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Stock Comparison

BDSX vs ONCO vs EXAS vs AGEN vs ILMN

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
BDSX
Biodesix, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$116M
5Y Perf.-67.8%
ONCO
Onconetix, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$1M
5Y Perf.-100.0%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.+32.4%
AGEN
Agenus Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$135M
5Y Perf.-92.9%
ILMN
Illumina, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$21.55B
5Y Perf.-55.3%

BDSX vs ONCO vs EXAS vs AGEN vs ILMN — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
BDSX logoBDSX
ONCO logoONCO
EXAS logoEXAS
AGEN logoAGEN
ILMN logoILMN
IndustryMedical - Diagnostics & ResearchBiotechnologyMedical - Diagnostics & ResearchBiotechnologyMedical - Diagnostics & Research
Market Cap$116M$1M$20.02B$135M$21.55B
Revenue (TTM)$96M$815K$3.25B$114M$4.39B
Net Income (TTM)$-32M$-14M$-208M$115K$853M
Gross Margin59.9%77.6%69.7%35.7%67.1%
Operating Margin-26.0%-21.9%-6.4%-17.7%20.9%
Forward P/E582.8x2.9x27.2x
Total Debt$73M$49K$2.52B$10M$2.55B
Cash & Equiv.$19M$5M$956M$3M$1.42B

BDSX vs ONCO vs EXAS vs AGEN vs ILMNLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

BDSX
ONCO
EXAS
AGEN
ILMN
StockFeb 22May 26Return
Biodesix, Inc. (BDSX)10032.2-67.8%
Onconetix, Inc. (ONCO)1000.0-100.0%
Exact Sciences Corp… (EXAS)100132.4+32.4%
Agenus Inc. (AGEN)1007.1-92.9%
Illumina, Inc. (ILMN)10044.7-55.3%

Price return only. Dividends and distributions are not included.

Quick Verdict: BDSX vs ONCO vs EXAS vs AGEN vs ILMN

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: BDSX and ILMN are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. Illumina, Inc. is the stronger pick specifically for profitability and margin quality and operational efficiency and capital deployment. ONCO, EXAS, and AGEN also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
BDSX
Biodesix, Inc.
The Growth Play

BDSX has the current edge in this matchup, primarily because of its strength in growth exposure.

  • Rev growth 24.1%, EPS growth 29.2%, 3Y rev CAGR 32.3%
  • 24.1% revenue growth vs ONCO's -67.7%
  • +120.1% vs ONCO's -98.8%
Best for: growth exposure
ONCO
Onconetix, Inc.
The Income Pick

ONCO ranks third and is worth considering specifically for dividends.

  • 34.1% yield; the other 4 pay no meaningful dividend
Best for: dividends
EXAS
Exact Sciences Corporation
The Long-Run Compounder

EXAS is the clearest fit if your priority is long-term compounding and sleep-well-at-night.

  • 16.7% 10Y total return vs ILMN's 3.0%
  • Lower volatility, beta 0.05, current ratio 2.43x
  • Beta 0.05, current ratio 2.43x
  • Beta 0.05 vs AGEN's 2.58
Best for: long-term compounding and sleep-well-at-night
AGEN
Agenus Inc.
The Income Pick

AGEN is the clearest fit if your priority is income & stability.

  • Dividend streak 1 yrs, beta 2.58
  • Lower P/E (2.9x vs 582.8x)
Best for: income & stability
ILMN
Illumina, Inc.
The Quality Compounder

ILMN is the #2 pick in this set and the best alternative if quality and efficiency is your priority.

  • 19.4% margin vs ONCO's -17.2%
  • 13.4% ROA vs ONCO's -68.0%, ROIC 16.8% vs -32.8%
Best for: quality and efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthBDSX logoBDSX24.1% revenue growth vs ONCO's -67.7%
ValueAGEN logoAGENLower P/E (2.9x vs 582.8x)
Quality / MarginsILMN logoILMN19.4% margin vs ONCO's -17.2%
Stability / SafetyEXAS logoEXASBeta 0.05 vs AGEN's 2.58
DividendsONCO logoONCO34.1% yield; the other 4 pay no meaningful dividend
Momentum (1Y)BDSX logoBDSX+120.1% vs ONCO's -98.8%
Efficiency (ROA)ILMN logoILMN13.4% ROA vs ONCO's -68.0%, ROIC 16.8% vs -32.8%

BDSX vs ONCO vs EXAS vs AGEN vs ILMN — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

BDSXBiodesix, Inc.
FY 2025
Diagnostic Tests
89.5%$79M
Development Services
10.5%$9M
ONCOOnconetix, Inc.
FY 2025
License
0.0%$0
EXASExact Sciences Corporation
FY 2025
Screening
77.9%$2.5B
Precision Oncology
22.1%$717M
AGENAgenus Inc.
FY 2025
Non Cash Royalty Revenue
99.1%$109M
Other
0.9%$1M
ILMNIllumina, Inc.
FY 2025
Sequencing
91.8%$4.0B
Microarray
8.2%$358M

BDSX vs ONCO vs EXAS vs AGEN vs ILMN — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLEXASLAGGINGONCO

Income & Cash Flow (Last 12 Months)

ILMN leads this category, winning 3 of 6 comparable metrics.

ILMN is the larger business by revenue, generating $4.4B annually — 5385.3x ONCO's $815,371. ILMN is the more profitable business, keeping 19.4% of every revenue dollar as net income compared to ONCO's -17.2%. On growth, BDSX holds the edge at +42.3% YoY revenue growth, suggesting stronger near-term business momentum.

MetricBDSX logoBDSXBiodesix, Inc.ONCO logoONCOOnconetix, Inc.EXAS logoEXASExact Sciences Co…AGEN logoAGENAgenus Inc.ILMN logoILMNIllumina, Inc.
RevenueTrailing 12 months$96M$815,371$3.2B$114M$4.4B
EBITDAEarnings before interest/tax-$21M-$18M-$41M-$10M$1.1B
Net IncomeAfter-tax profit-$32M-$14M-$208M$115,000$853M
Free Cash FlowCash after capex-$25M-$10M$357M-$159M$989M
Gross MarginGross profit ÷ Revenue+59.9%+77.6%+69.7%+35.7%+67.1%
Operating MarginEBIT ÷ Revenue-26.0%-21.9%-6.4%-17.7%+20.9%
Net MarginNet income ÷ Revenue-33.3%-17.2%-6.4%+0.1%+19.4%
FCF MarginFCF ÷ Revenue-26.3%-11.9%+11.0%-139.1%+22.5%
Rev. Growth (YoY)Latest quarter vs prior year+42.3%-57.4%+23.1%+27.5%+4.8%
EPS Growth (YoY)Latest quarter vs prior year+49.4%+120.9%+90.4%+85.3%+6.1%
ILMN leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

AGEN leads this category, winning 3 of 5 comparable metrics.
MetricBDSX logoBDSXBiodesix, Inc.ONCO logoONCOOnconetix, Inc.EXAS logoEXASExact Sciences Co…AGEN logoAGENAgenus Inc.ILMN logoILMNIllumina, Inc.
Market CapShares × price$116M$1M$20.0B$135M$21.6B
Enterprise ValueMkt cap + debt − cash$170M-$4M$21.6B$142M$22.7B
Trailing P/EPrice ÷ TTM EPS-3.28x-0.08x-95.37x-1123.53x26.03x
Forward P/EPrice ÷ next-FY EPS est.582.83x2.94x27.22x
PEG RatioP/E ÷ EPS growth rate6.15x
EV / EBITDAEnterprise value multiple20.01x
Price / SalesMarket cap ÷ Revenue1.31x1.54x6.16x1.18x4.97x
Price / BookPrice ÷ Book value/share0.08x8.24x8.13x
Price / FCFMarket cap ÷ FCF56.10x23.15x
AGEN leads this category, winning 3 of 5 comparable metrics.

Profitability & Efficiency

ILMN leads this category, winning 6 of 9 comparable metrics.

ILMN delivers a 32.8% return on equity — every $100 of shareholder capital generates $33 in annual profit, vs $-21 for BDSX. ONCO carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to EXAS's 1.05x. On the Piotroski fundamental quality scale (0–9), ILMN scores 8/9 vs BDSX's 3/9, reflecting strong financial health.

MetricBDSX logoBDSXBiodesix, Inc.ONCO logoONCOOnconetix, Inc.EXAS logoEXASExact Sciences Co…AGEN logoAGENAgenus Inc.ILMN logoILMNIllumina, Inc.
ROE (TTM)Return on equity-21.0%-189.8%-8.7%+32.8%
ROA (TTM)Return on assets-35.6%-68.0%-3.5%+0.1%+13.4%
ROICReturn on invested capital-38.7%-32.8%-3.6%+16.8%
ROCEReturn on capital employed-36.4%-49.4%-4.0%+17.6%
Piotroski ScoreFundamental quality 0–935768
Debt / EquityFinancial leverage0.00x1.05x0.94x
Net DebtTotal debt minus cash$54M-$5M$1.6B$7M$1.1B
Cash & Equiv.Liquid assets$19M$5M$956M$3M$1.4B
Total DebtShort + long-term debt$73M$48,774$2.5B$10M$2.6B
Interest CoverageEBIT ÷ Interest expense-4.47x-26.95x-5.47x1.11x12.09x
ILMN leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

EXAS leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in EXAS five years ago would be worth $10,614 today (with dividends reinvested), compared to $0 for ONCO. Over the past 12 months, BDSX leads with a +120.1% total return vs ONCO's -98.8%. The 3-year compound annual growth rate (CAGR) favors EXAS at 15.2% vs ONCO's -97.2% — a key indicator of consistent wealth creation.

MetricBDSX logoBDSXBiodesix, Inc.ONCO logoONCOOnconetix, Inc.EXAS logoEXASExact Sciences Co…AGEN logoAGENAgenus Inc.ILMN logoILMNIllumina, Inc.
YTD ReturnYear-to-date+137.2%-95.5%+3.1%+18.3%+5.6%
1-Year ReturnPast 12 months+120.1%-98.8%+97.7%+25.7%+78.3%
3-Year ReturnCumulative with dividends-52.7%-100.0%+53.0%-88.0%-25.4%
5-Year ReturnCumulative with dividends-94.9%-100.0%+6.1%-93.7%-61.6%
10-Year ReturnCumulative with dividends-94.0%-100.0%+1669.1%-94.2%+3.0%
CAGR (3Y)Annualised 3-year return-22.1%-97.2%+15.2%-50.7%-9.3%
EXAS leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

EXAS leads this category, winning 2 of 2 comparable metrics.

EXAS is the less volatile stock with a 0.05 beta — it tends to amplify market swings less than AGEN's 2.58 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. EXAS currently trades 99.9% from its 52-week high vs ONCO's 0.5% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricBDSX logoBDSXBiodesix, Inc.ONCO logoONCOOnconetix, Inc.EXAS logoEXASExact Sciences Co…AGEN logoAGENAgenus Inc.ILMN logoILMNIllumina, Inc.
Beta (5Y)Sensitivity to S&P 5000.40x1.28x0.05x2.58x1.20x
52-Week HighHighest price in past year$20.11$74.30$104.98$7.34$155.53
52-Week LowLowest price in past year$3.44$0.36$38.81$2.71$75.24
% of 52W HighCurrent price vs 52-week peak+76.2%+0.5%+99.9%+52.0%+91.2%
RSI (14)Momentum oscillator 0–10064.428.076.446.159.5
Avg Volume (50D)Average daily shares traded102K9.4M4.3M822K1.5M
EXAS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

AGEN leads this category, winning 1 of 1 comparable metric.

Analyst consensus: BDSX as "Buy", EXAS as "Buy", AGEN as "Buy", ILMN as "Buy". Consensus price targets imply 91.9% upside for AGEN (target: $7) vs -43.4% for BDSX (target: $9). ONCO is the only dividend payer here at 34.09% yield — a key consideration for income-focused portfolios.

MetricBDSX logoBDSXBiodesix, Inc.ONCO logoONCOOnconetix, Inc.EXAS logoEXASExact Sciences Co…AGEN logoAGENAgenus Inc.ILMN logoILMNIllumina, Inc.
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$8.67$105.00$7.33$147.38
# AnalystsCovering analysts7411150
Dividend YieldAnnual dividend ÷ price+34.1%
Dividend StreakConsecutive years of raises01
Dividend / ShareAnnual DPS$0.12
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+0.1%+0.1%+3.4%
AGEN leads this category, winning 1 of 1 comparable metric.
Key Takeaway

ILMN leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). AGEN leads in 2 (Valuation Metrics, Analyst Outlook).

Best OverallExact Sciences Corporation (EXAS)Leads 2 of 6 categories
Loading custom metrics...

BDSX vs ONCO vs EXAS vs AGEN vs ILMN: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is BDSX or ONCO or EXAS or AGEN or ILMN a better buy right now?

For growth investors, Biodesix, Inc.

(BDSX) is the stronger pick with 24. 1% revenue growth year-over-year, versus -67. 7% for Onconetix, Inc. (ONCO). Illumina, Inc. (ILMN) offers the better valuation at 26. 0x trailing P/E (27. 2x forward), making it the more compelling value choice. Analysts rate Biodesix, Inc. (BDSX) a "Buy" — based on 7 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — BDSX or ONCO or EXAS or AGEN or ILMN?

On forward P/E, Agenus Inc.

is actually cheaper at 2. 9x — notably different from the trailing picture, reflecting expected earnings growth.

03

Which is the better long-term investment — BDSX or ONCO or EXAS or AGEN or ILMN?

Over the past 5 years, Exact Sciences Corporation (EXAS) delivered a total return of +6.

1%, compared to -100. 0% for Onconetix, Inc. (ONCO). Over 10 years, the gap is even starker: EXAS returned +1669% versus ONCO's -100. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — BDSX or ONCO or EXAS or AGEN or ILMN?

By beta (market sensitivity over 5 years), Exact Sciences Corporation (EXAS) is the lower-risk stock at 0.

05β versus Agenus Inc. 's 2. 58β — meaning AGEN is approximately 4810% more volatile than EXAS relative to the S&P 500. On balance sheet safety, Onconetix, Inc. (ONCO) carries a lower debt/equity ratio of 0% versus 105% for Exact Sciences Corporation — giving it more financial flexibility in a downturn.

05

Which is growing faster — BDSX or ONCO or EXAS or AGEN or ILMN?

By revenue growth (latest reported year), Biodesix, Inc.

(BDSX) is pulling ahead at 24. 1% versus -67. 7% for Onconetix, Inc. (ONCO). On earnings-per-share growth, the picture is similar: Illumina, Inc. grew EPS 170. 9% year-over-year, compared to 29. 2% for Biodesix, Inc.. Over a 3-year CAGR, BDSX leads at 32. 3% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — BDSX or ONCO or EXAS or AGEN or ILMN?

Illumina, Inc.

(ILMN) is the more profitable company, earning 19. 6% net margin versus -1721. 0% for Onconetix, Inc. — meaning it keeps 19. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ILMN leads at 19. 9% versus -778. 2% for ONCO. At the gross margin level — before operating expenses — AGEN leads at 90. 3%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is BDSX or ONCO or EXAS or AGEN or ILMN more undervalued right now?

On forward earnings alone, Agenus Inc.

(AGEN) trades at 2. 9x forward P/E versus 582. 8x for Exact Sciences Corporation — 579. 9x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for AGEN: 91. 9% to $7. 33.

08

Which pays a better dividend — BDSX or ONCO or EXAS or AGEN or ILMN?

In this comparison, ONCO (34.

1% yield) pays a dividend. BDSX, EXAS, AGEN, ILMN do not pay a meaningful dividend and should not be held primarily for income.

09

Is BDSX or ONCO or EXAS or AGEN or ILMN better for a retirement portfolio?

For long-horizon retirement investors, Exact Sciences Corporation (EXAS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

05), +1669% 10Y return). Agenus Inc. (AGEN) carries a higher beta of 2. 58 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (EXAS: +1669%, AGEN: -94. 2%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between BDSX and ONCO and EXAS and AGEN and ILMN?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: BDSX is a small-cap high-growth stock; ONCO is a small-cap income-oriented stock; EXAS is a mid-cap high-growth stock; AGEN is a small-cap quality compounder stock; ILMN is a mid-cap quality compounder stock. ONCO pays a dividend while BDSX, EXAS, AGEN, ILMN do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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BDSX

High-Growth Disruptor

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  • Market Cap > $100B
  • Revenue Growth > 21%
  • Gross Margin > 35%
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  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 46%
  • Dividend Yield > 13.6%
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EXAS

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 11%
  • Gross Margin > 41%
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AGEN

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 13%
  • Gross Margin > 21%
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ILMN

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Net Margin > 11%
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