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blood test reference range4 min read

Australian Blood Test Reference Ranges (2026): Complete RCPA-Aligned Table by Test

Published by BloodTrack Team
Australian Blood Test Reference Ranges (2026): Complete RCPA-Aligned Table by Test

Key Takeaway

Most Australian pathology labs follow RCPA-harmonised reference ranges, but small variations exist between assay platforms (especially for hormones and vitamin D). This page collects the typical adult Australian reference range for the 60+ most-ordered blood tests in 2026 — for quick lookup, not for self-diagnosis. Always interpret your result against the specific range printed on your own pathology report.

How to Use This Page

This is a single-page lookup of the typical Australian adult reference range for the 60+ most-ordered blood tests in 2026. Every range is RCPA-aligned and reflects the values currently used by Sonic-group labs (Sullivan Nicolaides, Douglass Hanly Moir, Melbourne Pathology, Capital Pathology), Healius-group labs (Laverty, Dorevitch, QML, Western Diagnostic), and Australian Clinical Labs.

Three caveats before you scroll:

  1. Always read your own report''s printed range first. Small assay-platform variations exist between labs, especially for hormones and vitamin D. The range printed on your specific report is the one that applies to your specific result.
  2. "Within range" ≠ "optimal". Many ranges capture the middle 95% of the apparently healthy population — meaning 5% of healthy people sit just outside, and being at the bottom or top of a range can still be functionally suboptimal (especially for vitamin D, ferritin, HbA1c, TSH).
  3. Patterns matter more than single numbers. A single mildly abnormal result on one marker, without supporting symptoms or other abnormal markers, is rarely a diagnosis — it is a signal to retest or investigate further.

Full Blood Count (FBC)

TestRangeUnit
Haemoglobin (men)130–180g/L
Haemoglobin (women)115–160g/L
Red cell count (men)4.5–6.5×10¹²/L
Red cell count (women)3.8–5.8×10¹²/L
Haematocrit (men)0.40–0.54L/L
Haematocrit (women)0.36–0.46L/L
MCV80–100fL
MCH27–32pg
MCHC320–360g/L
RDW11.5–14.5%
Platelets150–400×10⁹/L
WBC total4.0–11.0×10⁹/L
Neutrophils2.0–7.5×10⁹/L
Lymphocytes1.0–4.0×10⁹/L
Monocytes0.2–1.0×10⁹/L
Eosinophils0.0–0.5×10⁹/L
Basophils0.0–0.2×10⁹/L

Iron Studies

TestRangeUnit
Ferritin (men)30–300µg/L
Ferritin (women, premenopausal)15–200µg/L
Ferritin (women, postmenopausal)30–300µg/L
Iron (serum)10–30µmol/L
Transferrin2.0–3.6g/L
Transferrin saturation15–45%
TIBC (Total Iron-Binding Capacity)45–80µmol/L

Liver Function (LFT)

TestRangeUnit
ALT (men)<40U/L
ALT (women)<35U/L
AST<40U/L
GGT (men)<60U/L
GGT (women)<40U/L
ALP30–110U/L
Bilirubin (total)<20µmol/L
Albumin35–50g/L
Total protein60–80g/L

Kidney Function (UEC + eGFR)

TestRangeUnit
Sodium135–145mmol/L
Potassium3.5–5.2mmol/L
Chloride95–110mmol/L
Bicarbonate22–32mmol/L
Urea3.0–8.0mmol/L
Creatinine (men)60–110µmol/L
Creatinine (women)45–90µmol/L
eGFR≥90 (normal); 60–89 (mildly reduced); <60 abnormal across age groupsmL/min/1.73m²
Urine ACR (albumin:creatinine ratio)<3.5 (women), <2.5 (men)mg/mmol

Lipids

TestOptimal rangeUnit
Total cholesterol<5.5mmol/L
LDL cholesterol<2.0 (high CV risk); <3.0 (general)mmol/L
HDL cholesterol (men)>1.0mmol/L
HDL cholesterol (women)>1.3mmol/L
Triglycerides<1.7mmol/L
Non-HDL cholesterol<3.5mmol/L
ApoB<0.9 (general); <0.7 (high CV risk)g/L
Lipoprotein(a)<75nmol/L

Glucose & Metabolic

TestRangeUnit
Fasting glucose3.5–5.5 (normal); 5.6–6.9 (impaired); ≥7.0 (diabetes)mmol/L
Random glucose<7.8 (normal); ≥11.1 (diabetes if symptomatic)mmol/L
HbA1c<42 (normal); 42–47 (pre-diabetes); ≥48 (diabetes)mmol/mol
HbA1c (% units)<6.0; 6.0–6.4; ≥6.5%
Insulin (fasting)<25 (varies by lab)mU/L
HOMA-IR<1.5 (optimal); >2.5 (insulin resistance)index

Thyroid

TestRangeUnit
TSH0.4–4.0mIU/L
Free T410–22pmol/L
Free T33.5–6.5pmol/L
Anti-TPO antibodies<35kIU/L
Anti-Thyroglobulin antibodies<40kIU/L

Sex Hormones (Adult)

TestMenWomenUnit
Total testosterone10–30 (age-dependent)0.5–2.5nmol/L
Free testosterone (calculated)200–6005–35pmol/L
SHBG15–5530–110nmol/L
Estradiol (E2)<160follicular 70–500; luteal 200–800; postmenopausal <110pmol/L
LH1.5–9.3follicular 2–10; mid-cycle peak 14–96; luteal 1–11IU/L
FSH1.5–12.4follicular 3–10; mid-cycle peak 4–25; postmenopausal >30IU/L
Prolactin<325<500 (non-pregnant)mIU/L
AMHfertility-age >15; postmenopausal <1pmol/L
DHEA-S4.0–11.0 (age-dependent)2.0–9.0 (age-dependent)µmol/L

Vitamins & Minerals

TestRangeUnit
Vitamin D (25-OH)50–150 (sufficient); 30–49 (insufficient); <30 (deficient)nmol/L
Vitamin B12 (active / holoTC)≥35pmol/L
Vitamin B12 (total serum)200–700pmol/L
Folate (red cell)≥740nmol/L
Folate (serum)≥10nmol/L
Calcium (corrected)2.10–2.55mmol/L
Magnesium0.7–1.05mmol/L
Phosphate0.75–1.50mmol/L
Zinc10–20µmol/L

Inflammation & Cardiovascular Risk

TestRangeUnit
CRP<5mg/L
hsCRP (cardiovascular risk)<1 (low); 1–3 (average); >3 (high)mg/L
ESR (men)<15mm/h
ESR (women)<20mm/h
Homocysteine<15µmol/L
NT-proBNP (cardiac)<125 (under 75); <450 (over 75)ng/L

Tumour & Specialty Markers

TestRangeUnit
PSA (age 50)<2.5ng/mL
PSA (age 60)<3.5ng/mL
PSA (age 70)<4.5ng/mL
Free PSA ratio>25% reassuring%
CA-125<35U/mL
CEA<5 (non-smoker)µg/L
AFP<10kU/L

Tracking Reference Ranges Over Time

A single result is far less informative than a multi-year trend. Most patients accumulate results across multiple labs over time — different GP, different state, different specialty referral — and the reference range printed on each report can vary slightly. The right way to read a trend is to graph each value with the original lab''s reference range carried alongside it, so a "borderline" result at one lab is not misread against a different lab''s range. Tools like BloodTrack handle this automatically — every PDF you upload preserves the original lab''s units and reference range, then graphs the trend across years and labs.

Important: This Page Is Not Medical Advice

These ranges are a quick-lookup reference compiled from RCPA, AACB, and Australian lab handbooks. They are not a substitute for medical interpretation. A result outside the printed reference range is not a diagnosis — your GP interprets every result alongside your symptoms, history, medications, and other markers. Always discuss abnormal results with your doctor.

Frequently Asked Questions

Why do reference ranges vary between Australian labs?

Most Australian labs follow RCPA-harmonised reference ranges for common chemistry and haematology tests. Variations exist because different labs use different analyser platforms (e.g. Roche, Siemens, Abbott, Beckman) and different assay reagents — particularly for hormones (testosterone, estradiol, AMH, vitamin D), where the exact range can differ by 5–15% between labs. Always interpret your result against the specific range printed on your own report, not against a different lab's range.

Are reference ranges the same for men and women?

For most chemistry tests (glucose, electrolytes, creatinine, liver enzymes, lipids), no — sex-specific ranges apply. Common examples: haemoglobin (115–160 g/L women, 130–180 g/L men), creatinine (45–90 µmol/L women, 60–110 µmol/L men), GGT (&lt;40 U/L women, &lt;60 U/L men), ferritin (15–200 µg/L women, 30–300 µg/L men). For hormones, sex-specific ranges and life-stage ranges (premenopausal, pregnancy, postmenopausal) all apply.

Are reference ranges the same for all ages?

No. Many tests have age-adjusted normal ranges. The most clinically important examples in Australian practice: creatinine and eGFR (which decline naturally with age — eGFR &lt;60 in a 25-year-old is concerning, in an 85-year-old often expected); PSA (rises with age — see PSA guide); ALP (much higher in growing children); haemoglobin (lower targets accepted in adults &gt;65). For paediatric ranges, always use lab-supplied age-banded values.

What does 'within normal range' actually mean?

A reference range typically captures where 95% of the apparently healthy reference population falls — meaning 5% of perfectly healthy people will sit just outside the range on any given test. A single 'abnormal' result rarely indicates disease on its own. Conversely, 'within range' is not the same as 'optimal' — many markers (vitamin D, ferritin, HbA1c) have ranges where the lower end is technically normal but functionally suboptimal.

How often do Australian reference ranges change?

Major harmonisation projects led by the RCPA and AACB (Australasian Association for Clinical Biochemists) update reference ranges every few years for specific tests. Recent examples: the 2024 ferritin range update (Douglass Hanly Moir adopted 30 µg/L as the new lower limit for adults), the IFCC standardisation of HbA1c reporting (mmol/mol units adopted nationally in 2011), and ongoing harmonisation of vitamin D thresholds. This page reflects the published 2026 standards.

Where does this data come from?

Reference ranges in this guide are compiled from the RCPA Manual, Pathology Tests Explained Australia, individual lab handbooks (Sullivan Nicolaides, Dorevitch, Laverty, Australian Clinical Labs, Douglass Hanly Moir), and current RACGP, Endocrine Society of Australia, and Cancer Council Australia clinical guidelines. Always cross-reference against the range printed on your own pathology report, since assay platform variations apply.

Can I use this page to interpret my own results?

This page is a quick-lookup reference — not a substitute for medical interpretation. A result outside the reference range is not the same as a diagnosis. Your GP interprets each result alongside your symptoms, history, medications, and other markers — patterns matter more than individual numbers. Use this page to understand what your results show, then discuss with your GP.

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