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The U.S. employer and workplace drug testing market size was estimated at USD 2.57 billion in 2024 and is projected to reach USD 4.01 billion by 2033, growing at a CAGR of 5.2% from 2025 to 2033. The market is primarily driven by stringent workplace safety regulations, growing awareness of substance abuse risks, and the increasing adoption of preventive screening measures across various industries. Drug testing programs are widely implemented to detect the presence of illicit substances and misuse of prescription medications, while comprehensive screening protocols support compliance with federal and state requirements, promote productivity, and reduce workplace incidents.
The demand for pre-employment and random workplace testing is growing, supported by improvements in rapid testing kits, lab-based tests, and oral fluid testing methods. Digital result systems and automated reporting have made the process faster and more accurate, helping employers make quick hiring decisions and monitor staff more effectively. Changing cannabis laws in several states are also leading companies to adjust their testing policies to meet both compliance needs and evolving legal standards.
A national survey by American Addiction Centers in 2024 found that 15.3% of U.S. workers had worked under the influence of alcohol, while 2.9% admitted to being under the influence of illegal drugs. This shows the ongoing challenges faced by employers and highlights the need for strong drug testing policies to protect workplace safety and productivity.
The rising number of employees with substance use disorders (SUD) further increases the importance of workplace testing. Substance abuse can lead to lower productivity, more absenteeism, and higher rates of illness. It also harms employee morale and raises the risk of workplace accidents and injuries, which together cost U.S. businesses billions of dollars each year. These factors are expected to keep driving the demand for employer and workplace drug testing services across the country.
Overall, the U.S. employer and workplace drug testing market is experiencing steady innovation aimed at improving speed, accuracy, and ease of use. Advancements in testing methods, digital result management, and analytical tools are helping employers streamline screening processes while ensuring compliance with evolving regulations. The adoption of multi-panel and oral fluid testing, supported by cloud-based platforms and AI-driven analytics, is making it easier to detect a broader range of substances and identify potential issues early. These innovations are expected to strengthen workplace safety programs and support more effective workforce management in the years ahead.
U.S. Employer And Workplace Drug Testing Market Report Segmentation
This report forecasts revenue growth at country level and provides an analysis on the latest trends in each of the sub-segments from 2021 to 2033. For the purpose of this report, Grand View Research has segmented the U.S. employer and workplace drug testing market on type, product, mode, drug and end-use: