HbA1c test cost (2026): prices in Europe and the US
Cheapest HbA1c: €7.67 in Europe (Bosnia and Herzegovina) · $28.89 in the US
Independent comparison – no provider pays for placement. Full disclosure.
How much does an HbA1c test cost in Europe?
Cheapest HbA1c in Europe: €7.67 in Bosnia and Herzegovina; most expensive €69.90 in Netherlands – 9.1× for the same marker. Lowest price per country, cheapest first. Full lists: European price index.
| Country | Price | Provider |
|---|---|---|
| Bosnia and Herzegovina | €7.67 · BAM 15 | MOJ LAB (Sarajevo) · HbA1c |
| Belgium | €8.66Hospital-lab tariff – doctor's prescription normally needed | Laboratoire Clinique Saint-Pierre (Ottignies) · Hb glyquée (patient price) |
| Serbia | €9.28 · RSD 1,090 | Beo-Lab (Belgrade) · HbA1c |
| North Macedonia | €9.75From a 2022–2024 price list – may have changedMKD 600 | Biotek (Skopje) · HbA1c |
| Kosovo | €10Clinic page may be out of date | Poliklinika DaVinci (Prishtina) · HbA1c |
| Albania | €10.92Discounted offer price – regular price is higherALL 1,000 | Intermedica (Tirana) · Kontrolli bazë i diabetit (glucose, post-meal glucose, HbA1c) |
| Hungary | €11.97 · HUF 4,350 | SYNLAB Hungary · HbA1c |
| Montenegro | €13 | In Vitro (Podgorica) · HbA1c |
| Germany | €13.41 | Labor Dr. Heidrich (Hamburg) · HbA1c |
| Czechia | €13.84Hospital list – may need a doctor's orderCZK 337 | ÚVN Praha – hospital lab (self-pay) · HbA1c |
| Croatia | €14.50 | Poliklinika Analiza (Split/Zadar) · HbA1c |
| Switzerland | €17.15Hospital list – may need a doctor's orderCHF 16 | medics labor (Bern) · HbA1c |
| Slovenia | €17.97Hospital list – may need a doctor's order | ZD Lendava – public health centre lab (self-pay) · Glikirani hemoglobin (HbA1c) |
| Slovakia | €24Hospital list – may need a doctor's order | AGEL Nemocnica Levice (self-pay) · Hemoglobín A1c |
| Finland | €28.40 | SYNLAB · B-Hemoglobiini-A1c |
| Italy | €30From a 2023–2024 price list – may have changed | Policlinico di Monza · Pacchetto Assetto Glicemico (glucose, HbA1c, glycated albumin, urine) |
| Denmark | €40 · DKK 299 | NurseCare (Copenhagen) · HbA1c |
| United Kingdom | €54.51 · £46 | Medichecks · Diabetes (HbA1c) Blood Test |
| Netherlands | €69.90 | cerascreen · Langdurige Bloedsuikertest (HbA1c) (home kit) |
Dark = you can order it yourself · Grey = check before ordering (tap for why) · – = no price found
Grey prices are not used for the cheapest-price ranges. Fees for blood draw or doctor's order are shown per provider. Prices in local currency converted to € at ECB rates (14 Oct 2026). How we collect prices →
How much does an HbA1c test cost in the US?
Cheapest US online: $28.89 from Grassroots Labs, no doctor's visit required. Blood drawn at Quest or Labcorp near you. Most sellers don't serve NY, NJ or RI. Prices by state →
What does an HbA1c test measure?
Sugar in your blood sticks to haemoglobin, the oxygen-carrying protein in red blood cells. Red blood cells live for about three months, so the share of haemoglobin with sugar attached – your HbA1c – gives an average picture of blood sugar over that period.
That makes it different from a glucose reading, which is a snapshot of a single moment.
Who should get an HbA1c test?
Blood sugar control is a core part of metabolic health, and HbA1c is one of the most widely used ways to track it over time. Higher HbA1c over many years is associated with damage to blood vessels, nerves, kidneys and eyes.
For proactive testers, the value is usually in the trend. A result that creeps up across several tests is worth discussing with a doctor, even if each result sits inside the lab's reference range.
A result is a measurement, not a diagnosis. Your doctor can usually order it under public healthcare. HbA1c biomarker guide →
HbA1c test cost by country
HbA1c test cost: common questions
How much does an HbA1c test cost?
In our check on 15 October 2026, the cheapest HbA1c test you can order yourself in Europe was €7.67 in Bosnia and Herzegovina, and the cheapest US online price was $28.89. Prices in Western and Northern Europe are usually several times higher.
Do I need a doctor's referral?
Not for the providers in our 'order it yourself' comparison. In the US an online seller's physician signs the order for you. Some hospital lists and Belgian lab tariffs need a doctor's request – they're marked in the table.
What's the difference between HbA1c and fasting glucose?
Fasting glucose measures blood sugar at one moment after an overnight fast. HbA1c reflects the average over about three months. They answer different questions, and doctors sometimes look at both.
Do I need to fast for an HbA1c test?
No. HbA1c isn't affected by your last meal, which is one reason it suits home finger-prick kits.
How often is it worth re-testing HbA1c?
Because it averages roughly three months, re-testing more often than that rarely shows anything new. Many people include it in a yearly panel; agree the right interval with your doctor.