Immunity titers for school and healthcare jobs: what they test and what results mean
Clinically reviewed by Pedro Alvarez, PA-C, Florida-licensed Physician Associate (PA9113765) · Last reviewed 2026-10-06
The short answer
An immunity titer panel is one blood draw that checks whether you are protected against measles, mumps, rubella, chickenpox and hepatitis B, plus a blood test for tuberculosis. Nursing schools, colleges and healthcare employers often ask for these when vaccine records are missing or incomplete. At Goza, in Florida, it costs $209.72 including a licensed provider’s review. No insurance is needed.
What is in the panel
| Test | What it looks at | Why it is useful |
|---|---|---|
| Measles, mumps and rubella antibodies | Antibodies to each of the three viruses | Laboratory evidence of immunity |
| Varicella (chickenpox) antibodies | Antibodies to the chickenpox virus | Laboratory evidence of immunity |
| Hepatitis B surface antibody | Protective antibodies after vaccination or past infection | A level of 10 mIU/mL or higher is considered protective |
| TB blood test (QuantiFERON) | Your immune response to TB germs | Shows whether you have been infected with TB germs |
Why programs accept titers
National recommendations for healthcare personnel list laboratory evidence of immunity as acceptable proof for measles, mumps, rubella and chickenpox. Written vaccine records count too. If you have your records, you may not need titers at all.
For hepatitis B, a surface antibody level of 10 mIU/mL or higher is considered protective. The recommendations call for testing it 1 to 2 months after the last vaccine dose.
The CDC says healthcare workers should be up to date on MMR, chickenpox and hepatitis B vaccines, among others.
Check your program’s rules first
Requirements differ between schools and employers. Before you order, find out:
- whether they accept titers, vaccine records, or require both
- whether they need a number (a quantitative result) or just positive or negative
- how recent the TB test must be
- whether a clinician must sign the program’s own form. Goza provides the lab report. If your program needs a signed form, message us before you order.
What your results mean
- Positive (immune) for measles, mumps, rubella or chickenpox: you have laboratory evidence of immunity.
- Negative or equivocal: you may need a vaccine dose. Goza does not give vaccines. A pharmacy or your county health department can.
- Hepatitis B below 10 mIU/mL: your program decides the next step, which is often another dose and a retest.
- TB blood test negative: TB infection is unlikely.
- TB blood test positive: it means you have TB germs in your body. It does not tell whether the infection is inactive or active. More tests, such as a chest X-ray, are needed, and that follow-up is done in person.
The TB blood test is the preferred test for people who have received the BCG vaccine.
How to prepare
- No fasting is needed. Quest lists no preparation for the TB blood test.
- Bring a photo ID. No appointment is needed at Quest.
- Mind your deadline. Order with enough time for results, and for a vaccine dose if one turns out to be needed.
What happens after your draw
- Results usually arrive in 1 to 3 business days.
- A licensed Goza provider reviews them and sends you a written explanation of what is in range, what is not, and what to do next.
- If a result needs follow-up, you choose what happens next. You can book a video visit with a Goza provider to go over it and discuss any treatment we can offer by telehealth. Or we refer you to your primary care provider, or to other in-person care when that fits better. Either way, we say plainly which one applies.
Lab results are information, not a diagnosis on their own, and this panel is not for emergencies. If you have chest pain, trouble breathing, or any urgent symptom, call 911 or go to the nearest emergency room.
What it costs
- $209.72 all-in on Fullscript, our lab partner. That covers the lab tests, the draw at Quest, and the provider’s review of your results.
- Goza members: $160.72. The $49 clinician review fee is waived for members on every lab order.
- At-home blood draw is available for an extra $85.
- No insurance is needed, and nothing is billed to insurance.
About Goza
Goza is a Florida telehealth practice. Florida-licensed clinicians treat common conditions by message visit ($79) or video visit ($99), and review every lab panel ordered through Goza. We care for adults 18 and older who are physically in Florida, in English or Spanish. No insurance is needed. Goza does not prescribe controlled substances.
Frequently asked questions
Will my school accept these results?
Most programs accept lab titers, and each has its own rules. Check the requirements before you order.
I was vaccinated as a child. Why would a titer be negative?
Antibody levels can fall over time. A negative titer does not always mean you are unprotected, and your program decides what it requires next.
Can Goza give me the booster?
No. Goza is telehealth only. A pharmacy or your county health department can give vaccines.
How fast are results?
The antibody tests usually report in 1 to 3 business days. The TB blood test can take longer, and its timing varies by lab, so order with your deadline in mind.
Ready to order?
ORDER THIS PANEL
School & Immunization Titers
$209.72 Members $160.72
Labs, blood draw at Quest and provider review included · no insurance needed
Sources
- Quest Diagnostics. Test Directory, patient preparation and collection instructions for each test in this panel, read 2026-10-06. https://testdirectory.questdiagnostics.com/
- Advisory Committee on Immunization Practices. Immunization of Health-Care Personnel. MMWR Recommendations and Reports 60(RR-7), 2011. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6007a1.htm
- Centers for Disease Control and Prevention. What Vaccines are Recommended for You (healthcare workers). https://www.cdc.gov/vaccines-adults/recommended-vaccines/index.html
- Centers for Disease Control and Prevention. Testing for Tuberculosis: Blood Test. January 31, 2025. https://www.cdc.gov/tb/testing/blood-test.html
- MedlinePlus. Measles and Mumps Tests. https://medlineplus.gov/lab-tests/measles-and-mumps-tests/
More lab test guides
What a comprehensive wellness blood panel tests, and whether you need one · What a complete thyroid panel tests, and when it is worth getting · All guides · All lab panels and prices
