Skip to content

Cortisol, Serum (Mass Concentration)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of cortisol, a natural steroid hormone produced by your adrenal glands, in your blood serum. Cortisol plays a key role in managing stress responses, metabolism, and immune function.

Quick summary

["Cortisol levels help assess adrenal gland function and potential stress-related or hormonal imbalances."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
1419-1
Short code
Cortis 30M p Ins IV SerPl-mCnc
Synonyms
Cortis 30M p Ins IV SerPl-mCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Might This Test Be Ordered?

Your healthcare provider may recommend this test if you have symptoms like unexplained fatigue, weight changes, high blood pressure, or signs of Cushing’s syndrome (e.g., rounded face, excess hair growth). It may also be used to diagnose conditions like Addison’s disease or evaluate adrenal function before surgery or during stress.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8 hours before the test if cortisol levels are measured at specific times of the day (e.g., morning or evening). If you’re taking medications that affect cortisol, let your provider know.

What Happens During the Test?

A healthcare professional will draw blood from a vein in your arm. The blood sample is then sent to a lab for analysis. The test typically takes a few days to return results, depending on lab processing times.

What the Results Mean

Results are compared to standard reference ranges for cortisol concentration in serum. Abnormally high or low levels may indicate underlying health conditions that require further evaluation by your doctor.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Cortisol levels are critical for diagnosing hormonal imbalances, such as adrenal insufficiency (Addison’s disease) or hypercortisolism (Cushing’s syndrome). Chronic stress, certain medications, or thyroid disorders can also influence cortisol production, so your provider will consider your full medical history when interpreting results.

Short name

Serum Cortisol

Frequently asked questions

Will I Need to Avoid Certain Foods or Drinks Before the Test?
If fasting is required, avoid caffeine, alcohol, and heavy meals for the specified period. If no fasting is needed, stick to your usual diet and hydration habits.
How Long Will It Take to Get My Results?
Results can take anywhere from a few days to a couple of weeks, depending on lab workflows. Your provider will contact you once they’re ready for discussion.
Can Cortisol Levels Change Based on When the Test Is Taken?
Yes, cortisol levels naturally fluctuate throughout the day, peaking in the morning and dropping at night. If your test is for diagnostic purposes, timing may matter—some tests are done at specific times (e.g., morning or evening) for accuracy.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy