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US Companion Diagnostic Market Research Report By Product & Service (Assays, Kits, Reagents, Software, Services), By Technology (Polymerase Chain Reaction, Next-Generation Sequencing, In Situ Hybridization, Immunohistochemistry, Others), By Indication (Cancer, Neurological Diseases, Infectious Diseases, Cardiovascular Diseases, Others) and By End User (Pharmaceutical & Biopharmaceutical Companies, Contract Research Organizations, Laboratories, Others) - Forecast to 2035


ID: MRFR/MED/13122-HCR | 100 Pages | Author: Rahul Gotadki| May 2025

US Companion Diagnostic Market Overview


As per MRFR analysis, the US Companion Diagnostic Market Size was estimated at 7.28 (USD Billion) in 2023. The US Companion Diagnostic Market Industry is expected to grow from 9.01(USD Billion) in 2024 to 60.85 (USD Billion) by 2035. The US Companion Diagnostic Market CAGR (growth rate) is expected to be around 18.962% during the forecast period (2025 - 2035).


Key US Companion Diagnostic Market Trends Highlighted


The US Companion Diagnostic Market is experiencing significant growth driven by the increasing adoption of personalized medicine and advancements in genomics. Regulatory agencies, particularly the FDA, have been supportive of the development of companion diagnostics, which enhances the approval process of targeted therapies. This supportive regulatory environment is a crucial market driver as it encourages manufacturers to invest in developing innovative diagnostic tools. Furthermore, the rise in cancer prevalence and the growing demand for personalized treatment options are propelling the need for companion diagnostics, particularly in oncology.


There are also numerous opportunities to be explored within the US market. The increasing collaboration between diagnostic companies and pharmaceutical firms presents an avenue for developing novel companion diagnostics that can significantly improve patient outcomes. Additionally, the integration of artificial intelligence and machine learning into diagnostic processes can streamline the workflow and enhance accuracy, offering a promising area for growth. The trend toward increased precision in medical treatments aligns well with these technological advancements.


In recent times, there has been a notable shift towards the adoption of liquid biopsies, which have the potential to provide real-time insights into disease progression and treatment response.This trend is particularly relevant in cancer diagnostics as it enables non-invasive monitoring of tumor dynamics. Moreover, telemedicine and remote patient monitoring have gained traction, supporting the need for diagnostic solutions that can easily integrate with these technologies.


Overall, the US Companion Diagnostic Market is shaped by these trends, driven by regulatory support, a focus on personalized medicine, and advancements in technology, creating a dynamic and evolving landscape.


US Companion Diagnostic Market size

Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


US Companion Diagnostic Market Drivers


Rising Prevalence of Cancer in the US


The increasing incidence of cancer in the US is one of the primary drivers for the US Companion Diagnostic Market Industry. According to the American Cancer Society, in 2021 alone, an estimated 1.898 million new cancer cases were diagnosed, with projections indicating that this number may increase by 26% by 2040. As precision medicine becomes an integral part of cancer treatment, the demand for companion diagnostics, which help identify the right treatment for the right patient, will continue to surge.


Organizations like Genomic Health and Foundation Medicine have been at the forefront of developing innovative companion diagnostics that are specifically designed to cater to various cancer types, thereby enhancing the treatment landscape. This ever-growing patient population requires more precise diagnostic tools, prompting an accelerated market growth for companion diagnostics. Moreover, supportive initiatives from the National Cancer Institute to bolster Research and Development in precision medicine are expected to further stimulate advancements in this sector.


Innovations in Genetic Testing Techniques


Advancements in genetic testing technologies, including next-generation sequencing, are revolutionizing the landscape of diagnostics, specifically in the US Companion Diagnostic Market Industry. The ability to analyze a patient's genetic makeup leads to more tailored therapeutic strategies, particularly for complex diseases like cancer. As per the National Institutes of Health, the use of advanced genetic testing methods has surged by over 50% in recent years, indicating a marked shift towards personalized medicine.


Companies such as Illumina and Thermo Fisher Scientific are notable leaders in providing next-generation sequencing platforms, significantly enhancing the development of companion diagnostics that cater to targeted therapies. As regulatory agencies like the Food and Drug Administration continue to embrace innovative technologies, this trend is set to grow, ensuring a positive trajectory for the market.


Increasing Focus on Personalized Medicine


The growing emphasis on personalized medicine is shaping the future of the US Companion Diagnostic Market Industry, as healthcare providers increasingly seek personalized treatment options for patients. Studies have shown that approximately 70% of all drugs can have variable responses based on genetic variation among individuals, showcasing the crucial role of companion diagnostics in matching patients to the appropriate therapies. Organizations like the American Society of Clinical Oncology advocate for precision medicine initiatives, which continue to receive increasing support from both governmental and private sectors, stimulating the demand for companion diagnostics that are essential for personalized approaches.


Furthermore, the push for regulatory frameworks designed to expedite the approval of these advanced diagnostics motivates further investments in innovative diagnostic solutions, thereby broadening their adoption across healthcare settings.


Regulatory Support for Companion Diagnostics


Governmental regulatory bodies are increasingly supporting the development of companion diagnostics to enhance the quality of cancer care in the US, which acts as a catalyst for the US Companion Diagnostic Market Industry. The Food and Drug Administration has made significant strides in establishing guidelines specifically for companion diagnostics, streamlining the approval process and encouraging pharmaceutical companies to embrace these testing solutions.Reports suggest that in the last five years, the FDA has approved over 20 companion diagnostics, a substantial increase compared to previous years.


This trend not only motivates pharmaceutical companies to invest in R&D of companion diagnostics but also ensures that patients receive targeted therapies promptly, driving the market growth forward. The synergy between regulatory support and market needs is likely to bolster the adoption of companion diagnostics widely across the healthcare industry, further expanding patient access to cutting-edge therapeutic options.


US Companion Diagnostic Market Segment Insights


Companion Diagnostic Market Product & Service Insights


The US Companion Diagnostic Market within the Product and Service segment is a significant aspect of the healthcare landscape, particularly as it gears towards personalized medicine. This segment encompasses various critical components, including assays, kits, reagents, software, and services that facilitate the efficient identification of the right therapies for patients based on their individual genetic profiles. Assays play a crucial role by providing the necessary testing methodologies that allow for the reliable detection of biomarkers, which are vital for determining patient-specific treatment plans. Kits and reagents support these assays by ensuring they are accessible and user-friendly while delivering accurate results in a timely manner, making them indispensable in clinical settings.


Software solutions within the Product and Service segment enhance laboratory workflows and improve data management and analysis, thus facilitating better decision-making in treatment pathways. Furthermore, the Services category provides essential support, including consultation and guidance on the best diagnostic practices, as well as the implementation of these advanced technologies in clinical environments. This tight integration among assays, kits, reagents, software, and services not only strengthens the functionality of diagnostics but also promotes a patient-centered approach in the US healthcare system.


The demand for these products and services is driven by various factors, including an increasing prevalence of chronic diseases, advancements in genomic technologies, and a growing emphasis on tailored therapies that promise better patient outcomes. Moreover, the regulatory landscape in the US is evolving, with health authorities actively encouraging the development and integration of companion diagnostics to align treatments with patient genetic profiles. This trend is likely to create a robust support system for the Product and Service segment, offering ample opportunities for innovation and expansion.


Despite the potential and momentum of this market segment, challenges such as reimbursement issues for diagnostic tests and the complexity of regulatory approvals remain pertinent. Nevertheless, the ongoing efforts to establish comprehensive guidelines and collaborative frameworks between diagnostic manufacturers and healthcare providers signify proactive measures to overcome these hurdles. As the US Companion Diagnostic Market continues to grow, a focus on enhancing the quality and accessibility of these essential products and services will be paramount in ensuring that patients receive the most effective and tailored therapeutic interventions. The importance of this segment thus lies in its ability to influence treatment strategies through more precise diagnostics, ultimately leading to improved health outcomes for patients across the United States. The underlying market dynamics illustrate a forward-moving industry supporting both medical innovation and patient-centric care.


US Companion Diagnostic Market segment

Source: Primary Research, Secondary Research, MRFR Database and Analyst Review


Companion Diagnostic Market Technology Insights


The Technology segment of the US Companion Diagnostic Market plays a vital role in advancing personalized medicine. This segment includes various techniques, such as Polymerase Chain Reaction, which is widely utilized for its accuracy in amplifying specific DNA sequences, making it crucial for genetic testing. Next-Generation Sequencing stands out due to its high throughput and ability to analyze multiple genes simultaneously, thereby enhancing patient-specific therapies. In Situ Hybridization is noteworthy for its application in visualizing specific nucleic acid sequences within fixed tissues, providing essential insights into cellular environments.


Immunohistochemistry remains a dominant method for determining protein expressions in various cancers, facilitating targeted treatment approaches. Lastly, other technologies contribute to innovation and diversification within the market, allowing for the integration of new methodologies into clinical applications. The continuous advancements and adoption of these technologies underline the critical role they play in shaping the landscape of the US Companion Diagnostic Market, ultimately impacting patient outcomes and treatment efficiency.


Companion Diagnostic Market Indication Insights


The US Companion Diagnostic Market is a rapidly evolving field, primarily focused on improving patient outcomes through tailored therapies based on individual patient data. Within this market, indication segments such as Cancer, Neurological Diseases, Infectious Diseases, and Cardiovascular Diseases play a critical role, with significant implications for patient management. Cancer diagnostics dominate this segment due to the rising incidence of various cancers and the necessity for personalized treatment plans, which drive demand for precise biomarkers.


Neurological diseases have also gained attention owing to advancements in diagnostic technologies that help in early detection, crucial for conditions like Alzheimer's and Parkinson's disease. Infectious diseases have seen increased relevance, especially in light of global health challenges, emphasizing the need for rapid and accurate testing methods. Cardiovascular diseases remain a critical focus because they contribute to a high mortality rate, thus highlighting the need for effective diagnostic tools to guide treatment strategies. The segmentation of the US Companion Diagnostic Market is shaped by these conditions, driving innovation and growth opportunities while addressing distinct healthcare challenges faced in the region.As the landscape continues to develop, ongoing Research and Development efforts are likely to lead to new opportunities across these segments, ensuring improved healthcare outcomes for patients in the US.


Companion Diagnostic Market End User Insights


The End User segment of the US Companion Diagnostic Market plays a pivotal role in the broader landscape of personalized medicine. Pharmaceutical and Biopharmaceutical Companies are increasingly investing in companion diagnostics to enhance their drug development processes, ensuring that therapies are tailored to the right patient populations. This segment is crucial for driving innovation as these companies utilize companion diagnostics to identify biomarkers and improve patient outcomes. Contract Research Organizations are also integral to this market segment, providing necessary expertise and resources to facilitate clinical trials and validation processes.


Their ability to streamline research and development efforts allows for faster time to market for diagnostic products. Laboratories represent another key component, often acting as the frontline for testing and deploying companion diagnostics in clinical settings; their role in interpreting test results and providing actionable insights is critical in treatment decisions. The Others category encompasses various stakeholders, indicating the diverse ecosystem of entities contributing to the efficacy of companion diagnostics in the US. Overall, the segmentation of the End User market reflects a robust framework that supports the ongoing growth and development of the US Companion Diagnostic Market, with each segment playing an essential role in augmenting patient care and advancing healthcare solutions.


US Companion Diagnostic Market Key Players and Competitive Insights


The US Companion Diagnostic Market is characterized by a dynamic competitive landscape, which has evolved significantly due to rapid advancements in technology and the increasing emphasis on personalized medicine. Companion diagnostics are essential tools that enable clinicians to identify the most suitable therapies for patients based on their unique genetic profiles or other biomarkers. This market is heavily influenced by innovation, regulatory approvals, and collaborations between diagnostic companies and pharmaceutical firms. The competitive insights reflect an ongoing trend toward integrating diagnostic testing with targeted therapies, creating a synergy that benefits both patients and healthcare providers. As the market expands, companies are focusing on developing novel diagnostics that complement existing therapies and improve patient outcomes, which is leading to an intensified competitive environment.


Key Players Analysis


Illumina holds a strong position within the US Companion Diagnostic Market, renowned for its cutting-edge sequencing technologies that facilitate genomic analysis. The company’s prowess in next-generation sequencing (NGS) has established it as a leader in the field, providing robust solutions for precision medicine and oncology. Illumina’s offerings enable the identification of specific mutations or biomarkers that are crucial for selecting appropriate treatments, contributing to increased adoption among healthcare professionals.


The company continues to capitalize on the growing demand for personalized healthcare by expanding its partnerships with pharmaceutical companies and actively participating in clinical trials to validate its diagnostic tests. Its extensive market presence is bolstered by a reputation for reliability and accuracy, promoting its diagnostics as indispensable tools in crafting effective treatment plans tailored to individual patients.


Novartis is another significant player in the US Companion Diagnostic Market, integrating diagnostics with its pharmaceutical innovations to enhance therapeutic effectiveness. The company’s strategy includes the development of companion diagnostics alongside its targeted therapies, allowing for substance-specific drug interactions that optimize treatment options for various conditions, particularly in oncology. Key products within its portfolio focus on aiding in the selection of treatments that correspond with specific genetic profiles.


Novartis has also pursued strategic mergers and acquisitions to bolster its capabilities in the diagnostics domain and improve its market reach in the US. This commitment not only strengthens its position in the market but also allows for a more comprehensive approach to patient care, ensuring that the therapies it develops are used in conjunction with the appropriate diagnostic tests. By aligning its product development with the latest advancements in genetics, Novartis remains a formidable contender in shaping the future of personalized medicine in the United States.


Key Companies in the US Companion Diagnostic Market Include



  • Illumina

  • Novartis

  • BioRad Laboratories

  • Merck

  • Myriad Genetics

  • QIAGEN

  • Abbott Laboratories

  • Foundation Medicine

  • BristolMyers Squibb

  • Thermo Fisher Scientific

  • Agilent Technologies

  • Pfizer

  • Amgen

  • Roche

  • GSK


US Companion Diagnostic Market Industry Developments


In recent developments, the US Companion Diagnostic Market has witnessed significant advancements, particularly among key players such as Illumina, Novartis, and Roche. For instance, in April 2023, Illumina announced a partnership with Merck to develop companion diagnostics for immune-oncology therapies, expanding their genomic sequencing capabilities. In June 2023, BioRad Laboratories launched a new product line aimed explicitly at enhancing the accuracy of companion diagnostics in oncology, reflecting the growing demand for personalized medicine. Merger and acquisition activity has also been notable; in May 2023, Thermo Fisher Scientific acquired MGI Tech, enhancing its genetic sequencing and diagnostic offerings.


The US market continues to grow, driven by increased adoption of targeted therapies and advancements in precision medicine. Companies such as Myriad Genetics and Foundation Medicine are actively enhancing their product portfolios to meet healthcare providers' needs for accurate diagnostics. Growth trends in the market indicate a strong valuation increase for these companies, attributed to ongoing investments in Research and Development, technology innovations, and expansions in regulatory approvals for companion diagnostic tests, highlighting the dynamic nature of this sector in the US healthcare landscape.


US Companion Diagnostic Market Segmentation Insights


Companion Diagnostic Market Product & Service Outlook



  • Assays

  • Kits

  • Reagents

  • Software

  • Services


Companion Diagnostic Market Technology Outlook



  • Polymerase Chain Reaction

  • Next-Generation Sequencing

  • In Situ Hybridization

  • Immunohistochemistry

  • Others


Companion Diagnostic Market Indication Outlook



  • Cancer

  • Neurological Diseases

  • Infectious Diseases

  • Cardiovascular Diseases

  • Others


Companion Diagnostic Market End User Outlook



  • Pharmaceutical & Biopharmaceutical Companies

  • Contract Research Organizations

  • Laboratories

  • Others

Report Attribute/Metric Source: Details
MARKET SIZE 2018 7.28(USD Billion)
MARKET SIZE 2024 9.01(USD Billion)
MARKET SIZE 2035 60.85(USD Billion)
COMPOUND ANNUAL GROWTH RATE (CAGR) 18.962% (2025 - 2035)
REPORT COVERAGE Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
BASE YEAR 2024
MARKET FORECAST PERIOD 2025 - 2035
HISTORICAL DATA 2019 - 2024
MARKET FORECAST UNITS USD Billion
KEY COMPANIES PROFILED Illumina, Novartis, BioRad Laboratories, Merck, Myriad Genetics, QIAGEN, Abbott Laboratories, Foundation Medicine, BristolMyers Squibb, Thermo Fisher Scientific, Agilent Technologies, Pfizer, Amgen, Roche, GSK
SEGMENTS COVERED Product & Service, Technology, Indication, End User
KEY MARKET OPPORTUNITIES Increasing prevalence of cancer, Rising personalized medicine adoption, Advancements in genetic testing, Collaborations between diagnostics and pharma, Expanding regulatory support for diagnostics
KEY MARKET DYNAMICS Regulatory support and collaboration, Increasing precision medicine adoption, Growing cancer prevalence, Advancements in biomarker discovery, Rising healthcare expenditure
COUNTRIES COVERED US


Frequently Asked Questions (FAQ) :

The US Companion Diagnostic Market is expected to be valued at approximately 9.01 billion USD in 2024.

By 2035, the market is anticipated to grow significantly, reaching an estimated value of 60.85 billion USD.

The market is expected to grow at a compound annual growth rate of 18.962% from 2025 to 2035.

The Assays segment is expected to hold the highest market value at approximately 3.5 billion USD in 2024.

The Kits segment is projected to reach a market size of about 17.68 billion USD by 2035.

Key players in the market include Illumina, Novartis, BioRad Laboratories, Merck, and Myriad Genetics.

In 2024, the market value for the Reagents segment is expected to be around 1.4 billion USD.

The Software segment is anticipated to reach a market value of approximately 5.59 billion USD by 2035.

Challenges may include regulatory hurdles and complexity in the integration of diagnostic testing with therapeutic treatments.

The US market is projected to dominate the Companion Diagnostic space, presenting significant opportunities for growth across various segments.

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