What are the top biotech startups by revenue today?

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SUMMARY
Tempus AI is currently the top biotech startup by revenue, followed by 10x Genomics and Twist Bioscience.
The top three sit in a different commercial category from most of the field. Tempus is around $1.43 billion of trailing revenue, 10x is still roughly a $600 million business, and Twist has moved above $400 million, while the next group depends much more heavily on licensing and collaboration accounting.
Tempus has the largest lead, but part of its 2025 jump came from the Ambry Genetics acquisition. Even after stripping that out, management said organic growth was about 30%, and the latest quarter reached $382.5 million.
10x Genomics looks smaller once patent-settlement revenue is separated from the operating business. Its $642.8 million 2025 headline included $44.1 million of settlement revenue, putting ordinary products, services and licensing closer to $599 million.
Twist has the cleanest growth profile of the top three. It is above $400 million on a latest-four-quarter basis, has posted 14 consecutive quarters of sequential revenue growth, and sells across synthetic biology, sequencing and biopharma rather than relying on one large payment.
Beam Therapeutics ranks fourth on trailing recognized revenue, but the number is unusually lumpy. A large Pfizer-related recognition drove much of 2025 revenue, and the company then went from $31.7 million in one quarter to less than $500,000 in the next.
AbCellera, Intellia and Recursion form a much tighter middle group at roughly $55 million to $66 million of trailing revenue. Their partnership announcements can sound enormous, but recognized revenue is still only a fraction of the headline deal values.
CRISPR Therapeutics is the oddest case in the ranking. Its standalone corporate revenue is only around $13.4 million trailing, while CASGEVY has already generated meaningful product sales through Vertex, including $76 million in the latest quarter.
The private-company gap is real. Resilience, ElevateBio and other large private biotechs may generate enough revenue to rank much higher, but they do not disclose a clean annual figure, so forcing them into the table would require guesswork.
The broader pattern is simple: biotech companies that sell tests, research tools, synthetic DNA and data can build large repeatable revenue years before therapeutic companies launch a drug. Funding, valuation and partnership size therefore tell us much less about current commercial scale than recognized revenue does.

This market map, featured in our biotechnology market deck, highlights top companies and startups in the biotechnology market
The ranking of top startups in the biotechnology market by revenue
Below is a table ranking all the companies in this market by their current revenue scale. You can find our methodology at the end of this page.
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| Ranking | Company | Latest Metric | Metric Type | Freshness | Disclosed When | Source Quality | Confidence | Segment | Why This Ranking |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Thermo Fisher Scientific | $44.6B | Fiscal-Year Revenue | Fresh · 9mo | Jan 29, 2026 | Filed / Audited | Medium | Life-Science Tools & Biopharma Services | Largest recent annual figure found. Its perimeter is broader than pure biotech, but the scale advantage over Amgen is substantial. |
| 2 | Amgen | $36.8B | Annual Revenue | Fresh · 9mo | Feb 3, 2026 | Filed / Audited | High | Biopharma Therapeutics | Below Thermo's broader tools/services total, but clearly above Gilead on directly comparable annual revenue. |
| 3 | Gilead Sciences | $29.4B | Annual Revenue | Fresh · 9mo | Feb 10, 2026 | Filed / Audited | High | Biopharma Therapeutics | Direct annual revenue is lower than Amgen's but materially above Danaher's. |
| 4 | Danaher | $24.6B | Annual Revenue | Fresh · 9mo | Jan 28, 2026 | Filed / Audited | High | Life-Science Tools & Diagnostics | Strong company-wide revenue with a highly relevant perimeter; below Gilead on amount. |
| 5 | Roche | Chf13.8B | Segment Revenue | Fresh · 9mo | Jan 29, 2026 | Filed / Audited | Medium | Molecular & Clinical Diagnostics | The in-scope Diagnostics division is larger than CSL, but segment-only reporting reduces comparability with whole-company figures. |
| 6 | CSL | $15.8B | Fiscal-Year Revenue | Very Fresh · 3mo | Aug 18, 2026 | Filed / Audited | High | Biologics, Plasma & Vaccines | Very fresh audited company-wide revenue; ranks below Roche's larger diagnostics segment and above Regeneron. |
| 7 | Regeneron Pharmaceuticals | $14.3B | Annual Revenue | Fresh · 9mo | Jan 30, 2026 | Filed / Audited | High | Biopharma Therapeutics | Direct current annual revenue, below CSL but comfortably above Vertex. |
| 8 | Vertex Pharmaceuticals | $12B | Annual Revenue | Fresh · 9mo | Feb 12, 2026 | Filed / Audited | High | Biopharma Therapeutics | Clean company-wide annual revenue; below Regeneron and above Merck's partial Life Science segment. |
| 9 | Merck KGaA | €8.98B | Segment Revenue | Fresh · 9mo | Mar 6, 2026 | Filed / Audited | Medium | Life-Science Tools & Bioprocessing | The Life Science segment is roughly comparable in scale to the next large biotechs, but its partial-company perimeter is penalized. |
| 10 | Biogen | $9.89B | Annual Revenue | Fresh · 9mo | Feb 6, 2026 | Filed / Audited | High | Biopharma Therapeutics | Whole-company revenue deserves more weight than similar-sized partial segments; below Merck Life Science on scale. |
| 11 | UCB | €7.74B | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | High | Biopharma Therapeutics | Audited annual revenue places it below Biogen but above Lonza after currency normalization. |
| 12 | Lonza | Chf6.53B | Fiscal-Year Revenue | Fresh · 9mo | Jan 28, 2026 | Company Disclosed | High | Biologics CDMO & Bioprocessing | Strong, clean CDMO perimeter and larger comparable scale than Agilent and Avantor. |
| 13 | Agilent Technologies | $6.95B | Fiscal-Year Revenue | Fresh · 11mo | Nov 24, 2025 | Filed / Audited | Medium | Life-Science Tools & Diagnostics | Slightly larger than Avantor, though both have mixed end-market exposure. |
| 14 | Avantor | $6.55B | Annual Revenue | Fresh · 9mo | Feb 11, 2026 | Filed / Audited | Medium | Life-Science Tools & Bioprocessing | Large life-science-tools business, but mixed customer perimeter warrants a discount versus Agilent. |
| 15 | BeOne Medicines | $5.34B | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | High | Biopharma Therapeutics | Current company-wide revenue exceeds both Incyte and BD Life Sciences. |
| 16 | Incyte | $5.14B | Annual Revenue | Fresh · 9mo | Feb 10, 2026 | Filed / Audited | High | Biopharma Therapeutics | Slightly below BeOne; placed ahead of BD because its figure is whole-company rather than segment-only. |
| 17 | Becton, Dickinson and Company | $5.17B | Segment Revenue | Fresh · 9mo | Nov 2025 | Filed / Audited | Medium | Life-Science Tools & Diagnostics | Nominally close to Incyte but ranked lower because the evidence covers only one BD segment. |
| 18 | bioMérieux | €4.07B | Annual Revenue | Fresh · 9mo | Feb 27, 2026 | Filed / Audited | Medium | Molecular & Clinical Diagnostics | Large audited diagnostics revenue puts it above Illumina, with a perimeter discount for industrial applications. |
| 19 | Illumina | $4.34B | Annual Revenue | Fresh · 9mo | Feb 5, 2026 | Filed / Audited | High | Genomics & Sequencing | Clean genomics revenue, below bioMérieux's larger mixed diagnostics figure but above Jazz. |
| 20 | Jazz Pharmaceuticals | $4.27B | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | Biopharma Therapeutics | Direct annual revenue is just below Illumina and above argenx product sales. |
| 21 | argenx | $4.15B | Product Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | Biopharma Therapeutics | Slightly narrower metric than total revenue, but large and directly commercial; above Genmab. |
| 22 | Genmab | $3.72B | Annual Revenue | Fresh · 9mo | Feb 17, 2026 | Filed / Audited | High | Antibody Therapeutics | Almost tied with Alnylam but marginally larger annual revenue. |
| 23 | Alnylam Pharmaceuticals | $3.71B | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | RNA Therapeutics | Essentially level with Genmab; ranks just below on disclosed annual amount. |
| 24 | Sartorius Stedim Biotech | €2.97B | Fiscal-Year Revenue | Fresh · 9mo | Feb 16, 2026 | Filed / Audited | High | Bioprocessing Tools | Strong pure-play bioprocessing revenue and slightly greater cross-currency scale than BioNTech. |
| 25 | BioNTech | €2.87B | Annual Revenue | Fresh · 9mo | Mar 10, 2026 | Filed / Audited | High | Vaccines & Immunotherapies | Below Sartorius after currency comparison but ahead of Samsung Biologics. |
| 26 | Samsung Biologics | Krw4.56T | Fiscal-Year Revenue | Fresh · 9mo | Jan 21, 2026 | Filed / Audited | High | Biologics CDMO | Pure-play biologics manufacturing revenue places it close to BioNTech and above Exact Sciences. |
| 27 | Exact Sciences | $3.25B | Annual Revenue | Fresh · 9mo | Feb 13, 2026 | Filed / Audited | High | Molecular Diagnostics | Current annual revenue is slightly above BioMarin and United Therapeutics. |
| 28 | BioMarin Pharmaceutical | $3.22B | Annual Revenue | Fresh · 9mo | Feb 23, 2026 | Filed / Audited | High | Rare-Disease Biologics | Nearly level with Exact but marginally smaller. |
| 29 | United Therapeutics | $3.18B | Annual Revenue | Fresh · 9mo | Feb 25, 2026 | Filed / Audited | High | Biopharma Therapeutics | Direct company-wide revenue edges Waters and the partial Bruker segment. |
| 30 | Waters Corporation | $3.17B | Annual Revenue | Fresh · 9mo | Feb 9, 2026 | Filed / Audited | Medium | Analytical & Research Instruments | Whole-company metric gives it a slight comparability advantage over Bruker's similar-sized segment figure. |
| 31 | Bruker | $3.17B | Segment Revenue | Fresh · 9mo | Feb 12, 2026 | Filed / Audited | Medium | Analytical & Research Instruments | Nominal figure is slightly larger than Waters, but segment/perimeter limitations push it below. |
| 32 | WuXi Biologics | Rmb21.8B | Annual Revenue | Fresh · 9mo | Mar 24, 2026 | Filed / Audited | High | Biologics CRDMO | Direct pure-play CRDMO revenue is below the preceding ~$3.2B cohort but above Revvity. |
| 33 | Revvity | $2.86B | Annual Revenue | Fresh · 9mo | Feb 2, 2026 | Filed / Audited | High | Life-Science Tools & Diagnostics | Clean Life Sciences and Diagnostics perimeter; slightly above Neurocrine. |
| 34 | Neurocrine Biosciences | $2.83B | Product Revenue | Fresh · 9mo | Feb 11, 2026 | Filed / Audited | High | Biopharma Therapeutics | Strong product-sales measure, just below Revvity and above QuidelOrtho. |
| 35 | QuidelOrtho | $2.73B | Annual Revenue | Fresh · 9mo | Feb 11, 2026 | Filed / Audited | High | IVD Diagnostics | Whole-company IVD revenue is lower than Neurocrine but above Bio-Rad. |
| 36 | Bio-Rad Laboratories | $2.58B | Annual Revenue | Fresh · 9mo | Feb 12, 2026 | Filed / Audited | High | Life-Science Tools & Diagnostics | Clear in-scope revenue from Life Science and Clinical Diagnostics businesses. |
| 37 | Exelixis | $2.32B | Annual Revenue | Fresh · 9mo | Feb 10, 2026 | Filed / Audited | High | Biopharma Therapeutics | Slightly larger than Natera on comparable annual revenue. |
| 38 | Natera | $2.31B | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | High | Molecular Diagnostics | Nearly tied with Exelixis and materially above Sarepta. |
| 39 | Sarepta Therapeutics | $2.2B | Annual Revenue | Fresh · 9mo | Feb 25, 2026 | Filed / Audited | High | Gene Therapy | Direct revenue is below Natera but above QIAGEN. |
| 40 | QIAGEN | $2.09B | Annual Revenue | Fresh · 9mo | Feb 4, 2026 | Filed / Audited | High | Molecular Diagnostics & Research Tools | Pure molecular-testing/tools revenue supports strong comparability; above Moderna. |
| 41 | Moderna | $1.9B | Annual Revenue | Fresh · 9mo | Feb 13, 2026 | Filed / Audited | High | mRNA Vaccines & Therapeutics | Direct annual revenue remains materially above the ~$1.4B cohort. |
| 42 | DiaSorin | €1.2B | Annual Revenue | Fresh · 9mo | Mar 20, 2026 | Filed / Audited | High | Molecular & Immunodiagnostics | Currency-adjusted scale is approximately level with Halozyme and marginally ahead. |
| 43 | Halozyme Therapeutics | $1.4B | Annual Revenue | Fresh · 9mo | Feb 17, 2026 | Filed / Audited | High | Drug-Delivery Biotech | Strong recurring royalty/product economics; essentially level with DiaSorin after currency effects. |
| 44 | Tempus AI | $1.27B | Annual Revenue | Fresh · 9mo | Feb 24, 2026 | Filed / Audited | High | Molecular Diagnostics & Data | Direct company revenue places it above Bio-Techne. |
| 45 | Bio-Techne | $1.22B | Fiscal-Year Revenue | Very Fresh · 3mo | Aug 2026 | Filed / Audited | High | Research Tools & Reagents | Exceptionally fresh annual evidence; below Tempus on amount but stronger freshness than most neighboring rows. |
| 46 | Novavax | $1.12B | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | Medium | Vaccines & Adjuvants | Recognized revenue exceeds Acadia, but unusual settlement/licensing composition materially reduces comparability. |
| 47 | Acadia Pharmaceuticals | $1.07B | Annual Revenue | Fresh · 9mo | Feb 25, 2026 | Filed / Audited | High | Biopharma Therapeutics | Cleaner recurring commercial revenue than Novavax, but lower absolute annual revenue. |
| 48 | Legend Biotech | $1.03B | Annual Revenue | Fresh · 9mo | Mar 10, 2026 | Company Disclosed | High | Cell Therapy | Crossed $1B of company revenue; below Acadia and above Apellis. |
| 49 | Apellis Pharmaceuticals | $1B | Annual Revenue | Fresh · 9mo | Feb 24, 2026 | Filed / Audited | Medium | Biopharma Therapeutics | Nominally above Guardant, but one-time licensing revenue weakens comparability. |
| 50 | Guardant Health | $982M | Annual Revenue | Fresh · 9mo | Feb 19, 2026 | Filed / Audited | High | Molecular Diagnostics | Clean diagnostics revenue places it above the ~$960M cluster. |
| 51 | GenScript Biotech | $960M | Annual Revenue | Fresh · 9mo | Mar 16, 2026 | Filed / Audited | Medium | Research Tools & Biologics Services | Almost tied with Madrigal but broader, slightly mixed perimeter. |
| 52 | Madrigal Pharmaceuticals | $958M | Annual Revenue | Fresh · 9mo | Feb 19, 2026 | Filed / Audited | High | Biopharma Therapeutics | Nearly identical to GenScript; slightly lower disclosed revenue but cleaner company perimeter. |
| 53 | Ionis Pharmaceuticals | $944M | Annual Revenue | Fresh · 9mo | Feb 25, 2026 | Filed / Audited | Medium | RNA Therapeutics | Total recognized revenue is strong but less recurring/product-comparable than adjacent companies. |
| 54 | BioCryst Pharmaceuticals | $875M | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | Medium | Rare-Disease Therapeutics | Larger recognized revenue than Ascendis/Myriad, but a one-time license component lowers ranking confidence. |
| 55 | Ascendis Pharma | €720M | Annual Revenue | Fresh · 9mo | Feb 11, 2026 | Filed / Audited | High | Biopharma Therapeutics | Currency-adjusted revenue is in the mid-$800M range; cleaner than BioCryst but smaller. |
| 56 | Myriad Genetics | $825M | Annual Revenue | Fresh · 9mo | Feb 23, 2026 | Filed / Audited | High | Molecular Diagnostics | Slightly above Caris on direct annual revenue. |
| 57 | Caris Life Sciences | $812M | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | High | Molecular Diagnostics | Important recent-funded database company with now-strong public revenue evidence; just below Myriad. |
| 58 | Repligen | $738M | Annual Revenue | Fresh · 9mo | Feb 24, 2026 | Filed / Audited | High | Bioprocessing Tools | Strong pure-play bioprocessing revenue; narrowly above NeoGenomics. |
| 59 | NeoGenomics | $727M | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | Molecular Diagnostics | Direct annual revenue is slightly below Repligen and above Ultragenyx. |
| 60 | Ultragenyx Pharmaceutical | $673M | Annual Revenue | Fresh · 9mo | Feb 12, 2026 | Filed / Audited | High | Rare-Disease Therapeutics | Clean annual measure, below NeoGenomics but above the ~$640M cluster. |
| 61 | 10x Genomics | $643M | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | Medium | Single-Cell & Spatial Genomics | Nominally above Axsome, but one-off litigation revenue makes the gap less meaningful. |
| 62 | Axsome Therapeutics | $638M | Annual Revenue | Fresh · 9mo | Feb 23, 2026 | Filed / Audited | High | Biopharma Therapeutics | Cleaner recurring commercial revenue than 10x's total, though slightly smaller nominally. |
| 63 | Amicus Therapeutics | $634M | Product Revenue | Fresh · 9mo | Feb 20, 2026 | Filed / Audited | Medium | Rare-Disease Therapeutics | Similar scale to Axsome; current standalone relevance is reduced by the subsequent acquisition. |
| 64 | TG Therapeutics | $616M | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | High | Biopharma Therapeutics | Direct annual revenue is below Amicus and above Insmed. |
| 65 | Insmed | $606M | Annual Revenue | Fresh · 9mo | Feb 19, 2026 | Filed / Audited | High | Biopharma Therapeutics | Annual evidence remains more comparable than its much newer quarterly figures; just below TG. |
| 66 | Azenta | $594M | Fiscal-Year Revenue | Fresh · 12mo | Dec 4, 2025 | Filed / Audited | High | Sample Management & Multiomics | Solid company-wide life-science revenue, below Insmed and above Veracyte. |
| 67 | Veracyte | $517M | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | Molecular Diagnostics | Slightly above ADMA and BridgeBio on directly comparable annual revenue. |
| 68 | ADMA Biologics | $510M | Annual Revenue | Fresh · 9mo | Feb 25, 2026 | Filed / Audited | High | Plasma-Derived Biologics | Clear commercial biologics revenue; just below Veracyte and above BridgeBio. |
| 69 | BridgeBio Pharma | $502M | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | Genetic-Disease Therapeutics | Crossed $500M; sits directly below ADMA and above GeneDx. |
| 70 | GeneDx | $428M | Annual Revenue | Fresh · 9mo | Feb 23, 2026 | Company Disclosed | High | Genomic Diagnostics | Direct annual diagnostics revenue is above Travere's product-sales figure. |
| 71 | Travere Therapeutics | $411M | Product Revenue | Fresh · 9mo | Feb 19, 2026 | Company Disclosed | Medium | Rare-Disease Therapeutics | Strong commercial measure but narrower than GeneDx's total revenue. |
| 72 | Immunocore | $400M | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | TCR Immunotherapies | Direct annual revenue narrowly exceeds Krystal. |
| 73 | Krystal Biotech | $389M | Product Revenue | Fresh · 9mo | Feb 17, 2026 | Filed / Audited | High | Gene Therapy | Clean annual product revenue, above CareDx and Twist. |
| 74 | CareDx | $380M | Annual Revenue | Fresh · 9mo | Feb 24, 2026 | Filed / Audited | High | Transplant Molecular Diagnostics | Marginally above Twist on comparable annual revenue. |
| 75 | Twist Bioscience | $377M | Fiscal-Year Revenue | Fresh · 12mo | Nov 14, 2025 | Filed / Audited | High | Synthetic DNA & Research Tools | Nearly tied with CareDx but slightly smaller and a somewhat older fiscal period. |
| 76 | Castle Biosciences | $344M | Annual Revenue | Fresh · 9mo | Feb 26, 2026 | Filed / Audited | High | Molecular Diagnostics | Direct diagnostics revenue is above Fulgent. |
| 77 | Fulgent Genetics | $323M | Annual Revenue | Fresh · 9mo | Feb 27, 2026 | Filed / Audited | High | Genomic Diagnostics | Larger reported dollar revenue than Oxford Nanopore after approximate currency comparison. |
| 78 | Oxford Nanopore Technologies | £224M | Annual Revenue | Fresh · 9mo | Mar 2, 2026 | Filed / Audited | High | Genomics & Sequencing | Native-currency figure converts to roughly the low-$300M range, below Fulgent but above Adaptive. |
| 79 | Adaptive Biotechnologies | $277M | Annual Revenue | Fresh · 9mo | Feb 5, 2026 | Filed / Audited | Medium | Immune Profiling & Diagnostics | Larger than Iovance, but part of reported revenue has unusual collaboration-accounting characteristics. |
| 80 | Iovance Biotherapeutics | $264M | Product Revenue | Fresh · 9mo | Feb 24, 2026 | Filed / Audited | High | Cell Therapy | Clean first-full-year commercial cell-therapy revenue, below Adaptive but above Maravai. |
| 81 | Maravai LifeSciences | $186M | Annual Revenue | Fresh · 9mo | Feb 25, 2026 | Filed / Audited | High | Reagents & Bioprocessing | Direct tools/reagents revenue places it above PacBio. |
| 82 | PacBio | $160M | Annual Revenue | Fresh · 9mo | Feb 12, 2026 | Filed / Audited | High | Genomics & Sequencing | Current annual revenue is above GRAIL and Quanterix. |
| 83 | GRAIL | $147M | Annual Revenue | Fresh · 9mo | Feb 19, 2026 | Filed / Audited | High | Cancer Screening Diagnostics | Commercial cancer-screening revenue is slightly above Quanterix. |
| 84 | Quanterix | $139M | Annual Revenue | Fresh · 9mo | Feb 2026 | Filed / Audited | High | Biomarker Research Tools | Direct annual revenue is below GRAIL but comfortably above Standard BioTools. |
| 85 | Standard BioTools | $85.3M | Annual Revenue | Fresh · 9mo | Feb 24, 2026 | Filed / Audited | Medium | Multiomics Research Tools | Larger historical annual base than SOPHiA, but restructuring reduces present comparability. |
| 86 | SOPHiA GENETICS | $77.3M | Annual Revenue | Fresh · 9mo | Mar 3, 2026 | Company Disclosed | High | Genomic Data & Diagnostics | Direct annual revenue is below Standard BioTools but above Personalis. |
| 87 | Personalis | $69.6M | Annual Revenue | Fresh · 9mo | 2026 | Filed / Audited | High | Cancer Genomics & MRD | Audited revenue is below SOPHiA but far more useful than non-financial scale signals from many private startups. |
| 88 | CRISPR Therapeutics | $3.51M | Annual Revenue | Fresh · 9mo | 2026 | Filed / Audited | Low | Gene Editing Therapeutics | Retained because the disclosed figure is authoritative, but ranked last because recognized revenue poorly captures commercial product scale. |

As this chart shows, and as featured in our biotechnology market deck, search interest in biotech has been trending upward
What are the top biotech startups by revenue today?
Tempus AI is currently the clear revenue leader among modern venture-backed biotech companies with usable public financial data, followed by 10x Genomics and Twist Bioscience.
The gap at the top is large. Tempus generated about $1.27 billion in 2025 and roughly $1.43 billion over the latest 12 months based on its subsequent quarterly results. 10x Genomics reported $642.8 million in 2025, although $44.1 million came from patent-settlement revenue. Twist Bioscience is now running above $400 million over its latest four reported quarters.
After those three, the ranking changes character. Beam Therapeutics has roughly $156 million of trailing license and collaboration revenue, while AbCellera, Intellia and Recursion sit much closer to the $50–70 million range. Generate Biomedicines is around the mid-$20 millions on a trailing basis. CRISPR Therapeutics reports much less corporate revenue even though CASGEVY is already producing meaningful product sales through its Vertex partnership.
The first ranking looks like this:
| Rank | Company | Best current revenue evidence | What generates most of it |
|---|---|---|---|
| 1 | Tempus AI | ~$1.43B TTM | Diagnostics, data and applications |
| 2 | 10x Genomics | $642.8M FY2025; $610–630M 2026 guidance | Instruments, consumables, services |
| 3 | Twist Bioscience | ~$432M latest four quarters | Synthetic DNA, NGS, biopharma services |
| 4 | Beam Therapeutics | ~$156M TTM | License and collaboration revenue |
| 5 | AbCellera | ~$66M TTM | Research fees, licensing and royalties |
| 6 | Intellia Therapeutics | ~$59.5M TTM | Collaboration revenue |
| 7 | Recursion | ~$54.9M TTM | Collaboration and grant revenue |
| 8 | Generate Biomedicines | ~$26.5M TTM | Collaboration revenue |
| 9 | CRISPR Therapeutics | ~$13.4M TTM | Collaboration and grant revenue |
| 10 | Prime Medicine | ~$4.1M TTM | Collaboration revenue |
The ranking also shows why biotech revenue needs more interpretation than software revenue. A dollar of recurring diagnostic testing is economically different from a dollar recognized after a licensing milestone. We keep both in the ranking because both are real revenue, but they do not tell us exactly the same thing.
Which companies are we calling biotech startups here?
For this biotech startup ranking, we include companies created during the modern venture-backed biotech era even when they have since gone public.
A strict private-only ranking would leave us with too many blank cells. Large private biotechs rarely publish audited revenue, while companies such as Tempus, 10x Genomics, Twist, Beam and Recursion now give us detailed financial statements because they entered the public markets.
At the other extreme, calling every biotechnology company a startup would make the question meaningless. The broader biotechnology database is led by companies such as Thermo Fisher, Amgen, Gilead and Danaher, with annual revenue measured in tens of billions of dollars. Those businesses show how large biotech can become, but they have little to do with today's startup landscape.
So we focus on venture-originated companies that still belong to the current startup generation of biotech. That gives us enough financial evidence to compare real businesses without letting 40-year-old pharmaceutical groups take over the ranking.

This chart, featured in our biotechnology market deck, illustrates yearly venture capital funding for biotechnology startups
Is Tempus AI really the biggest biotech startup by revenue?
Yes. Tempus AI is currently in a revenue class of its own among the younger biotech companies we could verify.
Tempus reported $1.272 billion of revenue in 2025, up from $693 million a year earlier. The Ambry Genetics acquisition explains part of that jump, but the underlying business is still growing quickly: Tempus said organic growth excluding Ambry was about 30% for the year.
The latest quarters have extended that lead. Tempus generated $348.1 million in the first quarter and $382.5 million in the second. Replacing the same two quarters from the prior year with those newer results puts trailing revenue at roughly $1.43 billion.
The composition is also unusually strong for a young biotech company. Second-quarter diagnostics revenue reached $289.3 million, while Data and Applications contributed $93.2 million. Oncology testing volume grew 31% year over year, MRD volume reached about 9,000 tests, and the Insights data-licensing business grew 36%.
Tempus has reached a point where its lead does not depend on one large collaboration payment. It has hundreds of millions of dollars coming through an operating platform every quarter. Management now expects roughly $1.595–1.605 billion of revenue for the full year.
How much revenue does 10x Genomics make now?
10x Genomics is still roughly a $600 million annual business today, although the underlying growth is slower than the headline 2025 number suggests.
10x reported $642.8 million in 2025. However, $44.1 million came from non-recurring patent-litigation settlements. Products and services plus ordinary licensing revenue were therefore closer to $599 million.
The latest quarter gives a cleaner view of where the company is now. Revenue was $151 million, or $149.4 million after removing another $1.6 million settlement contribution. On that adjusted basis, revenue grew about 3% from the comparable quarter.
Management raised 2026 guidance to $610–630 million. That keeps 10x comfortably in second place, though the business is now growing much more slowly than Tempus or Twist.

This chart, featured in our biotechnology market deck, looks at Vertex’s strategy in biotechnology
How big is Twist Bioscience now?
Twist Bioscience has already moved past the $400 million revenue level on a trailing basis, and the latest numbers show that growth is still accelerating.
Twist generated $376.6 million in fiscal 2025, up 20% from $313 million. Revenue then reached $118.4 million in its latest quarter, 23% above the previous year.
The more interesting number is the sequence. Twist has now reported 14 consecutive quarters of sequential revenue growth. Its first nine months of the current fiscal year produced $332.8 million, and adding the final quarter from fiscal 2025 brings the latest four-quarter total to about $431.8 million.
Management also increased full-year guidance to $456–457 million.
The growth is spread across several businesses. In fiscal 2025, synthetic biology generated $145 million, next-generation sequencing generated $208.1 million and biopharma contributed $23.5 million. Twist also served more than 3,800 customers.
That gives Twist one of the cleanest revenue profiles in this ranking: thousands of customers, repeated transactions and growth spread across multiple products rather than a handful of milestone dates.
How does Beam Therapeutics make more than $100 million without selling a drug?
Beam Therapeutics can report more than $100 million of revenue because pharmaceutical companies pay for licenses and collaboration rights before Beam has an approved medicine of its own.
Beam recorded $139.7 million of license and collaboration revenue in 2025. Most of that increase came from $109.1 million recognized after completion of its collaboration transaction with Pfizer.
The latest six-month accounts show why we should handle that figure carefully. Beam recognized $31.7 million in the first quarter but only $490,000 in the second. Over the first six months, revenue was $32.2 million.
Using those figures with the prior full-year accounts gives trailing revenue of roughly $156 million, enough for fourth place in our ranking. The quarter-to-quarter volatility is the catch: Beam's revenue is much less repeatable than Tempus or Twist revenue.

This chart, featured in our biotechnology market deck, illustrates yearly funding for biotechnology startups
Does Intellia Therapeutics make meaningful revenue before launching a drug?
Yes, Intellia Therapeutics already generates tens of millions of dollars a year, although virtually all of it comes from collaborations rather than medicine sales.
Intellia reported $67.7 million of collaboration revenue in 2025, up from $57.9 million in 2024 and $36.3 million in 2023. That gives us a real three-year commercial track record.
More recently, collaboration revenue reached $22.7 million in the first half of the year, down from $30.9 million in the same period a year earlier. The second quarter contributed $7.7 million, with the decline mainly linked to lower revenue from Regeneron.
On a trailing basis, Intellia is therefore closer to $60 million now.
The number becomes more interesting when compared with spending. Intellia spent $388.9 million on R&D in 2025. Its collaboration income helps finance the platform, but the company's economics still revolve around whether its own therapies reach the market. Management is currently building commercial infrastructure ahead of the expected U.S. launch of lonvo-z, assuming regulatory approval.
Is AbCellera bigger than Recursion by revenue?
Yes. AbCellera currently has slightly more trailing revenue than Recursion, but the two companies are much closer than their huge partnership announcements might make people assume.
AbCellera generated $75.1 million in 2025, up sharply from $28.8 million in 2024. Licensing and royalty revenue accounted for $46.9 million, while research fees contributed $27.2 million.
The current year is weaker so far. AbCellera reported $12.4 million for the first six months, down from $21.3 million in the comparable period. That leaves trailing revenue at roughly $66 million.
Recursion generated $74.7 million in 2025. Its first-half revenue then fell to $14.1 million from $34 million, mainly because less Roche and Genentech revenue was recognized after certain project phases were completed. Trailing revenue is now roughly $55 million.
AbCellera stays ahead for now, but only by around $10 million. Both companies remain far smaller by actual revenue than the potential milestone values attached to their pharmaceutical partnerships.

This chart, featured in our biotechnology market deck, compares the main business model options for biotech platform companies
How much revenue does Generate Biomedicines actually make?
Generate Biomedicines currently produces only around $25–30 million of annualized collaboration revenue despite operating one of the most prominent AI-driven drug-development platforms.
Generate reported $31.9 million of collaboration revenue in 2025, up from $20.5 million the year before. Novartis accounted for $25.1 million of the 2025 total, while Amgen contributed $6.7 million.
The first half of the current year produced about $13.5 million: $7.2 million in the first quarter and $6.3 million in the second. That puts trailing revenue around $26.5 million.
Generate has meanwhile become a much larger company in other ways. It completed an IPO, held roughly $457 million in cash and marketable securities at the end of its latest quarter and is running global Phase 3 studies for its lead asthma program.
For a ranking based on money actually recognized from customers and partners today, though, the relevant figure remains about $26.5 million.
Why does CRISPR Therapeutics report so little revenue when CASGEVY is selling?
CRISPR Therapeutics looks tiny in its own revenue statement because CASGEVY sales are recorded through Vertex's commercial operation rather than as normal CRISPR Therapeutics product revenue.
CRISPR Therapeutics reported only $3.51 million of revenue in 2025, all of it grant revenue. Collaboration revenue for the year was zero.
The current year has started to look different. The company recognized $11 million of collaboration revenue in the first six months plus $639,000 of grant revenue. That lifts trailing corporate revenue to roughly $13.4 million.
CASGEVY itself is already much larger. The therapy generated $116 million of product revenue in 2025 and $76 million in the latest quarter, up 151% year over year.
We keep those numbers separate. Adding CASGEVY's sales directly to CRISPR Therapeutics' revenue would double-count economics that are accounted for through the Vertex collaboration. But judging CRISPR Therapeutics only by its $13 million trailing corporate revenue would miss the commercial importance of an approved gene-edited therapy that is already producing tens of millions of dollars per quarter.

This chart, featured in our biotechnology market deck, breaks down revenue across customer segments in the biotechnology market
Which big private biotech startups could be missing from this ranking?
Several large private biotech companies could sit surprisingly high in this ranking, but companies such as Resilience and ElevateBio do not publish enough financial detail for us to place them responsibly.
ElevateBio gives us a useful example. The company recently said it had achieved its sixth consecutive year of revenue growth, driven by expansion of its genetic-medicine development and manufacturing business. It also disclosed a 98% manufacturing batch success rate at BaseCamp.
The missing number is the one we need most: annual revenue.
Resilience has the same basic problem. It operates a large biomanufacturing network and has won important pharmaceutical and government work, so a meaningful revenue base would be unsurprising. Public contract values still cannot tell us how much revenue was recognized during a particular year.
The absence of these companies from the numbered table should therefore be read carefully. We are saying that their revenue cannot currently be ranked with enough confidence, rather than saying that their businesses are smaller than Generate or Recursion.
Private-company opacity is probably the biggest reason the global biotech startup revenue ranking remains incomplete.
Are AI drug-discovery startups making much money yet?
AI drug-discovery startups are finally generating real partnership revenue, but the amounts remain small beside diagnostics and research-tools businesses.
Recursion is currently around $55 million of trailing revenue. Generate is around $26.5 million. Those are respectable commercial figures for companies whose main products are still in development, but they are nowhere near Tempus at more than $1 billion or Twist above $400 million.
Recursion's revenue dropped from $34 million in the first half of last year to $14.1 million in the latest first half because certain collaboration phases had already been completed. Generate shows something similar, with first-half revenue falling from about $18.9 million to $13.5 million.
AI drug discovery has paying pharmaceutical customers now. The problem is that current revenue is still modest and uneven.

This chart, featured in our biotechnology market deck, shows how at-home genetic testing technology has evolved over time
Why do diagnostics startups make so much more revenue than drug-discovery startups?
Diagnostics startups can charge for thousands of tests every week, giving them a much faster route to large revenue than companies waiting for a drug to pass clinical trials.
Tempus makes the contrast almost absurdly large. Its latest quarter produced $289.3 million from diagnostics alone. That single three-month figure exceeds the annual revenue of Beam, AbCellera, Intellia, Recursion and Generate individually.
Volume helps explain it. Tempus said oncology testing volume grew 31% year over year and MRD testing reached about 9,000 tests during the quarter.
Diagnostics companies can monetize clinical activity continuously, while drug developers often wait years for a medicine to reach the market. That difference explains much of the gap in current revenue.
Are biotech tools companies quietly bigger than famous drug startups?
Yes. 10x Genomics and Twist Bioscience show that selling tools to scientists can create much larger current revenue than developing highly publicized experimental drugs.
10x generated roughly $599 million of 2025 revenue after excluding non-recurring settlement revenue. Twist is now above $400 million over its latest four quarters. Both have thousands of laboratories, researchers and pharmaceutical customers repeatedly buying products and services.
Compare that with Prime Medicine. Prime reported only $4.63 million of revenue in 2025 while spending $160.6 million on R&D. Its first six months of the current year generated about $2 million of collaboration revenue.
Tools businesses can generate substantial revenue long before any single customer's scientific project succeeds. For a current revenue ranking, that gives them a huge head start.

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Which biotech startups currently make more than $100 million a year?
Only four companies in our core ranking clearly exceed $100 million of recent company revenue: Tempus AI, 10x Genomics, Twist Bioscience and Beam Therapeutics.
The first three sit comfortably above that threshold and have broad commercial businesses. Beam also clears it on trailing recognized revenue, although its licensing-heavy mix is much more volatile.
CRISPR Therapeutics deserves a separate mention because CASGEVY sales have also passed $100 million annually. Those sales belong to the joint commercial economics around CASGEVY rather than CRISPR Therapeutics' standalone top line.
The drop below Beam is steep. AbCellera currently sits around $66 million, Intellia around $60 million and Recursion around $55 million.
| Company | Current revenue evidence | Above $100M? | Revenue profile |
|---|---|---|---|
| Tempus AI | ~$1.43B TTM | Yes | Diagnostics + data |
| 10x Genomics | ~$600M underlying annual scale | Yes | Tools + consumables |
| Twist Bioscience | ~$432M latest four quarters | Yes | DNA + NGS + services |
| Beam Therapeutics | ~$156M TTM | Yes | Licensing + collaborations |
| AbCellera | ~$66M TTM | No | Research + licenses + royalties |
| Intellia Therapeutics | ~$59.5M TTM | No | Collaborations |
| Recursion | ~$54.9M TTM | No | Collaborations |
| Generate Biomedicines | ~$26.5M TTM | No | Collaborations |
| CRISPR Therapeutics | ~$13.4M corporate TTM | No | Collaborations + grants |
The table makes the concentration clear. Crossing $100 million of actual annual revenue remains unusual among young biotech companies, even though multibillion-dollar valuations are common.
Does more biotech funding usually mean more revenue?
No. Biotech funding and current revenue often have very little to do with each other.
Generate ended its latest quarter with roughly $457 million of cash and marketable securities while trailing revenue was around $26.5 million. CRISPR Therapeutics ended 2025 with nearly $2 billion of cash, cash equivalents and marketable securities while reporting just $3.51 million of annual revenue.
Prime Medicine had $191 million of cash, investments and restricted cash at the end of 2025 against $4.63 million of revenue.
Biotech investors routinely finance clinical development years before meaningful product sales begin, so large cash balances can coexist with tiny revenue for a long time.

This chart, featured in our biotechnology market deck, breaks down revenue across Europe, Asia, North America, Africa, and South America in the biotechnology market
How much biotech startup revenue comes from milestones, licensing and partnership payments?
A large share of revenue below the top three comes from licenses, collaborations and milestones, and a $100 million partnership announcement should never be treated as $100 million of revenue.
Beam is the strongest example. Its $139.7 million of 2025 revenue included $109.1 million linked to completion of the Pfizer collaboration transaction. The company then moved from $31.7 million of revenue in one recent quarter to less than $500,000 in the next.
Recursion's revenue also depends heavily on collaboration progress. Revenue declined sharply in the latest first half because certain Roche and Genentech project phases had already been completed. Intellia's 2025 revenue included reimbursements from Regeneron as well as $9 million recognized following termination of its SparingVision agreement.
The headline value of a biotech deal can contain upfront cash, research funding, option payments, development milestones, regulatory milestones, sales milestones and future royalties. Some payments may arrive years later, while others may never be earned.
Even upfront cash may be recognized gradually if the company still has research obligations to perform. Generate, for example, recognizes revenue from its Novartis and Amgen agreements as that work progresses.
For this ranking, we use the revenue companies actually recognized rather than the maximum theoretical value of the partnership.
Which biotech startups have the most repeatable revenue?
Tempus AI, 10x Genomics and Twist Bioscience currently have the strongest repeatability because customers use their products and services again and again.
Tempus has large testing volumes plus data contracts. 10x earns substantial recurring consumables revenue after laboratories adopt its platforms. Twist sells synthetic DNA, sequencing tools and biopharma services to thousands of customers.
Beam, Intellia, Recursion and Generate depend much more on the timing of research agreements and licensing events. They can still build durable businesses, but current revenue jumps around far more.
| Company | Main revenue engine | Repeatability today | Main source of volatility |
|---|---|---|---|
| Tempus AI | Clinical tests + data | High | Testing mix, acquisitions |
| 10x Genomics | Consumables + instruments | High | Research budgets, instrument demand |
| Twist Bioscience | DNA + NGS products | High | Research spending, product mix |
| Beam Therapeutics | Licensing + collaborations | Low | Deal accounting and milestones |
| AbCellera | Research + licensing | Medium-low | Partner programs and royalties |
| Intellia Therapeutics | Collaboration revenue | Low | Reimbursements and deal milestones |
| Recursion | Collaboration revenue | Low | Partner project timing |
| Generate Biomedicines | Collaboration revenue | Low | Research-progress recognition |
For readers trying to understand which companies already behave like operating businesses, this distinction is more useful than looking at one year's revenue alone.

This chart, featured in our biotechnology market deck, illustrates yearly venture capital funding for biotechnology startups
Which biotech startups are growing revenue fastest right now?
Tempus and Twist currently combine the strongest growth with genuinely large revenue bases.
Tempus grew 2025 revenue about 83%, partly because of Ambry, while organic growth was around 30%. Its latest quarter still grew 22% year over year, and oncology volume increased 31%.
Twist grew fiscal 2025 revenue 20%. Its latest quarter accelerated to more than 23% year-over-year growth, giving the company its 14th consecutive sequential revenue record.
10x is growing much more slowly. Once we remove patent-settlement revenue, the latest quarter grew around 3%. Its full-year guidance implies a business staying around the low-$600 million range.
The collaboration companies are harder to compare on growth. AbCellera more than doubled annual revenue in 2025, then reported a much weaker first half. Recursion increased annual revenue in 2025 before first-half revenue dropped by more than half.
The cleaner growth stories are the companies where customer volumes are rising quarter after quarter, rather than those where the percentage swings with the timing of one deal.
Are the biggest biotech startups profitable yet?
Most still lose money, but Tempus and Twist are getting much closer to conventional operating-company economics.
Tempus reported $5.6 million of GAAP net income in its latest quarter. That figure included investment-related effects, so adjusted EBITDA is more informative for the underlying business: it reached positive $8 million. Management expects roughly $65 million of adjusted EBITDA for the full year.
Twist remains loss-making under GAAP, but gross margin has moved above 50% and management continues to target adjusted EBITDA breakeven in its final fiscal quarter of the year.
The drug-development companies are much further away. Intellia generated $67.7 million of revenue in 2025 while spending $388.9 million on R&D. Prime Medicine generated $4.63 million against $160.6 million of R&D spending.
Profitability is still concentrated among the companies that already sell tests, tools and services at scale.

In our biotechnology market deck, we like to quantify things to make things easier to understand
So who is actually winning the biotech startup revenue race today?
Tempus AI is clearly first by current revenue, with 10x Genomics second and Twist Bioscience third; no other company we could verify is particularly close to that top three.
Tempus has reached roughly $1.43 billion of trailing revenue and is heading toward about $1.6 billion for the current year. 10x remains around a $600 million underlying revenue business. Twist has climbed above $400 million and is still growing above 20%.
Beam comes next numerically, but its roughly $156 million of trailing revenue is far less predictable because licensing and collaboration accounting drive most of it. AbCellera, Intellia and Recursion form the next cluster at roughly $55–66 million. Generate is around $26 million, while Prime Medicine and CRISPR Therapeutics report relatively little standalone revenue despite ambitious pipelines and, in CRISPR's case, real CASGEVY product sales through Vertex.
The type of company sitting at the top is more revealing than the exact order. Today's biotech revenue leaders mostly make money from tests, research tools, synthetic DNA and data. These businesses can charge customers every day while therapeutic companies wait for trials, approvals and eventual launches.
That hierarchy could change dramatically once today's leading gene-editing and AI-drug companies start selling medicines of their own. For now, revenue tells a pretty clear story: the biggest commercial biotech startups are the ones that found something useful to sell long before their drug pipelines fully matured.
OUR METHODOLOGY
This analysis ranks modern venture-backed biotech companies by current revenue scale using the strongest public evidence available. The goal is to compare money actually recognized by the companies, not valuations, funding raised, total partnership headline values or operating metrics converted into estimated sales.
We include venture-originated companies that have since gone public when they still belong to the current startup generation of biotech. A private-only ranking would remove many of the companies with the cleanest financial disclosure, while including mature pharmaceutical and life-sciences groups would turn the exercise into a ranking of the wider biotech industry.
We keep each metric in its original economic category. Annual revenue remains annual revenue, trailing revenue is calculated only where filed annual and interim numbers make the calculation direct, collaboration and licensing revenue stay labeled as such, and CASGEVY product sales are kept separate from CRISPR Therapeutics' standalone corporate revenue because Vertex records the commercial sales.
Revenue quality also matters. Tempus, 10x Genomics and Twist have large operating businesses built around tests, instruments, consumables, DNA products, sequencing and data. Beam, Intellia, Recursion, Generate and several others depend much more heavily on collaboration timing, licensing events, reimbursements and milestone accounting, so similar revenue totals can have very different repeatability.
Private companies are included only when the evidence is strong enough to place them responsibly. Companies such as Resilience and ElevateBio may have substantial revenue, but contract values, manufacturing activity and statements about growth are not enough to manufacture a ranking position without a disclosed revenue figure.
We prioritized regulatory filings, annual reports, quarterly results and company investor materials. Where a trailing figure appears in the article, it is based on the latest reported annual number adjusted with subsequent interim periods rather than on an estimated run-rate.
Key sources include Tempus AI's Q2 2026 results and 2025 full-year results; 10x Genomics' 2025 Form 10-K and Q2 2026 SEC release; Twist Bioscience's FY2025 results and latest quarterly results; Beam Therapeutics' 2025 filing; Intellia Therapeutics' 2025 filing; AbCellera's 2025 results; Recursion's Q2 2026 results; Generate Biomedicines' IPO filing; CRISPR Therapeutics' Q2 2026 results; Prime Medicine's 2025 results; and ElevateBio's revenue-growth update.

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