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Best Biological Age Tests in 2026

Your biological age may differ significantly from your chronological age. Epigenetic clocks measure DNA methylation patterns that correlate with aging, health span, and mortality risk. We compared ten biological age testing services, from the original Horvath clock to newer multi-system panels that score individual organs. Prices range from $199 to $499, with some offering subscription plans for ongoing tracking. The field has matured since the first consumer tests launched, and scientific validation now separates legitimate services from marketing hype. Some tests focus on a single biological age score while others break down aging across multiple organ systems. This guide explains what each test actually measures, which algorithms have peer-reviewed backing, and whether the results give you anything useful to act on.

6 Picks ReviewedUpdated Jan 2026

Quick Comparison

At-a-glance comparison of our top picks. Updated Jan 2026

RankProviderPriceBest For
1TruDiagnostic $499 Most comprehensive epigenetic testing
2Elysium Health $299 Those wanting Yale-validated epigenetic testing with easy saliva collection
3GlycanAge $348 Tracking intervention effectiveness quickly
4Clock Foundation $325 Gold-standard mortality risk prediction
5NOVOS $349 Detailed organ-by-organ age breakdown
6Tally Health $249 Easy cheek swab with health coaching

Top Picks

Detailed breakdown of each recommended option with pros, cons, and who it's best for.

1

TruDiagnostic

Best for:Most comprehensive epigenetic testing
$499
Used in 15+ peer-reviewed studies. Multiple proprietary algorithms including DunedinPACE pace-of-aging metric.
2

Elysium Health

Best for:Those wanting Yale-validated epigenetic testing with easy saliva collection
$299
Founded by Nobel laureates. APEX algorithm published in Nature Aging. Reports 9 system scores at $299.
3

GlycanAge

Best for:Tracking intervention effectiveness quickly
$348
Unique approach measuring glycosylation not methylation. Best for tracking intervention effectiveness. Responds to changes in weeks vs months.
4

Clock Foundation

Best for:Gold-standard mortality risk prediction
$325
The original. Steve Horvath invented the Horvath clock in 2013. GrimAge is considered the gold standard in longevity research for mortality prediction.
5

NOVOS

Best for:Detailed organ-by-organ age breakdown
$349
Comprehensive organ-level insights. $349 single kit, $299/kit for 2+ kits. Best for detailed breakdown of how each organ system is aging.
6

Tally Health

Best for:Easy cheek swab with health coaching
$249
Founded by David Sinclair. Single test $249. Membership starting at $129/mo includes bi-annual tests + supplements + action plans.

How We Chose These Picks

We evaluated biological age tests on algorithm validation (peer-reviewed publications and independent replication studies demonstrate scientific credibility), biomarker depth (single-score versus organ-system breakdown determines how much detail you get), sample type and convenience (blood draws versus cheek swabs affect accessibility), actionability of recommendations (do results connect to specific interventions), and scientific credibility of the founding team. We reviewed published research for each clock algorithm and interviewed longevity researchers about which tests they use in their own studies. Services using DunedinPACE (which measures pace of aging) or GrimAge (which predicts mortality risk) scored highly for clinical relevance. We also weighted whether results connect to specific interventions you can implement. A test that tells you you're aging fast without guidance on slowing down has limited value. Transparency about methodology and limitations also factored into our rankings. We verified pricing and features in January 2026 and noted which services have been validated in peer-reviewed journals.

Frequently Asked Questions

What's the difference between epigenetic age and biological age?

Epigenetic age specifically measures DNA methylation patterns using algorithms trained on aging datasets. Biological age is a broader concept that can include blood biomarkers, telomere length, functional measures, and more. Most consumer biological age tests use epigenetic clocks because methylation patterns are reproducible and well-studied, but some services like InsideTracker use blood biomarkers instead.

Which biological age algorithm is most accurate?

GrimAge, developed by Steve Horvath's team, shows the strongest correlation with mortality and morbidity in research studies. DunedinPACE measures pace of aging rather than absolute age and responds more quickly to lifestyle interventions. Newer multi-system clocks from TruDiagnostic and NOVOS provide organ-specific scores. The right choice depends on whether you want a single validated metric or detailed system breakdown.

Can I actually lower my biological age?

Research shows biological age responds to interventions including caloric restriction, exercise, improved sleep, and stress reduction. Studies have documented multi-year reductions in biological age over 8-week intervention periods. However, results vary by individual, and some epigenetic changes are more reversible than others. Testing before and after a lifestyle change shows whether that specific intervention works for you.

How often should I test my biological age?

Every 6-12 months captures meaningful changes while keeping costs reasonable. More frequent testing rarely shows statistically significant shifts unless you've made dramatic lifestyle changes. Some subscription services include quarterly testing, which is useful for tracking intervention experiments but may be overkill for general monitoring.

Are biological age tests covered by insurance?

Not typically. These are considered wellness tests rather than diagnostic medicine. HSA/FSA accounts often cover them if you can justify the health purpose. As the field matures and tests demonstrate clinical utility for disease risk prediction, insurance coverage may eventually follow, but don't expect it in 2026.

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Important Disclaimer

This comparison is for informational purposes only and is not medical advice. Prices are based on January 2026 data and may vary. Consult with a healthcare provider before making health-related decisions.