Blood Test Watchdog
CostUpdated November 14, 2026

ANA Test Cost Without Insurance (2026): Where to Order It

What an ANA (antinuclear antibody) blood test costs without insurance at Quest Health and Access Labs, what it measures, and who can order it without a doctor visit.

By Julian Caraulani · Last updated

Cost

Quick answer
An ANA test without insurance costs $68 at Access Labs and $112 plus a $6 physician service fee at Quest Health, both read November 14, 2026. You order online and give one blood sample at a lab.

Compare every service on the best blood tests page or see price per measured marker.

What an ANA test is

ANA stands for antinuclear antibody. Antibodies are proteins your immune system makes. Antinuclear antibodies are ones that target the center (the nucleus) of your own cells. MedlinePlus says "An ANA test is a blood test that looks for antinuclear antibodies in your blood" (MedlinePlus, read 14 Nov 2026).

The same page says "Your health care provider may order an ANA test if you have symptoms of an autoimmune disorder." An autoimmune disorder is a condition where the immune system attacks healthy tissue.

This page covers price and where to order. What a result means for you is a question for your clinician.

ANA test price by seller

Read from each seller's own page on November 14, 2026.

Test name on the page Seller Price Fee on top Source
ANA Test (ANA IFA Screen) Access Labs $68.00 None shown Access Labs
Autoimmune Screening Test (ANA with Reflex) Quest Health $112.00 $6.00 physician service fee Quest Health

The two are not always the same test. A "reflex" test means the lab runs extra steps only if the first screen is positive, so check each page for what is included. Other lab stores, such as Ulta Lab Tests and Request A Test, also sell an ANA test. Their pages did not load for our reader today, so we left them out instead of guessing a price.

For the same store-by-store method on other tests, see the PSA test cost guide, the titer test cost guide, the kidney function test cost guide and the no-insurance price hub.

What the seller pages say

Quest Health describes its test as one that can "Detect autoantibodies in your blood related to various autoimmune diseases." Its page shows "HSA/FSA Accepted" and says sample collection is not available in AZ, HI or PR. Home collection through Quest Mobile costs extra where it is offered.

Access Labs describes its test simply: "The ANA test checks the ANA blood level." Its page says each request is "reviewed and, if appropriate, authorized by a physician."

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One result is not the whole picture

MedlinePlus says a result from an ANA test alone cannot name a specific disease, and that having these antibodies "doesn't always mean you have a disease." Clinicians use the ANA together with symptoms and other tests. If you order one yourself, plan to share the result with a clinician.

Who can order an ANA test without a doctor

Both sellers add a physician review at checkout, so you do not need a visit first. You then give a sample at a partner lab location. Some states limit direct-to-consumer lab testing, and stores such as these often exclude New York, New Jersey and Rhode Island, so confirm at checkout. Our state guide and ordering your own blood test explain the rules.

Insurance, HSA and FSA

Lab stores sell at a self-pay price. Quest Health's page says HSA and FSA funds may be used, and suggests you check your plan. Our HSA and FSA guide covers what each seller says.

Questions

FAQ

How much is an ANA test without insurance?

It depends on the seller and the version of the test. We read $68 at Access Labs and $112 plus a $6 fee at Quest Health, both on November 14, 2026. Check the current figure at checkout.

What is an ANA blood test?

It is a blood test that looks for antinuclear antibodies, which are antibodies aimed at the nucleus of your own cells. MedlinePlus says clinicians may order it when someone has symptoms of an autoimmune disorder. It is a screening step, and a result alone cannot name a disease.

Can I get an ANA test without a doctor's order?

Yes, through a lab-test store. Quest Health adds a physician service fee for its review, and Access Labs says a physician reviews each request. Availability varies by state, so check at checkout.

Does an ANA lab test have a reflex step?

Some versions do. Quest Health lists an "ANA with Reflex" test, where the lab adds follow-up steps only if the first screen is positive. Read the product page to see exactly what your version includes before you pay.

Is there an at home ANA test?

The blood is still tested at a lab. Quest Health says home collection by Quest Mobile costs an additional $99 where it is available, read November 14, 2026. Otherwise you visit a partner lab. Our guide to ordering your own test explains the steps.

Does insurance cover an ANA test?

Coverage depends on your plan and on a clinician ordering the test. Lab stores are self-pay, and Quest Health says HSA and FSA funds may be used. See our HSA and FSA guide for details. Compare every seller on the price page or the best blood tests page.

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