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Lab test

IGF Binding Protein-3 (IGFBP-3) Test

This test measures IGF Binding Protein-3 (IGFBP-3) in a blood sample. IGFBP-3 is the main protein that carries insulin-like growth factors I and II in the circulation, and its level responds to growth hormone activity.

Blood drawQuest patient service center

About this test

IGFBP-3 binds insulin-like growth factor I and II with high affinity and carries most of the circulating IGF-I and IGF-II in the blood, though it does not bind insulin itself. Quest describes it as one of six structurally characterized IGF binding proteins and as the major carrier of circulating IGF-I and IGF-II.

Because IGFBP-3 responds to growth hormone, Quest notes that levels run high in acromegaly and low in hypopituitarism, and that levels rise in growth hormone-deficient children after growth hormone treatment begins. Levels are also reduced in poorly controlled diabetes, and Quest describes IGFBP-3 as used in assessing nutritional status, since it decreases during caloric and protein restriction.

Who might consider this test?

  • Often being evaluated for a growth hormone-related condition
  • Followed during growth hormone treatment in a child
  • Assessed for nutritional status where a clinician wants a marker that responds to caloric and protein intake

Test details

Quest code34458
MethodologyImmunoassay
Sample type1 mL serum
CollectionQuest patient service center

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Quest resources

Additional details

What this test looks at

The test reports the level of IGFBP-3, the carrier protein for IGF-I and IGF-II, in a serum sample. Because it is growth hormone responsive and diet responsive, a clinician reads it in the context of the specific question being asked — growth hormone status, diabetes control, or nutrition.

Order online and a physician order is included — no doctor's visit and no insurance needed. Your sample is collected at a Quest Diagnostics patient service center.

Laboratory results should always be interpreted by a licensed clinician who knows your health history. This page is information about a test, not medical advice.

Frequently asked questions

What does this test measure?

It measures IGFBP-3, the main protein that carries insulin-like growth factors I and II, in a serum sample.

How is the sample collected?

The test uses a serum sample from a routine blood draw.

Do I need to prepare for this test?

No preparation instructions are listed for this test, though people follow any instructions their ordering clinician provides.

Why would IGFBP-3 be measured alongside growth hormone conditions?

Quest describes IGFBP-3 as growth hormone responsive: levels run high in acromegaly, low in hypopituitarism, and rise in growth hormone-deficient children after growth hormone treatment begins.

Can IGFBP-3 reflect nutritional status?

Quest describes IGFBP-3 as used in assessing nutritional status because levels decrease during caloric and protein restriction. A clinician reads it alongside other nutritional and clinical information.

How much does the IGF Binding Protein-3 test cost?

The cash price at Celio Health is $220. That covers the physician's order and sample collection at a Quest patient service center — no insurance is needed and there's no separate doctor's visit to pay for.

Last updated 2026-09-18 · How we write about lab testing

Educational content

This page is for general educational purposes only. It is not medical advice, and it is not a substitute for consultation with a qualified healthcare professional. Laboratory results should always be interpreted by a licensed clinician who knows your health history. If you have questions about your health or your results, talk with your doctor. If you think you may be experiencing a medical emergency, call 911.