ABSTRACT For aggregated or heterogeneous disease incidence, one can predict the proportion of sampling units diseased at a higher scale (e.g., plants) based on the proportion of diseased individuals and heterogeneity of diseased individuals at a lower scale (e.g., leaves) using a function derived from the beta-binomial distribution. Here, a simple approximation for the beta-binomial-based function is derived. This approximation has a functional form based on the binomial distribution, but with the number of individuals per sampling unit (n) replaced by a parameter (v) that has similar interpretation as, but is not the same as, the effective sample size (n(deff) ) often used in survey sampling. The value of v is inversely related to the degree of heterogeneity of disease and generally is intermediate between n(deff) and n in magnitude. The choice of v was determined iteratively by finding a parameter value that allowed the zero term (probability that a sampling unit is disease free) of the binomial distribution to equal the zero term of the beta-binomial. The approximation function was successfully tested on observations of Eutypa dieback of grapes collected over several years and with simulated data. Unlike the beta-binomial-based function, the approximation can be rearranged to predict incidence at the lower scale from observed incidence data at the higher scale, making group sampling for heterogeneous data a more practical proposition.