BillionToOne Goes Public, Revolutionizing Genetic Testing Market

Published
November 07, 2025
Category
Science & Health
Word Count
338 words
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BillionToOne has officially gone public, marking a pivotal moment in the genetic testing market. This startup, which originated from the Y Combinator incubator, has developed one of the most significant prenatal genetic tests in the United States.

Currently, one in eleven babies born in the U.S. are tested using BillionToOne's innovative fetal genetic testing technology. The founders, David Tsao and Oguzhan Atay, initially conceived the idea while they were still PhD students, aiming to create a non-invasive test that analyzes fetal DNA fragments found in maternal blood.

This breakthrough contrasts sharply with traditional methods like amniocentesis, which is invasive and typically reserved for high-risk pregnancies. By integrating biotech expertise with machine learning, BillionToOne has successfully transformed an ambitious idea into a commercially viable test in less than two years, an impressive feat particularly for a biotech firm.

According to the source, they achieved this rapid development with a modest amount of funding, defying the common perception that biotech ventures are slow and costly. BillionToOne consistently exceeded revenue targets and demonstrated remarkable agility, especially when the COVID-19 pandemic struck.

They quickly repurposed their infrastructure to produce one of the first FDA-cleared COVID tests, all while maintaining their growth trajectory for their core business. Beyond prenatal testing, their technology has applications in oncology, facilitating the early detection of cancer through a process known as liquid biopsy.

This capability to detect circulating tumor DNA through a simple blood test represents a major advancement in cancer diagnostics. The early version of their cancer test was launched commercially in 2023, showcasing the company’s ability to operate effectively in multiple markets simultaneously.

The potential for widespread adoption of liquid biopsy technology could revolutionize cancer screening, providing a vital tool for early detection and significantly improving treatment outcomes. BillionToOne exemplifies how innovative scientific ideas can be successfully executed by a skilled technical team, positioning them as a leader in the genetic testing landscape.

Their public offering is expected to enhance accessibility to advanced genetic diagnostics, potentially stimulating further innovation and competition within the biotech sector.

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