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CategoryTest NamePriority*RupaGoodlabs
(Quest)
Goodlabs
(LabCorp)
Ulta LabQuest
Low End
Quest
High End
LabCorp
Low End
LabCorp
High End
Jason Health
Low End
Jason Health
High End
What It TestsInsurance CodeInsuranceNormal RangeSuperpowerFunction HealthWhen to TestFasting RequiredNotes
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HORMONESThyroid Stimulating Hormone (TSH)Essential$6.00$5$9$23$44$44$29$49$25$40Thyroid function screening84443Usually covered
0.4-4.0 mIU/L - the ASRM/ATA target for women with RPL or those trying to conceive is ideally <2.5 mIU/L
IncludedIncludedAnytimeNoPrimary screening test for thyroid
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HORMONESFree T4 (Thyroxine)Essential$6.00$6$11$26$40$60$35$55$30$50Active thyroid hormone84439Usually covered0.8-1.8 ng/dLIncludedIncludedWith TSH if abnormalNoFollow-up to abnormal TSH
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HORMONESFree T3 (Triiodothyronine)Optional$8.33$10$32$28$50$70$45$65$35$55Active thyroid hormone84481Variable2.3-4.2 pg/mLIncludedIncludedWith TSH if abnormalNoSome providers test routinely
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HORMONESThyroid Peroxidase Antibodies (TPO)Recommended$10.00$5$18$35$27$44$49$59$30$38Autoimmune thyroid disease86376Usually covered<35 IU/mLIncluded*IncludedIf TSH abnormal or RPL historyNoAssociated with increased miscarriage risk
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HORMONESProgesteroneOptional$10.00$9$18$35$20$45$59$59$20$38Luteal phase function84144Usually coveredLuteal: >10 ng/mL
Not included*
Not included*Day 21 of cycle (7 days post-ovulation)NoConfirms ovulation and luteal adequacy
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HORMONESFollicle Stimulating Hormone (FSH)Recommended$8.00$5$34$27$55$75$49$69$40$60Ovarian reserve83001Usually covered3-10 mIU/mL (CD3)IncludedIncluded*Cycle Day 3NoPart of baseline fertility workup
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HORMONESLuteinizing Hormone (LH)Recommended$6.25$5^$27$55$75$49$69$40$60Ovarian function83002Usually covered1-12 mIU/mL (CD3)IncludedIncluded*Cycle Day 3NoRatio with FSH important for PCOS
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HORMONESEstradiol (E2)Recommended$10.00$8$7$31$60$85$79$79$50$70Ovarian function82670Usually covered20-80 pg/mL (CD3)IncludedIncluded*Cycle Day 3NoBaseline ovarian function
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HORMONESAnti-Müllerian Hormone (AMH)Recommended$95.07$28$90$90$135$135$139$139$40$58Ovarian reserve84302Often not coveredAge-dependent; >1.0 ng/mL preferredIncludedIncludedAnytimeNoDoes not vary with cycle
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HORMONESProlactinRecommended$10.00$9$23$45$55$75$49$69$40$60Pituitary function84146Usually covered<25 ng/mL (non-pregnant)IncludedNot includedAnytime (morning preferred)NoElevated levels can affect fertility
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HORMONESTestosterone, TotalOptional$9.50$11$40$53$28$55$59$69$28$55
Assess for PCOS, ovarian function
84403Usually coveredOptimal: Female <70 ng/dLIncludedIncludedWhen evaluating PCOS or hormonal imbalance
AM draw preferred
Elevated in PCOS; may affect ovulation and miscarriage risk
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CLOTTINGAntiphospholipid Syndrome Panel (Full)Essential$307.64--$1,847$1,110$1,110$1,100$1,100$1,128$1,128
Lupus anticoagulant, anticardiolipin IgG/IgM, β2-glycoprotein I IgG/IgM
MultipleUsually coveredNegative for allNot includedNot includedAnytime (repeat 12 weeks later if positive)NoTest twice, 12 weeks apart per guidelines. Source: Quest/Jason Health pricing
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CLOTTINGLupus Anticoagulant (dRVVT)Essential$31.81--$121$85$260$75$150$85$418
Antiphospholipid antibodies affecting clotting
85613Usually coveredNegativeNot includedNot includedNot while on anticoagulantsNoPart of APS panel
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CLOTTINGAnticardiolipin Antibodies IgG/IgMEssential$29.16--$101$75$165$110$165$95$113Antiphospholipid antibodies86147Usually covered<15 GPL/MPL unitsNot includedNot includedRepeat 12 weeks if positiveNoAssociated with RPL
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CLOTTINGβ2-Glycoprotein I Antibodies IgG/IgMEssential$63.89--$177$177$328$325$325$177$328Antiphospholipid antibodies86146Usually covered<20 unitsNot includedNot includedRepeat 12 weeks if positiveNoMost specific APS marker
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CLOTTINGFactor V Leiden MutationOptional$84.68--$186$186$279$248$249$200$250Genetic clotting disorder81241Variable coverageNegative for mutationNot includedNot includedAnytime (one-time test)NoMost common inherited thrombophilia. 5-10x increased clot risk if heterozygous
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CLOTTINGProthrombin G20210A Mutation (Factor II)Optional$178.57--$169$177$177$500$500$177$250Genetic clotting disorder81240Variable coverageNegative for mutationNot includedNot includedAnytime (one-time test)No2nd most common inherited thrombophilia. 3x increased clot risk
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CLOTTINGProtein C ActivityOptional$89.65--$123$126$278$150$200$278$278Natural anticoagulant85303Usually covered70-140%Not includedNot includedNot during acute clot or pregnancyNoRetest if low; can be falsely low during clot
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CLOTTINGProtein S ActivityOptional$51.75--$152$126$293$150$200$293$293Natural anticoagulant85306Usually covered60-140%Not includedNot includedNot during acute clot or pregnancyNoCan be low during pregnancy
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CLOTTINGAntithrombin III ActivityOptional$16.29--$47$53$313$80$150$313$313Natural anticoagulant85300Usually covered80-120%Not includedNot includedNot during acute clotNoRare deficiency
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METABOLICHomocysteineRecommended$19.44$13$53$37$42$63$54$99$35$55
Clotting risk, folate/B12 metabolism
83090Variable<12 µmol/LIncludedIncludedFasting preferredYesElevated levels associated with RPL; treatable with B vitamins
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METABOLICMTHFR Gene Mutation (C677T, A1298C)Optional$120.00$200$128$194$200$325$200$390$189$247Folate metabolism, clotting risk81291Often not coveredNegative for mutationsNot includedNot includedAnytime (one-time test)NoControversial; not in formal guidelines. Treat based on homocysteine level
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METABOLICVitamin D (25-OH)Recommended$20.00$14$11$47$45$60$62$62$35$50
Immune function, pregnancy outcomes
82306Usually covered30-100 ng/mLIncludedIncludedAnytimeNoDeficiency common; easily treated. Source: LabCorp/Quest pricing
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METABOLICVitamin B12Recommended$5.56$10$16$29$35$55$39$59$25$45
Red blood cell production, nerve function
82607Usually covered200-900 pg/mLIncludedIncludedAnytimeNoRelated to homocysteine metabolism
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METABOLICHemoglobin A1cRecommended$5.00$4$6$23$25$35$29$40$20$30
Blood sugar control over 3 months
83036Usually covered<5.7%IncludedIncludedAnytimeNoScreen for diabetes which increases RPL risk. Source: LabCorp/Quest pricing
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METABOLICFasting GlucoseRecommended$4.00--$6$12$20$15$25$10$18Blood sugar screening82947Usually covered70-99 mg/dLIncludedIncluded8-12 hour fastYesPart of metabolic screening
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AUTOIMMUNEAntinuclear Antibodies (ANA)Optional$6.94$6$18$27$29$78$25$80$59$59General autoimmune screening86038Usually coveredNegative or <1:80IncludedIncludedAnytimeNoScreens for lupus and other conditions
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AUTOIMMUNENatural Killer (NK) Cell PanelInvestigational$73.32--$256$250$500$250$500$250$500
Immune function affecting implantation
VariousOften not coveredLab-specific rangesNot includedNot includedAnytimeNoNot in standard guidelines; limited evidence
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BASIC LABSComplete Blood Count (CBC)Essential$3.49$4$3$23$25$40$29$50$20$35Anemia, infection, platelet count85025Usually coveredMultiple parametersIncludedIncludedAnytimeNoScreen for anemia. Source: LabCorp/Quest pricing
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BASIC LABSComprehensive Metabolic Panel (CMP)Recommended$7.90$5$5$23$35$50$30$60$25$45Kidney/liver function, electrolytes80053Usually coveredMultiple parametersIncludedIncludedFasting preferredYesGeneral health screening. Source: LabCorp/Quest pricing
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GENETICKaryotype (Blood Chromosome Analysis)Essential---$450$650$400$600$400$600Chromosomal abnormalities
88262 & 88230
Usually covered after RPL
46,XX (normal female)Not includedNot includedAnytime (one-time test)NoDetects balanced translocations (2-5% of RPL couples)
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GENETICGenetic Carrier ScreeningRecommended---$250$2,000$250$2,000$250$2,000Recessive genetic disorders81443Variable; often coveredNegative for tested conditionsNot includedNot includedAnytime (one-time test)NoExpanded panels test 100+ conditions
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INFECTIONSUreaplasma/Mycoplasma PCROptional$35.14--$100$150$300$150$300$150$300Reproductive tract infections87491VariableNegativeNot includedNot includedAnytimeNoSome evidence for link to RPL
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METABOLICFasting Insulin (Cardio IQ)Optional$8.00$4$10$27$40$60$35$55$30$50
Insulin resistance, metabolic health
83525Variable<25 µIU/mL (fasting)IncludedIncludedFasting (8-12 hours)Yes
Associated with PCOS and insulin resistance. Not routine for RPL but useful if PCOS, irregular cycles, or metabolic concerns present
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METABOLIC17-Hydroxyprogesterone (17-OHP)Optional$39.00--$47$70$90$65$85$55$75
Adrenal function, screens for congenital adrenal hyperplasia
83498Variable<200 ng/dL (follicular phase)IncludedNot includedMorning (8-10 AM), early follicular phaseNo
Not standard RPL test. Primarily for CAH screening. May be considered if hirsutism, irregular cycles, or suspected adrenal disorder
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METABOLICMercury, BloodOptional$22.00$21-$53$75$100$65$95$60$85Heavy metal exposure/toxicity83825Rarely covered<10 µg/LIncludedIncludedAnytimeNo
Not in standard RPL guidelines. Consider only if high fish consumption or known exposure. High levels may affect pregnancy but rare cause of RPL
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Infectious Disease
Varicella-Zoster Antibodies IgG (Chickenpox Immunity)
Optional$17.89--$48$55$70$59$68$55$70Immunity to chickenpox/shingles86787Often coveredPositive = ImmuneNot includedNot included
Pre-pregnancy planning; prevent infection during pregnancy
NonePre-pregnancy screening; infection during pregnancy can cause birth defects
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TOTAL$1,420.27$4,472$8,462$5,136$8,388$4,792$8,219
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lipid panel
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dheas
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free testosterone
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*Based on current clinical guidelines (ASRM 2024, ESHRE 2023, and ACOG)
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Thrombotic Risk Assessment1103.33
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