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US Companion Diagnostic Market

ID: MRFR/MED/13122-HCR
100 Pages
Rahul Gotadki
October 2025

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

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US Companion Diagnostic Market Summary

As per MRFR analysis, the US companion diagnostic market size was estimated at 1500.0 USD Million in 2024. The US companion diagnostic market is projected to grow from 1597.5 USD Million in 2025 to 3000.0 USD Million by 2035, exhibiting a compound annual growth rate (CAGR) of 6.5% during the forecast period 2025 - 2035.

Key Market Trends & Highlights

The US companion diagnostic market is poised for substantial growth driven by technological advancements and increasing demand for personalized medicine.

  • The integration with targeted therapies is becoming a prominent trend in the US companion diagnostic market.
  • Regulatory support and guidance are enhancing the development and approval processes for companion diagnostics.
  • Technological advancements are facilitating the rapid evolution of diagnostic tools, particularly in genomic technologies.
  • The rising prevalence of chronic diseases and growing demand for personalized medicine are key drivers propelling market expansion.

Market Size & Forecast

2024 Market Size 1500.0 (USD Million)
2035 Market Size 3000.0 (USD Million)

Major Players

Roche (CH), Thermo Fisher Scientific (US), Abbott (US), Agilent Technologies (US), Illumina (US), Qiagen (DE), Myriad Genetics (US), Hologic (US), BioMérieux (FR)

US Companion Diagnostic Market Trends

The companion diagnostic market is currently experiencing notable growth, driven by advancements in personalized medicine and the increasing prevalence of chronic diseases. Regulatory bodies in the US are actively promoting the integration of companion diagnostics into clinical practice, which enhances the ability to tailor treatments to individual patient profiles. This trend is further supported by the rising demand for targeted therapies, as healthcare providers seek to improve patient outcomes through more precise treatment options. As a result, the market is witnessing a surge in collaborations between pharmaceutical companies and diagnostic developers, aiming to create innovative solutions that align with the evolving landscape of precision medicine. Moreover, the companion diagnostic market is characterized by a growing emphasis on technological innovations, such as next-generation sequencing and digital pathology. These advancements facilitate the development of more accurate and efficient diagnostic tools, which are essential for identifying suitable candidates for specific therapies. Additionally, the increasing focus on value-based care is likely to drive the adoption of companion diagnostics, as healthcare systems strive to optimize resource allocation and improve patient care. Overall, the landscape of the companion diagnostic market appears promising, with ongoing developments poised to shape its future trajectory.

Integration with Targeted Therapies

The companion diagnostic market is increasingly aligning with targeted therapies, as healthcare providers recognize the importance of personalized treatment approaches. This integration allows for more effective patient stratification, ensuring that individuals receive therapies that are most likely to benefit them. As a result, pharmaceutical companies are investing in the development of companion diagnostics that can identify suitable patient populations for their targeted drugs.

Regulatory Support and Guidance

Regulatory agencies in the US are providing enhanced support for the development and approval of companion diagnostics. This includes streamlined pathways for regulatory submissions and increased collaboration with diagnostic developers. Such initiatives aim to facilitate the timely introduction of innovative diagnostic solutions into the market, ultimately benefiting patient care and treatment outcomes.

Technological Advancements

The companion diagnostic market is witnessing rapid technological advancements, particularly in areas such as genomic testing and bioinformatics. These innovations are enhancing the accuracy and efficiency of diagnostic tools, enabling healthcare providers to make more informed decisions regarding patient treatment. As technology continues to evolve, it is expected to play a crucial role in shaping the future of companion diagnostics.

US Companion Diagnostic Market Drivers

Advancements in Genomic Technologies

Technological innovations in genomic sequencing and molecular diagnostics are significantly influencing the companion diagnostic market. The advent of next-generation sequencing (NGS) has enabled more precise identification of genetic mutations, which is crucial for the development of targeted therapies. In the US, the market for genomic testing is projected to reach approximately $25 billion by 2026, indicating a robust growth trajectory. This growth is likely to enhance the capabilities of the companion diagnostic market, as more sophisticated tests become available, allowing for better patient stratification and treatment personalization.

Rising Prevalence of Chronic Diseases

The increasing incidence of chronic diseases such as cancer, cardiovascular disorders, and diabetes is a primary driver for the companion diagnostic market. As these conditions become more prevalent, the demand for personalized medicine rises, necessitating the use of companion diagnostics to tailor treatments to individual patients. In the US, it is estimated that nearly 1.9 million new cancer cases are diagnosed annually, highlighting the need for effective diagnostic tools. The companion diagnostic market is thus positioned to grow, as healthcare providers seek to improve patient outcomes through targeted therapies that are informed by diagnostic testing.

Growing Demand for Personalized Medicine

The shift towards personalized medicine is reshaping the landscape of the companion diagnostic market. Patients and healthcare providers are increasingly recognizing the value of tailored treatment approaches that consider individual genetic profiles. This trend is supported by a growing body of evidence demonstrating improved treatment efficacy and reduced adverse effects. In the US, the personalized medicine market is expected to exceed $2 trillion by 2025, which could significantly bolster the companion diagnostic market as more healthcare systems adopt these strategies to enhance patient care.

Regulatory Support for Companion Diagnostics

Regulatory bodies in the US are providing enhanced support for the development and approval of companion diagnostics, which is a vital driver for the market. Initiatives aimed at streamlining the regulatory process for these diagnostics are encouraging innovation and expediting time-to-market for new tests. The FDA has established specific pathways for the approval of companion diagnostics, which may lead to a more favorable environment for companies operating in the companion diagnostic market. This regulatory support is likely to facilitate the introduction of new diagnostic tools that align with the latest therapeutic advancements.

Increased Investment in Research and Development

Investment in research and development (R&D) within the pharmaceutical and biotechnology sectors is a critical driver for the companion diagnostic market. Companies are increasingly allocating resources to develop innovative diagnostic solutions that can complement new therapies. In the US, R&D spending in the life sciences sector has seen a steady increase, with estimates suggesting that it could reach $200 billion by 2025. This influx of funding is likely to foster advancements in the companion diagnostic market, leading to the introduction of novel tests that align with emerging therapeutic options.

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.

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.

Get more detailed insights about US Companion Diagnostic Market

Key Players and Competitive Insights

The companion diagnostic market is characterized by a dynamic competitive landscape, driven by advancements in personalized medicine and the increasing demand for targeted therapies. Key players such as Roche (CH), Thermo Fisher Scientific (US), and Illumina (US) are at the forefront, leveraging their extensive research capabilities and technological innovations to enhance their market positions. Roche (CH) focuses on integrating diagnostics with therapeutic solutions, thereby streamlining patient management. Meanwhile, Thermo Fisher Scientific (US) emphasizes its commitment to innovation through strategic partnerships and acquisitions, which bolster its product offerings and market reach. Illumina (US) continues to lead in genomic sequencing technologies, positioning itself as a critical player in the development of companion diagnostics that align with precision medicine initiatives.

The business tactics employed by these companies reflect a concerted effort to optimize operations and enhance market presence. Localizing manufacturing and optimizing supply chains are prevalent strategies aimed at reducing costs and improving responsiveness to market demands. The competitive structure of the market appears moderately fragmented, with several players vying for dominance. However, the collective influence of major companies shapes a landscape where innovation and strategic collaborations are paramount.

In October 2025, Roche (CH) announced a collaboration with a leading biotechnology firm to develop a novel companion diagnostic for a new oncology therapy. This partnership is expected to enhance Roche's capabilities in delivering personalized treatment options, thereby reinforcing its competitive edge in the oncology segment. The strategic importance of this collaboration lies in its potential to accelerate the development timeline and improve patient outcomes through tailored therapies.

In September 2025, Thermo Fisher Scientific (US) launched a new platform designed to streamline the development of companion diagnostics. This platform integrates advanced analytics and AI capabilities, allowing for more efficient data processing and interpretation. The introduction of this technology signifies a shift towards digital transformation in the companion diagnostic space, enabling faster and more accurate diagnostic solutions that align with evolving healthcare needs.

In August 2025, Illumina (US) expanded its partnership with a prominent pharmaceutical company to enhance the integration of genomic data into clinical decision-making processes. This strategic move is indicative of Illumina's commitment to advancing precision medicine and underscores the growing importance of genomic insights in companion diagnostics. By fostering such collaborations, Illumina positions itself as a leader in the integration of genomic technologies into routine clinical practice.

As of November 2025, current trends in the companion diagnostic market are increasingly defined by digitalization, sustainability, and the integration of AI technologies. Strategic alliances among key players are shaping the competitive landscape, fostering innovation and enhancing product offerings. Looking ahead, the evolution of competitive differentiation is likely to pivot from traditional price-based competition towards a focus on technological advancements, innovation, and supply chain reliability. This shift underscores the necessity for companies to adapt and innovate continuously to maintain their competitive positions in an ever-evolving market.

Key Companies in the US Companion Diagnostic Market market include

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.

Future Outlook

US Companion Diagnostic Market Future Outlook

The companion diagnostic market is projected to grow at a 6.5% CAGR from 2024 to 2035, driven by advancements in personalized medicine, regulatory support, and increasing prevalence of chronic diseases.

New opportunities lie in:

  • Development of AI-driven diagnostic algorithms for enhanced accuracy.
  • Expansion of partnerships with pharmaceutical companies for co-development.
  • Investment in telehealth platforms for remote diagnostic services.

By 2035, the companion diagnostic market is expected to achieve substantial growth and innovation.

Market Segmentation

US Companion Diagnostic Market End User Outlook

  • Pharmaceutical & Biopharmaceutical Companies
  • Contract Research Organizations
  • Laboratories
  • Others

US Companion Diagnostic Market Indication Outlook

  • Cancer
  • Neurological Diseases
  • Infectious Diseases
  • Cardiovascular Diseases
  • Others

US Companion Diagnostic Market Technology Outlook

  • Polymerase Chain Reaction (PCR)
  • Next-Generation Sequencing (NGS)
  • In Situ Hybridization (ISH)
  • Immunohistochemistry (IHC)
  • Others

US Companion Diagnostic Market Product & Service Outlook

  • Assays, Kits, & Reagents
  • Software & Services

Report Scope

MARKET SIZE 20241500.0(USD Million)
MARKET SIZE 20251597.5(USD Million)
MARKET SIZE 20353000.0(USD Million)
COMPOUND ANNUAL GROWTH RATE (CAGR)6.5% (2024 - 2035)
REPORT COVERAGERevenue Forecast, Competitive Landscape, Growth Factors, and Trends
BASE YEAR2024
Market Forecast Period2025 - 2035
Historical Data2019 - 2024
Market Forecast UnitsUSD Million
Key Companies Profiled["Roche (CH)", "Thermo Fisher Scientific (US)", "Abbott (US)", "Agilent Technologies (US)", "Illumina (US)", "Qiagen (DE)", "Myriad Genetics (US)", "Hologic (US)", "BioMérieux (FR)"]
Segments CoveredProduct & Service, Technology, Indication, End User
Key Market OpportunitiesIntegration of artificial intelligence in companion diagnostic market enhances personalized medicine approaches.
Key Market DynamicsRising regulatory scrutiny and technological advancements drive innovation in the companion diagnostic market.
Countries CoveredUS

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FAQs

What is the projected market size of the US Companion Diagnostic Market in 2024?

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

How much is the US Companion Diagnostic Market expected to grow by 2035?

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

What is the expected CAGR of the US Companion Diagnostic Market from 2025 to 2035?

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

Which segment of the US Companion Diagnostic Market holds the highest value in 2024?

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

What will be the market size of the Kits segment in 2035?

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

Who are the major players in the US Companion Diagnostic Market?

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

What is the market value of the Reagents segment in 2024?

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

How much is the Software segment expected to be worth in 2035?

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

What challenges are the US Companion Diagnostic Market likely to face?

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

Which region is predicted to dominate the US Companion Diagnostic Market?

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

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