--- title: PSA, Free & Total Test type: test id: psa-free-total url: "https://www.test-well.com/tests/psa-free-and-total" price_usd: 48.99 lab_fee_usd: 6 all_in_usd: 54.99 cpt: 84153, 84154 category: Cancer Screening sample: Blood draw fasting_required: false results_in: "2–5 business days" labs: - Quest - Labcorp - BioReference orderable: true reviewed_at: 2026-09-14 order_url: "https://www.test-well.com/cart?add=psa-free-and-total&utm_source=ai_agent&utm_medium=markdown" --- # PSA, Free & Total Test > 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 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. ## Key facts | Fact | Value | | --- | --- | | Price | $48.99 + $6 lab processing fee per order ($54.99 all-in for this test alone) | | CPT code | 84153, 84154 | | Sample | Blood draw | | Fasting | Not required | | Results | 2–5 business days | | Labs | Quest Diagnostics, Labcorp, BioReference (NY & NJ) | | Biomarkers measured | 3 | | 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 PSA, Free & Total test tell you? Total PSA plus free PSA percentage — helps distinguish prostate cancer from benign enlargement. 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. **Clinical use:** 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). ## Who should order it? 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. ## Biomarkers measured - [PSA Total](https://www.test-well.com/biomarkers/psa-total) - [PSA Free](https://www.test-well.com/biomarkers/free-psa) - [Free PSA %](https://www.test-well.com/biomarkers/free-psa) ## Price by lab | Lab | Test price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Quest Diagnostics | $48.99 | $54.99 | Choose at checkout; walk-in patient service centers nationwide (not NY/NJ) | | Labcorp | $48.99 | $54.99 | Choose at checkout; walk-in patient service centers nationwide (not NY/NJ) | | BioReference (NY & NJ) | $55.99 | $61.99 | 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 PSA, Free & Total test cost? A PSA, Free & Total 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 | | 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. ## How do you prepare? Avoid ejaculation for 48 hours before. No vigorous cycling for 48 hours before. ## Related conditions - Prostate cancer (C61) - Benign prostatic hyperplasia (BPH) (N40.0) - Elevated PSA (R97.20) - Prostatitis (N41.9) ## Common questions about the PSA, Free & Total test ### What does the Free % tell me? 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 should I order Free + Total instead of Total alone? When your previous [Total PSA](https://www.test-well.com/tests/psa-total) 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. ### How accurate is Free PSA at predicting cancer? 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. ### How much does PSA Free + Total cost without insurance? 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. ### What CPT codes are billed? Total PSA: CPT 84153. Free PSA: CPT 84154. Both appear together on the requisition. ### Do I need to fast or prepare? 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. ### Should I add this to a routine men's screening? Not initially — start with [Total PSA](https://www.test-well.com/tests/psa-total) 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. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=psa-free-and-total&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 2–5 business days with reference ranges and flags. ## Related - [Men's Health Advanced Panel](https://www.test-well.com/tests/mens-health-advanced-panel) — 22 tests · $299.99 - [CA 19-9 (Pancreatic Cancer Marker)](https://www.test-well.com/tests/ca-19-9-test) — $28.99 - [Colon Cancer Screening Test (FIT)](https://www.test-well.com/tests/fit-fecal-immunochemical-test) — $59.99 - [Galleri Multi-Cancer Early Detection Test](https://www.test-well.com/tests/galleri-multi-cancer-detection) — $949.99 - [All Cancer Screening tests](https://www.test-well.com/tests/category/cancer-screening) - [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/psa-free-and-total 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.