--- title: Insulin Resistance Panel (HOMA-IR) type: panel id: diabetes-panel url: "https://www.test-well.com/tests/insulin-resistance-panel" price_usd: 59.99 lab_fee_usd: 6 all_in_usd: 65.99 tests_included: 3 biomarkers_measured: 3 category: Diabetes & Blood Sugar sample: Blood draw fasting_required: true results_in: "2–5 business days" labs: - Quest - BioReference orderable: true reviewed_at: 2026-09-14 order_url: "https://www.test-well.com/cart?add=insulin-resistance-panel&utm_source=ai_agent&utm_medium=markdown" --- # Insulin Resistance Panel (HOMA-IR) > Insulin Resistance Panel (HOMA-IR) bundles 3 tests — Hemoglobin A1c, Glucose, Fasting and Insulin, Fasting — for $59.99 plus one $6 lab processing fee (about $20.00 per test). Fast 8–12 hours before the draw; results post in 2–5 business days. Physician-authorized with no doctor's visit or insurance needed; one draw at Quest. *Catch insulin resistance years before symptoms appear* ## Key facts | Fact | Value | | --- | --- | | Price | $59.99 + $6 lab processing fee per order ($65.99 all-in) | | Versus buying separately | $69.97 for the 3 tests individually — the panel saves 14% | | Tests included | 3 | | Biomarkers measured | 3 | | Sample | Blood draw | | Fasting | Yes — 8–12 hours | | Results | 2–5 business days | | Labs | Quest Diagnostics, BioReference (NY & NJ) | | Physician authorization | Included — no doctor's visit, referral or insurance needed | ## What does the Insulin Resistance Panel (HOMA-IR) cover? The insulin resistance test: fasting insulin and fasting glucose for your HOMA-IR score, plus A1c for the 3-month picture. The Insulin Resistance Panel combines three key tests to evaluate blood sugar control and insulin resistance. Hemoglobin A1c provides a 2–3 month average, fasting glucose gives a current snapshot, and fasting insulin detects insulin resistance — often the earliest sign of metabolic dysfunction, appearing years before glucose or A1c become abnormal. Together, these three tests provide the most complete picture of diabetes risk. **Clinical use:** 3 metabolic tests: A1c (3-month average glucose), Fasting Glucose (current snapshot), Fasting Insulin. Detects insulin resistance years before A1c becomes diabetic. ## Who should order it? Anyone with diabetes risk factors (BMI 25+, family history, sedentary, GLP-1 patient), age 35+ for routine screening, anyone with prediabetes managing their progression, women with PCOS. ## Tests included | Test | Biomarkers | Standalone price | CPT | | --- | --- | --- | --- | | [Hemoglobin A1c](https://www.test-well.com/tests/hemoglobin-a1c) | 1 (Hemoglobin A1c) | $21.99 | 83036 | | [Glucose, Fasting](https://www.test-well.com/tests/glucose-fasting) | 1 (Glucose) | $24.99 | 82947 | | [Insulin, Fasting](https://www.test-well.com/tests/insulin-fasting) | 1 (Insulin) | $22.99 | 83525 | ## Price by lab | Lab | Panel price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Quest Diagnostics | $59.99 | $65.99 | Choose at checkout | | BioReference (NY & NJ) | $64.99 | $70.99 | New York and New Jersey orders route here automatically | ## How much does an Insulin Resistance Panel (HOMA-IR) cost? An Insulin Resistance Panel (HOMA-IR) costs $59.99 at TestWell — $65.99 all-in, since the $6 lab processing fee is charged once per order and there is no draw or physician fee. With insurance you pay your plan's negotiated rate against your deductible; TestWell's price is fixed before the draw and HSA/FSA-eligible. | Where you order | Price | One test, all-in | Notes | | --- | --- | --- | --- | | TestWell (drawn at Quest or Labcorp) | $59.99 | $65.99 | Includes the one $6 lab processing fee, charged once per order | ## How do you prepare? Fasting for 10–12 hours is required. Water is okay. ## Related conditions - [Type 2 diabetes](https://www.test-well.com/conditions/diabetes-screening) (E11.9) - [Prediabetes](https://www.test-well.com/conditions/diabetes-screening) (R73.03) - Insulin resistance (E88.81) - Metabolic syndrome (E88.81) ## Common questions about the Insulin Resistance Panel (HOMA-IR) ### What's included in the Insulin Resistance Panel? Three tests: [Hemoglobin A1c](https://www.test-well.com/tests/hemoglobin-a1c) (3-month average glucose), [Fasting Glucose](https://www.test-well.com/tests/glucose-fasting) (today's morning snapshot), and Fasting Insulin (the earliest insulin-resistance marker). Together they cover diagnosis (A1c), monitoring (Glucose), and early detection (Insulin) in one draw. ### Why include Fasting Insulin? Insulin resistance precedes elevated A1c by years (often a decade). A high fasting insulin with normal glucose is the earliest warning sign — and the most actionable: lifestyle changes (low-carb diet, resistance training, weight loss) are highly effective at this stage. Calculate HOMA-IR (Insulin × Glucose / 405) — values above 2.0 suggest insulin resistance. ### How is this different from just an A1c test? [A1c](https://www.test-well.com/tests/hemoglobin-a1c) alone tells you your average glucose over the past 3 months — useful for diagnosis and monitoring. Diabetes Panel adds Fasting Glucose (catches sudden glucose changes A1c misses) and Fasting Insulin (catches insulin resistance years before A1c rises). For someone with risk factors or early symptoms, the full panel is more useful. ### How much does the Insulin Resistance Panel cost without insurance? On TestWell, the Insulin Resistance Panel is $59.99. Ordering the same 3 tests separately would be about $75. Quest Health lists comparable bundles at $100, walk-in hospital labs typically bill $250-350 for the same biomarkers without insurance. ### Do I need to fast, or can I eat before an Insulin Resistance Panel (HOMA-IR)? Yes — 8-12 hours of fasting (water only) for accurate Fasting Glucose and Fasting Insulin. [A1c](https://www.test-well.com/tests/hemoglobin-a1c) does not require fasting but is included in the same draw. ### Should I add C-peptide or HbA1c only? C-peptide distinguishes Type 1 from Type 2 diabetes (low C-peptide = T1, requires insulin). Add it if your diagnosis is unclear or if you have insulin-deficiency symptoms. For routine T2 screening, this panel is sufficient. ### Can I get this panel at LabCorp or Quest near me? Yes — all three tests are available at Quest Diagnostics and LabCorp patient service centers nationwide. Order on TestWell, pick your preferred lab, and we'll generate a digital requisition for any of their walk-in locations. ### How often should I retest? Annually for adults 35+ with risk factors. Every 3-6 months if you're prediabetic or actively making metabolic interventions. Every 3 months on a GLP-1 (Ozempic, Mounjaro, Wegovy, Zepbound). Annually for healthy adults under 35 with risk factors. ### How long does it take to get Insulin Resistance Panel (HOMA-IR) results? Insulin Resistance Panel (HOMA-IR) results are typically ready in 2–5 business days after your draw at Quest or Labcorp. TestWell emails you the moment they post, and your results dashboard shows each marker against its reference range with a plain-English explanation. ### What can throw off an Insulin Resistance Panel (HOMA-IR) result? Eating before the draw and trying to lower a result before a test (A1c, glucose, cholesterol, testosterone) can change an Insulin Resistance Panel (HOMA-IR) result without anything being wrong. Eating before the draw can raise Glucose and Insulin — fast 8 hours (8–12 is fine); water only. Trying to lower a result before a test (A1c, glucose, cholesterol, testosterone) can interfere with Hemoglobin A1c and can lower Glucose — nothing to do; the number reflects the last quarter. Each is explained on our physician-reviewed "Before your test" pages; when one applies, remove it and retest. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=insulin-resistance-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, BioReference (NY & NJ) patient service center covers every test in the panel. 5. Results post to your TestWell portal in 2–5 business days. ## Related - [A1c Levels Explained: Normal Ranges, Prediabetes Cutoffs, and What Can Skew Your Number](https://www.test-well.com/guides/a1c-levels-explained) - [How Much Does an A1c Test Cost? Pharmacy, Home Kit, Doctor's Office and Lab Prices, With and Without Insurance](https://www.test-well.com/guides/a1c-test-cost) - [Blood Tests for Men's Health](https://www.test-well.com/guides/blood-tests-for-mens-health) - [Pre-Diabetes Panel](https://www.test-well.com/tests/pre-diabetes-panel) — 5 tests · $89.99 - [All Diabetes & Blood Sugar tests](https://www.test-well.com/tests/category/diabetes-blood-sugar) - [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/insulin-resistance-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.