--- title: Advanced Thyroid Panel type: panel id: advanced-thyroid url: "https://www.test-well.com/tests/advanced-thyroid-panel" price_usd: 129.99 lab_fee_usd: 6 all_in_usd: 135.99 tests_included: 7 biomarkers_measured: 8 category: Thyroid sample: Blood draw fasting_required: false results_in: "3–5 business days" labs: - Quest - Labcorp orderable: true reviewed_at: 2026-09-14 order_url: "https://www.test-well.com/cart?add=advanced-thyroid-panel&utm_source=ai_agent&utm_medium=markdown" --- # Advanced Thyroid Panel > Advanced Thyroid Panel bundles 7 tests — TSH (Thyroid Stimulating Hormone), Free T4 (Thyroxine) and Free T3 (Triiodothyronine) plus 4 more — for $129.99 all-in (about $18.57 per test). No fasting is needed; results post in 3–5 business days. Physician-authorized with no doctor's visit or insurance needed; one draw at Quest or Labcorp. *The complete thyroid picture — all 7 markers* ## Key facts | Fact | Value | | --- | --- | | Price | $129.99 + $6 lab processing fee per order ($135.99 all-in) | | Versus buying separately | $218.93 for the 7 tests individually — the panel saves 41% | | Tests included | 7 | | Biomarkers measured | 8 | | Sample | Blood draw | | Fasting | Not required | | Results | 3–5 business days | | Labs | Quest Diagnostics, Labcorp | | Physician authorization | Included — no doctor's visit, referral or insurance needed | ## What does the Advanced Thyroid Panel cover? The most comprehensive thyroid panel available — TSH, Free T4, Free T3, Reverse T3, both antibodies, and T3 Uptake. Standard thyroid screening typically includes only TSH and sometimes Free T4 — but many thyroid conditions require a deeper look. This panel includes all seven clinically relevant thyroid markers. TSH and Free T4 assess the basic thyroid axis. Free T3 measures the most metabolically active thyroid hormone. Reverse T3 detects conversion problems where T4 is shunted to the inactive form (common in chronic stress, inflammation, and dieting). TPO and Thyroglobulin antibodies screen for Hashimoto's thyroiditis — the most common cause of hypothyroidism — and Graves' disease. T3 Uptake evaluates binding protein capacity. This is the panel for anyone with thyroid symptoms that haven't been fully explained by basic screening. **Clinical use:** Comprehensive thyroid evaluation beyond standard: TSH, Free T4, Free T3, Reverse T3, TPO Antibodies, Thyroid Antibodies, plus T3 Uptake. The most complete single-draw thyroid workup. ## Who should order it? Patients with persistent thyroid symptoms despite 'normal' TSH, complex thyroid disease workup, suspected T3 toxicosis or central hypothyroidism, autoimmune thyroiditis evaluation, or fine-tuning replacement therapy. ## Tests included | Test | Biomarkers | Standalone price | CPT | | --- | --- | --- | --- | | [TSH (Thyroid Stimulating Hormone)](https://www.test-well.com/tests/tsh) | 1 (TSH) | $26.99 | 84443 | | [Free T4 (Thyroxine)](https://www.test-well.com/tests/free-t4-test) | 1 (Free T4) | $23.99 | 84439 | | [Free T3 (Triiodothyronine)](https://www.test-well.com/tests/free-t3) | 1 (Free T3) | $30.99 | 84481 | | [Reverse T3](https://www.test-well.com/tests/reverse-t3) | 1 (Reverse T3) | $35.99 | 84482 | | [Thyroid Antibodies](https://www.test-well.com/tests/thyroid-antibodies) | 2 (TPO Antibodies, Thyroglobulin Antibodies) | $51.99 | 86376, 86800 | | [Thyroid Peroxidase (TPO) Antibodies](https://www.test-well.com/tests/tpo-antibodies) | 1 (TPO Antibodies) | $25.99 | 86376 | | [T3 Uptake](https://www.test-well.com/tests/t3-uptake-test) | 1 (T3 Uptake) | $22.99 | 84479 | ## Price by lab | Lab | Panel price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Quest Diagnostics | $129.99 | $135.99 | Choose at checkout | | Labcorp | $159.99 | $165.99 | Choose at checkout | ## How much does a Advanced Thyroid Panel cost? A Advanced Thyroid Panel costs $129.99 at TestWell — $135.99 all-in when ordered alone, because the $6 lab processing fee is charged once per order, with no draw fee or physician fee added. With insurance, what you pay depends on your deductible and your plan's negotiated rate; TestWell's price is fixed before the draw and is HSA/FSA-eligible. | Where you order | Price | One test, all-in | Notes | | --- | --- | --- | --- | | TestWell (drawn at Quest or Labcorp) | $129.99 | $135.99 | Includes the one $6 lab processing fee, charged once per order | ## How do you prepare? No fasting required. If on thyroid medication, take your dose after the blood draw. ## Related conditions - [Hypothyroidism](https://www.test-well.com/conditions/thyroid-problems) (E03.9) - [Hyperthyroidism](https://www.test-well.com/conditions/thyroid-problems) (E05.90) - Hashimoto thyroiditis (E06.3) - Graves disease (E05.00) ## Is the Advanced Thyroid Panel worth it? > Yes when a basic TSH came back borderline, symptoms persist despite a normal TSH, or you're working up suspected Hashimoto's — this is the full 7-marker picture (TSH, Free T4, Free T3, Reverse T3, TPO and thyroglobulin antibodies). For routine screening, start with TSH alone. ### Worth it if you… - Persistent fatigue/weight/temperature/hair symptoms with a "normal" basic TSH - A borderline or abnormal TSH that needs the complete follow-up workup - Family history of thyroid disease — antibodies can precede TSH changes by years - Anyone on thyroid medication whose dose hasn't been re-checked with a full panel ### You can probably wait if you… - You're symptom-free and just want a routine screen — [TSH](https://www.test-well.com/tests/tsh) or [TSH + Free T4](https://www.test-well.com/tests/tsh-with-free-t4) covers screening for far less - You had a full thyroid workup in the last 6–12 months with stable results ### At home or in the lab? At-home collection is available. One tube, available at-home or in-lab. Morning draws are best for comparability; if you take thyroid medication, draw BEFORE your dose that day (note it either way). ### How do you read the results? | Result | Typical adult range | What an out-of-range value can mean | | --- | --- | --- | | TSH | ~0.4–4.5 mIU/L | The pituitary's signal — high suggests an underactive thyroid, low an overactive one. | | Free T4 / Free T3 | ~0.8–1.8 ng/dL / ~2.3–4.2 pg/mL | The actual circulating hormones. Low-normal T3 with symptoms is a common conversion discussion point. | | Reverse T3 | ~9–24 ng/dL | Elevated rT3 can reflect illness, stress, or dieting shunting conversion away from active T3. | | TPO antibodies | Below ~34 IU/mL (lab-dependent) | Elevated TPO is the hallmark of Hashimoto's and can precede TSH changes by years. | _This section medically reviewed; last reviewed 2026-08-06._ ## Common questions about the Advanced Thyroid Panel ### What's included in the Advanced Thyroid Panel? [TSH](https://www.test-well.com/tests/tsh), [Free T4](https://www.test-well.com/tests/free-t4-test), [Free T3](https://www.test-well.com/tests/free-t3), [Reverse T3](https://www.test-well.com/tests/reverse-t3), [TPO Antibodies](https://www.test-well.com/tests/tpo-antibodies), [Thyroid Antibodies](https://www.test-well.com/tests/thyroid-antibodies) (Hashimoto's autoimmune marker), and [T3 Uptake](https://www.test-well.com/tests/t3-uptake-test) (thyroid-hormone binding assessment). Covers every clinically relevant thyroid axis in one draw. ### How is this different from the Complete Thyroid Panel? [Complete Thyroid Panel](https://www.test-well.com/tests/thyroid-complete-panel) at $109 has 5 tests (TSH, Free T4, Free T3, Reverse T3, TPO Ab) — sufficient for most workups. Advanced Thyroid Panel adds [Thyroid Antibodies](https://www.test-well.com/tests/thyroid-antibodies) (catches Hashimoto's cases TPO alone can miss) and [T3 Uptake](https://www.test-well.com/tests/t3-uptake-test) (helps assess thyroid-hormone binding and free-hormone status). ### When should I order Advanced over Thyroid Complete? Persistent symptoms with a negative TPO result — Thyroid Antibodies catch additional autoimmune cases. Fine-tuning thyroid replacement when standard markers don't match symptoms. Suspected T3-conversion or binding issues where Reverse T3 and T3 Uptake add clarity. ### How much does the Advanced Thyroid Panel cost without insurance? On TestWell, the Advanced Thyroid Panel is $129.99. Ordering the same tests separately would be about $190. Quest Direct lists comparable bundles at $300, walk-in hospital labs typically bill $600-900 without insurance. ### Do I need to fast? No fasting required. Draw at the same time of day for serial monitoring, and at least 4 hours after levothyroxine dose if on thyroid replacement. ### Why include both TPO and Thyroid Antibodies? [TPO Antibodies](https://www.test-well.com/tests/tpo-antibodies) are the primary Hashimoto's marker, but a subset of autoimmune thyroid disease shows [Thyroid Antibodies](https://www.test-well.com/tests/thyroid-antibodies) (thyroglobulin antibodies) instead. Running both catches autoimmune thyroiditis a TPO-only screen would miss — useful when symptoms persist despite a normal TSH and negative TPO. ### How often should I retest? Annually for stable thyroid disease. Every 3 months in active management. Every 6 months for post-cancer surveillance (with imaging). ### TSH vs full panel — which do I need? Screening: TSH (add Free T4 for one step more). Investigating symptoms or a borderline result: the full panel, because TSH alone misses antibody disease and conversion issues. ### My TSH is normal but I still have symptoms — can this panel help? It's the standard next step: Free T3, Reverse T3, and antibodies catch patterns a TSH-only screen can't. Bring the results to your clinician for interpretation. ### Does biotin affect results? Yes — high-dose biotin can skew thyroid immunoassays. Stop biotin supplements at least 48 hours before your draw. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=advanced-thyroid-panel&utm_source=ai_agent&utm_medium=markdown 2. Create an account or sign in, confirm your state and preferred lab, pay by card, HSA or FSA. 3. A licensed physician authorizes the order (usually within minutes); the requisition arrives by email. 4. One draw at any Quest Diagnostics, Labcorp patient service center covers every test in the panel. 5. Results post to your TestWell portal in 3–5 business days. ## Related - [Blood Tests for Thyroid Symptoms](https://www.test-well.com/guides/blood-tests-for-thyroid-symptoms) - [Complete Thyroid Panel](https://www.test-well.com/tests/thyroid-complete-panel) — 4 tests · $109.99 - [Essential Thyroid Panel](https://www.test-well.com/tests/essential-thyroid-panel) — 3 tests · $49.99 - [Hashimoto's Thyroid Panel](https://www.test-well.com/tests/hashimotos-thyroid-panel) — 3 tests · $97.99 - [All Thyroid tests](https://www.test-well.com/tests/category/thyroid) - [Full test directory](https://www.test-well.com/tests/directory) --- Medically reviewed by Youmna DiStefano, MD (Medical Reviewer, TestWell); last reviewed 2026-09-14. Review policy: https://www.test-well.com/reviewers/youmna-distefano-md Canonical page: https://www.test-well.com/tests/advanced-thyroid-panel Machine-readable catalog: https://www.test-well.com/api/catalog.json · MCP server: https://www.test-well.com/mcp · Overview for agents: https://www.test-well.com/llms.txt Prices are cash-pay, in USD, and include physician authorization; every order adds one flat $6 lab processing fee. Educational content is not a diagnosis — discuss results with a clinician.