The people topping the longevity leaderboards all track the same thing: objective markers of how fast they are aging. You can too — and you get to choose how deep to go. Here is a tiered menu, with rough costs, so you can match the testing to your budget and goals.
Tier 1 — Foundational bloodwork (about $50–$150)
A standard blood panel, interpreted through a longevity lens, is the best value in all of testing. From routine bloods we can calculate PhenoAge — the biological-age clock used by the Longevity World Cup — and track the markers that matter most for healthspan, such as ApoB, fasting insulin, hs-CRP, HbA1c, and a full lipid panel. If you do only one thing, do this.
Tier 2 — Your pace of aging (about $229)
An epigenetic test such as TruAge PACE estimates DunedinPACE — how fast you are aging right now. This is the exact metric the Rejuvenation Olympics ranks people on. Current pricing for a pace-of-aging epigenetic test runs around $229 (see TruDiagnostic). It is a great periodic check to see whether your habits are moving the needle.
Tier 3 — Comprehensive epigenetic testing (about $429–$499)
A full epigenetic panel (for example TruAge COMPLETE) reports your overall biological age, organ-specific ages, DunedinPACE, and more — over a million data points. This is the closest thing to the “full picture” the high-spending biohackers use. Pricing is roughly $429–$499.
Worth adding: function tests
Two non-blood tests punch well above their weight:
- VO₂ max — your cardiorespiratory fitness, one of the strongest predictors of longevity. A test typically runs about $100–$250 depending on the facility.
- Body composition (DEXA) — measures muscle and visceral (organ) fat far better than a scale. Often about $50–$150, varies by provider.
How to choose your tier
Think of it as a dial, not a single right answer:
- Optimal on a budget: Tier 1 once or twice a year, plus a VO₂ max test. Add a DunedinPACE check occasionally.
- Serious about tracking: Tier 1 + Tier 2 (DunedinPACE) regularly.
- Closest to the “replica” setup: Tier 3 comprehensive epigenetics + VO₂ max + DEXA, retested over time.
The one rule that makes testing worth it
A number is only useful if it changes what you do. The value is not the score itself — it is interpreting it in the context of your goals and history, building a plan, and retesting to confirm the plan is working. That interpretation is exactly what a longevity-focused visit is for.
Frequently Asked Questions
Which test should I start with?
Almost always Tier 1 — foundational bloodwork. It is inexpensive, immediately actionable, and the basis for everything else.
Are epigenetic age tests accurate?
They are useful for tracking trends over time more than for a single “true” number. Test with the same method periodically and watch the direction of travel.
Can you order these for me?
Yes — bloodwork is ordered through our lab partner (typically $100–$350 depending on the panel), and we help you decide which tier fits your goals and interpret the results into a plan.
Want a longevity plan built around your labs, your goals, and your budget? At Pierre Health we help you choose the right level of testing and turn the numbers into an actual plan — serving Minnesota & Wisconsin. Get Started →
Isaac Pierre is a Board-Certified Physician Assistant (NCCPA) licensed in Minnesota and Wisconsin, focused on primary care, metabolic health, hormones, and longevity.
This article is general education, not medical advice, and references publicly reported routines — talk with a qualified clinician before starting supplements or a new protocol.