The gold standard testosterone test. Total Testosterone measured by LC/MS-MS (liquid chromatographyโtandem mass spectrometry) and Free Testosterone measured by equilibrium dialysis โ the most accurate methods available.
How It Works
~5 minutes
| Age 20โ49 | 249โ836 ng/dL |
| Age 50+ | 193โ740 ng/dL |
| Optimal (functional) | 500โ900 ng/dL |
| Age 20โ49 | 9.3โ26.5 pg/mL |
| Age 50+ | 6.8โ21.5 pg/mL |
| % Free Testosterone | 1.0โ3.5% |




Standard immunoassays can cross-react with other steroids, producing inaccurate results โ especially at low or high levels. LC/MS-MS physically separates testosterone from other molecules before measuring it, making it the most accurate method available. The Endocrine Society recommends it as the gold standard.
Most labs offer "calculated" free T (an estimate based on formulas) or "analog" assays (inaccurate). Equilibrium dialysis physically separates free testosterone from protein-bound testosterone using a dialysis membrane โ measuring actual unbound hormone. It's the recognized reference method.
Fasting is not strictly required but is recommended. Testosterone levels are highest in the early morning and can be affected by recent meals. For the most accurate results, draw blood between 7โ10 AM after an overnight fast.
Quest Diagnostics accepts most major insurance plans. The lab bills your insurance directly. You'll be responsible for your copay, deductible, or coinsurance as determined by your plan. If you have symptoms of low testosterone, most plans cover diagnostic testing.
This test is Quest Diagnostics order code 070038 โ "Testosterone, Free (Dialysis) and Total, MS." It includes Total Testosterone (LC/MS-MS), Free Testosterone (Equilibrium Dialysis), and % Free Testosterone (Calculated).
Results are typically available within 3โ5 business days after your blood draw. Because equilibrium dialysis is a specialized methodology, it may take slightly longer than standard testosterone immunoassays.
If your Total or Free T is below the reference range, a provider will review your full clinical picture. Options may include lifestyle modifications (sleep, exercise, nutrition, stress management), targeted supplementation, or referral for testosterone replacement therapy (TRT) if medically indicated.

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