← Thyroid & Autoimmune· Thyroid
TestThyroid

TSH with Reflex to Free T4

A smart thyroid screen — TSH first, and it automatically adds Free T4 only if the TSH comes back abnormal. One draw, results usually in 1–2 business days.

$ 59.00All-in price
1Tests included

This is an efficient, stepwise thyroid check. It starts with TSH — the most sensitive first-line marker — and automatically reflexes to a Free T4 only if your TSH is out of range. You get a simple screen when everything is normal, and an extra layer of detail exactly when it's needed.

Included Tests

TSH with Reflex to Free T4
TSH that automatically reflexes to Free T4 if abnormal.
TSHFree T4 (reflex)
incl.in panel

What This Panel Measures

🎚️
First-line TSH. The most sensitive early signal of an under- or over-active thyroid.
🔁
Automatic follow-up. If TSH is abnormal, Free T4 is added automatically to characterize the problem.

Who Should Get This Panel

  • You want an efficient, first-line thyroid check
  • You have possible thyroid symptoms and want detail only if needed
  • You're doing a routine wellness screen
  • You have a family history of thyroid disease

Conditions Screened

HypothyroidismHyperthyroidismThyroid dysfunction

Related Symptoms

FatigueWeight changesFeeling cold or hotHair thinningMood changes

When to Get Tested

Any time; no fasting is required. If you take thyroid medication, test at a consistent time relative to your dose so results are comparable.

Understanding Your Results

Results post to your secure online account usually in 1–2 business days. If your TSH is normal, that's your result; if it's abnormal, a Free T4 is added automatically so you can see whether thyroid hormone output is affected. A high TSH with low Free T4 suggests an underactive thyroid, and the reverse suggests an overactive one.

Frequently Asked Questions

Do I need to fast?
No fasting is required.
What does 'reflex' mean?
It means the lab automatically runs the follow-up Free T4 only if your TSH comes back abnormal — so you get extra detail exactly when it matters, without ordering it separately.
Is this billed to insurance?
No — you pay directly here, and nothing appears on your insurance record. Results go only to your secure account.

Pairs Well With — Same Blood Draw

Thyroid Peroxidase Antibodies (TPO)
Checks for autoimmune thyroid disease.
+ Add
Complete Thyroid Panel
Full thyroid workup including Free T3.
+ Add
CBC with Differential
General health baseline alongside thyroid.
+ Add
$ 59.00
✓ The price you see is the price you pay. No draw fees. No physician fees. No surprise bills. $ 59.00 is all-in.
Comparing prices? Some self-pay labs advertise a low number, then add ~$28 in "lab & physician fees" at checkout. We don't. What you see here is the whole cost.
⚡ We send your lab order electronically to the test center in 2–3 minutes. Nothing to print, nothing to bring — just walk in and sign in.
📍 Can you get tested nearby?

Test centers don’t accept payment — you pay securely here; the lab just does the draw.
⚡ Results 1–2 business days🧪 1 tests

What happens after you order?

  • 1Your lab order form & test code appear in your secure online account — with your test center’s address.
  • 2We send your lab requisition to the test center electronically.
  • 3Walk in & get tested — tests usually take 5 minutes or less.
📞 Need support? (866) 873-0879
$ 59.00all-in · no extra fees