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