BillionToOne, Inc. (BLLN) Stock Price & How to Invest
Last updated July 2026
Short answer
BillionToOne (NASDAQ: BLLN) is a molecular diagnostics company that sells prenatal screening and cancer liquid biopsy tests built on its own single-molecule DNA counting technology, and it is one of the rare recent diagnostics IPOs that is already GAAP profitable: roughly $397 million of trailing revenue growing about 90%, with net income near $38 million. Investors generally treat it as a high-multiple, high-volatility growth healthcare position, a framing the stock reinforced by falling roughly 39% in a single session on August 6, 2026 after a quarter that met rather than beat.
BLLN stock price
As of 2026-08-06, BillionToOne, Inc. (BLLN) last closed at $91.65, down 22.4% over the past month. Over its trading history so far it has traded between $64.03 and $149.97.
Prices are daily closing prices from Yahoo Finance and may be delayed. For the live quote, check your broker or BillionToOne, Inc.'s investor relations page. Walnut is informational, not investment advice.
What does BillionToOne, Inc. (BLLN) do?
BillionToOne is a Menlo Park diagnostics company founded in 2016 by Oguzhan Atay, David Tsao and Sukrit Silas around a patented technique called Quantitative Counting Templates, which lets the company count individual DNA molecules in a blood sample rather than merely detect them. That precision is what the product line is built on. The prenatal franchise, sold under the Unity brand, screens a pregnancy from a maternal blood draw for chromosomal conditions, single-gene disorders, and fetal RhD and antigen status, and it produced about $94.2 million of the $109.4 million booked in the second quarter of 2026. The oncology franchise, sold as Northstar, includes Northstar Select (an 84-gene circulating tumor DNA panel used to pick a therapy for advanced solid tumors) and Northstar Response (a treatment-monitoring assay), and it grew about 176% year over year to $13.7 million in the same quarter. A small clinical-trial services line rounds out revenue.
The investment picture is a scaling story with a valuation attached to it. Revenue roughly doubled in 2025 to about $305 million, is guided to $450 million to $465 million for 2026, and reached about $397 million on a trailing twelve-month basis by mid-2026. Unlike most diagnostics companies at that stage, BillionToOne is making money: gross margin reached about 70% in the second quarter of 2026 (up from roughly 53% in 2024), GAAP operating income was about $5.5 million in the quarter, and first-half net income was about $26 million against a loss a year earlier. The company holds roughly $549 million of cash against about $144 million of debt, so growth is self-funded. What the market has not settled is what that deserves to cost. The stock IPO'd at $60 in November 2025, ran to about $150 by August 2026, then fell roughly 39% in one day when second-quarter revenue of $109.4 million landed slightly under the roughly $111.6 million consensus and non-GAAP earnings of $0.15 came in below the roughly $0.19 modeled, with full-year guidance reiterated rather than raised. Illumina is also suing the company over three non-invasive prenatal testing patents that read directly on the Unity line.
What's driving BillionToOne, Inc. (BLLN)?
1. Share gains and menu expansion in prenatal screening.
Unity is the revenue engine, at about $94.2 million in the second quarter of 2026 and up roughly 55% year over year, and the company has taken meaningful share in a US market long dominated by Natera. The differentiator has been doing things competitors could not do from a single blood draw, notably single-gene disorder screening and fetal RhD and antigen typing. An expanded Unity Fetal Risk Screen carrying a 130-gene panel became commercially available on August 17, 2026, which widens the addressable content per test rather than relying only on more tests.
2. Oncology as the second engine.
Northstar revenue grew about 176% year over year to $13.7 million in the second quarter of 2026, off a small base but from a real clinical position: Medicare coverage for Northstar Select took effect in February 2025 under Palmetto GBA, and the company's validation work claimed roughly 51% more clinically actionable alterations detected than comparator liquid biopsies. Northstar Origin, a tissue-of-origin add-on, launched commercially on September 1, 2026. Oncology is the segment that decides whether BillionToOne becomes a platform company or stays a prenatal company with a side business.
3. Price per test and margin expansion, not just volume.
Test volumes grew about 35% year over year to 196,000 in the second quarter of 2026, but revenue grew 64%, because average selling price rose about 21% to roughly $551 as payer coverage improved and the mix shifted toward richer content. Gross margin moved to about 70% from roughly 65% a year earlier and about 53% in 2024. That combination is what turned an operating loss of about $47 million in 2024 into roughly $43 million of trailing operating income.
4. A balance sheet that funds its own expansion.
Cash and equivalents stood at about $549 million as of June 30, 2026, up roughly 190% year over year after the November 2025 IPO raised about $314 million gross at $60 a share. Against roughly $144 million of debt, net cash is about $405 million. Trailing free cash flow turned positive at roughly $33 million. For a diagnostics company scaling lab capacity and a commercial salesforce simultaneously, not needing the equity market is a structural advantage.
What are the risks to BillionToOne, Inc. (BLLN)?
Illumina sued BillionToOne in the District of Delaware in May 2026 alleging infringement of three patents covering fetal fraction measurement and variant identification in mixed DNA samples, and the complaint targets the Unity products that supply most of the revenue, so an adverse outcome could mean royalties, an injunction, or a redesign of the core franchise. Revenue depends heavily on payer reimbursement decisions and on average selling price holding up, and a coverage change at a large commercial payer or a Medicare rate revision would show up directly in the growth rate without any change in test volume. Natera remains far larger in non-invasive prenatal testing and Guardant Health, Foundation Medicine, Tempus and Caris are entrenched in oncology liquid biopsy, so both franchises compete against companies with more scale and longer payer relationships. The valuation carries essentially no cushion: the stock traded at roughly 119 times trailing earnings before the August 2026 drop and still around 9 to 11 times forward revenue after it, which is why an in-line quarter produced a 39% single-day decline. Governance is concentrated, with Class B shares carrying 15 votes each and the two founders controlling roughly 64% of voting power at the time of the IPO, and the post-IPO lockup expired on May 5, 2026, with insider sales reported since.
What is the BillionToOne, Inc. (BLLN) forecast?
7 analysts publish price targets on BLLN, averaging $122.43 against a $91.65 price as of August 2026, or +33.6%. The published targets run from $90.00 to $145.00, a moderate spread, and the ratings split 6 buy, 2 hold, 0 sell. Over the last six months there have been 3 raises and 5 cuts among the published actions. A price target is what an analyst published on a date, not a prediction, and sell-side ratings skew positive across the whole market.
Read the full BLLN forecast and price target for the target table, the recent rating actions by firm, and how the consensus has shifted.
Is BLLN a buy or a sell?
We give no verdict on BillionToOne, Inc.. Both cases are real, which is why the question is contested at all, so here is the strongest version of each.
The case for buying. Share gains and menu expansion in prenatal screening. Unity is the revenue engine, at about $94.2 million in the second quarter of 2026 and up roughly 55% year over year, and the company has taken meaningful share in a US market long dominated by Natera. The most optimistic published target, $145.00, assumes this works close to its best case.
The case against. Illumina sued BillionToOne in the District of Delaware in May 2026 alleging infringement of three patents covering fetal fraction measurement and variant identification in mixed DNA samples, and the complaint targets the Unity products that supply most of the revenue, so an adverse outcome could mean royalties, an injunction, or a redesign of the core franchise. The most pessimistic target, $90.00, is roughly what BLLN is worth if this bites instead.
Read the full bull and bear case on BLLN, including what would have to change to break either one. Walnut is not an investment adviser.
How is BillionToOne, Inc. (BLLN) valued? (approximate, August 2026)
A simple financial snapshot. These are approximations and refresh quarterly; for current figures see BillionToOne, Inc.'s investor relations page or your broker.
- Revenue (TTM): ~$397 million, up ~90% year over year
- Q2 2026 revenue: ~$109.4 million, up ~64%, versus ~$111.6 million expected
- 2026 revenue guidance: ~$450 million to $465 million, reiterated (implies ~48% to 52% growth)
- Gross margin: ~70% in Q2 2026, up from ~65% a year earlier and ~53% in 2024
- Net income (TTM): ~$38 million; Q2 2026 net income ~$8.1 million, or ~$0.15 per diluted share
- Market cap / valuation: ~$4.3 billion near $92 a share, ~119x trailing earnings, ~9x to 11x forward revenue
The multiple is the whole argument. At roughly 119 times trailing earnings even after a 39% drawdown, BLLN is priced on the forward revenue ramp rather than on current profits, which are real but small (about $38 million trailing against a $4.3 billion market value). Cash of roughly $549 million against about $144 million of debt removes financing risk from the story, so the debate narrows to whether 48% to 52% growth in 2026 can be sustained into 2027 as the prenatal base gets larger and the Illumina litigation runs. The stock's 52-week range of roughly $62 to $150 against a $60 IPO price in November 2025 shows how little consensus there is on the answer.
Who competes with BillionToOne, Inc. (BLLN)?
Prenatal and reproductive health testing
Natera is the reference point and by far the largest player in US non-invasive prenatal testing, with Labcorp, Quest Diagnostics and Myriad Genetics also holding meaningful volume through long-standing physician and payer relationships. BillionToOne competes on test content rather than scale, offering single-gene disorder screening and fetal RhD and antigen typing from the same draw, which is how it grew from nothing to a nine-figure franchise in a few years. This is where most of the revenue and most of the competitive pressure sits.
Oncology liquid biopsy and tumor profiling
Guardant Health, Roche's Foundation Medicine, Tempus AI, Caris Life Sciences, Exact Sciences and NeoGenomics all sell blood or tissue based genomic profiling to oncologists choosing a therapy. Northstar Select entered with Medicare coverage in February 2025 and a sensitivity claim against those comparators, but it is the challenger here, at roughly $13.7 million a quarter against competitors doing many multiples of that. Growth of about 176% year over year suggests the clinical argument is landing; scale is still a long way off.
Sequencing platforms and intellectual property holders
Illumina supplies the sequencing chemistry that most of this industry runs on and simultaneously owns a deep patent estate over non-invasive prenatal testing methods, a dual role that became adversarial in May 2026 when it sued BillionToOne over three such patents. Roche, Thermo Fisher and Qiagen occupy adjacent positions as instrument and reagent suppliers. For investors, this category matters less as a revenue competitor and more as a source of input cost and legal exposure.
What stocks are similar to BillionToOne, Inc. (BLLN)?
Other names that sit close to BLLN: same theme, named as a direct competitor, or held beside it in the same funds. Each entry says which. Worth a look if you are thinking about diversification within a thesis rather than concentration on one ticker.
How to invest in BillionToOne, Inc. (BLLN)
There are three common ways to get BLLN exposure. Buy shares (or fractional shares) directly at any major broker. Hold an ETF that includes it, which spreads the position across many companies. Or build it into a focused thematic portfolio, so BLLN sits alongside other stocks that express the same thesis.
Walnut takes the portfolio route. Describe a thesis where BLLN fits (for example “AI infrastructure” or “dividend-growth large-caps”) and the AI proposes 5 to 6 constituents with target weights. You review the plan and fund it through your own broker when you're ready.
New to this? Start with how to invest in stocks, see how to analyze a stock with AI, or compare the best AI stock analyzers.
The bottom line on BillionToOne, Inc. (BLLN)
BillionToOne pairs unusually fast growth with real profitability in a category where neither is common, and the stock's behavior shows the market is pricing execution with very little margin for a merely in-line quarter.
More on BillionToOne, Inc. (BLLN)
Whether BLLN is worth buying today depends more on your time horizon and what you already hold than on any single call. We walk through valuation, what would have to go right, and the risks in is BLLN a buy or a sell?, and where the stock could go from here in the BLLN stock forecast.
For income investors, whether BLLN pays a dividend and how the payout looks is covered in does BLLN pay a dividend? And to weigh BLLN against a peer, read the full side-by-side comparisons: BLLN vs LH and BLLN vs DGX.
Wondering how BLLN fits the portfolio you already own? Walnut is an AI investing app that connects your brokerage read-only and answers questions like that about your actual holdings: overlap, concentration, and how each position tracks the S&P 500. Compare the best AI portfolio analyzers or see the best AI investing apps in 2026.
Investing in BillionToOne, Inc. with AI
Connect the broker you already use and ask Walnut's AI how BLLN fits what you actually hold: whether you own it already through a fund, what it would do to your concentration, and how it has tracked the S&P 500. Read-only by default, and you approve anything before it reaches your broker.
FAQ
What does BillionToOne actually sell?
+
Two clinical franchises plus a small services line. Unity is a prenatal screen run from a maternal blood draw that covers chromosomal conditions, single-gene disorders, and fetal RhD and antigen status, and it produced about $94.2 million of second-quarter 2026 revenue. Northstar is the oncology line, including an 84-gene circulating tumor DNA panel for therapy selection and a treatment-monitoring assay, at about $13.7 million. Clinical trial support added roughly $1.5 million.
Why did the stock fall almost 40% in one day in August 2026?
+
The second-quarter 2026 report on August 5 showed revenue of $109.4 million against roughly $111.6 million expected and non-GAAP earnings of $0.15 against roughly $0.19 modeled, and full-year guidance of $450 million to $465 million was reiterated rather than raised. Growth was still 64% year over year, but the stock had run to about $150 near its 52-week high, so an in-line quarter without an upward revision was enough to trigger a roughly 39% decline.
Is BillionToOne profitable?
+
Yes, on both a GAAP and cash basis, which is unusual at this stage in diagnostics. Net income was about $8.1 million in the second quarter of 2026 and roughly $26 million across the first half, against a loss in the year-ago period. Trailing twelve-month net income was about $38 million and trailing free cash flow about $33 million. Full-year 2025 net income was only $2.9 million, so the profitability is recent and still thin relative to a $4.3 billion market value.
What is the Illumina lawsuit about?
+
Illumina filed a complaint in the US District Court for the District of Delaware in May 2026 alleging that BillionToOne infringes three patents covering measurement of fetal genetic material fraction in maternal blood and identification of genetic variation in mixed DNA samples. The suit names the Unity products, including the Fetal Risk Screen, Aneuploidy Screen, Fetal RhD and Fetal Antigen tests, and Unity Confirm. Because Unity supplies most of the revenue, the case is the single largest legal variable in the stock.
How does BillionToOne compare with Natera?
+
Natera is much larger and has long held the leading position in US non-invasive prenatal testing, while BillionToOne is the fast-growing challenger that has taken share by offering test content competitors did not have from one blood draw. Natera also has an established oncology and transplant business, giving it more diversification. BillionToOne's growth rate is higher off a smaller base, and its valuation reflects that difference.
What drove revenue up 64% when test volumes only grew 35%?
+
Price and mix. Average selling price rose about 21% year over year to roughly $551 per test as payer coverage broadened and the product mix shifted toward higher-content tests, and oncology, which carries a higher price point, grew about 176%. That combination also lifted gross margin to about 70% from roughly 65%. It matters because pricing gains are not repeatable indefinitely, so the durability of growth eventually depends on volume.
How does this stock tend to behave in a portfolio?
+
Like a recently public, high-multiple growth healthcare name. It listed at $60 in November 2025, traded between roughly $62 and $150 over the following year, and moved about 39% in a single session on an in-line quarter. There is no dividend and the trailing earnings multiple is well over 100 times. Investors typically size positions like this as a small satellite holding within a healthcare or genomics sleeve rather than as a core position, and Walnut is not an investment adviser, so none of this is a recommendation.
Walnut is informational, not investment advice. Financial figures on this page are approximations; always verify current numbers with BillionToOne, Inc.'s investor relations page or your broker before making investment decisions.