Why Do I Need a Calcium Blood Test?

Medically Reviewed by Kumar Shital, DO on September 18, 2023
4 min read

A calcium blood test can find out whether you have too much or too little of this key mineral in your bloodstream. It’s often part of a routine screening.

This test helps screen for and diagnose diseases that affect your bones, heart, muscles, nerves, kidneys, and other organs.

Calcium is the most plentiful mineral in your body. Your body uses it to:

  • Strengthen your bones and teeth
  • Contract your muscles
  • Narrow and widen blood vessels
  • Send and receive nerve messages
  • Release hormones
  • Clot your blood

Almost all of your body's calcium is stored in your bones. A very small amount -- about 1% -- is in your blood. Calcium in your blood comes in two forms:

  • Free calcium is not attached to anything else in your blood.
  • Bound calcium is attached to a protein called albumin or other substances in your blood.

There are two types of blood calcium tests:

  • A total calcium test measures both free and bound calcium. It's the type of blood calcium test doctors order most often.
  • An ionized calcium test measures only free calcium.

Your doctor might do a calcium blood test during a regular health exam. Your doctor might order a basic metabolic panel (BMP) or a comprehensive metabolic panel (CMP) which includes a test for calcium along with other substances.

You might get a calcium blood test if you have a disease that can affect your levels of this mineral, such as:

You might also get this test if you have an EKG heart test that has certain abnormalities.

This test can check how well your body is reacting to treatments for some of these conditions. And, it can be used to monitor the side effects of medicines you take.

Another reason to get this test is if you have symptoms of high calcium, which include:

Or if you have symptoms of low calcium, like these:

Tell your doctor about all the medicines you take -- even medications you bought over the counter (without a prescription). Some medications can affect the results of your calcium blood test.

Your doctor might ask you to stop taking these medicines before the test:

A lab tech will take a sample of blood from a vein in your arm. You might feel a pinch where the needle goes in. They’ll cover the site with a bandage.

Your arm may be a little sore or bruised where the blood was drawn. Some people become lightheaded for a few moments.

Your doctor will send your blood sample to a lab for testing. You should get the results in a few days.

Normal blood calcium results in adults are:

  • Total blood calcium: 8.5 to 10.5 milligrams per deciliter (mg/dL)
  • Ionized calcium: 4.65 to 5.2 mg/dl

High total calcium levels can be caused by:

Low total calcium levels may be caused by:

  • Low protein levels in your blood
  • Underactive parathyroid gland
  • Along with too little calcium, low levels of magnesium and/or vitamin D in your body
  • Too much phosphorus
  • Pancreatitis
  • Kidney failure

If your calcium level is too low or high, your doctor might order one of these other tests to find the cause:

  • Kidney function tests
  • Parathyroid hormone level
  • Phosphorus level
  • Vitamin D level

Test results can differ slightly by lab. Talk to your doctor about the meaning of your test results. Find out what other tests you should have, and what to do next.