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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.

Quick summary

["Cortisol helps regulate metabolism, immune response, and stress reactions."]

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

Key facts at a glance

LOINC
57466-5
Short code
Cortis sp9 SerPl-mCnc
Synonyms
Cortis sp9 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 You Need This Test?

Your doctor may order cortisol testing to diagnose or monitor conditions like Cushing’s syndrome, adrenal insufficiency, or to evaluate stress-related hormone imbalances. It can also help assess how well your body responds to certain treatments or medications.

What Does the Test Involve?

A blood sample is taken from a vein, usually in your arm. The sample is then sent to a lab for analysis. The test measures cortisol levels in your serum, which is the liquid part of blood without blood cells.

What to Expect Before or After the Test

No special preparation is usually needed, but you may be advised to avoid certain foods, drinks, or activities for a short time before testing. After the blood draw, you can resume your normal activities. You might feel slight discomfort or bruising at the site, but this is normal.

What Are Common Uses of This Test?

Cortisol levels can help diagnose conditions such as adrenal gland disorders, hormonal imbalances, or reactions to stress. It can also be used to check if medications are working properly or to identify issues related to cortisol production or metabolism.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Cortisol plays a key role in managing your body’s response to stress, immune function, and metabolism. Abnormally high or low levels can indicate underlying health problems, such as hormonal disorders, infections, or certain medications affecting cortisol production.

Short name

Serum Cortisol

Frequently asked questions

What does a cortisol test tell me about my health?
A cortisol test provides information about your body’s natural production of cortisol, which can help identify whether your adrenal glands are functioning properly or if there are issues related to stress, hormonal imbalances, or other conditions.
How often should I get a cortisol test?
The frequency depends on your symptoms, medical history, and why your doctor ordered the test. Some tests are done once, while others may be repeated over days or weeks to monitor changes in cortisol levels.
Can cortisol levels change based on when I take the test?
Yes, cortisol levels naturally fluctuate throughout the day, often being highest in the morning and lowest at night. Your doctor may specify the best time for the test, such as early morning, to get the most accurate results.
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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