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Revenue - Total Revenue by Product and by US versus Rest of World (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Disaggregation of Revenue [Line Items]        
Total revenue $ 189.4 $ 93.2 $ 362.5 $ 257.2
U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 164.8 86.2 319.5 239.3
RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 24.6 7.0 43.0 17.9
Molecular diagnostic testing        
Disaggregation of Revenue [Line Items]        
Total revenue 178.7 83.3 338.3 233.8
Molecular diagnostic testing | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 154.1 76.3 295.3 219.8
Molecular diagnostic testing | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 24.6 7.0 43.0 14.0
Molecular diagnostic - Hereditary Cancer        
Disaggregation of Revenue [Line Items]        
Total revenue 86.0 39.9 162.1 125.1
Molecular diagnostic - Hereditary Cancer | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 73.8 34.9 138.9 116.2
Molecular diagnostic - Hereditary Cancer | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 12.2 5.0 23.2 8.9
Molecular diagnostic - Tumor Profiling        
Disaggregation of Revenue [Line Items]        
Total revenue 29.2 10.5 60.2 24.2
Molecular diagnostic - Tumor Profiling | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 18.1 8.6 42.3 19.3
Molecular diagnostic - Tumor Profiling | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 11.1 1.9 17.9 4.9
Molecular diagnostic - Prenatal        
Disaggregation of Revenue [Line Items]        
Total revenue 29.4 16.6 53.1 36.9
Molecular diagnostic - Prenatal | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 29.2 16.5 52.8 36.7
Molecular diagnostic - Prenatal | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 0.2 0.1 0.3 0.2
Molecular Diagnostic - Pharmacogenomics        
Disaggregation of Revenue [Line Items]        
Total revenue 22.6 8.5 40.2 28.9
Molecular Diagnostic - Pharmacogenomics | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 22.6 8.5 40.2 28.9
Molecular Diagnostic - Pharmacogenomics | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 0.0 0.0 0.0 0.0
Molecular Diagnostic - Autoimmune        
Disaggregation of Revenue [Line Items]        
Total revenue 10.2 7.3 20.9 17.7
Molecular Diagnostic - Autoimmune | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 10.2 7.3 20.9 17.7
Molecular Diagnostic - Autoimmune | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 0.0 0.0 0.0 0.0
Molecular diagnostic - Other        
Disaggregation of Revenue [Line Items]        
Total revenue 1.3 0.5 1.8 1.0
Molecular diagnostic - Other | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 0.2 0.5 0.2 1.0
Molecular diagnostic - Other | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 1.1 0.0 1.6 0.0
Pharmaceutical and clinical services        
Disaggregation of Revenue [Line Items]        
Total revenue 10.7 9.9 24.2 23.4
Pharmaceutical and clinical services | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 10.7 9.9 24.2 19.5
Pharmaceutical and clinical services | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue $ 0.0 $ 0.0 $ 0.0 $ 3.9