Current promotion
Urine Albumin (uACR) Test: Early Kidney Marker for Diabetes & BP
A simple urine test that can surface kidney strain years before symptoms appear.
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The uACR (albumin random urine with creatinine) test is $35.96 after the 20% discount; broader kidney panels from $49.56 (promotional pricing at time of writing).
At a glance
The urine albumin-to-creatinine ratio (uACR), also called a microalbumin test, measures tiny amounts of albumin in urine, a marker associated with early kidney strain. It is most relevant for adults with diabetes or high blood pressure, the two conditions that most commonly stress the kidneys over time. You can order it online with a doctor's authorization included, test at a Quest location, and review physician-reviewed results with your own clinician.
Best suited for
- Adults with type 1 or type 2 diabetes monitoring markers associated with kidney strain
- People with high blood pressure who want an early, objective kidney check
- Anyone with a family history of kidney disease looking for a low-cost screening marker
- Frequent NSAID users who want to keep an eye on kidney stress markers
- Those tracking uACR trends between annual physicals to share with their doctor
What's included
Albumin Random Urine Test with Creatinine (uACR)
Single urine sample; albumin-to-creatinine ratio, a marker associated with early kidney strain
Protein, Total, Random Urine Test
Screens a single urine sample for protein (proteinuria)
Urinalysis Complete Test
Physical, chemical, and microscopic evaluation of urine
Renal Function Panel
Blood markers: BUN, creatinine, electrolytes, calcium, phosphorus, albumin, and glucose
Creatinine Clearance Test
Blood plus 24-hour urine collection to estimate glomerular filtration rate
KH-1 Kidney Function Panel
3 tests, 42 biomarkers; blood and urine
Kidney #1 Baseline Blood and Urine Test Panel
3 tests, 82 biomarkers
Kidney #2 Essential Blood and Urine Test Panel
5 tests, 84 biomarkers
Deep-dive the key markers: eGFR, Fasting Glucose
Key biomarker ranges
Commonly used adult reference ranges for markers this panel measures, labs vary, so always interpret results against your lab's stated ranges and with your doctor.
For eGFR, lower is worse: 90+ is consistent with full kidney function, while sustained values below 60 are the commonly used threshold of concern.
| Zone | Range |
|---|---|
| Kidney failure range | 0–15 mL/min/1.73m² |
| Reduced | 15–60 mL/min/1.73m² |
| Mildly reduced | 60–90 mL/min/1.73m² |
| Optimal | 90–120 mL/min/1.73m² |
Commonly used reference ranges place fasting glucose at 70–99 mg/dL; results vary with sleep, stress, and recent illness, and labs differ slightly.
| Zone | Range |
|---|---|
| Low | 50–70 mg/dL |
| Optimal | 70–100 mg/dL |
| Prediabetic range | 100–126 mg/dL |
| Diabetic range | 126–160 mg/dL |
The importance of testing
Healthy kidneys keep most protein in the blood, so even small amounts of albumin appearing in urine can be one of the earliest measurable signs of kidney stress. This shift often happens years before eGFR declines or any symptoms show up, which is why uACR testing is a staple of kidney monitoring for people with diabetes and high blood pressure.
The uACR test itself is simple: a single random urine sample measures albumin alongside creatinine, and the ratio corrects for urine concentration. Related options include a total protein random urine test, a complete urinalysis for a broader look at urine chemistry, and a creatinine clearance test that pairs blood with a 24-hour urine collection to estimate filtration directly.
Because albumin excretion can fluctuate with exercise, hydration, and illness, trends carry more weight than a single reading. Pairing uACR with blood markers like eGFR, creatinine, and BUN, available in the same promotion's kidney panels, gives a fuller picture of both damage markers and filtration. Whatever you find, results are physician-reviewed and formatted to bring to your doctor, who can decide whether repeat testing or follow-up makes sense.
Promo code
KH20Save 20% with code KH20, current promotion; confirm final pricing on the partner page.
Ready to get your numbers? Order online, visit a nearby draw site, and receive private results to review with your doctor.
Order NowFrequently asked questions
What is a urine albumin-to-creatinine ratio (uACR) test?
A uACR test measures albumin and creatinine in a single urine sample and reports their ratio, which corrects for how dilute the urine is. Elevated albumin in urine (sometimes called microalbuminuria) is a marker associated with early kidney strain, and it can appear years before blood markers like eGFR change.
Why is urine albumin testing recommended for people with diabetes or high blood pressure?
Because diabetes and high blood pressure are the two conditions that most commonly stress the kidneys, and rising urine albumin is often the earliest measurable marker of that strain. Tracking uACR over time helps you and your doctor see whether blood sugar and blood pressure management are protecting your kidneys, and flags changes worth investigating sooner.
Do I need a doctor's order to get a uACR test?
No separate doctor's visit is needed, a physician's authorization is included with every purchase. You order online, provide a urine sample at one of about 2,100 Quest locations, and receive physician-reviewed results in a secure online account. No insurance is required, and HSA/FSA funds are accepted for eligible services.
Should I test uACR alone or as part of a kidney panel?
A standalone uACR test is a quick, low-cost check, while a blood-and-urine kidney panel adds filtration markers like eGFR, creatinine, and BUN plus electrolytes for a fuller picture. If this is your first kidney check, a baseline panel gives more context; if you are tracking a known marker between visits, the single test may be enough. Your doctor can help you decide on the right cadence.
Can I order this test in any state?
Not everywhere, direct-to-consumer lab testing is restricted or prohibited in New York, New Jersey, and Rhode Island, so residents of those states may be blocked at the partner's checkout. Most other US residents can order online and test at a participating Quest location.
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