# Mycotoxin urine test alternatives

Source page: https://intrinsicprism.com/learn/mycotoxin-urine-test-alternatives

Last updated: October 28, 2026 · Last reviewed: October 28, 2026

If you are looking at a MosaicDX or RealTime Labs urine mycotoxin test, other public options differ in how many mycotoxins they list, how you order and what else is measured in the same sample.[[3]](#source-3)[[4]](#source-4)[[5]](#source-5) This guide compares coverage, not price.

## The short answer

The public urine mycotoxin tests we checked list between 11 and 31 mycotoxins.[[3]](#source-3)[[5]](#source-5) Mold-toxin-only panels suit people who only want mycotoxins; combination profiles suit people who also want other toxins measured.[[4]](#source-4)[[5]](#source-5) A urine result shows exposure; MosaicDX notes its profile does not indicate the location or source of the mold.[[3]](#source-3)

**Limits.** Intrinsic Prism uses laboratory-developed tests, which are not FDA-cleared. Results are educational, not a diagnosis, and do not replace care from your own clinician. The package is not available in New York.

## Urine mycotoxin tests compared

Urine mycotoxin tests compared by public coverage. Checked October 28, 2026.

| Test | Mycotoxins listed | Sample | How you order | Who it fits |
| --- | --- | --- | --- | --- |
| MosaicDX MycoTOX Profile | 11[[3]](#source-3) | Urine[[3]](#source-3) | Through a practitioner[[3]](#source-3) | People working with a practitioner who wants a mold-toxin-only panel with creatinine-corrected results[[3]](#source-3) |
| RealTime Labs Mycotoxin Panel | 16, including 9 macrocyclic trichothecenes[[4]](#source-4) | Urine (first-morning void requested)[[4]](#source-4) | Online; may be covered by insurance when a physician orders it[[4]](#source-4) | People who want a mold-toxin-only urine panel reported in ppb[[4]](#source-4) |
| Intrinsic Prism | 29, within 133+ markers[[1]](#source-1)[[2]](#source-2) | Urine for mycotoxins; blood or serum and DNA for other categories[[1]](#source-1)[[2]](#source-2) | Online, at-home kit[[2]](#source-2) | People who want mycotoxins alongside heavy metals, environmental chemicals, PFAS and toxin genetics in one test[[1]](#source-1)[[2]](#source-2) |
| US BioTek MOE-Tox Complete Profile | 31, part of a combination profile with organic acids[[5]](#source-5) | Urine[[5]](#source-5) | Through a provider; results go to the provider portal[[5]](#source-5) | People whose practitioner wants mycotoxins combined with organic acids and other toxins[[5]](#source-5) |

This is not a ranking. Rows are sorted by how many compounds each public page lists, fewest first. Prepared by Intrinsic Prism, so our own package appears in the list. We do not show other companies' prices; check each company's page for current price and ordering details.

## Who each option fits

- **MosaicDX MycoTOX Profile:** ordered through a practitioner; 11 mycotoxins measured by LC-MS/MS with creatinine correction.[[3]](#source-3)
- **RealTime Labs Mycotoxin Panel:** 16 mycotoxins by competitive ELISA, reported in ppb and as present, not present or equivocal, without creatinine normalization.[[4]](#source-4)
- **Intrinsic Prism:** 29 mycotoxins in urine as part of one 133+ marker test that also covers heavy metals, environmental chemicals, PFAS and toxin genetics.[[1]](#source-1)[[2]](#source-2)
- **US BioTek MOE-Tox Complete Profile:** 31 mycotoxins in a provider-ordered combination profile that adds organic acids and other environmental toxins.[[5]](#source-5)

## How to choose a mycotoxin urine test

- **Coverage:** compare the named mycotoxins, not only the count, on each public analyte list.[[3]](#source-3)[[4]](#source-4)[[5]](#source-5)
- **Method and units:** some tests correct for urine concentration with creatinine and others report raw ppb.[[3]](#source-3)[[4]](#source-4)
- **Ordering:** some tests are ordered through a practitioner and others online.[[3]](#source-3)[[4]](#source-4)[[5]](#source-5)
- **Source of exposure:** mycotoxins can come from food as well as damp buildings, so a urine result does not locate mold in your home.[[3]](#source-3)[[7]](#source-7) CDC advises fixing moisture problems and cleaning up mold.[[6]](#source-6)

See also [compare toxin tests](https://intrinsicprism.com/learn/compare-toxin-tests) and [at-home mycotoxin test: how to choose](https://intrinsicprism.com/learn/at-home-mycotoxin-test).

## Where does Intrinsic Prism fit?

Intrinsic Prism is an at-home testing and guidance package covering 133+ markers, including 29 mycotoxins in urine.[[1]](#source-1)[[2]](#source-2) It is $1,999 per participant, one-time, and HSA/FSA eligible: you receive an itemized invoice to claim reimbursement, and your plan administrator decides.[[2]](#source-2) We do not sell a mycotoxin-only test. Results are educational and are not a diagnosis.

## Related mycotoxin guides

- [Mold and mycotoxin test](https://intrinsicprism.com/tests/mold-mycotoxin-test)
- [At-home mycotoxin test: how to choose](https://intrinsicprism.com/learn/at-home-mycotoxin-test)
- [Intrinsic Prism vs MosaicDX](https://intrinsicprism.com/learn/intrinsic-prism-vs-mosaic-diagnostics)
- [Intrinsic Prism vs RealTime Labs](https://intrinsicprism.com/learn/intrinsic-prism-vs-realtime-labs)
- [Compare toxin tests](https://intrinsicprism.com/learn/compare-toxin-tests)
- [PFAS test alternatives](https://intrinsicprism.com/learn/pfas-test-alternatives)

## Frequently asked questions

What are alternatives to a MosaicDX or RealTime Labs mycotoxin test?
:   Public urine options we checked include the US BioTek MOE-Tox Complete Profile (31 mycotoxins, provider-ordered) and Intrinsic Prism (29 mycotoxins within 133+ markers).[[5]](#source-5)[[1]](#source-1) MosaicDX lists 11 and RealTime Labs lists 16.[[3]](#source-3)[[4]](#source-4)

Which urine mycotoxin test covers the most mycotoxins?
:   Of the public pages we checked, the US BioTek MOE-Tox Complete Profile lists 31, Intrinsic Prism 29, RealTime Labs 16 and MosaicDX 11.[[5]](#source-5)[[1]](#source-1)[[4]](#source-4)[[3]](#source-3) Compare the named compounds as well as the count.

Do these tests all use urine?
:   Yes. All four options in this comparison measure mycotoxins in urine.[[3]](#source-3)[[4]](#source-4)[[5]](#source-5)[[1]](#source-1)

Will a urine mycotoxin test tell me where the mold is?
:   No. MosaicDX says its profile does not indicate the location or source of the mold, and mycotoxins can also come from food.[[3]](#source-3)[[7]](#source-7)

Is Intrinsic Prism HSA/FSA eligible?
:   Yes. The test is HSA/FSA eligible. You receive an itemized invoice to claim reimbursement, and your plan administrator decides.[[2]](#source-2)

Why are there no prices for other tests on this page?
:   We compare public coverage only. Prices change, so check each company's own page for current pricing.

## Sources and dates

Last updated: October 28, 2026. Last reviewed: October 28, 2026. Prepared by the Intrinsic Prism team. Intrinsic Prism statements come from its live site on October 28, 2026. This page is educational information, not medical advice.

1. [[1] What we Test | Intrinsic Prism (marker directory)](https://intrinsicprism.com/what-we-test) Read from the live site 2026-10-28.
2. [[2] Order the test | Intrinsic Prism (price, marker groups, HSA/FSA)](https://intrinsicprism.com/buy) Read from the live site 2026-10-28.
3. [[3] MycoTOX Profile | MosaicDX](https://mosaicdx.com/test/mycotox-profile/) Checked 2026-10-28 on the public test page.
4. [[4] Mycotoxin Panel | RealTime Labs](https://realtimelab.com/products/mycotoxin-panel) Checked 2026-10-28 on the public test page.
5. [[5] MOE-Tox Complete Profile | US BioTek](https://www.usbiotek.com/tests/moe-tox-complete-profile) Checked 2026-10-28 on the public test page.
6. [[6] About Mold and Your Health | CDC](https://www.cdc.gov/mold-health/about/index.html) Fetched and checked 2026-10-28.
7. [[7] Mycotoxins | FDA](https://www.fda.gov/food/natural-toxins-food/mycotoxins) Fetched and checked 2026-10-28.