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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 helps regulate how your body responds to stress and supports normal bodily functions."]

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

Key facts at a glance

LOINC
58828-5
Short code
Cortis sp14 SerPl-mCnc
Synonyms
Cortis sp14 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 This Test Might Be Ordered

Your healthcare provider may recommend this test to evaluate adrenal gland function, diagnose conditions like Cushing’s syndrome or Addison’s disease, or assess how your body handles stress. It can also help monitor treatment for hormone-related disorders.

What to Expect Before the Test

No special preparation is needed, but if you’re taking medications that affect cortisol levels (like steroids), your provider may ask you to stop them temporarily or adjust timing. Avoid caffeine or alcohol for a few hours before testing, as they can influence results.

What Happens During the Test

A blood sample will be drawn from a vein in your arm by a healthcare professional. The sample is sent to a lab for analysis, where cortisol levels are measured using a sensitive detection method.

What the Results Mean

Results help determine whether cortisol levels are too high or too low, which can indicate underlying health issues. Your provider will interpret the results in the context of your symptoms and medical history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Cortisol levels are crucial for diagnosing conditions like adrenal insufficiency (too little cortisol) or hyperadrenocorticism (too much cortisol). Abnormal results may prompt further testing, such as a 24-hour urine cortisol collection or a dexamethasone suppression test.

Short name

Serum Cortisol

Frequently asked questions

What causes cortisol levels to be tested?
Cortisol levels may be checked if you have symptoms like unexplained weight changes, fatigue, muscle weakness, or signs of excess cortisol (e.g., weight gain, high blood pressure). It’s also used in cases of suspected adrenal disorders or stress-related issues.
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. Follow-up with your healthcare provider to discuss the findings and next steps.
Can diet or lifestyle affect cortisol test results?
Yes—stressful activities, caffeine, alcohol, or certain medications can temporarily alter cortisol levels. Your provider may recommend avoiding these factors for optimal accuracy.
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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