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Cortisol (serum/plasma, mass 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. 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
24389-9
Short code
Cortis pre 250 ug ACTH IM SerPl-sCnc
Synonyms
Cortis pre 250 ug ACTH IM SerPl-sCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
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 check for conditions affecting your adrenal glands, such as Cushing’s syndrome (too much cortisol) or Addison’s disease (too little cortisol). It may also be used to evaluate stress responses, hormone imbalances, or to monitor treatment for adrenal-related disorders.

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, which usually causes only mild discomfort. If you’re taking medications that affect cortisol levels, let your healthcare provider know.

What Happens During the Test?

Blood is collected from a vein in your arm and sent to a lab for analysis. The test measures cortisol concentration in your serum or plasma. Results help determine if your hormone levels are within normal ranges or if further evaluation is needed.

What Do Results Mean?

Cortisol levels can vary based on time of day, stress levels, and other factors. Your doctor will interpret results in the context of your overall health and symptoms. Abnormal results may prompt additional testing or follow-up.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: serum

Typically collected in the morning (8-10 AM). Inform your provider if taking steroid medications.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Cortisol Level

Frequently asked questions

How long will it take to get my results?
Results are typically available within 1–3 business days, depending on your lab. Your doctor will contact you to discuss findings, so follow up with them if you have questions.
Can I eat or drink before this test?
You can eat and drink normally before the test unless instructed otherwise. Cortisol levels can be influenced by fasting, so avoid special diets unless directed by your doctor.
What if my cortisol levels are too high or too low?
High cortisol levels may indicate Cushing’s syndrome, while low levels could suggest Addison’s disease or other adrenal issues. Your doctor will work with you to determine the best course of action, which may include medications, lifestyle changes, or further testing.
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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