The Housing Affordability Index base is 100 and represents a balance point where a resident with a median household income can normally qualify to purchase a median price home. Values above 100 indicate increased affordability, while values below 100 indicate decreased affordability.
| Name | County | Housing Affordability Index | |
|---|---|---|---|
| 1. | Breaks Census Designated Place | Dickenson | 274 |
| 2. | Town of Appalachia | Wise | 234 |
| 3. | Mappsville Census Designated Place | Accomack | 232 |
| 4. | Town of Narrows | Giles | 223 |
| 5. | Ivanhoe Census Designated Place | Wythe | 222 |
| 6. | Keokee Census Designated Place | Lee | 215 |
| 7. | Town of McKenney | Dinwiddie | 211 |
| 8. | Bastian Census Designated Place | Bland | 205 |
| 9. | Atkins Census Designated Place | Smyth | 202 |
| 10. | City of Covington | Covington (city) | 202 |
| 11. | Mallow Census Designated Place | Alleghany | 199 |
| 12. | Town of Phenix | Charlotte | 198 |
| 13. | Hampden-Sydney Census Designated Place | Prince Edward | 197 |
| 14. | Town of Brodnax | Brunswick | 193 |
| 15. | Town of Saxis | Accomack | 193 |
| 16. | Low Moor Census Designated Place | Alleghany | 185 |
| 17. | Stickleyville Census Designated Place | Lee | 184 |
| 18. | Selma Census Designated Place | Alleghany | 182 |
| 19. | Rose Hill Census Designated Place | Lee | 180 |
| 20. | Town of Pocahontas | Tazewell | 179 |