Incidence Rates Table
Incidence Rate Report for Virginia by County
Colon & Rectum (All Stages^), 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 65+
Sorted by Count
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 | 143.0 (140.0, 145.9) | N/A | 1,869 |
falling 
|
-2.5 (-3.0, -1.7) |
| US (SEER+NPCR) 1 | N/A | 155.0 (154.5, 155.5) | N/A | 81,215 |
falling
|
-2.6 (-2.8, -2.3) |
| Bath County 2 | Rural | 272.3 (155.2, 444.1) | 1 (1, 112) | 3 |
|
|
| Bland County 2 | Rural | 221.8 (125.7, 362.8) | 10 (1, 114) | 3 |
|
|
| Charles City County 2 | Urban | 215.4 (121.8, 351.0) | 13 (1, 114) | 3 |
|
|
| Cumberland County 2 | Rural | 148.4 (84.1, 242.8) | 61 (2, 114) | 3 |
falling
|
-4.5 (-8.4, -0.7) |
| Prince Edward County 2 | Rural | 90.1 (51.1, 147.1) | 113 (30, 114) | 3 |
falling
|
-18.1 (-42.8, -7.5) |
| Rappahannock County 2 | Urban | 166.3 (96.2, 268.3) | 38 (1, 114) | 3 |
stable 
|
-4.0 (-8.9, 1.1) |
| Greensville County 2 | Rural | 224.4 (130.9, 359.2) | 8 (1, 114) | 4 |
|
|
| Greene County 2 | Urban | 111.5 (67.3, 174.0) | 107 (15, 114) | 4 |
|
|
| Scott County 2 | Urban | 77.4 (47.2, 119.7) | 114 (69, 114) | 4 |
falling
|
-5.7 (-10.1, -2.3) |
| Sussex County 2 | Urban | 208.6 (126.6, 323.6) | 15 (1, 114) | 4 |
stable
|
1.1 (-2.9, 5.7) |
| Clarke County 2 | Urban | 134.1 (82.5, 206.0) | 83 (6, 114) | 4 |
stable
|
5.8 (-13.5, 36.6) |
| Dickenson County 2 | Rural | 129.2 (79.7, 198.6) | 90 (10, 114) | 4 |
falling
|
-4.3 (-7.7, -1.4) |
| Charlotte County 2 | Rural | 173.8 (108.5, 264.0) | 32 (1, 114) | 4 |
stable
|
-1.9 (-6.3, 2.5) |
| Northampton County 2 | Rural | 131.3 (82.0, 199.4) | 87 (8, 114) | 4 |
falling
|
-4.2 (-9.3, -0.1) |
| Patrick County 2 | Rural | 97.1 (60.6, 147.2) | 112 (37, 114) | 4 |
falling
|
-5.3 (-8.7, -2.5) |
| Southampton County 2 | Rural | 119.1 (74.2, 181.3) | 98 (13, 114) | 4 |
falling
|
-4.8 (-7.7, -2.2) |
| Grayson County 2 | Rural | 123.3 (77.9, 185.5) | 95 (10, 114) | 5 |
stable
|
-3.9 (-9.6, 1.1) |
| King William County 2 | Urban | 189.3 (119.8, 283.7) | 21 (1, 113) | 5 |
|
|
| Nelson County 2 | Urban | 129.1 (81.3, 194.2) | 91 (10, 114) | 5 |
stable
|
-2.8 (-7.2, 1.6) |
| Fredericksburg City 2 | Urban | 164.0 (105.2, 244.0) | 43 (2, 114) | 5 |
|
|
| King George County 2 | Rural | 142.6 (91.3, 212.4) | 67 (6, 114) | 5 |
falling
|
-6.9 (-11.5, -2.8) |
| Amelia County 2 | Urban | 210.8 (137.0, 309.7) | 14 (1, 110) | 5 |
stable
|
-1.3 (-4.6, 2.2) |
| Nottoway County 2 | Rural | 185.7 (121.0, 272.7) | 23 (1, 112) | 5 |
stable
|
-1.7 (-5.6, 2.1) |
| Richmond County 2 | Rural | 265.7 (173.0, 390.2) | 2 (1, 102) | 5 |
|
|
| Essex County 2 | Rural | 234.3 (152.8, 343.5) | 7 (1, 107) | 5 |
|
|
| Fairfax City 2 | Urban | 174.1 (114.2, 253.9) | 31 (1, 113) | 5 |
stable
|
-1.9 (-5.4, 1.3) |
| Lee County 2 | Rural | 113.4 (74.4, 165.8) | 105 (20, 114) | 5 |
falling
|
-5.6 (-11.0, -1.7) |
| Madison County 2 | Rural | 180.1 (118.1, 263.1) | 28 (1, 113) | 5 |
stable
|
-3.3 (-7.1, 0.5) |
| Middlesex County 2 | Rural | 156.4 (102.9, 227.9) | 55 (4, 114) | 5 |
stable
|
-2.6 (-6.2, 1.0) |
| Colonial Heights City 2 | Urban | 164.6 (109.2, 237.9) | 42 (3, 114) | 6 |
falling
|
-4.1 (-6.7, -1.9) |
| Martinsville City 2 | Rural | 265.6 (175.6, 384.8) | 3 (1, 96) | 6 |
stable
|
-1.0 (-5.6, 3.2) |
| Waynesboro City 2 | Urban | 142.4 (94.5, 206.1) | 68 (8, 114) | 6 |
falling
|
-3.7 (-7.2, -0.6) |
| Brunswick County 2 | Rural | 181.0 (120.7, 260.7) | 27 (1, 112) | 6 |
stable
|
-3.1 (-6.5, 0.0) |
| New Kent County 2 | Urban | 152.9 (98.3, 227.0) | 56 (4, 114) | 6 |
stable
|
-3.2 (-7.7, 2.3) |
| Russell County 2 | Rural | 101.4 (67.5, 146.3) | 110 (39, 114) | 6 |
|
|
| Fluvanna County 2 | Urban | 112.5 (75.3, 161.7) | 106 (24, 114) | 6 |
falling
|
-6.3 (-9.8, -3.2) |
| Floyd County 2 | Urban | 173.0 (117.0, 246.9) | 33 (2, 113) | 6 |
|
|
| Mathews County 2 | Urban | 238.8 (162.0, 339.3) | 5 (1, 101) | 6 |
stable
|
-2.6 (-7.4, 1.9) |
| Buchanan County 2 | Rural | 137.0 (93.4, 194.2) | 79 (8, 114) | 6 |
|
|
| Westmoreland County 2 | Rural | 141.5 (96.3, 200.5) | 70 (10, 114) | 6 |
falling
|
-4.9 (-7.4, -2.7) |
| Winchester City 2 | Urban | 141.4 (96.1, 200.6) | 71 (8, 114) | 6 |
stable
|
-2.9 (-6.2, 0.2) |
| Appomattox County 2 | Urban | 200.3 (138.4, 281.1) | 17 (1, 107) | 7 |
stable
|
-1.8 (-4.8, 1.5) |
| Goochland County 2 | Urban | 132.9 (91.0, 187.1) | 85 (11, 114) | 7 |
|
|
| Lancaster County 2 | Rural | 170.5 (118.0, 238.4) | 34 (3, 113) | 7 |
stable
|
-2.8 (-7.8, 1.9) |
| Manassas City 2 | Urban | 168.7 (113.7, 241.1) | 36 (2, 114) | 7 |
stable
|
-3.2 (-7.2, 1.0) |
| Charlottesville City 2 | Urban | 124.1 (85.0, 175.1) | 94 (18, 114) | 7 |
falling
|
-3.7 (-6.9, -0.8) |
| Powhatan County 2 | Urban | 138.5 (95.3, 194.3) | 78 (10, 114) | 7 |
falling
|
-3.5 (-6.4, -0.3) |
| Wise County 2 | Rural | 109.4 (75.7, 153.0) | 109 (32, 114) | 7 |
falling
|
-7.9 (-11.6, -5.5) |
| Harrisonburg City 2 | Urban | 140.1 (98.0, 194.4) | 74 (10, 113) | 7 |
falling
|
-5.3 (-8.3, -2.7) |
| Hopewell City 2 | Urban | 221.6 (156.4, 304.9) | 11 (1, 101) | 8 |
stable
|
-2.0 (-5.7, 1.4) |
| Smyth County 2 | Rural | 114.1 (80.6, 156.9) | 104 (25, 114) | 8 |
stable
|
-7.4 (-33.0, 0.2) |
| Staunton City 2 | Urban | 150.8 (106.4, 207.4) | 57 (7, 113) | 8 |
stable
|
-3.4 (-7.2, 0.0) |
| Page County 2 | Rural | 157.0 (111.3, 215.1) | 54 (6, 112) | 8 |
stable
|
-1.5 (-5.3, 2.5) |
| Giles County 2 | Urban | 224.0 (159.6, 305.9) | 9 (1, 95) | 8 |
stable
|
-2.1 (-5.0, 0.6) |
| Salem City 2 | Urban | 181.1 (130.7, 244.4) | 26 (3, 107) | 9 |
stable
|
1.3 (-1.2, 10.3) |
| Alleghany County and Clifton Forge City 2 | Rural | 234.9 (170.5, 315.6) | 6 (1, 89) | 9 |
stable
|
-0.3 (-2.7, 2.3) |
| Isle of Wight County 2 | Urban | 121.5 (87.7, 164.2) | 96 (24, 114) | 9 |
falling
|
-3.9 (-7.1, -0.6) |
| Warren County 2 | Urban | 143.5 (104.0, 193.1) | 66 (10, 113) | 9 |
falling
|
-4.2 (-6.8, -1.7) |
| Accomack County 2 | Rural | 116.1 (84.6, 155.6) | 102 (27, 114) | 9 |
falling
|
-4.3 (-7.5, -1.7) |
| Dinwiddie County 2 | Urban | 192.6 (140.8, 257.3) | 19 (2, 105) | 9 |
falling
|
-3.2 (-6.1, -0.3) |
| Northumberland County 2 | Rural | 219.2 (160.7, 292.0) | 12 (1, 89) | 9 |
stable
|
4.4 (-0.3, 22.5) |
| Rockbridge County 2 | Rural | 163.7 (120.1, 217.9) | 45 (6, 110) | 9 |
falling
|
-4.0 (-7.0, -1.1) |
| Prince George County 2 | Urban | 186.3 (136.5, 248.3) | 22 (2, 108) | 10 |
stable
|
-2.4 (-5.9, 1.4) |
| Gloucester County 2 | Urban | 134.1 (98.6, 178.3) | 82 (18, 113) | 10 |
stable
|
3.6 (-5.1, 21.5) |
| Petersburg City 2 | Urban | 181.5 (133.6, 241.1) | 25 (2, 107) | 10 |
falling
|
-2.5 (-5.0, -0.4) |
| Louisa County 2 | Rural | 139.0 (102.0, 185.0) | 76 (14, 113) | 10 |
falling
|
-3.9 (-6.8, -1.0) |
| Caroline County 2 | Rural | 204.1 (151.1, 269.9) | 16 (1, 98) | 10 |
stable
|
0.1 (-3.2, 4.0) |
| Botetourt County 2 | Urban | 140.7 (105.0, 184.7) | 72 (14, 112) | 11 |
falling
|
-3.4 (-6.3, -0.5) |
| Wythe County 2 | Rural | 182.0 (135.8, 238.8) | 24 (3, 106) | 11 |
stable
|
-0.4 (-4.3, 3.8) |
| Mecklenburg County 2 | Rural | 138.9 (104.1, 181.6) | 77 (17, 113) | 11 |
stable
|
-1.5 (-4.0, 1.1) |
| Pulaski County 2 | Urban | 150.2 (112.4, 196.6) | 59 (11, 111) | 11 |
falling
|
-3.6 (-6.2, -1.1) |
| Carroll County 2 | Rural | 159.2 (120.6, 206.4) | 50 (8, 109) | 12 |
stable
|
-3.4 (-7.2, 0.1) |
| Orange County 2 | Rural | 164.8 (124.8, 213.5) | 41 (7, 109) | 12 |
falling
|
-2.3 (-4.2, -0.4) |
| Amherst County 2 | Urban | 192.7 (147.4, 247.3) | 18 (2, 98) | 12 |
falling
|
-3.7 (-6.6, -1.0) |
| Tazewell County 2 | Rural | 144.7 (111.1, 185.4) | 65 (15, 112) | 13 |
falling
|
-2.8 (-5.6, -0.3) |
| York County 2 | Urban | 119.3 (92.3, 151.6) | 97 (37, 114) | 13 |
falling
|
-6.1 (-8.3, -4.1) |
| Washington County 2 | Urban | 114.4 (88.8, 145.0) | 103 (42, 114) | 14 |
falling
|
-5.9 (-9.3, -3.2) |
| Shenandoah County 2 | Rural | 160.0 (125.2, 201.4) | 49 (10, 105) | 15 |
stable
|
2.7 (-0.9, 15.0) |
| Culpeper County 2 | Urban | 178.9 (140.2, 225.2) | 29 (6, 98) | 15 |
falling
|
-3.0 (-5.2, -0.6) |
| Halifax County with South Boston City 2 | Rural | 189.7 (150.0, 236.8) | 20 (3, 90) | 16 |
stable
|
-2.4 (-5.1, 0.3) |
| Lynchburg City 2 | Urban | 147.8 (117.2, 183.9) | 62 (15, 108) | 16 |
falling
|
-2.0 (-3.9, -0.3) |
| Campbell County 2 | Urban | 162.7 (130.7, 200.2) | 46 (10, 103) | 18 |
falling
|
-3.2 (-6.3, -0.1) |
| Fauquier County 2 | Urban | 158.7 (127.7, 195.0) | 51 (11, 102) | 19 |
stable
|
11.7 (-1.4, 28.7) |
| Portsmouth City 2 | Urban | 133.9 (107.8, 164.5) | 84 (25, 111) | 19 |
falling
|
-4.1 (-5.8, -2.7) |
| Franklin County 2 | Urban | 157.2 (127.0, 192.6) | 53 (13, 105) | 19 |
falling
|
-13.2 (-21.7, -9.0) |
| Montgomery County 2 | Urban | 160.2 (129.7, 195.6) | 48 (13, 102) | 20 |
stable
|
-2.2 (-4.4, 0.1) |
| Rockingham County 2 | Urban | 126.4 (102.9, 153.6) | 93 (34, 112) | 20 |
falling
|
-3.8 (-5.2, -2.4) |
| Pittsylvania County 2 | Rural | 150.2 (122.3, 182.6) | 58 (16, 106) | 21 |
falling
|
-3.2 (-5.5, -1.1) |
| Danville City 2 | Rural | 240.6 (196.2, 292.1) | 4 (1, 42) | 21 |
stable
|
-0.9 (-3.4, 1.4) |
| Suffolk City 2 | Urban | 161.5 (131.6, 196.2) | 47 (11, 102) | 21 |
falling
|
-2.5 (-4.3, -0.6) |
| Henry County 2 | Rural | 178.2 (146.2, 215.2) | 30 (7, 87) | 22 |
stable
|
-0.3 (-3.3, 3.7) |
| Stafford County 2 | Urban | 140.2 (114.3, 170.2) | 73 (21, 108) | 22 |
falling
|
-4.7 (-7.6, -1.7) |
| Albemarle County 2 | Urban | 101.0 (82.8, 122.0) | 111 (77, 114) | 22 |
falling
|
-5.2 (-6.7, -3.7) |
| Alexandria City 2 | Urban | 132.1 (108.8, 158.9) | 86 (32, 111) | 23 |
falling
|
-2.9 (-5.5, -0.4) |
| Frederick County 2 | Urban | 146.5 (120.9, 175.9) | 64 (20, 106) | 23 |
stable
|
-1.4 (-3.2, 0.7) |
| Hampton City 2 | Urban | 116.2 (96.1, 139.3) | 101 (55, 113) | 24 |
stable
|
7.6 (-5.4, 16.5) |
| Bedford City and County 2 | Urban | 147.5 (122.2, 176.5) | 63 (20, 105) | 25 |
falling
|
-3.4 (-5.1, -1.7) |
| Augusta County 2 | Urban | 163.8 (136.8, 194.5) | 44 (13, 96) | 26 |
stable
|
-1.5 (-3.8, 1.1) |
| Spotsylvania County 2 | Urban | 135.7 (113.2, 161.5) | 81 (31, 109) | 27 |
falling
|
-3.9 (-5.6, -2.0) |
| Arlington County 2 | Urban | 110.6 (92.5, 131.3) | 108 (64, 113) | 27 |
falling
|
-4.6 (-6.7, -2.8) |
| Roanoke City 2 | Urban | 165.5 (138.4, 196.4) | 39 (11, 92) | 27 |
stable
|
-2.0 (-4.6, 0.3) |
| James City County 2 | Urban | 141.6 (119.1, 167.0) | 69 (28, 106) | 28 |
falling
|
-2.1 (-3.7, -0.4) |
| Roanoke County 2 | Urban | 149.4 (126.2, 175.6) | 60 (20, 101) | 30 |
falling
|
-3.0 (-4.7, -1.4) |
| Newport News City 2 | Urban | 130.9 (111.0, 153.3) | 88 (34, 109) | 31 |
falling
|
-3.5 (-4.8, -2.4) |
| Hanover County 2 | Urban | 170.5 (144.9, 199.3) | 35 (12, 85) | 32 |
falling
|
-3.0 (-5.8, -0.3) |
| Norfolk City 2 | Urban | 139.3 (119.9, 160.8) | 75 (35, 104) | 39 |
falling
|
-3.3 (-4.8, -2.0) |
| Chesapeake City 2 | Urban | 136.5 (118.5, 156.5) | 80 (36, 106) | 43 |
falling
|
-4.0 (-6.0, -2.1) |
| Richmond City 2 | Urban | 165.3 (144.1, 188.7) | 40 (15, 85) | 47 |
falling
|
-3.2 (-4.6, -2.0) |
| Loudoun County 2 | Urban | 117.2 (102.6, 133.2) | 99 (65, 111) | 48 |
falling
|
-4.5 (-6.2, -2.6) |
| Prince William County 2 | Urban | 128.0 (113.4, 144.1) | 92 (53, 108) | 59 |
falling
|
-3.9 (-5.0, -2.9) |
| Chesterfield County 2 | Urban | 158.7 (143.2, 175.4) | 52 (22, 79) | 81 |
falling
|
-2.9 (-3.8, -1.9) |
| Virginia Beach City 2 | Urban | 129.4 (117.1, 142.6) | 89 (56, 104) | 84 |
falling
|
-3.9 (-4.7, -3.1) |
| Henrico County 2 | Urban | 166.4 (150.8, 183.1) | 37 (18, 71) | 86 |
falling
|
-2.4 (-3.7, -1.2) |
| Fairfax County 2 | Urban | 117.1 (109.4, 125.1) | 100 (78, 108) | 179 |
stable
|
0.4 (-3.7, 6.7) |
| Bristol City 2 | Urban |
|
|
|
|
|
| Buckingham County 2 | Rural |
|
|
|
|
|
| Buena Vista City 2 | Rural |
|
|
|
|
|
| Covington City 2 | Rural |
|
|
|
|
|
| Craig County 2 | Urban |
|
|
|
|
|
| Emporia City 2 | Rural |
|
|
|
|
|
| Falls Church City 2 | Urban |
|
|
|
|
|
| Franklin City 2 | Rural |
|
|
|
|
|
| Galax City 2 | Rural |
|
|
|
|
|
| Highland County 2 | Rural |
|
|
|
|
|
| King and Queen County 2 | Urban |
|
|
|
|
|
| Lexington City 2 | Rural |
|
|
|
|
|
| Lunenburg County 2 | Rural |
|
|
|
|
|
| Manassas Park City 2 | Urban |
|
|
|
|
|
| Norton City 2 | Rural |
|
|
|
|
|
| Poquoson City 2 | Urban |
|
|
|
|
|
| Radford City 2 | Urban |
|
|
|
|
|
| Surry County 2 | Urban |
|
|
|
|
|
| Williamsburg City 2 | Urban |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/27/2026 7:22 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.