Know your results before your civil-surgeon exam
The short answer
Immigration Exam Prep Panel bundles 3 tests — Tuberculosis (TB) Blood Test, Syphilis Test with Confirmation and Chlamydia & Gonorrhea (RNA, Urine) — for $159.99 all-in (about $53.33 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 Labcorp.
Other Labs
Starting at $271
+ lab fees
TestWell
$159.99
The green-card medical exam (Form I-693) must be performed by a USCIS-designated civil surgeon — no direct-to-consumer test replaces it. What this panel does is let you walk in prepared: it screens the same infectious-disease markers the civil surgeon will test, weeks before your appointment. A positive TB blood test discovered AT the exam means chest X-rays, possible latent-TB treatment, and months of delay at the worst possible moment; discovering it early means you can start any needed follow-up on your own schedule. The panel includes the QuantiFERON-TB Gold Plus blood test (the modern TB test that is not affected by BCG vaccination, which most immigrants received), syphilis screening with automatic confirmatory testing, and urine-based gonorrhea/chlamydia screening — the same test types listed in the CDC's Technical Instructions for civil surgeons. Results are CLIA-certified and yours to keep.
Pre-screens the infectious-disease markers evaluated at the USCIS civil-surgeon medical exam (tuberculosis via IGRA blood test, syphilis with reflex confirmation, gonorrhea/chlamydia) so applicants can identify and address issues weeks before their I-693 appointment. Does not replace the civil-surgeon exam.
Green-card and adjustment-of-status applicants who want to know their TB and STI screening status before the official civil-surgeon exam — especially anyone BCG-vaccinated who has previously had a positive TB skin test.
Sample Type
Blood draw + urine sample
Fasting
Not required
Results In
3–5 business days
Biomarkers
5 across 3 tests
3 individual tests · 5 biomarkers measured — each test linked so you can learn more.
No fasting required. Do not urinate for at least 1 hour before your lab visit — a urine sample is collected for the gonorrhea/chlamydia portion.
The short answer
Worth it if a surprise result would hurt your immigration timeline - which is exactly what a positive TB test discovered AT the civil-surgeon exam does. This panel screens the same three lab markers the I-693 exam checks (TB, syphilis, gonorrhea) weeks ahead, for less than the cost of a second civil-surgeon visit. It does not replace the exam.
We would rather you order the right test than the most expensive one.
This is a walk-in visit: a venous blood draw (TB + syphilis) plus a urine sample (gonorrhea/chlamydia) at Labcorp, or BioReference for NY/NJ. Don't urinate for at least an hour before your visit so the urine portion is valid. No fasting. One visit covers all three markers.
An at-home draw is not recommended for this test — it needs a lab-based collection to be accurate.
The markers that matter most and what an out-of-range value can mean. Reference ranges vary by lab, age and sex.
| Marker | Typical range | What it means |
|---|---|---|
| QuantiFERON-TB Gold Plus | Negative | Positive means TB exposure (not active disease) - the finding that delays I-693s when discovered late. Early discovery means a chest X-ray and, for latent TB, a short treatment course on your schedule. |
| Syphilis RPR (with reflex confirmation) | Non-reactive | Reactive screens are automatically confirmed with treponemal testing. Confirmed syphilis is treatable with antibiotics; treated and documented infection does not make you inadmissible. |
| Chlamydia / Gonorrhea RNA (urine) | Not detected | Both are often symptomless and both are curable with antibiotics. The exam screens gonorrhea for applicants 18-24; knowing beforehand means treating beforehand. |
This section medically reviewed by Youmna DiStefano, MD — updated July 2026. General health information, not medical advice; interpret results with a qualified clinician.
A Immigration Exam Prep Panel costs $159.99 at TestWell — $165.99 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) | $159.99 | $165.99 | Includes the one $6 lab processing fee, charged once per order |
Competitor prices are read from the linked public pages and re-checked regularly; the labs' sites may add taxes or change prices without notice.
Starting at $271 at other labs
TestWell Price
$159.99
+ $6 lab processing fee at checkout
No insurance needed · HIPAA compliant
Individual tests that complement this panel
Immigration Exam Prep Panel
$159.99