Biological Age & Longevity Testing 2026

Compare biological age testing services using epigenetic clocks, glycan analysis, and blood biomarkers. Find out how old your body really is and track your longevity interventions.

9 Tests Compared$180–$499 Price RangeAt-Home CollectionHSA/FSA Eligible
See Our Top Picks →
Most Comprehensive
TruDiagnostic
75+ biomarkers, 11 organ systems
Best Value
Elysium Index
$299, validated in Nature Aging
Fastest Response
GlycanAge
Responds to lifestyle in weeks

Understanding Biological Age Testing

Biological age tests measure how old your body is at the cellular level, which can differ from your chronological (calendar) age. Most tests analyze epigenetic markers (DNA methylation patterns) that change with aging. A younger biological age correlates with better health outcomes and longevity. These tests help track whether your lifestyle interventions are actually slowing or reversing aging.

Pricing & Options

Complete cost breakdown including test pricing, retesting discounts, and subscription options. Updated Jan 2026

ProviderTest NamePriceSubscriptionRetest Discount
TruDiagnostic TruDiagnostic TruAge Test$499$998/yr (4 tests at $249.50 each, currently a 50% off promo)Yes
Elysium Health Elysium Health Index$299NoneNo
GlycanAge GlycanAge GlycanAge$499Yes ($449/yr annual, $424 bi-annual)No
myDNAge myDNAge myDNAge$299NoneNo
InsideTracker InsideTracker InnerAge 2.0$249YesYes
Tally Health Tally Health TallyAge Test$249$129/mo membershipNo
Humanity Humanity Humanity App$180$180/yr ProNo
NOVOS NOVOS NOVOS Age$349NoneNo
Clock Foundation Clock Foundation GrimAge Test$325$150/mo (Advanced plan, list $350) or $50/mo (Longevity Biomarker plan, list $125)No

Testing Methodology

Compare the science behind each test - epigenetic clocks, glycan analysis, or blood biomarkers.

ProviderMethodologyClock/AlgorithmBiomarkersSample Type
TruDiagnosticEpigeneticOMICmAge, DunedinPACE, SYMPHONYAge75+Blood
Elysium HealthEpigeneticAPEX (Morgan Levine)DNA methylationSaliva
GlycanAgeGlycanIgG Glycome Analysis24 IgG glycansBlood (finger prick)
myDNAgeEpigeneticHorvath Clock (licensed)DNA methylation (2000+ loci)Blood (finger prick)
InsideTrackerBlood BiomarkerProprietary algorithm17 (men) / 13 (women)Blood (lab draw or mobile)
Tally HealthEpigeneticTallyAge (proprietary)DNA methylationCheek swab
HumanityWearable + BloodProprietary algorithmWearable metrics + optional blood biomarkersApp (Apple Health/wearables)
NOVOSEpigeneticDunedinPACE, Organ Age algorithms150+ biomarkersBlood (finger prick)
Clock FoundationEpigeneticGrimAge, PhenoAge (Steve Horvath)DNA methylationBlood (finger prick)

Accuracy & Actionability

Compare validation, systems tracked, and how actionable the results are.

ProviderSystems TrackedValidationActionabilityRecommendations
TruDiagnostic11 organ systems50+ peer-reviewed publications, 98% test-retest reproducibility ★★★★★ Yes
Elysium Health9 systemsNature Aging publication ★★★★☆ Yes (100+)
GlycanAgeImmune/Inflammation+/-1 year in-day measurement precision;250,000+ samples analyzed ★★★★★ Yes (1-on-1 expert consultation)
myDNAgeOverall biological ageOriginal Horvath clock validation ★★★☆☆ Limited
InsideTrackerBlood biomarkers60% improve on retest ★★★★☆ Yes (action plan)
Tally HealthOverall biological age + pace of agingTrained on 8,000+ adult cheek-swab dataset;20k+ tests performed ★★★★☆ Yes (health coaching)
HumanityRate of aging trackingNature publication ★★★★☆ Yes (personalized insights)
NOVOS11 organ systemsDunedinPACE validated in 45+ studies (ICC >0.96) ★★★★★ Yes (detailed report)
Clock FoundationMortality/morbidity predictionGold standard in research ★★★★★ Yes

Provider Details

In-depth look at each biological age testing service including features, methodology, and who it's best for.

TruDiagnostic

TruDiagnostic - TruAge Test

75+ biomarkers across 11 organ systems, DunedinPACE pace of aging, 11 organ...
$499

Key Features

75+ biomarkers across 11 organ systems, DunedinPACE pace of aging, 11 organ system scores, telomere length, immune cell composition

Details

$499 single test. Annual subscription $249.50 per test for 4 tests ($998/yr), but note this is currently a limited-time 50% off promo against a $499/test list, so the durable annual figure is nearer $1,996. Renamed from TruAge Complete to TruAge Test;sibling products TruHealth $499 and a TruAge + TruHealth combination kit $849. Now measures 1,000,000+ methylation sites and names a DeepStrataAge clock alongside OMICmAge, SYMPHONYAge and DunedinPACE. Owned by Infinite Epigenetics, which also acquired Tally Health in April 2026 - the two are corporate siblings.

EpigeneticOMICmAge, DunedinPACE, SYMPHONYAgeBloodIncludes recommendationsRetest discount
Elysium Health

Elysium Health - Index

Developed with Yale researcher Morgan Levine, custom Illumina chip,...
$299

Key Features

Developed with Yale researcher Morgan Levine, custom Illumina chip, brain/heart/metabolic/immune/inflammation/kidney/liver/hormone/blood system scores

Details

$299 one-time purchase with NO subscription offered - Elysium's product data confirms no selling plans exist. The previously recorded '$499 single test or $299 with subscription'described a two-tier structure that does not exist on either half. Saliva-based epigenetic test using the APEX algorithm developed with Morgan Levine at Yale and published in Nature Aging. Reports biological age, cumulative rate of aging and 9 system age scores, with 100+ lifestyle recommendations and free enrolment in the Aging Research Center longitudinal study. Results in about 6 weeks.

EpigeneticAPEX (Morgan Levine)Saliva
GlycanAge

GlycanAge - GlycanAge

Only glycan-based test, responds to lifestyle changes faster than epigenetic...
$499

Key Features

Only glycan-based test, responds to lifestyle changes faster than epigenetic clocks, expert consultation included, less than 1% error margin

Details

$499 one-off purchase, up from $348. Subscriptions now exist where we previously recorded none:annual $449 (10% saving) and bi-annual $424 (15%), both cancel-anytime. Two-test bundle $898, list $998 - the previously stored $599 retest figure is obsolete. Measures IgG N-glycosylation rather than methylation, so it responds to lifestyle change in weeks rather than months, which is its main differentiator. Includes a 1:1 results interpretation call available for 60 days after results.

GlycanIgG Glycome AnalysisBlood (finger prick)
myDNAge

myDNAge - myDNAge

Exclusively licensed Horvath epigenetic clock (original 353 CpG sites),...
$299

Key Features

Exclusively licensed Horvath epigenetic clock (original 353 CpG sites), proprietary SWARM technology analyzing 2000+ methylation loci, new Epi-Metabolic Index plus APOE and MTHFR, at-home blood collection

Details

$299 at-home blood kit using two to three drops via lancet. Uses the original Horvath clock under exclusive licence, with SWARM technology extending it across 2,000+ methylation loci. The report now adds an Epi-Metabolic Index for metabolic disease risk plus APOE and MTHFR results. The urine kit is no longer sold - only the blood kit remains, so the previous 'blood or urine'framing is out of date. Results in 4-6 weeks. Operated by Epimorphy LLC.

EpigeneticHorvath Clock (licensed)Blood (finger prick)
InsideTracker

InsideTracker - InnerAge 2.0

Blood biomarker-based (not epigenetic), integrates with DNA and wearables,...
$249

Key Features

Blood biomarker-based (not epigenetic), integrates with DNA and wearables, personalized action plans, tracks improvement over time

Details

Different approach using blood biomarkers vs DNA methylation. Tiered pricing:$99 analysis-only (use existing labs), $249 with lab blood draw, $348 with mobile blood draw. Best for those who want actionable blood test optimization alongside biological age.

Blood BiomarkerProprietary algorithmBlood (lab draw or mobile)Retest discount
Tally Health

Tally Health - TallyAge Test

David Sinclair co-founded, trained on largest cheek-swab DNA methylation...
$249

Key Features

David Sinclair co-founded, trained on largest cheek-swab DNA methylation dataset (8000+ adults), easy cheek swab collection, health coach consultations, personalized supplement recommendations, ongoing tracking

Details

Founded by David Sinclair. Single TallyAge test $249 one-time;membership $129/mo includes a test every 6 months, personalised action plans, Daily Vitality supplements and 15% off add-on supplements. Cheek swab, results in 4-6 weeks. ACQUIRED by Infinite Epigenetics - TruDiagnostic's parent - in April 2026, so Tally Health and TruDiagnostic are now corporate siblings rather than independent options. Operates as a standalone brand with CEO Melanie Goldey. The previously recorded $234 member retest price could not be reproduced anywhere on the site.

EpigeneticTallyAge (proprietary)Cheek swab
Humanity

Humanity - Humanity App

Uses Apple Health and wearable data, optional blood test integration via AI,...
$180

Key Features

Uses Apple Health and wearable data, optional blood test integration via AI, tracks rate of aging, habit tracking, no physical sample for base features

Details

UNVERIFIED PRICING:Humanity no longer publishes a price anywhere. humanity.health/pricing returns 404 and no dollar figure appears on the marketing site;the App Store listing shows in-app purchases without amounts. The $180/yr recorded here traces only to third-party aggregators and could not be confirmed first-party in the August 2026 refresh - treat it as an estimate. App renamed to HUMANITY - AI Health Coach, positioning shifted toward generative AI and 'Large Biological Models', claiming 200k+ users. Blood-marker upload via its Nature-published blood age model is still described as a feature.

Wearable + BloodProprietary algorithmApp (Apple Health/wearables)
NOVOS

NOVOS - NOVOS Age

Only test with both DunedinPACE (Columbia/Duke) and Organ Age (Yale) clocks,...
$349

Key Features

Only test with both DunedinPACE (Columbia/Duke) and Organ Age (Yale) clocks, 150+ biomarkers analyzed, 11 organ-specific biological ages, personalized longevity advice

Details

$349 for a single kit, or $299 per kit for two or more. Explicitly a one-time purchase with no membership. DunedinPACE from Columbia and Duke plus Organ Age from Yale, covering 11 organ systems and telomere length across 150+ biomarkers and 850,000 methylation sites on the MethylationEPIC array. Finger-prick blood, 55-page report plus a free AI Longevity Coach, results in 2-4 weeks. Ships within the United States and Canada only.

EpigeneticDunedinPACE, Organ Age algorithmsBlood (finger prick)
Clock Foundation

Clock Foundation - GrimAge Test

Created by Steve Horvath (invented epigenetic clocks), GrimAge predicts...
$325

Key Features

Created by Steve Horvath (invented epigenetic clocks), GrimAge predicts mortality risk, PhenoAge kit available separately ($95, list $125), analysis-only options for existing data (GrimAge $45, PhenoAge $29), nonprofit

Details

The original - Steve Horvath invented the epigenetic clock in 2013, and GrimAge is considered the gold standard in longevity research for mortality prediction. GrimAge kit $325 (list $375);international kit $349. PhenoAge kit is now $95, up from the $75 previously recorded. Analysis-only options for existing data:GrimAge $45, PhenoAge $29. Monthly bundles at $150/mo (GrimAge + PhenoAge + wearables) and $50/mo (PhenoAge + wearables). Finger-prick blood, results in 2-3 weeks. 50+ clinical partners and 15,000+ tests performed.

EpigeneticGrimAge, PhenoAge (Steve Horvath)Blood (finger prick)Includes recommendations

Frequently Asked Questions

What is biological age testing?

Biological age testing measures how old your body is at the cellular level, which can differ from your chronological age. Most tests use epigenetic markers (DNA methylation patterns) that change with aging. A 50-year-old with healthy habits might have a biological age of 45, while someone the same age with poor health could test at 55+.

What is an epigenetic clock?

An epigenetic clock is an algorithm that analyzes DNA methylation patterns to estimate biological age. The original Horvath clock (2013) set the standard, measuring ~350 CpG sites. Newer clocks like DunedinPACE measure the rate of aging rather than just current biological age, while OMICmAge and APEX incorporate additional aging markers for improved accuracy.

Which biological age test is most accurate?

TruDiagnostic's TruAge is considered the most comprehensive, using multiple algorithms (OMICmAge, DunedinPACE, SYMPHONYAge) and measuring 75+ biomarkers across 11 organ systems. Elysium Index uses the APEX algorithm developed with Yale researcher Morgan Levine and is validated in Nature Aging. GlycanAge uses a different approach (glycan analysis) that responds faster to lifestyle changes.

How often should I test my biological age?

Most providers recommend retesting every 6-12 months to track changes from lifestyle interventions. Epigenetic age changes slowly (months to years), while glycan-based tests like GlycanAge may show changes in weeks. Testing too frequently wastes money as meaningful changes take time to manifest.

Can I lower my biological age?

Yes, research shows biological age can be reduced through lifestyle changes. Studies have demonstrated improvements from exercise, diet optimization, stress reduction, and quality sleep. Some interventions like caloric restriction and specific supplements have shown measurable reductions in epigenetic age markers. See YouBoost for evidence ratings on specific interventions.

What's the difference between epigenetic and blood biomarker tests?

Epigenetic tests (TruAge, Elysium, myDNAge) analyze DNA methylation patterns that correlate with aging at a fundamental level. Blood biomarker tests (InsideTracker InnerAge) measure traditional markers like glucose, cholesterol, and inflammation that are associated with aging. Glycan tests (GlycanAge) measure sugar molecules attached to antibodies. Each approach has tradeoffs in depth, actionability, and responsiveness to interventions.

Do I need a doctor to order a biological age test?

No, most biological age tests are available direct-to-consumer without a prescription. You order online, receive a collection kit at home, and mail back your sample. Some tests use a simple finger prick (myDNAge, NOVOS), cheek swab (Tally Health), or saliva sample (Elysium, EpiAging). Tests requiring a full blood draw typically partner with labs like Quest for convenient sample collection.

What is DunedinPACE and why does it matter?

DunedinPACE (Pace of Aging Computed from the Epigenome) measures how fast you're aging right now, rather than just your current biological age. Developed from the Dunedin longitudinal study tracking 1,000+ people from birth, it shows whether you're aging faster or slower than 1 year per calendar year. A score of 1.0 means normal aging;below 1.0 means slower aging. This metric is better for tracking intervention effectiveness.

Are biological age tests covered by insurance or HSA/FSA?

Biological age tests are typically not covered by health insurance as they're considered preventive/wellness testing. However, many providers accept HSA (Health Savings Account) and FSA (Flexible Spending Account) funds, making them eligible health expenses. TruDiagnostic, Elysium, and several others specifically advertise HSA/FSA eligibility. Check with your account administrator to confirm.

What interventions have been shown to lower biological age?

Research has demonstrated biological age reductions from:regular exercise (especially HIIT and resistance training), caloric restriction or time-restricted eating, quality sleep (7-9 hours), stress reduction practices like meditation, and specific supplements (Vitamin D, omega-3s, NAD+ precursors). The Horvath lab showed an 8-week lifestyle intervention reduced epigenetic age by 3.23 years. GlycanAge responds fastest to changes, showing improvements in weeks. Browse evidence-rated interventions →

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Important Disclaimer

This comparison is for informational purposes only and is not medical advice. Biological age testing is an emerging field and results should be interpreted with appropriate skepticism. Prices are based on January 2026 data and may vary. Consult with a healthcare provider before making health decisions based on these tests.

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