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 increasing prevalence of cancer, particularly lung, breast, colorectal, and leukemia, fuels demand for accurate and targeted therapies. Companion diagnostics play a crucial role in identifying patients most likely to benefit from specific treatments, optimizing treatment strategies, and improving patient outcomes. Technological advancements, including the widespread adoption of sophisticated techniques like immunohistochemistry (IHC), polymerase chain reaction (PCR), and next-generation sequencing (NGS), are further propelling market growth. Furthermore, the rising focus on personalized medicine and the growing adoption of advanced diagnostic techniques within healthcare systems are significantly contributing to market expansion. The strong presence of major players like Labcorp, Novartis, Biomerieux, and Roche in the North American market underscores its significance and competitive landscape.
Despite the positive outlook, certain challenges exist. High costs associated with advanced companion diagnostic technologies can limit accessibility, especially in underserved populations. Regulatory hurdles and the need for extensive validation studies before market approval also pose potential restraints. However, ongoing research and development, coupled with supportive government initiatives focused on improving cancer care and personalized medicine, are expected to mitigate these challenges. The market segmentation reveals a strong emphasis on cancer indications, highlighting the critical role companion diagnostics play in oncology. The continuous development of new diagnostic technologies and their integration into clinical workflows will further shape market dynamics throughout the forecast period. Focusing on innovation and overcoming accessibility barriers will be essential for sustained market growth.

North America Companion Diagnostics Devices Market: A Comprehensive Report (2019-2033)
This detailed report provides a comprehensive analysis of the North America companion diagnostics devices market, offering invaluable insights for industry stakeholders, investors, and researchers. Covering the period from 2019 to 2033, with a base year of 2025 and a forecast period of 2025-2033, this report meticulously examines market dynamics, growth drivers, and challenges. The market size is projected to reach xx Million by 2033, exhibiting a CAGR of xx% during the forecast period. This report is essential for understanding the competitive landscape, technological advancements, and future opportunities within this rapidly evolving sector.
North America Companion Diagnostics Devices Market Market Structure & Competitive Dynamics
The North America companion diagnostics devices market is characterized by a moderately concentrated structure, with several multinational corporations holding significant market share. Key players, including 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, and Danaher Corporation (Beckman Coulter Inc), compete intensely based on technological innovation, regulatory approvals, and strategic partnerships. Market share is dynamically shifting due to ongoing M&A activities and the introduction of novel diagnostic technologies.
The market is witnessing increased innovation, driven by advancements in genomics, proteomics, and imaging technologies. Regulatory frameworks, primarily governed by the FDA, significantly influence market access and product approvals. The presence of substitute diagnostic methods and evolving end-user preferences (e.g., preference for minimally invasive procedures) further shape the competitive landscape. The market's innovation ecosystem is fostered by collaborations between diagnostic companies, pharmaceutical firms, and academic institutions.
- Market Concentration: The top five players collectively hold approximately xx% of the market share in 2025.
- M&A Activity: Significant M&A deals valued at xx Million have been observed in the last five years, indicating consolidation within the market.
- Regulatory Landscape: FDA approvals are crucial for market entry and significantly influence the competitive landscape.
- End-User Trends: Increasing demand for personalized medicine and earlier cancer detection fuels market growth.
North America Companion Diagnostics Devices Market Industry Trends & Insights
The North America companion diagnostics devices market is experiencing robust growth, fueled by several key trends. Rising cancer incidence rates, increased adoption of targeted therapies, and growing demand for personalized medicine are major growth drivers. Technological advancements, particularly in next-generation sequencing (NGS) and molecular diagnostics, are continuously expanding the capabilities and applications of companion diagnostics. Furthermore, favorable reimbursement policies and increasing investment in research and development are contributing to market expansion.
Consumer preferences are shifting towards faster, more accurate, and minimally invasive diagnostic procedures. The market is also witnessing increased adoption of point-of-care diagnostics, offering convenience and reducing turnaround time. The competitive dynamics are shaped by ongoing product innovation, strategic partnerships, and acquisitions. The market's CAGR is projected to be xx% from 2025 to 2033, indicating substantial growth potential. Market penetration of companion diagnostics is increasing across various cancer types, with a particularly strong uptake in lung, breast, and colorectal cancers.

Dominant Markets & Segments in North America Companion Diagnostics Devices Market
The United States dominates the North America companion diagnostics devices market, driven by high healthcare expenditure, advanced healthcare infrastructure, and a large patient population.
Leading Technology Segments:
- Polymerase Chain Reaction (PCR): High market share due to established technology, relatively low cost, and widespread availability. Growth driven by advancements in real-time PCR and digital PCR.
- Immunohistochemistry (IHC): Widely used for cancer diagnostics, strong growth potential fueled by improvements in automation and image analysis.
- Gene Sequencing: Rapidly growing segment due to the increasing adoption of NGS for comprehensive genomic profiling and personalized medicine.
Leading Indication Segments:
- Lung Cancer: High prevalence and increased adoption of targeted therapies significantly drive market growth.
- Breast Cancer: Large patient population and widespread use of companion diagnostics for treatment selection contribute to market dominance.
- Colorectal Cancer: Rising incidence rates and advancements in diagnostics contribute to significant market growth.
Key Drivers for Dominant Segments:
- Strong government funding for research and development
- High prevalence of target diseases
- Rising adoption of targeted therapies
- Technological advancements
North America Companion Diagnostics Devices Market Product Innovations
Recent product innovations focus on improving the speed, accuracy, and accessibility of companion diagnostics. Miniaturized devices, point-of-care testing platforms, and integrated diagnostic systems are gaining traction. Advancements in NGS, digital PCR, and multiplex assays are enabling simultaneous testing for multiple biomarkers. These innovations offer enhanced diagnostic capabilities, improved patient outcomes, and streamlined workflows for healthcare professionals. The emphasis is on developing user-friendly interfaces, reducing costs, and improving ease of use for wider adoption in clinical settings.
Report Segmentation & Scope
This report segments the North America companion diagnostics devices market based on technology (Immunohistochemistry (IHC), Polymerase Chain Reaction (PCR), In-situ Hybridization (ISH), Real-time PCR (RT-PCR), Gene Sequencing, Other Technologies) and indication (Lung Cancer, Breast Cancer, Colorectal Cancer, Leukemia, Melanoma, Other Indications). Each segment's market size, growth projections, and competitive dynamics are analyzed in detail. For example, the PCR segment is expected to witness significant growth due to its versatility and relatively lower cost, while the gene sequencing segment shows rapid growth driven by the increasing adoption of NGS technologies. Similarly, the lung cancer indication segment dominates due to the high prevalence of lung cancer and the availability of several targeted therapies.
Key Drivers of North America Companion Diagnostics Devices Market Growth
The market's growth is driven by several factors. The rising prevalence of cancer and other chronic diseases necessitates accurate and timely diagnostics for effective treatment selection. Technological advancements in areas like NGS and PCR are enabling the development of more sensitive and specific assays. Favorable reimbursement policies from both private and public payers are increasing the accessibility of companion diagnostics. Moreover, supportive regulatory frameworks are streamlining the approval process for new diagnostic devices, furthering market expansion.
Challenges in the North America Companion Diagnostics Devices Market Sector
Despite significant growth, the market faces challenges, including high development costs, stringent regulatory requirements (potentially leading to longer approval times), and complex reimbursement procedures. Supply chain disruptions and the need for skilled personnel can also impact market growth. Furthermore, intense competition among established players and new entrants creates pricing pressures. These factors can hinder the widespread adoption of newer, more advanced technologies.
Leading Players in the North America Companion Diagnostics Devices Market Market
- 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 Developments in North America Companion Diagnostics Devices Market Sector
- December 2022: QIAGEN received FDA approval for its therascreen KRAS RGQ PCR kit, a companion diagnostic for Mirati Therapeutics' KRAZATI (adagrasib) in non-small cell lung cancer (NSCLC). This significantly expands the market access for this crucial test.
- January 2023: QIAGEN partnered exclusively with Helix to advance companion diagnostics for hereditary diseases, expanding its reach into a new area of personalized medicine and potentially increasing market share.
Strategic North America Companion Diagnostics Devices Market Market Outlook
The North America companion diagnostics devices market presents substantial growth opportunities. Continued technological innovation, increasing investments in R&D, and expanding applications in personalized medicine will drive market expansion. Strategic partnerships and collaborations among industry players are anticipated, facilitating the development and commercialization of innovative diagnostics. The focus will likely shift towards developing cost-effective, accessible, and user-friendly diagnostic solutions. The market is poised for continued growth, driven by the increasing demand for personalized healthcare and advancements in molecular diagnostics.
North America Companion Diagnostics Devices Market Segmentation
-
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?
To stay informed about further developments, trends, and reports in the North America Companion Diagnostics Devices Market, consider subscribing to industry newsletters, following relevant companies and organizations, or regularly checking reputable industry news sources and publications.
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