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Revenue - Total Revenue by Category and by US versus Rest of World (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Disaggregation of Revenue [Line Items]        
Total revenue $ 156.4 $ 167.3 $ 500.6 $ 529.8
U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 135.3 144.4 434.5 464.0
RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 21.1 22.9 66.1 65.8
Molecular diagnostic testing        
Disaggregation of Revenue [Line Items]        
Total revenue 156.4 167.3 500.6 505.6
Molecular diagnostic testing | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 135.3 144.4 434.5 439.8
Molecular diagnostic testing | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 21.1 22.9 66.1 65.8
Hereditary Cancer        
Disaggregation of Revenue [Line Items]        
Total revenue 70.5 79.4 220.6 241.5
Hereditary Cancer | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 60.2 68.2 190.6 207.1
Hereditary Cancer | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 10.3 11.2 30.0 34.4
Tumor Profiling        
Disaggregation of Revenue [Line Items]        
Total revenue 30.8 32.9 96.9 94.4
Tumor Profiling | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 20.2 21.3 61.4 63.4
Tumor Profiling | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 10.6 11.6 35.5 31.0
Prenatal        
Disaggregation of Revenue [Line Items]        
Total revenue 22.1 23.6 87.3 76.7
Prenatal | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 21.9 23.5 86.7 76.3
Prenatal | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 0.2 0.1 0.6 0.4
Pharmacogenomics        
Disaggregation of Revenue [Line Items]        
Total revenue 33.0 24.1 95.5 64.3
Pharmacogenomics | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 33.0 24.1 95.5 64.3
Pharmacogenomics | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 0.0 0.0 0.0 0.0
Autoimmune        
Disaggregation of Revenue [Line Items]        
Total revenue 0.0 7.3 0.3 28.2
Autoimmune | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue 0.0 7.3 0.3 28.2
Autoimmune | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue 0.0 0.0 0.0 0.0
Other        
Disaggregation of Revenue [Line Items]        
Total revenue     0.0 0.5
Other | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue     0.0 0.5
Other | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue     0.0 0.0
Pharmaceutical and clinical services        
Disaggregation of Revenue [Line Items]        
Total revenue $ 0.0 $ 0.0 0.0 24.2
Pharmaceutical and clinical services | U.S.        
Disaggregation of Revenue [Line Items]        
Total revenue     0.0 24.2
Pharmaceutical and clinical services | RoW        
Disaggregation of Revenue [Line Items]        
Total revenue     $ 0.0 $ 0.0