Vitals Vault Review (2026): Panels, Markers Counted and Fees
Vitals Vault's three one-time Quest panels: the price, the markers measured by our count, what the fee covers, states left out, retest offer and privacy wording.
By Julian Caraulani · Last updated
Review
Below: what each panel costs, how its "120+" becomes our count, what the price covers, and the terms. We have not bought a panel. Its full scorecard is on the Vitals Vault review page, and every service is ranked on the best blood tests page. Vitals Vault does not pay us.
What Vitals Vault costs
| Panel | Price | Its count | Measured, our count | Calculated | Per measured marker | Source |
|---|---|---|---|---|---|---|
| Essential | $99 | 120+ | 66 | 35 | $1.50 | Essential |
| Advanced | $199 | 140+ | 73 | 40 | $2.73 | Advanced |
| Max | $399 | 160+ | 86 | 47 | $4.64 | Max |
All three are one payment, with no subscription. Its Essential page says the price includes "all tests, the physician order fee, the blood draw fee, and your report", and lists "No lab visit fee". The page also compares its price with a figure it calls Quest retail, and notes that it "has a commercial interest" in its comparison with other services. We use only the price you pay.
Individual add-on tests are sold at checkout. Their prices are not on the pages we read, so they are not in this table.
How 120+ becomes 66
Its Essential page lists 128 lines across nine areas. The list is public, and it is one of the more complete we have read. We count it the same way as every other seller:
| Step | Lines | What happens |
|---|---|---|
| Lines listed on the Essential page | 128 | Hormones, nutrients, inflammation, heart, metabolism, kidney, blood, liver, urine |
| Calculated values out | 38 lines, 35 distinct | Ratios and indices such as NLR, TyG, atherogenic index and eGFR, plus biological age and BMI. Three pairs repeat the same value |
| Blood smear lines merged | 13 lines become 1 | Bands, blasts, myelocytes and similar, starred on its list |
| Percent and absolute white cells merged | 10 lines become 5 | One cell type, one marker |
| Urine casts, crystals and renal or transitional cells merged | 10 lines become 3 | Listed by type on its page |
That leaves 66 measured markers. Marketing lines and our count are measuring different things, and we are not saying a report line has no use. A calculated ratio can still be something a person wants to see. It just does not add a measurement, so it does not lower the cost per marker on our table. Its peers get the same treatment in our cost per biomarker guide.
Advanced adds, among others, ApoB, estradiol, SHBG, B12, folate and GGT. Max adds, among others, Lp(a), homocysteine, insulin, cortisol, DHEA-S, IGF-1, zinc and red-cell magnesium. If you were asked for one of those, price the panel that holds it. Our biomarker pages show other ways to buy each one.
Why it ranks where it does
Our score has five published parts, and a seller cannot pay to change them. Vitals Vault earns the top price score because its list can be counted, its price is all-in, and its cost per measured marker falls in the top band of our method. Here is the full working:
| Part | Weight | Its score | Why |
|---|---|---|---|
| Price | 30% | 10 | In the top band per measured marker |
| Transparency | 25% | 10 | Publishes its list, its fees and its refund terms |
| Care | 20% | 10 | Clinician review, no outside order, names the lab, states CLIA, privacy wording |
| Access | 15% | 8 | Sells in 46 states and takes HSA or FSA. New York and New Jersey are not served, and there is no at-home option |
| Reputation | 10% | 5 | Fewer than 100 Trustpilot reviews sets this part to 5 |
That is the method applied to what its pages say. The care score takes its statements as written, and we have not tested the service.
What happens after you pay
Per its page, a licensed clinician reviews your order, and your Quest requisition follows, with no separate referral visit. You then book or walk in at one of its stated 2,000+ Quest locations. Its page says the order stays valid for a full year, most results come in 3 to 5 business days, and every result is reviewed by a licensed clinician.
The report and dashboard come from Vitals Vault. Its page also includes an AI assistant called PocketMD, which it labels "not a licensed physician". We do not assess what its reports say. For what a result means, talk to a clinician who knows your history.
Refunds, retests and states
| Term | What it says | Source |
|---|---|---|
| Refund | "Full refund before your blood draw." | Essential page |
| Renewal | None. "No membership, nothing renews" | Essential page |
| Retests | A year of free retests of eligible flagged markers, "with any panel order of $199 or more per person"; "the lab visit fee applies" | Retest offer |
| States | "Lab testing is not available in NY, NJ, HI, or RI" | Its llms file |
| HSA or FSA | Eligible, per its own site | Essential page |
We do not know whether the retest offer has an end date. Read its terms before relying on it. For rules by state, see New York, and our order your own blood test guide covers why a few states limit direct testing.
Lab, privacy and record
Quest runs the samples. Its page describes them as "CLIA-certified Quest labs", and any lab can be looked up on the CMS QCOR CLIA lookup. Its privacy policy says "We do not sell personal or health information", using the legal definition of "sale". Our privacy comparison sets wording like this beside other services.
Its Trustpilot profile showed 4.0 from 3 reviews that day, too few to say much, so our method scores it neutrally.
Questions
FAQ
Is Vitals Vault legit?
It sells panels drawn at Quest, with a physician order and clinician review stated on its own pages. Three Trustpilot reviews is too few to read much from. Our review reports what its pages say, and we have not bought a panel.
How much does Vitals Vault cost?
$99 for Essential, with Advanced and Max at the higher prices in the table above, each one payment with no subscription. Its page says the physician order and draw fee are in the price. Add-on tests cost extra.
How many biomarkers does Vitals Vault test?
It says 120+, 140+ and 160+. By our count, 66, 73 and 86 distinct measured markers, with calculated values and repeated lines set aside. The gap comes mostly from ratios and report lines, and every step is in the table above.
Is Vitals Vault available in my state?
Not in New York, New Jersey, Hawaii or Rhode Island, per its site. Its panels are drawn at Quest, so it also depends on a location near you, and it has a lab finder on its site.
Does Vitals Vault include ApoB?
Not in the Essential panel, on the list we read. It is in Advanced and Max. Lp(a) and insulin are only in Max on those lists. These can change, so check the list on its panel page before you buy.
Vitals Vault or Function Health?
Vitals Vault is a one-time payment with no renewal. Function Health is a yearly membership with two draws and a larger list. Compare them in our cost per biomarker guide and our Function Health worth-it record.
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