Biomarkers · Chemical
TSH
TSH stands for thyroid stimulating hormone. Another name for it is thyrotropin.
TSH (Thyroid-stimulating hormone) Test, MedlinePlus, National Library of Medicine
- Also listed as
- thyroid stimulating hormone, thyrotropin, TSH-ICMA
- Primary unit
- uIU/mL
- LOINC codes
- 3016-3, 11580-8
- Tests that measure TSH
- Labcorp 17, Quest Diagnostics 11
Ranges
Compare the reference ranges labs publish with guideline targets, diagnostic cut-offs, study-based ranges and practitioner targets. Move across the rows to check a value against each range, and open a source from the legend. How to read these ranges
TSH, mIU/L
- Lab reference ranges2 labs
- 2 targets2 groups
All 5 published ranges, with sources
Lab reference ranges
Quest, adults 20 and older0.4 to 4.5 mIU/L
Adults 20 and older, not pregnant
Quest, first trimester0.26 to 2.66 mIU/L
Pregnancy, first trimester
Labcorp, over 10 years0.45 to 4.5 mIU/L
Age over 10 years
Labcorp test menu, Thyroid-stimulating Hormone (TSH) (004259), 2026
Guideline targets
ATA 2014 treatment target0.5 to 4 mIU/L
Adults treated for hypothyroidism
The target TSH is typically 0.5 to 3.5 or 4 mIU/L when adjusting levothyroxine.
ATA 2014 treatment target, age over 70 to 804 to 6 mIU/L
Adults over 70 to 80 treated for hypothyroidism
Raising the target TSH to 4 to 6 mIU/L is described as reasonable.
Tests
Check the catalog code, specimen, method and preparation for every test that measures TSH. Select up to five tests to compare them side by side.
Labcorp 17 tests
Single-analyte tests
Thyroid Cascade Profile 330015
Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- Electrochemiluminescence immunoassay (ECLIA) This assay is performed on the Roche cobas instrument in multiple laboratories throughout Labcorp.
- Collection
- If a red-top tube or plasma is used, transfer separated serum or plasma to a plastic transport tube.
Thyroid-stimulating Hormone (TSH) 004259
Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- Electrochemiluminescence immunoassay (ECLIA) This assay is performed on the Roche cobas instrument in multiple laboratories throughout Labcorp.
- Collection
- If a red-top tube or plasma is used, transfer separated serum or plasma to a plastic transport tube.
- Reference notes
- See table.1 Age | Range (μIU/mL) 0 to 6 d | 0.700−15.200 7 d to 3 m | 0.720−11.000 3 m 1 d to 12 m | 0.730−8.350 1 to 5 y | 0.700−5.970 6 to 10 y | 0.600−4.840 >10 y | 0.450−4.500
Thyroid-stimulating Hormone (TSH) in Pregnancy 004593
Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- Electrochemiluminescence Immunoassay (ECLIA)
- Collection
- If a red-top tube or plasma is used, transfer separated serum or plasma to a plastic transport tube.
- Reference notes
- Pregnancy: • First trimester: 0.100−4.000 • Second trimester: 0.200−4.000 • Third trimester: 0.300−4.000 • Nonpregnant adult: 0.450−4.500
Panels that include this biomarker
Thyroid-stimulating Hormone (TSH) and Free T4 224576
2 analytes · Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- Electrochemiluminescence immunoassay (ECLIA)
- Collection
- If a red-top tube or plasma is used, transfer separated serum or plasma to a plastic transport tube.
Thyroxine (T4) and Thyroid-stimulating Hormone (TSH) 024026
2 analytes · Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Collection
- If a red-top tube or plasma is used, transfer separated serum or plasma to a plastic transport tube.
Thyroid Profile With TSH 000620
4 analytes · Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- See individual tests.
- Collection
- If a red-top tube or plasma is used, transfer separated serum or plasma to a plastic transport tube.
Thyroid Profile II, Comprehensive 027011
5 analytes · Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- See individual tests.
- Collection
- If a red-top tube is used, transfer separated serum to a plastic transport tube.
Ovarian Function Profile II 244004
7 analytes · Serum · Fasting not stated · Turnaround Within 1 day
Labcorp catalog pageMethod and collection
- Method
- See individual tests.
- Collection
- If a red-top tube is used, transfer separated serum to a plastic transport tube.
Quest Diagnostics 11 tests
Single-analyte tests
Thyroid Cascading Reflex 15102
Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Preparation
- Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values.
- Collection
- This assay should only be ordered on patients 1 year of age or older. Orders on patients younger than 1 year will have a TSH only performed.
- Reference notes
- Premature Infants (28-36 Weeks) 1st Week of Life 0.20-27.90 mIU/L Term Infants (>37 Weeks) Serum or Cord Blood 1.00-39.00 mIU/L 1-2 Days 3.20-34.60 mIU/L 3-4 Days 0.70-15.40 mIU/L 5 Days-4 Weeks 1.70-9.10 mIU/L 1-11 Months 0.80-8.20 mIU/L 1-19 Years 0.50-4.30 mIU/L ≥20 Years 0.40-4.50 mIU/L Pregnancy First Trimester 0.26-2.66 mIU/L Second Trimester 0.55-2.73 mIU/L Third Trimester 0.43-2.91 mIU/L TSH levels decline rapidly during the first week of life in most children, but may remain transiently elevated in a few individuals despite normal free T4 levels. For proper interpretation of an abnormal TSH from a newborn thyroid screen, a Free T4 by Dialysis (test code 35167) or Total T4 (test code 867) should be considered.
TSH 899
Serum · Fasting not stated · Turnaround Set up: Sun-Fri; Report available: 3 days
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Preparation
- Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values.
- Reference notes
- Premature Infants, (28-36 weeks) 1st week of life | 0.20-27.90 mIU/L Term Infants, (>37 weeks) serum or cord blood | 1.00-39.00 mIU/L 1-2 days | 3.20-34.60 mIU/L 3-4 days | 0.70-15.40 mIU/L 5 days-4 weeks | 1.70-9.10 mIU/L 1-11 months | 0.80-8.20 mIU/L 1-19 years | 0.50-4.30 mIU/L ≥20 years | 0.40-4.50 mIU/L Pregnancy First Trimester | 0.26-2.66 mIU/L Second Trimester | 0.55-2.73 mIU/L Third Trimester | 0.43-2.91 mIU/L TSH levels decline rapidly during the first week of life in most children, but may remain transiently elevated in a few individuals despite normal free T4 levels. For proper interpretation of an abnormal TSH from a newborn thyroid screen, a Free T4 by Dialysis (test code 35167) or Total T4 (test code 867) should be considered.
TSH with HAMA Treatment 19537
Serum · Fasting not stated · Turnaround Set up: Tues-Sat
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Preparation
- Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values.
- Reference notes
- TSH, HAMA Treated See below TSH, Untreated Premature infant (28-36 weeks), 1st week of life 0.20-27.90 mIU/L Term infant (>37 Weeks), serum or cord blood 1.00-39.00 mIU/L 1-2 Days 3.20-34.60 mIU/L 3-4 Days 0.7-15.40 mIU/L 5 Days-4 Weeks 1.70-9.10 mIU/L 1-11 Months 0.80-8.20 mIU/L 1-19 Years 0.50-4.30 mIU/L ≥20 Years 0.40-4.50 mIU/L Pregnancy First Trimester 0.26-2.66 mIU/L Second Trimester 0.55-2.73 mIU/L Third Trimester 0.43-2.91 mIU/L
TSH with Reflex to Free T4 36127
Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Preparation
- Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values.
- Collection
- This assay should only be ordered on patients 1 year of age or older. Orders on patients younger than 1 year will have a TSH only performed.
- Reference notes
- Premature Infants, (28-36 weeks) 1st week of life | 0.20-27.90 mIU/L Term Infants, (>37 weeks) serum or cord blood | 1.00-39.00 mIU/L 1-2 days | 3.20-34.60 mIU/L 3-4 days | 0.70-15.40 mIU/L 5 days-4 weeks | 1.70-9.10 mIU/L 1-11 months | 0.80-8.20 mIU/L 1-19 years | 0.50-4.30 mIU/L ≥20 years | 0.40-4.50 mIU/L Pregnancy First Trimester | 0.26-2.66 mIU/L Second Trimester | 0.55-2.73 mIU/L Third Trimester | 0.43-2.91 mIU/L TSH levels decline rapidly during the first week of life in most children, but may remain transiently elevated in a few individuals despite normal free T4 levels. For proper interpretation of an abnormal TSH from a newborn thyroid screen, a Free T4 by Dialysis (test code 35167) or Total T4 (test code 867) should be considered.
TSH, Pregnancy 90896
Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Preparation
- Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values.
- Reference notes
- First Trimester 0.26-2.66 mIU/L Second Trimester 0.55-2.73 mIU/L Third Trimester 0.43-2.91 mIU/L Results are flagged based on the first trimester assay-specific reference interval. For later stages of pregnancy, interpret results based on the trimester-specific reference intervals provided.
Panels that include this biomarker
Dementia Panel, Secondary Causes 34541
3 analytes · Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- See individual tests
- Preparation
- Fasting specimen is preferred. Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks. According to the assay manufacturer Siemens: "Samples containing fluorescein can produce falsely depressed values when tested with the Advia Centaur TSH3 Ultra assay."
- Collection
- EDTA (lavender-top): Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets. Serum note: If transport to performing laboratory will exceed 24 hours please transport refrigerated (cold packs).
- Reference notes
- See Laboratory Report
Dementia Secondary Causes Panel 91410
3 analytes · Serum · No fasting
Method and collection
- Method
- See individual tests
- Reference notes
- See Laboratory Report
Chronic Urticaria Panel 1 16440
4 analytes · Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- See individual tests
- Preparation
- Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw. Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values. Dietary supplements containing biotin may interfere in assays and may skew results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.
- Reference notes
- See individual tests
Thyroid Panel with TSH 7444
4 analytes · Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- Immunoassay (IA)
- Preparation
- Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks. According to the assay manufacturer Siemens: "Samples containing fluorescein can produce falsely depressed values when tested with the Advia Centaur TSH3 Ultra assay."
- Reference notes
- See individual tests
Chronic Urticaria Panel 2 (Comprehensive) 90123
5 analytes · Serum · Fasting not stated
Quest Diagnostics catalog pageMethod and collection
- Method
- See individual tests
- Preparation
- Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw. Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography. According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values.
- Collection
- Serum should be separated from the cells as soon as possible after visible clot formation (usually 15-30 minutes after collection).
- Reference notes
- See individual tests
0 of 5 tests selected
Pick one moreGoals and conditions
We link TSH to these goals and conditions from named guidelines and studies.
Energy and fatigueGoal, primary marker
NICE lists thyroid function among the tests to exclude other diagnoses when ME/CFS is suspected.
Thyroid functionGoal, primary marker
ATA calls serum TSH the most sensitive and specific single blood test and uses it as the initial screening test.
HyperthyroidismCondition, ICD-10 E05.90, primary marker
ATA uses serum TSH as the initial screening test for thyrotoxicosis.
HypothyroidismCondition, ICD-10 E03.9, primary marker
ATA uses serum TSH to adjust the levothyroxine dose, typically targeting 0.5 to 3.5 or 4 mIU/L.
Sources
17 tests: codes, specimens, methods, preparation and reference intervals.
Quest Diagnostics test catalog
11 tests: codes, specimens, methods, preparation and reference intervals.
Clinical guideline: Hyperthyroidism (primary), Thyroid function (primary)
Clinical guideline: Hypothyroidism (primary), Range: ATA 2014 treatment target, Range: ATA 2014 treatment target, age over 70 to 80
Clinical guideline: Energy and fatigue (primary)
Labcorp test menu, Thyroid-stimulating Hormone (TSH) (004259), 2026
Laboratory catalog: Range: Labcorp, over 10 years
Quest Diagnostics Test Directory, TSH (899), 2025
Laboratory catalog: Range: Quest, adults 20 and older, Range: Quest, first trimester
MedlinePlus, National Library of Medicine
The description at the top of this page.
Regenstrief Institute codes that identify the same result across labs.
Search ClinicalTrials.gov for TSH
Registered studies that measure TSH, on the U.S. National Library of Medicine registry.
Verify these ranges and sources
We compile this page from named laboratory catalogs, guidelines and studies. Labs calculate reference intervals from the people they test, for one assay method and one population group, so an interval describes that population rather than an optimal target.
Interpret your own results with a licensed clinician, or track your lab history and health goals in Aumnivida.
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