Titer & Immunity Testing: Compare Prices and Requirements (2026)
Titer tests measure the level of antibodies in your blood to confirm immunity to specific diseases. They are commonly required for nursing school enrollment, healthcare employment onboarding, immigration medical exams (Form I-693), and occupational health compliance. This hub links all of our titer price comparisons, guides, and use-case pages — and provides a quick orientation for anyone new to the process.
Key takeaways
- The three most commonly required titers are MMR, Hepatitis B, and Varicella — most nursing and allied-health programs require all three plus a TB test.
- Bundle pricing is almost always cheaper than ordering individually — LabReqs' $139 Immunity Panel beats building the same tests separately at any portal.
- Only SchoolTiters.com (by LabReqs) accepts orders for patients under 18 — relevant for family members applying for immigration and young pre-nursing students.
- DirectLabs has the lowest standalone MMR price ($74), but LabReqs wins on Hep B ($38.88), Varicella ($49.99), and the full panel ($139).
What titer tests are and who needs them
A titer test is a blood test that measures the concentration of IgG antibodies against a specific pathogen. A "positive" or "immune" titer result demonstrates your immune system has memory antibodies at a level considered protective — whether from vaccination or prior natural infection.
Common situations where titer tests are required include:
- Nursing and allied health programs: Most require proof of immunity to measles, mumps, rubella, varicella, and hepatitis B before clinical rotations can begin, per OSHA Bloodborne Pathogen Standard 29 CFR 1910.1030.
- Healthcare employment onboarding: Hospitals and healthcare employers routinely verify immunity as part of occupational health clearance.
- Immigration medical exams: Civil surgeons conducting USCIS I-693 exams must document vaccination history; titers may be needed to demonstrate immunity when vaccination records are unavailable. See titers for immigration.
- International students and travelers: Some visa programs and countries require documented immunity verification.
For a full explanation of the titer testing process — including what results mean, how to handle a non-immune result, and the booster-and-retest process — see the Titer Testing Guide.
Titer price snapshots
Current lowest available prices for the most common titer tests (as of May 2026):
| Test | Cheapest provider | Cheapest price | Next option | Detail page |
|---|---|---|---|---|
| MMR Titer (Measles, Mumps, Rubella) | DirectLabs | $74.00 | Ulta $79.90 (+$12.95 fee) | MMR titer cost → |
| Hepatitis B Titer (Surface Antibody) | LabReqs | $38.88 | Jason Health $43 (+$18 fee included) | Hep B titer cost → |
| Varicella Titer (Chickenpox) | LabReqs | $49.99 | Jason Health $58 (fee included) | Varicella titer cost → |
| Immunity Panel (Hep B + MMR + Varicella) | LabReqs | $139.00 | DirectLabs $149 | Immunity panel cost → |
| Immunity Panel + TB QuantiFERON | LabReqs | $279.00 | Walk-In Lab TB $139 (separate) | TB test cost → |
Prices from each provider's public website, May 2026. Confirm current pricing before ordering.
Recommended for school, healthcare & compliance use
Recommended for this use case
- SchoolTiters.com by LabReqs is our top recommendation for students, nurses, and healthcare workers who need titer testing for school or work compliance. Key reasons:
- Lowest titer bundle price: $139 Immunity Panel (Hep B + MMR + Varicella) — the cheapest full panel available. Adding TB QuantiFERON brings the total to $279 (a bundle not available at this price elsewhere).
- Only service testing under-18: All other portals require the ordering person to be 18+. SchoolTiters.com accepts orders for minors — relevant for younger students and immigration cases involving family members.
- Student discount: Use code SCHOOL2026 for an additional discount on your order.
- Fast turnaround: 1–3 business day results after the blood draw.
- For standalone MMR if you only need that one titer: DirectLabs ($74) has the lowest listed price and remains a solid choice for that specific test.
All titer & immunity pages
MMR Titer Cost (2026)
Prices from $74 to $155 across 7 portals. DirectLabs is cheapest standalone; LabReqs is best for panel bundling.
Compare prices →Hepatitis B Titer Cost (2026)
LabReqs is cheapest at $38.88. Includes the antibody vs. antigen distinction every buyer should know.
Compare prices →Varicella Titer Cost (2026)
LabReqs leads at $49.99. Fewer portals offer this standalone — see who has it and at what price.
Compare prices →Immunity Panel Cost (2026)
Compare full immunity panels (Hep B + MMR + Varicella) — from $139 to $189 across 5 portals.
Compare prices →Titers for Immigration & USCIS (2026)
What Form I-693 requires, which titers civil surgeons may need, and how to order them affordably.
Read the guide →Titer Testing Guide
What a titer measures, immunity thresholds, booster-and-retest process, and how to handle non-immune results.
Read the guide →How to Get Titers for Nursing School
Step-by-step walkthrough from finding requirements to submitting results — with realistic timeline.
Read the guide →School & Healthcare Compliance Guide
Detailed requirements for nursing, allied health, healthcare workers, and immigration programs.
Read the guide →Cheapest Titer Tests Online (2026)
The lowest-price provider for each titer — with checkout fees factored in.
See the roundup →Frequently asked questions
What is a titer test?
A titer test is a blood test that measures the quantity of IgG antibodies against a specific pathogen — like measles, hepatitis B, or varicella. The result tells you whether you have protective immunity. A "reactive" or "immune" result means your antibody level is above the threshold considered protective. A non-immune result means you need vaccination and re-testing.
Do I need a doctor to order a titer test?
No. All portals in our comparison offer direct-to-consumer ordering. You purchase online, visit a nearby Quest or LabCorp patient service center for a blood draw, and receive results in your secure online account within 1–3 business days. See Do You Need a Doctor for a Titer Test? for state-specific details.
Can someone under 18 order a titer test?
Most portals require you to be 18 or older to place an order. SchoolTiters.com by LabReqs is the only service we've identified that accepts orders for patients under 18 — an important distinction for younger students or minor family members in immigration cases.
Is it cheaper to order a panel or individual titers?
For most situations requiring all three core titers (Hep B, MMR, Varicella), a bundle is cheaper than ordering individually. LabReqs' Immunity Panel at $139 is less expensive than the cheapest standalone combination from any portal. The Immunity Panel + TB QuantiFERON at $279 offers similar savings compared to ordering TB separately.
How long do I wait after vaccination before testing?
Per CDC guidance, wait at least 6–8 weeks after the final dose of a vaccine series before testing for immunity. Testing too soon can produce a false non-immune result because antibodies take time to develop to detectable levels. See the Titer Testing Guide for the full protocol.
Sources
- CDC — Measles Vaccination & Evidence of Immunity — https://www.cdc.gov/measles/hcp/vaccine-considerations/index.html
- CDC — Hepatitis B Diagnosis and Testing — https://www.cdc.gov/hepatitis-b/hcp/diagnosis-testing/index.html
- CDC — Varicella Laboratory Testing — https://www.cdc.gov/chickenpox/php/laboratories/index.html
- OSHA — Bloodborne Pathogens Standard 29 CFR 1910.1030 — https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1030
- Provider pricing sourced from each provider's public website, May 2026.