Order Estradiol, Ultrasensitive (LC/MS) Blood Test from JustLabs for $29. Price includes lab processing at Quest Diagnostics. A one-time $18 collection fee applies per order. No insurance required.

Estradiol, Ultrasensitive (LC/MS) Blood Test

Estradiol Ultrasensitive

The ultrasensitive estradiol test uses advanced LC/MS technology to accurately measure very low estradiol levels that standard immunoassay tests cannot reliably detect — making it the preferred choice for men, children, and postmenopausal women.

The Estradiol, Ultrasensitive LC/MS test uses liquid chromatography with tandem mass spectrometry — the gold standard method for measuring estradiol at very low concentrations. Unlike standard immunoassay estradiol tests, this method eliminates cross-reactivity with other steroids, delivering highly accurate results even at levels below 20 pg/mL.

This test is crucial for assessing ovarian function and is used in various clinical situations including menstrual disorders, precocious or delayed puberty, and assisted reproduction protocols. For men, it is the preferred method for evaluating conditions like gynecomastia by precisely measuring estradiol levels in the low male range where standard assays lose accuracy.

Standard estradiol immunoassays can overestimate low values due to interference from other compounds in the blood. The LC/MS method avoids this problem entirely, making it indispensable for monitoring anti-estrogen therapies (such as aromatase inhibitors), assessing hormone levels in prepubertal children, and tracking postmenopausal estradiol levels where precision at low concentrations matters most.

If you need to measure estradiol in the typical female premenopausal range (30–400+ pg/mL), the standard estradiol test is sufficient and more affordable. Choose this ultrasensitive test when low-level accuracy is critical.

Price

$29

Results

3-5 business days

Lab Network

Quest

Fasting

Not Required

What's Measured

Estradiol
Sensitive

What This Test Measures

This test measures estradiol (E2) concentration using LC/MS technology, which provides superior accuracy at low concentrations compared to standard immunoassay methods. Reference ranges: Males ≤29 pg/mL; Females — Follicular Phase 39–375 pg/mL, Luteal Phase 48–440 pg/mL, Postmenopausal ≤10 pg/mL.

Who Should Consider This Test

Men monitoring estradiol during testosterone replacement therapy or investigating gynecomastia, postmenopausal women tracking low estradiol levels, children being evaluated for precocious or delayed puberty, patients on aromatase inhibitor therapy, anyone needing precise measurement of low estradiol concentrations, and couples undergoing assisted reproduction protocols.

Health Insights

Conditions Screened

GynecomastiaHypogonadismPrecocious pubertyDelayed pubertyMenopause confirmationOvarian insufficiencyInfertilityEstrogen-producing tumorsAromatase inhibitor monitoringOsteoporosis risk

Related Symptoms

Gynecomastia in menErectile dysfunctionDecreased libidoHot flashesBone density concernsDelayed or precocious pubertyMenstrual disordersMood changesFatigueDifficulty conceiving

When to Get Tested

No fasting required. For menstruating women undergoing fertility assessment, test on days 2–5 of the menstrual cycle. For men, postmenopausal women, and children, the test can be performed at any time. If monitoring aromatase inhibitor therapy, test at consistent intervals as directed by your provider.

Understanding Your Results

Results are reported in pg/mL. Males should expect ≤29 pg/mL. Premenopausal females will see values that vary by cycle phase: Follicular 39–375 pg/mL, Luteal 48–440 pg/mL. Postmenopausal females typically show ≤10 pg/mL. Values outside these ranges may indicate hormonal imbalances requiring clinical evaluation. Because this test uses LC/MS, the results at low concentrations are more reliable than standard estradiol tests.

What to Expect

After placing your order, you'll receive an email from Rupa Health (our lab order partner) within 24 business hours to sign a consent form and schedule your blood draw at a Quest Diagnostics location.

The blood draw typically takes just a few minutes. Results are usually available within 3-5 business days and will appear in your secure Justlabs dashboard.

Our results include reference ranges and easy-to-understand indicators showing whether your values are within normal limits.

Frequently Asked Questions

$29

Typical hospital cash price: $120–$180

+ $28 in standard lab & physician fees at checkout (no additional bills later)

$18 lab collection + $10 physician order

Results in 3-5 business days

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