Direct Bilirubin levels: what's normal, high and low
The processed (conjugated) form of bilirubin that the liver has prepared for excretion.
Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026
The short answer
Direct Bilirubin is measured with a standard blood draw; no fasting is needed. A typical reference range is 0.000 – 0.300 mg/dL. At TestWell it's $19.99 all-in as Liver Function Panel, results in 1–3 business days, drawn at Quest or Labcorp. An out-of-range result is a prompt to look closer, not a diagnosis.
- Units
- mg/dL
- Sample
- Blood draw
- Fasting
- Not required
- Results
- 1–3 business days
- Price
- $19.99
- Labs
- Quest or Labcorp · BioReference in NY/NJ
Direct Bilirubin Reference Range
These are the typical adult reference ranges used by major US labs. Your report will include the specific range used by the lab that processed your sample.
| Population | Range |
|---|---|
| age 18+ | 0.000 – 0.300 mg/dL |
Reference ranges are educational. Always interpret your result with the specific range printed on your lab report and discuss anything outside the range with a clinician.
What your Direct Bilirubin result may mean
Often reflects bile-flow obstruction or liver disease.
What a high Direct Bilirubin means: causes, symptoms, next steps →Educational only — not a diagnosis. Many factors can influence a single result. Discuss anything that concerns you with a healthcare provider.
How do you get a Direct Bilirubin test?
Order online, a licensed physician reviews the requisition, and you walk into a nearby lab for the draw. Direct Bilirubin is available on its own or inside these panels — panels cost less per marker when you want the fuller picture.
| Option | Includes | Price |
|---|---|---|
| Liver Function Panel | This marker only | $19.99 |
| Liver Health Panel | 4 tests | $59.99 |
| Fatty Liver Panel | 6 tests | $92.99 |
| Post-COVID Recovery Panel | 7 tests | $99.99 |
| Total Body Panel | 49 tests | $499.99 |
Quest vs. Labcorp for Direct Bilirubin: which lab should you pick?
Both are CLIA-certified national labs and the result is clinically equivalent, so pick whichever location is closer. Your report will print that lab's own reference range, which can differ slightly from the table above.
| Lab | Available | Price |
|---|---|---|
| Quest Diagnostics | Yes | $19.99 |
| Labcorp | Yes | $20.99 |
| BioReference (NY & NJ) | Yes | $22.99 |
Need help choosing a location? Use the lab finder to see draw sites near your ZIP.
Frequently asked
Often reflects bile-flow obstruction or liver disease. A single result above the reference range is a prompt to look closer with a clinician — often a repeat test and related markers — not a diagnosis on its own.
Ready to test your direct bilirubin?
Order in two minutes, get physician-approved, and visit a lab the same day. Starts at $19.99.