Direct-to-Consumer Lab Testing: Membership vs Pay-Per-Test Compared
Companies describe two broad models: memberships that bundle a panel, a dashboard and clinician review, and pay-per-test services that sell specific tests. This page lists what each company says on its own public pages, checked on October 16, 2026. It is not a ranking or recommendation, and we have not tested or audited any company. Everything in the table is 'according to the company'; features, prices and availability change often, so confirm on the company's site. Rules for consumer-ordered tests vary by state, and some tests or services are unavailable in some states (New York, New Jersey and Rhode Island are commonly restricted).
According to each company's own public pages, checked on October 16, 2026. Not a ranking. Prices are "as listed" and exclude any lab, draw or add-on fees unless stated. Confirm everything on the company's site.
| Company | Biomarkers / tests | Care-team access | Reports and tracking | Price model | Price (as listed) | Physician order | State availability notes | Company pages |
|---|---|---|---|---|---|---|---|---|
| Everlywell | Everlywell 360: 83 biomarkers (annual test); individual at-home tests also sold | Clinician-reviewed Care Plan; an optional 360 + Consult tier adds a 1:1 meeting with a licensed provider | Care Plan, biological age, WellScore, annual retest | Annual membership (360) and individual tests | Everlywell 360: $399 per year | Not stated on the pages we reviewed | Not stated on the pages we reviewed | |
| Function Health | 160+ lab tests per year (membership) | Clinician review of results and a clinician summary are included | Result explanations, action items and a personalized plan; a mid-year retest (60+ biomarkers) and add-on tests are described | Annual membership | $365 per year | Not stated on the pages we reviewed | Company FAQ: offered in 48 states, not yet Rhode Island, Hawaii or Puerto Rico; Arizona requires two visits | |
| Hims & Hers Labs Hims & Hers also offers other services that are not covered or evaluated here, including telehealth care and prescription treatment. The company says its Labs action plan can include access to personalized treatment plans if a provider deems them appropriate. Only the testing is described here. | Up to 130+ biomarkers per year: first panel 75+, six-month follow-up 55+ | A licensed provider reviews the request, results go to you and a provider, a provider reaches out about critical results, and 24/7 provider messaging is included; the company says a video visit is not required | Doctor-developed Action Plan, Biological Age estimate, retest at six months | Annual plan with two blood draws | $349 per year (listed at $499 before a discount) | Company states "Eligibility and provider order required"; a licensed provider determines whether testing is appropriate | Company says available in 49 states and DC, not yet Hawaii; HSA/FSA not accepted for Labs per its FAQ | |
| InsideTracker | Ultimate Blood Test: up to 54 biomarkers | Clinician access is not described on the pages we reviewed | Personalized recommendations and an action plan, biological age (InnerAge), AI guide | Membership plus blood tests; tests are sold to members | Membership + Ultimate Blood Test $489; Ultimate Blood Test $340 (members only) | Not stated on the pages we reviewed | Not stated on the pages we reviewed | |
| Labcorp OnDemand | Many individual tests and panels; Advanced Health Panel measures 65+ markers | Results are also available to the independent provider who placed the order; an optional Personal Wellness Program lists 4 advisor-led sessions | Online results through a Labcorp Patient account; trends over time can be monitored by retesting | Pay per test or panel | Example: Advanced Health Panel $399 | Company states all testing requires an order from an authorized healthcare professional, arranged through contracted independent providers; no doctor visit needed to purchase | Not stated on the pages we reviewed | |
| Lifeforce Lifeforce also offers other services that are not covered or evaluated here, including clinician-managed treatment and prescriptions. Its testing is sold as part of that clinician-led membership rather than as a stand-alone test, so it may not suit someone who only wants a test. | 50+ biomarkers per panel; Core membership lists 2 panels per year, the monthly membership lists quarterly panels | Membership includes 45-minute 1:1 clinician visits (1 per year on Core; one with each test on the monthly plan) and health coaching | Lifescore, biological age, written plan and tracking dashboard, wearable data sync, retesting every 3-6 months | Membership only (annual or monthly); tests are not sold separately on the pages we reviewed | Core membership $599 per year (listed at $699 before a promotion); monthly membership $149 per month after a starting charge. Prices and promotions differ between the company's pages | Testing is part of a clinician-led membership; the company says medical services are provided by independently owned affiliated practices | The company names affiliated practices in New Jersey, Kansas, California and a fifth practice for all other states; a state-by-state availability list was not visible on the pages we reviewed | |
| Mito Health | Catalog of 1,000+ lab tests, scans and kits; curated panels (Essential, Core, Pro, Ultra) | Every result is reviewed by a clinician; consults are $99 per 30 minutes ($39 for members) | Action plan, tracking and biological-age tracking (membership); single-marker retests | Pay per test, with an optional membership for member pricing | Membership $9 per month or $99 per year; test prices are shown per test on the site | Company says no doctor's order is needed from you; each order is reviewed and signed by a physician in its network | Company says lab testing is not currently available in Rhode Island or Hawaii; BioReference is the lab in New York and New Jersey | |
| Oura Health Panels | 50 biomarkers per test (some extras may be added if results are out of range) | Booking requires consent to telehealth care provided by SteadyMD; you can share the report with your own provider | Results shown as in range, out of range or critical, AI-generated educational insights, shareable report, trends in the Oura app | Pay per test; requires an Oura membership and a supported ring | $99 per test (the company lists a $5 non-refundable fee if cancelled before testing) | Not stated beyond the telehealth consent; tests are booked in the Oura app at Quest locations | Company says scheduling is US only and testing is not currently available in Arizona, New Jersey, New York or Rhode Island; members must be 18+ | |
| Quest Health | 150+ tests; Elite Health Profile measures 85+ markers | An independent healthcare provider is involved; discussing results with that provider is included at no extra cost, per the company | Online results; Comprehensive and Elite profiles include a personalized health score to track over time | Pay per test or profile | Examples: Elite Health Profile $399; Fitness Profile Basic (60+ markers) $196 | No doctor visit needed to purchase; an independent healthcare provider is involved, per the company | Not stated on the pages we reviewed; in-home collection is an extra $79 where offered | |
| Rythm Health | 25+ biomarkers per test | Clinician access is not described on the pages we reviewed; the company lists an AI health coach | Personalized insights, trends over time, AI coaching, monthly results in the app | Monthly subscription; the company says you can skip or cancel | $79 per test (a first-test discount is shown), plus shipping and tax | Not stated on the pages we reviewed | Not stated on the pages we reviewed | |
| SiPhox Health | Ultimate 360 panel: 52 biomarkers per test; other focus panels have fewer (the page also says up to 60) | 1:1 live support during sample collection is listed; clinician access is not described on the pages we reviewed | Personalized insights and action plan, supplement recommendations, AI chat, dashboard with uploads of other labs, wearable connection | Membership with tests at a cadence you choose (monthly, quarterly or every 6 months) | The test page shows "Only $124"; the Ultimate 360 price is not shown on the pages we reviewed | Not stated on the pages we reviewed | Not stated on the pages we reviewed | |
| Superpower | 100+ biomarkers from one blood draw per year | Care team access is listed as part of the membership | Dashboard, biological age, personalized plan, option to upload past labs; follow-up tests can be added | Annual membership | From $199 per year (at-home draw costs extra, per the company) | Not stated on the pages we reviewed | State availability is listed on the company's site; check before buying | |
| Ulta Lab Tests | Individual tests and focused panels; no fixed biomarker count | No clinician consultation is described on the pages we reviewed; the company says results should be reviewed with a healthcare professional | Results in an online patient account; educational guides on interpreting results | Pay per test or panel | Prices are listed per test on the company's site; we could not retrieve a current price | Company says a licensed clinician or another authorized process may review or authorize the order when required, and that you obtain the laboratory requisition after ordering | Company says its direct-access service is not offered in New York, New Jersey, Rhode Island or Hawaii; no insurance accepted | |
| Walk-In Lab | Individual tests and panels; no fixed biomarker count | Company says it does not recommend physicians or write prescriptions; results are for you to review (and share) with your own provider | Online results with reference ranges and flagged out-of-range values | Pay per test or panel | Prices shown per test; a $6 per-order physician fee is shown on popular tests | Lab order is issued through the company's physician network; no visit to your own doctor needed, per the company | Company FAQ: not offered through Labcorp in NY, NJ, RI, MD and MA or through Quest in AZ, NY, NJ and RI | |
| WHOOP Advanced Labs | Comprehensive Health Panel: 75 biomarkers; specialized panels: 77-90 biomarkers; 122+ biomarkers across the offering | A licensed clinician reviews each result and a Clinical Report or Action Plan is provided | Action Plan, results alongside WHOOP data in the app, tracking over time | Per-test plans (1, 2, 4 or 6 tests a year) and one-time specialized panels | Comprehensive: $199 for one test, $175 per test for two ($349 a year), $150 per test for four or six; specialized panels $299 each | Company says no referral is needed to book | Company says not available in Arizona, Hawaii, Wyoming, North Dakota or South Dakota (its gift page lists Hawaii, Wyoming, South Dakota and North Dakota); an additional $141 per test is payable at the lab in New York, New Jersey and Rhode Island; ages 18+. Company pages differ on whether a WHOOP membership is required |
Rules for consumer-ordered lab tests vary by state, and some tests or services are unavailable in some states (New York, New Jersey and Rhode Island are often restricted). Results are general information, not medical advice; discuss them with a licensed clinician. Some companies also offer clinician consultations, supplements or other services; this page covers only their testing. Sponsored placement, if any, is labeled and does not change this information or any evidence rating.
How to read the table
Biomarker counts are not directly comparable: companies count tests, markers and biomarkers differently, and some counts refer to a single panel rather than a whole service. 'Care team' describes access to clinicians as the company describes it; it is not an assessment of quality. Prices are shown as the company lists them on the checked date and may not include lab, draw or add-on fees.
Who orders the test
In the US, lab tests are generally ordered by a licensed provider. Consumer services typically arrange this through an affiliated or independent provider, so you may not need to visit your own doctor. What is required, and whether a given test is available in your state, depends on state law and on the company. Check the company's current terms for your state before buying.
What research says
Cardiovascular prevention guidelines recommend specific tests, such as lipid panels, as part of risk assessment. A Cochrane review of general health checks found they are unlikely to reduce illness or death. Individual tests can still be clinically useful, and results are best discussed with your clinician. See the sources below.
Order and sponsorship
Providers are listed alphabetically, not by merit. Sponsored placement, if any, is labeled and never changes evidence ratings or the information in this table.
FAQ
Do I need a doctor's order?
Rules vary by state and company. Several companies say they arrange the order through an independent or affiliated provider, so you may not need to visit your own doctor. Check each company's terms.
Are these services available in every state?
No. Some companies say they cannot offer some or all tests in certain states, with New York, New Jersey and Rhode Island frequently named. See the availability column and the company's site.
Are broad panels worth it?
Research on general health checks has not shown benefit for reducing illness or death, and broad panels can return borderline results that lead to follow-up testing. Discuss with a clinician.
Is this medical advice?
No. This page is general information. Talk to a licensed clinician before acting on any test result.
Sources
- Krogsbøll LT et al. General health checks in adults for reducing morbidity and mortality from disease. Cochrane Database Syst Rev 2019
- Grundy SM et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2019
- Arnett DK et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2019
Links are provided for reference. Citing a study does not imply its authors endorse this site or any product.
Informational comparison, not a ranking or recommendation. Evidence ratings describe published research on each topic and are editorial opinions, not company grades. Descriptions are based on public information and not independently verified. Prices and features change; confirm on each provider's site. Some links may be affiliate links. Last reviewed October 16, 2026.
Longevity Ledger provides general information, not medical advice. Ratings are editorial opinions based on publicly available information. Consult a licensed clinician before changing medication, hormones, supplements, testing or training. Some links are affiliate or sponsored links; see our affiliate disclosure.