How Much Does The DUTCH Test Cost?

Our data shows interest in the DUTCH hormone test keeps climbing because it delivers a full-day picture of cortisol, estrogen, progesterone, testosterone, melatonin, and more, all from a simple dried-urine kit.

While many shoppers assume a lab panel costs the same everywhere, real-world invoices swing from $299 (≈2.5 days of desk time at a $15/hour wage) mini panels to $650 (≈1.1 weeks of your career at a $15/hour job) full kits, plus interpretation, repeat testing, and supplement plans. The guide below expands every cost angle including base price, bundled savings, insurance hurdles, hidden shipping fees, and total ownership, so you can budget accurately before you order.

Article Insights

• Direct DUTCH Complete costs $499 (≈4.2 days of consecutive work at a $15/hour job); Plus lists at $650 (≈1.1 weeks of your career at a $15/hour job).
• Clinic bundles drop price to $350 (≈2.9 days working without breaks at $15/hour)–$550 (≈4.6 days working without days off at $15/hour) but often roll consult fees inside.
• HSA/FSA cards pay the test outright, trimming taxable income.
• Insurance rarely reimburses; successful claims hinge on cancer-follow-up codes.
• Saliva or blood alternatives run $129 (≈1.1 days working for this purchase at $15/hour)–$399 (≈3.3 days working every waking hour at $15/hour) yet lack full metabolite scope.
• Promotions slash $50+ (≈3.3 hours of labor required at $15/hour) off during stress or women’s health campaigns.
• Long-term users should budget $250 (≈2.1 days working for this purchase at $15/hour)–$499 (≈4.2 days of consecutive work at a $15/hour job) for periodic retests every 12–18 months.

How Much Does The DUTCH Test Cost?

The cost of a DUTCH Test spans between $275 (≈2.3 days of consecutive work at a $15/hour job) for Mini Panels up to $600 (≈1 week of salary time at $15/hour) for DUTCH Plus.

Our team verified direct-to-consumer sticker figures on Precision Analytical’s checkout page and compared them to bulk-order clinic sheets.

Direct pricing bundles a prepaid USPS or FedEx return label valued near $15 (≈1 hour of uninterrupted labor at $15/hour) and a pdf results portal. Precision Analytical never tacks on a laboratory accession fee—so unlike most labs, the sticker is final.

Clinic bundles often look higher until the consult credit appears. In Seattle, a functional ND packages DUTCH Plus at $575 (≈4.8 days working without breaks at $15/hour) and waives her standard $165 (≈1.4 days of labor continuously at a $15/hour wage) follow-up if the client orders on test day—net savings vs self-ordering plus a separate appointment.

Promotional emails yield single-use coupon codes. Last March, subscribers received $50 (≈3.3 hours of labor required at $15/hour) off Complete and $75 off Plus. A mid-year flash sale trimmed Cycle Mapping by 10 percent, hitting $495 for credit-card buyers who checked out within 24 hours.

The flagship DUTCH Complete™ test, which offers an extensive profile of sex and adrenal hormones plus melatonin and oxidative stress markers, is priced at $499. This test is designed for home collection and includes analysis of 35 different hormones and metabolites, providing a comprehensive assessment of hormonal health. Restrictions apply for ordering in New York, Maryland, and Rhode Island, and the kit includes prepaid shipping to the lab along with detailed instructions for sample collection.

A more advanced option, the DUTCH Plus®, costs $650 and adds the Cortisol Awakening Response (CAR) to the hormone panel, offering deeper insight into adrenal function. This kit includes both urine and saliva collection materials and is also shipped for home use with prepaid return shipping. Like the DUTCH Complete™, it is subject to state restrictions and includes a one-year return policy with a $25 restocking fee.

For those interested primarily in sex hormone monitoring, the DUTCH Sex Hormone Metabolites test is available for $399. This panel is ideal for hormone replacement therapy monitoring and baseline hormone measurements, focusing on estrogen, androgen, and progesterone metabolites.

Some providers bundle the DUTCH Complete test with consultation services, such as the offering at Dr. Mindy Pelz's site, where the test plus consultation is priced around $550. This may provide additional guidance in interpreting results and planning treatment.

DUTCH Test Overview

We found three flagship DUTCH kits. The DUTCH Complete™ remains the entry point: four dried-urine strips collected over 24 hours to map diurnal cortisol and 35 additional metabolite markers. Because collection happens at home, no phlebotomy lab visit, courier pickup, or clinic overhead applies, keeping base cost predictable.

The second option, DUTCH Plus®, adds four saliva swabs at waking, 30 min, 60 min, and bedtime to reveal the cortisol awakening response (CAR). This hybrid panel targets HPA-axis stress dysregulation—it measures both immediate hormone surges and downstream clearance. Extra sample materials and dual-platform analytics explain the $151 jump from Complete.

Finally, DUTCH Cycle Mapping™ stretches over an entire menstrual cycle. Thirty-one daily strips capture ovulation timing, luteal progesterone sufficiency, and estrogen rises that granite blood tests miss. Fertility specialists often pair Cycle Mapping with an ultrasound, but the DUTCH approach alone costs far less than sequential serum draws at $550 direct.

What Affects the Cost

We found three dominant drivers: test scope, interpretive labor, and geographic logistics.

Test Type: Expanded biomarker panels require more reagents and machine runtime. Each added estrogen or progesterone metabolite raises assay expense by roughly $6, which compounds across 20–30 markers. That technical math explains why the Plus panel totals $650 rather than matching Complete’s $499.

Interpretation & Consult: Some providers embed data review inside the sticker price. Naturopath Cressida Volek, ND (Portland) values her 45-minute Zoom at $125 retail but drops it to $75 when bundled. Self-ordering shoppers who skip professional feedback often pay later—missed methylation flags can lead to trial-and-error supplement shopping over $200.

Location & Access: U.S. island states and international customers incur larger postage. FedEx International Priority to Sydney adds $49. U.K. import VAT runs 20 percent of declared value—£80–£100 on a Plus kit—pushing landed cost well above domestic figures.

You might also like our articles about the cost of a blood test, pregnancy test, or testosterone replacement therapy.

Is It Covered by Insurance?

Wellness vs Diagnostic: Insurers group DUTCH with preventive screens, not medically necessary diagnostics. Codes Z13.29 (encounter for screening of other nutrition disorders) almost always trigger denial. Anthem’s 2024 medical policy lists dried-urine hormone panels as investigational.

FSA/HSA Eligibility: Because the test assesses endocrine function, most HSA cards approve the merchant code automatically. Patients paying with pre-tax dollars effectively cut net cost by their marginal tax bracket (e.g., 24 percent = $120 saved on Plus).

Reimbursement Challenges: Precision Analytical supplies a superbill with CPT 82570 (urine creatinine) and CPT 82627 (total estrogens), yet payers often want in-network labs. Success stories exist when oncologists code post-cancer surveillance, recouping $200–$300 but only after written appeals and months of review.

Cost Comparison With Other Hormone Tests

Saliva Tests: Stand-alone cortisol or estrogen saliva panels cost $129–$229. They reveal free hormone but miss metabolite pathways, making them cheaper yet narrower. For adrenal fatigue alone, saliva may suffice; for methylation or estrogen dominance, DUTCH provides richer ROI.

Blood Panels: Quest or LabCorp bills the insurer $45–$160 for estradiol, progesterone, and morning cortisol. Co-pays vary by plan, but time-of-day circadian insight disappears; blood captures a single point, while DUTCH maps an entire rhythm.

Other Functional Panels: Genova’s Endocrine Complete lists at $399, covering fewer estrogen hydroxylations. ZRT’s dried urine costs $349 yet skips full androgen breakdown. In interviews, endocrinologist Dr. Octavian Rael (Boston Medical Collective) labeled DUTCH “the only outpatient urine kit giving phase-1 and phase-2 detox in the same report”—justifying its slight premium.

Real-World Examples

Online Clinics: Tele-integrative service Root Cause bundles DUTCH Plus and two ND visits for $585. Patients supply symptoms online, receive the kit at home, and schedule a Zoom review. This approach trims overhead compared with in-office fees but maintains professional interpretation.

Local Practitioner Pricing: Atlanta hormone center Serenity Life lists Complete at $450, includes a brief 15-minute nurse call, and upsells a 60-minute case review for $95. That tiered model lets budget users stay near the direct-to-consumer $499 baseline.

Patient Testimonials: User “MetaboMama” on the Hormone Healing forum paid $375 during a group-practice promo. Contrast that with Reddit poster “HighCortIsoMe” spending $650 out-of-pocket at a boutique clinic with a same-day consult. Both confirmed a ten-day turnaround from drop-box to pdf results.

What’s Included in the Price

Lab Kit & Materials: Each shipment contains filter-paper cards, desiccants, return pouch, barcode labels, and illustrated directions. Replacement supplies cost $25 if contamination occurs.

Digital Report: The final 18-page pdf graphs cortisol slope, CAR, estrone hydroxylations, androgen metabolites, melatonin, and nutrient co-factor hints. For clinicians, raw data import into Rupa or Wellevate EMRs at no extra fee.

Optional Interpretation: Some orders include a standardized commentary page at no cost; others add a Zoom call. Freelance dietitian Lorinda Thorne, RD charges $90 for a 45-minute breakdown—patients opting out of bundled interpretation need to budget accordingly.

Tips for Reducing Cost

Leverage Tax-Advantaged Accounts: Paying with HSA or FSA cards saves federal, state, and payroll taxes—up to 30 percent in combined relief. Precision Analytical’s MCC (merchant category code) clears instantly, avoiding reimbursement paperwork.

Target Promotions: Subscribe to Precision’s newsletter; last year Stress Awareness Week offered $50 off Complete and dealers replicated that discount. Keep an eye on June Men’s Health Month for possible $40 coupon codes on androgen-focused panels.

Order Only Necessary Panels: If adrenal cortisol mapping is the single goal, select the Mini Adrenal panel at $299 rather than the $499 Complete. For fertility tracking, Cycle Mapping™ replaces both Complete and Plus, avoiding duplicate spending.

Expert and Practitioner Commentary

Clinical Viewpoints: Dr. Selwyn Kershaw, integrative gynecologist at Cedar Ridge Health, states, “When I include metabolite clearance, treatment precision improves and patients cut back on unneeded bio-identical hormones, easily offsetting the $499 test fee.”

Research Perspective: Biochemist Professor Yvaine Sondergaard from Lund University reviewed dried-urine methodology and found coefficient of variance under 6 percent for estrogen metabolites—matching or out-performing liquid chromatography on serum. She calls DUTCH “cost-efficient given its biomarker volume.”

Practitioner Economics: Functional PA Taranis Muller notes many clinics lose time piecing together cortisol, sex hormones, and methylation data from three external labs. “One DUTCH Plus report saves two extra appointments—about $300 in clinic time—making the sticker surprisingly modest.”

Total Cost of Ownership

Counting one baseline DUTCH Complete, a retest after protocol tweaks, and annual monitoring for three years, plus mid-level supplement regimens:

A four-year horizon lands near $2,500—far lower than repeating separate blood draws and trial-and-error supplements yet high enough to merit budgeting.

Answers to Common Questions

Is the DUTCH test worth the money? For patients with unresolved fatigue, PCOS, or estrogen dominance, the combined metabolite and cortisol rhythm data often solves treatment puzzles sooner, delivering ROI that exceeds the $499–$650 kit cost.

Can my doctor order it for less? Bulk-ordering integrative clinics knock Complete down to $400–$450. Ask if your provider participates in Precision’s volume discount program.

How often should I retake the DUTCH test? Clinicians recommend one baseline, a follow-up at six to nine months, then annual check-ins priced between $299 and $499 depending on panel breadth.

Does the FCC—sorry—does insurance pay anything? Most carriers deny claims; use HSA/FSA funds for immediate tax savings instead.

Is a blood hormone panel cheaper? Yes, single-draw serum tests may cost $45–$160 after insurance, but they lack metabolite insights and circadian cortisol mapping—critical for comprehensive hormone strategy.