--- title: Tree Nut & Peanut Allergy Panel Test type: test id: tree-nut-peanut-allergy url: "https://www.test-well.com/tests/tree-nut-peanut-allergy" price_usd: 122.99 lab_fee_usd: 6 all_in_usd: 128.99 cpt: 86003 category: Allergy sample: Blood draw fasting_required: false results_in: "5–7 business days" labs: - Quest orderable: true reviewed_at: 2026-09-14 order_url: "https://www.test-well.com/cart?add=tree-nut-peanut-allergy&utm_source=ai_agent&utm_medium=markdown" --- # Tree Nut & Peanut Allergy Panel Test > Tree Nut & Peanut Allergy Panel measures Peanut IgE, Almond IgE and Cashew IgE plus 6 more from a standard blood draw. At TestWell it costs $122.99 plus a $6 lab fee, needs no fasting, and results post in 5–7 business days. Physician-authorized with no doctor's visit or insurance needed; draw at Quest. ## Key facts | Fact | Value | | --- | --- | | Price | $122.99 + $6 lab processing fee per order ($128.99 all-in for this test alone) | | CPT code | 86003 | | Sample | Blood draw | | Fasting | Not required | | Results | 5–7 business days | | Labs | Quest Diagnostics | | Biomarkers measured | 9 | | 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 Tree Nut & Peanut Allergy Panel test tell you? Comprehensive screening for 9 tree nut and peanut allergens with IgE testing. This panel screens for IgE antibodies to peanuts and the most common tree nuts: almonds, Brazil nuts, cashews, hazelnuts, macadamia nuts, pecans, pistachios, and walnuts. Tree nut and peanut allergies are among the most common causes of anaphylaxis. Importantly, peanut allergy does not always co-occur with tree nut allergy — this test helps identify your specific triggers. **Clinical use:** Allergy-specific IgE testing helps identify what your immune system is reacting to so you can avoid triggers, plan immunotherapy, and reduce symptoms. ## Who should order it? Anyone with recurrent allergy symptoms (rash, sneezing, GI distress, breathing difficulty) who wants to identify specific triggers without elimination diets or skin testing. ## Biomarkers measured - Peanut IgE - Almond IgE - Cashew IgE - Walnut IgE - Hazelnut IgE - Pecan IgE - Pistachio IgE - Brazil Nut IgE - Macadamia IgE ## Price by lab | Lab | Test price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Quest Diagnostics | $122.99 | $128.99 | Choose at checkout; walk-in patient service centers nationwide (not NY/NJ) | 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 Tree Nut & Peanut Allergy Panel test cost? A Tree Nut & Peanut Allergy Panel test costs $122.99 at TestWell — $128.99 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 $132.00 at Quest Health and $139.00 at Labcorp OnDemand (list prices checked Sep 12, 2026; see the notes on how the products differ). Hospital outpatient labs typically bill around $450.00 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) | $122.99 | $128.99 | Includes the one $6 lab processing fee, charged once per order | | Quest Health (Quest Diagnostics' own site) | $132.00 | $132.00 | Allergen lists differ slightly between the two panels · [list price checked 2026-09-12](https://www.questhealth.com/product/tree-nut-allergy-panel-with-reflex-to-components/94463M.html) | | Labcorp OnDemand (Labcorp's own site) | $139.00 | $139.00 | Allergen lists differ slightly · [list price checked 2026-09-12](https://www.ondemand.labcorp.com/lab-tests/tree-nut-and-peanut-allergy-test) | | Hospital outpatient lab, self-pay (typical) | $450.00 | $450.00 | Reference figure; hospital charges vary widely by facility and are often higher | ## How do you prepare? No fasting required. ## Related conditions - Allergic reaction (T78.40) - Allergic rhinitis (J30.9) ## Common questions about the Tree Nut & Peanut Allergy Panel test ### How long do Tree Nut & Peanut Allergy Panel results take? Most Tree Nut & Peanut Allergy Panel results are available in 5–7 business days after your specimen arrives at the lab. You'll get an email the moment results are ready, with everything viewable in your TestWell portal. ### What sample is collected for the Tree Nut & Peanut Allergy Panel? Blood draw. Sample is collected at a Quest, Labcorp, or BioReference patient service center near you, or via at-home phlebotomy where available. ### How much does the Tree Nut & Peanut Allergy Panel cost without insurance? On TestWell, the Tree Nut & Peanut Allergy Panel is $122.99. Quest Direct lists comparable tests at $199. Walk-in hospital labs typically bill $450 or more without insurance. Insurance is not required — pay one all-in price. ### Do I need to fast before the Tree Nut & Peanut Allergy Panel? No fasting required for the Tree Nut & Peanut Allergy Panel. No fasting required. ### Where can I get the Tree Nut & Peanut Allergy Panel done? The Tree Nut & Peanut Allergy Panel is available at Quest patient service centers nationwide. Order online at TestWell, pick your preferred lab, and we'll generate a digital requisition for the location closest to you. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=tree-nut-peanut-allergy&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 patient service center — no appointment needed at most sites. 5. Results post to your TestWell portal in 5–7 business days with reference ranges and flags. ## Related - [Pet Allergy Testing: Find Out if You're Allergic to Dogs or Cats](https://www.test-well.com/guides/pet-allergy-testing) - [Alpha-Gal Allergy Test](https://www.test-well.com/tests/alpha-gal-allergy-test) — $54.99 - [Dog & Cat Allergy Test](https://www.test-well.com/tests/dog-and-cat-allergy) — $89.99 - [Latex Allergy Test](https://www.test-well.com/tests/latex-allergy-test) — $39.99 - [Seafood & Shellfish Allergy Test](https://www.test-well.com/tests/seafood-shellfish-allergy) — $114.99 - [Tryptase](https://www.test-well.com/tests/tryptase-test) — $71.99 - [All Allergy tests](https://www.test-well.com/tests/category/allergy) - [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/tree-nut-peanut-allergy 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.