A Comprehensive Metabolic Panel (CMP) is a group of 14 tests that give a broad snapshot of your metabolism: blood sugar (glucose), kidney function (BUN, creatinine), liver function (ALT, AST, ALP, bilirubin), proteins (albumin, total protein), and electrolytes (sodium, potassium, CO2, chloride, calcium).

The CMP differs from the Basic Metabolic Panel (BMP), which has 8 tests and leaves out the liver enzymes and proteins. Your doctor orders a CMP at annual physicals, to monitor medications, to follow diabetes, or to check kidney and liver health.

CMP reference ranges (US standard)

These ranges are aligned with Quest Diagnostics and LabCorp. Your own report prints the exact range your lab used — always defer to that range, since methods differ slightly between labs.

ParameterNormal RangeWhat it measures
Glucose (fasting)70–99 mg/dLBlood sugar; 100–125 = prediabetes
BUN7–20 mg/dLKidney waste product (urea)
CreatinineMen 0.7–1.3 · Women 0.5–1.1 mg/dLKidney filtration marker
Sodium (Na)136–145 mEq/LFluid balance electrolyte
Potassium (K)3.5–5.0 mEq/LHeart & muscle electrolyte
CO2 (bicarbonate)23–29 mEq/LAcid-base balance
Calcium8.5–10.2 mg/dLBone & nerve mineral
ALT7–56 U/LLiver enzyme
AST10–40 U/LLiver & muscle enzyme
Albumin3.5–5.0 g/dLMain blood protein
USA Insurance Note
The CMP is billed under CPT 80053. At an annual physical it is usually covered as preventive screening with little or no out-of-pocket cost. When ordered to investigate a symptom, it may be applied to your deductible. Decode a specific value →

The most important CMP results to understand

Glucose (fasting blood sugar)

A fasting glucose of 70–99 mg/dL is normal, 100–125 mg/dL is prediabetes, and 126 mg/dL or higher on two tests is diabetes. With 96 million Americans estimated to have prediabetes, a result in the low 100s is extremely common — it's a signal to act, not a diagnosis to panic over. Use our A1c calculator to see how it relates to your average blood sugar.

Creatinine and kidney function

Creatinine reflects how well your kidneys filter waste. It's converted into an eGFR, which stages kidney health. Long-term NSAID use (Advil, Motrin) is a major and often-overlooked cause of kidney strain in the US. Try our eGFR calculator.

Liver enzymes (ALT and AST)

"Elevated liver enzymes" is one of the highest-volume lab searches in the US. The most common cause today is fatty liver disease (NAFLD), which now affects roughly 1 in 4 American adults. Mildly elevated ALT often improves with weight loss and reduced alcohol.

Keto diet note
Very high-protein diets (popular in the US) can raise BUN without any kidney problem. The BUN-to-creatinine ratio helps your doctor tell the difference.