Key findings
- 27% of US patients surveyed in 2025 have pursued blood testing out of curiosity, independent of a doctor's recommendation.
- 48.1% of US adults aged 50 to 80 have purchased an at-home medical test, including 16.6% who bought a DNA or genetic test.
- 29% of US adults used a wearable device in 2019-2020, and 82% of users would share their data with clinicians.
- Quest's QuestHealth.com direct-ordering business grew 35% year over year in 2025, according to earnings call coverage.
- Longevity testing company Function Health was valued at $2.5 billion in November 2025 and has run more than 50 million lab tests since 2023.
How big is the direct-to-consumer lab testing market?
is the projected size of the US direct-to-consumer laboratory testing market by 20321
Market research firm estimate published July 2024; forecasts from different firms use different definitions and do not reconcile.
projected annual growth rate (CAGR) for US direct-to-consumer lab testing from 2025 to 20321
is expected to be the largest segment of the US direct-to-consumer lab testing market in 2025, with blood the leading sample type1
year-over-year growth in Quest Diagnostics' consumer-initiated testing business in 20252
Reported by 360Dx from Quest's fourth-quarter 2025 earnings call; the business includes questhealth.com and partnerships with telehealth and wearables companies.
year-over-year growth in Quest's QuestHealth.com direct-ordering business in 20252
Figure attributed to Quest CFO Sam Samad on the earnings call, as reported by 360Dx.
tests are now offered on questhealth.com, Quest's consumer-initiated test platform3
Includes an Elite Health Panel assessing over 85 biomarkers.
How many Americans order their own lab tests?
of US patients have pursued blood testing out of curiosity from a lab provider, independent of a doctor's recommendation4
YouGov survey of 1,000 US adults who had lab testing in the past two years, conducted June 6-12, 2025, commissioned by Siemens Healthineers. Access to direct testing varies by state.
of US patients have administered a home self-test related to an illness or symptom4
of patients who pursued testing out of curiosity have not shared the results with a healthcare provider4
of US patients are interested in lab testing that can predict health risks4
of US patients have requested a lab test they learned about on social media4
of patients believe self-administered test results are as accurate as tests done at a doctor's office or lab4
of US adults aged 50 to 80 have purchased an at-home medical test5
Nationally representative survey; 32.0% had bought COVID-19 tests.
of US adults aged 50 to 80 have purchased an at-home DNA or genetic test5
of US adults aged 50 to 80 have purchased an at-home cancer screening test5
of older adults with household incomes above $100,000 versus lower incomes have purchased an at-home test5
How many Americans use wearables and health trackers?
of US adults used a wearable device in 2019-20206
Health Information National Trends Survey (HINTS) data.
of US adults with cardiovascular disease used a wearable device in 2019-20206
Use was 26% among adults at risk for cardiovascular disease.
of wearable users are willing to share their device data with clinicians6
of wearable users use their device daily6
Americans use a wearable device7
of US adults said they regularly wear a smartwatch or fitness tracker in 20198
Pew survey of 4,272 US adults conducted June 3-17, 2019.
of adults in households earning $75,000 or more versus under $30,000 regularly wear a smartwatch or fitness tracker8
Oura smart rings have been sold since 2015, nearly 3 million of them in 20259
News report of company figures at Oura's 2025 Series E round, which valued the company at $11 billion.
is the year FDA cleared the first over-the-counter continuous glucose monitor (Dexcom Stelo) for adults who do not use insulin10
Cleared March 5, 2024, for anyone 18 and older not using insulin.
How big is the longevity and preventive health market?
valuation for longevity testing company Function Health after a $298 million Series B in November 202511
lab tests run by Function Health since 202311
annual Function Health membership price, cut from $499 in November 202512
lab tests per year included in a Function Health membership, through 2,000+ US lab locations13
estimated annual size of the US wellness market, growing 5% to 10% a year14
From McKinsey's Future of Wellness survey of 5,000 consumers in China, the UK and the US, fielded August 2023, as reported by Spa Business.
of US consumers consider wellness a top or important priority14
of consumers in the UK and US bought a healthy aging or longevity product in the past year14
Combined UK and US figure, not US-only.
of US and Chinese consumers want personalized products and services that use biometric data14
of consumers surveyed across China, the UK and the US have bought a fitness wearable14
Not broken out for the US alone; 75% are open to using one in the future.
Longevity and biomarker testing statistics: FAQ
How many Americans order their own blood tests?
There is no single national figure. In a June 2025 YouGov survey of 1,000 US adults who had recent lab testing, 27% had pursued blood testing out of curiosity from a lab provider without a doctor's recommendation. Among adults aged 50 to 80, 48.1% have purchased some kind of at-home medical test.
How big is the direct-to-consumer lab testing market?
Meticulous Research projects the US direct-to-consumer laboratory testing market will reach $3.91 billion by 2032, growing 10.4% a year from 2025. Market research estimates vary by definition, so treat them as directional.
What share of Americans use a fitness tracker or smartwatch?
HINTS data published in JAMA Network Open found 29% of US adults used a wearable device in 2019-2020, and NHLBI describes it as almost 1 in 3. Pew found 21% regularly wore a smartwatch or fitness tracker in 2019.
Do people share at-home test results with their doctor?
Not always. In the 2025 Siemens Healthineers and YouGov survey, 49% of patients who pursued testing out of curiosity had not shared the results with a healthcare provider. By contrast, 82% of wearable users in HINTS data said they would share device data with clinicians.
How much does a longevity lab membership cost?
Prices vary by company. Function Health lowered its annual membership from $499 to $365 in November 2025, and says it includes 160+ lab tests a year.
Sources
- U.S. Direct-to-Consumer Laboratory Testing Market to Reach $3.91 Billion by 2032. Meticulous Research, 2024. industry
- Coverage of Quest Diagnostics fourth-quarter 2025 earnings call. 360Dx, 2026. news
- Quest Diagnostics Reports Fourth Quarter and Full Year 2025 Financial Results. Quest Diagnostics, 2026. company-filing
- Insights and Trends from a National Survey: Patient Testing in America. Siemens Healthineers / YouGov, 2025. survey
- Use of At-Home Medical Tests Among Older US Adults: A Nationally Representative Survey (Rager et al.). Inquiry (University of Michigan National Poll on Healthy Aging data), 2024. peer-reviewed
- Use of Wearable Devices in Individuals With or at Risk for Cardiovascular Disease in the US, 2019 to 2020 (Dhingra et al.). JAMA Network Open, 2023. peer-reviewed
- Study reveals wearable device trends among U.S. adults. National Heart, Lung, and Blood Institute (NIH), 2023. government
- About one-in-five Americans use a smart watch or fitness tracker. Pew Research Center, 2020. survey
- Oura raises $900M series E as smart ring sales catapult company's growth. Fierce Healthcare, 2025. news
- FDA Clears First Over-the-Counter Continuous Glucose Monitor. U.S. Food and Drug Administration, 2024. government
- Function Health closes $298M Series B at a $2.5B valuation, launches medical intelligence. TechCrunch, 2025. news
- Function Health Raises $298 Million at $2.5 Billion Valuation. Athletech News, 2025. news
- Function Health membership page. Function Health, 2026. industry
- McKinsey's 2024 Future of Wellness survey shows the sector continues to grow. Spa Business (reporting McKinsey Future of Wellness survey), 2024. news
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Lindy Health. “Longevity and biomarker testing statistics 2026: at-home labs, wearables and the longevity market.” Updated October 18, 2026. https://lindyhealth.com/statistics/longevity-and-biomarker-testing-statistics/