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Laboratory test

Bilirubin Test

Bilirubin (Total, Direct & Indirect): 3 parameters from a blood sample, no fasting.

Also known as

Bilirubin Test · Jaundice Test · Serum Bilirubin · Total Bilirubin · Direct Bilirubin · Indirect Bilirubin · Bilirubin test · Total bilirubin · Direct bilirubin · Indirect bilirubin

Sample
Blood
Fasting
Not required
Expected report time
Same day / 24 hours
Parameters
3

Bilirubin Test: quick answers

Bilirubin Test price
₹289, home sample collection
Normal range (adults)
Total bilirubin: About 0.3–1.2 mg/dL; Direct (conjugated): Up to about 0.3 mg/dL more
Done for
Yellow eyes or skin (jaundice); Dark urine or pale stools; Suspected hepatitis, gallstones or liver disease
Fasting
Not required
Report
Same day / 24 hours

What is the Bilirubin Test?

The bilirubin test measures bilirubin, a yellow pigment made when old red blood cells are broken down and cleared by the liver into bile. It reports total, direct (conjugated) and indirect (unconjugated) bilirubin, and is the main blood test for jaundice.

Bilirubin Test normal range

MeasurementTypical adult value
Total bilirubinAbout 0.3–1.2 mg/dL
Direct (conjugated)Up to about 0.3 mg/dL
Indirect (unconjugated)About 0.2–0.9 mg/dL

These are adult values. Newborn bilirubin is interpreted on separate charts by age in hours.

Ranges differ between laboratories and methods. The reference range printed on your own report is the one to read your result against.

What your Bilirubin Test result means

High indirect bilirubin
Suggests red cells are breaking down faster than normal (haemolysis) or Gilbert syndrome, a common harmless condition where bilirubin rises with fasting or illness.
High direct bilirubin
Suggests liver disease, such as hepatitis, or blocked bile ducts from stones or narrowing.
Visible jaundice
Yellowing of the eyes usually becomes visible when total bilirubin is above about 2 to 3 mg/dL.

One result is not a diagnosis. A doctor reads it with your symptoms, history, medicines and other tests.

Bilirubin Test levels: what does my number mean?

Total bilirubin 1.2 to 3 mg/dL
Mildly high in an adult. When it is mostly indirect bilirubin with normal liver enzymes, the common cause is Gilbert's syndrome, which is harmless. A raised direct bilirubin points to the liver or bile ducts. Often checked next: LFT Test.
Total bilirubin above 3 mg/dL
Usually visible as yellow eyes or skin (jaundice). It needs a doctor's review with a full liver function test. Often checked next: LFT Test.

Typical adult cut-offs. Read your number against the range printed on your own report, and with a doctor if it is outside it.

Why is the Bilirubin Test done?

  • Yellow eyes or skin (jaundice)
  • Dark urine or pale stools
  • Suspected hepatitis, gallstones or liver disease
  • Suspected red cell breakdown (haemolysis)

What does the Bilirubin Test measure?

3 parameters. Expand a group to see the measurements, units and available method details.

Liver Function3 parameters
ParameterUnitCatalogue methodLOINC
Bilirubin (Total)mg/dLDiazo / Oxidation (DPD)1975-2
Bilirubin (Direct)mg/dLDiazo method1968-7
Bilirubin (Indirect)mg/dLDerived from Total and Direct Bilirubin values1971-1

The reference interval printed on your actual laboratory report governs interpretation. Intervals can vary by laboratory, method, age, sex and pregnancy. Methods can also vary by processing laboratory.

Bilirubin Test: sample & preparation

Sample: Blood. Fasting: Not required.

  • No fasting is required. Avoid vigorous exercise before the test, as it can transiently raise bilirubin.

Bilirubin Test in your city

Frequently asked questions

What is the normal bilirubin level?
For adults, total bilirubin is usually 0.3 to 1.2 mg/dL and direct bilirubin up to about 0.3 mg/dL. Indirect bilirubin is total minus direct.
What is the difference between direct and indirect bilirubin?
Indirect bilirubin has not yet been processed by the liver; direct bilirubin has. A rise in indirect points to red cell breakdown or Gilbert syndrome, and a rise in direct points to the liver or bile ducts.
Is the bilirubin test the jaundice test?
Yes. Serum bilirubin is the standard blood test to confirm and measure jaundice. Doctors usually add a full liver function test to find the cause.
Do I need to fast for a bilirubin test?
Many labs ask for 4 to 8 hours without food, as part of a liver function test. Long fasting can raise bilirubin slightly in people with Gilbert syndrome.
How much does the Bilirubin (Total, Direct & Indirect) cost?
The current online price is ₹289, with Regular ₹449. Review your booking total before payment.
Can I book this test for home collection?
Yes. Add your collection address and choose an available collection slot at checkout.
When is the report expected?
The catalogue lists Same day / 24 hours. Confirm the collection and report schedule with the booking team.
Can I book this with other tests?
You can add available tests to the same cart. Review the combined preparation instructions and collection requirements with the booking team.

Sources: Kwo PY et al. ACG Clinical Guideline: Evaluation of Abnormal Liver Chemistries, 2017; Tietz Textbook of Laboratory Medicine, 7th edition, 2022. General information, not medical advice.

This page gives catalogue facts only (sample, preparation, report time) and has not been reviewed by a doctor. It is general information, not a diagnosis or advice for you: your doctor decides which tests you need and what the results mean.

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3 parameters · No fasting required · Report time: Same day / 24 hours

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