U.S. Endobronchial Ultrasound Biopsy Market Summary
The U.S. endobronchial ultrasound biopsy market size was estimated at USD 32.5 million in 2025 and is projected to reach USD 45.7 million by 2033, growing at a CAGR of 4.4% from 2026 to 2033. The market is also categorized into a procedure side which was estimated at USD 861.0 million in 2025 and is projected to grow at a CAGR of 6.5% from 2026 to 2033.
Key factors contributing to the market growth include rising incidence of lung cancer and respiratory disorders, rapid technological evolution and increasing market competition in the U.S. endobronchial ultrasound biopsy (EBUS) market. In addition, expansion of lung cancer screening programs, shift toward advanced bronchoscopy modalities driving EBUS adoption, favorable reimbursement and clinical guidelines.
The expansion of lung cancer screening programs across U.S. states is a key driver of EBUS adoption, as the increasing use of low-dose CT (LDCT) is leading to higher detection of early-stage lung nodules and mediastinal abnormalities that require confirmatory diagnosis and staging. State-led and community-based initiatives focused on improving access, reducing disparities, and integrating advanced technologies such as AI are expanding screening coverage among high-risk and underserved populations. This is significantly increasing patient volumes entering diagnostic pathways, thereby driving demand for minimally invasive procedures such as EBUS. For instance:
- In March 2026, the American Lung Association announced a statewide initiative offering free low-dose CT lung cancer screenings to at-risk Illinois residents through May to improve early detection. The program aims to reduce screening disparities, particularly among Black and Hispanic populations, by providing navigation support, transportation, and financial assistance to overcome barriers to care.
- In September 2025, the Ohio State University Comprehensive Cancer Center James launched a mobile lung cancer screening unit to expand early detection and prevention efforts across Ohio, particularly targeting underserved communities. The unit travels statewide to provide low-dose CT screenings for high-risk populations, aiming to improve access, reduce geographic barriers, and enable earlier diagnosis, thereby improving treatment outcomes.
- In April 2025, The Healthy Lungs California initiative was expanded through a five-year partnership between the University of California Lung Cancer Consortium and AstraZeneca to improve early lung cancer screening rates and reduce mortality. The program focuses on increasing access in underserved communities, launching local screening efforts, and integrating innovations such as AI-assisted detection while addressing disparities and environmental risk factors like pollution and wildfire exposure
Moreover, the growing adoption of advanced bronchoscopy modalities, including electromagnetic navigation bronchoscopy and Ion-based robotic-assisted bronchoscopy, across U.S. hospitals is directly driving the transition away from conventional diagnostic approaches such as transthoracic needle aspiration (TTNA), traditional bronchoscopy, and surgical biopsy.
These technologies enable precise navigation to small, peripheral, and hard-to-reach lung nodules using 3D imaging, navigation systems, and robotic control, significantly improving diagnostic yield while reducing complications and invasiveness. As these modalities become integral to lung nodule evaluation, they are increasingly used in combination with EBUS for comprehensive diagnosis and staging, thereby directly contributing to higher EBUS procedural volumes.
For instance, in March 2026, Mercy Hospital Fort Smith introduced robotic-assisted bronchoscopy technology to enable more precise, minimally invasive diagnosis of lung nodules and improve early detection of lung disease. The system uses advanced 3D CT mapping and robotic navigation to access small or hard-to-reach lesions, allowing same-procedure biopsy while reducing the need for invasive surgeries and hospital stays.
U.S. Endobronchial Ultrasound Biopsy Market Report Segmentation
This report forecasts revenue growth at U.S. levels and provides an analysis of the latest industry trends in each of the sub-segments from 2021 to 2033. For this study, Grand View Research has segmented the U.S. Endobronchial Ultrasound Biopsy market report based on the product side market (Equipment and Consumables), the procedure side market (Procedures, modality, CPT codes, end use).
- Product Side Market
- Equipment Outlook (Annual Equipment Sales Volume (Absolute Number), Revenue, USD Million 2021 - 2033)
- EBUS Scopes / EBUS Systems
- Linear EBUS (CP-EBUS)
- Radial Probe EBUS (RP-EBUS)
- Ultrasound Processors and Imaging Systems
- Consumables Outlook (Annual Equipment Sales Volume (Absolute Number), Revenue, USD Million 2021 - 2033)
- EBUS-TBNA Needles
- EBUS-Related Bronchoscopic Procedure Consumables and Accessories
- Biopsy Forceps
- Cytology Brushes
- Cryoprobes
- Guide Sheaths
- Accessories
- Procedure Side Market Outlook
- Procedure Outlook (Procedure Volume, in '000 Procedures, Revenue, USD Million 2021 - 2033)
- Standalone EBUS Lymph Node Biopsy Procedures
- Combined Procedures
- CPT Codes Outlook (Procedure Volume, in '000, Revenue, USD Million 2021 - 2033)
- Site Outlook (Procedure Volume, in '000, Revenue, USD Million 2021 - 2033)
- Academic Medical Centers
- Community Hospitals
- Ambulatory Surgical Centers (ASCs)
- Modality Outlook (Procedure Volume, in '000, Revenue, USD Million 2021 - 2033)
- Transthoracic Needle Aspiration (TTNA)
- Traditional Bronchoscopy
- Surgical Biopsy
- Electromagnetic Navigation Bronchoscopy
- Robotic-Assisted Bronchoscopy
- Procedure Vs Site Outlook (Procedure Volume, in '000 Procedures, 2021 - 2033)
- Standalone EBUS Lymph Node Biopsy Procedures
- Academic Medical Centers
- Community Hospitals
- Ambulatory Surgical Centers (ASCs)
- Combined Procedures
- Academic Medical Centers
- Community Hospitals
- Ambulatory Surgical Centers (ASCs)
Table of Contents
Chapter 1. Methodology and Scope
- 1.1. Market Segmentation & Scope
- 1.2. Market Definitions
- 1.3. Segment Definition - Product Side Market
- 1.3.1. Equipment
- 1.3.2. Consumables
- 1.4. Segment Definition - Procedure-Side Market
- 1.4.1. Procedure
- 1.4.2. Modality
- 1.4.3. CPT Code
- 1.4.4. Site
- 1.5. Estimates and Forecast Timeline
- 1.6. Information Procurement
- 1.6.1. Purchased Database
- 1.6.2. GVR's Internal Database
- 1.6.3. Secondary Sources
- 1.6.4. Primary Research
- 1.7. Information Analysis
- 1.7.1. Data Analysis Models
- 1.8. Market Formulation & Data Visualization
- 1.9. Objectives
- 1.10. Objective - 1
- 1.11. Objective - 2
- 1.12. Objective - 3
- 1.13. Model Details
- 1.13.1. Research Methodology - For Overall Number of EBUS Procedures Performed In U.S.
- 1.13.2. Research Methodology for The - Convex / Linear EBUS (CP-EBUS) Procedure Volume Estimation - U.S.
- 1.13.3. Research Methodology for The - Radial Probe EBUS (RP-EBUS) Procedure Volume Model - U.S.
- 1.13.4. Research Methodology - For Equipment Installed Base
- 1.13.5. Research Methodology for End-Use Cross-Segmentation
- 1.13.6. Research Methodology for Modality-Segmentation
- 1.13.7. Commodity Flow Analysis
- 1.14. List of Secondary Sources
- 1.15. List of Abbreviation
Chapter 2. Executive Summary
- 2.1. Market Snapshot
- 2.2. Segment Snapshot
- 2.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
- 3.1. Market Lineage Outlook
- 3.2. Market Dynamics
- 3.2.1. Market Driver Analysis
- 3.2.1.1. Rising Incidence of Lung Cancer and Respiratory Disorders
- 3.2.1.2. Rapid Technological Evolution and Increasing Market Competition in the U.S. Endobronchial Ultrasound Biopsy (EBUS) Market
- 3.2.1.2.1. Innovation In EBUS Bronchoscopes Enhancing Diagnostic Precision and Procedural Efficiency
- 3.2.1.2.2. Continuous Technological Advancements in EBUS-TBNA Devices Improving Sampling Accuracy and Diagnostic Yield
- 3.2.1.3. Expansion Of Lung Cancer Screening Programs Across U.S. States
- 3.2.1.4. Shift Toward Advanced Bronchoscopy Modalities Driving EBUS Adoption
- 3.2.1.5. Favorable Reimbursement and Clinical Guideline
- 3.2.2. Market Restraint Analysis
- 3.2.2.1. The high cost of EBUS systems and associated procedures
- 3.2.2.2. Requirement for highly skilled professionals
- 3.2.3. Industry Opportunity Analysis
- 3.2.3.1. Integration Of AI and Digital Technologies Enhancing EBUS Precision and Workflow Efficiency
- 3.2.3.2. Expanding Clinical Applications of EBUS Beyond Lung Cancer
- 3.3. Average Number of Needles Used Per Procedure, By Type
- 3.3.1. Standalone EBUS Lymph Node Biopsy Procedures
- 3.3.2. Combined EBUS Lymph Node Biopsy Procedures
- 3.4. Business Environment Analysis
- 3.4.1. Porter's Five Forces Analysis
- 3.4.1.1. Supplier power
- 3.4.1.2. Buyer power
- 3.4.1.3. Substitution threat
- 3.4.1.4. Threat of new entrant
- 3.4.1.5. Competitive rivalry
- 3.4.2. PESTLE Analysis
- 3.4.2.1. Political landscape
- 3.4.2.2. Economic and Social landscape
- 3.4.2.3. Technological landscape
- 3.4.2.4. Environmental landscape
- 3.4.2.5. Legal Landscape
Chapter 4. U.S. Endobronchial Ultrasound Biopsy (Product Side) Market: Equipment Estimates & Trend Analysis
- 4.1. Equipment Segment Dashboard
- 4.2. Equipment Market Share Movement Analysis, 2025 & 2033
- 4.3. Market Size & Forecasts and Trend Analysis, by equipment, 2020 to 2033 (USD Million)
- 4.4. EBUS Scopes / EBUS Systems
- 4.4.1. EBUS Scopes / EBUS Systems Market, 2021 - 2033 (USD Million)
- 4.4.2. EBUS Scopes / EBUS Systems Market, 2020 - 2033 (Annual Equipment Sales Volume (Absolute Number))
- 4.4.3. Convex EBUS Scopes (CP-EBUS)
- 4.4.3.1. Convex EBUS Scopes (CP-EBUS) Market, 2021 - 2033 (USD Million)
- 4.4.3.2. Convex EBUS Scopes (CP-EBUS) Market, 2020 - 2033 (Annual Equipment Sales Volume (Absolute Number))
- 4.4.4. Radial Probe EBUS Scopes (RP-EBUS)
- 4.4.4.1. Radial Probe EBUS Scopes (RP-EBUS) Market, 2021 - 2033 (USD Million)
- 4.4.4.2. Radial Probe EBUS Scopes (RP-EBUS) Market, 2020 - 2033 (Annual Equipment Sales Volume (Absolute Number))
- 4.5. Ultrasound Processors and Imaging Systems
- 4.5.1. Ultrasound Processors and Imaging Systems Market, 2021 - 2033 (USD Million)
- 4.5.2. Ultrasound Processors and Imaging Systems Market, 2020 - 2033 (Annual Equipment Sales Volume (Absolute Number))
Chapter 5. U.S. Endobronchial Ultrasound Biopsy (Product Side) Market: Consumables Estimates & Trend Analysis
- 5.1. Consumables Segment Dashboard
- 5.2. Consumables Market Share Movement Analysis, 2025 & 2033
- 5.3. Market Size & Forecasts and Trend Analysis, by Consumables, 2020 to 2033 (USD Million)
- 5.4. EBUS-TBNA Needles
- 5.4.1. EBUS-TBNA Needles Market, 2021 - 2033 (USD Million)
- 5.4.2. EBUS-TBNA Needles & Dedicated Biopsy Consumables Market, Volume 2021 - 2033 (000')
- 5.5. EBUS-Related Bronchoscopic Procedure Consumables and Accessories
- 5.5.1. EBUS-Related Bronchoscopic Procedure Consumables and Accessories Market, 2021 - 2033 (USD Million)
- 5.5.2. EBUS-Related Bronchoscopic Procedure Consumables and Accessories Market, Volume 2021 - 2033 (000')
- 5.5.3. Biopsy Forceps
- 5.5.3.1. Biopsy Forceps Market, 2021 - 2033 (USD Million)
- 5.5.3.2. Biopsy Forceps Market, Volume 2021 - 2033 (000')
- 5.5.4. Cytology Brushes
- 5.5.4.1. Cytology Brushes Market, 2021 - 2033 (USD Million)
- 5.5.4.2. Cytology Brushes Market, Volume 2021 - 2033 (000')
- 5.6. Cryoprobes
- 5.6.1. Cryoprobes Market, 2021 - 2033 (USD Million)
- 5.6.2. Cryoprobes Market, Volume 2021 - 2033 (000')
- 5.6.3. Guide Sheaths
- 5.6.3.1. Guide Sheaths Market, 2021 - 2033 (USD Million)
- 5.6.3.2. Guide Sheaths Market, Volume 2021 - 2033 (000')
- 5.6.4. Accessories
- 5.6.4.1. Accessories Market, 2021 - 2033 (USD Million)
- 5.6.4.2. Accessories Market, Volume 2021 - 2033 (000')
Chapter 6. U.S. Endobronchial Ultrasound Biopsy (Procedure Side) Market: Procedure Estimates & Trend Analysis
- 6.1. Procedure Segment Dashboard
- 6.2. Procedure Market Share Movement Analysis, 2025 & 2033
- 6.3. Market Size & Forecasts and Trend Analysis, by Procedure, 2020 to 2033 (USD Million)
- 6.4. Standalone EBUS Lymph Node Biopsy Procedures
- 6.4.1. Standalone EBUS Lymph Node Biopsy Procedures Market, 2020 - 2033 (USD Million)
- 6.4.2. Standalone EBUS Lymph Node Biopsy Procedures Market, Volume 2021 - 2033 (000')
- 6.5. Combined Procedures
- 6.5.1. Combined Procedures Market, 2020 - 2033 (USD Million)
- 6.5.2. Combined Procedures Market, Volume 2021 - 2033 (000')
Chapter 7. U.S. Endobronchial Ultrasound Biopsy (Procedure Side) Market: Modality Estimates & Trend Analysis
- 7.1. Modality Dashboard
- 7.2. Modality Market Share Movement Analysis, 2025 & 2033
- 7.3. Transthoracic Needle Aspiration (TTNA)
- 7.3.1. Transthoracic Needle Aspiration Market, 2021 - 2033 (USD Million)
- 7.3.2. Transthoracic Needle Aspiration Market, Volume 2021 - 2033 (000')
- 7.4. Traditional Bronchoscopy
- 7.4.1. Traditional Bronchoscopy Market, 2021 - 2033 (USD Million)
- 7.4.2. Traditional Bronchoscopy Market, Volume 2021 - 2033 (000')
- 7.5. Surgical Biopsy
- 7.5.1. Surgical Biopsy Market, 2021 - 2033 (USD Million)
- 7.5.2. Surgical Biopsy Market, Volume 2021 - 2033 (000')
- 7.6. Electromagnetic Navigation Bronchoscopy (ENB)
- 7.6.1. Electromagnetic Navigation Bronchoscopy (ENB) Market, 2021 - 2033 (USD Million)
- 7.6.2. Electromagnetic Navigation Bronchoscopy (ENB) Market, Volume 2021 - 2033 (000')
- 7.7. Robotic-Assisted Bronchoscopy
- 7.7.1. Robotic-Assisted Bronchoscopy Market, 2021 - 2033 (USD Million)
- 7.7.2. Robotic-Assisted Bronchoscopy Market, Volume 2021 - 2033 (000')
Chapter 8. U.S. Endobronchial Ultrasound Biopsy (Procedure Side) Market: CPT Code Estimates & Trend Analysis
- 8.1. CPT Code Segment Dashboard
- 8.2. CPT Code Market Share Movement Analysis, 2025 & 2033
- 8.3. Market Size & Forecasts and Trend Analysis, by CPT Code, 2020 to 2033 (USD Million)
- 8.4. 31652
- 8.4.1. 31652 Market, 2020 - 2033 (USD Million)
- 8.4.2. 31652 Market, Volume 2021 - 2033 (000')
- 8.5. 31653
- 8.5.1. 31653 Market, 2020 - 2033 (USD Million)
- 8.5.2. 31653 Market, Volume 2021 - 2033 (000')
- 8.6. 31654
- 8.6.1. 31654 Market, 2020 - 2033 (USD Million)
- 8.6.2. 31654 Market, Volume 2021 - 2033 (000')
Chapter 9. U.S. Endobronchial Ultrasound Biopsy (Procedure Side) Market: CPT Code Estimates & Trend Analysis
- 9.1. CPT Code Segment Dashboard
- 9.2. CPT Code Market Share Movement Analysis, 2025 & 2033
- 9.3. Market Size & Forecasts and Trend Analysis, by CPT Code, 2020 to 2033 (USD Million)
- 9.4. 31652
- 9.4.1. 31652 Market, 2020 - 2033 (USD Million)
- 9.4.2. 31652 Market, Volume 2021 - 2033 (000')
- 9.5. 31653
- 9.5.1. 31653 Market, 2020 - 2033 (USD Million)
- 9.5.2. 31653 Market, Volume 2021 - 2033 (000')
- 9.6. 31654
- 9.6.1. 31654 Market, 2020 - 2033 (USD Million)
- 9.6.2. 31654 Market, Volume 2021 - 2033 (000')
Chapter 10. U.S. Endobronchial Ultrasound Biopsy (Procedure Side) Market: Site Estimates & Trend Analysis
- 10.1. Site Segment Dashboard
- 10.2. Site Market Share Movement Analysis, 2025 & 2033
- 10.3. Market Size & Forecasts and Trend Analysis, by Site, 2020 to 2033 (USD Million)
- 10.4. Academic Medical Centers
- 10.4.1. Academic Medical Centers Market, 2021 - 2033 (USD Million)
- 10.4.2. Academic Medical Centers Market, Volume 2021 - 2033 (000')
- 10.5. Community Hospitals
- 10.5.1. Community Hospitals Market, 2021 - 2033 (USD Million)
- 10.5.2. Community Hospitals Market, Volume 2021 - 2033 (000')
- 10.6. Ambulatory Surgical Centers (ASCs)
- 10.6.1. Ambulatory Surgical Centers (ASCs) Market, 2021 - 2033 (USD Million)
- 10.6.2. Ambulatory Surgical Centers (ASCs) Market, Volume 2021 - 2033 (000')
Chapter 11. U.S Endobronchial Ultrasound (Procedure Side) Market: Procedures Vs Site Estimates & Trend Analysis
- 11.1. Procedures Vs Site Segment Dashboard
- 11.2. Procedures Vs Site Market Share Movement Analysis, 2025 & 2033
- 11.3. Market Size & Forecasts and Trend Analysis, by Procedures Vs Site, 2020 to 2033 (USD Million)
- 11.4. Standalone EBUS
- 11.4.1. Academic Medical Centers
- 11.4.1.1. Academic Medical Centers Market, 2021 - 2033 (USD Million)
- 11.4.2. Community Hospitals
- 11.4.2.1. Community Hospitals Market, 2021 - 2033 (USD Million)
- 11.4.3. Ambulatory Surgical Centers (ASCs)
- 11.4.3.1. Ambulatory Surgical Centers (ASCs) Market, 2021 - 2033 (USD Million)
- 11.5. Combined EBUS Procedures
- 11.5.1. Academic Medical Centers
- 11.5.1.1. Academic Medical Centers Market, 2021 - 2033 (USD Million)
- 11.5.2. Community Hospitals
- 11.5.2.1. Community Hospitals Market, 2021 - 2033 (USD Million)
- 11.5.3. Ambulatory Surgical Centers (ASCs)
- 11.5.3.1. Ambulatory Surgical Centers (ASCs) Market, 2021 - 2033 (USD Million)
Chapter 12. U.S. Endobronchial Ultrasound Biopsy (Procedure Side) Market: Procedures Vs Site Estimates & Trend Analysis
- 12.1. Procedures Vs Site Segment Dashboard
- 12.2. Procedures Vs Site Market Share Movement Analysis, 2025 & 2033
- 12.3. Market Size & Forecasts and Trend Analysis, by Procedures Vs Site, 2020 to 2033 (USD Million)
- 12.4. Standalone EBUS
- 12.4.1. Academic Medical Centers
- 12.4.1.1. Academic Medical Centers Market, 2021 - 2033 (USD Million)
- 12.4.2. Community Hospitals
- 12.4.2.1. Community Hospitals Market, 2021 - 2033 (USD Million)
- 12.4.3. Ambulatory Surgical Centers (ASCs)
- 12.4.3.1. Ambulatory Surgical Centers (ASCs) Market, 2021 - 2033 (USD Million)
- 12.5. Combined EBUS Procedures
- 12.5.1. Academic Medical Centers
- 12.5.1.1. Academic Medical Centers Market, 2021 - 2033 (USD Million)
- 12.5.2. Community Hospitals
- 12.5.2.1. Community Hospitals Market, 2021 - 2033 (USD Million)
- 12.5.3. Ambulatory Surgical Centers (ASCs)
- 12.5.3.1. Ambulatory Surgical Centers (ASCs) Market, 2021 - 2033 (USD Million)
Chapter 13. Competitive Landscape
- 13.1. Participant Overview
- 13.2. Company Market Position Analysis, (2025)
- 13.3. Company Categorization
- 13.4. Company Market Share Analysis, 2025 (%) - Overall Product Side Market
- 13.5. Company Market Share Analysis for EBUS Scopes, 2025 (%)
- 13.6. Strategy Mapping
- 13.7. Company Profiles/Listing
- 13.7.1. PENTAX Medical (a division of HOYA Group)
- 13.7.1.1. Overview
- 13.7.1.2. Financial performance
- 13.7.1.3. Product Benchmarking
- 13.7.1.4. Strategic initiatives
- 13.7.2. Boston Scientific Corporation
- 13.7.2.1. Overview
- 13.7.2.2. Financial performance
- 13.7.2.3. Product Benchmarking
- 13.7.2.4. Strategic initiatives
- 13.7.3. Olympus America (Subsidiary of Olympus Corporation)
- 13.7.3.1. Overview
- 13.7.3.2. Financial performance
- 13.7.3.3. Product Benchmarking
- 13.7.3.4. Strategic initiatives
- 13.7.4. FUJIFILM Holdings Corporation
- 13.7.4.1. Overview
- 13.7.4.2. Financial performance
- 13.7.4.3. Product Benchmarking
- 13.7.4.4. Strategic initiatives
- 13.7.5. Cook Group
- 13.7.5.1. Overview
- 13.7.5.2. Financial performance
- 13.7.5.3. Product Benchmarking
- 13.7.5.4. Strategic initiatives
- 13.7.6. Medi-Globe Technologies GmbH
- 13.7.6.1. Overview
- 13.7.6.2. Financial performance
- 13.7.6.3. Product Benchmarking
- 13.7.6.4. Strategic initiatives
- 13.7.7. ACE Medical Devices Pvt. Ltd.
- 13.7.7.1. Overview
- 13.7.7.2. Financial performance
- 13.7.7.3. Product Benchmarking
- 13.7.7.4. Strategic initiatives
- 13.7.8. Praxis Medical
- 13.7.8.1. Overview
- 13.7.8.2. Financial performance
- 13.7.8.3. Product Benchmarking
- 13.7.8.4. Strategic initiatives
- 13.7.9. CONMED
- 13.7.9.1. Overview
- 13.7.9.2. Financial performance
- 13.7.9.3. Product Benchmarking
- 13.7.9.4. Strategic initiatives