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Cortisol, Serum (Concentration)

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

This test measures the amount of cortisol, a hormone produced by your adrenal glands, in your blood serum. Cortisol helps regulate metabolism, immune response, and stress reactions.

Quick summary

["Cortisol helps manage stress and supports normal bodily functions."]

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

Key facts at a glance

LOINC
47609-3
Short code
Cortis pre 1 ug/kg CRH IV SerPl-sCnc
Synonyms
Cortis pre 1 ug/kg CRH IV SerPl-sCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
86701
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 Is This Test Done?

Your doctor may order cortisol testing to diagnose or monitor conditions like adrenal gland disorders (such as Cushing’s syndrome or Addison’s disease), evaluate symptoms of stress or hormonal imbalances, or assess how your body responds to certain medications or treatments.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm to draw blood. If you’re taking medications that affect cortisol levels (like steroids), let your healthcare provider know before the test.

How the Test Works

A small amount of blood is collected from a vein in your arm. The sample is then analyzed in a lab to measure cortisol concentration. The result helps determine if your cortisol levels are too high or too low.

What the Results Mean

Results are compared to standard reference ranges to identify whether cortisol levels are within normal limits, elevated, or decreased. Abnormal results may prompt further testing or medical evaluation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Cortisol plays a key role in managing stress, immune function, and metabolism. Low cortisol levels (hypocortisolism) can cause fatigue, weight loss, or low blood pressure, while high cortisol levels (hypercortisolism) may lead to weight gain, high blood pressure, or skin changes. Your doctor will interpret results in the context of your symptoms and medical history.

Short name

Cortisol Level

Frequently asked questions

What causes cortisol levels to be tested?
Cortisol testing is often done if you have symptoms like unexplained weight changes, fatigue, muscle weakness, or signs of hormonal imbalances. It may also be used to evaluate conditions like Cushing’s syndrome, adrenal insufficiency, or to check how your body responds to stress or medications.
How long does it take to get the results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your doctor will contact you once the results are ready.
Can I eat or drink before this test?
You can eat and drink normally before this test unless your doctor specifies otherwise. Avoiding caffeine or alcohol for a few hours before testing may help ensure more accurate results, but this is not always required.
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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