Key Insights
The North American 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 significant expansion is driven by several key factors. The increasing prevalence of cancer, particularly lung, breast, colorectal, leukemia, and melanoma, fuels demand for accurate and targeted therapies. Companion diagnostics play a crucial role in selecting the right treatment, leading to improved patient outcomes and a higher success rate for expensive cancer therapies. Technological advancements in areas like immunohistochemistry (IHC), polymerase chain reaction (PCR), in-situ hybridization (ISH), real-time PCR (RT-PCR), and gene sequencing are enhancing the accuracy and speed of diagnostic testing, further propelling market growth. The strong presence of major players like Labcorp, Novartis, Biomerieux, and Siemens Healthineers, coupled with continuous research and development efforts, signifies a competitive yet innovative landscape. The North American market dominates due to factors including advanced healthcare infrastructure, high adoption rates of advanced technologies, and increased investment in research and development within the region.
The market segmentation reveals a strong focus on specific cancer types, with lung, breast, and colorectal cancers contributing significantly to the overall market value. While the exact breakdown for each segment is not provided, it’s reasonable to assume that these high-prevalence cancers represent a larger share of the market. The increasing availability of targeted therapies that require companion diagnostics for optimal efficacy is a significant driver of this market segment specialization. Regulatory approvals for new companion diagnostics, alongside increased government funding for cancer research and personalized medicine initiatives, create a favorable regulatory and economic environment for market expansion. Looking ahead, the continued development of novel companion diagnostic technologies and their integration into clinical workflows will be pivotal in shaping the future trajectory of this rapidly growing market.

North America Companion Diagnostics Devices Market: A Comprehensive Report (2019-2033)
This comprehensive report provides an in-depth analysis of the North America companion diagnostics devices market, encompassing market dynamics, growth trends, regional dominance, product landscape, key players, and future outlook. The report covers the period from 2019 to 2033, with 2025 as the base year and a forecast period of 2025-2033. The market is segmented by 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). The total market size is projected to reach xx million units by 2033.
North America Companion Diagnostics Devices Market Dynamics & Structure
The North American companion diagnostics devices market is characterized by a moderately concentrated landscape with key players like 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) holding significant market share. Technological innovation, particularly in gene sequencing and real-time PCR, is a major driver, while stringent regulatory frameworks and the emergence of competitive substitutes influence market dynamics. The market witnesses frequent mergers and acquisitions (M&A), with deal volumes averaging xx per year during the historical period (2019-2024). The increasing prevalence of chronic diseases, coupled with advancements in personalized medicine, fuels market growth.
- Market Concentration: Moderately concentrated, with top 10 players holding approximately xx% market share in 2024.
- Technological Innovation: Rapid advancements in gene sequencing and real-time PCR are key drivers.
- Regulatory Frameworks: Stringent FDA regulations impact market entry and product approval.
- Competitive Substitutes: Development of alternative diagnostic techniques creates competitive pressure.
- End-User Demographics: Growing elderly population and rising incidence of cancer contribute to market growth.
- M&A Trends: Average of xx M&A deals per year (2019-2024), indicating consolidation and expansion strategies.
North America Companion Diagnostics Devices Market Growth Trends & Insights
The North America companion diagnostics devices market experienced a CAGR of xx% during the historical period (2019-2024) and is projected to grow at a CAGR of xx% during the forecast period (2025-2033), reaching xx million units by 2033. This growth is attributed to several factors, including the increasing adoption of targeted therapies, rising awareness of companion diagnostics among healthcare professionals, technological advancements leading to improved diagnostic accuracy and faster turnaround times, and increasing investments in R&D by major players. The market penetration rate for companion diagnostics is projected to increase from xx% in 2024 to xx% by 2033. Consumer behavior shifts towards personalized medicine are also significantly impacting market growth. Technological disruptions, such as the integration of AI and machine learning, are expected to further accelerate market expansion. The increasing demand for point-of-care diagnostics is also driving market growth.

Dominant Regions, Countries, or Segments in North America Companion Diagnostics Devices Market
The United States holds the largest market share within North America, driven by robust healthcare infrastructure, high adoption rates of advanced technologies, and significant investments in research and development. Among the technology segments, PCR and IHC dominate due to their established clinical utility and widespread availability. Within indications, lung cancer, breast cancer, and colorectal cancer lead the market due to their high prevalence and the availability of targeted therapies.
- Key Drivers:
- Strong healthcare infrastructure in the US
- High prevalence of cancer and other chronic diseases
- Growing adoption of targeted therapies
- Favorable regulatory environment
- Dominant Segments:
- Technology: PCR and IHC hold the largest market share.
- Indication: Lung, breast, and colorectal cancers are the leading applications.
North America Companion Diagnostics Devices Market Product Landscape
The market offers a wide range of companion diagnostic devices, ranging from simple IHC kits to sophisticated gene sequencing platforms. These devices are designed to provide accurate and timely information to guide treatment decisions. Recent innovations focus on improved sensitivity, specificity, automation, and integration with electronic health records. Unique selling propositions include faster turnaround times, ease of use, and improved diagnostic accuracy. Technological advancements include the integration of AI and machine learning for improved data analysis and interpretation.
Key Drivers, Barriers & Challenges in North America Companion Diagnostics Devices Market
Key Drivers: The increasing prevalence of cancer and other chronic diseases, the growing adoption of targeted therapies, and advancements in molecular diagnostics technologies are the primary drivers of market growth. Government initiatives promoting personalized medicine further accelerate adoption.
Challenges: High costs associated with developing and deploying companion diagnostic tests, stringent regulatory requirements for approval, and the need for skilled professionals to operate and interpret the results pose significant challenges. Supply chain disruptions related to reagent availability and manufacturing capacity also impact market growth.
Emerging Opportunities in North America Companion Diagnostics Devices Market
Emerging opportunities lie in the development of liquid biopsies for early cancer detection, the integration of companion diagnostics with point-of-care testing platforms, and expansion into underserved markets. The development of novel companion diagnostics for emerging therapies and the exploration of new applications, such as personalized vaccine development, also present significant opportunities.
Growth Accelerators in the North America Companion Diagnostics Devices Market Industry
Technological breakthroughs in gene editing and next-generation sequencing, along with strategic partnerships between pharmaceutical companies and diagnostic manufacturers, are key growth catalysts. Market expansion strategies focusing on emerging markets and underserved populations, coupled with increased investment in R&D, are driving long-term growth.
Key Players Shaping 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)
Notable Milestones in North America Companion Diagnostics Devices Market Sector
- December 2022: QIAGEN received FDA approval for its therascreen KRAS RGQ PCR kit as a companion diagnostic for Mirati Therapeutic's KRAZATI (adagrasib) for NSCLC.
- January 2023: QIAGEN partnered with Helix to advance companion diagnostics for hereditary diseases.
In-Depth North America Companion Diagnostics Devices Market Market Outlook
The North America companion diagnostics devices market is poised for significant growth, driven by technological advancements, increasing prevalence of chronic diseases, and growing adoption of personalized medicine. Strategic partnerships, expansion into new applications, and the development of innovative diagnostic technologies will further fuel market expansion. The market presents lucrative opportunities for players who can effectively navigate regulatory hurdles, address supply chain challenges, and develop cost-effective solutions.
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