The short answer
PSA, Free & Total measures PSA Total, PSA Free and Free PSA % from a standard blood draw. At TestWell it costs $48.99 plus a $6 lab processing fee, needs no fasting, and results post in 2–5 business days. Physician-authorized with no doctor's visit or insurance needed; draw at Quest or Labcorp.
Hospital Lab
$180
cash pay
Other Labs
$60
+ lab fees
TestWell
$48.99
+ $6 lab processing fee
This test measures both total PSA and the percentage of free (unbound) PSA. The ratio of free to total PSA can help distinguish between prostate cancer and benign conditions like BPH. A lower percentage of free PSA is associated with a higher probability of prostate cancer. This test is particularly useful when total PSA falls in the 'gray zone' of 4–10 ng/mL.
Total + Free PSA with calculated Free% ratio. Used when Total PSA is in the gray zone (4-10 ng/mL) to better distinguish prostate cancer from benign enlargement (BPH).
Men with a Total PSA between 4-10 ng/mL, men considering biopsy after an elevated single PSA, anyone with prior elevated PSA wanting clearer risk stratification before invasive workup.
Sample Type
Blood draw
Fasting
Not required
Results In
2–5 business days
Performed At
Quest or Labcorp
3 biomarkers tested · 2 measured, 1 calculated from them
Your PSA, Free & Total results will include values for each of the 3 biomarkers tested, along with reference ranges. Results are reviewed by a licensed physician before being released to your secure portal.
If any values fall outside the normal range, your report will include guidance on what that may mean and recommended next steps. You'll receive an email notification when your results are ready, typically within 2–5 business days.
Typical reference range layout
Lab reports show where your value sits relative to established reference intervals—your physician interprets this in context for you. Already have results? Analyze them with your AI assistant against our physician-reviewed ranges.
Avoid ejaculation for 48 hours before. No vigorous cycling for 48 hours before.
What can throw off this result
Physician-reviewed “Before your test” pages — what each factor does, for how long, and what to do about it.
A Free & Total PSA test costs $48.99 at TestWell — $54.99 all-in when ordered alone, because the $6 lab processing fee is charged once per order, with no draw fee or physician fee added. Hospital outpatient labs typically bill around $180.00 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) | $48.99 | $54.99 | Includes the one $6 lab processing fee, charged once per order |
| TestWell (drawn at BioReference — New York & New Jersey) | $55.99 | $61.99 | New York and New Jersey orders route to BioReference; Quest Health and Labcorp OnDemand don't take self-ordered draws in those states |
| Hospital outpatient lab, self-pay (typical) | $180.00 | $180.00 | Reference figure; hospital charges vary widely by facility and are often higher |
Lab test codes: Quest test code 31348 · Labcorp test no. 480947 · BioReference code 2088-3. Competitor prices are read from the linked public pages and re-checked regularly; the labs' sites may add taxes or change prices without notice.
Compare more: Quest Diagnostics price list · Labcorp price list · Quest vs Labcorp · Lab test price checker
Free PSA / Total PSA × 100. Below 10% suggests cancer (lower Free% = higher cancer risk); 10-25% is intermediate; above 25% suggests BPH or benign causes. Most useful when Total PSA is in the 4-10 gray zone, where biopsy decisions are difficult.
When your previous Total PSA was between 4-10 ng/mL. Below 4 ng/mL: Total alone is sufficient. Above 10 ng/mL: cancer probability is high regardless of Free %, and you should see urology for biopsy regardless. The 4-10 gray zone is where Free% changes clinical decisions.
Free PSA % is moderately predictive — Free% <10% has roughly 56% positive predictive value for cancer; >25% drops cancer risk to <8%. Not perfect, but enough to help avoid unnecessary biopsies in many borderline cases. Other markers (PHI, 4Kscore, prostate MRI) can refine further.
On TestWell, PSA Free + Total is $48.99. Quest Direct lists the same combo at $60, walk-in hospital labs typically bill $140-180 without insurance.
No fasting required. Avoid ejaculation, vigorous bike riding, and digital rectal exams for 48 hours before — all can transiently elevate PSA and skew the Free% calculation.
Not initially — start with Total PSA for routine screening (cheaper, sufficient for most men). Add Free PSA only if Total comes back 4-10, or if family history warrants more granular risk assessment from the start.
Free & Total PSA test 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.
Common medications can change a Free & Total PSA test result without anything being wrong. Common medications can lower PSA Total — clinicians double the PSA for interpretation. Each factor is covered on our physician-reviewed "Before your test" pages; when one applies, the fix is usually to remove it and retest.
Order the Free & Total PSA test online from TestWell for $48.99 (plus a $6 per-order lab processing fee) — no doctor's visit, referral or insurance needed. A licensed physician authorizes the order, then you walk into any Quest or Labcorp patient service center near you for the draw (the lab locator on our site lists the closest ones by ZIP code), and results arrive in 2–5 business days.
The CPT code for a Free & Total PSA test is 84153, 84154. You can order it from TestWell for $48.99 — no doctor's visit or insurance required, with results in 2–5 business days.
The Free & Total PSA test is Quest Diagnostics test code 31348, Labcorp test number 480947, BioReference code 2088-3 (CPT 84153, 84154). TestWell orders it under those codes for $48.99 at Quest, Labcorp or BioReference — no doctor's visit or insurance required, results in 2–5 business days. Codes verified against the labs' catalogs in 2026.
Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026
TestWell Price
$48.99
+ $6 lab processing fee at checkout
No insurance needed · HIPAA compliant
Frequently ordered together
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PSA, Free & Total
$48.99