The PSA, Free-to-Total Ratio Test is a specialized blood test that provides deeper insight into prostate health when PSA levels are elevated. It measures the ratio of free PSA (PSA not bound to proteins in the blood) compared to total PSA (both free and bound PSA combined). While a total PSA test shows how much PSA is present overall, this ratio helps clarify why PSA may be elevated. It is especially useful when total PSA results fall into a borderline range and additional clarity is needed before moving forward with more invasive testing. What Is Included In This Test? This test analyzes two key values to calculate a clinically meaningful ratio: Total PSA: The total amount of prostate-specific antigen in the blood Free PSA: The portion of PSA that circulates unbound What the Ratio Indicates: A lower free-to-total PSA ratio may be associated with a higher likelihood of prostate cancer A higher ratio is more commonly linked to benign prostate conditions such as benign prostatic hyperplasia (BPH) or prostatitis By adding context to elevated PSA levels, this test helps reduce uncertainty and supports more informed decision-making about next steps. Who Should Consider This Test? The PSA, Free-to-Total Ratio Test is intended for adult men who need more detailed evaluation of their PSA results. You should consider this test if you: Have a borderline total PSA result, typically between 4.0 and 10.0 ng/mL Want to better assess prostate cancer risk before proceeding with a biopsy Are monitoring prostate health and want greater clarity around elevated PSA levels Have known prostate enlargement or inflammation and need to distinguish between benign and concerning causes Prefer a more precise, risk-based approach to prostate health monitoring This test does not diagnose prostate cancer on its own, but it plays a critical role in guiding follow-up testing and reducing unnecessary invasive procedures. If your PSA results are unclear, the PSA, Free-to-Total Ratio Test can provide the additional insight needed to move forward with confidence. Convenient, No-Appointment Testing To complete your test: Order online through our website Use the lab locator to find a nearby testing location Walk in; no appointment required Access your results securely in your HealthLabs.com account within one to three business days 110% Price Guarantee! If you find the same test for a lower price from a comparable provider, contact us. We not only match the price, we beat it by an additional 10 percent of the difference.