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