.0) |
| Hanover County 2 | Urban | 220.7 (208.5, 233.4) | 78 (35, 103) | 275 |
stable
|
-0.7 (-1.5, 0.1) |
| Roanoke City 2 | Urban | 258.3 (243.9, 273.3) | 20 (5, 49) | 261 |
stable
|
0.2 (-1.0, 1.4) |
| Suffolk City 2 | Urban | 238.5 (224.7, 253.0) | 40 (16, 84) | 242 |
stable
|
0.2 (-0.9, 1.4) |
| Portsmouth City 2 | Urban | 235.2 (221.0, 250.0) | 46 (17, 90) | 226 |
stable
|
-0.4 (-1.1, 0.4) |
| Roanoke County 2 | Urban | 219.6 (206.2, 233.7) | 80 (32, 104) | 223 |
stable
|
0.2 (-0.5, 1.0) |
| Albemarle County 2 | Urban | 200.9 (188.7, 213.8) | 103 (68, 117) | 221 |
falling
|
-0.8 (-1.6, -0.1) |
| Augusta County 2 | Urban | 232.0 (217.1, 247.8) | 53 (20, 91) | 205 |
stable
|
0.2 (-0.5, 0.9) |
| Bedford City and County 2 | Urban | 215.8 (201.3, 231.1) | 85 (37, 110) | 203 |
stable
|
-0.2 (-1.3, 0.9) |
| Frederick County 2 | Urban | 202.1 (189.1, 215.9) | 102 (62, 117) | 196 |
stable
|
-0.8 (-1.6, 0.2) |
| 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) |
| Fauquier County 2 | Urban | 191.4 (177.6, 206.0) | 109 (79, 126) | 160 |
falling
|
-1.3 (-2.3, -0.4) |
| York County 2 | Urban | 210.7 (195.5, 226.8) | 97 (39, 113) | 155 |
stable
|
0.0 (-1.2, 1.2) |
| Montgomery County 2 | Urban | 179.6 (166.4, 193.7) | 119 (96, 131) | 146 |
falling
|
-1.1 (-1.8, -0.5) |
| Franklin County 2 | Urban | 233.3 (214.8, 253.2) | 52 (13, 98) | 144 |
stable
|
0.4 (-0.9, 1.7) |
| Pittsylvania County 2 | Rural | 202.9 (186.8, 220.1) | 101 (55, 121) | 142 |
stable
|
-0.7 (-1.8, 0.3) |
| Campbell County 2 | Urban | 229.5 (211.6, 248.5) | 58 (17, 101) | 139 |
stable
|
-0.2 (-1.1, 0.7) |
| 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) |
| Culpeper County 2 | Urban | 225.8 (207.7, 245.0) | 64 (19, 105) | 124 |
stable
|
-0.4 (-1.5, 0.8) |
| Gloucester County 2 | Urban | 248.5 (227.0, 271.6) | 28 (6, 90) | 117 |
stable
|
0.5 (-0.6, 1.7) |
| Danville City 2 | Rural | 260.1 (237.8, 284.0) | 17 (3, 70) | 117 |
stable
|
0.7 (-0.2, 1.6) |
| Louisa County 2 | Rural | 251.5 (229.6, 275.1) | 26 (4, 88) | 116 |
stable
|
-0.4 (-1.4, 0.8) |
| Isle of Wight County 2 | Urban | 242.1 (220.6, 265.3) | 34 (6, 95) | 109 |
stable
|
0.0 (-1.1, 1.1) |
| Warren County 2 | Urban | 222.3 (202.2, 243.9) | 74 (20, 110) | 103 |
stable
|
0.0 (-1.3, 1.4) |
| Washington County 2 | Urban | 163.0 (147.7, 179.6) | 130 (105, 133) | 98 |
falling
|
-2.7 (-4.1, -1.4) |
| Orange County 2 | Rural | 243.2 (220.6, 267.7) | 33 (5, 94) | 97 |
stable
|
1.7 (-1.0, 8.7) |
| Prince George County 2 | Urban | 247.3 (225.2, 271.1) | 29 (5, 90) | 96 |
stable
|
0.0 (-1.1, 1.0) |
| Shenandoah County 2 | Rural | 198.8 (180.0, 219.1) | 105 (48, 127) | 93 |
stable
|
0.3 (-0.6, 1.2) |
| Petersburg City 2 | Urban | 266.5 (240.8, 294.2) | 10 (2, 69) | 91 |
stable
|
-0.3 (-1.5, 0.9) |
| Dinwiddie County 2 | Urban | 272.4 (245.8, 301.4) | 7 (1, 60) | 88 |
rising 
|
5.6 (0.6, 12.6) |
| Botetourt County 2 | Urban | 222.8 (200.3, 247.3) | 73 (17, 111) | 87 |
stable
|
0.2 (-1.1, 1.5) |
| Mecklenburg County 2 | Rural | 252.5 (226.7, 280.7) | 25 (4, 93) | 86 |
stable
|
0.4 (-0.9, 1.7) |
| Powhatan County 2 | Urban | 229.6 (206.6, 254.8) | 56 (12, 109) | 84 |
falling
|
-1.1 (-2.2, -0.1) |
| Amherst County 2 | Urban | 237.2 (213.2, 263.3) | 44 (8, 104) | 83 |
stable
|
1.6 (-0.1, 7.5) |
| Accomack County 2 | Rural | 212.6 (190.4, 236.9) | 90 (25, 120) | 81 |
stable
|
-0.8 (-6.6, 0.2) |
| Caroline County 2 | Rural | 238.2 (214.5, 263.9) | 42 (7, 104) | 81 |
falling
|
-1.2 (-2.3, -0.2) |
| 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) |
| 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) |
| Tazewell County 2 | Rural | 181.8 (163.3, 202.0) | 116 (80, 132) | 80 |
stable
|
-0.8 (-2.7, 0.9) |
| Charlottesville City 2 | Urban | 189.6 (170.4, 210.4) | 110 (68, 131) | 77 |
stable
|
-0.7 (-1.5, 0.1) |
| Carroll County 2 | Rural | 224.2 (200.0, 250.9) | 70 (13, 114) | 76 |
stable
|
1.2 (-0.9, 3.4) |
| Wise County 2 | Rural | 188.5 (168.9, 209.8) | 111 (65, 131) | 74 |
falling
|
-2.6 (-5.1, -0.5) |
| Goochland County 2 | Urban | 234.9 (209.1, 263.5) | 48 (9, 106) | 74 |
falling
|
-2.1 (-9.0, -0.7) |
| Fluvanna County 2 | Urban | 234.8 (209.6, 262.5) | 49 (8, 106) | 70 |
stable
|
-0.7 (-2.1, 0.6) |
| Manassas City 2 | Urban | 161.3 (144.2, 180.0) | 131 (107, 133) | 66 |
stable
|
-1.3 (-2.8, 0.3) |
| 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) |
| Harrisonburg City 2 | Urban | 172.7 (153.9, 193.2) | 127 (92, 133) | 64 |
falling
|
-1.2 (-2.3, -0.1) |
| Smyth County 2 | Rural | 183.6 (162.7, 206.8) | 114 (71, 132) | 63 |
stable
|
-1.0 (-6.5, 0.1) |
| Staunton City 2 | Urban | 224.6 (198.4, 253.4) | 67 (10, 117) | 59 |
stable
|
-0.2 (-1.3, 0.9) |
| 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) |
| Russell County 2 | Rural | 203.3 (178.7, 230.6) | 100 (25, 129) | 58 |
stable
|
-1.0 (-3.2, 0.8) |
| Southampton County 2 | Rural | 246.2 (215.9, 280.1) | 31 (3, 105) | 57 |
rising
|
1.4 (0.1, 2.7) |
| Fredericksburg City 2 | Urban | 234.5 (207.2, 264.2) | 50 (6, 111) | 57 |
stable
|
-1.1 (-2.6, 0.3) |
| Rockbridge County 2 | Rural | 220.6 (192.6, 251.8) | 79 (10, 125) | 55 |
stable
|
0.4 (-1.2, 2.0) |
| Winchester City 2 | Urban | 193.3 (170.0, 219.1) | 108 (40, 131) | 53 |
stable
|
-0.7 (-2.0, 0.8) |
| Waynesboro City 2 | Urban | 239.4 (210.2, 271.6) | 37 (4, 109) | 53 |
stable
|
-3.6 (-11.8, 0.0) |
| King William County 2 | Urban | 254.1 (222.1, 289.7) | 23 (2, 98) | 50 |
stable
|
0.6 (-1.0, 2.3) |
| Westmoreland County 2 | Rural | 235.0 (203.1, 270.9) | 47 (5, 116) | 49 |
stable
|
-0.1 (-1.3, 1.0) |
| Colonial Heights City 2 | Urban | 273.2 (238.3, 311.9) | 6 (1, 82) | 49 |
rising
|
2.0 (0.6, 3.4) |
| Prince Edward County 2 | Rural | 264.3 (229.8, 302.5) | 11 (1, 95) | 48 |
stable
|
-0.1 (-1.9, 1.7) |
| Buckingham County 2 | Rural | 238.5 (208.1, 272.8) | 39 (4, 112) | 48 |
rising
|
1.5 (0.3, 2.8) |
| Brunswick County 2 | Rural | 249.3 (216.5, 286.2) | 27 (3, 107) | 47 |
rising
|
1.4 (0.4, 2.4) |
| Greene County 2 | Urban | 212.7 (184.7, 244.0) | 89 (15, 126) | 46 |
stable
|
0.0 (-1.4, 1.3) |
| Fairfax City 2 | Urban | 179.8 (156.2, 206.1) | 118 (72, 133) | 45 |
stable
|
0.5 (-1.2, 2.4) |
| 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) |
| Lee County 2 | Rural | 174.0 (150.4, 200.8) | 126 (76, 133) | 43 |
falling
|
-3.0 (-5.2, -1.3) |
| Floyd County 2 | Urban | 247.3 (212.5, 286.7) | 30 (3, 112) | 42 |
stable
|
0.7 (-0.9, 2.3) |
| Grayson County 2 | Rural | 238.5 (204.8, 276.7) | 41 (4, 115) | 42 |
stable
|
0.7 (-0.7, 2.1) |
| 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) |
| Buchanan County 2 | Rural | 176.9 (151.8, 205.4) | 120 (60, 133) | 41 |
falling
|
-1.7 (-3.5, -0.3) |
| Patrick County 2 | Rural | 195.1 (166.3, 228.0) | 107 (27, 133) | 40 |
stable
|
0.6 (-1.7, 2.9) |
| Nelson County 2 | Urban | 211.4 (179.2, 248.5) | 93 (10, 130) | 39 |
stable
|
-1.4 (-3.8, 0.8) |
| Martinsville City 2 | Rural | 263.5 (225.3, 306.6) | 13 (1, 99) | 38 |
stable
|
-0.2 (-2.1, 1.7) |
| Northampton County 2 | Rural | 270.4 (227.5, 319.6) | 9 (1, 102) | 38 |
stable
|
0.0 (-1.8, 1.6) |
| Amelia County 2 | Urban | 237.4 (201.3, 278.6) | 43 (3, 117) | 38 |
stable
|
-0.2 (-1.9, 1.5) |
| Madison County 2 | Rural | 226.8 (192.4, 266.1) | 63 (6, 127) | 37 |
stable
|
-1.4 (-10.0, 0.5) |
| Lancaster County 2 | Rural | 326.7 (272.6, 389.4) | 1 (1, 48) | 37 |
rising
|
3.0 (0.6, 5.5) |
| Essex County 2 | Rural | 298.1 (252.6, 350.3) | 3 (1, 82) | 37 |
stable
|
1.3 (-1.1, 3.8) |
| 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) |
| Sussex County 2 | Urban | 289.3 (245.6, 339.3) | 4 (1, 85) | 34 |
stable
|
1.5 (0.0, 3.2) |
| Clarke County 2 | Urban | 182.0 (152.6, 216.1) | 115 (42, 133) | 33 |
falling
|
-1.6 (-3.0, -0.3) |
| Appomattox County 2 | Urban | 180.7 (152.4, 213.2) | 117 (51, 133) | 33 |
stable
|
-1.3 (-2.8, 0.0) |
| 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) |
| Greensville County 2 | Rural | 227.5 (191.4, 269.3) | 61 (4, 130) | 29 |
stable
|
0.2 (-2.4, 2.8) |
| Poquoson City 2 | Urban | 219.3 (183.7, 260.5) | 81 (6, 130) | 29 |
stable
|
-0.6 (-2.4, 1.2) |
| 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) |
| Cumberland County 2 | Rural | 240.2 (198.2, 289.4) | 35 (2, 124) | 27 |
stable
|
0.5 (-2.2, 3.4) |
| Bristol City 2 | Urban | 154.8 (128.6, 185.1) | 132 (94, 133) | 27 |
falling
|
-3.5 (-6.7, -0.8) |
| Falls Church City 2 | Urban | 175.3 (146.1, 209.0) | 124 (52, 133) | 27 |
stable
|
-0.5 (-2.7, 1.8) |
| Charlotte County 2 | Rural | 206.1 (168.3, 250.2) | 98 (10, 133) | 26 |
stable
|
0.2 (-1.9, 2.1) |
| Franklin City 2 | Rural | 277.9 (227.3, 336.9) | 5 (1, 107) | 25 |
stable
|
1.0 (-0.8, 3.0) |
| Mathews County 2 | Urban | 261.3 (210.0, 322.7) | 16 (1, 118) | 23 |
stable
|
0.5 (-1.9, 2.8) |
| 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) |
| King and Queen County 2 | Urban | 258.9 (205.8, 323.1) | 19 (1, 123) | 20 |
stable
|
1.1 (-0.6, 2.9) |
| Covington City 2 | Rural | 324.3 (259.9, 400.6) | 2 (1, 73) | 20 |
rising
|
5.4 (3.2, 8.0) |
| Radford City 2 | Urban | 175.6 (141.1, 216.1) | 123 (37, 133) | 20 |
falling
|
-2.5 (-4.7, -0.4) |
| 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) |
| Galax City 2 | Rural | 262.7 (209.5, 326.1) | 14 (1, 126) | 19 |
stable
|
0.7 (-1.9, 3.4) |
| 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) |
| Buena Vista City 2 | Rural | 261.6 (204.8, 329.6) | 15 (1, 125) | 16 |
stable
|
2.2 (-0.9, 5.5) |
| Emporia City 2 | Rural | 272.2 (211.4, 345.5) | 8 (1, 126) | 16 |
stable
|
-0.7 (-2.6, 1.3) |
| Craig County 2 | Urban | 257.1 (195.7, 333.9) | 22 (1, 130) | 15 |
stable
|
2.3 (-0.4, 5.1) |
| Lexington City 2 | Rural | 238.7 (176.8, 315.7) | 38 (1, 133) | 11 |
stable
|
1.7 (-1.4, 5.3) |
| Bath County 2 | Rural | 211.3 (150.8, 291.0) | 94 (2, 133) | 10 |
stable
|
1.1 (-2.6, 4.7) |
| Norton City 2 | Rural | 197.9 (137.8, 277.0) | 106 (2, 133) | 8 |
stable
|
-2.2 (-5.5, 0.7) |
| Highland County 2 | Rural | 226.8 (131.4, 370.8) | 62 (1, 133) | 6 |
stable
|
0.8 (-1.9, 3.2) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 12:54 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.