Lab test

What is a total testosterone test, and what are normal testosterone levels?

A total testosterone test measures all testosterone in the blood, bound and free. It is ordered for symptoms of low or high testosterone and to monitor hormone therapy. ARUP Laboratories lists 300 to 1080 ng/dL for men aged 18 to 39, and the AUA uses below 300 ng/dL on two early-morning tests as a cut-off for low testosterone.

A clinician's hands in a white coat holding a tablet to show a colleague in a bright clinic hallway; faces are not visible.

What does the testosterone test measure?

A testosterone levels test measures the hormone testosterone in the blood. It is present in both sexes and helps control sex drive and muscle and bone growth. MedlinePlus

Part of the testosterone in the blood is bound to SHBG in an inactive form; a total test counts bound and unbound testosterone together. Testing.com

Why is the testosterone test ordered?

  • For symptoms of low testosterone in males, such as low sex drive, erectile dysfunction, infertility, thinning bones or anemia without a known cause. MedlinePlus
  • To monitor people taking hormone therapy or medicines that affect testosterone, and in children to look into early or delayed puberty. MedlinePlus

What are typical testosterone ranges?

ARUP Laboratories publishes age-based intervals for adult males; the AUA guideline sets a diagnostic cut-off. ARUP Laboratories

Reference ranges differ between laboratories and testing methods, and many also differ by age, sex, pregnancy or the phase of the menstrual cycle. The range printed on your own report is the one that applies to your result, and a clinician interprets it alongside your history.

Total testosterone, adult males (ARUP immunoassay) ARUP Laboratories
AgeReference interval
18 to 39 years300 to 1080 ng/dL
40 to 59 years300 to 890 ng/dL
60 years and older300 to 720 ng/dL

The American Urological Association uses a total testosterone below 300 ng/dL as a reasonable cut-off, and says low testosterone should be diagnosed only after two early-morning measurements on separate occasions, together with symptoms or signs. American Urological Association

ARUP notes that immunoassays are imprecise at the low levels found in females and children, for whom a mass spectrometry test is recommended. ARUP Laboratories

What can affect testosterone results?

  • Time of day: the AUA guideline calls for early-morning draws. American Urological Association
  • You may need to fast or pause certain medicines; ask your provider, and do not stop a medicine on your own. MedlinePlus
  • Changes in SHBG, the protein that carries testosterone, can make total testosterone look normal while free testosterone is not, or the reverse. Testing.com
  • Biotin, often found in hair, skin and nail supplements, can interfere with some lab tests and cause incorrect results. Tell the person ordering the test if you take it. FDA

When should you talk to a clinician about a testosterone result?

  • A testosterone result alone cannot diagnose a condition; abnormal results with symptoms are discussed with a clinician, who may repeat the test. MedlinePlus

DiscoverMedica explains what a test measures and what named sources publish. It does not interpret individual results; the clinician who ordered your test, or one you choose, does.

Where can you get a testosterone test?

A clinician can order it as part of routine or follow-up care. Some services also let you order lab tests yourself; check that a service’s panel includes this marker, which laboratory runs it, and who reviews the result with you.

  • Function HealthAnnual membership for broad lab panels, drawn at Quest sites or at home.
  • Quest HealthOrder individual lab tests from Quest Diagnostics online, without a doctor’s visit. Lists “Total testosterone blood test” at $69.00, as listed on its site, checked September 23, 2026.

Testosterone Test: questions, answered

What is a normal testosterone level for men?

ARUP Laboratories lists 300 to 1080 ng/dL for men aged 18 to 39, 300 to 890 at 40 to 59 and 300 to 720 at 60 and older. The American Urological Association uses below 300 ng/dL, confirmed on two early-morning tests with symptoms, as its cut-off for low testosterone. Other labs print their own ranges.

Why should testosterone be tested in the morning?

The AUA guideline says low testosterone should be diagnosed only from two total testosterone measurements, each taken early in the morning on separate occasions. Following that timing makes results comparable from one test to the next. MedlinePlus adds that you may need to fast or pause certain medicines, so ask how to prepare.

Can women have a testosterone test?

Yes. MedlinePlus notes testosterone is present in females in smaller amounts. ARUP says standard immunoassays are imprecise at those low levels and recommends a mass spectrometry test for females and children, so ask which method a lab uses. Results for women are compared with ranges set for women, not the male ranges shown on this page.

What is the difference between total and free testosterone?

Total testosterone counts all of it, including the part bound to SHBG. Free testosterone is the small unbound fraction. A clinician may check free testosterone or SHBG when total testosterone does not match symptoms. ARUP calculates free testosterone from total testosterone and SHBG.

Sources

  1. MedlinePlus: Testosterone Levels Test
  2. ARUP Laboratories: Testosterone (Adult Males) (test 0070130)
  3. American Urological Association: Testosterone Deficiency Guideline
  4. Testing.com: Sex Hormone Binding Globulin (SHBG) Test
  5. FDA: Biotin Interference with Lab Tests

Last reviewed October 7, 2026. Every source above was checked on or before that date. Educational information only, not medical advice; it does not replace a conversation with a licensed clinician. DiscoverMedica does not employ clinicians.

Options people research alongside this test

Listed for context only. Whether any of them suits you is a decision to make with a clinician.

Prescription testosterone replacement for men with confirmed low testosterone.

PrescriptionStrong human evidence
7 providers

Enclomiphene

medication

A pill that can raise a man's own testosterone while preserving fertility. Compounded, not approved.

Compounded prescriptionModerate human evidence
6 providers