How to get at-home coronavirus tests, and how to use them correctly
Ellume
- At-home coronavirus tests are in high demand amidst the Delta surge.
- Most home kits are rapid antigen tests, which are quick and cheap but not as sensitive as PCR.
- PCR testing is the current "gold standard," which you can get delivered but it usually takes place in a lab.
- See more stories on Insider's business page.
It might be time to stock up on home coronavirus tests again - if you can find them.
As coronavirus cases surged in recent weeks, Google searches for "home coronavirus test" also spiked. People seeking tests have found drugstore shelves empty and Amazon inventory sold out.
Even if demand for testing is climbing to early pandemic levels, at least the technology for testing at home has improved since 2020. Now, it's possible to get a variety of tests online or at the drugstore. Some tests return results in as little as 15 minutes.
Here's how to order or pick up at-home coronavirus tests, and how to use them correctly.
You can buy rapid antigen tests in pharmacies
Most of the over-the-counter, at-home testing options are rapid antigen tests, which can return results within 10 to 15 minutes.
The Abbott BinaxNOW, Ellume Covid-19 Home, and Quidel QuickVue tests are among the most widely available rapid antigen tests authorized by the FDA. They're sold in most drugstores, including CVS, Walgreens, and Duane Reade.
They cost between $20 and $30, but their availability might be limited right now due to high demand.
The majority of at-home antigen tests use some sort of nasal swab, and some of them come with an app or instructional video to walk you through the process.
Abbott and Quidel's tests both show two lines for a positive test and one line for a negative, similar to a pregnancy test. Ellume's rapid test returns results via an app.
You can get PCR and rapid tests delivered by Amazon, DoorDash, or a private lab
Amazon has sold rapid antigen tests and at-home collection kits for PCR testing. At the time of publication, most or all of the antigen tests were listed as "currently unavailable" with no restock date.
The site currently stocks an Amazon-brand PCR kit for $39.99, as well as a similar nasal swab kit from EmpowerDX and a saliva test kit made by DxTerity, each for $99.
Home PCR test kits are more expensive than antigen tests, but they're also better at diagnosing COVID-19. Once you send away your nasal swab or saliva sample, you can expect results within one or two business days of the lab receiving your kit.
The food delivery service DoorDash recently announced it now delivers PCR tests on behalf of Vault Health and Everlywell in 12 cities with more to come. The Vault kit, which includes a video consultation to supervise saliva collection, costs $119. The Everywell kit, a self-guided lower nasal swab, costs $109. Both are available for same-day delivery on the DoorDash app.
It's also possible to order self-collection kits directly from labs, like the Pixel kit from LabCorp.
Antigen testing has its limitations
Ellume, Jeffrey Rosenthal, Andrea Michelson
Taking a rapid antigen test is currently the quickest way to determine your COVID status without leaving the house, but that doesn't mean it's your most accurate testing option. Antigen tests aren't as sensitive as the gold-standard PCR test, which means you're more likely to get a false negative.
Antigen tests work best for confirming that a symptomatic infection is COVID-19, so these are good ones to have on hand for the next time you feel sick. But if you're testing to rule out an asymptomatic infection, you may want to try a different option.
For more sensitive testing, get a PCR test and send your swab away
You can also purchase a home test kit for PCR testing, which is currently the "gold standard" for coronavirus diagnostics.
While antigen tests screen for specific proteins in the coronavirus, PCR tests take a closer look for any trace of the virus' genetic material. The process usually takes place in a lab, but some test kits let you collect your own samples at home.
There are some fully at-home PCR tests in the works from Cue and Lucira, but neither is available at retailers yet. Lucira is selling the test directly to healthcare providers, and the Cue COVID-19 test is expected to be available for direct consumer purchase later this fall.
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