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Revenue Recognition (Tables)
 9 Months Ended
Sep. 30, 2026
Revenue from Contract with Customer [Abstract]  
Schedule of Revenue by Payer Type
The following table shows disaggregation of revenues by payer types:
Three months ended
September 30,		Nine months ended
September 30,
2026202520262025
(in thousands)
Insurance carriers$733,201 $559,505 $2,096,379 $1,549,140 
Laboratory partners50,260 25,098 116,822 68,099 
Patients10,520 7,580 30,176 23,376 
Total revenues$793,981 $592,183 $2,243,377 $1,640,615 
Schedule of Total Revenue by Geographic Area
The following table presents total revenues by geographic area based on the location of the Company’s payers:
Three months ended
September 30,		Nine months ended
September 30,
2026202520262025
(in thousands)
United States$778,253 $582,371 $2,203,323 $1,612,479 
Americas, excluding U.S.2,108 1,523 6,730 4,786 
Europe, Middle East, India, Africa11,293 6,006 26,733 17,463 
Asia Pacific and Other2,327 2,283 6,591 5,887 
Total revenues$793,981 $592,183 $2,243,377 $1,640,615 
Schedule of Changes in the Balance of Deferred Revenues
The following table summarizes the changes in the balance of deferred revenues during the nine months ended September 30, 2026 and 2025:
Balance at
September 30,
20262025
(in thousands)
Beginning balance$41,969 $36,592 
Increase in deferred revenues92,240 30,841 
Revenue recognized during the period included in deferred revenues at the beginning of the period(27,993)(16,417)
Revenue recognized from performance obligations satisfied within the same period(53,839)(12,786)
Ending balance$52,377 $38,230