Key Insights
The North America companion diagnostics devices market is experiencing robust growth, projected to reach \$2.5 billion in 2025 and maintain a Compound Annual Growth Rate (CAGR) of 18.50% from 2025 to 2033. This expansion is driven by several key factors. The rising prevalence of cancer, particularly lung, breast, colorectal, leukemia, and melanoma, fuels the demand for accurate and personalized treatment strategies. Companion diagnostics play a crucial role in selecting the most effective therapies, improving patient outcomes, and reducing healthcare costs associated with ineffective treatments. Technological advancements, including the increasing adoption of sophisticated techniques like next-generation sequencing (NGS), real-time PCR, and immunohistochemistry (IHC), are also contributing significantly to market growth. Furthermore, the increasing investments in research and development by major pharmaceutical and diagnostic companies are driving innovation and expanding the range of available companion diagnostic tests. The market is segmented by technology (IHC, PCR, ISH, RT-PCR, gene sequencing, and others) and indication (various cancer types). The United States is the largest market within North America, reflecting its advanced healthcare infrastructure and high prevalence of cancer. The strong regulatory environment in North America, including the FDA's focus on companion diagnostics, further supports the market's growth trajectory.
The continued development and integration of companion diagnostics into routine clinical practice is expected to accelerate market growth throughout the forecast period. This includes wider adoption of multiplex assays capable of simultaneously testing for multiple biomarkers, leading to more efficient and comprehensive patient screening. Furthermore, the growing emphasis on personalized medicine and the increasing availability of large genomic datasets are driving efforts to develop companion diagnostics that can target specific genetic mutations and predict treatment response. However, factors such as high costs associated with advanced diagnostic technologies and the complexity of regulatory approvals for new tests present some challenges to market expansion. Nevertheless, the overall outlook for the North America companion diagnostics market remains positive, indicating significant growth opportunities for market players in the coming years.

North America Companion Diagnostics Devices Market Report: 2019-2033
This comprehensive report provides an in-depth analysis of the North America companion diagnostics devices market, covering the period from 2019 to 2033. With a base year of 2025 and a forecast period spanning 2025-2033, this report offers invaluable insights for industry stakeholders, investors, and researchers seeking to understand this rapidly evolving market. The market is projected to reach xx Million by 2033, exhibiting a robust CAGR of xx% during the forecast period. Key players like Laboratory Corporation of America Holdings (Labcorp), Novartis AG, Biomerieux SA, and others are shaping the market landscape.
North America Companion Diagnostics Devices Market Market Dynamics & Concentration
The North American companion diagnostics devices market is characterized by a moderately concentrated landscape with several key players holding significant market share. Market concentration is influenced by factors such as strong R&D capabilities, strategic partnerships, and regulatory approvals. The market is witnessing increasing innovation, driven by advancements in molecular diagnostics, genomics, and data analytics. This leads to the development of more precise and personalized diagnostic tools. The regulatory landscape, primarily governed by the FDA, plays a crucial role in shaping market dynamics, influencing product development timelines and market access. Product substitutes, such as traditional diagnostic methods, pose a competitive challenge; however, the superior precision and personalized nature of companion diagnostics are driving market growth. End-user trends, including increasing demand for personalized medicine and earlier cancer detection, are key growth catalysts. Mergers and acquisitions (M&A) activities are frequent, with an estimated xx M&A deals occurring in the historical period (2019-2024). This consolidation activity contributes to market concentration and enhances the capabilities of leading players. The market share of the top five players is estimated to be approximately xx% in 2025.
North America Companion Diagnostics Devices Market Industry Trends & Analysis
The North America companion diagnostics devices market is experiencing significant growth, fueled by several key trends. The increasing prevalence of chronic diseases, particularly cancer, is a primary driver. The rising adoption of targeted therapies, which necessitate companion diagnostics for patient selection and treatment monitoring, further fuels market expansion. Technological advancements, such as next-generation sequencing (NGS) and liquid biopsies, are revolutionizing diagnostic capabilities, increasing accuracy and efficiency. Consumer preferences are shifting towards personalized medicine approaches, demanding more precise and tailored diagnostic solutions. This preference is driving the adoption of companion diagnostics, which offer better treatment outcomes and reduced side effects. Competitive dynamics are intense, with leading players focusing on product innovation, strategic partnerships, and acquisitions to expand their market share. The market is expected to witness continuous technological disruption, with new diagnostic platforms and assays continuously emerging. The market penetration of companion diagnostics is increasing steadily, driven by rising awareness among healthcare professionals and patients. The CAGR for the forecast period is estimated to be xx%, reflecting the market's robust growth trajectory.

Leading Markets & Segments in North America Companion Diagnostics Devices Market
The United States dominates the North American companion diagnostics devices market due to several factors: advanced healthcare infrastructure, high healthcare spending, and a strong regulatory framework supporting innovation. Within the technology segments, PCR and IHC are the leading technologies, driven by their widespread adoption in oncology settings. Gene sequencing is also experiencing rapid growth due to its ability to identify cancer-driving mutations and inform personalized treatment strategies. Regarding indications, lung cancer, breast cancer, and colorectal cancer represent the largest segments, reflecting the high prevalence of these cancers and the availability of targeted therapies.
Key Drivers for US Market Dominance:
- Robust healthcare infrastructure and investment
- High prevalence of chronic diseases, particularly cancer
- Stringent regulatory framework promoting innovation
- Increased adoption of targeted therapies
- High healthcare expenditure
Technology Segment Analysis:
- PCR and IHC maintain significant market share due to established use and widespread availability.
- Gene sequencing demonstrates rapid growth potential due to increasing demand for personalized medicine.
Indication Segment Analysis:
- Lung cancer, breast cancer, and colorectal cancer account for the largest market share owing to high incidence rates and the availability of associated targeted therapies.
North America Companion Diagnostics Devices Market Product Developments
Recent product developments have focused on enhancing the accuracy, speed, and efficiency of companion diagnostic tests. The integration of advanced technologies like AI and machine learning is improving diagnostic capabilities and enabling more precise patient stratification. Miniaturization of diagnostic platforms is also gaining traction, improving accessibility and affordability. Companies are focusing on developing assays that offer broader coverage of relevant biomarkers, further expanding the applicability of companion diagnostics across various cancer types and other diseases. This trend demonstrates a push toward creating more comprehensive and efficient diagnostic solutions that streamline healthcare workflows and improve patient outcomes.
Key Drivers of North America Companion Diagnostics Devices Market Growth
Several factors are driving the growth of the North American companion diagnostics devices market. Technological advancements, including the development of more sensitive and specific diagnostic assays, are a primary catalyst. The increasing prevalence of chronic diseases, particularly cancer, is creating a high demand for companion diagnostics. Favorable regulatory policies supporting the development and adoption of new diagnostic tools are stimulating market growth. Furthermore, the rising adoption of personalized medicine approaches, which necessitate companion diagnostics for treatment selection and monitoring, is significantly contributing to market expansion. The increasing focus on early cancer detection and prevention initiatives further fuels market growth.
Challenges in the North America Companion Diagnostics Devices Market Market
Despite the significant growth potential, several challenges hinder market expansion. High costs associated with developing and implementing new diagnostic assays can pose a barrier to market entry for smaller companies. Stringent regulatory requirements and lengthy approval processes can delay the launch of innovative products. Supply chain disruptions and variations in reagent availability can impact test performance and availability. The reimbursement landscape can be complex and may vary across different healthcare systems, impacting the affordability and accessibility of companion diagnostic tests. Finally, intense competition among established players further challenges the growth of the market.
Emerging Opportunities in North America Companion Diagnostics Devices Market
The market presents substantial long-term growth opportunities. Technological breakthroughs, such as the development of liquid biopsy platforms and point-of-care diagnostics, are poised to transform the field. Strategic partnerships between diagnostic companies and pharmaceutical firms are streamlining the development and commercialization of companion diagnostics. Expanding market penetration into underserved areas and developing diagnostic tests for a broader range of diseases will drive future growth. Increased investment in R&D and the focus on developing next-generation sequencing technologies are crucial elements driving market expansion.
Leading Players in the North America Companion Diagnostics Devices Market Sector
- Laboratory Corporation of America Holdings (Labcorp)
- Novartis AG
- Biomerieux SA
- Siemens Healthineers
- F Hoffmann-La Roche Ltd
- Thermo Fisher Scientific Inc
- Abbott Laboratories
- ARUP Laboratories
- Agilent Technologies Inc
- Qiagen NV
- Amgen Inc
- Danaher Corporation (Beckman Coulter Inc)
Key Milestones in North America Companion Diagnostics Devices Market Industry
December 2022: QIAGEN received US FDA approval for its therascreen KRAS RGQ PCR kit as a companion diagnostic test for Mirati Therapeutic's KRAZATI (adagrasib) drug for non-small cell lung cancer (NSCLC). This approval significantly expanded the market for QIAGEN's PCR-based companion diagnostics and highlighted the growing importance of targeted therapies in oncology.
January 2023: QIAGEN entered into an exclusive strategic partnership with Helix to advance companion diagnostics for hereditary diseases. This partnership broadened QIAGEN's reach into areas beyond oncology and signaled the increasing importance of genetic testing in personalized medicine.
Strategic Outlook for North America Companion Diagnostics Devices Market Market
The North America companion diagnostics devices market exhibits immense future potential, driven by ongoing technological advancements, increasing demand for personalized medicine, and the growing prevalence of chronic diseases. Strategic partnerships and collaborations among diagnostic companies, pharmaceutical firms, and technology providers will accelerate innovation and market penetration. The development of more affordable and accessible diagnostic solutions will further expand market reach. Focusing on expanding into emerging markets and exploring new therapeutic areas will unlock new growth avenues. Continuous investment in R&D and the adoption of advanced technologies will propel the market towards sustained growth in the coming years.
North America Companion Diagnostics Devices Market Segmentation
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1. Technology
- 1.1. Immunohistochemistry (IHC)
- 1.2. Polymerase Chain Reaction (PCR)
- 1.3. In-situ Hybridization (ISH)
- 1.4. Real-time PCR (RT-PCR)
- 1.5. Gene Sequencing
- 1.6. Other Technologies
-
2. Indication
- 2.1. Lung Cancer
- 2.2. Breast Cancer
- 2.3. Colorectal Cancer
- 2.4. Leukemia
- 2.5. Melanoma
- 2.6. Other Indications
-
3. Geography
-
3.1. North America
- 3.1.1. United States
- 3.1.2. Canada
- 3.1.3. Mexico
-
3.1. North America
North America Companion Diagnostics Devices Market Segmentation By Geography
-
1. North America
- 1.1. United States
- 1.2. Canada
- 1.3. Mexico

North America Companion Diagnostics Devices Market REPORT HIGHLIGHTS
Aspects | Details |
---|---|
Study Period | 2019-2033 |
Base Year | 2024 |
Estimated Year | 2025 |
Forecast Period | 2025-2033 |
Historical Period | 2019-2024 |
Growth Rate | CAGR of 18.50% from 2019-2033 |
Segmentation |
|
Table of Contents
- 1. Introduction
- 1.1. Research Scope
- 1.2. Market Segmentation
- 1.3. Research Methodology
- 1.4. Definitions and Assumptions
- 2. Executive Summary
- 2.1. Introduction
- 3. Market Dynamics
- 3.1. Introduction
- 3.2. Market Drivers
- 3.2.1. Increasing Demand and Awareness for Personalized Medicine and Targeted Therapy; Increasing Cases of Adverse Drug Reactions; Technological Advancements in the Devices
- 3.3. Market Restrains
- 3.3.1. High Cost of Drug Development and Associated Clinical Trials
- 3.4. Market Trends
- 3.4.1. The In-situ Hybridization (ISH) Segment is Expected to Exhibit the Fastest Growth Rate over the Forecast Period
- 4. Market Factor Analysis
- 4.1. Porters Five Forces
- 4.2. Supply/Value Chain
- 4.3. PESTEL analysis
- 4.4. Market Entropy
- 4.5. Patent/Trademark Analysis
- 5. North America Companion Diagnostics Devices Market Analysis, Insights and Forecast, 2019-2031
- 5.1. Market Analysis, Insights and Forecast - by Technology
- 5.1.1. Immunohistochemistry (IHC)
- 5.1.2. Polymerase Chain Reaction (PCR)
- 5.1.3. In-situ Hybridization (ISH)
- 5.1.4. Real-time PCR (RT-PCR)
- 5.1.5. Gene Sequencing
- 5.1.6. Other Technologies
- 5.2. Market Analysis, Insights and Forecast - by Indication
- 5.2.1. Lung Cancer
- 5.2.2. Breast Cancer
- 5.2.3. Colorectal Cancer
- 5.2.4. Leukemia
- 5.2.5. Melanoma
- 5.2.6. Other Indications
- 5.3. Market Analysis, Insights and Forecast - by Geography
- 5.3.1. North America
- 5.3.1.1. United States
- 5.3.1.2. Canada
- 5.3.1.3. Mexico
- 5.3.1. North America
- 5.4. Market Analysis, Insights and Forecast - by Region
- 5.4.1. North America
- 5.1. Market Analysis, Insights and Forecast - by Technology
- 6. United States North America Companion Diagnostics Devices Market Analysis, Insights and Forecast, 2019-2031
- 7. Canada North America Companion Diagnostics Devices Market Analysis, Insights and Forecast, 2019-2031
- 8. Mexico North America Companion Diagnostics Devices Market Analysis, Insights and Forecast, 2019-2031
- 9. Rest of North America North America Companion Diagnostics Devices Market Analysis, Insights and Forecast, 2019-2031
- 10. Competitive Analysis
- 10.1. Market Share Analysis 2024
- 10.2. Company Profiles
- 10.2.1 Laboratory Corporation of America Holdings (Labcorp)
- 10.2.1.1. Overview
- 10.2.1.2. Products
- 10.2.1.3. SWOT Analysis
- 10.2.1.4. Recent Developments
- 10.2.1.5. Financials (Based on Availability)
- 10.2.2 Novartis AG
- 10.2.2.1. Overview
- 10.2.2.2. Products
- 10.2.2.3. SWOT Analysis
- 10.2.2.4. Recent Developments
- 10.2.2.5. Financials (Based on Availability)
- 10.2.3 Biomerieux SA
- 10.2.3.1. Overview
- 10.2.3.2. Products
- 10.2.3.3. SWOT Analysis
- 10.2.3.4. Recent Developments
- 10.2.3.5. Financials (Based on Availability)
- 10.2.4 Siemens Healthineers
- 10.2.4.1. Overview
- 10.2.4.2. Products
- 10.2.4.3. SWOT Analysis
- 10.2.4.4. Recent Developments
- 10.2.4.5. Financials (Based on Availability)
- 10.2.5 F Hoffmann-La Roche Ltd
- 10.2.5.1. Overview
- 10.2.5.2. Products
- 10.2.5.3. SWOT Analysis
- 10.2.5.4. Recent Developments
- 10.2.5.5. Financials (Based on Availability)
- 10.2.6 Thermo Fisher Scientific Inc
- 10.2.6.1. Overview
- 10.2.6.2. Products
- 10.2.6.3. SWOT Analysis
- 10.2.6.4. Recent Developments
- 10.2.6.5. Financials (Based on Availability)
- 10.2.7 Abbott Laboratories
- 10.2.7.1. Overview
- 10.2.7.2. Products
- 10.2.7.3. SWOT Analysis
- 10.2.7.4. Recent Developments
- 10.2.7.5. Financials (Based on Availability)
- 10.2.8 ARUP Laboratories
- 10.2.8.1. Overview
- 10.2.8.2. Products
- 10.2.8.3. SWOT Analysis
- 10.2.8.4. Recent Developments
- 10.2.8.5. Financials (Based on Availability)
- 10.2.9 Agilent Technologies Inc
- 10.2.9.1. Overview
- 10.2.9.2. Products
- 10.2.9.3. SWOT Analysis
- 10.2.9.4. Recent Developments
- 10.2.9.5. Financials (Based on Availability)
- 10.2.10 Qiagen NV
- 10.2.10.1. Overview
- 10.2.10.2. Products
- 10.2.10.3. SWOT Analysis
- 10.2.10.4. Recent Developments
- 10.2.10.5. Financials (Based on Availability)
- 10.2.11 Amgen Inc *List Not Exhaustive
- 10.2.11.1. Overview
- 10.2.11.2. Products
- 10.2.11.3. SWOT Analysis
- 10.2.11.4. Recent Developments
- 10.2.11.5. Financials (Based on Availability)
- 10.2.12 Danaher Corporation (Beckman Coulter Inc )
- 10.2.12.1. Overview
- 10.2.12.2. Products
- 10.2.12.3. SWOT Analysis
- 10.2.12.4. Recent Developments
- 10.2.12.5. Financials (Based on Availability)
- 10.2.1 Laboratory Corporation of America Holdings (Labcorp)
List of Figures
- Figure 1: North America Companion Diagnostics Devices Market Revenue Breakdown (Million, %) by Product 2024 & 2032
- Figure 2: North America Companion Diagnostics Devices Market Share (%) by Company 2024
List of Tables
- Table 1: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Region 2019 & 2032
- Table 2: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Region 2019 & 2032
- Table 3: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Technology 2019 & 2032
- Table 4: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Technology 2019 & 2032
- Table 5: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Indication 2019 & 2032
- Table 6: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Indication 2019 & 2032
- Table 7: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Geography 2019 & 2032
- Table 8: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Geography 2019 & 2032
- Table 9: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Region 2019 & 2032
- Table 10: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Region 2019 & 2032
- Table 11: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Country 2019 & 2032
- Table 12: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Country 2019 & 2032
- Table 13: United States North America Companion Diagnostics Devices Market Revenue (Million) Forecast, by Application 2019 & 2032
- Table 14: United States North America Companion Diagnostics Devices Market Volume (K Units) Forecast, by Application 2019 & 2032
- Table 15: Canada North America Companion Diagnostics Devices Market Revenue (Million) Forecast, by Application 2019 & 2032
- Table 16: Canada North America Companion Diagnostics Devices Market Volume (K Units) Forecast, by Application 2019 & 2032
- Table 17: Mexico North America Companion Diagnostics Devices Market Revenue (Million) Forecast, by Application 2019 & 2032
- Table 18: Mexico North America Companion Diagnostics Devices Market Volume (K Units) Forecast, by Application 2019 & 2032
- Table 19: Rest of North America North America Companion Diagnostics Devices Market Revenue (Million) Forecast, by Application 2019 & 2032
- Table 20: Rest of North America North America Companion Diagnostics Devices Market Volume (K Units) Forecast, by Application 2019 & 2032
- Table 21: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Technology 2019 & 2032
- Table 22: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Technology 2019 & 2032
- Table 23: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Indication 2019 & 2032
- Table 24: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Indication 2019 & 2032
- Table 25: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Geography 2019 & 2032
- Table 26: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Geography 2019 & 2032
- Table 27: North America Companion Diagnostics Devices Market Revenue Million Forecast, by Country 2019 & 2032
- Table 28: North America Companion Diagnostics Devices Market Volume K Units Forecast, by Country 2019 & 2032
- Table 29: United States North America Companion Diagnostics Devices Market Revenue (Million) Forecast, by Application 2019 & 2032
- Table 30: United States North America Companion Diagnostics Devices Market Volume (K Units) Forecast, by Application 2019 & 2032
- Table 31: Canada North America Companion Diagnostics Devices Market Revenue (Million) Forecast, by Application 2019 & 2032
- Table 32: Canada North America Companion Diagnostics Devices Market Volume (K Units) Forecast, by Application 2019 & 2032
- Table 33: Mexico North America Companion Diagnostics Devices Market Revenue (Million) Forecast, by Application 2019 & 2032
- Table 34: Mexico North America Companion Diagnostics Devices Market Volume (K Units) Forecast, by Application 2019 & 2032
Frequently Asked Questions
1. What is the projected Compound Annual Growth Rate (CAGR) of the North America Companion Diagnostics Devices Market?
The projected CAGR is approximately 18.50%.
2. Which companies are prominent players in the North America Companion Diagnostics Devices Market?
Key companies in the market include Laboratory Corporation of America Holdings (Labcorp), Novartis AG, Biomerieux SA, Siemens Healthineers, F Hoffmann-La Roche Ltd, Thermo Fisher Scientific Inc, Abbott Laboratories, ARUP Laboratories, Agilent Technologies Inc, Qiagen NV, Amgen Inc *List Not Exhaustive, Danaher Corporation (Beckman Coulter Inc ).
3. What are the main segments of the North America Companion Diagnostics Devices Market?
The market segments include Technology, Indication, Geography.
4. Can you provide details about the market size?
The market size is estimated to be USD 2.5 Million as of 2022.
5. What are some drivers contributing to market growth?
Increasing Demand and Awareness for Personalized Medicine and Targeted Therapy; Increasing Cases of Adverse Drug Reactions; Technological Advancements in the Devices.
6. What are the notable trends driving market growth?
The In-situ Hybridization (ISH) Segment is Expected to Exhibit the Fastest Growth Rate over the Forecast Period.
7. Are there any restraints impacting market growth?
High Cost of Drug Development and Associated Clinical Trials.
8. Can you provide examples of recent developments in the market?
In January 2023, QIAGEN entered into an exclusive strategic partnership with Helix o advance companion diagnostics for hereditary diseases such as cardiovascular, metabolic, neurodegenerative, auto-immune diseases, and others. Under the terms of the agreement, QIAGEN will be the exclusive marketing and contracting partner in the United States for Helix's companion diagnostic services.
9. What pricing options are available for accessing the report?
Pricing options include single-user, multi-user, and enterprise licenses priced at USD 4750, USD 5250, and USD 8750 respectively.
10. Is the market size provided in terms of value or volume?
The market size is provided in terms of value, measured in Million and volume, measured in K Units.
11. Are there any specific market keywords associated with the report?
Yes, the market keyword associated with the report is "North America Companion Diagnostics Devices Market," which aids in identifying and referencing the specific market segment covered.
12. How do I determine which pricing option suits my needs best?
The pricing options vary based on user requirements and access needs. Individual users may opt for single-user licenses, while businesses requiring broader access may choose multi-user or enterprise licenses for cost-effective access to the report.
13. Are there any additional resources or data provided in the North America Companion Diagnostics Devices Market report?
While the report offers comprehensive insights, it's advisable to review the specific contents or supplementary materials provided to ascertain if additional resources or data are available.
14. How can I stay updated on further developments or reports in the North America Companion Diagnostics Devices Market?
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Methodology
Step 1 - Identification of Relevant Samples Size from Population Database



Step 2 - Approaches for Defining Global Market Size (Value, Volume* & Price*)

Note*: In applicable scenarios
Step 3 - Data Sources
Primary Research
- Web Analytics
- Survey Reports
- Research Institute
- Latest Research Reports
- Opinion Leaders
Secondary Research
- Annual Reports
- White Paper
- Latest Press Release
- Industry Association
- Paid Database
- Investor Presentations

Step 4 - Data Triangulation
Involves using different sources of information in order to increase the validity of a study
These sources are likely to be stakeholders in a program - participants, other researchers, program staff, other community members, and so on.
Then we put all data in single framework & apply various statistical tools to find out the dynamic on the market.
During the analysis stage, feedback from the stakeholder groups would be compared to determine areas of agreement as well as areas of divergence