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 helps regulate metabolism, immune response, and stress reactions.

Quick summary

["Cortisol levels help assess adrenal gland function and detect conditions like Cushing’s syndrome or adrenal insufficiency."]

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

Key facts at a glance

LOINC
108148-8
Short code
Cortis sp2 SerPl-sCnc
Synonyms
Cortis sp2 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
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 healthcare provider may order this test to diagnose or monitor conditions affecting your adrenal glands, such as Cushing’s syndrome (too much cortisol), adrenal insufficiency (too little cortisol), or to check for issues related to stress or hormone imbalances. It may also be used in the evaluation of certain types of tumors or to assess response to treatment for conditions involving cortisol.

What Does the Test Involve?

A blood sample is taken from a vein in your arm. You may feel a slight pinch or discomfort, but it usually doesn’t cause significant pain. The blood is then sent to a lab for analysis.

What to Expect Before the Test

No special preparation is usually needed, but if your provider has instructions (such as fasting or avoiding certain medications), follow them carefully. For example, some tests may require you to avoid certain foods or supplements for 24 hours before the blood draw.

What to Expect After the Test

You can typically resume your normal activities immediately after the blood draw. There may be a small bruise or slight soreness at the site, but this usually fades quickly. If you experience excessive bleeding, swelling, or other unusual symptoms, contact your healthcare provider.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Serum Cortisol

Frequently asked questions

How Is This Test Performed?
Cortisol is measured using a sensitive laboratory method called **immunoassay** (often a chemiluminescent immunoassay, or CLIA). This test detects the presence of cortisol molecules in your blood serum by using antibodies that bind specifically to cortisol.
What Does the Specimen Type Mean?
The test uses **serum**, which is the liquid part of blood after it has clotted. Serum is often preferred for hormone tests because it contains the same hormones as whole blood but without the interference from blood cells or clotting factors.
How Often Should I Get This Test?
The frequency depends on your medical condition and treatment plan. Some people may need this test once or twice a year, while others with chronic conditions might need it more often. Always follow your healthcare provider’s recommendations.
  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