If you have already compared Choose Health and Everlywell, you may have noticed a key difference: Choose Health offers liver-focused testing from home, while Everlywell does not currently offer a standalone liver function test.
Everlywell built its name on single-purpose tests for areas such as thyroid, cholesterol and hormone health. To measure liver enzymes through Everlywell, you need its Everlywell 360 annual membership, a $399-per-year program built around one in-person blood and urine collection at a Quest Diagnostics location.
Choose Health uses a different model: targeted liver testing at a lower starting cost, with at-home collection and no membership required.
This comparison explains what each option measures, how sample collection works, what it costs and which situations each approach is best suited for.
What to Look for in an At-Home Liver Test
Before comparing the two, it helps to understand which markers provide useful information about liver health.
The core liver enzymes include:
- ALT (alanine aminotransferase): ALT is the most liver-specific of these three enzymes.
- AST (aspartate aminotransferase): AST can also rise after muscle stress, which is why it is typically interpreted alongside ALT rather than on its own.
- GGT (gamma-glutamyl transferase): GGT can respond to alcohol use, bile duct issues and oxidative stress, and may change before other liver enzymes.
The AST:ALT ratio adds context to the individual enzyme values. Patterns in the ratio can help a healthcare professional consider whether liver stress may be more consistent with alcohol-related or metabolic causes, although the ratio cannot diagnose a condition on its own.
Metabolic and inflammatory markers can add more context:
- HbA1c reflects average blood sugar over roughly the previous two to three months.
- hsCRP measures systemic inflammation.
These markers matter because fatty liver disease often develops alongside insulin resistance, visceral fat and chronic inflammation rather than in isolation.
It is also worth considering how easily you can repeat the test. A single liver panel gives you a baseline. Retesting can show whether your markers are moving after a change in alcohol use, diet, activity or a treatment plan developed with your healthcare provider. The right timing depends on your results and circumstances, but follow-up testing is often measured in weeks or months rather than years.

Choose Health vs. Everlywell: How the Liver Tests Compare
These are not two versions of the same product. Choose Health offers a focused liver test that you can purchase once and repeat when needed. Everlywell offers an annual whole-body panel that includes liver markers among 83 biomarkers.
Comparison verified against provider websites in August 2026. Prices, panel contents and availability may change.
| Feature | Choose Health | Everlywell 360 |
|---|---|---|
| Best for | Liver-focused testing and retesting | One comprehensive annual panel |
| Standalone liver test | Yes | No; liver markers are included in the 360 membership |
| Starting price | $90 one time | $399 per year, billed annually |
| Purchase model | One-time purchase; no membership | Annual membership |
| Collection method | Finger-prick collected at home | In-person blood and urine collection at Quest Diagnostics |
| Lab visit required | No | Yes |
| Core liver enzymes | ALT, AST and GGT | ALT, AST, GGT and ALP |
| AST:ALT ratio reported | Yes | Not listed as a reported result |
| Metabolic and inflammatory context | HbA1c and hsCRP | HbA1c, hsCRP, glucose, insulin and lipids |
| Other notable inclusions | Visceral fat assessment | Bilirubin, albumin, protein, WellScore and biological age |
| Total results | 7 liver-relevant markers and calculations | 83 biomarkers across six health categories |
| Lab accreditation | CAP and CLIA accredited | Testing performed through Quest Diagnostics |
| Turnaround time | Results in days after the lab receives the sample | Appointment scheduling plus lab processing time |
| Included testing cadence | Buy another test whenever you choose | One 83-biomarker test each membership year |
| Results experience | Dashboard with insights and recommendations, with an optional telehealth consultation | Dashboard and clinician-reviewed Care Plan; consultation available in an upgraded tier |
| HSA/FSA eligible | Yes | Yes |
See how both options compare with additional providers in our 2026 at-home liver test comparison guide.
Choose Health Liver Function Test
Markers measured: ALT, AST, calculated AST:ALT ratio, GGT, average blood sugar (HbA1c), inflammation (hsCRP) and visceral fat.
Collection method: A finger-prick blood sample collected at home using a few drops of blood.
Lab accreditation: CAP and CLIA accredited.
Price: $90 before discount. Use code LIVER15 for $15 off. No membership is required. HSA/FSA payments are accepted, shipping is included and a money-back guarantee applies to the first purchase.
Turnaround time: Results are delivered electronically in days after the lab receives the sample.
Results: A HIPAA-compliant dashboard with insights and recommendations, plus the option to speak with a telehealth practitioner.
What it covers well: The panel combines three core liver enzymes with the calculated AST:ALT ratio. HbA1c and hsCRP add metabolic and inflammatory context, while the visceral fat assessment can help provide additional context around metabolic liver health.
The trade-off: This is a targeted liver panel, not a whole-body annual workup covering hormones, thyroid, kidney function and blood cell counts.
Everlywell 360 Annual Membership
Liver-related markers: ALT, AST, ALP, GGT, total bilirubin, total protein, albumin, globulin and the albumin/globulin ratio. Everlywell groups these in its Liver, Kidney and Bladder category. HbA1c appears in the Heart and Metabolic category, while hsCRP appears in Inflammation and Autoimmunity.
Collection method: In-person collection at a Quest Diagnostics location. A technician collects blood and urine samples for the 360 panel.
Price: $399 per year, billed annually. Everlywell states that the membership is FSA/HSA eligible and cannot be purchased using insurance.
Turnaround time: Timing depends on appointment availability and laboratory processing.
Results: The MyEverly dashboard, a clinician-reviewed Care Plan, a WellScore and a biological age estimate based on nine biomarkers. A one-on-one clinician consultation is included in a higher-priced tier.
What it covers well: The Everlywell 360 panel provides a broad annual view across 83 biomarkers and six health categories. It is the more comprehensive option if you want one yearly whole-body panel.
The trade-off: If your primary question is about liver health, the annual membership requires a larger upfront purchase and an in-person appointment. Its once-per-membership-year structure is also less naturally suited to checking how liver markers change within a few months.
Side-by-Side Liver Marker Comparison
| Marker or feature | Choose Health | Everlywell 360 |
|---|---|---|
| ALT | Yes | Yes |
| AST | Yes | Yes |
| GGT | Yes | Yes |
| AST:ALT ratio | Calculated and reported | Not listed as a reported result |
| ALP | No | Yes |
| Total bilirubin | No | Yes |
| Albumin, total protein and globulin | No | Yes |
| HbA1c | Yes | Yes |
| hsCRP | Yes | Yes |
| Visceral fat | Yes | No |
| Starting price | $90 one time | $399 per year |
| Collection | Finger-prick at home | In-person Quest collection |
Methodology: Prices, panel contents, collection methods and availability can change and may vary by state. This comparison was checked against Choose Health and Everlywell provider pages in August 2026. Confirm current details before purchasing.
Which Liver Test Makes the Most Sense for Your Situation?
You want to check your liver function specifically
Choose Health is the more direct fit. Its Liver Function Test measures ALT, AST, GGT, the calculated AST:ALT ratio and additional metabolic context for $90 before discount. You collect the sample at home without joining a membership or visiting a lab. Everlywell does not currently offer a standalone liver function test; its liver markers are included within the $399 Everlywell 360 membership.
You want to track liver enzyme changes over time
Choose Health is built more naturally for repeat testing. If you are reducing alcohol, changing your diet, following a treatment plan with your doctor or checking an earlier elevated result, you can purchase the same test again when retesting makes sense. Four $90 tests would cost $360 before discounts, which is still less than one $399 Everlywell 360 membership and would provide four points in time instead of one.
You want a broad annual workup, not a liver-focused test
Everlywell 360 is the stronger fit. Its yearly panel covers 83 biomarkers spanning hormones, thyroid, kidney function, nutrition, blood cells, cardiovascular health and more. That is considerably broader than a focused liver test.
You do not want to visit a lab
Choose Health. Its liver tests use a finger-prick sample that you collect at home. Everlywell 360 requires an in-person blood and urine collection at a Quest Diagnostics location.
You want the lowest cost to get started
Choose Health. The Liver Function Test costs $90, or $75 with code LIVER15. That is less than one-fifth of the $399 Everlywell 360 annual membership price.
Why the Purchase Model Matters More Than the Marker Count
Everlywell 360 measures far more biomarkers: 83 compared with seven in the Choose Health Liver Function Test. But marker count does not answer every liver-testing question.
Many early liver issues do not cause obvious symptoms. A single test can show where your markers stand today, while a later test can show whether they are moving. If your ALT is elevated in March, for example, a one-time model lets you purchase the same panel again in May if that timing is appropriate for you and your healthcare provider. An annual test provides a broader snapshot, but it does not automatically provide another data point a few months later.
What Happens After Testing?
A first test establishes a baseline. If your liver enzymes are in range, those results give you a reference point for future comparison. If one or more markers are elevated, a healthcare provider can help you decide what changes or additional testing are appropriate and when to retest.
Liver blood tests do not diagnose liver disease. Elevated results can be a reason to speak with a healthcare professional, who may recommend confirmatory bloodwork, imaging or other follow-up based on your history and results. Choose Health offers the option to discuss results with a telehealth practitioner. Everlywell 360 includes a clinician-reviewed Care Plan, with a one-on-one consultation available through its upgraded tier.
For an example of how retesting can fit around a lifestyle change, read what can happen to liver markers after 30 days without alcohol.
.png)
Choose the Liver Test That Fits Your Goal
Choose Health offers two ways to test liver health from home. Start with the core markers when you want an accessible baseline or a simple way to retest. Choose the Comprehensive Liver Function Test when you want a fuller view across liver, cardiovascular, metabolic and iron health.
Everlywell vs. Choose Health Liver Test FAQs
Does Everlywell have a liver test?
Not as a standalone liver function test. Everlywell includes liver markers in its Everlywell 360 annual membership, which costs $399 per year and requires in-person sample collection at a Quest Diagnostics location. Everlywell also offers a Hepatitis C Test, but that screens for exposure to the hepatitis C virus rather than measuring general liver function.
Is Choose Health cheaper than Everlywell for liver testing?
Yes. The Choose Health Liver Function Test is $90, or $75 with code LIVER15. Everlywell's liver markers are available through the $399-per-year Everlywell 360 membership. Four Choose Health Liver Function Tests would cost $360 before discounts, which is still less than one year of Everlywell 360.
Can I collect an Everlywell liver sample at home?
Not through Everlywell 360. The annual panel requires an in-person appointment at a Quest Diagnostics location for blood and urine collection. Choose Health uses a finger-prick sample collected at home and includes prepaid return shipping.
Which test includes GGT?
Both the Choose Health Liver Function Test and Everlywell 360 include GGT. GGT is a liver enzyme that can provide useful context around alcohol use, bile duct issues and oxidative stress.
Does Choose Health require a subscription?
No. Choose Health's liver tests are available as one-time purchases. You can purchase another test whenever you want to retest, with no recurring charge and nothing to cancel.
How often should I test my liver?
The right schedule depends on your health history, results and reason for testing. If your results are in range, routine testing may be appropriate annually or as advised by your healthcare provider. If a result is elevated or you are making a meaningful change, your provider may recommend retesting sooner. Always seek medical guidance for abnormal results, symptoms or medication-related questions.
This article is for educational purposes only and is not a substitute for professional medical advice, diagnosis or treatment.
.png)


.jpeg)
.jpeg)
.jpeg)
