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Incidence Rates Table

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Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes, Ages 65+

Sorted by CI*Rank

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
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Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Virginia 2 N/A 1,842.8 (1,832.4, 1,853.3) N/A 24,710 stable stable trend -0.3 (-0.6, 0.5)
US (SEER+NPCR) 1 N/A 2,004.7 (2,002.9, 2,006.4) N/A 1,067,371 falling falling trend -1.2 (-1.8, -0.8)
Galax City 2 Rural 2,972.5 (2,524.8, 3,475.1) 1 (1, 21) 32 rising rising trend 6.0 (4.0, 9.5)
Amelia County 2 Urban 2,592.4 (2,319.6, 2,888.7) 2 (1, 32) 67 stable stable trend 0.9 (-0.6, 2.6)
Buena Vista City 2 Rural 2,576.6 (2,191.5, 3,010.2) 3 (1, 71) 32 stable stable trend 0.8 (-0.7, 2.4)
New Kent County 2 Urban 2,555.2 (2,320.3, 2,807.8) 4 (1, 32) 100 stable stable trend 0.5 (-0.4, 1.5)
Martinsville City 2 Rural 2,463.9 (2,179.3, 2,775.4) 5 (1, 63) 56 stable stable trend 0.8 (-0.5, 2.1)
Hopewell City 2 Urban 2,457.8 (2,229.4, 2,703.4) 6 (1, 45) 86 stable stable trend 0.5 (-1.1, 2.1)
Nottoway County 2 Rural 2,427.6 (2,176.0, 2,700.4) 7 (1, 56) 69 stable stable trend 0.4 (-1.2, 2.1)
Waynesboro City 2 Urban 2,374.8 (2,164.4, 2,600.1) 8 (1, 53) 94 stable stable trend -0.2 (-1.1, 0.6)
King and Queen County 2 Urban 2,369.2 (2,030.7, 2,748.8) 9 (1, 91) 37 stable stable trend 1.2 (-0.9, 3.6)
Orange County 2 Rural 2,359.9 (2,202.7, 2,525.4) 10 (2, 38) 170 rising rising trend 2.8 (0.4, 8.4)
Mathews County 2 Urban 2,352.7 (2,098.9, 2,629.0) 11 (1, 65) 63 stable stable trend 1.0 (-0.7, 2.8)
Lexington City 2 Rural 2,337.6 (1,946.5, 2,784.1) 12 (1, 106) 25 rising rising trend 3.2 (0.9, 6.0)
Bath County 2 Rural 2,335.6 (1,956.3, 2,767.2) 13 (1, 106) 27 stable stable trend 1.1 (-0.6, 3.1)
Radford City 2 Urban 2,308.8 (1,964.5, 2,695.9) 14 (1, 106) 33 stable stable trend -0.2 (-2.1, 1.7)
King William County 2 Urban 2,303.5 (2,054.5, 2,574.7) 15 (2, 75) 66 stable stable trend -0.7 (-2.2, 1.0)
Essex County 2 Rural 2,298.7 (2,034.2, 2,588.5) 16 (1, 83) 57 stable stable trend 0.3 (-1.3, 2.2)
Dinwiddie County 2 Urban 2,287.2 (2,101.2, 2,485.3) 17 (3, 63) 115 stable stable trend 3.5 (-1.5, 11.0)
Northampton County 2 Rural 2,279.9 (2,055.9, 2,521.7) 18 (2, 77) 77 stable stable trend -0.6 (-1.8, 0.6)
Petersburg City 2 Urban 2,277.6 (2,099.9, 2,466.5) 19 (3, 58) 126 stable stable trend 0.2 (-0.7, 1.1)
King George County 2 Rural 2,271.4 (2,050.7, 2,509.6) 20 (2, 73) 81 stable stable trend -0.7 (-2.3, 1.1)
Sussex County 2 Urban 2,256.0 (1,967.3, 2,575.4) 21 (2, 95) 45 stable stable trend 1.1 (-0.7, 3.1)
Charles City County 2 Urban 2,240.1 (1,923.1, 2,594.6) 22 (1, 104) 37 stable stable trend -0.2 (-5.3, 1.8)
Covington City 2 Rural 2,225.1 (1,842.5, 2,664.6) 23 (1, 116) 24 stable stable trend 1.4 (-0.2, 2.9)
Caroline County 2 Rural 2,216.9 (2,032.2, 2,414.0) 24 (4, 72) 110 stable stable trend 0.6 (-0.7, 2.0)
Staunton City 2 Urban 2,211.3 (2,033.9, 2,400.2) 25 (4, 73) 116 stable stable trend 0.4 (-0.5, 1.3)
Salem City 2 Urban 2,204.8 (2,019.3, 2,402.7) 26 (5, 76) 106 stable stable trend 0.3 (-0.9, 1.6)
Giles County 2 Urban 2,194.8 (1,981.9, 2,424.6) 27 (4, 86) 79 falling falling trend -5.3 (-10.3, -1.5)
Colonial Heights City 2 Urban 2,190.5 (1,973.6, 2,424.7) 28 (3, 88) 75 stable stable trend -0.1 (-1.3, 1.0)
Charlotte County 2 Rural 2,177.6 (1,927.7, 2,451.3) 29 (3, 97) 56 stable stable trend 0.7 (-1.3, 2.8)
Brunswick County 2 Rural 2,167.7 (1,950.0, 2,403.4) 30 (3, 93) 74 stable stable trend 0.4 (-0.4, 1.1)
Lancaster County 2 Rural 2,160.7 (1,961.0, 2,375.1) 31 (5, 86) 86 stable stable trend 0.2 (-0.8, 1.3)
Gloucester County 2 Urban 2,156.8 (2,009.0, 2,312.8) 32 (9, 76) 164 stable stable trend -0.5 (-1.4, 0.4)
Lunenburg County 2 Rural 2,145.0 (1,900.1, 2,413.1) 33 (4, 101) 57 stable stable trend 0.0 (-1.5, 1.6)
Fredericksburg City 2 Urban 2,140.4 (1,909.5, 2,391.6) 34 (3, 96) 65 stable stable trend -1.2 (-2.4, 0.0)
Goochland County 2 Urban 2,133.2 (1,961.9, 2,315.6) 35 (8, 84) 121 stable stable trend -0.1 (-0.7, 0.7)
Greensville County 2 Rural 2,127.8 (1,821.8, 2,471.5) 36 (2, 113) 37 stable stable trend -0.6 (-2.2, 1.1)
Mecklenburg County 2 Rural 2,111.6 (1,969.6, 2,261.2) 37 (11, 82) 167 stable stable trend 0.4 (-0.6, 1.6)
Chesterfield County 2 Urban 2,099.0 (2,043.1, 2,155.9) 38 (24, 57) 1,138 stable stable trend 0.8 (-1.2, 4.1)
Prince George County 2 Urban 2,095.6 (1,921.5, 2,281.3) 39 (10, 89) 111 stable stable trend -1.2 (-2.6, 0.3)
Powhatan County 2 Urban 2,083.2 (1,911.9, 2,266.0) 40 (10, 90) 117 stable stable trend 3.0 (0.0, 8.2)
Richmond City 2 Urban 2,075.0 (1,999.3, 2,152.9) 41 (24, 67) 610 falling falling trend -0.6 (-1.1, -0.2)
Poquoson City 2 Urban 2,067.6 (1,816.5, 2,343.9) 42 (4, 111) 49 stable stable trend -0.9 (-2.2, 0.5)
Culpeper County 2 Urban 2,059.5 (1,921.2, 2,205.2) 43 (16, 89) 170 stable stable trend -0.9 (-1.8, 0.3)
Wythe County 2 Rural 2,057.5 (1,896.2, 2,228.9) 44 (12, 92) 123 stable stable trend 0.9 (0.0, 1.9)
Northumberland County 2 Rural 2,057.1 (1,870.2, 2,257.7) 45 (9, 102) 90 stable stable trend 4.6 (-0.7, 11.1)
Surry County 2 Urban 2,048.2 (1,736.2, 2,400.7) 46 (3, 120) 32 stable stable trend 0.5 (-0.6, 1.8)
Suffolk City 2 Urban 2,046.1 (1,938.5, 2,158.3) 47 (21, 82) 280 stable stable trend 0.0 (-0.9, 1.0)
Roanoke City 2 Urban 2,046.1 (1,948.3, 2,147.6) 48 (23, 77) 342 stable stable trend -0.1 (-0.9, 0.7)
Spotsylvania County 2 Urban 2,044.9 (1,954.7, 2,138.2) 49 (24, 76) 405 falling falling trend -0.9 (-1.5, -0.2)
Middlesex County 2 Rural 2,039.0 (1,832.5, 2,262.7) 50 (11, 105) 71 stable stable trend 0.0 (-1.4, 1.7)
Henrico County 2 Urban 2,037.7 (1,982.7, 2,093.8) 51 (31, 67) 1,071 falling falling trend -0.6 (-2.1, -0.1)
Chesapeake City 2 Urban 2,007.0 (1,937.6, 2,078.3) 52 (32, 78) 663 stable stable trend -0.2 (-0.7, 0.3)
Danville City 2 Rural 1,997.1 (1,865.2, 2,135.9) 53 (22, 97) 174 stable stable trend -0.8 (-2.2, 0.4)
Norfolk City 2 Urban 1,995.8 (1,920.6, 2,073.1) 54 (33, 83) 562 stable stable trend 0.0 (-0.5, 0.6)
Hanover County 2 Urban 1,994.4 (1,906.2, 2,085.7) 55 (29, 84) 394 falling falling trend -1.1 (-3.5, -0.2)
Fairfax City 2 Urban 1,989.9 (1,779.5, 2,218.4) 56 (12, 111) 67 rising rising trend 9.0 (0.4, 15.7)
Augusta County 2 Urban 1,983.7 (1,888.1, 2,082.9) 57 (28, 89) 327 stable stable trend -0.2 (-0.9, 0.7)
Franklin City 2 Rural 1,983.5 (1,677.0, 2,329.7) 58 (3, 123) 30 stable stable trend -0.6 (-2.5, 1.3)
Prince Edward County 2 Rural 1,982.7 (1,777.9, 2,204.5) 59 (12, 111) 70 stable stable trend -0.1 (-1.4, 1.3)
Richmond County 2 Rural 1,981.3 (1,709.0, 2,284.6) 60 (5, 120) 38 stable stable trend 1.3 (-0.2, 2.9)
Botetourt County 2 Urban 1,976.9 (1,837.0, 2,124.8) 61 (22, 100) 152 rising rising trend 1.4 (0.4, 4.7)
Louisa County 2 Rural 1,975.7 (1,830.6, 2,129.5) 62 (22, 100) 146 stable stable trend -0.7 (-1.9, 0.8)
Virginia Beach City 2 Urban 1,954.4 (1,906.5, 2,003.3) 63 (44, 81) 1,299 falling falling trend -3.7 (-6.2, -0.9)
Westmoreland County 2 Rural 1,950.8 (1,776.2, 2,138.1) 64 (18, 111) 93 stable stable trend -0.7 (-1.9, 0.6)
Stafford County 2 Urban 1,946.7 (1,849.5, 2,047.6) 65 (34, 94) 319 falling falling trend -1.5 (-2.1, -0.8)
James City County 2 Urban 1,944.6 (1,859.2, 2,033.0) 66 (39, 92) 391 stable stable trend -0.4 (-1.0, 0.3)
Nelson County 2 Urban 1,931.8 (1,739.3, 2,140.1) 67 (18, 115) 78 stable stable trend -0.9 (-2.1, 0.4)
Portsmouth City 2 Urban 1,921.3 (1,818.8, 2,028.2) 68 (36, 99) 272 stable stable trend -0.3 (-1.2, 0.5)
Amherst County 2 Urban 1,921.1 (1,774.2, 2,077.0) 69 (29, 109) 128 stable stable trend -1.0 (-2.0, 0.1)
Lynchburg City 2 Urban 1,913.1 (1,799.5, 2,032.0) 70 (36, 102) 214 stable stable trend -0.3 (-1.4, 0.7)
York County 2 Urban 1,909.3 (1,797.5, 2,026.3) 71 (34, 105) 220 falling falling trend -1.3 (-2.2, -0.2)
Franklin County 2 Urban 1,902.0 (1,794.4, 2,014.4) 72 (38, 104) 242 stable stable trend -0.1 (-1.0, 1.0)
Floyd County 2 Urban 1,896.1 (1,697.6, 2,111.6) 73 (20, 118) 68 stable stable trend 0.6 (-0.7, 2.0)
Fluvanna County 2 Urban 1,893.0 (1,730.1, 2,067.2) 74 (27, 114) 102 falling falling trend -1.1 (-2.0, -0.2)
Newport News City 2 Urban 1,891.0 (1,813.3, 1,971.2) 75 (49, 99) 457 stable stable trend 3.6 (-0.2, 7.0)
Bedford City and County 2 Urban 1,886.9 (1,794.5, 1,982.7) 76 (48, 103) 323 falling falling trend -1.0 (-3.5, -0.2)
Roanoke County 2 Urban 1,881.4 (1,797.5, 1,968.2) 77 (49, 101) 383 stable stable trend 0.1 (-0.5, 0.8)
Rockbridge County 2 Rural 1,877.5 (1,723.8, 2,041.3) 78 (32, 113) 111 stable stable trend -0.9 (-1.8, 0.1)
Emporia City 2 Rural 1,877.5 (1,522.6, 2,289.5) 79 (4, 127) 20 stable stable trend -0.9 (-2.8, 0.9)
Norton City 2 Rural 1,875.9 (1,434.1, 2,412.2) 80 (3, 131) 12 stable stable trend -2.1 (-4.8, 0.4)
Isle of Wight County 2 Urban 1,870.5 (1,731.5, 2,017.8) 81 (36, 113) 139 stable stable trend -0.9 (-1.6, 0.0)
Alleghany County and Clifton Forge City 2 Rural 1,862.7 (1,673.7, 2,067.4) 82 (23, 118) 71 stable stable trend -0.6 (-2.0, 0.8)
Shenandoah County 2 Rural 1,855.7 (1,733.7, 1,983.9) 83 (37, 111) 174 stable stable trend 0.3 (-0.5, 1.1)
Greene County 2 Urban 1,853.9 (1,659.0, 2,065.7) 84 (25, 119) 69 stable stable trend -1.1 (-2.6, 0.7)
Hampton City 2 Urban 1,849.0 (1,767.0, 1,933.8) 85 (55, 105) 393 stable stable trend 1.9 (-0.6, 5.2)
Southampton County 2 Rural 1,834.3 (1,643.1, 2,041.9) 86 (27, 120) 69 stable stable trend -0.1 (-1.5, 1.4)
Winchester City 2 Urban 1,831.6 (1,656.6, 2,020.2) 87 (29, 119) 82 stable stable trend -0.7 (-1.8, 0.4)
Campbell County 2 Urban 1,815.2 (1,705.2, 1,930.4) 88 (48, 113) 205 stable stable trend -1.1 (-2.1, 0.0)
Rockingham County 2 Urban 1,814.9 (1,722.6, 1,910.9) 89 (58, 110) 293 stable stable trend -0.5 (-1.2, 0.2)
Buckingham County 2 Rural 1,813.9 (1,610.7, 2,035.9) 90 (29, 122) 60 stable stable trend -1.4 (-2.7, 0.0)
Grayson County 2 Rural 1,808.8 (1,620.5, 2,012.9) 91 (34, 120) 68 stable stable trend -0.5 (-1.8, 0.7)
Page County 2 Rural 1,807.4 (1,646.2, 1,980.3) 92 (39, 119) 94 falling falling trend -2.7 (-7.2, -0.9)
Madison County 2 Rural 1,803.2 (1,593.8, 2,032.7) 93 (28, 124) 55 stable stable trend -0.5 (-1.5, 0.6)
Warren County 2 Urban 1,799.3 (1,655.4, 1,952.4) 94 (41, 118) 120 stable stable trend -0.4 (-1.4, 0.6)
Cumberland County 2 Rural 1,793.0 (1,548.2, 2,066.1) 95 (22, 126) 39 stable stable trend -0.9 (-2.6, 0.9)
Albemarle County 2 Urban 1,788.8 (1,708.9, 1,871.5) 96 (67, 110) 383 falling falling trend -1.4 (-2.1, -0.6)
Manassas City 2 Urban 1,772.3 (1,582.4, 1,978.9) 97 (38, 124) 70 falling falling trend -2.4 (-4.3, -0.5)
Pulaski County 2 Urban 1,767.4 (1,634.6, 1,908.3) 98 (54, 118) 134 stable stable trend -0.4 (-1.2, 0.5)
Henry County 2 Rural 1,764.2 (1,660.2, 1,872.9) 99 (66, 117) 215 stable stable trend -1.1 (-2.4, 0.2)
Appomattox County 2 Urban 1,757.9 (1,559.5, 1,974.6) 100 (35, 124) 58 stable stable trend -0.8 (-2.2, 0.8)
Fauquier County 2 Urban 1,747.7 (1,642.4, 1,858.1) 101 (66, 117) 210 stable stable trend -0.9 (-2.0, 0.2)
Craig County 2 Urban 1,735.3 (1,406.8, 2,117.8) 102 (12, 131) 20 falling falling trend -2.7 (-10.2, -0.3)
Bland County 2 Rural 1,730.5 (1,443.9, 2,058.6) 103 (18, 130) 26 stable stable trend -1.0 (-2.8, 1.0)
Montgomery County 2 Urban 1,728.3 (1,626.4, 1,834.9) 104 (72, 118) 220 stable stable trend -0.6 (-1.5, 0.3)
Patrick County 2 Rural 1,727.7 (1,562.0, 1,906.3) 105 (50, 123) 80 stable stable trend -0.3 (-2.3, 1.7)
Harrisonburg City 2 Urban 1,723.2 (1,560.3, 1,898.5) 106 (54, 124) 85 falling falling trend -2.2 (-5.3, -1.1)
Frederick County 2 Urban 1,711.0 (1,620.8, 1,804.8) 107 (80, 118) 275 falling falling trend -1.6 (-2.5, -1.0)
Halifax County with South Boston City 2 Rural 1,707.8 (1,584.4, 1,838.2) 108 (69, 122) 143 stable stable trend 0.1 (-1.4, 1.6)
Carroll County 2 Rural 1,686.8 (1,555.6, 1,826.1) 109 (71, 123) 124 stable stable trend -0.4 (-1.8, 1.1)
Manassas Park City 2 Urban 1,669.3 (1,374.8, 2,008.9) 110 (20, 130) 23 stable stable trend -2.3 (-5.3, 1.4)
Charlottesville City 2 Urban 1,667.5 (1,514.0, 1,832.3) 111 (66, 125) 93 falling falling trend -1.4 (-2.4, -0.5)
Williamsburg City 2 Urban 1,658.5 (1,439.2, 1,901.8) 112 (48, 130) 41 falling falling trend -1.7 (-3.1, -0.1)
Loudoun County 2 Urban 1,636.9 (1,581.3, 1,693.9) 113 (99, 120) 671 stable stable trend 1.2 (-1.0, 5.2)
Prince William County 2 Urban 1,635.3 (1,583.0, 1,688.9) 114 (99, 119) 790 falling falling trend -1.3 (-1.8, -0.7)
Clarke County 2 Urban 1,624.5 (1,429.4, 1,838.9) 115 (57, 129) 51 stable stable trend -1.3 (-2.5, 0.1)
Alexandria City 2 Urban 1,605.0 (1,521.9, 1,691.4) 116 (98, 123) 294 falling falling trend -1.2 (-2.0, -0.2)
Accomack County 2 Rural 1,594.3 (1,471.2, 1,725.0) 117 (90, 126) 127 falling falling trend -1.9 (-3.6, -0.3)
Highland County 2 Rural 1,546.6 (1,168.6, 2,007.6) 118 (13, 133) 12 stable stable trend 0.0 (-2.2, 2.4)
Wise County 2 Rural 1,522.3 (1,389.3, 1,664.7) 119 (98, 129) 101 falling falling trend -3.2 (-4.5, -2.0)
Fairfax County 2 Urban 1,522.2 (1,494.5, 1,550.3) 120 (113, 125) 2,374 falling falling trend -1.3 (-1.9, -0.7)
Pittsylvania County 2 Rural 1,496.4 (1,406.4, 1,590.8) 121 (109, 128) 210 falling falling trend -1.8 (-2.7, -0.8)
Arlington County 2 Urban 1,478.7 (1,411.2, 1,548.7) 122 (114, 127) 374 falling falling trend -1.7 (-2.4, -1.1)
Rappahannock County 2 Urban 1,476.8 (1,246.5, 1,737.6) 123 (71, 131) 30 falling falling trend -1.8 (-3.3, -0.1)
Smyth County 2 Rural 1,469.8 (1,341.6, 1,606.9) 124 (106, 130) 98 falling falling trend -2.6 (-9.4, -0.3)
Falls Church City 2 Urban 1,431.8 (1,211.9, 1,680.4) 125 (88, 131) 31 stable stable trend -1.9 (-3.8, 0.2)
Dickenson County 2 Rural 1,356.5 (1,182.9, 1,548.8) 126 (108, 131) 45 falling falling trend -2.6 (-4.1, -1.1)
Washington County 2 Urban 1,336.7 (1,247.0, 1,431.1) 127 (120, 131) 168 falling falling trend -3.3 (-4.2, -2.4)
Russell County 2 Rural 1,313.2 (1,182.2, 1,454.8) 128 (117, 131) 75 falling falling trend -10.4 (-15.5, -6.6)
Lee County 2 Rural 1,307.4 (1,166.7, 1,460.7) 129 (116, 131) 64 falling falling trend -3.3 (-5.8, -1.1)
Tazewell County 2 Rural 1,303.2 (1,198.3, 1,415.0) 130 (121, 131) 117 falling falling trend -3.3 (-8.0, -2.3)
Buchanan County 2 Rural 1,125.4 (991.8, 1,272.0) 131 (126, 133) 52 falling falling trend -2.5 (-4.1, -1.0)
Scott County 2 Urban 982.1 (865.8, 1,109.7) 132 (130, 133) 52 falling falling trend -7.0 (-25.1, -4.8)
Bristol City 2 Urban 894.9 (763.6, 1,042.2) 133 (131, 133) 33 falling falling trend -9.0 (-27.4, -6.5)

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 6:51 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 for United States does not include Puerto Rico.

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