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Aldosterone, 24-Hour Urine — Excretion Rate

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

Measures the amount of aldosterone released into urine over 24 hours to help evaluate adrenal hormone function, blood pressure, and fluid balance.

Quick summary

["This test measures how much aldosterone your body excretes in urine over one day, which can help identify causes of high blood pressure or abnormal fluid and electrolyte balance."]

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

Key facts at a glance

LOINC
73870-8
Short code
A-cortolone 24h Ur-sRate
Synonyms
A-cortolone 24h Ur-sRate
Category
liver
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test measures aldosterone, a hormone made by the adrenal glands that helps regulate sodium, potassium, fluid balance, and blood pressure. A 24-hour urine collection shows the total amount of aldosterone released by the body during a full day.

Why might I need this test?

Doctors may use this test when high blood pressure, low potassium, dizziness, fluid changes, or other signs suggest an imbalance in aldosterone. It may also be used to evaluate adrenal gland function or monitor the effects of medications that affect the renin-angiotensin-aldosterone system.

How is the test performed?

You collect all urine produced during a complete 24-hour period in a labeled container provided by the laboratory. The laboratory measures the aldosterone in the collected urine and may report the amount excreted per day, often along with other urine measurements.

How do I prepare for the test?

Follow the laboratory's collection instructions carefully, including the start and end times and any medication or dietary instructions. Do not stop prescribed medicines without medical guidance, because certain blood pressure medications and other drugs can affect the result. Tell the healthcare team if you were ill, had unusually high salt intake, or missed part of the collection.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

24-Hour Urine Aldosterone

Frequently asked questions

Why is a 24-hour urine collection needed?
Aldosterone can vary throughout the day, so collecting all urine for 24 hours provides a more complete measure of daily aldosterone excretion than a single urine sample.
Does eating a lot of salt affect the result?
Yes. Sodium intake can influence aldosterone levels, so your clinician may give specific dietary instructions. Keep your usual diet consistent unless the laboratory or clinician tells you to change it.
Should I stop my medications before this test?
Do not stop medications on your own. Some blood pressure and heart medicines can alter aldosterone results, and your clinician may adjust them only when medically appropriate or may order additional tests to interpret the 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