Bloodworkon your terms.

BASIC MALE

A broader men’s wellness panel assessing sex, stress, and growth hormones alongside thyroid, metabolic, cardiovascular, blood, and prostate health.

$250.00

TOTAL MALE

Our most comprehensive men’s panel, combining advanced hormone testing with thyroid, cardiovascular, metabolic, kidney, liver, prostate, inflammation, and nutrient markers.

$405.00$415.00

TRT ASSESSMENT

Built for ongoing TRT monitoring, with key hormone, blood, lipid, liver, metabolic, prostate, and growth-factor markers in one panel.

$235.00

ESTRADIOL, ULTRASENSITIVE, LC/MS X3

Three ultrasensitive estradiol tests for accurately tracking hormone levels over time, with each test available to use for up to one year.

$127.00

ESTRADIOL, ULTRASENSITIVE, LC/MS X6

Six ultrasensitive estradiol tests for frequent, accurate hormone monitoring, with each test available to use for up to one year.

$253.00

TOTAL THYROID PANEL

A comprehensive look at thyroid function and autoimmunity, including TSH, free and total T3 and T4, reverse T3, uptake, and thyroid antibodies.

$90.00

AUTOIMMUNE DISEASE SCREENING

A broad initial screen for autoimmune activity using blood counts, inflammation markers, metabolic health, thyroid antibodies, ANA, and rheumatoid factor.

$99.00

ESSENTIAL OPTIMIZED MALE PANEL

A focused pre-protocol baseline assessing androgen and pituitary signaling, hormone precursors, stress response, blood health, organ function, metabolism, and prostate markers.

$285.00

COMPREHENSIVE OPTIMIZED MALE PANEL

An advanced hormone-optimization panel offering full-system visibility across hormone pathways, thyroid, metabolism, inflammation, cardiovascular risk, minerals, iron, and organ health.

$540.00

UNWRACKED MALE PANEL

A performance-focused men’s panel designed with Andrew and Kyle from Unwracked to assess hormones, inflammation, metabolism, cardiovascular health, recovery, and organ function.

$299.00

FOR HER

Women's Panels

Comprehensive panels designed specifically for women's health optimization.

BASIC FEMALE

A well-rounded women’s wellness panel assessing sex hormones, thyroid and metabolic function, stress response, cardiovascular health, fertility, and key nutritional markers.

$250.00

TOTAL FEMALE

Our most comprehensive women’s panel, covering reproductive and adrenal hormones, thyroid, metabolism, cardiovascular risk, inflammation, fertility, iron, vitamin D, and blood health.

$405.00$415.00

LITE FEMALE

An efficient women’s health baseline covering reproductive hormones, heart and metabolic markers, thyroid function, blood health, urinalysis, and essential nutrients.

$150.00

ESTRADIOL, ULTRASENSITIVE, LC/MS X3

Three ultrasensitive estradiol tests for accurately tracking hormone levels over time, with each test available to use for up to one year.

$127.00

ESTRADIOL, ULTRASENSITIVE, LC/MS X6

Six ultrasensitive estradiol tests for frequent, accurate hormone monitoring, with each test available to use for up to one year.

$253.00

TOTAL THYROID PANEL

A comprehensive look at thyroid function and autoimmunity, including TSH, free and total T3 and T4, reverse T3, uptake, and thyroid antibodies.

$90.00

AUTOIMMUNE DISEASE SCREENING

A broad initial screen for autoimmune activity using blood counts, inflammation markers, metabolic health, thyroid antibodies, ANA, and rheumatoid factor.

$99.00

UNWRACKED FEMALE

A performance-focused women’s panel assessing reproductive and androgen hormones alongside thyroid, metabolic, cardiovascular, blood, and nutritional markers.

$240.00

Hashimoto's Thyroiditis Panel

A focused initial screen for Hashimoto’s thyroiditis measuring TSH, free T4, and thyroid peroxidase antibodies.

$30.00

Mothersense Foundation

Foundation for all Mothersense panels
CBC with differential and platelets
Comprehensive metabolic panel

$46.00

Mothersense Nutrition+

Everything in Mothersense Foundation
CBC with differential and platelets
Comprehensive metabolic panel

$93.00

Mothersense Conception+

Everything in Mothersense Nutrition+
CBC with differential and platelets
Comprehensive metabolic panel

$130.00

Mothersense Complete

Everything in Mothersense Nutrition+
CBC with differential and platelets
Comprehensive metabolic panel

$189.00

NEW — TEST FROM HOME

At-Home Test Kits

Skip the lab. A collection kit ships straight to your door — collect your sample at home and mail it back with prepaid shipping.

Men's At-Home Hormone Panel

CORTISOL
DHEA-S
ESTRADIOL

$120.00$199.00

Women's At-Home Hormone Panel

FSH
LH
ESTRADIOL

$125.00$199.00

At-Home Cardiac Panel

CHOLESTEROL
hsCRP
HDL

$150.00$225.00

At-Home Inflammation Panel

Cortisol
IgE
hsCRP

$120.00$199.00

ADVANCED TESTING

Specialty Tests

Advanced at-home testing for a deeper look — comprehensive hormone and metabolite panels collected from home.

DUTCH Complete

A comprehensive at-home profile of sex hormones, estrogen metabolites, adrenal hormones, daily cortisol patterns, and organic acids linked to nutrient and metabolic function.

$400.00

DUTCH Sex Hormones

A focused urine panel mapping progesterone, androgen, and estrogen metabolites for a detailed view of sex hormone production and clearance.

$280.00

DUTCH Adrenal

An at-home assessment of free cortisol, free cortisone, and their metabolites to show daily adrenal output and overall cortisol clearance.

$280.00

DUTCH Organic Acids (OATs)

An organic acids panel assessing neurotransmitter metabolites, oxidative stress, nutrient-related pathways, and markers of cellular energy production.

$260.00

DUTCH CAR (Cortisol Awakening Response)

A targeted saliva panel measuring the cortisol awakening response and daily cortisol and cortisone patterns to evaluate the body’s stress response.

$275.00

DUTCH Plus

DUTCH Complete plus the cortisol awakening response, combining sex hormone metabolites, estrogen pathways, adrenal output, and organic acids in one advanced assessment.

$500.00

DUTCH Cycle Mapping

Maps estrogen and progesterone across the menstrual cycle to show hormone patterns through the follicular, ovulatory, and luteal phases.

$495.00

DUTCH Cycle Mapping + Sex Hormones

Combines full-cycle estrogen and progesterone mapping with a detailed urinary profile of progesterone, androgen, and estrogen metabolites.

$550.00

DUTCH Cycle Mapping + Adrenal

Combines full-cycle estrogen and progesterone mapping with cortisol, cortisone, and metabolized cortisol markers for added adrenal insight.

$550.00

DUTCH Cycle Mapping + Complete

Combines cycle mapping with DUTCH Complete for an integrated view of monthly hormone patterns, hormone metabolism, adrenal function, and organic acids.

$595.00

Contact our support team→

DUTCH Cycle Mapping Plus

The most comprehensive cycle-focused option, adding the cortisol awakening response to cycle mapping, sex hormone metabolites, adrenal markers, and organic acids.

$695.00

Customize Your Health Journey

Build Your Own Panel

Create a custom panel tailored to your specific health needs. Choose from over 1,000 individual tests and only pay for what you need.

View All Tests

Got Questions?

Frequently Asked Questions

Everything you need to know about our testing process.

Vanguard focuses on comprehensive biomarker testing and personalized health optimization rather than just treating symptoms. We provide detailed lab analysis with actionable insights to help you understand your body's performance at a cellular level.

You can book your lab appointment immediately after purchasing your test package. Most lab locations have availability within 1-3 business days, and you'll receive your results within 48-72 hours after your sample is collected.

Yes! We offer discounts for multiple tests purchased together and special pricing for family members. Contact our support team to learn about current bundle offers and group discount programs.

We don't directly bill insurance, but many of our tests may be eligible for HSA/FSA reimbursement. We provide detailed receipts and CPT codes that you can submit to your insurance provider for potential reimbursement.

When you purchase tests, you'll receive an email with instructions to book your lab appointment. You can track your progress through your dashboard, and you'll receive your results directly via email.

Our comprehensive panels test 100+ biomarkers including hormones, nutrients, inflammation markers, and metabolic indicators. This gives you a much deeper understanding of your health status than standard annual physicals.

Still have questions?

4.9/5from 500+ reviews

Trusted by Thousands

Join the growing community taking control of their health with convenient, affordable lab testing.

"I've been using Vanguard Performance for my quarterly bloodwork for over a year now. The process is incredibly simple - I can schedule everything online and get my results back in just a few days."

Kyle H.

Verified Customer

"After dealing with insurance hassles for years, finding Vanguard Performance was a game-changer. I can order exactly the tests I want without jumping through hoops."

Cynthia C.

Verified Customer

"I was skeptical at first about ordering bloodwork online, but Vanguard Performance made it so easy. They use Quest so there are plenty of lab locations to choose from."

Darryl S.

Verified Customer

"As someone who tracks my biomarkers regularly, Vanguard Performance has been perfect for my needs. I can customize my panels and track trends over time."

Brandon L.

Verified Customer

Ready to take control of your health?

Start Your First Order→

1,000+ Tests Available

Browse All Tests

Find the right tests for your health goals.

ADVANCED LIPID PANEL, CARDIO IQ

$101.22

KIDNEY PROFILE

$23.84

THYROID PANEL WITH TSH

Thyroid Panel includes: T 3 Uptake, T 4 (Thyroxine) Total, Free T 4 Index (T 7)
TSH
Gain valuable insight into your thyroid health with a complete set of key hormone measurements.

$18.20

Urinalysis, complete, Macroscopic and Microscopic

Macroscopic and Microscopic Examinations

REVERSE T3

$36.00

IMMUNOGLOBULINS PANEL, SERUM

$55.56

PROTEIN ELECTROPHORESIS, SERUM

$20.00

MICRONUTRIENT PANEL

Micronutrient, Calcium
Micronutrient, Chromium, Blood
Micronutrient, Copper, Plasma

$344.00

CALCIUM

Serum calcium is involved in the regulation of neuromuscular and enzyme activity, bone metabolism and blood coagulation.
Calcium measurements are useful in the diagnosis of parathyroid disease, some bone disorders and chronic renal disease.
A low level of calcium may result in tetany.

MAGNESIUM, RBC

Magnesium is an essential trace element.
Deficiency leads to irritability, neuromuscular abnormalities, cardiac and renal damage.
Its salts are used as antacids and cathartics.

$16.24

COPPER, PLASMA

Copper is an essential element that is a cofactor of many enzymes.
Copper metabolism is disturbed in Wilson's disease, Menkes disease, primary biliary cirrhosis, and Indian childhood cirrhosis.
Copper concentrations increase in acute phase reactions and during the third trimester of pregnancy.

$24.00

VITAMIN A (RETINOL)

Vitamin A is critical for vision, growth and many cell functions.
High concentrations of Vitamin A are seen with renal failure, but this is not associated with toxicity and excessive ingestion.
High concentrations are associated with bone fractures.

$44.00

VITAMIN B2

Vitamin B2 is involved in metabolism of fats, carbohydrates, and protein.
The clinical manifestations of deficiency are non-specific.
Clinical manifestations include mucocutaneous lesions of the mouth and skin, corneal vascularization, anemia, and personality changes.

$49.00

VITAMIN B6, PLASMA

Test is used to determine vitamin B6 deficiency or overdosage, for monitoring treatment, and to evaluate wellness and health.

$44.00

ZINC

Zinc is an essential element involved in a myriad of enzyme systems including wound healing, immune function, and fetal development.
Zinc measurements are used to detect and monitor industrial, dietary, and accidental exposure to zinc.
Zinc measurements may be used to evaluate health and monitor response to treatment.

$13.50

FOLATE

VITAMIN B1 (THIAMINE)

Vitamin B1 is required for branched-chain amino acid and carbohydrate metabolism.
Vitamin B1 deficiency is most often due to alcoholism or chronic illness.
In the early stage, patients with vitamin B1 deficiency exhibit anorexia, irritability, apathy, and generalized weakness.

$36.58

VITAMIN B3

$110.00

VITAMIN C

Vitamin C is an antioxidant involved in:
Connective tissue metabolism
Drug-metabolizing systems

$41.56

COENZYME Q10 (COQ10)

CoQ10 testing is useful for:
Individuals on statin therapy
May detect myalgia symptoms

$80.00

MANGANESE

Manganese deficiency produces growth disorders, alters skeletal and cartilage formation and impairs reproduction.
Industrial workers absorb manganese mainly through the lungs.

$114.00

SELENIUM

Selenium is a key component of a number of functional selenoproteins required for normal health.
The best known of these are the antioxidant glutathione peroxidase enzymes, which remove hydrogen and damaging lipid and phospholipid hydroperoxides generated in vivo by free radicals and other oxygen-derived species.
If not removed, lipid hydroperoxides impair membrane structure and function and cause blood-clotting disturbances by decreasing the production of prostacyclin while increasing the production of thromboxane.

$60.04

VITAMIN B12

B12 is decreased in pernicious anemia, total or partial gastrectomy, malabsorption and certain congenital and biochemical disorders.

VITAMIN B5

Vitamin B5 (Pantothenic Acid) is a component of coenzyme A and phosphopantetheine both of which are involved in fatty acid metabolism. It is essential to almost all forms of life and is widely distributed in food.

$105.10

VITAMIN E

Deficiency of Vitamin E may cause extensive neuropathy in young children and, in addition, is suspect as a possible cause of motor and sensory neuropathy in older children and in adults.
One likely cause of Vitamin E deficiency is intestinal malabsorption, resulting from bowel disease, pancreatic disease, or chronic cholestasis.
Other causes of malabsorption of Vitamin E include celiac disease, cystic fibrosis, and intestinal lymphangiectasia.

$36.00

B VITAMIN PANEL

Micronutrient, Folate
Micronutrient, Vitamin B1 (Thiamine)
Micronutrient, Vitamin B2

$411.00

ANTIOXIDANT PANEL

Micronutrient, Coenzyme Q10 (CoQ10)
Micronutrient, Vitamin A (Retinol)
Micronutrient, Vitamin C

$117.00

Cystatin C w/ eGFR

Detect early kidney dysfunction before it appears on standard labs
Validate or clarify borderline creatinine-based eGFR results
Provide a more accurate kidney assessment in people with low or high muscle mass, older adults, athletes, or those with chronic health conditions

$40.00

ANDROSTENDIONE

$22.00

HS-CRP

HOMOCYSTEINE

$16.78

ALPHA-FETOPROTEIN

$17.00

CANCER ANTIGEN 15-3

$17.38

CANCER ANTIGEN 19-9

$20.00

CANCER ANTIGEN 125

$17.00

CARCINO-EMBRYONIC ANTIGEN

$20.00

HUMAN GROWTH HORMONE

$45.40

NEURON SPECIFIC ENOLASE

$51.00

PROSTATIC ACID PHOSPHATASE

$17.00

HEPATITIS B SURFACE ANTIGEN

HEPATITIS C ANTIBODY

HIV ANTIGEN AND ANTIBODY

$77.00

T3 TOTAL

THYROID PEROXIDASE + THYROGLOBULIN ANTIBODIES

THYROID STIMULATING IMMUNOGLOBULIN

$834.12

T3 UPTAKE

T4 TOTAL

APOLIPOPROTEIN EVALUATION

$28.80

LIPID PANEL CARDIO IQ

Glutamic Acid Decarboxylase-65 Antibody (GAD65)

Risk Assessment for Type 1 Diabetes

$70.00

Soluble Transferrin Receptor

Helps evaluate iron status and iron deficiency
Useful for monitoring iron metabolism and red blood cell production
Can assist in distinguishing iron deficiency from inflammation-related anemia

$350.00

Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR

Syphilis Antibody Cascading Reflex

$22.81

Mumps Virus Antibody (Igm)

$110.00

Mumps Virus Antibodies (IgG, IgM), Diagnostic

$230.00

Helicobacter pylori, Urea Breath Test

$115.00

Inhibin B

$119.79

Hepatitis B Surface Antibody Immunity, Quantitative

$22.50

Tumor Necrosis Factor-Alpha, Highly Sensitive

$45.00

ESTRADIOL ULTRASENSITIVE LC/MS

Accurate hormone level measurement
Comprehensive reproductive health assessment

$46.98

CBC (DIFF/PLT)

Comprehensive blood analysis
Infection detection
Anemia screening

TESTOSTERONE (FREE AND TOTAL)

Complete testosterone analysis
Free and total levels
Kidney function consideration

$18.00

CHOLESTEROL, TOTAL

Cardiovascular health assessment
Heart disease risk evaluation

HDL-CHOLESTEROL

Good cholesterol measurement
Heart health monitoring

TRIGLYCERIDES

Fat metabolism assessment
Cardiovascular risk evaluation

COMPREHENSIVE METABOLIC PANEL

Complete metabolic assessment
Kidney and liver function
Electrolyte balance

FSH & LH (S)

Reproductive hormone analysis
Fertility assessment
Pituitary function

$19.60

SHBG

Hormone transport protein analysis
Testosterone availability assessment

IGF I, LC/MS

Growth hormone activity measurement
Growth and metabolism assessment

$36.00

PSA FREE & TOTAL

Prostate health screening
Cancer risk assessment
Free and total PSA analysis

$15.16

TSH

T-4 (THYROXINE)

Thyroid function evaluation
Metabolism monitoring

DHEA-SULFATE

Adrenal function assessment
Hormone precursor measurement

$14.00

GGT

Liver function assessment
Bile duct health evaluation

PROLACTIN

Pituitary function assessment
Reproductive health evaluation

HEPATIC FUNC PANEL

Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT
Comprehensive liver function assessment
Liver health monitoring