--- title: Immigration Exam Prep Panel type: panel id: immigration-prep url: "https://www.test-well.com/tests/immigration-exam-prep-panel" price_usd: 159.99 lab_fee_usd: 6 all_in_usd: 165.99 tests_included: 3 biomarkers_measured: 5 category: Immunity & Vaccination sample: Blood draw + urine sample fasting_required: false results_in: "3–5 business days" labs: - Labcorp - BioReference orderable: true order_url: "https://www.test-well.com/cart?add=immigration-exam-prep-panel&utm_source=ai_agent&utm_medium=markdown" --- # Immigration Exam Prep Panel > 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. *Know your results before your civil-surgeon exam* ## Key facts | Fact | Value | | --- | --- | | Price | $159.99 + $6 lab processing fee per order ($165.99 all-in) | | Versus buying separately | $184.97 for the 3 tests individually — the panel saves 14% | | Tests included | 3 | | Biomarkers measured | 5 | | Sample | Blood draw + urine sample | | Fasting | Not required | | Results | 3–5 business days | | Labs | Labcorp, BioReference (NY & NJ) | | Physician authorization | Included — no doctor's visit, referral or insurance needed | ## What does the Immigration Exam Prep Panel cover? The same screening markers checked at the immigration medical exam — TB blood test (QuantiFERON), syphilis with reflex confirmation, and gonorrhea/chlamydia — so nothing surprises you at your I-693 appointment. 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. **Clinical use:** 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. ## Who should order it? 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. ## Tests included | Test | Biomarkers | Standalone price | CPT | | --- | --- | --- | --- | | [Tuberculosis (TB) Blood Test](https://www.test-well.com/tests/tuberculosis-blood-test) | 1 (Interferon-gamma Response to TB Antigens) | $91.99 | — | | [Syphilis Test with Confirmation](https://www.test-well.com/tests/syphilis-test) | 2 (RPR Screen, FTA-ABS Confirmation (if reactive)) | $39.99 | — | | [Chlamydia & Gonorrhea (RNA, Urine)](https://www.test-well.com/tests/chlamydia-gonorrhea) | 2 (Chlamydia trachomatis RNA, Neisseria gonorrhoeae RNA) | $52.99 | — | ## Price by lab | Lab | Panel price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Labcorp | $159.99 | $165.99 | Choose at checkout | | BioReference (NY & NJ) | $144.99 | $150.99 | New York and New Jersey orders route here automatically | ## How do you prepare? 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. ## Related conditions - Latent tuberculosis infection (Z22.7) - Syphilis (A53.9) - Gonococcal infection (A54.9) ## Common questions about the Immigration Exam Prep Panel ### Does this panel satisfy the official immigration medical exam (Form I-693)? No — and be wary of anyone who says otherwise. The I-693 exam can only be performed by a USCIS-designated civil surgeon, who orders their own testing as part of the exam. What this panel does is screen the same markers in advance, so a surprise (like a positive TB blood test) doesn't derail your green-card timeline at the appointment. You can also share your results with your civil surgeon. ### Which tests does the immigration medical exam actually include? Per the CDC's Technical Instructions, civil surgeons test applicants for tuberculosis using an IGRA blood test ([QuantiFERON](https://www.test-well.com/tests/tuberculosis-blood-test)) for ages 2 and up, screen for [syphilis](https://www.test-well.com/tests/syphilis-test) (ages 18-44), and screen for [gonorrhea](https://www.test-well.com/tests/chlamydia-gonorrhea) (ages 18-24), plus review vaccination records. This panel covers all three lab markers. ### Why pre-screen before the civil surgeon appointment? A positive TB blood test discovered at the exam typically means a chest X-ray, possible latent-TB treatment, and weeks-to-months of delay — discovered at the worst possible time. Around 1 in 4 people worldwide carry latent TB, and it's especially common in many countries immigrants come from. Knowing your status early lets you complete any follow-up on your own schedule, before it can hold up your application. ### I had the BCG vaccine as a child — will I test positive for TB? Not because of BCG. The QuantiFERON blood test in this panel is not affected by prior BCG vaccination, unlike the older skin test (PPD), which frequently reads falsely positive in BCG-vaccinated people. That's exactly why the blood test is the standard for immigration screening — and why it's the right choice if you've had a 'positive' skin test before. ### How much does immigration test pre-screening cost? This panel is $159.99 (the three tests ordered separately would be $184.97). Civil-surgeon exams themselves typically run $200-500+, and repeat visits after a surprise finding add more — pre-screening is inexpensive insurance against a delayed application. No insurance or doctor's referral is needed, and HSA/FSA cards are accepted. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=immigration-exam-prep-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 Labcorp, BioReference (NY & NJ) patient service center covers every test in the panel. 5. Results post to your TestWell portal in 3–5 business days. ## Related - [Immunity Check Panel](https://www.test-well.com/tests/immunity-check-panel) — 3 tests · $329.99 - [All Immunity & Vaccination tests](https://www.test-well.com/tests/category/immunity-vaccination) - [Full test directory](https://www.test-well.com/tests/directory) --- Canonical page: https://www.test-well.com/tests/immigration-exam-prep-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.