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 CI*Rank
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) |
| 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) |
| Nottoway County 2 | Rural | 72.9 (50.7, 101.6) | 121 (24, 128) | 7 |
stable
|
-1.8 (-4.4, 0.6) |
| 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) |
| Nelson County 2 | Urban | 82.9 (55.9, 118.6) | 115 (9, 128) | 6 |
stable
|
-0.6 (-4.6, 3.0) |
| Accomack County 2 | Rural | 82.5 (64.0, 104.6) | 114 (21, 128) | 14 |
stable
|
-0.1 (-2.0, 1.6) |
| Arlington County 2 | Urban | 84.4 (78.2, 90.9) | 113 (77, 120) | 148 |
stable
|
-1.6 (-10.9, 0.3) |
| Fauquier County 2 | Urban | 85.0 (73.1, 98.3) | 112 (43, 126) | 37 |
stable
|
-1.0 (-2.3, 0.3) |
| Alexandria City 2 | Urban | 84.7 (77.2, 92.8) | 111 (68, 122) | 100 |
stable
|
-0.7 (-2.0, 0.6) |
| 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) |
| 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) |
| Clarke County 2 | Urban | 85.2 (58.9, 119.4) | 105 (7, 128) | 7 |
stable
|
-1.5 (-4.6, 1.1) |
| Stafford County 2 | Urban | 88.1 (80.2, 96.5) | 104 (55, 120) | 92 |
stable
|
-0.5 (-1.3, 0.2) |
| Hampton City 2 | Urban | 88.5 (79.1, 98.7) | 103 (49, 121) | 66 |
stable
|
-0.3 (-1.5, 0.8) |
| 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) |
| Lynchburg City 2 | Urban | 88.6 (74.9, 103.8) | 100 (33, 125) | 32 |
stable
|
-0.1 (-1.5, 1.3) |
| Page County 2 | Rural | 89.5 (67.9, 115.8) | 99 (8, 128) | 12 |
stable
|
-0.7 (-3.3, 1.6) |
| Harrisonburg City 2 | Urban | 88.2 (72.9, 105.6) | 98 (26, 126) | 25 |
stable
|
6.8 (-1.4, 22.4) |
| 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) |
| 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) |
| 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) |
| Norfolk City 2 | Urban | 94.0 (86.5, 101.9) | 87 (44, 112) | 126 |
stable
|
0.3 (-0.8, 1.4) |
| York County 2 | Urban | 94.9 (82.2, 109.0) | 86 (23, 120) | 40 |
stable
|
0.6 (-1.4, 2.5) |
| Pittsylvania County 2 | Rural | 94.4 (79.9, 110.7) | 85 (17, 121) | 31 |
stable
|
-0.6 (-2.1, 0.7) |
| 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) |
| 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) |
| Amherst County 2 | Urban | 95.4 (75.5, 118.9) | 79 (9, 126) | 16 |
stable
|
0.5 (-1.6, 2.5) |
| Franklin City 2 | Rural | 96.9 (58.9, 149.2) | 78 (1, 128) | 4 |
stable
|
-0.7 (-3.8, 2.0) |
| Fairfax City 2 | Urban | 94.9 (74.1, 119.8) | 77 (7, 127) | 14 |
stable
|
1.4 (-1.0, 4.1) |
| Salem City 2 | Urban | 96.0 (74.4, 122.0) | 76 (7, 127) | 14 |
falling
|
-22.9 (-43.3, -1.1) |
| 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) |
| Richmond City 2 | Urban | 98.3 (90.7, 106.4) | 73 (35, 105) | 133 |
stable
|
-0.3 (-1.3, 0.7) |
| Pulaski County 2 | Urban | 99.3 (80.1, 121.8) | 72 (8, 123) | 19 |
stable
|
-0.2 (-2.4, 2.0) |
| 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) |
| Hanover County 2 | Urban | 100.8 (90.1, 112.4) | 69 (23, 110) | 65 |
stable
|
-0.2 (-2.2, 1.7) |
| Augusta County 2 | Urban | 99.0 (86.2, 113.0) | 68 (14, 116) | 44 |
falling
|
-4.6 (-14.0, -0.3) |
| Russell County 2 | Rural | 101.0 (78.9, 127.5) | 67 (6, 126) | 14 |
stable
|
-0.4 (-3.2, 2.0) |
| 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) |
| Culpeper County 2 | Urban | 101.2 (86.1, 118.0) | 64 (11, 118) | 32 |
stable
|
-0.1 (-1.6, 1.4) |
| Prince George County 2 | Urban | 102.2 (85.4, 121.2) | 63 (10, 120) | 27 |
stable
|
0.3 (-1.6, 2.2) |
| Rockingham County 2 | Urban | 102.2 (89.6, 116.0) | 62 (16, 111) | 48 |
stable
|
0.6 (-0.9, 2.1) |
| Henry County 2 | Rural | 102.7 (85.9, 121.8) | 61 (10, 120) | 27 |
stable
|
1.0 (-1.0, 2.9) |
| King George County 2 | Rural | 103.4 (82.9, 127.4) | 60 (7, 123) | 18 |
stable
|
0.5 (-1.8, 3.0) |
| Goochland County 2 | Urban | 103.6 (80.7, 131.1) | 59 (5, 124) | 14 |
stable
|
-3.6 (-27.5, 1.7) |
| Grayson County 2 | Rural | 100.3 (72.2, 135.8) | 58 (2, 128) | 9 |
stable
|
0.1 (-4.1, 3.9) |
| Bedford City and County 2 | Urban | 103.8 (90.4, 118.6) | 57 (13, 112) | 44 |
stable
|
0.3 (-1.4, 1.9) |
| Fredericksburg City 2 | Urban | 102.9 (81.2, 128.2) | 56 (5, 124) | 16 |
falling
|
-5.4 (-20.6, -0.8) |
| Warren County 2 | Urban | 103.5 (85.9, 123.6) | 55 (8, 120) | 24 |
stable
|
0.4 (-2.0, 2.7) |
| Frederick County 2 | Urban | 105.1 (93.3, 118.1) | 54 (15, 104) | 57 |
stable
|
0.2 (-1.7, 2.1) |
| Virginia Beach City 2 | Urban | 105.0 (99.7, 110.5) | 53 (28, 78) | 298 |
stable
|
0.7 (-0.2, 1.6) |
| 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) |
| Danville City 2 | Rural | 103.4 (85.1, 124.3) | 50 (7, 118) | 23 |
stable
|
0.5 (-1.1, 2.2) |
| Cumberland County 2 | Rural | 106.1 (69.7, 154.6) | 49 (1, 128) | 5 |
stable
|
0.5 (-3.7, 4.9) |
| Rockbridge County 2 | Rural | 107.8 (82.3, 138.6) | 48 (3, 125) | 12 |
stable
|
1.9 (-0.6, 4.5) |
| King William County 2 | Urban | 106.2 (80.2, 138.0) | 47 (3, 125) | 11 |
stable
|
0.2 (-2.4, 2.9) |
| Poquoson City 2 | Urban | 108.2 (77.5, 147.0) | 46 (1, 127) | 8 |
stable
|
0.2 (-3.0, 3.5) |
| Roanoke County 2 | Urban | 107.3 (95.5, 120.2) | 45 (12, 98) | 60 |
stable
|
0.1 (-0.9, 1.2) |
| Amelia County 2 | Urban | 105.6 (74.2, 145.6) | 44 (1, 128) | 7 |
stable
|
1.6 (-2.3, 5.5) |
| Gloucester County 2 | Urban | 107.6 (88.8, 129.1) | 43 (5, 119) | 23 |
stable
|
0.8 (-0.9, 2.5) |
| Westmoreland County 2 | Rural | 109.2 (80.6, 144.6) | 42 (2, 126) | 10 |
stable
|
1.5 (-0.7, 3.8) |
| Portsmouth City 2 | Urban | 109.2 (97.2, 122.2) | 41 (10, 96) | 62 |
stable
|
0.2 (-1.3, 1.6) |
| Louisa County 2 | Rural | 109.8 (90.6, 131.9) | 40 (5, 118) | 23 |
falling
|
-1.6 (-4.9, -0.2) |
| Suffolk City 2 | Urban | 110.1 (98.4, 122.9) | 39 (8, 89) | 64 |
stable
|
0.4 (-1.3, 2.1) |
| Botetourt County 2 | Urban | 109.9 (89.2, 134.0) | 38 (4, 117) | 20 |
stable
|
0.8 (-2.0, 3.5) |
| 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) |
| Spotsylvania County 2 | Urban | 111.6 (101.8, 122.0) | 32 (9, 77) | 96 |
falling
|
-8.5 (-14.0, -3.7) |
| 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) |
| Martinsville City 2 | Rural | 112.3 (80.4, 152.3) | 28 (1, 127) | 8 |
stable
|
-0.3 (-4.7, 3.6) |
| 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) |
| Northampton County 2 | Rural | 115.7 (78.5, 164.1) | 23 (1, 127) | 6 |
stable
|
2.1 (-2.2, 6.2) |
| Roanoke City 2 | Urban | 115.6 (103.6, 128.6) | 22 (7, 79) | 68 |
stable
|
0.3 (-1.1, 1.8) |
| Isle of Wight County 2 | Urban | 116.0 (96.6, 138.0) | 21 (3, 107) | 25 |
stable
|
0.5 (-1.3, 2.2) |
| Franklin County 2 | Urban | 113.2 (96.0, 132.6) | 20 (4, 98) | 31 |
stable
|
1.1 (-1.3, 3.3) |
| 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) |
| Lunenburg County 2 | Rural | 126.5 (91.8, 170.1) | 13 (1, 122) | 9 |
stable
|
1.2 (-1.9, 4.4) |
| Floyd County 2 | Urban | 123.7 (92.4, 162.3) | 12 (1, 118) | 11 |
stable
|
1.7 (-1.8, 5.3) |
| 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 03/25/2026 12:27 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.