United States securities and exchange commission logo April 30, 2024 Scott Hutton Chief Executive Officer Biodesix, Inc. 919 West Dillon Rd. Louisville, Colorado 80027 Re: Biodesix, Inc. Registration Statement on Form S-1 Filed April 23, 2024 File No. 333-278881 Dear Scott Hutton: This is to advise you that we have not reviewed and will not review your registration statement. Please refer to Rules 460 and 461 regarding requests for acceleration. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Please contact Jane Park at 202-551-7439 with any questions. Sincerely, Division of Corporation Finance Office of Industrial Applications and Services cc: Samir Gandhi, Esq.