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United States Market for In Vitro Diagnostic (IVD) Tests, 4th Edition

Publication Date: October 6, 2022

SKU: 22-047

Tags: Coagulation, COVID-19, Diagnostic Instruments, Genetic Diseases, Hematology, Histology and Cytology, Immunoassay, In Vitro Diagnostics (IVD), Infectious Diseases, Molecular Diagnostics, Oncology and Cancer, Point-of-Care (POC) Testing, US and Canada

Pages: 220

SKU: 22-047

Discover the dynamic landscape of the U.S. IVD market with Kalorama Information’s latest comprehensive report, United States Market for In Vitro Diagnostic (IVD) Tests, 4th Edition. As the dominant force in the global IVD industry, the U.S. market continues to evolve, facing numerous challenges and opportunities in a highly complex healthcare system.

 

Report Highlights:

  • Market Overview:
    • The U.S. IVD market remains the core geographical market in the world, leading the industry with its size and influence.
    • Despite its dominance, the market is in a state of flux, managing a myriad of issues including an aging population and the lingering impact of COVID-19.
  • In-Depth Market Segmentation:
    • Detailed analysis of various IVD market segments in the United States, including:
      • Clinical Chemistry
      • Traditional Microbiology – Identification and Antibiotic Susceptibility Testing (ID/AST)
      • Molecular Microbiology – Infectious Disease
      • Point-of-Care (POC) Tests – Diabetes
      • Point-of-Care (POC) Tests – All Other
      • Immunoassays – Infectious Disease (non-POC)
      • Immunoassays – Other
      • Molecular Diagnostics – Non-infectious Disease
      • Hematology
      • Coagulation (non-POC)
      • Histology
      • Blood Testing and Typing
      • Other IVD Segments
  • Industry Trends and Drivers:
    • Exploration of key trends shaping the present and future of the U.S. IVD market, such as:
      • The aging population and its impact on healthcare demand.
      • The lasting effects of the COVID-19 pandemic on IVD market growth and the increased need for testing.

 

Top Company Profiles:

  • Leading Players:
    • Profiles of top companies in the U.S. IVD market, highlighting notable corporate events and recent developments.
    • Insight into the strategies and innovations of industry leaders driving the market forward.

 

Table: U.S. IVD Market, by Segment, 2022-2027 (in millions $)

Segment 2022 2027 CAGR
Clinical Chemistry $XX Million $XX Million XX%
Microbiology – ID/AST $XX Million $XX Million XX%
Molecular $XX Million $XX Million XX%
Molecular Infectious Disease
(with NAT & mass spec)
$XX Million $XX Million XX%
Molecular –
non-Infectious Disease
$XX Million $XX Million XX%
POC Diabetes (all) $XX Million $XX Million XX%
POC – Other $XX Million $XX Million XX%
Immunoassay $XX Million $XX Million XX%
Immunoassay Infectious Disease $XX Million $XX Million XX%
Immunoassay non-Infectious $XX Million $XX Million XX%
Coagulation $XX Million $XX Million XX%
Histology $XX Million $XX Million XX%
Hematology $XX Million $XX Million XX%
Blood Typing $XX Million $XX Million XX%
Others $XX Million $XX Million XX%
Total $XX Million $XX Million XX%

Source: Kalorama Information

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Table of Contents

Chapter 1: Executive Summary

U.S. IVD Market

  • Table 1-1: U.S. IVD Market by Segment (Clinical Chemistry, Microbiology – ID/AST, Molecular, Molecular Infectious Disease Molecular – non, Infectious Disease, POC Diabetes, POC – Other, Immunoassay, Immunoassay Infectious Disease, Immunoassay non-Infectious, Coagulation, Histology, Hematology, Blood Typing, and Others), 2022-2027 (in millions $)
  • Figure 1-1: U.S. IVD Market Segments (Clinical Chemistry, Microbiology – ID/AST, Molecular, Molecular Infectious Disease Molecular – non, Infectious Disease, POC Diabetes, POC – Other, Immunoassay, Immunoassay Infectious Disease, Immunoassay non-Infectious, Coagulation, Histology, Hematology, Blood Grouping, and Others), by % of the total U.S. IVD Market, 2022

Top 12 U.S. IVD Market Participants and Rankings

  • Table 1-2:  U.S. IVD Market Rankings, by Estimated 2022 US Revenue – Top 12 Companies (Abbott Diagnostics, Roche Diagnostics, Danaher Corporation, Siemens Healthcare Diagnostics, Thermo Fisher Scientific, Becton, Dickinson & Co. (BD), Hologic, Illumina, Dexcom, bioMérieux, Exact Sciences, and Ortho Clinical)

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

Disease Prevalence and Incidence

  • Table 2-1: U.S. New Cancer Cases 2022 Estimates, by Type (Female Breast, Prostate, Lung and Bronchus, Colon and Rectum, Corpus and Uterus, Melanomas of the Skin, Urinary Bladder, Non-Hodgkin Lymphoma, Kidney and Renal Pelvis, Thyroid, and Pancreas)
  • Table 2-2 U.S. Estimated Cancer Deaths, by Cancer Type (Lung and Bronchus, Female Breast, Prostate, Colon and Rectum, Pancreas, Ovary, Liver and Intrahepatic Bile Duct, Leukemias, Non-Hodgkin Lymphoma, and Corpus and Uterus), 2022
  • Table 2-3: Reported Cases of Selected Notifiable Diseases (Arboviral Diseases [incl. West Nile], Babesiosis, Brucellosis, Chlamydia, Cholera, Coccidiodomycosis, Cryptosporidiosis, Dengue, Ehrlichiosis/Anaplasmosis, Giardiasis, Gonorrhea, Hepatitis A, Hepatitis B, Hepatitis C, HIV/AIDS, Legionellosis, Listeriosis, Lyme Disease, Malaria, Meningococcal Disease, Pertussis, Q Fever, Salmonellosis, Shiga toxin-producing E Coli, Shigellosis, Spotted Fever Rickettsiosis, Syphilis, Tuberculosis, Vancomycin-intermediate Staphylococcus aureus, Vibriosis), U.S., 2016-2019, by Case Count

U.S. Clinical Lab Expenditure

  • Table 2-4: U.S. Clinical Lab Market by Channel (Hospital Labs/Acute Care Labs, Independent Labs, and Physician Office Labs/Outpatient Labs), 2021-2026 (% 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 2-5: Proposed Clinical Diagnostic Laboratory Test Rates, 2020-2025

Impact of CARES Act on PAMA

Precision Medicine and NGS

Laboratory-Developed Tests (LDTs)

Changes Resulting from COVID-19 Pandemic

COVID-19 Impact

U.S. Healthcare Infrastructure and Testing Channels

Hospitals

Independent Labs

Physician Office Laboratories

At-Home Testing

Home Collection Trend

Retail Clinics

Conclusions

 

Chapter 3: U.S. IVD Market Analysis

Clinical Chemistry

  • Table 3-1: U.S. Clinical Chemistry Market (General Chemistry, Blood Gases, and Urinalysis) 2022-2027 (in millions $) est
  • Figure 3-1: U.S. Clinical Chemistry Market, 2022-2027 ($ millions)

Microbiology and Virology – ID/AST and Molecular

  • Table 3-2: US ID/AST Microbiology ID/AST Market (ID/AST Auto, ID/AST Panels, Blood Culture, Chromogenic Media, and Rapid Micro) 2022-2027 ($ millions)
  • Figure 3-2: U.S. ID/AST Microbiology Market (Auto ID/AST, Manual ID/AST, Blood Culture, Chromogenic Media, Rapid, Micro) 2022-2027 ($ millions)

Molecular Infectious Disease

  • Table 3-3: U.S. Molecular Infectious Disease, Market Distribution Estimates by Segment (HAI/Sepsis, HIV, Hepatitis, GC/Chlamydia, Respiratory, Mycobacteria/TB, Other Molecular including Parasitology, Mycology, Malaria, Chagas, Dengue, etc.), 2022-2027 (%)
  • Figure 3-3: U.S. Molecular Microbiology / Virology Market Distribution Estimates by Segment, (HAI, HIV, Hepatitis, GC/Chlamydia, Respiratory, Mycobacteria/TB, Other Microbiology), 2022 (%)

Point-of-Care Testing

  • Table 3-4: U.S. Point-of-Care (POC) Diagnostics Markets (Glucose, Blood & Electrolytes, Coagulation, Cardiac Markers, Drugs of Abuse, Pregnancy & Fertility, Fecal Occult Blood, Infectious Disease, Lipid, Cancer Tumor Markers, Urine, Miscellaneous), 2022 and 2027 ($ millions)
  • Figure 3-4: U.S. POC Diabetes Market, 2022-2027 (in millions $)
  • Figure 3-5: U.S. POC Market without Diabetes, 2022-2027 (in millions $)

Immunoassays

Non-Infectious Disease Immunoassay

  • Table 3-5: U.S. Immunoassays Market – Non Infectious (Cardiac Markers, Tumor Markers, Autoimmune, Allergy, Thyroid, Proteins, Anemia, Fertility, Therapeutic Drugs,  Vitamin D, HbA1c, others) 2022-2027 ($ millions)
  • Figure 3-6: U.S. Immunoassay-Non-infectious (Cardiac Markers, Tumor Markers, Autoimmune, Allergy, Thyroid, Proteins, Anemia, Fertility, Therapeutic Drugs,  Vitamin D, HbA1c, others), 2022-2027 (in millions) $)

Infectious Disease Immunoassay

  • Table 3-6: U.S. Immunoassays Market – Infectious (Hepatitis, HIV, STDs, ToRCH, Respiratory, HAIs/Sepsis, Others), 2022-2027 (in millions $)
  • Figure 3-7: U.S. Immunoassay Infectious Disease (Hepatitis, HIV, STDs, ToRCH, Respiratory, HAI/Sepsis, Others), 2022-2027 (in millions $)

Molecular Non-Infectious Disease Diagnostics

  • Figure 3-8: U.S. Molecular Non-Infectious Disease Diagnostics Market, 2022-2027 ($ millions)

Coagulation

  • Table 3-7: U.S. Coagulation Diagnostics Market by Segment , PT/INR, Molecular-lab Thrombophilia SNPs, D-Dimer, 2022-2027 (in millions $)
  • Figure 3-9: U.S. Coagulation Diagnostics Market, 2022-2027 ($ millions)

Histology

  • Table 3-8: U.S. Histology/Cytology IVD Market by Segment (Pap Tests, in situ Hybridization, Immunohistochemistry, Traditional non-Pap Stains, HPV Molecular) 2022-2027 ($ millions)
  • Figure 3-10: U.S. Histology and Cytology Diagnostics Market, 2022-2027 ($ millions)

Hematology

  • Table 3-9: U.S. Lab-based Hematology Market by Analyte Segment (CBC, Hemoglobin, and Other), 2022-2027 (in millions $)
  • Figure 3-11: U.S. Hematology Diagnostics Market, 2022-2027 ($ millions)

Blood Testing and Typing

  • Table 3-10: U.S. Blood Testing and Typing by Segment (ABO Grouping/Typing and Screening), 2022-2027 (in millions $)
  • Figure 3-12: U.S. Blood Grouping and Typing Diagnostics Market, 2022-2027 ($ millions)
  • Figure 3-13: U.S. Blood Screening Diagnostics Market (Immunoassay Blood Screening and NAT Blood Screening), 2022-2027 ($ millions)

Total U.S. IVD Market

  • Table 3-11: U.S. IVD Market including COVID-19, by Segment (Clinical Chemistry, Microbiology – ID/AST, Molecular, Molecular Infectious Disease Molecular – non, Infectious Disease, POC Diabetes, POC – Other, Immunoassay, Immunoassay Infectious Disease, Immunoassay non-Infectious, Coagulation, Histology, Hematology, Blood Typing, and Others), 2022-2027  (in millions $)
  • Figure 3-14: U.S. IVD Market Segments (Clinical Chemistry, Microbiology – ID/AST, Molecular, Molecular Infectious Disease Molecular – non, Infectious Disease, POC Diabetes, POC – Other, Immunoassay, Immunoassay Infectious Disease, Immunoassay non-Infectious, Coagulation, Histology, Hematology, Blood Typing, and Others), 2022 (%)

 

Chapter 4: Top Tier U.S. IVD Market Players

  • Table 4-1: 2021 U.S. IVD  Competitor Revenues  ($ millions)

Abbott Diagnostics

Recent Revenue History

  • Table 4-2: Abbott Diagnostic Revenues 2017-2021 (millions $)
  • Figure 4-1: 2021 IVD U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-3:  Global Abbott Diagnostic Revenues, 2017-2021 (millions $)

Core Lab

Hematology

Blood Banking

Infectious Diseases – Molecular

Diabetes

HIV Point of Care

i-STAT Business

COVID-19

Beckman Coulter, Inc. / Danaher

Recent Revenue History

  • Table 4-4: Beckman Coulter Diagnostic Revenues 2017-2021 (millions $)
  • Figure 4-2: 2021 IVD U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-5:  Global Beckman Coulter Revenues in Selected Test Segments 2019-2021 (millions $) estimated

Hematology

Hematology IT

Clinical Chemistry

Immunoassays

Microbiology

Molecular Tissue Analysis

Flow Cytometry

Beckman Coulter Life Sciences

COVID-19

Becton, Dickinson and Company (BD)

Recent Revenue History

  • Table 4-6: BD Diagnostic Revenues 2017-2021 (millions $)
  • Figure 4-3: 2021 IVD U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-7:  Global BD Revenues in Flow Cytometry 2017- 2021 (millions $)

Cytology

Molecular Microbiology

Traditional Microbiology – ID/AST

Blood Culture

Hospital Acquired Infections

Blood Collection

Mass Spectrometry

Flow Cytometry

COVID-19

bioMérieux

Recent Revenue History

  • Table 4-8:  bioMérieux IVD Revenues, 2017-2021 (millions $)
  • Figure 4-4: 2021 IVD U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-9:  bioMérieux Revenues in Selected Test Segments, 2017-2021 (millions $)

Traditional Microbiology

Blood Culture

Immunoassays

BIOFIRE Diagnostics Business

COVID-19

Bio-Rad Laboratories, Inc.

Recent Revenue History

  • Table 4-10: Bio-Rad Diagnostics  Revenues 2017-2021 (millions $)
  • Figure 4-5: 2021 IVD U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-11: Global Bio-Rad Revenues in Selected Test Segments 2017-2021 (millions $)

Blood Bank

Diabetes

Immunoassays

COVID-19

Cepheid / Danaher

Recent Revenue History

  • Table 4-12: Cepheid  Revenues 2017-2021 (millions $)

GeneXpert Xpress Line

Tuberculosis

Microbiology

POC Testing

Cancer

COVID-19

Danaher Corporation

Recent Revenue History

  • Table 4-13: Danaher Diagnostics  Revenues 2017-2021 (millions $)
  • Figure 4-6: 2021 IVD Diagnostic  U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated

Dexcom

  • Table 4-14: 2017-2021 Dexcom  Revenue History ($ million)
  • Figure 4-7: 2021 IVD Diagnostic  U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated

Exact Sciences

  • Table 4-15: Exact Sciences Revenue History, 2017-2021 (in $ millions)
  • Figure 4-8: 2021 IVD Diagnostic  U.S. Revenues vs Non U.S. IVD Revenues ($in millions)estimated

COVID-19

Hologic, Inc.

Recent Revenue History

  • Table 4-16: Hologic Revenues 2017-2021 (millions $)
  • Figure 4-9: 2021 IVD Diagnostic  U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-17:  Global Hologic Revenues in Selected Test Segments 2017-2021 (millions $)

PANTHER Molecular System

Panther Fusion

Infectious Diseases

Sexually Transmitted Infections

Cytology

COVID-19

Illumina

  • Table 4-18: Illumina Revenue History ($ million – not all revenues are for clinical products and services; estimated)
  • Figure 4-10: 2021 IVD Diagnostic  U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-19: Illumina Diagnostic Revenues by Segment ($ million) est

COVID-19

Ortho Clinical Diagnostics (QuidelOrtho)

Recent Revenue History

  • Table 4-20: Ortho Clinical Diagnostics Revenues 2017-2021 (millions $)
  • Figure 4-11: 2021 IVD Diagnostic  U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-21:  Global Ortho Clinical Diagnostics Revenues in Selected Test Segments 2021 (millions $)

Blood Bank

Core Lab / Immunoassays

COVID-19

QIAGEN N.V.

Recent Revenue History

  • Table 4-22: QIAGEN N.V. IVD Revenues 2017-2021 (millions $)
  • Figure 4-12: 2021 QIAGEN IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-23:  Global QIAGEN IVD Revenues by Type, 2017-2021 (million)

Tuberculosis

Lyme Disease

Molecular Expansion

Precision Medicine / Companion Diagnostics

Molecular Microbiology

Prenatal Testing

Next Generation Sequencing

Digital PCR

Liquid Biopsy

COVID-19

Quidel Corporation (QuidelOrtho)

  • Table 4-24: Quidel Revenue History ($ million)
  • Figure 4-13: 2021 QIAGEN IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-25: Quidel Diagnostic Revenues by Segment ($ million) est

Immunoassays

Rapid Immunoassays

The Solana Business

Molecular – Savanna

COVID-19

PerkinElmer

  • Table 4-26: PerkinElmer  Revenue History, 2017-2021 ($ million, estimated)
  • Figure 4-14: 2021 PerkinElmer IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-27: PerkinElmer Diagnostic Revenues by Segment, 2017-2021 ($ million) est

Diagnostics

Sequencing /Genomics

Liquid Biopsy

Histology

Prenatal Business

Lab Services

Mass Spectrometry

COVID-19

Roche Diagnostics

Recent Revenue History

  • Table 4-28: Roche IVD Diagnostics Revenues 2017-2021 (millions $)
  • Figure 4-15: 2021 Roche IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-29:  Global Roche  IVD Diagnostics Revenues by Type, 2017-2021 (million)

Hematology

Immunoassays

Core Molecular

Digital PCR

Diabetes Care

cobas Liat System – POC

HPV

Blood Bank

Cancer Companion Testing

COVID-19

Siemens Healthineers (Siemens)

Recent Revenue History

  • Table 4-30: Siemens Healthineers IVD Revenues 2017-2021 (millions $)
  • Figure 4-16: 2021 Siemens Healthineers IVD Diagnostic  U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-31: Global Siemens Healthineers IVD Revenues by Type, 2021 (million)

Core Lab

Immunoassays

Hematology

Molecular

Acute Care – POC

COVID-19

Sysmex Corporation

Recent Revenue History

  • Table 4-32: Sysmex IVD Revenues 2017-2021 (millions $)
  • Figure 4-17: 2021 Sysmex IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-33: Global Sysmex  IVD Revenues by Type, 2017-2021 (million)

Hematology

Coagulation

Urinalysis

Flow Cytometry

Precision Medicine / Companion Test Diagnostics

Thermo Fisher Scientific Inc.

Recent Revenue History

  • Table 4-34:  Thermo Fischer IVD Revenues 2017-2021 (millions $)
  • Figure 4-18: 2021 Thermo Fisher IVD Diagnostic U.S. Revenues vs Non U.S. IVD Revenues ($in millions) estimated
  • Table 4-35: Global Thermo Fisher  IVD Revenues by Type, 2017-2021 (million)

Immunoassays

Microbiology

Molecular Test Business

Next Generation Sequencing

qPCR

Oncology Companion Diagnostics

Mass Spectrometry

COVID-19

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