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Consumers are becoming more tech-savvy and taking their health into their own hands — and this is a good thing.

Home test kits, in particular, are often cheaper than in-office visits and can help uncover any health concerns on your time. Results can easily be sent to your healthcare professional for follow-up.

The thyroid gland is located at the base of your neck. It’s part of the endocrine system and is responsible for regulating hormones throughout your body to help you sleep, give you energy, and help you stay warm.

The main hormones it produces are tetraiodothyronine (T4) and triiodothyronine (T3), which control how your cells use energy. Your thyroid gland regulates your metabolism through the release of these hormones.

Hypothyroidism occurs when the thyroid doesn’t make enough T4, T3, or both. It’s the most common thyroid condition, affecting 5 percent of the population worldwide, with another 5 percent who have the condition but haven’t been diagnosed.

In hyperthyroidism, the opposite occurs. The thyroid becomes too active and makes too much of the thyroid hormones.

Testing your thyroid levels at home is convenient and accurate when it’s done correctly, and with the range of home test kits to choose from, you may find one that you like.

Read on to find out what thyroid tests are available and if they’re right for you.

Anyone can get their thyroid checked. However, certain populations can be at higher risk for thyroid disorders, including:

  • women or people born with a uterus
  • people with autoimmune disorders, including type 1 diabetes
  • people with a history of thyroid disorders
  • people who smoke

You may want to undergo testing if you’re showing any symptoms of hypothyroidism or hyperthyroidism.

If you’re experiencing any of these symptoms, consider getting your thyroid levels checked. If left untreated, hypothyroidism may cause developmental issues for a fetus, an enlarged thyroid, heart issues, and fertility concerns.

Hyperthyroidism may cause osteoporosis, heart failure, and irregular heartbeat.

Since thyroid concerns are common and you can have thyroid issues without symptoms, you can still get tested as part of your preventive healthcare routine.

No at-home thyroid testing company is perfect, but we chose those that had a lot of benefits to offer to their clients. The companies listed offer privacy and reliable follow-up results.

A range of pricing was factored in, too. We also looked at online reviews from real users’ experiences. After reading our reviews, we encourage you to fully research a company before buying their thyroid test to make sure it’s right for you.

1. Best for follow-up on results

LetsGetChecked

LetsGetChecked offers two options: the thyroid test and the thyroid antibody test.

The thyroid test checks thyroid-stimulating hormone (TSH), T4, and T3. If your results come back outside of the normal range (either high or low), you have the option of a free consultation by phone with a nurse to discuss your next steps. With your lab report, you’ll also receive information on how to understand your results.

The thyroid antibody test for TSH, T4, and T3, plus the antibodies thyroglobulin and thyroid peroxidase (TPO). Knowing whether or not you have these antibodies can help determine if you have an autoimmune condition such as Hashimoto’s thyroiditis.

After requesting a thyroid test kit, you will receive an unmarked box in the mail that includes everything you need for testing. You’ll take a finger prick in the morning and send back your sample in the provided biohazard bag and white box the same day. Results are sent to you in 2 to 5 days.

Cost: $99–$119, depending on which test you choose

Coverage: LetsGetChecked doesn’t take insurance, but they do accept flexible savings account (FSA) and health savings account (HSA) cards.

2. Best lab-based testing

HealthLabs

Rather than taking a thyroid test yourself, HealthLabs gives you the option to take a test at one of their lab sites. You order the test yourself, and use the site to find a location nearby, with no appointment needed. Collecting a blood sample at the lab takes less than 10 minutes.

You have the option to choose which thyroid tests you’d like to take. Their most popular are the TSH test and the thyroid panel, which tests TSH, T3 reuptake, T4, and free thyroxine index (T7). Results come back within 2 to 3 days of taking the test.

Cost: $39–$119, depending on which test you choose

Coverage: You can use your HSA or FSA account to pay for testing, but you’ll have to submit receipts for insurance reimbursement. HealthLabs doesn’t bill your insurance directly.

3. Best membership

Everlywell

Everlywell is a relatively new company that provides a range of testing options, including thyroid kits. These thyroid tests evaluate TSH, TPO antibody, T3, and T4.

By becoming a member, you’ll get a significant discount on testing options. You’ll collect your sample with a finger prick and return the kit to be tested. There are videos on their website that walk you through how to collect and return your sample.

Results are returned in 5 business days. Depending on volume, it may take up to 8 days.

Cost: $99 (without a membership) or $24.99 (with a membership)

Coverage: Everlywell isn’t covered by insurance, but you can use your HSA or FSA account to pay for testing.

4. Best for specialized care

Paloma Health

Paloma Health is a telemedicine company with providers who specialize in thyroid disorders. The company only does thyroid testing. Their main goal is to be a one-stop-shop for all aspects of thyroid health.

In this way, Paloma stands out from their competitors with a more holistic approach to care. They offer nutritional consults and health coaching, and one doctor is assigned to you throughout all your testing. This whole-body approach offers more than just the usual thyroid testing. Their additional antibody tests can detect Hashimoto’s thyroiditis and other thyroid disorders.

You have the options to have TSH and free T4 levels tested, but the thyroid panel also includes testing of anti-TPO antibodies and free T3 levels.

You’re provided a lancet to take a finger prick. This sample will be sent back in the provided biohazard bag, which is placed in the original box. A return envelope is provided for this. While results are read by healthcare professionals, for a separate fee, they can provide information about your results, as well as a treatment plan. Results are returned in 7 days.

Cost: $99 for the thyroid test kit, additional costs for medications, and coaching and treatment plans

Coverage: Consultations are covered by insurance. If Paloma isn’t in-network, you can submit for reimbursement. Check with your insurance company to find out if they will cover at-home test kits.

5. Best for women

imaware

imaware provides testing that’s peer-reviewed by the medical community. Their labs are CLIA certified, and the company states their thyroid testing kit measures just TSH and is only for women. The kit is shipped to all 50 states, except New York. Each test is reviewed by the doctor who initially ordered the test.

The company provides instructional videos and detailed instructions for how to administer your test. Testing is done with a finger prick, and the sample is sent back in the return box and envelope. Results are sent 7 days after shipping the sample.

Cost: $69

Coverage: imaware doesn’t bill your insurance directly, but you can submit receipts for reimbursement.

Thyroid tests use blood samples to check the levels of TSH and T4. If there are any concerning results, more detailed testing can be done, including checking for T3 levels.

If your levels are too high or low, you may also need an ultrasound to view the structure of your thyroid, since tumors on the thyroid gland can cause symptoms that are similar to hypothyroidism and hyperthyroidism. You may need to go on daily medication to regulate your levels.

According to the Food and Drug Administration (FDA), home test kits, in general, are a suitable way to receive quick and confidential lab results. They’re not a substitute for receiving regular care from a healthcare professional. A thyroid blood test is only one part of receiving a diagnosis, and for some people, more testing or clinical exams might be necessary.

Some endocrinologists, or doctors who specialize in hormone-related conditions like thyroid disorders, have concerns about the reliability of thyroid kits and the potential for misdiagnosis. But this is why it’s still important to inform your healthcare professional of these results.

Most of these home test kits do provide interpretations of your lab results. If they don’t, it’s always best to consult with your healthcare professional.

TSH levels depend on your age and sex, but they can fluctuate based on medications, diet, and pregnancy. The normal range is 0.45 to 4.5 milliunits per liter (mU/L).

A prolonged change in these hormones can affect your overall health. When TSH levels are too high, the thyroid gland isn’t making enough T4, which can lead to hypothyroidism. Conversely, if TSH levels are too low, the thyroid gland may be producing too much T4, which can lead to hyperthyroidism.

Overall, thyroid test kits are a great way to check and monitor how your thyroid is functioning and if there is a concern you should address.

Home testing companies vary in the services they offer, as well as their pricing. It’s a good idea to research each company for more information on their services and healthcare professionals and accreditations. This can help you decide whether at-home thyroid tests are right for you, and which company to try.


Risa Kerslake is a registered nurse, freelance writer, and mom of two from the Midwest. She specializes in topics related to women’s health, mental health, oncology, postpartum, and fertility content. She enjoys collecting coffee mugs, crocheting, and attempting to write her memoir. Read more about her work at herwebsite.