Order Sex Hormone Binding Globulin (SHBG) Blood Test from JustLabs for $18 ($36 all-in for a single-test order: $18 + one $18 lab & physician order fee per order). Price includes lab processing at Quest Diagnostics. No insurance required.

Sex Hormone Binding Globulin (SHBG) Blood Test

SHBG

SHBG is a protein that binds testosterone and estrogen in your blood. Understanding SHBG levels helps interpret how much sex hormone is actually available for your body to use.

Sex Hormone Binding Globulin (SHBG) is a protein produced primarily by the liver that binds to testosterone, dihydrotestosterone (DHT), and estradiol in the bloodstream. Hormones bound to SHBG are inactive—only "free" hormones can enter cells and exert their effects.

SHBG levels significantly impact how much active hormone is available to your tissues. High SHBG means more hormone is bound and unavailable; low SHBG means more free hormone is circulating. This is why SHBG testing is essential for properly interpreting testosterone and estrogen results.

SHBG is influenced by many factors: it increases with aging, estrogen, hyperthyroidism, and liver disease. It decreases with obesity, insulin resistance, high androgens, and hypothyroidism.

Price

$18

All-in

$36

incl. $18 lab & physician fee

Results

2-3 business days

Fasting

Not Required

What's Measured

SHBG

What This Test Measures

This test measures the concentration of SHBG protein in your blood, reported in nmol/L. Combined with total testosterone, SHBG can be used to calculate free testosterone levels.

Who Should Consider This Test

Men with low testosterone symptoms but normal total testosterone, women with signs of excess androgens (acne, hair growth), anyone with borderline hormone results, people with metabolic syndrome or insulin resistance, and those on hormone therapy.

Health Insights

Conditions Screened

Androgen status assessmentPCOS evaluationMetabolic syndromeHypogonadism evaluationHyperthyroidism effectsLiver disease

Related Symptoms

Low libidoErectile dysfunctionFatigueExcess facial/body hair (women)AcneHair lossIrregular periodsDifficulty building muscle

When to Get Tested

No fasting required. For most accurate results, test in the morning when testosterone levels are highest. SHBG is relatively stable throughout the day.

No fasting needed. How to prepare for your blood test →

Full guide: TRT blood work, what to test and when →

Understanding Your Results

Normal ranges vary by sex: Men: 10-57 nmol/L, Women: 18-144 nmol/L. High SHBG can cause low free testosterone despite normal total testosterone. Low SHBG is associated with insulin resistance and may indicate PCOS in women.

What to Expect

After placing your order, we send it straight to Quest Diagnostics — there is no consent form to sign and no partner email to wait for. Your requisition is usually ready to download from your dashboard within about an hour, and you can book your blood draw at any Quest Diagnostics location.

The blood draw typically takes just a few minutes. Results are usually available within 2-3 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.

How much does the SHBG test cost?

The SHBG test costs $18 at JustLabs — $36 all-in, since the $18 lab & physician order fee is charged once per order, however many tests you add. The price is fixed before your blood draw; no insurance or doctor visit needed.

OptionPriceOrder all-inNotes
SHBG at JustLabsDrawn at Quest Diagnostics$18$36Includes the one $18 fee, charged once per order

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Frequently Asked Questions

Hormones1 biomarker

Hospital cash price: $120–$180

$18

+ $18 order fee · $36 all-in

  • Results in 2-3 business days
  • No fasting required
  • Physician order included

No insurance needed · HSA/FSA eligible

  • Physician-ordered
  • CLIA-certified Quest lab
  • Drawn at Quest Diagnostics

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$18

+ $18 order fee · $36 all-in