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U.S. Oncology Market to Lead USD 211.78 Billion by 2034

U.S. Oncology Market Evolving with Biomarker and mAbs Growth

Based on market forecasts, the U.S. oncology sector will expand from USD 72.79 billion in 2024 to USD 211.78 billion by 2034, experiencing a CAGR of 11.75%. The West region led the market due to the vital contribution of California in the oncology studies.

Category: Therapeutic Area Insight Code: 6377 Format: PDF / PPT / Excel

U.S. Oncology Market Size, Key Players with Opportunities and Insights

The U.S. oncology market size is calculated at US$ 72.79 billion in 2024, grew to US$ 81.34 billion in 2025, and is projected to reach around US$ 211.78 billion by 2034. The market is expanding at a CAGR of 11.75% between 2025 and 2034.

U.S. Oncology Market Size 2024 to 2034

Primarily, the US is facing a huge burden of diverse cancer cases, with widespread demand for advanced therapies, including targeted therapies and immunotherapies are supporting the expansion of the U.S. oncology market. Also, the market is fostering the demand for radiation, surgical, and supportive care in the increasing cancer instances, particularly breast cancer. At the same time, the market emphasizes the development of personalized treatment, early detection of cancer, and advancements in biomarker testing.

Key Takeaways

  • U.S. oncology market to crossed USD 72.79 billion by 2024.
  • Market projected at USD 211.78 billion by 2034.
  • CAGR of 11.75% expected in between 2025 to 2034.
  • The West region led the U.S. oncology market with nearly 34% revenue share in 2024.
  • The global oncology market is valued at US$ 225.05 billion in 2024 and is projected to reach US$ 600.97 billion by 2034, growing at a CAGR of 11.54%.
  • The South region is expected to grow rapidly during the forecast period.
  • By cancer type, the breast cancer segment dominated with an approximate 22% share of the market in 2024.
  • By cancer type, the leukemia segment is expected to be the fastest-growing in the coming years.
  • By therapy type, the targeted therapy segment captured nearly 28% revenue share of the market in 2024.
  • By therapy type, the immunotherapy segment is expected to witness rapid expansion during 2025-2034.
  • By modality/drug class, the monoclonal antibodies (mAbs) segment held nearly 30% share of the U.S. oncology market in 2024.
  • By modality/drug class, the CAR-T cell & gene therapies segment is expected to grow at a rapid CAGR during the forecast period.
  • By end user, the hospitals & cancer specialty centers segment dominated with an approximate 48% revenue share of the market in 2024.
  • By end user, the academic & research institutions segment is expected to be the fastest-growing during 2025-2034.
  • By distribution channel, the hospital pharmacies segment held approximately 41% share of the market in 2024.
  • By distribution channel, the specialty pharmacies segment is expected to be the fastest-growing during 2025-2034.

What is the U.S. Oncology Market?

The U.S. oncology market encompasses the research, development, manufacturing, and commercialization of cancer diagnostics, therapeutics, and treatment services aimed at the prevention, detection, and management of various cancer types. Market growth is driven by rising cancer incidence, rapid innovation in precision medicine, adoption of immuno-oncology and cell-based therapies, and increased investment in early detection technologies and personalized treatment models. It includes pharmaceuticals (chemotherapy, immunotherapy, targeted therapy, and hormonal therapy), diagnostics (biomarker and genetic testing), and oncology care services (radiation, surgical, and supportive care).

U.S. Oncology Market Outlook:

  • Global Expansion: This market is driven by the accelerating investments in innovative therapies like precision medicine and immunotherapy.  In October 2025, Summit expanded its global licensing agreement for the bispecific antibody ivonescimab (AK112).
  • Major Investors: In 2025, RayzeBio made a license agreement worth up to $1.35 billion for OncoACP3, a potential radiotherapeutic and diagnostic for prostate cancer.
  • Startup Ecosystem: PreciseDx, a New York-based startup, secured a Series B funding round of $11.2 million to provide an AI-powered software that assists in the analysis of pathological samples to support professionals in cancer diagnosis and treatment planning.
  • The US and its ongoing investments and alliances are fostering early and robust cancer detection approaches and widening their distribution solutions.
  • In October 2025, Samsung joined as a strategic investor in the U.S. biotechnology corporation GRAIL, with $110 million investment to integrate genomic cancerdetection data with Samsung Health.
  • In August 2025, Everest Medicines made a planned equity investment of US$30.9 million in I-Mab to strengthen Everest’s oncology platform.
  • In September 2025, BCAL Diagnostics made an exclusive agreement with ClearNote Health Inc., a US-based precision diagnostics startup, to expand the distribution of ClearNote Health’s pancreatic and ovarian cancer blood tests in Australia and New Zealand (NZ).

Which AI Factors are Impacting the U.S. Oncology Market?

The respective market is bolstering diverse applications of AI algorithms, such as the use of AI-assisted systems in the analysis of medical imaging, like mammograms, CT, and MRI. Moreover, these solutions assist in the detection of malignancies and classification of cancer subtypes with an accelerated pace and precision. Along with this, various AI models leverage the integration of a patient’s genomics, lab results, and imaging for the development of evidence-based treatment recommendations.

Segmental Insights

Which Cancer Type Dominated the U.S. Oncology Market in 2024?

In 2024, the breast cancer segment held nearly 22% share of the market. The segment is primarily driven by an increase in risk factors, including aging and lifestyle, as well as ongoing advancements in personalized and targeted therapies. Recently, the US has received approval for new therapies, especially the triplet combination for PI3K-mutated advanced breast cancer, and breakthroughs in employing cell-free DNA (ctDNA), which further anticipate outcomes. Expanded advantages of 3D mammography (digital breast tomosynthesis) over traditional 2D mammography are also impacting the overall progress.

In 2024, the U.S. was projected to have 310,720 new invasive breast cancer cases in women. In 2025, that figure is estimated to be 316,950 women, plus 2,800 new cases in men.

Whereas the leukemia segment will expand rapidly in the coming era. Primarily, growing advances in targeted therapies, immunotherapies, and combination therapies are supporting the increasing cases of leukemia. In 2024, Revumenib (Revuforj), a first-in-class menin inhibitor, was approved for adults and children (aged 1+) with advanced acute myeloid leukemia (AML) and acute lymphocytic leukemia (ALL). However, nearly 22,010 people were estimated to be diagnosed with acute myeloid leukemia (AML) in the U.S. in 2025. (Source- American Cancer Society)

In 2024, there were an estimated 62,770 new leukemia cases in the U.S., increasing to a projected 66,890 in 2025. These diagnoses represent approximately 3% of all new cancer cases each year. The incidence rate for leukemia is also rising among adults.

Why did the Targeted Therapy Segment Lead the U.S. Oncology Market in 2024?

The targeted therapy segment dominated with approximately 28% share of the market in 2024. Ongoing developments in genomic profiling and precision medicine, and the exploration of novel, more efficient therapies with fewer side effects, are bolstering the segmental growth. Recently, the FDA has approved new drugs, especially zongertinib and dordaviprone, and enhanced the use of therapies for specific genetic mutations like KRAS G12C and EGFR. The US market is focusing on antibody-drug conjugates (ADCs), which further optimize outcomes and drug tolerability.

On the other hand, the immunotherapy segment is estimated to expand at a rapid CAGR. The US is emphasizing advances in checkpoint inhibitors, and CAR-T cell therapies are impacting the immunotherapy segment. Alongside, the market is aiming at the progression of biomarkers to estimate which patients will respond to immunotherapy, also researchers are widely putting efforts into gene expression, the tumor microenvironment (like tertiary lymphoid structures), and the role of HLA molecules.

How did the Monoclonal Antibodies (mAbs) Segment Lead the Market in 2024?

In 2024, the monoclonal antibodies (mAbs) segment captured approximately 30% share of the U.S. oncology market. Expanded awareness and early detection of cancer are driving the development of novel treatments, and the increasing pipeline of biosimilar mAbs is propelling the comprehensive expansion. In this era, the FDA has approved Linvoseltamab (Lynozyfic) for adults with relapsed or refractory multiple myeloma, a BCMA-directed CD3 T-cell engager.

In the coming era, the CAR-T cell & gene therapies segment will witness the fastest growth. A rise in hematologic malignancies like leukemia and lymphoma cases is fueling the demand for these therapies in the US. The latest innovations include the FDA's investigation into secondary T-cell cancers, the approval of new therapies for solid tumors and other concerns, and breakthroughs in "in vivo" approaches and next-generation CAR-T cells. Involvement of genetic editing tools, particularly CRISPR, is increasingly employed to leverage more stable and potent next-generation CAR-T cells.

What Made the Hospitals & Cancer Specialty Centers Segment Dominate the Market in 2024?

In 2024, the hospitals & cancer specialty centers segment led with nearly 48% revenue share of the U.S. oncology market. The rising requirement for efficient, affordable care, enhanced patient outcomes through specialized technologies, particularly Oncology Information Systems (OIS), and a robust pipeline of novel drugs from leading pharmaceutical companies. Consistent progress in tailored medicine through genomic technologies, such as the OncoSET program at Northwestern Memorial Hospital, and groundbreaking patient support systems, including the AI-enabled voice assistant platform, Aiva, are being piloted at Cedars-Sinai Medical Center.

The academic & research institutions segment will expand rapidly. Nowadays, MD Anderson Cancer Center, Memorial Sloan Kettering, and Harvard University are widely involved in the innovative developments of precision oncology, immunotherapy, and cancer screening.  Recently, Stanford Medicine conducted its first patient with Tecelra, an FDA-approved TCR therapy for metastatic synovial sarcoma. In this era, the Harvard Medical School and its affiliates, Dana-Farber Cancer Institute and Mass General Brigham, are major centers for oncology research and training.

Which Distribution Channel Led the U.S. Oncology Market in 2024?

In 2024, the hospital pharmacies segment dominated with nearly 41% share of the market. A prominent driver is the rising complexity of cancer treatments and the requirement for coordinated, specialized patient care. These pharmacies are integral members of the oncology care team, working alongside oncologists, nurses, and other healthcare professionals to develop customized treatment plans and improve drug therapy.

The specialty pharmacies segment is expected to expand rapidly in the near future. These pharmacies are increasingly providing patient support services, including education, adherence programs, and real-time care coordination, resulting in better treatment outcomes. They have the potential to navigate a complex reimbursement landscape, particularly for expensive oral medications and injectable biologics, which require extensive coordination between providers and payers.

Regional Insights

How did the West Region Dominate the U.S. Oncology Market in 2024?

By capturing approximately 34% share, the West region led the market in 2024. Mainly, California is playing a major role in various and groundbreaking oncology clinical trial designs. The region has conducted a 67% rise in oncology trials over the past 20 years, with a 169% enhance in rare disease oncology trials during the same period. In 2024, the Clinical Trials in Oncology West Coast 2024 conference explored patient-centricity in trial design, resulting in increased patient enrollment and engagement rates in West Coast states compared to national averages.

Major Advances in Research: Supporting the Southern Region

The South region is expected to grow rapidly during the forecast period. Currently, this region is fostering crucial research advances, accelerated access to clinical trials, and the inauguration of new advanced treatment facilities. Also, researchers are exploring an experimental vaccine, ELI-002, which trains T cells to target specific gene mutations, critically delaying relapse in high-risk pancreatic and colorectal cancers. The University of Texas MD Anderson Cancer Center is developing innovative clinical trials for new drug types, such as mRNA-encoded antibodies, bispecific antibodies, and KIF18A inhibitors, for diverse cancers.

Global Oncology Market Growth

The global oncology market is valued at US$ 225.05 billion in 2024, expected to grow to US$ 251.01 billion in 2025, and projected to reach approximately US$ 600.97 billion by 2034. This growth represents a compound annual growth rate (CAGR) of 11.54% from 2025 to 2034.

Oncology Market Size 2024 - 2034

The Market Value Chain Analysis

R&D

Primarily, this encompasses a research-intensive phase that emphasizes the detection of and validating potential targets and compounds to treat cancer.

Key Players: Pfizer, Merck, Bristol Myers Squibb, AstraZeneca, etc.

Clinical Trials & Regulatory Approval

The U.S. oncology market fosters safety, dosage studies, with the evaluation of efficiency and other crucial adverse effects.

Key Players: Matthew Galsky, UCSF Benioff Children's Hospital, Oakland, etc.

Patient Support & Services

It mainly comprises medical treatments, such as surgery and chemotherapy, access to clinical trials, and supportive care services for physical and emotional needs, like symptom management, financial assistance, and emotional support through organizations.

Key Players: Daiichi-Sankyo & AstraZeneca (Enhertu4U), Genentech, etc.

Key Companies and Their contributions and offerings

  • Bristol Myers Squibb- In 2025, the U.S. FDA approved Breakthrough Therapy designation for iza-bren to treat previously treated advanced EGFR-mutated non-small cell lung cancer (NSCLC).
  • Merck & Co., Inc.- It is involved in the development of ADCs, like Precemtabart tocentecan (M9140) and collaborated with Daiichi Sankyo, Ifinatamab deruxtecan (MK-2400), and Raludotatug deruxtecan (MK-5909).
  • Pfizer Inc.- In 2025, it addressed dose optimization data from an ongoing Phase 1 study for PF-07248144, a probable first-in-class KAT6 inhibitor, in patients with ER+/HER2− mBC.
  • Amgen Inc.- In June 2025, it explored positive topline Phase 3 results for bemarituzumab in patients with fibroblast growth factor receptor 2b (FGFR2b) positive first-line gastric cancer.
  • Roche/Genentech- It announced an advancement, "sequencing by expansion" (SBX) technology, a novel class of next-generation sequencing.

Top Companies in the Market

  • Novartis AG
  • Johnson & Johnson (Janssen Oncology)
  • Gilead Sciences
  • AstraZeneca plc
  • Eli Lilly and Company
  • Seagen Inc.
  • Regeneron Pharmaceuticals
  • Sanofi S.A.
  • Takeda Oncology
  • AbbVie Inc.
  • Blueprint Medicines
  • Exelixis Inc.
  • BeiGene USA
  • Exact Sciences Corp.
  • Illumina Inc. (Oncology Genomics & Diagnostics)

What are the Recent Developments in the U.S. Oncology Market?

  • In October 2025, Cycle Pharmaceuticals launched PHYRAGO, its first oncology product in the US.
  • In October 2025, Sutter Health unveiled an AI-assisted mobile mammography program aimed at improving early breast cancer detection and access to care.

Segments Covered in the Report

By Cancer Type

  • Breast Cancer
  • Lung Cancer
  • Colorectal Cancer
  • Prostate Cancer
  • Leukemia
  • Lymphoma
  • Ovarian & Cervical Cancer
  • Others

By Therapy Type

  • Chemotherapy
  • Targeted Therapy
  • Immunotherapy
  • Hormonal Therapy
  • Radiation Therapy
  • Others

By Modality/Drug Class

  • Monoclonal Antibodies (mAbs)
  • Small Molecule Inhibitors
  • CAR-T Cell & Gene Therapies
  • Cancer Vaccines
  • Inhibitors
  • Others 

By End User

  • Hospitals & Cancer Specialty Centers
  • Ambulatory Surgical Centers
  • Diagnostic Laboratories
  • Pharmaceutical & Biotech Companies
  • Academic & Research Institutions

By Distribution Channel

  • Hospital Pharmacies
  • Retail Pharmacies
  • Specialty Pharmacies
  • Online Pharmacies
  • Others 

By Region (U.S.)

  • West
  • Northeast
  • Midwest
  • South
  • Last Updated: 28 October 2025
  • Report Covered: [Revenue + Volume]
  • Historical Year: 2021-2023
  • Base Year: 2024
  • Estimated Years: 2025-2034

Meet the Team

Deepa Pandey is a focused and detail-oriented market research professional with growing expertise in the healthcare sector, delivering high-quality insights across therapeutic areas, diagnostics, biotechnology and healthcare services.

Learn more about Deepa Pandey

Aditi Shivarkar is a seasoned professional with over 14 years of experience in healthcare market research. As a content reviewer, Aditi plays a critical role in ensuring the quality and accuracy of all market insights and data presented by the research team.

Learn more about Aditi Shivarkar

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FAQ's

The U.S. oncology market holds a valuation of USD 81.34 billion as of 2025, and will expand to USD 211.78 billion by 2034, achieving a CAGR of 11.75% between 2024 and 2034.

West U.S. is currently leading the U.S. oncology market share by 34% due to the emergence of California as a robust hub for studies of oncology.

The U.S. oncology market includes six segments such cancer type, by therapy type, by modality drug class, by end user, by distribution channel, and by region.

Key trends include the rising demand for ADCs, growth in combination therapies, and innovations in drug delivery systems.

US FDA, MoHFW, ACTREC, NCI, CDC, NIH, NCCN, ACS.