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Incidence Rates Table

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Incidence Rate Report for Virginia by County

Breast (All Stages^), 2018-2022

All Races (includes Hispanic), Female, All Ages

Sorted by Recentaapc

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
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Virginia 2 N/A 131.4 (130.0, 132.8) N/A 7,023 rising rising trend 0.4 (0.2, 0.7)
US (SEER+NPCR) 1 N/A 131.3 (131.1, 131.6) N/A 270,245 rising rising trend 0.6 (0.5, 0.8)
Williamsburg City 2 Urban 142.3 (101.7, 193.9) 40 (1, 127) 11 falling falling trend -15.4 (-35.7, -4.2)
Page County 2 Rural 76.1 (58.2, 98.3) 128 (104, 131) 14 falling falling trend -10.0 (-19.8, -5.1)
Appomattox County 2 Urban 98.7 (73.7, 130.1) 120 (30, 131) 12 falling falling trend -8.9 (-27.1, -1.8)
Bath County 2 Rural 85.6 (48.7, 150.3) 126 (13, 131) 3 falling falling trend -3.8 (-10.5, -1.1)
Northumberland County 2 Rural 102.5 (74.8, 140.5) 117 (16, 131) 14 falling falling trend -3.8 (-21.1, -0.1)
Rappahannock County 2 Urban 116.4 (74.3, 176.1) 101 (1, 131) 7 falling falling trend -3.6 (-5.9, -1.4)
Wise County 2 Rural 105.1 (87.1, 126.1) 111 (43, 128) 27 stable stable trend -3.4 (-15.9, 0.0)
Radford City 2 Urban 107.8 (74.2, 151.7) 108 (7, 131) 7 stable stable trend -2.8 (-5.9, 0.0)
Washington County 2 Urban 94.2 (80.6, 109.8) 122 (88, 129) 40 falling falling trend -2.8 (-4.8, -0.9)
Virginia Beach City 2 Urban 130.6 (124.4, 136.9) 66 (39, 92) 362 falling falling trend -2.7 (-5.8, -1.0)
Frederick County 2 Urban 120.3 (107.9, 133.8) 95 (37, 117) 74 falling falling trend -2.6 (-7.5, -1.1)
Tazewell County 2 Rural 67.0 (53.2, 83.5) 130 (119, 131) 20 falling falling trend -2.5 (-4.9, -0.3)
Lee County 2 Rural 82.9 (63.3, 107.5) 127 (85, 131) 14 stable stable trend -2.4 (-7.1, 1.6)
Falls Church City 2 Urban 105.6 (77.4, 141.3) 109 (11, 131) 10 stable stable trend -1.4 (-3.7, 1.0)
Dickenson County 2 Rural 119.6 (88.6, 159.0) 96 (6, 129) 12 stable stable trend -1.3 (-4.8, 1.9)
Russell County 2 Rural 104.0 (83.3, 128.9) 113 (42, 129) 20 stable stable trend -1.3 (-5.1, 2.2)
Charlottesville City 2 Urban 99.8 (82.1, 120.3) 119 (55, 130) 24 stable stable trend -1.1 (-2.9, 0.7)
Montgomery County 2 Urban 109.8 (96.5, 124.4) 106 (58, 124) 54 stable stable trend -1.0 (-2.8, 0.9)
Nottoway County 2 Rural 144.9 (112.1, 185.2) 33 (1, 122) 15 stable stable trend -1.0 (-3.5, 1.5)
Clarke County 2 Urban 135.7 (103.8, 175.1) 55 (1, 126) 15 stable stable trend -0.8 (-3.6, 2.0)
Albemarle County 2 Urban 129.3 (117.2, 142.3) 71 (22, 107) 96 stable stable trend -0.7 (-2.5, 1.2)
Buchanan County 2 Rural 97.7 (73.7, 127.7) 121 (42, 131) 14 stable stable trend -0.5 (-3.4, 2.1)
Manassas City 2 Urban 116.4 (95.4, 140.6) 100 (16, 126) 23 stable stable trend -0.4 (-2.6, 1.9)
Arlington County 2 Urban 132.1 (122.9, 141.9) 63 (25, 96) 154 stable stable trend -0.3 (-1.4, 0.9)
Hampton City 2 Urban 126.4 (115.5, 138.0) 78 (31, 109) 109 stable stable trend -0.3 (-1.7, 1.1)
Powhatan County 2 Urban 138.4 (115.4, 165.1) 46 (5, 115) 28 stable stable trend -0.3 (-2.8, 2.5)
Salem City 2 Urban 129.6 (105.8, 157.5) 69 (6, 122) 23 stable stable trend -0.3 (-2.3, 1.7)
Nelson County 2 Urban 113.0 (86.1, 147.1) 103 (9, 129) 16 stable stable trend -0.2 (-2.6, 2.5)
Newport News City 2 Urban 125.9 (116.2, 136.1) 81 (34, 108) 134 stable stable trend -0.2 (-1.2, 0.8)
Prince Edward County 2 Rural 117.4 (90.6, 150.1) 99 (11, 127) 15 stable stable trend -0.1 (-2.7, 2.6)
Norfolk City 2 Urban 136.1 (126.6, 146.1) 51 (18, 92) 165 stable stable trend 0.0 (-8.4, 1.7)
Richmond City 2 Urban 128.7 (119.6, 138.4) 74 (33, 102) 162 stable stable trend 0.0 (-0.6, 0.6)
Warren County 2 Urban 119.4 (100.3, 141.1) 97 (22, 123) 31 stable stable trend 0.0 (-2.1, 2.4)
Fluvanna County 2 Urban 115.7 (94.6, 140.5) 102 (18, 126) 23 stable stable trend 0.1 (-1.6, 1.9)
Halifax County with South Boston City 2 Rural 125.1 (105.1, 148.2) 83 (12, 120) 34 stable stable trend 0.1 (-2.2, 1.3)
Loudoun County 2 Urban 133.7 (126.9, 140.9) 61 (31, 88) 291 stable stable trend 0.1 (-0.8, 1.1)
Richmond County 2 Rural 145.7 (98.6, 208.6) 32 (1, 129) 8 stable stable trend 0.1 (-3.2, 3.5)
Waynesboro City 2 Urban 135.8 (110.0, 166.1) 53 (4, 121) 21 stable stable trend 0.1 (-1.5, 1.7)
Prince William County 2 Urban 121.1 (114.9, 127.5) 92 (58, 107) 299 stable stable trend 0.2 (-0.7, 1.1)
Shenandoah County 2 Rural 108.4 (91.2, 128.0) 107 (41, 126) 33 stable stable trend 0.2 (-1.4, 1.8)
Greensville County 2 Rural 128.7 (87.7, 183.4) 75 (1, 131) 7 stable stable trend 0.3 (-2.6, 3.3)
Harrisonburg City 2 Urban 93.1 (74.8, 114.4) 124 (71, 130) 19 stable stable trend 0.3 (-1.2, 1.9)
King George County 2 Rural 125.1 (100.8, 153.6) 84 (10, 125) 19 stable stable trend 0.3 (-1.7, 2.7)
Portsmouth City 2 Urban 126.5 (113.6, 140.6) 77 (24, 111) 76 stable stable trend 0.3 (-0.8, 1.4)
Rockbridge County 2 Rural 133.9 (108.4, 164.3) 59 (4, 119) 24 stable stable trend 0.3 (-1.3, 1.9)
Alexandria City 2 Urban 134.7 (123.9, 146.2) 56 (19, 98) 119 stable stable trend 0.4 (-0.7, 1.5)
Charles City County 2 Urban 155.8 (109.2, 219.8) 16 (1, 124) 9 stable stable trend 0.4 (-4.2, 5.7)
Culpeper County 2 Urban 129.5 (112.0, 149.1) 70 (12, 116) 42 stable stable trend 0.4 (-1.4, 2.3)
Franklin City 2 Rural 157.5 (111.8, 216.3) 14 (1, 127) 9 stable stable trend 0.4 (-2.2, 3.0)
Henry County 2 Rural 123.4 (106.8, 142.1) 88 (19, 119) 49 stable stable trend 0.4 (-1.1, 1.7)
Isle of Wight County 2 Urban 128.8 (109.8, 150.4) 73 (10, 118) 37 stable stable trend 0.4 (-1.1, 2.0)
Surry County 2 Urban 130.7 (89.1, 189.3) 65 (1, 130) 8 stable stable trend 0.4 (-18.2, 4.5)
Chesterfield County 2 Urban 147.6 (140.4, 155.0) 29 (13, 54) 338 stable stable trend 0.5 (-0.5, 1.7)
Franklin County 2 Urban 128.8 (112.8, 146.8) 72 (16, 115) 56 stable stable trend 0.5 (-1.3, 2.3)
Fredericksburg City 2 Urban 152.1 (123.7, 184.9) 21 (1, 112) 21 stable stable trend 0.5 (-2.3, 3.5)
Martinsville City 2 Rural 176.8 (139.3, 221.8) 3 (1, 106) 17 stable stable trend 0.5 (-1.7, 2.7)
Pulaski County 2 Urban 109.8 (91.4, 131.3) 105 (31, 127) 29 stable stable trend 0.5 (-2.8, 4.1)
Roanoke City 2 Urban 140.7 (127.4, 155.0) 43 (10, 92) 91 stable stable trend 0.5 (-0.6, 1.7)
Roanoke County 2 Urban 135.7 (123.3, 149.2) 54 (15, 100) 100 stable stable trend 0.5 (-0.4, 1.5)
Gloucester County 2 Urban 133.8 (114.8, 155.5) 60 (8, 114) 40 stable stable trend 0.6 (-1.3, 2.6)
Hanover County 2 Urban 142.7 (130.5, 155.8) 39 (10, 90) 110 stable stable trend 0.6 (-0.7, 1.9)
Henrico County 2 Urban 148.2 (140.9, 155.8) 28 (11, 57) 326 stable stable trend 0.6 (0.0, 1.3)
Mathews County 2 Urban 125.7 (87.8, 177.9) 82 (1, 130) 10 stable stable trend 0.6 (-3.1, 4.7)
Poquoson City 2 Urban 162.8 (125.1, 209.2) 9 (1, 114) 14 stable stable trend 0.6 (-2.3, 3.7)
Orange County 2 Rural 136.0 (116.5, 158.2) 52 (8, 113) 38 stable stable trend 0.7 (-0.6, 2.1)
Rockingham County 2 Urban 111.6 (98.9, 125.6) 104 (49, 122) 63 stable stable trend 0.7 (-0.8, 2.3)
Westmoreland County 2 Rural 136.7 (107.3, 172.2) 49 (2, 123) 20 stable stable trend 0.7 (-0.9, 2.4)
York County 2 Urban 138.2 (122.7, 155.2) 47 (10, 103) 62 stable stable trend 0.7 (-0.6, 2.0)
Northampton County 2 Rural 161.0 (121.5, 210.3) 10 (1, 114) 17 stable stable trend 0.8 (-2.3, 3.7)
Petersburg City 2 Urban 147.4 (124.7, 173.2) 30 (3, 105) 34 stable stable trend 0.8 (-1.3, 3.1)
Winchester City 2 Urban 126.1 (102.4, 153.9) 80 (8, 125) 21 stable stable trend 0.8 (-1.8, 3.7)
Amherst County 2 Urban 123.9 (103.2, 147.8) 86 (13, 123) 30 stable stable trend 0.9 (-1.4, 3.4)
Chesapeake City 2 Urban 144.5 (135.8, 153.7) 35 (13, 68) 215 stable stable trend 0.9 (0.0, 1.9)
King William County 2 Urban 143.0 (112.3, 179.9) 38 (2, 123) 16 stable stable trend 0.9 (-2.0, 4.1)
Suffolk City 2 Urban 130.4 (117.2, 144.7) 67 (20, 106) 76 stable stable trend 0.9 (-1.1, 3.3)
Sussex County 2 Urban 122.2 (82.0, 176.0) 90 (1, 131) 8 stable stable trend 0.9 (-1.2, 2.9)
Accomack County 2 Rural 126.2 (105.1, 150.5) 79 (10, 121) 32 stable stable trend 1.0 (-1.5, 3.5)
Alleghany County and Clifton Forge City 2 Rural 152.2 (119.0, 192.7) 20 (1, 118) 18 stable stable trend 1.0 (-2.1, 4.2)
Greene County 2 Urban 122.1 (95.5, 154.2) 91 (6, 126) 16 stable stable trend 1.0 (-1.4, 3.7)
Mecklenburg County 2 Rural 151.7 (127.9, 179.0) 22 (2, 104) 37 stable stable trend 1.0 (-0.4, 2.5)
New Kent County 2 Urban 165.3 (136.2, 199.3) 6 (1, 100) 26 stable stable trend 1.0 (-1.4, 3.9)
Stafford County 2 Urban 137.0 (125.7, 149.1) 48 (16, 94) 112 stable stable trend 1.0 (-0.1, 2.3)
Floyd County 2 Urban 105.3 (79.9, 137.6) 110 (17, 130) 13 stable stable trend 1.1 (-2.2, 4.7)
Goochland County 2 Urban 148.3 (123.5, 177.4) 27 (2, 107) 30 stable stable trend 1.1 (-1.5, 4.3)
Lunenburg County 2 Rural 141.9 (106.4, 187.0) 41 (1, 123) 13 stable stable trend 1.1 (-1.3, 3.6)
Pittsylvania County 2 Rural 120.3 (105.1, 137.2) 94 (25, 119) 56 stable stable trend 1.1 (-0.4, 2.6)
Spotsylvania County 2 Urban 147.0 (135.3, 159.4) 31 (8, 75) 125 stable stable trend 1.1 (-0.3, 2.8)
Danville City 2 Rural 150.2 (130.0, 172.8) 25 (3, 97) 48 stable stable trend 1.2 (-0.1, 2.5)
Madison County 2 Rural 104.2 (76.9, 139.3) 112 (15, 131) 11 stable stable trend 1.2 (-1.5, 4.3)
Lynchburg City 2 Urban 150.7 (133.7, 169.2) 24 (4, 85) 64 stable stable trend 1.3 (-0.2, 2.8)
Fauquier County 2 Urban 123.4 (108.8, 139.5) 89 (26, 115) 56 stable stable trend 1.4 (-0.7, 8.5)
Louisa County 2 Rural 125.0 (105.5, 147.3) 85 (14, 120) 34 stable stable trend 1.4 (-0.3, 3.4)
Middlesex County 2 Rural 148.6 (108.5, 200.6) 26 (1, 124) 14 stable stable trend 1.4 (-0.6, 3.3)
Patrick County 2 Rural 103.9 (78.4, 136.2) 114 (20, 130) 14 stable stable trend 1.4 (-1.0, 4.0)
Lancaster County 2 Rural 143.3 (105.8, 192.3) 36 (1, 124) 16 stable stable trend 1.5 (-1.0, 4.0)
Augusta County 2 Urban 144.6 (129.9, 160.7) 34 (8, 90) 81 rising rising trend 1.6 (0.6, 2.7)
Botetourt County 2 Urban 141.4 (119.9, 166.2) 42 (5, 108) 36 stable stable trend 1.6 (-0.5, 4.0)
Amelia County 2 Urban 153.9 (118.0, 198.3) 18 (1, 118) 14 stable stable trend 1.7 (-1.6, 5.3)
Bedford City and County 2 Urban 134.2 (120.4, 149.2) 57 (15, 103) 81 stable stable trend 1.7 (0.0, 6.2)
Campbell County 2 Urban 139.2 (122.3, 157.9) 45 (7, 104) 56 rising rising trend 1.7 (0.1, 3.6)
Buckingham County 2 Rural 119.3 (91.4, 154.3) 98 (8, 128) 14 stable stable trend 1.9 (-1.9, 16.1)
Caroline County 2 Rural 134.1 (111.7, 160.0) 58 (5, 118) 27 rising rising trend 1.9 (0.4, 3.7)
Charlotte County 2 Rural 156.3 (118.8, 203.2) 15 (1, 118) 14 stable stable trend 2.0 (-0.5, 4.7)
Colonial Heights City 2 Urban 155.6 (124.6, 192.4) 17 (1, 110) 20 stable stable trend 2.0 (-0.6, 4.8)
Hopewell City 2 Urban 167.1 (138.0, 200.7) 5 (1, 99) 25 rising rising trend 2.0 (0.4, 3.8)
Cumberland County 2 Rural 140.0 (102.0, 189.0) 44 (1, 128) 11 stable stable trend 2.1 (-0.8, 5.4)
Smyth County 2 Rural 93.6 (75.9, 114.7) 123 (68, 130) 22 stable stable trend 2.1 (-0.7, 5.2)
Southampton County 2 Rural 136.4 (106.8, 172.5) 50 (2, 123) 17 stable stable trend 2.1 (0.0, 4.4)
Carroll County 2 Rural 123.7 (102.1, 149.0) 87 (13, 125) 29 rising rising trend 2.2 (0.2, 4.3)
Grayson County 2 Rural 100.1 (73.5, 134.6) 118 (20, 131) 12 stable stable trend 2.3 (-1.7, 16.3)
Lexington City 2 Rural 177.4 (112.4, 266.7) 2 (1, 128) 6 stable stable trend 2.3 (-1.2, 6.4)
Dinwiddie County 2 Urban 151.1 (125.9, 180.2) 23 (2, 104) 29 rising rising trend 2.5 (0.1, 5.3)
Fairfax City 2 Urban 160.7 (132.2, 193.7) 11 (1, 102) 23 stable stable trend 2.5 (0.0, 5.3)
Brunswick County 2 Rural 153.9 (120.8, 194.4) 19 (1, 117) 18 rising rising trend 2.6 (1.2, 4.2)
Staunton City 2 Urban 159.6 (133.6, 189.5) 12 (1, 98) 31 rising rising trend 2.7 (0.6, 5.1)
Galax City 2 Rural 164.1 (116.1, 227.2) 7 (1, 121) 8 stable stable trend 2.8 (-0.5, 6.8)
Manassas Park City 2 Urban 132.8 (97.9, 175.8) 62 (1, 128) 10 rising rising trend 2.8 (0.1, 6.6)
Covington City 2 Rural 163.5 (110.9, 234.7) 8 (1, 127) 7 rising rising trend 3.6 (0.9, 7.1)
Fairfax County 2 Urban 129.8 (125.9, 133.8) 68 (46, 88) 869 rising rising trend 4.0 (0.3, 7.3)
Giles County 2 Urban 131.9 (104.1, 165.8) 64 (4, 122) 17 stable stable trend 4.0 (-0.4, 21.5)
Wythe County 2 Rural 128.1 (106.2, 153.8) 76 (7, 120) 27 rising rising trend 4.1 (1.0, 13.9)
King and Queen County 2 Urban 173.9 (120.6, 245.3) 4 (1, 120) 9 rising rising trend 4.3 (0.6, 8.6)
Essex County 2 Rural 195.0 (152.6, 247.1) 1 (1, 77) 17 rising rising trend 4.4 (2.2, 7.2)
James City County 2 Urban 120.8 (108.0, 134.9) 93 (34, 116) 79 rising rising trend 8.1 (0.8, 14.7)
Prince George County 2 Urban 158.9 (133.9, 187.2) 13 (1, 94) 31 stable stable trend 11.9 (-0.6, 21.5)
Bland County 2 Rural 86.5 (54.4, 138.4) 125 (14, 131) 5
*
*
Bristol City 2 Urban 62.5 (43.4, 88.0) 131 (115, 131) 8
*
*
Buena Vista City 2 Rural 102.6 (64.7, 156.7) 116 (4, 131) 5
*
*
Craig County 2 Urban 103.8 (59.7, 172.6) 115 (2, 131) 4
*
*
Emporia City 2 Rural 143.2 (89.6, 217.0) 37 (1, 131) 5
*
*
Scott County 2 Urban 71.4 (52.1, 96.2) 129 (104, 131) 11
*
*
Highland County 2 Rural
*
*
3 or fewer
*
*
Norton City 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 11:16 am.

State Cancer Registries may provide more current or more local data.

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† 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.

‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.

2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).

* 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.

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