: Serum Protein Electrophoresis, Serum
: Serum protein electrophoresis is a lab test that separates the proteins in a blood (serum) sample to help identify abnormal protein patterns, including the presence of a monoclonal protein.
[": SPEP gives a broad picture of serum proteins and can flag abnormal patterns such as an extra monoclonal band."]
Key facts at a glance
- LOINC
- 57803-9
- Short code
- OB Pnl Stl IA
- Synonyms
- OB Pnl Stl IA
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- ia
- 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
: What This Test Measures
: Proteins in your serum are separated into groups—mainly albumin and the globulin fractions (alpha-1, alpha-2, beta, and gamma)—based on how they move in an electric field. The size and shape of each band can reveal whether protein levels are abnormal.
: Why It Is Ordered
: Your clinician may order this test to investigate unexplained fatigue, bone pain, recurring infections, kidney problems, or abnormal total protein or calcium results. It is also used to screen for or monitor conditions that produce an abnormal monoclonal protein.
: How the Sample Is Collected
: A small blood sample is drawn from a vein, usually in your arm, and the serum is separated for analysis. No special preparation is typically required unless your care team tells you otherwise.
: Understanding Your Results
: Results are reported as the relative amounts of each protein fraction and sometimes as a graph (electrophoresis pattern). A faint or sharp extra band in the gamma region, or shifts in other fractions, may prompt follow-up testing. Reference ranges vary by laboratory, so your report's own ranges and your clinician's interpretation matter most.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
: An abnormal SPEP result does not by itself diagnose a disease. It can suggest inflammation, infection, kidney or liver conditions, or a plasma cell disorder, and is usually interpreted alongside other tests such as serum free light chains, immunofixation, or quantitative immunoglobulins.
Short name
: SPEP
Frequently asked questions
: Does an abnormal SPEP mean I have cancer?
: Do I need to fast before this test?
: Will I get a numeric result?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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