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Abnprotmfrserplelph

Published: August 9, 2026Updated: August 16, 2026

A blood test that separates and measures different types of proteins in your blood to help diagnose various medical conditions.

Quick summary

{"SPEP separates blood proteins to detect abnormal patterns","It helps diagnose conditions like multiple myeloma and liver disease","The test requires a simple blood draw","Results show five main protein fractions: albumin, alpha-1, alpha-2, beta, and gamma","Abnormal results may indicate infection, inflammation, or cancer"}

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

Key facts at a glance

LOINC
56154-8
Short code
SPE
Synonyms
Abn Prot MFr SerPl Elph
Category
chemistry
Sample
serum
Container
Serum Separator Tube (SST/Gold top) or plain red top tube
Units
N/A
Ref low
55
Ref high
65
Critical range
7.2 N/A – 7.6 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
electrophoresis
CPT
86355
SNOMED
26958004
Specimen volume
3-5 mL of serum
Stability
Room temperature: 24-48 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

Serum Protein Electrophoresis (SPEP) is a laboratory test that separates and measures the different types of proteins in the liquid part of your blood (serum). The test uses an electrical current to separate protein molecules based on their size and electrical charge, producing a characteristic pattern that doctors can analyze.

How is the test performed?

A healthcare professional will draw a small sample of blood from a vein in your arm. The blood is then sent to a laboratory where it is processed and analyzed using electrophoresis. You do not need to fast before this test, though your doctor may instruct you otherwise based on your specific situation.

What do the results show?

The test results show five main protein fractions: Albumin (the most abundant protein), Alpha-1 globulins, Alpha-2 globulins, Beta globulins, and Gamma globulins (which include antibodies). Each fraction's percentage and absolute value are measured, and abnormal patterns can indicate various health conditions.

Reference range

Protein fractions reported as percentage of total protein: Albumin 55-65%, Alpha-1 globulin 1-5%, Alpha-2 globulin 5-12%, Beta globulin 8-15%, Gamma globulin 10-20%. Total protein: 6.0-8.3 g/dL. Presence of abnormal monoclonal (M) band is considered pathologic.N/A

Specimen: serum

No fasting required. Avoid hemolysis. Inform laboratory of recent IV contrast administration or blood transfusions as these may interfere. Patient should be in stable medical condition.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the test painful?
You may feel a brief pinch or sting when the needle is inserted to draw blood. This is generally well-tolerated, and the procedure only takes a few minutes.
How long does it take to get results?
Results are typically available within 1-3 days, depending on the laboratory. Your healthcare provider will discuss the results with you during a follow-up appointment.
Do I need to prepare for the test?
No special preparation is usually required. However, follow any specific instructions given by your healthcare provider. Some medications may affect test results, so inform your doctor about all medications you are taking.
What does an abnormal result mean?
An abnormal protein pattern may indicate various conditions. An increased gamma globulin level may suggest multiple myeloma, chronic liver disease, or an autoimmune condition. A decreased albumin level may indicate kidney or liver disease. Your doctor will interpret your results in context with your overall health and other test findings.
Will I need additional tests?
If abnormal proteins are detected, your doctor may order additional tests such as immunofixation electrophoresis (IFE), urine protein electrophoresis, bone marrow biopsy, or imaging studies to confirm a diagnosis.
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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