7 Best At-Home Thyroid Test in 2025

The thyroid gland helps regulate your metabolism, energy levels, and hormonal health. Monitoring its function is essential, and at-home thyroid tests provide a convenient way to do so without requiring an in-person doctor’s visit. These tests require a simple finger-prick blood sample, which is analyzed in CLIA-certified and CAP-accredited labs. Within days, you receive results through a secure online portal, often with detailed explanations to help you understand your thyroid health.

This article reviews the 7 best at-home thyroid tests of 2025, comparing their accuracy, ease of use, and limitations.

7 Best At-Home Thyroid Test

1. Everlywell Collection Kit

   

   The Everlywell Collection Kit lets you assess your thyroid function from home with a simple, guided process. It includes clear instructions, a prepaid shipping label, and customer support to ensure a seamless experience. This test measures essential thyroid markers, including Thyroid-Stimulating Hormone (TSH), Free T3 (Triiodothyronine), Free T4 (Thyroxine), and Thyroid Peroxidase (TPO) Antibodies. These hormones regulate metabolism and energy levels, while elevated TPO antibodies may indicate autoimmune conditions such as Hashimoto’s thyroiditis or Graves’ disease.

   Certified laboratories analyze your sample, and within a few days, you receive secure online results with expert-reviewed educational resources to help you understand your thyroid health.

   Pros

   • Provides the convenience of at-home sample collection.
   • Measures essential thyroid markers, including TSH, Free T3, Free T4, and TPO.
   • Offers educational resources to help interpret results.
   • Prepaid shipping for easy sample returns.

   Cons

   • Might experience significant delays in receiving results.
   • Difficulties in securing a refund or resolution.

2. Choose Health – Thyroid Health & Function Test

   

   The Choose Health Thyroid Health & Function Test enables you to monitor your thyroid health from home. It measures biomarkers, including Thyroid-Stimulating Hormone (TSH), Free Thyroxine (Free T4), Free Triiodothyronine (Free T3), and Thyroid Peroxidase Antibodies (TPO-Ab).

   TSH regulates your thyroid’s hormone production, which directly impacts your metabolism and energy levels. Free T3 is the active thyroid hormone, while Free T4 serves as a precursor, converting into Free T3 when necessary.

   At a cost of $99, the Choose Health test includes free shipping and is eligible for HSA/FSA reimbursement. After mailing your sample using the prepaid shipping label, you will receive results within days, along with a comprehensive report to explain the findings.
   

   Pros

   • Provides a simple finger-prick blood test with an easy mail-in process.
   • Samples are processed in CAP and CLIA-accredited labs for reliability.
   • No extra charge for sending samples back to the lab.
   • Supports broader health assessments beyond thyroid function.

   Cons

   • Customer support may be lacking, as emails often go unanswered.
   • Not suitable for people below 18 years of age.

3. LetsGet Checked – Thyroid Antibody Test

   

   The LetsGetChecked Thyroid Antibody Test allows you to measure five key biomarkers, Thyroid Stimulating Hormone (TSH), Free Thyroxine (FT4), Free Triiodothyronine (FT3), Thyroglobulin Antibodies (TGAB), and Thyroid Peroxidase Antibodies (TPO/TPEX). These markers help you detect thyroid dysfunction and autoimmune conditions.

   FT4 and FT3 are the main thyroid hormones that control metabolic processes. Elevated TGAB and TPO antibodies may signal autoimmune thyroid disorders, where your immune system mistakenly attacks thyroid tissue.

   At $119, the test includes free shipping and access to privacy in results. You’ll collect a simple blood sample, send it for analysis, and receive your test results online within 2-5 days.
   

   Pros

   • Provides confidential access to test results.
   • Tests are processed in the same labs used by physicians and hospitals.
   • Offers access to a dedicated clinical team for guidance on the next steps.
   • Provides a LetsGetChecked App to monitor the results and thyroid health.

   Cons

   • You may struggle to collect enough blood for proper sample testing.
   • The lancing process may be painful and cause finger soreness.

4. Paloma – Complete Thyroid Test

   

   The Paloma Complete Thyroid Test measures vital thyroid biomarkers, including Free Thyroxine (Free T4), Thyroid Peroxidase (TPO) Antibodies, Free Triiodothyronine (Free T3), and Thyroid-Stimulating Hormone (TSH).

   For a more in-depth analysis, Paloma offers optional add-ons for Reverse T3 and Vitamin D testing. Reverse T3 helps provide accurate thyroid function results, and Vitamin D testing may help assess its levels and check for hypothyroidism.

   Priced at $119 with free shipping, the test results are typically available within approximately one week through a secure online portal. The test report provides detailed biomarker insights, comparisons to standard ranges, and personalized recommendations.
   

   Pros

   • May cater to people with thyroid conditions like hypothyroidism or Hashimoto’s.
   • Thyroid specialists review test results.
   • Integrates with Paloma’s platform for personalized treatment plans.

   Cons

   • Not collecting the sample properly may cause rejection of your test results.
   • Potential issues with customer service and complaint redressal.

5. Imaware – Thyroid Screening Test

   

   The imaware Thyroid Screening Test measures Thyroid-Stimulating Hormone (TSH), a key marker of thyroid function. Abnormal TSH levels may point to thyroid conditions like hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid), which could negatively impact your metabolism, energy levels, and health.

   imaware test kit contains everything needed for sample collection, along with clear instructions. After collecting the sample, your sample is sent to CAP-accredited labs for analysis. You can expect your results within seven business days of your sample return.

   Results are securely accessible through the imaware platform, where you’ll find an easy-to-understand report, helping you gain a clear view of your thyroid health.
   

   Pros

   • Provides access to telehealth consultations based on results.
   • Specifically designed to screen thyroid issues common among women.
   • You may receive lab-tested results within a week.
   • Avoids the inconvenience of in-person visits for test collection.

   Cons

   • Measures a single marker (TSH) to evaluate thyroid health.
   • You might experience dissatisfaction with the reliability or quality of the test.

6. Quest – Thyroid TSH Function Test

   

   Thyroid TSH Function Test by Quest measures the level of thyroid-stimulating hormone (TSH) in your bloodstream. If your TSH levels fall outside the normal range, Quest performs an additional test to measure free thyroxine (Free T4) at no extra cost. Measuring Free T4 provides a more comprehensive view of thyroid activity, increasing diagnostic accuracy.

   Once you order the test, you may schedule an appointment at one of Quest’s nationwide patient service centers to provide a blood sample. If abnormalities are found, an independent physician may offer recommendations for potential treatment options.
   

   Pros

   • No special preparation (like fasting) is needed before the test.
   • Includes T4 reflex testing at no additional cost if needed.
   • May help identify hypothyroidism/hyperthyroidism by measuring TSH levels.
   • The test results are presented in a simple-to-interpret format.

   Cons

   • No flexibility, as the test requires in-person visits.
   • Additional fees for physician services may apply, potentially increasing costs.

7. Thyroid Health Screening by myLab Box

   

   The myLAB Box At-Home Thyroid Health Screening Test helps detect thyroid imbalances by measuring levels of Thyroid-Stimulating Hormone (TSH), Triiodothyronine (T3), Thyroid Peroxidase (TPO) antibodies, and Thyroxine (T4).

   The test kit includes everything you need for blood sample collection and is easy to use with clear instructions. After collecting the sample, it is mailed to a certified laboratory, and your results are typically available online within 2 to 5 days. If abnormalities are found, a complimentary telemedicine consultation is provided.
   

   Pros

   • No Need for in-person doctor visits.
   • Eligible for FSA/HSA reimbursement.
   • The tests are flexible without time restrictions.

   Cons

   • Does not provide immediate medical consultation.
   • There may be testing accuracy risks due to home sampling methods.

How Did We Evaluate The Best At-Home Thyroid Tests?

1. Brand Reputation

   In evaluating the best at-home thyroid tests, brand reputation plays a critical part in determining the reliability and trustworthiness of the service. Factors like customer feedback, industry presence, and user satisfaction could give a clear picture of each brand’s standing.

   LetsGetChecked emerges as a leading brand, boasting an impressive Trustpilot rating of 4.6/5 based on 18,660+ reviews. Known for its accuracy, fast results, and excellent customer service, it appears to have a strong reputation in the healthcare industry, particularly for thyroid testing.

   Everlywell, with a rating of 3.6/5 from 435+ reviews, remains a well-established name in at-home testing. While it generally receives positive feedback for the convenience and range of tests, occasional complaints about delays and result accuracy slightly impact its reputation.

   Paloma Health and Questhealth currently lack sufficient customer feedback on Trustpilot. Paloma Health is praised for its specialized focus on thyroid care, but limited reviews make it harder to assess its service fully. Similarly, Questhealth’s established reputation in the diagnostic field is overshadowed by concerns regarding poor customer service and data security.

   imaware and myLAB Box face more significant challenges with their reputation. imaware holds a low Trustpilot rating of 2.0/5 based on 175 reviews, with complaints related to weak lancets and lack of phone assistance.

   Similarly, myLAB Box has a rating of 2.5/5 from 350+ reviews, with users citing issues such as shipping delays and receiving incorrect kits. These issues highlight the need for these brands to improve their customer service and reliability.

2. Price and Value

   When evaluating the price and value of at-home thyroid tests, we considered both the cost and the number of thyroid health markers tested. Questhealth offers the most affordable option at $49, measuring only TSH. However, it lacks the comprehensiveness of other tests.

   imaware, priced at $79, also tests only TSH levels, offering a simple check for thyroid function at a low cost but with limited value for anyone needing a more detailed analysis. Choose Health, at $99, provides a more balanced test by measuring TSH, TPO antibodies, Free T3, and Free T4 levels.

   Similarly, Paloma’s Complete Thyroid Test, priced at $119, includes testing for TPO, Free T4, TSH, and Free T3. It may offer a thorough evaluation of thyroid health, making it a reasonably priced option for those seeking a complete thyroid panel.

   LetsGetChecked Thyroid Health Screening is priced at $119. It may stand out by testing for additional markers like TPO/TPEX and TGAB along with TSH, Free T3, and Free T4. The extra depth makes it a suitable choice for those concerned about autoimmune thyroid conditions.

   Thyroid Health Screening by myLAB Box costs $125, offering a solid range of tests (TSH, TPO, Free T4, and Free T3). The Everlywell Collection Kit, priced at $149, is the most expensive test on the list. It may offer a detailed and thorough thyroid assessment but may not justify the price for those seeking a simpler test.

Downsides of At-Home Thyroid Testing

1. Limited Scope of Testing

   At-home thyroid tests generally focus on measuring thyroid-stimulating hormone (TSH) levels. However, these tests often do not offer the full range of markers included in a clinical thyroid panel.

   For example, certain thyroid conditions like subclinical hypothyroidism or autoimmune thyroid disorders may not be detected through TSH alone. A doctor might need to order Reverse T3 (rT3), Free T3 (FT3), or Free T4 (FT4) to assess thyroid function fully.

2. Potential for Misinterpretation of Results

   Without medical guidance, you might misinterpret thyroid test results, causing unnecessary worry or self-diagnosis. TSH levels fluctuate throughout the day, and factors like stress, diet, or illness may affect it. In the absence of medical guidance, you may panic about slight changes in TSH levels or overlook borderline abnormal results, delaying necessary action.

3. No Immediate Medical Supervision

   Unlike tests conducted in a healthcare setting, where a doctor can immediately review your results and provide context, at-home thyroid tests lack this professional oversight.

   If your results indicate an abnormality, you must take the extra step of scheduling a healthcare appointment for further evaluation. Delaying it might lead to worsening symptoms or complications.

   Untreated thyroid disorders may contribute to serious issues like cardiovascular problems, infertility, and osteoporosis. A doctor would address these risks right away, but at-home testing leaves you responsible for seeking follow-up care.

4. No Insurance Coverage for Most At-Home Tests

   Most at-home thyroid tests are not covered by insurance, meaning you must pay out-of-pocket. In contrast, thyroid tests ordered by a doctor are often covered, at least partially, by health insurance.

   At-home testing companies require full payment upfront, with prices that can range between $50 to over $150, depending on the number of test markers included. This makes at-home testing a more expensive option than in-person lab testing.

5. Lack of Personalized Testing Recommendations

   At-home tests tend to follow a standardized approach and do not account for your medical history or risk factors. On the other hand, a doctor orders thyroid tests based on your symptoms, medical background, and specific needs, providing a more personalized approach.

   For example, if you have a family history of thyroid disease or are pregnant, you may need more specialized tests that at-home kits do not offer. At-home tests are often insufficient if you have complex health concerns, as the at-home tests do not tailor their approach to your unique needs.

6. Follow-Up Care Is Necessary

   If your at-home thyroid test results are abnormal, you will need to consult a doctor for proper evaluation and treatment. Unlike doctor-ordered tests, which are directly linked to a care plan, at-home tests require you to seek follow-up care independently.

   This can be challenging, particularly if you’re unsure how to proceed or are hesitant to seek medical advice due to concerns about cost/time. Delaying follow-up care may have serious health consequences, especially for conditions like hypothyroidism or hyperthyroidism.

   Furthermore, medications like levothyroxine for hypothyroidism or antithyroid drugs for hyperthyroidism require a prescription. This means that even with abnormal testing results, you must consult a doctor to receive appropriate treatment.

Frequently Asked Questions

1. Can An At-Home Thyroid Test Diagnose Thyroid Disease?
   No, at-home tests may provide initial insights into thyroid health. However, a doctor is needed to confirm a diagnosis of thyroid disease through further evaluation, medical history, and additional lab testing if necessary.
2. Who Should Take An At-Home Thyroid Test?
   People experiencing fatigue, weight changes, hair loss, irregular heartbeat, or temperature sensitivity may benefit from at-home thyroid testing. It may also be useful for those with a family history of thyroid disorders.
3. Does Insurance Cover At-Home Thyroid Tests?
   Most at-home thyroid tests are not covered by insurance, but you may be able to use HSA/FSA funds to purchase them. It is advisable to check with your provider for details.
4. How Long Does It Take to Get Results?
   It may depend on the brand, although results for at-home thyroid tests are typically made available within 2–5 business days after the lab receives the sample.

Conclusion

At-home thyroid tests may help you monitor your thyroid function, providing insights into markers like TSH, Free T3, Free T4, and TPO antibodies. Brands like Everlywell, Choose Health, and LetsGetChecked may offer reliable results with simple sample collection and fast processing.

However, many of these at-home thyroid tests do not include a full thyroid panel, potentially missing important markers. Interpreting the results of these tests without medical guidance could also be challenging and may lead to delays in proper treatment. Moreover, most at-home thyroid tests are not covered by insurance, requiring out-of-pocket payment.

While at-home tests might be a helpful initial step to monitor thyroid health, they should not replace professional medical evaluation. If your test results show abnormalities, it is important to consult with a licensed endocrinologist for a thorough diagnosis and personalized treatment plan.