Incidence Rates Table
Incidence Rate Report for Virginia by County
Colon & Rectum (Late Stage^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 50+
Sorted by CI*Rank
County
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2023 Rural-Urban Continuum Codes Φ
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Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)
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CI*Rank ⋔ (95% Confidence Interval) 
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Average Annual Count
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Percent of Cases with Late Stage
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|---|---|---|---|---|---|
| Virginia 2 | N/A | 59.5 (58.3, 60.8) | N/A | 1,770 | 59.7 |
| US (SEER+NPCR) 1 | N/A | 64.3 (64.1, 64.5) | N/A | 75,131 | 59.3 |
| Greensville County 2 | Rural | 121.9 (77.3, 183.1) | 1 (1, 97) | 5 | 68.6 |
| Martinsville City 2 | Rural | 121.9 (80.5, 176.5) | 2 (1, 83) | 6 | 70.0 |
| Lancaster County 2 | Rural | 119.4 (79.9, 170.5) | 3 (1, 65) | 8 | 76.0 |
| Essex County 2 | Rural | 113.6 (75.3, 164.7) | 4 (1, 89) | 6 | 69.0 |
| Mathews County 2 | Urban | 109.0 (72.1, 158.5) | 5 (1, 95) | 6 | 74.4 |
| Hopewell City 2 | Urban | 107.3 (76.3, 146.5) | 6 (1, 77) | 8 | 70.2 |
| Brunswick County 2 | Rural | 105.0 (72.5, 147.0) | 7 (1, 83) | 7 | 64.8 |
| Northumberland County 2 | Rural | 103.1 (70.2, 145.7) | 8 (1, 88) | 8 | 62.9 |
| Amherst County 2 | Urban | 97.5 (75.2, 124.2) | 9 (1, 69) | 13 | 72.0 |
| Nottoway County 2 | Rural | 94.1 (63.2, 135.1) | 10 (1, 104) | 6 | 78.9 |
| Alleghany County and Clifton Forge City 2 | Rural | 91.8 (63.6, 128.4) | 11 (1, 101) | 7 | 61.4 |
| Danville City 2 | Rural | 91.4 (72.1, 114.3) | 12 (2, 68) | 16 | 52.3 |
| Northampton County 2 | Rural | 91.2 (57.7, 136.2) | 13 (1, 109) | 5 | 77.1 |
| Orange County 2 | Rural | 88.1 (68.0, 112.3) | 14 (2, 75) | 13 | 72.0 |
| Dinwiddie County 2 | Urban | 86.3 (63.4, 114.7) | 15 (2, 96) | 10 | 64.5 |
| Campbell County 2 | Urban | 85.5 (69.5, 104.2) | 16 (3, 69) | 20 | 72.7 |
| Halifax County with South Boston City 2 | Rural | 84.4 (65.0, 107.9) | 17 (3, 87) | 14 | 57.1 |
| Richmond County 2 | Rural | 83.7 (48.3, 135.3) | 18 (1, 111) | 3 | 53.1 |
| Rockbridge County 2 | Rural | 82.8 (60.0, 111.2) | 19 (2, 103) | 9 | 59.7 |
| Colonial Heights City 2 | Urban | 81.4 (54.3, 117.2) | 20 (1, 110) | 6 | 69.0 |
| Caroline County 2 | Rural | 81.2 (58.8, 109.3) | 21 (2, 101) | 9 | 61.6 |
| Wythe County 2 | Rural | 80.9 (59.9, 107.0) | 22 (3, 98) | 10 | 62.5 |
| Floyd County 2 | Urban | 80.3 (52.3, 117.6) | 23 (1, 111) | 5 | 58.7 |
| Page County 2 | Rural | 79.8 (57.4, 108.0) | 24 (3, 104) | 9 | 66.2 |
| Appomattox County 2 | Urban | 79.4 (52.2, 115.8) | 25 (1, 111) | 6 | 62.2 |
| Petersburg City 2 | Urban | 78.7 (57.7, 104.9) | 26 (3, 104) | 10 | 63.2 |
| Lynchburg City 2 | Urban | 76.7 (61.3, 94.7) | 27 (6, 87) | 18 | 67.4 |
| Shenandoah County 2 | Rural | 76.6 (59.8, 96.7) | 28 (5, 94) | 15 | 64.0 |
| Buckingham County 2 | Rural | 76.2 (49.7, 111.9) | 29 (2, 110) | 5 | 67.5 |
| Roanoke City 2 | Urban | 74.6 (62.3, 88.7) | 30 (10, 82) | 27 | 61.2 |
| Waynesboro City 2 | Urban | 73.5 (49.2, 105.6) | 31 (2, 110) | 6 | 63.8 |
| New Kent County 2 | Urban | 73.2 (48.2, 106.4) | 32 (2, 111) | 6 | 62.0 |
| Amelia County 2 | Urban | 73.2 (44.8, 112.9) | 33 (2, 111) | 4 | 63.6 |
| Prince George County 2 | Urban | 72.6 (52.2, 98.4) | 34 (4, 109) | 9 | 64.2 |
| Cumberland County 2 | Rural | 72.6 (41.8, 117.5) | 35 (1, 111) | 3 | 63.0 |
| King William County 2 | Urban | 72.5 (44.8, 110.8) | 36 (2, 111) | 4 | 68.8 |
| Louisa County 2 | Rural | 72.5 (54.5, 94.4) | 37 (6, 106) | 12 | 64.4 |
| Fredericksburg City 2 | Urban | 72.3 (47.3, 106.1) | 38 (2, 111) | 5 | 61.4 |
| Madison County 2 | Rural | 71.6 (42.8, 111.7) | 39 (2, 111) | 4 | 51.3 |
| Charlotte County 2 | Rural | 71.5 (42.7, 112.5) | 40 (2, 111) | 4 | 63.3 |
| Mecklenburg County 2 | Rural | 71.1 (52.4, 94.1) | 41 (6, 108) | 10 | 67.5 |
| Carroll County 2 | Rural | 70.4 (51.9, 93.2) | 42 (5, 108) | 10 | 54.3 |
| Hanover County 2 | Urban | 70.3 (59.4, 82.7) | 43 (15, 89) | 30 | 63.0 |
| Franklin County 2 | Urban | 70.2 (56.4, 86.4) | 44 (11, 101) | 19 | 65.5 |
| Bedford City and County 2 | Urban | 69.7 (58.0, 83.1) | 45 (13, 93) | 26 | 66.8 |
| Richmond City 2 | Urban | 69.3 (60.3, 79.3) | 46 (18, 86) | 45 | 62.9 |
| Henry County 2 | Rural | 69.3 (55.0, 86.2) | 47 (11, 102) | 17 | 56.0 |
| Staunton City 2 | Urban | 69.3 (48.5, 96.0) | 48 (5, 110) | 7 | 66.1 |
| Lunenburg County 2 | Rural | 68.2 (40.1, 108.6) | 49 (2, 111) | 4 | 76.0 |
| Gloucester County 2 | Urban | 67.7 (50.8, 88.4) | 50 (9, 107) | 11 | 64.0 |
| Powhatan County 2 | Urban | 67.6 (48.1, 92.4) | 51 (7, 110) | 8 | 63.6 |
| Culpeper County 2 | Urban | 66.7 (50.8, 86.0) | 52 (10, 108) | 12 | 58.7 |
| Chesterfield County 2 | Urban | 66.6 (60.0, 73.7) | 53 (27, 81) | 79 | 63.2 |
| Nelson County 2 | Urban | 66.6 (42.3, 99.7) | 54 (3, 111) | 5 | 69.4 |
| Augusta County 2 | Urban | 66.5 (54.7, 80.1) | 55 (18, 99) | 23 | 60.3 |
| Southampton County 2 | Rural | 66.4 (43.9, 96.6) | 56 (4, 111) | 6 | 70.0 |
| Winchester City 2 | Urban | 66.2 (45.3, 93.4) | 57 (5, 111) | 7 | 73.3 |
| Fairfax City 2 | Urban | 65.9 (42.2, 97.9) | 58 (3, 111) | 5 | 64.1 |
| Henrico County 2 | Urban | 65.7 (59.2, 72.8) | 59 (29, 82) | 76 | 62.0 |
| Giles County 2 | Urban | 64.9 (41.8, 96.4) | 60 (4, 111) | 5 | 49.0 |
| Wise County 2 | Rural | 64.3 (46.3, 86.9) | 61 (9, 110) | 9 | 66.7 |
| Fluvanna County 2 | Urban | 63.2 (43.6, 88.4) | 62 (8, 111) | 7 | 68.6 |
| Prince Edward County 2 | Rural | 63.0 (40.5, 93.7) | 63 (6, 111) | 5 | 75.8 |
| Goochland County 2 | Urban | 62.6 (43.2, 87.6) | 64 (9, 111) | 7 | 59.0 |
| Accomack County 2 | Rural | 61.5 (44.7, 82.5) | 65 (12, 111) | 10 | 57.1 |
| Rockingham County 2 | Urban | 61.2 (49.7, 74.6) | 66 (23, 106) | 20 | 63.8 |
| Grayson County 2 | Rural | 61.2 (37.9, 93.3) | 67 (5, 111) | 4 | 55.0 |
| Middlesex County 2 | Rural | 60.9 (34.8, 98.4) | 68 (4, 111) | 4 | 57.6 |
| Stafford County 2 | Urban | 60.8 (50.0, 73.3) | 69 (22, 106) | 24 | 65.6 |
| Tazewell County 2 | Rural | 60.1 (44.9, 78.9) | 70 (17, 111) | 11 | 59.1 |
| Manassas City 2 | Urban | 59.7 (39.0, 87.4) | 71 (6, 111) | 6 | 61.2 |
| Portsmouth City 2 | Urban | 59.1 (47.5, 72.7) | 72 (22, 109) | 19 | 58.6 |
| Clarke County 2 | Urban | 59.1 (36.3, 91.0) | 73 (7, 111) | 4 | 67.7 |
| Spotsylvania County 2 | Urban | 58.7 (49.0, 69.6) | 74 (31, 106) | 28 | 62.7 |
| Pittsylvania County 2 | Rural | 58.6 (46.4, 73.0) | 75 (22, 109) | 17 | 53.5 |
| Westmoreland County 2 | Rural | 57.2 (37.0, 84.6) | 76 (9, 111) | 5 | 55.3 |
| James City County 2 | Urban | 56.7 (46.4, 68.7) | 77 (30, 108) | 22 | 57.8 |
| Alexandria City 2 | Urban | 56.7 (47.0, 67.8) | 78 (34, 109) | 25 | 63.1 |
| Montgomery County 2 | Urban | 56.4 (44.4, 70.8) | 79 (28, 110) | 15 | 51.3 |
| Albemarle County 2 | Urban | 56.4 (46.8, 67.5) | 80 (33, 108) | 25 | 71.8 |
| Norfolk City 2 | Urban | 56.4 (48.3, 65.4) | 81 (40, 105) | 37 | 54.4 |
| Patrick County 2 | Rural | 55.8 (35.5, 83.3) | 82 (9, 111) | 5 | 65.8 |
| Roanoke County 2 | Urban | 55.6 (45.8, 66.8) | 83 (36, 108) | 23 | 55.8 |
| Scott County 2 | Urban | 55.5 (35.7, 81.9) | 84 (12, 111) | 5 | 63.4 |
| Greene County 2 | Urban | 55.5 (34.0, 85.4) | 85 (9, 111) | 4 | 65.6 |
| Frederick County 2 | Urban | 55.3 (44.8, 67.5) | 86 (33, 110) | 20 | 57.9 |
| Fauquier County 2 | Urban | 55.1 (43.2, 69.2) | 87 (31, 111) | 15 | 53.1 |
| Botetourt County 2 | Urban | 54.9 (39.9, 73.8) | 88 (24, 111) | 9 | 61.6 |
| Isle of Wight County 2 | Urban | 54.9 (39.2, 74.6) | 89 (19, 111) | 8 | 60.0 |
| Suffolk City 2 | Urban | 54.7 (43.6, 67.8) | 90 (31, 110) | 17 | 52.4 |
| Chesapeake City 2 | Urban | 54.5 (47.1, 62.6) | 91 (47, 106) | 42 | 57.1 |
| Lee County 2 | Rural | 54.1 (34.6, 80.4) | 92 (10, 111) | 5 | 59.5 |
| Pulaski County 2 | Urban | 52.6 (37.4, 71.8) | 93 (20, 111) | 8 | 54.1 |
| Harrisonburg City 2 | Urban | 52.0 (34.9, 74.7) | 94 (19, 111) | 6 | 52.6 |
| Hampton City 2 | Urban | 50.8 (41.8, 61.2) | 95 (47, 111) | 24 | 54.4 |
| Newport News City 2 | Urban | 50.7 (42.5, 59.9) | 96 (54, 110) | 28 | 53.4 |
| Prince William County 2 | Urban | 50.3 (44.6, 56.4) | 97 (64, 108) | 63 | 57.3 |
| Dickenson County 2 | Rural | 50.2 (28.2, 82.7) | 98 (11, 111) | 3 | 57.1 |
| Warren County 2 | Urban | 49.7 (35.0, 68.6) | 99 (27, 111) | 8 | 53.4 |
| York County 2 | Urban | 49.6 (37.8, 63.9) | 100 (37, 111) | 12 | 55.0 |
| Washington County 2 | Urban | 49.2 (37.2, 63.7) | 101 (39, 111) | 12 | 55.6 |
| Salem City 2 | Urban | 48.7 (30.9, 72.9) | 102 (19, 111) | 5 | 37.5 |
| Fairfax County 2 | Urban | 48.5 (45.3, 51.8) | 103 (79, 108) | 176 | 59.8 |
| Loudoun County 2 | Urban | 46.9 (41.1, 53.3) | 104 (72, 111) | 50 | 58.3 |
| Charlottesville City 2 | Urban | 46.4 (30.8, 67.1) | 105 (27, 111) | 6 | 50.8 |
| Smyth County 2 | Rural | 45.3 (30.6, 64.7) | 106 (31, 111) | 6 | 52.5 |
| Virginia Beach City 2 | Urban | 45.1 (40.4, 50.3) | 107 (80, 111) | 68 | 49.0 |
| Russell County 2 | Rural | 45.0 (29.5, 65.8) | 108 (31, 111) | 6 | 59.6 |
| Buchanan County 2 | Rural | 43.3 (26.4, 66.9) | 109 (26, 111) | 4 | 41.2 |
| Arlington County 2 | Urban | 42.4 (35.1, 50.7) | 110 (76, 111) | 25 | 56.3 |
| King George County 2 | Rural | 40.7 (23.4, 65.8) | 111 (27, 111) | 3 | 42.5 |
| Bath County 2 | Rural |
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| Bland County 2 | Rural |
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| Bristol City 2 | Urban |
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| Buena Vista City 2 | Rural |
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| Charles City County 2 | Urban |
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| Covington City 2 | Rural |
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| Craig County 2 | Urban |
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| Emporia City 2 | Rural |
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| Falls Church City 2 | Urban |
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| Franklin City 2 | Rural |
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| Galax City 2 | Rural |
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| Highland County 2 | Rural |
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| King and Queen County 2 | Urban |
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| Lexington City 2 | Rural |
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| Manassas Park City 2 | Urban |
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| Norton City 2 | Rural |
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| Poquoson City 2 | Urban |
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| Radford City 2 | Urban |
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| Rappahannock County 2 | Urban |
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| Surry County 2 | Urban |
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| Sussex County 2 | Urban |
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| Williamsburg City 2 | Urban |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/25/2026 9:46 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 are computed using cancers classified as malignant based on ICD-O-3. For more information see malignant.html.
^ Late Stage is defined as cases determined to be regional or distant. 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.