In Vitro Diagnostics (IVD) in the United States: Comprehensive Market Overview 2024-2029

In Vitro Diagnostics (IVD) in the United States: Comprehensive Market Overview 2024-2029


The U.S. IVD market is a cornerstone of global healthcare innovation—but it is also a market in transition In Vitro Diagnostics (IVD) in the United States: Comprehensive Market Overview 2024-2029, the fifth edition in Kalorama’s ongoing series, offers unparalleled access to insights on the trends and technologies that will define the industry's future.

This report is essential for:

Identifying market gaps and opportunities for product innovation.
  • Gaining a competitive edge with strategic insights into the U.S. diagnostic landscape.
  • Making informed decisions by understanding market dynamics and future potential.
  • Staying updated on how evolving regulations are shaping the IVD market.
The U.S. in vitro diagnostics (IVD) market remains the largest and most influential in the world This multi-billion-dollar industry serves as the incubator for cutting-edge medical technologies, driving innovation and setting the benchmark for diagnostic standards worldwide. Yet, this dynamic market faces a period of transformation, balancing challenges such as cost pressures, regulatory changes, and the lingering impacts of COVID-19—all while adapting to a rapidly aging population and increasing demand for precision diagnostics.

Kalorama Information's latest report, In Vitro Diagnostics (IVD) in the United States: Comprehensive Market Overview 2024-2029, delivers a comprehensive analysis of the trends, technologies, and players driving this critical sector. With data-backed insights, this report is your definitive guide to understanding the complexities of the U.S. IVD market.

What’s in the Report
  • Comprehensive Market Analysis: Gain detailed insights into key U.S. IVD segments, including:
  • Clinical Chemistry
  • Microbiology (Traditional) – Identification and Antibiotic Susceptibility Testing (ID/AST)
  • Microbiology – Molecular- Infectious Disease
  • Point-of-Care (POC) Tests – Diabetes
  • Point-of-Care (POC) Tests – All Other
  • Immunoassays – Infectious Disease (non-POC)
  • Immunoassays – Other
  • Molecular - Non-infectious Disease
  • Hematology
  • Coagulation (non-POC)
  • Histology
  • Blood Testing and Typing
  • Others
  • Stay Ahead of the Curve: Understand how demographic shifts, technological advancements, and public health challenges are reshaping the market.
  • Competitive Intelligence: Explore profiles of leading IVD companies, such as Roche Diagnostics, Abbott, Siemens Healthineers, and Thermo Fisher Scientific, and stay informed about their latest developments.
  • Data-Driven Insights: With market data spanning 2024–2029, this report equips readers with the knowledge to identify growth opportunities and make informed decisions.
  • Report Highlights
  • Extensive Market Coverage: Dive deep into U.S. IVD segments, from microbiology and hematology to histology and blood typing.
  • Top Company Profiles: Learn about the strategies and innovations of 20+ key players, including emerging trends and M&A activities.
  • Actionable Insights: Leverage the report's findings to assess the current standard of care, forecast future trends, and anticipate market penetration for new tests and technologies.


Chapter 1: Executive Summary
U.S. IVD Market
Table 1-1: U.S. IVD Market by Segment 2024-2029 ($ million) (Blood Typing, Clinical Chemistry, Coagulation, Hematology, Histology, Immunoassay [Immunoassay Infectious Disease, Immunoassay non-Infectious], Microbiology - ID/AST, Molecular [Molecular Infectious Disease with NAT & mass spec, Molecular - non-Infectious Disease], POC - Other, POC Diabetes [all], Others)
Figure 1-1: U.S. IVD Market Segments by % of the Total U.S. IVD Market, 2024 (Blood Typing, Clinical Chemistry, Coagulation, Hematology, Histology, Immunoassay [Immunoassay Infectious Disease, Immunoassay non-Infectious], Microbiology - ID/AST, Molecular [Molecular Infectious Disease with NAT & Mass Spec, Molecular - non-Infectious Disease], POC - Other, POC Diabetes [all], Others)
Top 12 U.S. IVD Market Participants and Rankings
Table 1-2: U.S. IVD Market Rankings by Estimated 2024 US Revenue – Top 12 Companies (Abbott Diagnostics, Becton, Dickinson & Co. [BD], bioMérieux, Danaher Corporation [Beckman Coulter, Leica Biosystems, Radiometer, Cepheid], Dexcom, Exact Sciences, Illumina, Natera, QuidelOrtho, Roche Diagnostics, Siemens Healthcare Diagnostics, Thermo Fisher Scientific)
Scope and Methodology
Conclusions
Chapter 2: Introduction to U.S. Health Care
The United States and In Vitro Diagnostics
U.S. Patient Population
Healthcare System Utilization
Aging
Figure 2-1: U.S. Projects of Older Adult Population, 2016-2060 (million)
Disease Prevalence and Incidence
Table 2-1: U.S. Cancer Cases, Estimates 2024
Table 2-2: Reported Cases of Selected Notifiable Diseases, U.S., 2022
U.S. Clinical Lab Expenditure
Table 2-3: U.S. Clinical Lab Market, by Channel, 2023 (% of Market)
Preventive Health Care
Product Innovation from Value-Based Pricing
Clinical Testing under Medicare – Reimbursement Cuts and Market-Based Pricing
Protecting Access to Medicare Act of 2014 (PAMA)
Table 2-4: Implemented and Proposed Clinical Diagnostic Laboratory Test Rates, 2020-2027
Impact of CARES Act on PAMA
Saving Access to Laboratory Service Act (SALSA)
Advanced Laboratory Tests (ADLT)
Table 2-5: List of Approved ADLTs, March 2024
Personalized Medicine
Companion Diagnostics
Table 2-6: FDA Approved Companion Cancer Diagnostics, 2024
AI Use in U.S. Liquid Biopsy Segment
Table 2-7: Selected U.S. AI/Liquid Biopsy Initiatives
Telehealth
Laboratory-Developed Tests (LDTs)
FDA
U.S. Healthcare Infrastructure and Testing Channels
Hospitals
Independent Labs
Physician Office Laboratories
At-Home Testing
Home Collection Trend
Table 2-8: Home Collection Test Kit Market, by Category, Worldwide, 2022 (% Estimated Share) (Cholesterol, Drug of Abuse, Fertility Testing, Genetic, Infectious Disease [COVID-19, STDs, HIV, etc.], Tumor DNA Markers, Other [Hormone, Allergies, HbA1c, Heavy Metals, etc.])
Table 2-9: Selected Molecular Tests EUAs for Home Collection SARS-CoV-2 Tests, 2020-2024
Retail Clinics
Conclusions
Chapter 3: U.S. IVD Market Analysis
Clinical Chemistry
Table 3-1: U.S. Clinical Chemistry Market, by Segment, 2024-2029 ($ million) (Blood Gases, General Chemistry, Urinalysis)
Figure 3-1: U.S. Clinical Chemistry Market, 2024-2029 ($ million)
Microbiology and Virology – ID/AST and Molecular
Table 3-2: US ID/AST Microbiology ID/AST Market, by Segment, 2024-2029 ($ million) (Auto ID/AST, Manual ID/AST, Blood Culture, Chromogenic Media, Rapid, Micro)
Figure 3-2: U.S. ID/AST Microbiology Market, 2024-2029 ($ million)
Molecular Infectious Disease
Table 3-3: U.S. Molecular Infectious Disease, Market Distribution Estimates by Segment, 2024 (%) (HAI/Sepsis, HIV, Hepatitis, GC/Chlamydia, Respiratory, Mycobacteria/TB, Other Microbiology)
Figure 3-3: U.S. Molecular Microbiology/Virology Market Distribution Estimates, by Segment, 2024 (%) (HAI/Sepsis, HIV, Hepatitis, GC/Chlamydia, Respiratory, Mycobacteria/TB, Other Microbiology)
Point-of-Care Testing
Table 3-4: U.S. Point-of-Care (POC) Diagnostics Markets by Segment, 2024-2029 ($ million) (Glucose, Blood & Electrolytes, Coagulation, Cardiac Markers, Drugs of Abuse, Pregnancy & Fertility, Fecal Occult Blood, Infectious Disease, Lipid, Cancer Tumor Markers, Urine, Miscellaneous)
Figure 3-4: U.S. POC Diabetes Market, 2024-2029 ($ million)
Figure 3-5: U.S. POC Market without Diabetes, 2024-2029 ($ million)
Immunoassays
Non-Infectious Disease Immunoassay
Table 3-5: U.S. Immunoassays Market – Non Infectious, by Segment, 2024-2029 ($ million) (Cardiac Markers, Tumor Markers, Autoimmune, Allergy, Thyroid, Proteins, Anemia, Fertility, Therapeutic Drugs, Vitamin D, HbA1c, Others)
Figure 3-6: U.S. Immunoassays Market – Non Infectious, 2024-2029 ($ million)
Infectious Disease Immunoassay
Table 3-6: U.S. Immunoassays Market – Infectious, 2024-2029 ($ million) (Hepatitis, HIV, STDs, ToRCH, Respiratory, HAIs/Sepsis, Others)
Figure 3-7: U.S. Immunoassay Infectious Disease, 2024-2029 ($ million)
Molecular Non-Infectious Disease Diagnostics
Figure 3-8: U.S. Molecular – Non-Infectious Disease Diagnostics Market, 2024-2029 ($ million)
Coagulation
Table 3-7: U.S. Coagulation Diagnostics Market, by Segment, 2024-2029 ($ million) (PT/INR, Molecular-lab Thrombophilia SNPs, D-Dimer)
Figure 3-9: U.S. Coagulation Diagnostics Market, 2024-2029 ($ million)
Histology
Table 3-8: U.S. Histology/Cytology IVD Market, by Segment, 2024-2029 ($ million) Pap Tests, in situ Hybridization, Immunohistochemistry, Traditional non-Pap Stains, HPV Molecular)
Figure 3-10: U.S. Histology and Cytology Diagnostics Market, 2024-2029 ($ million)
Hematology
Table 3-9: U.S. Lab-based Hematology Market, by Analyte 2024-2029 ($ million)
Figure 3-11: U.S. Hematology Diagnostics Market, 2024-2029 ($ million)
Blood Testing and Typing
Table 3-10: U.S. Blood Testing and Typing, by Segment, 2024-2029 ($ million) (ABO Grouping/Typing, Screening)
Figure 3-12: U.S. Blood Grouping and Typing Diagnostics Market, 2024-2029 ($ million)
Figure 3-13: U.S. Blood Screening Diagnostics Market, 2024-2029 ($ million)
Total U.S. IVD Market
Table 3-11: U.S. IVD Market by Segment 2024-2029 ($ million) (Blood Typing, Clinical Chemistry, Coagulation, Hematology, Histology, Immunoassay [Immunoassay Infectious Disease, Immunoassay non-Infectious], Microbiology - ID/AST, Molecular [Molecular Infectious Disease with NAT & mass spec, Molecular - non-Infectious Disease], POC - Other, POC Diabetes [all], Others)
Figure 3-14: U.S. IVD Market Segments by % of the Total U.S. IVD Market, 2024 (Blood Typing, Clinical Chemistry, Coagulation, Hematology, Histology, Immunoassay [Immunoassay Infectious Disease, Immunoassay non-Infectious], Microbiology - ID/AST, Molecular [Molecular Infectious Disease with NAT & Mass Spec, Molecular - non-Infectious Disease], POC - Other, POC Diabetes [all], Others)
Chapter 4: Competitor U.S. IVD Market Players
Table 4-1: Top 12 U.S. IVD Competitor Revenues, 2024 ($ million) (Abbott Diagnostics, Becton, Dickinson & Co. [BD], bioMérieux, Danaher Corporation [Beckman Coulter, Leica Biosystems, Radiometer, Cepheid], Dexcom, Exact Sciences, Illumina, Natera, QuidelOrtho, Roche Diagnostics, Siemens Healthcare Diagnostics, Thermo Fisher Scientific)
Abbott Diagnostics
Abbott Diagnostic Recent Revenue History
Table 4-2: Global Abbott Diagnostics (and Diabetes Management) Revenues, 2019-2023 ($ million)
Figure 4-1: Abbott Diagnostics - IVD U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Table 4-3: Global Abbott Diagnostics Revenues, 2019-2023 ($ million)
Core Lab
Hematology
Blood Banking
Infectious Diseases - Molecular
Diabetes
HIV Point of Care
i-STAT Business
Becton, Dickinson and Company (BD)
Recent Revenue History
Table 4-4: Global BD Life Sciences Revenues, 2019-2023 ($ million)
Figure 4-2: BD - IVD U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Cytology
Molecular Microbiology
Traditional Microbiology - ID/AST
Blood Culture
Hospital Acquired Infections
Blood Collection
Mass Spectrometry
Flow Cytometry
bioMérieux
Table 4-5: Global bioMérieux IVD Revenues, 2019-2023 ($ million)
Figure 4-3: bioMérieux - IVD U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Table 4-6: Global bioMérieux Revenues in Selected Test Segments, 2019-2023 ($ million)
Traditional Microbiology
Immunoassays
BIOFIRE Diagnostics Business
Danaher Corporation
Recent Revenue History
Table 4-7: Global Danaher Diagnostics Revenues, 2019-2023 ($ million)
Figure 4-4: Danaher - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Beckman Coulter
Cepheid
Dexcom
Table 4-8: Global Dexcom Revenue History 2019-2023 ($ million)
Figure 4-5: Dexcom - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Exact Sciences
Recent Revenue History
Table 4-9: Global Exact Sciences Revenue History, 2019-2023 ($ million)
Figure 4-6: Exact Sciences - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Hologic, Inc.
Recent Revenue History
Table 4-10: Hologic Revenues, 2019-2023 ($ million)
Figure 4-7: Hologic - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Table 4-11: Global Hologic Revenues in Selected Test Segments, 2019-2023 ($ million) estimated
Panther Molecular System
Panther Fusion
Infectious Diseases
Sexually Transmitted Infections
Cytology
Illumina
Table 4-12: Global Illumina Revenue History, 2019-2023 ($ million – not all revenues are for clinical products and services; estimated)
Figure 4-8: IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million) estimated
Table 4-13: Global Illumina Diagnostic Revenues, by Segment, 2019-2023 ($ million) estimated
Natera
Recent Revenue History
Table 4-14: Natera Revenue History, 2019-2023 ($ million)
Figure 4-9: Natera - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million) estimated
QuidelOrtho Corporation
Table 4-15: Global QuidelOrtho Revenue History, 2019-2023 ($ million)
Figure 4-10: QuidelOrtho - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million) estimated
Table 4-16: Global QuidelOrtho Diagnostic Revenues, by Segment, 2020-2023 ($ million) estimated
Immunoassays
Rapid Immunoassays
The Solana Business
Molecular – Savanna
Blood Bank
Roche Diagnostics
Recent Revenue History
Table 4-17: Global Roche IVD Diagnostics Revenues, 2019-2023 ($ million)
Figure 4-11: Roche - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million) estimated
Table 4-18: Global Roche IVD Diagnostics Revenues, by Type, 2019-2023 (million) estimated
Immunoassays
Core Molecular
Digital PCR
Diabetes Care
cobas Liat System – POC
HPV
Blood Bank
Cancer Companion Testing
Siemens Healthineers (Siemens)
Recent Revenue History
Table 4-19: Global Siemens Healthineers IVD Revenues, 2019-2023 ($ million)
Figure 4-12: Siemens Healthineers - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Table 4-20: Global Siemens Healthineers Diagnostic Revenues, by Segment, 2021-2023 ($ million) estimated
Core Lab
Immunoassays
Hematology
Molecular
Thermo Fisher Scientific Inc.
Recent Revenue History
Table 4-21: Global Thermo Fisher IVD Revenues, 2019-2023 ($ million)
Figure 4-13: Thermo Fisher - IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues, 2023 ($ million)
Table 4-22: Global Thermo Fisher IVD Revenues, by Type, 2019-2023 (million) estimated
Immunoassays
Microbiology
Molecular Test Business
Next Generation Sequencing
qPCR
Oncology Companion Diagnostics
Mass Spectrometry

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