Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages <50
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 | 95.4 (94.3, 96.6) | N/A | 5,072 |
falling 
|
-0.4 (-1.1, -0.1) |
| US (SEER+NPCR) 1 | N/A | 105.7 (105.5, 105.9) | N/A | 211,922 |
stable 
|
0.1 (-0.1, 0.2) |
| Charles City County 2 | Urban | 96.7 (54.8, 158.6) | 80 (1, 128) | 3 |
stable
|
-1.6 (-6.2, 2.2) |
| Craig County 2 | Urban | 130.5 (75.2, 211.3) | 9 (1, 128) | 3 |
|
|
| Northumberland County 2 | Rural | 77.0 (44.8, 123.1) | 120 (5, 128) | 3 |
stable
|
-1.7 (-8.3, 3.6) |
| Buena Vista City 2 | Rural | 111.8 (66.2, 175.3) | 35 (1, 128) | 4 |
|
|
| Middlesex County 2 | Rural | 86.5 (51.7, 135.3) | 107 (3, 128) | 4 |
stable
|
0.4 (-3.3, 3.6) |
| Bland County 2 | Rural | 93.0 (56.5, 146.9) | 93 (1, 128) | 4 |
stable
|
-1.0 (-3.3, 1.2) |
| Covington City 2 | Rural | 133.5 (81.2, 205.7) | 6 (1, 128) | 4 |
|
|
| Emporia City 2 | Rural | 133.8 (81.2, 206.4) | 5 (1, 128) | 4 |
stable
|
-0.7 (-5.0, 3.3) |
| Franklin City 2 | Rural | 96.9 (58.9, 149.2) | 78 (1, 128) | 4 |
stable
|
-0.7 (-3.8, 2.0) |
| Galax City 2 | Rural | 112.9 (69.4, 172.7) | 30 (1, 128) | 4 |
stable
|
0.0 (-6.3, 6.3) |
| King and Queen County 2 | Urban | 132.1 (83.5, 198.9) | 7 (1, 128) | 5 |
stable
|
0.7 (-4.2, 5.2) |
| Rappahannock County 2 | Urban | 127.1 (80.4, 191.3) | 10 (1, 128) | 5 |
stable
|
-3.2 (-7.7, 0.3) |
| Cumberland County 2 | Rural | 106.1 (69.7, 154.6) | 49 (1, 128) | 5 |
stable
|
0.5 (-3.7, 4.9) |
| Dickenson County 2 | Rural | 69.2 (45.6, 100.9) | 127 (22, 128) | 5 |
stable
|
-2.3 (-5.2, 0.1) |
| Mathews County 2 | Urban | 146.7 (97.5, 212.4) | 2 (1, 124) | 6 |
stable
|
1.2 (-4.3, 6.8) |
| Nelson County 2 | Urban | 82.9 (55.9, 118.6) | 115 (9, 128) | 6 |
stable
|
-0.6 (-4.6, 3.0) |
| Northampton County 2 | Rural | 115.7 (78.5, 164.1) | 23 (1, 127) | 6 |
stable
|
2.1 (-2.2, 6.2) |
| Lancaster County 2 | Rural | 156.9 (107.0, 221.5) | 1 (1, 121) | 6 |
rising 
|
3.8 (0.6, 7.3) |
| Richmond County 2 | Rural | 121.0 (83.0, 170.8) | 16 (1, 128) | 7 |
stable
|
0.3 (-5.2, 5.2) |
| Appomattox County 2 | Urban | 74.2 (51.3, 103.8) | 122 (26, 128) | 7 |
stable
|
-1.5 (-4.6, 1.3) |
| Clarke County 2 | Urban | 85.2 (58.9, 119.4) | 105 (7, 128) | 7 |
stable
|
-1.5 (-4.6, 1.1) |
| Williamsburg City 2 | Urban | 113.0 (76.2, 160.4) | 29 (1, 127) | 7 |
stable
|
-0.6 (-3.6, 2.7) |
| Greensville County 2 | Rural | 85.9 (59.6, 120.6) | 108 (8, 128) | 7 |
stable
|
-0.7 (-4.9, 3.2) |
| Madison County 2 | Rural | 95.2 (66.3, 132.5) | 84 (4, 128) | 7 |
stable
|
-2.2 (-24.5, 1.7) |
| Nottoway County 2 | Rural | 72.9 (50.7, 101.6) | 121 (24, 128) | 7 |
stable
|
-1.8 (-4.4, 0.6) |
| Bristol City 2 | Urban | 73.9 (51.7, 102.5) | 123 (25, 128) | 7 |
stable
|
-2.4 (-6.1, 0.6) |
| Charlotte County 2 | Rural | 122.7 (85.7, 170.0) | 14 (1, 127) | 7 |
stable
|
2.6 (-1.7, 7.1) |
| Radford City 2 | Urban | 93.4 (63.7, 131.8) | 91 (3, 128) | 7 |
stable
|
-0.3 (-3.3, 2.9) |
| Sussex County 2 | Urban | 111.6 (77.8, 155.4) | 37 (1, 127) | 7 |
stable
|
-1.9 (-12.7, 0.4) |
| Amelia County 2 | Urban | 105.6 (74.2, 145.6) | 44 (1, 128) | 7 |
stable
|
1.6 (-2.3, 5.5) |
| Brunswick County 2 | Rural | 78.1 (54.8, 108.2) | 118 (17, 128) | 7 |
stable
|
1.5 (-0.6, 3.5) |
| Buckingham County 2 | Rural | 71.6 (50.6, 98.6) | 125 (29, 128) | 8 |
falling
|
-18.8 (-32.8, -2.4) |
| Essex County 2 | Rural | 136.7 (96.5, 188.0) | 4 (1, 120) | 8 |
stable
|
1.9 (-1.8, 5.9) |
| Martinsville City 2 | Rural | 112.3 (80.4, 152.3) | 28 (1, 127) | 8 |
stable
|
-0.3 (-4.7, 3.6) |
| Poquoson City 2 | Urban | 108.2 (77.5, 147.0) | 46 (1, 127) | 8 |
stable
|
0.2 (-3.0, 3.5) |
| Scott County 2 | Urban | 69.7 (50.1, 94.6) | 126 (40, 128) | 8 |
falling
|
-6.7 (-41.2, -3.3) |
| Alleghany County and Clifton Forge City 2 | Rural | 112.7 (81.2, 152.2) | 31 (1, 127) | 9 |
stable
|
0.8 (-2.1, 3.6) |
| Grayson County 2 | Rural | 100.3 (72.2, 135.8) | 58 (2, 128) | 9 |
stable
|
0.1 (-4.1, 3.9) |
| Lee County 2 | Rural | 65.1 (47.0, 88.0) | 128 (55, 128) | 9 |
falling
|
-3.5 (-7.0, -0.7) |
| Lunenburg County 2 | Rural | 126.5 (91.8, 170.1) | 13 (1, 122) | 9 |
stable
|
1.2 (-1.9, 4.4) |
| Patrick County 2 | Rural | 93.9 (67.8, 126.9) | 90 (5, 128) | 9 |
stable
|
0.0 (-3.9, 3.4) |
| Falls Church City 2 | Urban | 95.3 (69.9, 127.2) | 83 (5, 128) | 9 |
stable
|
1.2 (-1.9, 4.6) |
| Buchanan County 2 | Rural | 85.1 (62.8, 112.9) | 110 (8, 128) | 10 |
stable
|
-1.5 (-5.5, 1.8) |
| Southampton County 2 | Rural | 96.4 (71.0, 128.1) | 82 (5, 127) | 10 |
stable
|
1.3 (-1.0, 3.7) |
| Westmoreland County 2 | Rural | 109.2 (80.6, 144.6) | 42 (2, 126) | 10 |
stable
|
1.5 (-0.7, 3.8) |
| Floyd County 2 | Urban | 123.7 (92.4, 162.3) | 12 (1, 118) | 11 |
stable
|
1.7 (-1.8, 5.3) |
| Manassas Park City 2 | Urban | 88.7 (66.5, 115.8) | 102 (15, 128) | 11 |
stable
|
0.8 (-1.1, 2.9) |
| Giles County 2 | Urban | 114.9 (86.3, 149.9) | 25 (1, 123) | 11 |
stable
|
1.1 (-1.6, 4.0) |
| King William County 2 | Urban | 106.2 (80.2, 138.0) | 47 (3, 125) | 11 |
stable
|
0.2 (-2.4, 2.9) |
| Page County 2 | Rural | 89.5 (67.9, 115.8) | 99 (8, 128) | 12 |
stable
|
-0.7 (-3.3, 1.6) |
| Rockbridge County 2 | Rural | 107.8 (82.3, 138.6) | 48 (3, 125) | 12 |
stable
|
1.9 (-0.6, 4.5) |
| Prince Edward County 2 | Rural | 126.9 (97.0, 162.6) | 11 (1, 116) | 13 |
stable
|
0.4 (-2.2, 3.0) |
| Smyth County 2 | Rural | 73.2 (56.1, 94.0) | 124 (41, 128) | 13 |
falling
|
-8.8 (-24.9, -0.4) |
| Greene County 2 | Urban | 111.9 (86.7, 142.2) | 34 (3, 120) | 13 |
stable
|
0.8 (-1.0, 2.6) |
| Accomack County 2 | Rural | 82.5 (64.0, 104.6) | 114 (21, 128) | 14 |
stable
|
-0.1 (-2.0, 1.6) |
| Salem City 2 | Urban | 96.0 (74.4, 122.0) | 76 (7, 127) | 14 |
falling
|
-22.9 (-43.3, -1.1) |
| Colonial Heights City 2 | Urban | 137.7 (107.0, 174.3) | 3 (1, 95) | 14 |
rising
|
3.1 (1.3, 5.1) |
| Fairfax City 2 | Urban | 94.9 (74.1, 119.8) | 77 (7, 127) | 14 |
stable
|
1.4 (-1.0, 4.1) |
| Goochland County 2 | Urban | 103.6 (80.7, 131.1) | 59 (5, 124) | 14 |
stable
|
-3.6 (-27.5, 1.7) |
| New Kent County 2 | Urban | 101.7 (79.3, 128.5) | 65 (6, 125) | 14 |
stable
|
1.2 (-0.7, 3.3) |
| Russell County 2 | Rural | 101.0 (78.9, 127.5) | 67 (6, 126) | 14 |
stable
|
-0.4 (-3.2, 2.0) |
| Carroll County 2 | Rural | 98.3 (76.9, 123.9) | 75 (7, 126) | 15 |
stable
|
1.5 (-2.3, 5.0) |
| Waynesboro City 2 | Urban | 111.7 (87.5, 140.5) | 36 (2, 123) | 15 |
stable
|
0.4 (-1.4, 2.2) |
| Hopewell City 2 | Urban | 116.9 (91.7, 146.6) | 19 (2, 116) | 15 |
stable
|
1.1 (-0.9, 3.1) |
| Winchester City 2 | Urban | 93.3 (73.5, 116.5) | 92 (11, 127) | 16 |
stable
|
-0.8 (-2.9, 1.2) |
| Amherst County 2 | Urban | 95.4 (75.5, 118.9) | 79 (9, 126) | 16 |
stable
|
0.5 (-1.6, 2.5) |
| Fredericksburg City 2 | Urban | 102.9 (81.2, 128.2) | 56 (5, 124) | 16 |
falling
|
-5.4 (-20.6, -0.8) |
| Staunton City 2 | Urban | 112.1 (89.2, 139.1) | 33 (3, 118) | 17 |
stable
|
0.0 (-2.3, 2.3) |
| Caroline County 2 | Rural | 91.1 (72.6, 112.8) | 95 (15, 127) | 17 |
falling
|
-2.3 (-4.2, -0.5) |
| Mecklenburg County 2 | Rural | 114.9 (91.9, 141.9) | 24 (2, 117) | 17 |
stable
|
-14.1 (-27.0, 1.2) |
| King George County 2 | Rural | 103.4 (82.9, 127.4) | 60 (7, 123) | 18 |
stable
|
0.5 (-1.8, 3.0) |
| Wise County 2 | Rural | 79.8 (63.9, 98.5) | 117 (38, 128) | 18 |
stable
|
-2.8 (-6.2, 0.0) |
| Halifax County with South Boston City 2 | Rural | 105.8 (84.9, 130.2) | 52 (6, 123) | 18 |
stable
|
-0.1 (-2.5, 2.2) |
| Dinwiddie County 2 | Urban | 119.3 (96.1, 146.2) | 17 (1, 110) | 19 |
rising
|
17.2 (2.2, 28.9) |
| Tazewell County 2 | Rural | 81.7 (66.0, 100.1) | 116 (38, 128) | 19 |
stable
|
-1.2 (-3.8, 1.1) |
| Wythe County 2 | Rural | 114.3 (92.2, 140.2) | 27 (2, 117) | 19 |
stable
|
2.8 (-4.8, 18.4) |
| Fluvanna County 2 | Urban | 117.5 (95.0, 143.7) | 18 (2, 112) | 19 |
stable
|
-0.1 (-2.1, 1.8) |
| Pulaski County 2 | Urban | 99.3 (80.1, 121.8) | 72 (8, 123) | 19 |
stable
|
-0.2 (-2.4, 2.0) |
| Botetourt County 2 | Urban | 109.9 (89.2, 134.0) | 38 (4, 117) | 20 |
stable
|
0.8 (-2.0, 3.5) |
| Powhatan County 2 | Urban | 114.9 (93.8, 139.3) | 26 (2, 112) | 21 |
stable
|
-0.6 (-2.8, 1.5) |
| Shenandoah County 2 | Rural | 92.1 (75.7, 110.9) | 94 (17, 126) | 22 |
stable
|
0.1 (-1.6, 1.8) |
| Danville City 2 | Rural | 103.4 (85.1, 124.3) | 50 (7, 118) | 23 |
stable
|
0.5 (-1.1, 2.2) |
| Washington County 2 | Urban | 77.4 (63.8, 93.1) | 119 (54, 128) | 23 |
stable
|
-2.2 (-4.8, 0.1) |
| Louisa County 2 | Rural | 109.8 (90.6, 131.9) | 40 (5, 118) | 23 |
falling
|
-1.6 (-4.9, -0.2) |
| Gloucester County 2 | Urban | 107.6 (88.8, 129.1) | 43 (5, 119) | 23 |
stable
|
0.8 (-0.9, 2.5) |
| Petersburg City 2 | Urban | 130.8 (107.7, 157.2) | 8 (1, 91) | 23 |
stable
|
0.7 (-1.1, 2.6) |
| Warren County 2 | Urban | 103.5 (85.9, 123.6) | 55 (8, 120) | 24 |
stable
|
0.4 (-2.0, 2.7) |
| Charlottesville City 2 | Urban | 87.1 (71.7, 104.8) | 106 (25, 127) | 25 |
stable
|
-0.5 (-2.7, 1.7) |
| Orange County 2 | Rural | 121.8 (101.4, 145.2) | 15 (2, 97) | 25 |
stable
|
-0.6 (-2.1, 1.0) |
| Harrisonburg City 2 | Urban | 88.2 (72.9, 105.6) | 98 (26, 126) | 25 |
stable
|
6.8 (-1.4, 22.4) |
| Isle of Wight County 2 | Urban | 116.0 (96.6, 138.0) | 21 (3, 107) | 25 |
stable
|
0.5 (-1.3, 2.2) |
| Henry County 2 | Rural | 102.7 (85.9, 121.8) | 61 (10, 120) | 27 |
stable
|
1.0 (-1.0, 2.9) |
| Manassas City 2 | Urban | 94.0 (78.8, 111.3) | 89 (17, 124) | 27 |
rising
|
2.2 (0.2, 9.5) |
| Prince George County 2 | Urban | 102.2 (85.4, 121.2) | 63 (10, 120) | 27 |
stable
|
0.3 (-1.6, 2.2) |
| Pittsylvania County 2 | Rural | 94.4 (79.9, 110.7) | 85 (17, 121) | 31 |
stable
|
-0.6 (-2.1, 0.7) |
| Franklin County 2 | Urban | 113.2 (96.0, 132.6) | 20 (4, 98) | 31 |
stable
|
1.1 (-1.3, 3.3) |
| Culpeper County 2 | Urban | 101.2 (86.1, 118.0) | 64 (11, 118) | 32 |
stable
|
-0.1 (-1.6, 1.4) |
| Lynchburg City 2 | Urban | 88.6 (74.9, 103.8) | 100 (33, 125) | 32 |
stable
|
-0.1 (-1.5, 1.3) |
| Campbell County 2 | Urban | 105.8 (90.3, 123.3) | 51 (8, 115) | 33 |
stable
|
0.3 (-1.0, 1.5) |
| Fauquier County 2 | Urban | 85.0 (73.1, 98.3) | 112 (43, 126) | 37 |
stable
|
-1.0 (-2.3, 0.3) |
| York County 2 | Urban | 94.9 (82.2, 109.0) | 86 (23, 120) | 40 |
stable
|
0.6 (-1.4, 2.5) |
| James City County 2 | Urban | 101.6 (88.2, 116.3) | 66 (16, 114) | 42 |
falling
|
-2.2 (-7.8, -0.1) |
| Augusta County 2 | Urban | 99.0 (86.2, 113.0) | 68 (14, 116) | 44 |
falling
|
-4.6 (-14.0, -0.3) |
| Bedford City and County 2 | Urban | 103.8 (90.4, 118.6) | 57 (13, 112) | 44 |
stable
|
0.3 (-1.4, 1.9) |
| Montgomery County 2 | Urban | 89.1 (77.8, 101.5) | 97 (40, 123) | 47 |
stable
|
-0.7 (-2.0, 0.6) |
| Rockingham County 2 | Urban | 102.2 (89.6, 116.0) | 62 (16, 111) | 48 |
stable
|
0.6 (-0.9, 2.1) |
| Frederick County 2 | Urban | 105.1 (93.3, 118.1) | 54 (15, 104) | 57 |
stable
|
0.2 (-1.7, 2.1) |
| Albemarle County 2 | Urban | 94.1 (83.7, 105.5) | 88 (31, 118) | 60 |
stable
|
-0.6 (-1.7, 0.4) |
| Roanoke County 2 | Urban | 107.3 (95.5, 120.2) | 45 (12, 98) | 60 |
stable
|
0.1 (-0.9, 1.2) |
| Portsmouth City 2 | Urban | 109.2 (97.2, 122.2) | 41 (10, 96) | 62 |
stable
|
0.2 (-1.3, 1.6) |
| Suffolk City 2 | Urban | 110.1 (98.4, 122.9) | 39 (8, 89) | 64 |
stable
|
0.4 (-1.3, 2.1) |
| Hanover County 2 | Urban | 100.8 (90.1, 112.4) | 69 (23, 110) | 65 |
stable
|
-0.2 (-2.2, 1.7) |
| Hampton City 2 | Urban | 88.5 (79.1, 98.7) | 103 (49, 121) | 66 |
stable
|
-0.3 (-1.5, 0.8) |
| Roanoke City 2 | Urban | 115.6 (103.6, 128.6) | 22 (7, 79) | 68 |
stable
|
0.3 (-1.1, 1.8) |
| Stafford County 2 | Urban | 88.1 (80.2, 96.5) | 104 (55, 120) | 92 |
stable
|
-0.5 (-1.3, 0.2) |
| Spotsylvania County 2 | Urban | 111.6 (101.8, 122.0) | 32 (9, 77) | 96 |
falling
|
-8.5 (-14.0, -3.7) |
| Alexandria City 2 | Urban | 84.7 (77.2, 92.8) | 111 (68, 122) | 100 |
stable
|
-0.7 (-2.0, 0.6) |
| Newport News City 2 | Urban | 98.5 (90.1, 107.4) | 74 (30, 107) | 106 |
stable
|
-0.2 (-1.0, 0.6) |
| Norfolk City 2 | Urban | 94.0 (86.5, 101.9) | 87 (44, 112) | 126 |
stable
|
0.3 (-0.8, 1.4) |
| Richmond City 2 | Urban | 98.3 (90.7, 106.4) | 73 (35, 105) | 133 |
stable
|
-0.3 (-1.3, 0.7) |
| Arlington County 2 | Urban | 84.4 (78.2, 90.9) | 113 (77, 120) | 148 |
stable
|
-1.6 (-10.9, 0.3) |
| Chesapeake City 2 | Urban | 96.4 (89.7, 103.5) | 81 (42, 106) | 153 |
stable
|
-1.0 (-11.0, 2.2) |
| Henrico County 2 | Urban | 98.6 (92.7, 104.9) | 71 (37, 96) | 206 |
stable
|
0.8 (-0.3, 3.9) |
| Chesterfield County 2 | Urban | 99.9 (94.2, 105.8) | 70 (36, 92) | 230 |
stable
|
0.0 (-0.7, 0.7) |
| Loudoun County 2 | Urban | 88.7 (84.0, 93.5) | 101 (71, 113) | 276 |
stable
|
-0.5 (-1.3, 0.4) |
| Prince William County 2 | Urban | 85.1 (80.7, 89.6) | 109 (82, 118) | 280 |
stable
|
-0.2 (-1.1, 0.7) |
| Virginia Beach City 2 | Urban | 105.0 (99.7, 110.5) | 53 (28, 78) | 298 |
stable
|
0.7 (-0.2, 1.6) |
| Fairfax County 2 | Urban | 89.1 (86.1, 92.2) | 96 (75, 108) | 675 |
stable
|
0.0 (-0.5, 0.4) |
| Bath County 2 | Rural |
|
|
|
|
|
| Highland County 2 | Rural |
|
|
|
|
|
| Lexington City 2 | Rural |
|
|
|
|
|
| Norton City 2 | Rural |
|
|
|
|
|
| Surry County 2 | Urban |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 6:54 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 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.