Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2017-2021
All Races (includes Hispanic), Both Sexes, Ages <65
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 6 | N/A | 207.5 (206.1, 208.9) | N/A | 18,488 |
falling 
|
-0.7 (-1.8, -0.4) |
| US (SEER+NPCR) 1 | N/A | 222.9 (222.7, 223.2) | N/A | 734,330 |
stable 
|
-0.3 (-1.7, 0.0) |
| Scott County 6 | Urban | 149.2 (126.7, 175.0) | N/A | 36 |
falling
|
-3.2 (-6.8, -0.4) |
| Arlington County 6 | Urban | 158.1 (150.7, 165.8) | N/A | 349 |
falling
|
-1.6 (-2.6, -0.5) |
| Manassas City 6 | Urban | 161.6 (144.4, 180.2) | N/A | 67 |
stable
|
-1.6 (-3.4, 0.2) |
| Washington County 6 | Urban | 162.9 (147.7, 179.3) | N/A | 99 |
falling
|
-2.7 (-4.0, -1.5) |
| Alexandria City 6 | Urban | 166.1 (157.1, 175.5) | N/A | 265 |
falling
|
-1.4 (-2.4, -0.3) |
| Prince William County 6 | Urban | 170.5 (165.2, 175.9) | N/A | 808 |
falling
|
-1.3 (-2.1, -0.5) |
| Fairfax County 6 | Urban | 170.6 (167.2, 174.1) | N/A | 2,024 |
falling
|
-0.9 (-1.4, -0.5) |
| Lee County 6 | Rural | 171.7 (148.4, 198.1) | N/A | 43 |
falling
|
-3.0 (-5.4, -1.0) |
| Northumberland County 6 | Rural | 174.4 (140.1, 216.1) | N/A | 24 |
falling
|
-4.7 (-32.7, -0.3) |
| Falls Church City 6 | Urban | 174.5 (145.7, 207.7) | N/A | 27 |
stable
|
-1.2 (-3.1, 0.8) |
| Clarke County 6 | Urban | 174.6 (146.5, 207.3) | N/A | 33 |
falling
|
-5.0 (-19.2, -1.9) |
| Manassas Park City 6 | Urban | 177.0 (149.4, 208.3) | N/A | 29 |
stable
|
-0.8 (-2.6, 1.2) |
| Harrisonburg City 6 | Urban | 179.1 (159.8, 200.0) | N/A | 66 |
stable
|
-0.9 (-2.2, 0.4) |
| Buchanan County 6 | Rural | 181.4 (156.6, 209.4) | N/A | 44 |
stable
|
-1.5 (-3.6, 0.3) |
| Appomattox County 6 | Urban | 182.6 (153.9, 215.4) | N/A | 32 |
stable
|
-1.6 (-3.7, 0.4) |
| Bristol City 6 | Urban | 183.0 (154.2, 215.9) | N/A | 31 |
stable
|
-2.5 (-6.0, 0.5) |
| Montgomery County 6 | Urban | 183.5 (170.1, 197.7) | N/A | 149 |
falling
|
-1.2 (-1.8, -0.5) |
| Russell County 6 | Rural | 184.1 (161.1, 209.7) | N/A | 54 |
stable
|
-1.4 (-3.8, 0.8) |
| Loudoun County 6 | Urban | 186.8 (180.9, 192.8) | N/A | 770 |
stable
|
-0.6 (-1.4, 0.2) |
| Norton City 6 | Rural | 186.8 (130.0, 262.0) | N/A | 8 |
stable
|
-2.6 (-5.9, 0.3) |
| Fauquier County 6 | Urban | 190.1 (176.3, 204.9) | N/A | 156 |
falling
|
-1.4 (-2.5, -0.3) |
| Fairfax City 6 | Urban | 191.6 (167.1, 218.8) | N/A | 47 |
stable
|
0.1 (-1.5, 1.7) |
| Radford City 6 | Urban | 193.4 (156.7, 236.3) | N/A | 21 |
stable
|
-1.9 (-4.2, 0.2) |
| Charlottesville City 6 | Urban | 193.6 (174.3, 214.5) | N/A | 79 |
stable
|
-0.7 (-1.6, 0.3) |
| Dickenson County 6 | Rural | 195.3 (164.6, 230.8) | N/A | 33 |
falling
|
-2.1 (-4.0, -0.4) |
| Wise County 6 | Rural | 195.5 (175.6, 217.1) | N/A | 78 |
stable
|
-2.3 (-5.1, 0.2) |
| Albemarle County 6 | Urban | 195.6 (183.5, 208.3) | N/A | 214 |
falling
|
-7.3 (-14.5, -0.4) |
| Tazewell County 6 | Rural | 198.7 (179.4, 219.7) | N/A | 89 |
stable
|
-0.6 (-2.5, 1.1) |
| Smyth County 6 | Rural | 199.6 (177.6, 223.9) | N/A | 67 |
stable
|
-0.6 (-8.6, 0.7) |
| Frederick County 6 | Urban | 199.9 (186.9, 213.6) | N/A | 192 |
falling
|
-1.7 (-5.1, -0.8) |
| Greene County 6 | Urban | 202.8 (175.5, 233.3) | N/A | 44 |
stable
|
0.1 (-1.5, 1.7) |
| Surry County 6 | Urban | 203.4 (158.4, 259.2) | N/A | 19 |
stable
|
0.1 (-3.1, 3.3) |
| Stafford County 6 | Urban | 203.5 (193.5, 213.9) | N/A | 322 |
stable
|
-0.3 (-1.2, 0.7) |
| Winchester City 6 | Urban | 203.6 (179.6, 230.0) | N/A | 56 |
stable
|
-0.6 (-2.3, 1.2) |
| Nelson County 6 | Urban | 203.7 (171.9, 240.4) | N/A | 37 |
stable
|
-1.1 (-3.8, 1.3) |
| Shenandoah County 6 | Rural | 203.9 (184.9, 224.5) | N/A | 95 |
stable
|
0.3 (-0.7, 1.4) |
| James City County 6 | Urban | 205.8 (191.1, 221.4) | N/A | 167 |
falling
|
-1.7 (-6.7, -0.5) |
| Pittsylvania County 6 | Rural | 206.1 (190.1, 223.3) | N/A | 147 |
stable
|
-0.9 (-2.1, 0.3) |
| Charlotte County 6 | Rural | 206.9 (170.0, 250.0) | N/A | 27 |
stable
|
0.4 (-1.9, 2.6) |
| Rockingham County 6 | Urban | 207.1 (193.0, 222.2) | N/A | 176 |
stable
|
-0.1 (-1.2, 1.1) |
| York County 6 | Urban | 207.6 (192.5, 223.7) | N/A | 151 |
stable
|
0.1 (-1.3, 1.5) |
| Accomack County 6 | Rural | 210.1 (188.1, 234.2) | N/A | 81 |
falling
|
-1.2 (-5.4, -0.1) |
| Powhatan County 6 | Urban | 210.4 (188.3, 234.6) | N/A | 76 |
falling
|
-1.5 (-2.9, -0.2) |
| Hampton City 6 | Urban | 210.4 (199.2, 222.2) | N/A | 296 |
stable
|
-0.6 (-1.3, 0.0) |
| King George County 6 | Rural | 212.6 (188.5, 239.1) | N/A | 60 |
stable
|
-0.2 (-1.8, 1.3) |
| Pulaski County 6 | Urban | 213.2 (191.7, 236.7) | N/A | 82 |
stable
|
-0.2 (-1.2, 0.8) |
| Hanover County 6 | Urban | 214.8 (202.8, 227.4) | N/A | 268 |
stable
|
-0.8 (-1.8, 0.1) |
| Bedford City and County 6 | Urban | 214.8 (200.5, 230.0) | N/A | 201 |
stable
|
-0.3 (-1.5, 0.8) |
| Patrick County 6 | Rural | 215.9 (185.9, 250.0) | N/A | 45 |
stable
|
0.9 (-1.5, 3.4) |
| Chesterfield County 6 | Urban | 216.7 (209.9, 223.7) | N/A | 818 |
stable
|
-0.5 (-1.0, 0.0) |
| Madison County 6 | Rural | 217.5 (183.7, 256.4) | N/A | 35 |
falling
|
-2.1 (-7.4, -0.2) |
| Poquoson City 6 | Urban | 217.7 (181.9, 259.1) | N/A | 29 |
stable
|
-0.6 (-2.5, 1.3) |
| Page County 6 | Rural | 218.4 (192.6, 246.9) | N/A | 60 |
stable
|
0.2 (-1.2, 1.5) |
| Warren County 6 | Urban | 218.9 (198.9, 240.5) | N/A | 100 |
stable
|
0.1 (-1.7, 1.9) |
| Newport News City 6 | Urban | 220.7 (210.6, 231.1) | N/A | 392 |
falling
|
-0.6 (-1.1, -0.1) |
| Caroline County 6 | Rural | 221.5 (198.5, 246.5) | N/A | 74 |
falling
|
-1.8 (-2.9, -0.6) |
| Henrico County 6 | Urban | 223.2 (216.0, 230.6) | N/A | 774 |
rising 
|
1.1 (0.1, 3.2) |
| Richmond City 6 | Urban | 223.7 (214.5, 233.2) | N/A | 496 |
falling
|
-1.7 (-8.3, -0.5) |
| Botetourt County 6 | Urban | 224.2 (201.9, 248.5) | N/A | 89 |
stable
|
-0.1 (-1.5, 1.3) |
| Carroll County 6 | Rural | 224.4 (200.1, 251.2) | N/A | 74 |
stable
|
1.1 (-1.6, 3.7) |
| Rockbridge County 6 | Rural | 224.5 (196.6, 255.6) | N/A | 57 |
stable
|
0.4 (-1.4, 2.3) |
| Middlesex County 6 | Rural | 224.6 (182.7, 274.3) | N/A | 27 |
falling
|
-5.8 (-28.5, -0.1) |
| Halifax County with South Boston City 6 | Rural | 224.7 (201.9, 249.6) | N/A | 84 |
stable
|
0.5 (-0.8, 1.9) |
| Lynchburg City 6 | Urban | 224.8 (207.5, 243.1) | N/A | 140 |
stable
|
-0.1 (-1.1, 0.9) |
| Culpeper County 6 | Urban | 224.9 (206.8, 244.3) | N/A | 122 |
stable
|
-0.4 (-1.6, 0.8) |
| Cumberland County 6 | Rural | 225.0 (184.7, 272.4) | N/A | 25 |
stable
|
0.7 (-1.9, 3.5) |
| Chesapeake City 6 | Urban | 225.2 (216.9, 233.8) | N/A | 584 |
stable
|
0.0 (-0.6, 0.6) |
| Orange County 6 | Rural | 225.4 (203.4, 249.4) | N/A | 87 |
falling
|
-1.2 (-2.4, -0.1) |
| Campbell County 6 | Urban | 225.9 (208.5, 244.6) | N/A | 140 |
stable
|
-0.3 (-1.3, 0.7) |
| Virginia Beach City 6 | Urban | 226.9 (220.6, 233.4) | N/A | 1,042 |
rising
|
0.5 (0.1, 0.9) |
| Henry County 6 | Rural | 228.2 (209.5, 248.2) | N/A | 131 |
stable
|
0.3 (-1.0, 1.6) |
| New Kent County 6 | Urban | 228.9 (202.6, 258.0) | N/A | 62 |
stable
|
0.2 (-1.2, 1.7) |
| Westmoreland County 6 | Rural | 229.1 (197.4, 264.9) | N/A | 47 |
stable
|
-0.3 (-1.6, 1.0) |
| Gloucester County 6 | Urban | 229.1 (208.4, 251.5) | N/A | 107 |
stable
|
0.3 (-1.2, 1.9) |
| Charles City County 6 | Urban | 229.6 (182.4, 287.7) | N/A | 21 |
stable
|
0.5 (-2.0, 3.1) |
| Spotsylvania County 6 | Urban | 229.7 (218.4, 241.5) | N/A | 330 |
stable
|
-0.5 (-1.2, 0.1) |
| Amherst County 6 | Urban | 230.9 (207.5, 256.5) | N/A | 81 |
stable
|
-0.1 (-1.1, 0.9) |
| Portsmouth City 6 | Urban | 231.4 (217.4, 246.1) | N/A | 224 |
stable
|
-0.4 (-1.3, 0.5) |
| Augusta County 6 | Urban | 232.7 (217.6, 248.6) | N/A | 202 |
stable
|
0.2 (-0.5, 1.0) |
| Grayson County 6 | Rural | 232.7 (199.4, 270.5) | N/A | 41 |
stable
|
0.3 (-1.6, 2.1) |
| Highland County 6 | Rural | 232.8 (136.5, 377.0) | N/A | 6 |
stable
|
1.0 (-1.9, 3.8) |
| Roanoke County 6 | Urban | 234.4 (220.5, 248.9) | N/A | 238 |
stable
|
0.5 (-0.3, 1.4) |
| Norfolk City 6 | Urban | 235.0 (225.5, 244.7) | N/A | 511 |
stable
|
-0.1 (-1.5, 0.3) |
| Salem City 6 | Urban | 235.8 (208.3, 266.0) | N/A | 60 |
stable
|
-14.3 (-27.8, 0.2) |
| King William County 6 | Urban | 236.4 (205.4, 271.1) | N/A | 46 |
stable
|
0.3 (-1.3, 2.1) |
| Isle of Wight County 6 | Urban | 236.4 (215.0, 259.6) | N/A | 104 |
stable
|
-0.2 (-1.4, 1.0) |
| Franklin County 6 | Urban | 237.4 (218.6, 257.5) | N/A | 145 |
stable
|
0.3 (-1.3, 1.9) |
| Louisa County 6 | Rural | 238.1 (216.5, 261.6) | N/A | 106 |
stable
|
-0.4 (-1.5, 0.7) |
| Richmond County 6 | Rural | 239.6 (196.3, 290.7) | N/A | 23 |
stable
|
0.6 (-1.5, 2.8) |
| Waynesboro City 6 | Urban | 239.7 (210.7, 271.8) | N/A | 54 |
stable
|
0.4 (-0.9, 1.8) |
| Prince George County 6 | Urban | 240.5 (218.9, 263.9) | N/A | 94 |
stable
|
-0.3 (-1.3, 0.8) |
| Suffolk City 6 | Urban | 241.2 (227.3, 255.8) | N/A | 241 |
stable
|
0.5 (-0.7, 1.8) |
| Lunenburg County 6 | Rural | 242.1 (203.8, 286.0) | N/A | 33 |
stable
|
0.8 (-1.1, 2.7) |
| Staunton City 6 | Urban | 243.3 (216.1, 273.3) | N/A | 64 |
stable
|
0.4 (-0.5, 1.2) |
| Bath County 6 | Rural | 244.8 (181.3, 326.6) | N/A | 12 |
stable
|
2.0 (-2.1, 6.0) |
| Buena Vista City 6 | Rural | 245.6 (192.1, 310.0) | N/A | 16 |
stable
|
2.0 (-1.2, 5.5) |
| Buckingham County 6 | Rural | 246.6 (215.1, 282.1) | N/A | 48 |
stable
|
1.3 (-0.3, 3.0) |
| Alleghany County and Clifton Forge City 6 | Rural | 246.8 (211.7, 286.5) | N/A | 43 |
stable
|
0.3 (-1.5, 2.1) |
| Giles County 6 | Urban | 247.2 (213.9, 284.6) | N/A | 45 |
stable
|
0.2 (-1.0, 1.4) |
| Wythe County 6 | Rural | 248.7 (223.5, 276.3) | N/A | 79 |
stable
|
1.0 (-0.3, 2.5) |
| Bland County 6 | Rural | 249.8 (200.4, 310.1) | N/A | 19 |
stable
|
1.2 (-1.8, 4.5) |
| Southampton County 6 | Rural | 249.8 (220.0, 283.1) | N/A | 60 |
rising
|
1.7 (0.1, 3.4) |
| Fluvanna County 6 | Urban | 249.9 (223.7, 278.5) | N/A | 74 |
stable
|
-0.5 (-1.9, 1.0) |
| King and Queen County 6 | Urban | 250.6 (198.9, 313.0) | N/A | 20 |
stable
|
-11.0 (-23.9, 0.8) |
| Franklin City 6 | Rural | 250.9 (204.7, 305.2) | N/A | 23 |
stable
|
0.5 (-1.3, 2.4) |
| Greensville County 6 | Rural | 251.0 (213.5, 294.2) | N/A | 33 |
stable
|
0.8 (-1.7, 3.4) |
| Colonial Heights City 6 | Urban | 251.5 (218.0, 288.9) | N/A | 45 |
rising
|
1.8 (0.3, 3.4) |
| Amelia County 6 | Urban | 251.5 (214.6, 293.5) | N/A | 41 |
stable
|
-0.2 (-2.0, 1.6) |
| Floyd County 6 | Urban | 252.8 (217.5, 292.8) | N/A | 43 |
stable
|
0.8 (-1.4, 3.1) |
| Nottoway County 6 | Rural | 252.9 (219.4, 290.5) | N/A | 45 |
stable
|
0.3 (-1.2, 1.8) |
| Roanoke City 6 | Urban | 254.9 (240.7, 269.7) | N/A | 263 |
stable
|
2.9 (-5.9, 10.3) |
| Dinwiddie County 6 | Urban | 255.7 (230.4, 283.3) | N/A | 85 |
stable
|
0.4 (-0.7, 1.5) |
| Mecklenburg County 6 | Rural | 256.9 (230.8, 285.4) | N/A | 87 |
falling
|
-9.2 (-16.4, -0.5) |
| Lexington City 6 | Rural | 259.1 (193.5, 340.4) | N/A | 12 |
stable
|
2.6 (-0.7, 6.3) |
| Williamsburg City 6 | Urban | 259.7 (213.2, 313.5) | N/A | 26 |
rising
|
6.9 (0.8, 15.4) |
| Martinsville City 6 | Rural | 264.1 (226.4, 306.6) | N/A | 40 |
stable
|
-0.4 (-2.6, 1.6) |
| Prince Edward County 6 | Rural | 264.9 (230.2, 303.5) | N/A | 48 |
stable
|
-0.1 (-2.0, 1.9) |
| Craig County 6 | Urban | 265.2 (203.6, 341.9) | N/A | 16 |
stable
|
2.5 (-0.3, 5.7) |
| Goochland County 6 | Urban | 267.2 (239.6, 297.6) | N/A | 83 |
stable
|
-0.3 (-1.7, 1.1) |
| Danville City 6 | Rural | 269.4 (246.7, 293.8) | N/A | 121 |
rising
|
1.1 (0.2, 2.0) |
| Fredericksburg City 6 | Urban | 275.2 (245.5, 307.5) | N/A | 66 |
stable
|
-0.4 (-2.0, 1.4) |
| Northampton County 6 | Rural | 275.9 (232.2, 326.0) | N/A | 38 |
stable
|
0.1 (-1.7, 1.9) |
| Emporia City 6 | Rural | 277.0 (217.0, 349.1) | N/A | 16 |
stable
|
-0.9 (-3.3, 1.6) |
| Rappahannock County 6 | Urban | 278.1 (224.9, 341.6) | N/A | 24 |
rising
|
10.4 (1.5, 23.0) |
| Petersburg City 6 | Urban | 281.0 (254.6, 309.5) | N/A | 96 |
stable
|
0.0 (-1.3, 1.2) |
| Hopewell City 6 | Urban | 282.3 (250.6, 316.9) | N/A | 62 |
stable
|
0.2 (-0.6, 1.0) |
| Brunswick County 6 | Rural | 284.2 (249.2, 323.3) | N/A | 53 |
rising
|
1.8 (0.8, 2.7) |
| Lancaster County 6 | Rural | 298.5 (248.0, 357.4) | N/A | 35 |
stable
|
2.6 (-0.2, 5.3) |
| Galax City 6 | Rural | 301.3 (244.1, 368.5) | N/A | 21 |
stable
|
1.2 (-1.7, 4.2) |
| Mathews County 6 | Urban | 303.6 (248.2, 369.0) | N/A | 27 |
stable
|
1.5 (-0.6, 3.6) |
| Sussex County 6 | Urban | 304.5 (259.8, 355.4) | N/A | 36 |
rising
|
2.0 (0.8, 3.4) |
| Covington City 6 | Rural | 305.8 (244.2, 379.2) | N/A | 20 |
rising
|
5.6 (3.4, 8.2) |
| Essex County 6 | Rural | 311.8 (265.7, 364.5) | N/A | 39 |
stable
|
1.4 (-0.8, 3.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/14/2025 11:14 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
Φ Rural-Urban Continuum Codes provided by the USDA.
Source: SEER and NPCR data. For more specific information please see the table.
Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.
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.
Created by statecancerprofiles.cancer.gov on 07/14/2025 11:14 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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 in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
Φ Rural-Urban Continuum Codes provided by the USDA.
Source: SEER and NPCR data. For more specific information please see the table.
Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.
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.