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