--- title: Lp(a) Hereditary Heart Risk Test Test type: test id: lp-a url: "https://www.test-well.com/tests/lipoprotein-a" price_usd: 34.99 lab_fee_usd: 6 all_in_usd: 40.99 cpt: 83695 category: Heart Health sample: Blood draw fasting_required: false results_in: "3–5 business days" labs: - Quest - Labcorp - BioReference orderable: true reviewed_at: 2026-09-14 order_url: "https://www.test-well.com/cart?add=lipoprotein-a&utm_source=ai_agent&utm_medium=markdown" --- # Lp(a) Hereditary Heart Risk Test Test > Measures Lp(a) — a genetically determined cardiovascular risk factor that standard lipid panels miss, measured from a standard blood draw. At TestWell it costs $34.99 plus a $6 lab fee, needs no fasting, and results post in 3–5 business days. Physician-authorized with no doctor's visit or insurance needed; draw at Quest or Labcorp. ## Key facts | Fact | Value | | --- | --- | | Price | $34.99 + $6 lab processing fee per order ($40.99 all-in for this test alone) | | CPT code | 83695 | | Sample | Blood draw | | Fasting | Not required | | Results | 3–5 business days | | Labs | Quest Diagnostics, Labcorp, BioReference (NY & NJ) | | Biomarkers measured | 1 | | Physician authorization | Included — no doctor's visit, referral or insurance needed | | Payment | Card, HSA or FSA; cash-pay only (no insurance billing) | ## What does the Lp(a) Hereditary Heart Risk Test test tell you? Measures Lp(a) — a genetically determined cardiovascular risk factor that standard lipid panels miss. Lipoprotein(a) is a type of LDL particle that is largely determined by genetics. Elevated Lp(a) is an independent risk factor for heart disease and stroke that standard lipid panels do not measure. Since Lp(a) levels are genetic and largely stable throughout life, this test only needs to be done once. The American Heart Association recommends measuring Lp(a) at least once for anyone with a family history of early heart disease. **Clinical use:** Lipoprotein(a) is an LDL-like particle linked tightly to genetics. Elevated Lp(a) is an independent cardiovascular risk factor — measure once in a lifetime per ESC guidelines. ## Who should order it? Anyone with family history of early heart disease, recurrent cardiovascular events despite well-controlled LDL, anyone doing a serious longevity / cardio workup. Measure once unless you start a PCSK9 inhibitor. ## Biomarkers measured - [Lipoprotein(a)](https://www.test-well.com/biomarkers/lipoprotein-a) ## Price by lab | Lab | Test price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Quest Diagnostics | $34.99 | $40.99 | Choose at checkout; walk-in patient service centers nationwide (not NY/NJ) | | Labcorp | $34.99 | $40.99 | Choose at checkout; walk-in patient service centers nationwide (not NY/NJ) | | BioReference (NY & NJ) | $24.99 | $30.99 | New York and New Jersey orders route here automatically | Rhode Island is not served. Prices are identical online and in the lab; no draw fee or physician fee is added. ## How much does a Lp(a) Hereditary Heart Risk Test test cost? A Lp(a) Hereditary Heart Risk Test test costs $34.99 at TestWell — $40.99 all-in when ordered alone, because the $6 lab processing fee is charged once per order, with no draw fee or physician fee added. Ordered directly from the labs' own consumer sites, the same test lists at $45.00 at Quest Health and $49.00 at Labcorp OnDemand (list prices checked Sep 12, 2026). Hospital outpatient labs typically bill around $150.00 self-pay for the same test, and often more. 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) | $34.99 | $40.99 | Includes the one $6 lab processing fee, charged once per order | | Quest Health (Quest Diagnostics' own site) | $45.00 | $45.00 | [list price checked 2026-09-12](https://www.questhealth.com/product/lipoprotein-a-lpa-test/34604M.html) | | Labcorp OnDemand (Labcorp's own site) | $49.00 | $49.00 | [list price checked 2026-09-12](https://www.ondemand.labcorp.com/lab-tests/lipoprotein-a-test) | | Hospital outpatient lab, self-pay (typical) | $150.00 | $150.00 | Reference figure; hospital charges vary widely by facility and are often higher | Lab test codes: Quest test code 91729 · Labcorp test no. 120188 · BioReference code 1639-4. ## How do you prepare? No fasting required. No special preparation needed. ## Related conditions - [Cardiovascular disease risk](https://www.test-well.com/conditions/heart-disease-risk) - Familial hypercholesterolemia (E78.01) - Atherosclerosis (I70.90) - Aortic valve stenosis (I35.0) ## Common questions about the Lp(a) Hereditary Heart Risk Test test ### What is Lp(a) and why does it matter? Lp(a) is an LDL particle with an extra protein (apo(a)) attached. Levels are 80-90% genetically determined and don't respond to diet or statins. Elevated Lp(a) raises heart attack and aortic stenosis risk independently of LDL — about 20% of the population is affected. ### What's a healthy Lp(a) level? Below 30 mg/dL (or 75 nmol/L) is low risk. 30-50 mg/dL is moderate. Above 50 mg/dL is high cardiovascular risk. Above 75 mg/dL is very high — these patients warrant aggressive LDL lowering plus annual cardiac monitoring. ### Why does the ESC say measure once? Lp(a) is 80-90% genetic and stable across decades. A single measurement gives you lifetime risk information. Repeat only if you start a PCSK9 inhibitor (which can lower Lp(a) by ~25%) or if methods change at your lab. ### How much does an Lp(a) test cost without insurance? On TestWell, Lp(a) is $34.99. Quest Direct lists the same test at $55, walk-in hospital labs typically bill $120-150 without insurance. ### What is the CPT code for Lp(a)? The CPT code for Lipoprotein(a) is 83695. ### Do I need to fast for Lp(a)? No fasting required for Lp(a) alone. But it's almost always drawn alongside a [Lipid Panel](https://www.test-well.com/tests/lipid-panel) and [ApoB](https://www.test-well.com/tests/apolipoprotein-b), which do benefit from fasting. ### Can I lower Lp(a)? Diet, exercise, and statins have minimal effect. Niacin lowers it modestly (~20%). PCSK9 inhibitors (Repatha, Praluent) lower it ~25%. New Lp(a)-targeted drugs (pelacarsen) are in late-stage trials and can lower levels 80%+. For now, the strategy is to aggressively lower other risk factors (LDL, ApoB, BP) when Lp(a) is high. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=lipoprotein-a&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. Walk into any Quest Diagnostics, Labcorp, BioReference (NY & NJ) patient service center — no appointment needed at most sites. 5. Results post to your TestWell portal in 3–5 business days with reference ranges and flags. ## Related - [Advanced Heart Health Blood Tests: Beyond Cholesterol](https://www.test-well.com/guides/advanced-heart-health-blood-tests) - [Blood Tests to Get at 40](https://www.test-well.com/guides/blood-tests-at-40) - [Blood Tests for Men's Health](https://www.test-well.com/guides/blood-tests-for-mens-health) - [Heart Health Panel](https://www.test-well.com/tests/heart-health-panel) — 5 tests · $99.99 - [Total Body Panel](https://www.test-well.com/tests/total-body-panel) — 49 tests · $499.99 - [Advanced Cholesterol Particle Test (NMR)](https://www.test-well.com/tests/nmr-lipoprofile) — $70.99 - [ApoB — Heart Attack Risk Predictor](https://www.test-well.com/tests/apolipoprotein-b) — $30.99 - [ApoE Genotype (Cardiovascular Risk)](https://www.test-well.com/tests/apoe-genotype-cardio) — $133.99 - [Fibrinogen Activity](https://www.test-well.com/tests/fibrinogen-test) — $22.99 - [Homocysteine](https://www.test-well.com/tests/homocysteine) — $27.99 - [All Heart Health tests](https://www.test-well.com/tests/category/heart-health) - [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/lipoprotein-a 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.