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Normal lab values

Not medically reviewed · Content last updated · 6 min read ·

This is the date the draft was written, not a medical review date.

Typical adult reference intervals for about seventy common analytes, in conventional and SI units, with standard causes of high and low results.

Pick a laboratory group below to compare adult reference ranges in conventional and SI units, then open a test for the causes of high and low values. The ranges are generic: your laboratory’s own reference interval always applies.

Arterial blood gas interpretation — A stepwise guide with Winter’s formula, anion gap and delta-delta.

Haematology

AnalyteConventional unitsSI units
Haemoglobin
Men: 13.5–17.5 g/dL
Women: 12–15.5 g/dL
Men: 135–175 g/L
Women: 120–155 g/L
Haematocrit
Men: 41–53 %
Women: 36–46 %
Men: 0.41–0.53 L/L
Women: 0.36–0.46 L/L
Red blood cell count
Men: 4.5–5.9 x10^6/µL
Women: 4.1–5.1 x10^6/µL
Men: 4.5–5.9 x10^12/L
Women: 4.1–5.1 x10^12/L
Mean corpuscular volume
80–100 fL
80–100 fL
Mean corpuscular haemoglobin
27–33 pg
27–33 pg
Mean corpuscular haemoglobin concentration
32–36 g/dL
320–360 g/L
Red cell distribution width
11.5–14.5 %
11.5–14.5 %
White blood cell count
4–11 x10^3/µL
4–11 x10^9/L
Neutrophils (absolute count)
1.8–7.5 x10^3/µL
1.8–7.5 x10^9/L
Lymphocytes (absolute count)
1–4 x10^3/µL
1–4 x10^9/L
Platelet count
150–400 x10^3/µL
150–400 x10^9/L
Reticulocyte count
0.5–2.5 % of red cells
0.005–0.025 fraction of red cells
Vitamin B12 (cobalamin)
200–900 pg/mL
148–664 pmol/L
Folate (vitamin B9)
3–17 ng/mL
6.8–38.5 nmol/L

Electrolytes

AnalyteConventional unitsSI units
Sodium
135–145 mEq/L
135–145 mmol/L
Potassium
3.5–5 mEq/L
3.5–5 mmol/L
Chloride
98–107 mEq/L
98–107 mmol/L
Bicarbonate (total CO2)
23–29 mEq/L
23–29 mmol/L
Calcium (total)
8.5–10.5 mg/dL
2.12–2.62 mmol/L
Calcium (ionised)
4.6–5.3 mg/dL
1.15–1.32 mmol/L
Magnesium
1.7–2.2 mg/dL
0.7–0.91 mmol/L
Phosphate (inorganic)
2.8–4.5 mg/dL
0.9–1.45 mmol/L

Renal

AnalyteConventional unitsSI units
Urea / blood urea nitrogen
7–20 mg/dL (BUN)
2.5–7.1 mmol/L (urea)
Creatinine
Men: 0.7–1.3 mg/dL
Women: 0.6–1.1 mg/dL
Men: 62–115 µmol/L
Women: 53–97 µmol/L
Uric acid
Men: 3.4–7 mg/dL
Women: 2.4–6 mg/dL
Men: 202–416 µmol/L
Women: 143–357 µmol/L

Liver

AnalyteConventional unitsSI units
Alanine aminotransferase (ALT)
10–40 U/L
10–40 U/L
Aspartate aminotransferase (AST)
10–40 U/L
10–40 U/L
Alkaline phosphatase (ALP)
40–129 U/L
40–129 U/L
Gamma-glutamyl transferase (GGT)
Men: 9–50 U/L
Women: 8–40 U/L
Men: 9–50 U/L
Women: 8–40 U/L
Total bilirubin
0.1–1.2 mg/dL
1.7–20.5 µmol/L
Direct (conjugated) bilirubin
0–0.3 mg/dL
0–5.1 µmol/L
Albumin
3.5–5 g/dL
35–50 g/L
Total protein
6–8.3 g/dL
60–83 g/L

Lipids

AnalyteConventional unitsSI units
Total cholesterol
< 200 mg/dL
< 5.2 mmol/L
LDL cholesterol
< 100 mg/dL
< 2.6 mmol/L
HDL cholesterol
Men: 40–60 mg/dL
Women: 50–80 mg/dL
Men: 1.03–1.55 mmol/L
Women: 1.29–2.07 mmol/L
Triglycerides
< 150 mg/dL
< 1.7 mmol/L

Glucose

AnalyteConventional unitsSI units
Fasting plasma glucose
70–99 mg/dL
3.9–5.5 mmol/L
Glycated haemoglobin (HbA1c)
4–5.6 % (NGSP/DCCT)
20–38 mmol/mol (IFCC)

Coagulation

AnalyteConventional unitsSI units
Prothrombin time
11–13.5 seconds
11–13.5 seconds
International normalised ratio
0.8–1.2 ratio
0.8–1.2 ratio
Activated partial thromboplastin time
25–35 seconds
25–35 seconds
Fibrinogen
200–400 mg/dL
2–4 g/L
D-dimer
< 500 ng/mL FEU
< 0.5 mg/L FEU

Cardiac

Thyroid

AnalyteConventional unitsSI units
Thyroid-stimulating hormone (TSH)
0.4–4 mIU/L
0.4–4 mIU/L
Free thyroxine (free T4)
0.8–1.8 ng/dL
10.3–23.2 pmol/L
Free triiodothyronine (free T3)
2.3–4.2 pg/mL
3.5–6.5 pmol/L

Blood gases

AnalyteConventional unitsSI units
Arterial blood pH
7.35–7.45 pH units
7.35–7.45 pH units
Partial pressure of arterial oxygen (PaO2)
75–100 mmHg
10–13.3 kPa
Partial pressure of arterial carbon dioxide (PaCO2)
35–45 mmHg
4.7–6 kPa
Arterial bicarbonate (HCO3-)
22–26 mEq/L
22–26 mmol/L
Base excess
-2–2 mEq/L
-2–2 mmol/L
Lactate
4.5–18 mg/dL
0.5–2 mmol/L
Arterial oxygen saturation (SaO2)
95–100 %
0.95–1 fraction
Anion gap
8–12 mEq/L
8–12 mmol/L

Urinalysis

AnalyteConventional unitsSI units
Urine pH
4.5–8 pH units
4.5–8 pH units
Urine specific gravity
1.003–1.03 ratio
1.003–1.03 ratio
Urine albumin-to-creatinine ratio (ACR)
< 30 mg/g
< 3.4 mg/mmol

Iron and vitamins

AnalyteConventional unitsSI units
Serum iron
Men: 59–158 µg/dL
Women: 37–145 µg/dL
Men: 10.6–28.3 µmol/L
Women: 6.6–25.9 µmol/L
Total iron-binding capacity (TIBC)
250–450 µg/dL
44.8–80.6 µmol/L
Ferritin
Men: 24–336 ng/mL
Women: 11–307 ng/mL
Men: 24–336 µg/L
Women: 11–307 µg/L
Transferrin saturation
20–50 %
0.2–0.5 fraction

Inflammation

AnalyteConventional unitsSI units
C-reactive protein (CRP)
< 5 mg/L
< 5 mg/L
Procalcitonin (PCT)
< 0.1 ng/mL
< 0.1 µg/L
Erythrocyte sedimentation rate (ESR)
Men: 0–15 mm/h
Women: 0–20 mm/h
Men: 0–15 mm/h
Women: 0–20 mm/h

Endocrine

AnalyteConventional unitsSI units
Serum cortisol (morning)
6–23 µg/dL
165–635 nmol/L
Parathyroid hormone (PTH)
15–65 pg/mL
15–65 ng/L
25-hydroxyvitamin D
20–50 ng/mL
50–125 nmol/L

Other

AnalyteConventional unitsSI units
Lactate dehydrogenase (LDH)
125–220 U/L
125–220 U/L
Amylase
30–110 U/L
30–110 U/L
Lipase
< 160 U/L
< 160 U/L

References

  1. Rifai N, Horvath AR, Wittwer CT. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. Elsevier, 6th edition (2018) — Tier 3 (textbook)
  2. McPherson RA, Pincus MR. Henry's Clinical Diagnosis and Management by Laboratory Methods. Elsevier — Tier 3 (textbook)
  3. EP28-A3c: Defining, Establishing, and Verifying Reference Intervals in the Clinical Laboratory; Approved Guideline, Third Edition. Clinical and Laboratory Standards Institute, 3rd edition (2010) — Tier 2 (guidelines / primary literature)
  4. Loscalzo J, et al.. Harrison's Principles of Internal Medicine. McGraw-Hill, 21st edition (2022) — Tier 3 (textbook)

References are listed only where the article cites them. See the sources page for the full policy. How sources are chosen and credited