The short answer
Thyroid Panel with TSH measures TSH, Total T4 (Thyroxine) and T3 Uptake plus 1 more from a standard blood draw. At TestWell it costs $36.99 plus a $6 lab processing fee, needs no fasting, and results post in 1–3 business days. Physician-authorized with no doctor's visit or insurance needed; draw at Quest or Labcorp.
Hospital Lab
$200
cash pay
Other Labs
$65
+ lab fees
TestWell
$36.99
+ $6 lab processing fee
The Thyroid Panel with TSH is the classic thyroid workup that Quest and Labcorp have offered for decades: TSH, Total T4 (thyroxine), T3 Uptake, and the Free T4 Index (FTI) — a value calculated from Total T4 and T3 Uptake that estimates free hormone activity. It screens for hypothyroidism and hyperthyroidism and is a good choice for tracking trends against older results from the same panel. Note: this panel estimates free hormone levels rather than measuring them directly. If you want directly measured free hormones, the Essential Thyroid Panel (TSH + Free T4 + Free T3) is the modern equivalent.
Classic 4-test thyroid panel: TSH, Total T4, T3 Uptake, and a calculated Free T4 Index (FTI). Screens for hypothyroidism and hyperthyroidism; FTI corrects Total T4 for binding-protein effects to estimate free hormone activity.
Anyone screening thyroid function with persistent symptoms (fatigue, weight changes, hair loss, cold intolerance, palpitations), or tracking trends against older results from this same classic panel. If you want directly measured free hormones instead of a calculated index, order [TSH + Free T4](/tests/tsh-with-free-t4) or add [Free T3](/tests/free-t3).
Sample Type
Blood draw
Fasting
Not required
Results In
1–3 business days
Performed At
Quest or Labcorp
4 biomarkers tested · 3 measured, 1 calculated from them
Your Thyroid Panel with TSH results will include values for each of the 4 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 1–3 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.
No fasting required. Best drawn in the morning.
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 Thyroid Panel with TSH test costs $36.99 at TestWell — $42.99 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 closest equivalent lists at $149.00 at Quest Health and $89.00 at Labcorp OnDemand (list prices checked Sep 12, 2026; see the notes on how the products differ). Hospital outpatient labs typically bill around $200.00 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. Full cost breakdown →
| Where you order | Price | One test, all-in | Notes |
|---|---|---|---|
| TestWell (drawn at Quest) | $36.99 | $42.99 | Includes the one $6 lab processing fee, charged once per order |
| TestWell (drawn at Labcorp) | $46.99 | $52.99 | Labcorp's own cost for this test is higher; same order, same portal, same physician review |
| Quest Health (Quest Diagnostics' own site) | $149.00 | $149.00 | Marker lists differ; both are TSH-anchored thyroid panels · list price checked Sep 12, 2026 |
| Labcorp OnDemand (Labcorp's own site) | $89.00 | $89.00 | Marker lists differ; both are TSH-anchored thyroid panels · list price checked Sep 12, 2026 |
| Hospital outpatient lab, self-pay (typical) | $200.00 | $200.00 | Reference figure; hospital charges vary widely by facility and are often higher |
52% less than the lower lab-direct list price, for the same draw at the same lab. Lab test codes: Quest test code 7444 · Labcorp test no. 000620. 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
No. This is the classic fixed panel Quest and Labcorp have offered for decades — it reports Total T4 (all thyroxine, bound and unbound) plus T3 Uptake, and calculates a Free T4 Index (FTI) from those two values to estimate free hormone activity. If you want directly measured free hormones, order TSH + Free T4 ($27.99) or Free T3 instead — modern free-hormone assays are separate tests, not part of this panel.
TSH alone catches most primary thyroid disease, but adding Total T4, T3 Uptake, and the calculated FTI helps confirm whether an abnormal TSH reflects true hormone excess or deficiency, and flags binding-protein effects (pregnancy, estrogen therapy) that can distort Total T4 readings.
TestWell charges $36.99 ($46.99 at Labcorp draw sites) — vs $65 for the same panel at Quest Direct and $100-$250 at hospital outpatient labs.
No fasting required, but if you take levothyroxine, draw before your morning dose for consistency.
84443 (TSH) + 84436 (Total T4) + 84479 (T3 Uptake). The Free T4 Index is calculated from Total T4 and T3 Uptake, so it carries no separate CPT code. HSA/FSA eligible as a bundle.
If you have a family history of autoimmune thyroid disease or symptoms despite normal TSH, add TPO Antibodies to screen for Hashimoto's — the most common cause of hypothyroidism in the US.
Ordered directly, the closest equivalent lists at $149.00 at Quest Health (Quest Diagnostics' own site) and $89.00 at Labcorp OnDemand (prices checked September 2026). TestWell orders the same test at the same Quest or Labcorp patient service centers for $36.99 — $42.99 all-in with the $6 per-order lab processing fee — paid out of pocket at checkout with no insurance, doctor's visit or draw fee; HSA and FSA cards are accepted.
Thyroid Panel with TSH test results are typically ready in 1–3 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.
Biotin supplements, ashwagandha and thyroid-support supplements, levothyroxine timing and time of day can change a Thyroid Panel with TSH test result without anything being wrong. Biotin supplements can falsely lower TSH and can falsely raise Total T4 — stop biotin ≥72 hours before the draw. Ashwagandha and thyroid-support supplements can lower TSH and can raise Total T4 — note the supplement on a thyroid panel; a clinician may repeat TSH after a planned pause. Levothyroxine timing can raise Total T4 — draw before the daily dose, then take it. Time of day can shift TSH — keep the draw time consistent between tests. 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 Thyroid Panel with TSH test online from TestWell for $36.99 (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 1–3 business days.
The Thyroid Panel with TSH test is Quest Diagnostics test code 7444, Labcorp test number 000620 (CPT 84443, 84436, 84479). TestWell orders it under those codes for $36.99 at Quest or Labcorp — no doctor's visit or insurance required, results in 1–3 business days. Codes verified against the labs' catalogs in 2026.
Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026
TestWell Price
$36.99
+ $6 lab processing fee at checkout
No insurance needed · HIPAA compliant
Frequently ordered together
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Thyroid Panel with TSH
$36.99