Dual SIM Dual Standby (two or more SIMs, one radio) is cheaper, less battery, less space, and usually good enough. It's literally a few dollars, not 200-300.
DSDA in 5G is rare, and I can't reliably find a phone that can do it in EU or US (I can find higher end chipsets that can do it, but phone vendors don't seem to follow through with it). Usually it's 4G+5G or 4G+4G.
I blame niche-ness far more than the actual design and production costs.
Edit: fixed the pcb wording
perhaps you're more familiar with these options than I am, but I see 4 lane PCIe switches are 10x10 mm and maybe they are a few dollars but take more board space, new/larger power supplies, etc so it seems that the costs are more than just a few dollar PCIe switch chip. not sure how many phone PCBs can handle additional 100 mm2 but definitely looking forward to learning more.
[1] https://www.diodes.com/products/connectivity/pcie-packet-swi...
add to the antennas are likely based on best/cheapest efficiency for the available area, then additional antenna would reduce the area for each and require more effort/cost.
You are clearly out of your league. Get some 20 y/o flip Motorola, disassemble it and think, think hard.
No, 'PCIe switches' has nothing to do with the smartphones at all - so their PCB real estate do not indicate anything.