Immunity Titer Panels: MMR, Hepatitis B, Varicella and TB

Compare immunity panels, student titers and individual tests

Use this table to identify the test names on your requirement form. The component lists below come from the supplied Ulta catalog; they do not establish what a particular institution will accept.

Supplied prices dated October 27, 2026. Confirm current components, fees, eligibility, collection and turnaround with the provider. These are references, not live checkout quotes.

Is a bundle always cheaper?

Not necessarily. In the supplied list, the $132.95 Immunity Panel plus the $149.95 standalone TB test totals $282.90, compared with $285.80 for Student Titers. That $2.90 arithmetic difference is not a guarantee of an equivalent final order. Collection arrangements, laboratory methods, fees, restrictions and the accepting institution’s rules still need to match.

Similarly, adding an MMR panel to an Immunity Panel repeats a named group already included. Start with the required components, then compare the complete checkout cost.

Hepatitis B surface antibody or surface antigen: which one is on the form?

Surface antibody (anti-HBs) is used in assessing immune response. Surface antigen (HBsAg) is an infection marker. Total core antibody (anti-HBc) helps assess prior or ongoing infection and does not arise from vaccination alone. These names are easy to confuse but are not interchangeable. CDC’s adult screening approach uses all three markers as a triple panel. [1]

If a form asks for a quantitative hepatitis B surface antibody, a surface-antigen-only order does not provide that measurement. Conversely, an antibody-only titer does not supply all three markers in the screening panel. Compare the wording before selecting the product.

What does 10 mIU/mL mean?

In the appropriate setting after a documented complete vaccine series, CDC uses anti-HBs of at least 10 mIU/mL as a marker of vaccine response. Timing and previous records matter; a late low result does not by itself distinguish an original non-response from waning detectable antibody. Ask occupational health or the clinician to interpret it and determine follow-up. [2]

Can a negative varicella titer mean a vaccinated person is unprotected?

A negative commercial antibody test does not automatically settle that question. CDC notes that commercial assays may miss vaccine-induced immunity. Documented age-appropriate vaccination is itself one form of evidence of immunity. Show the vaccine record and laboratory report to the accepting program or clinician rather than assuming another purchase is the next step. [3]

The supplied catalog includes both a Varicella Titer Test ($47.95) and a Varicella Immunity Screen ($90.95). Their names and promotional descriptions do not establish that either assay reliably detects every vaccine response. Request the specific assay information and acceptance requirements before paying more for a differently named test.

Do I need IgM as well as IgG for MMR documentation?

Do not substitute an infection-focused order for the required immunity documentation. CDC identifies measles IgG as the laboratory marker used for evidence of measles immunity. IgM testing belongs to a different evaluation and can produce false positives in people who do not have measles. [4]

Why is TB screening included in some student panels?

A TB blood test assesses immune response related to TB infection. It is not an antibody titer proving vaccine protection. A positive result requires medical evaluation; the blood test alone cannot distinguish latent infection from active TB disease. Symptoms also require assessment regardless of a screening result. [5]

Check whether your program specifically accepts QuantiFERON-TB Gold Plus, another IGRA or a skin-test process, and whether it requires a particular completion window. Do not assume that a panel titled “Student” meets every placement site’s documentation rules.

A practical checklist before ordering

1. Get the exact written requirements and review existing vaccine and test records.
2. Match every required marker: MMR components, varicella IgG, quantitative hepatitis B surface antibody, and TB testing if requested.
3. Confirm whether infection screening, rather than immunity documentation, is also required.
4. Ask whether the report must show numeric results, reference intervals, collection date or other details.
5. Check collection availability and the provider’s actual turnaround; allow for follow-up if needed.
6. Confirm who will review a negative, equivocal, indeterminate or positive result.

Vaccination records and antibody results can require interpretation together. Ordering a larger panel cannot guarantee acceptance, protection against future infection or clearance to work.

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Sources and editorial information

Clinical sources checked October 27, 2026. Panel components and prices are transcribed from supplied Ulta Lab Tests listings; they have not been independently confirmed against a current order or checkout. Prepared with AI-assisted research and editorial checks. No independent clinical review is claimed.

1. CDC: Clinical testing and diagnosis for hepatitis B
2. CDC: Hepatitis B vaccine protection and antibody testing in healthcare settings
3. CDC: Varicella vaccine recommendations and evidence of immunity
4. CDC: Measles serology testing
5. CDC: Clinical and laboratory diagnosis for tuberculosis

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Medical disclaimer

This guide is educational and does not provide individual medical advice, diagnosis or treatment. A qualified healthcare professional should help select tests and interpret results. Follow the actual ordering provider’s instructions.