Insect & Parasite Allergy Tests

Insect and parasite allergies are usually IgE-mediated reactions to venoms (honey bee, yellow jacket, paper wasp, hornets), fire ant whole-body extract, biting insects (e.g., mosquito), and the alpha-gal carbohydrate (linked to tick exposure and delayed reactions after mammalian meat). A proactive plan starts with allergen-specific IgE (sIgE) blood tests matched to your exposure and history; add a venom panel when the culprit is uncertain. sIgE requires only a blood draw and—unlike skin testing—is not blocked by antihistamines. Use results with your clinician to align findings with symptoms and plan next steps (avoidance strategies, emergency plan, or specialist referral for possible venom immunotherapy).

Signs, Symptoms & Related Situations

  • Stings (minutes–hours): hives, flushing, swelling, chest tightness/wheeze, dizziness, throat tightness

  • Bites (minutes–hours): large local swellings or hives; systemic reactions are less common

  • Alpha-gal clues: delayed (3–6 hours) hives, GI symptoms, or anaphylaxis after beef/pork/lamb; history of tick bites

  • Urgent care: breathing difficulty, throat/tongue swelling, dizziness or fainting after a sting or meat ingestion

Why These Tests Matter

What testing can do

  • Confirm sensitization to specific venoms, biting insects, and alpha-gal

  • Differentiate among multiple possible culprits using grouped panels

  • Support planning for avoidance, emergency preparedness, and specialist discussions (e.g., venom immunotherapy)

What testing cannot do

  • Predict exact severity from a single number

  • Replace clinician-directed skin testing or challenge when needed for treatment decisions

  • Diagnose tick-borne infections (separate tests are required)

What These Tests Measure (with test numbers)

Stinging-insect venoms — single-allergen sIgE

  • Honey Bee (i1) — 2731

  • Yellow Jacket (i3) — 2733

  • Paper Wasp (i4) — 2734

  • White-Faced Hornet (i2) — 2732

  • Yellow Hornet (i5) — 2735

  • Fire Ant (i70, whole-body extract) — 2739

Biting insects — single-allergen sIgE

  • Mosquito (i71) — 2740

Panels

  • Stinging Insect Group (bee/wasp/hornets) — 7913

  • Insect Venom Panel (bee, hornets, wasp, fire ant) — 38038

  • Stinging Insect Profile Total IgE — 42978

Alpha-gal (tick-associated meat allergy)

  • Alpha-Gal Panel (beef, pork, lamb, α-gal IgE) — 10555

  • Galactose-α-1,3-galactose (Alpha-Gal) IgE (single) — 10554

Context (optional)

  • Total IgE — 542 (nonspecific background)

Notes: Venom tests use venom extracts (fire ant uses whole-body extract). Alpha-gal IgE relates to tick exposure and delayed meat reactions; it is not a venom test. A positive sIgE shows sensitization; match with history to determine clinical allergy.

How the Testing Process Works

  1. Target likely culprits: order single venoms when the insect is known; use a venom panel if uncertain or multiple stings occurred.

  2. Add alpha-gal testing if reactions occur hours after red-meat ingestion plus a tick-bite history.

  3. Collect: routine blood draw at a local patient service center (antihistamines do not affect blood sIgE).

  4. Review results securely: most post within a few days.

  5. Plan next steps: discuss avoidance, epinephrine autoinjector needs, potential skin testing, or venom immunotherapy with a specialist.

Interpreting Results (General Guidance)

  • Positive venom sIgE with a compatible history supports venom allergy; negative testing does not fully exclude allergy—skin testing may be added.

  • Multiple positive venoms may reflect true co-sensitization or cross-reactivity; specialists can clarify with additional testing.

  • Positive alpha-gal IgE with compatible history supports alpha-gal syndrome (delayed meat reactions).
    Always interpret results with a qualified healthcare professional.

Choosing Panels vs. Individual Tests (by code)

  • Known insect: Honey Bee 2731, Yellow Jacket 2733, Paper Wasp 2734, White-Faced Hornet 2732, Yellow Hornet 2735, Fire Ant 2739

  • Unknown insect / multiple exposures: Stinging Insect Group 7913 or Insect Venom Panel 38038; add Total IgE 542 if requested

  • Bite-related symptoms: Mosquito 2740

  • Tick-associated meat reactions: Alpha-Gal Panel 10555 or Alpha-Gal IgE 10554

FAQs

Do I need to stop antihistamines before these blood tests?
No. Antihistamines do not affect sIgE blood testing (they can affect skin tests).

Can a single number predict how severe a sting will be?
No. sIgE reflects likelihood, not severity—your clinical history remains essential.

Why might more than one venom be positive?
Venoms can cross-react; a specialist may use skin testing or additional methods to pinpoint the clinically relevant insect.

Is fire ant testing the same as bee/wasp testing?
Fire ant uses whole-body extract, while bees/wasps/hornets use venoms; management differs.

How is alpha-gal different from a typical food allergy?
Alpha-gal is IgE to a carbohydrate (α-gal) acquired after tick bites, causing delayed reactions after mammalian meat.

Internal Links & Cross-References

Available Tests & Panels

  • Page
  • 1
  • of
  • 1
  • Total Rows
  • 21
Name Matches

The Ascaris p1 IgE Test measures IgE antibodies to Ascaris lumbricoides, a parasitic roundworm. Elevated levels may indicate allergic reactions or immune response related to exposure or infection. This test aids in evaluating possible Ascaris-associated allergy-like symptoms and helps healthcare providers guide further diagnostic or treatment decisions.

Blood
Blood Draw
Also Known As: Ascaris IgE Test, Ascaris p1 Test

The Echinococcus IgG Antibody Test with Reflex to Western Blot detects antibodies to Echinococcus species, the cause of echinococcosis or hydatid disease. This test helps identify parasitic infection by measuring the immune response and confirming results with Western Blot for accuracy. It supports diagnosis of liver or lung cysts and provides insight into parasitic exposure and disease progression.

Blood
Blood Draw

The Stinging Insect Allergy Panel measures IgE antibodies to venom proteins from honey bees, paper wasps, white-faced hornets, yellow hornets, and yellow jackets. Elevated levels may indicate insect venom allergies, which can cause swelling, hives, itching, respiratory symptoms, or in severe cases, anaphylaxis. This panel helps identify stinging insect allergies and supports management through avoidance strategies or treatment guided by healthcare providers.

Blood
Blood Draw
Also Known As: Allergy Panel 13, Stinging Insect Allergy Test

The Insect Venom Allergy Panel measures IgE antibodies to stinging insect venoms, including honey bee, white-faced hornet, yellow jacket, paper wasp, and fire ant. Elevated levels may indicate venom allergies, which can cause swelling, hives, itching, respiratory issues, or in severe cases, anaphylaxis. This panel helps identify insect venom allergies and guides management through avoidance or treatment strategies.

Blood
Blood Draw
Also Known As: Insect Venom Allergy Test

The Acarus Siro d70 IgE Test measures IgE antibodies in the blood specific to Acarus siro (the grain mite). Elevated levels may indicate an allergic reaction, with possible symptoms such as sneezing, nasal congestion, asthma, skin irritation, or digestive discomfort. This test helps identify grain mite allergy, often linked to exposure from stored foods or agricultural environments, and supports diagnosis and management of allergy-related conditions.

Blood
Blood Draw
Also Known As: Acarus Siro IgE Test, Acarus Siro d70 Test

American Cockroach l206 IgE Test measures IgE antibodies in the blood related to exposure to American cockroaches. Elevated levels may indicate an allergic response, which can cause symptoms such as coughing, wheezing, skin reactions, or nasal congestion. This test helps support diagnosis and management of cockroach-related allergies.

Blood
Blood Draw
Also Known As: American Cockroach IgE Test, American Cockroach l206 Test

The Blomia Tropicalis d201 IgE Test measures IgE antibodies to Blomia tropicalis, a common house dust mite. Elevated levels may suggest an allergic reaction, which can contribute to symptoms such as sneezing, nasal congestion, coughing, wheezing, or asthma. The test helps identify exposure to this allergen and supports accurate diagnosis and management of dust mite–related allergies.

Blood
Blood Draw
Also Known As: Blomia Tropicalis IgE Test, Blomia Tropicalis d201 Test

The Cockroach i6 IgE Test measures IgE antibodies to cockroach allergens, which are a common trigger of indoor allergies and asthma. Elevated levels suggest an allergic reaction that may cause symptoms such as coughing, wheezing, nasal congestion, or skin irritation. The test helps identify cockroach-specific allergies and supports targeted strategies for environmental control and treatment.

Blood
Blood Draw
Also Known As: Cockroach IgE Test, Cockroach i6 Test

The Dermatophagoides Farinae d2 IgE Test measures IgE antibodies to the dust mite Dermatophagoides farinae. Elevated levels may indicate an allergic reaction, which can lead to symptoms such as nasal congestion, sneezing, watery eyes, coughing, or asthma. This test helps identify dust mite allergy as a potential trigger, supporting diagnosis and management of indoor allergy-related conditions.

Blood
Blood Draw
Also Known As: Dermatophagoides Farinae IgE Test, Dermatophagoides Farinae d2 Test

The Dermatophagoides Pteronyssinus d1 IgE Test measures IgE antibodies to the dust mite Dermatophagoides pteronyssinus. Elevated levels may indicate an allergic reaction, which can cause symptoms such as nasal congestion, sneezing, itchy eyes, coughing, or asthma. This test helps identify dust mite allergy as a possible trigger, aiding in diagnosis and management of indoor allergy-related conditions.

Blood
Blood Draw
Also Known As: Dermatophagoides Pteronyssinus IgE Test, Dermatophagoides Pteronyssinus d1 Test

The Fire Ant i70 IgE Test measures IgE antibodies to fire ant venom. Elevated levels may indicate an allergic reaction, with symptoms such as itching, hives, swelling, or potentially severe systemic responses after fire ant stings. This test aids in identifying fire ant allergy, helping guide diagnosis, management, and treatment strategies to reduce risk and improve patient safety in cases of venom exposure.

Blood
Blood Draw
Also Known As: Fire Ant IgE Test, Fire Ant i70 Test

The Glycyphagus Domesticus d73 IgE Test measures IgE antibodies to the storage mite Glycyphagus domesticus. Elevated levels may indicate an allergic reaction, which can cause symptoms such as nasal congestion, sneezing, wheezing, skin irritation, or asthma-like issues. The test helps identify mite exposure as a potential allergen, supporting diagnosis and guiding environmental or lifestyle changes to reduce allergic reactions.

Blood
Blood Draw
Also Known As: Glycyphagus Domesticus IgE Test, Glycyphagus Domesticus d73 Test

The Honey Bee i1 IgE Test measures IgE antibodies to honey bee venom. Elevated levels may indicate an allergic reaction, which can cause localized swelling, hives, respiratory distress, or severe systemic responses like anaphylaxis after a sting. The test helps assess bee venom allergy, supporting diagnosis and guiding risk assessment, treatment, and management strategies such as allergen avoidance or venom immunotherapy.

Blood
Blood Draw
Also Known As: Honey Bee IgE Test, Honey Bee i1 Test

The Mosquito i71 IgE Test measures IgE antibodies to proteins in mosquito saliva. Elevated levels may indicate an allergic reaction, which can cause intense itching, swelling, skin irritation, or, in some cases, systemic symptoms after mosquito bites. This test helps identify mosquito bite allergies and supports management through avoidance strategies and treatment options guided by healthcare providers.

Blood
Blood Draw
Also Known As: Mosquito IgE Test, Mosquito i71 Test

The Paper Wasp i4 IgE Test measures IgE antibodies to venom proteins from paper wasps. Elevated levels may indicate an allergic reaction, which can cause swelling, itching, hives, respiratory symptoms, or in severe cases, anaphylaxis after stings. This test helps identify paper wasp venom allergies and supports management through avoidance measures and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Paper Wasp IgE Test, Paper Wasp i4 Test

Blood
Blood Draw

The Storage Mite d71 IgE Test measures IgE antibodies to proteins from storage mites, common in stored grains and foods. Elevated levels may indicate an allergic reaction, which can cause nasal congestion, sneezing, itchy eyes, skin irritation, or asthma. This test helps identify storage mite allergies and supports management through avoidance strategies or allergy treatments guided by healthcare providers.

Blood
Blood Draw
Also Known As: Storage Mite IgE Test, Storage Mite d71 Test

The White-Faced Hornet i2 IgE Test measures IgE antibodies to venom proteins from white-faced hornets. Elevated levels may indicate an allergic reaction, which can cause swelling, hives, itching, respiratory symptoms, or in severe cases, anaphylaxis after stings. This test helps identify hornet venom allergies and supports management through avoidance measures and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: White-Faced Hornet IgE Test, White-Faced Hornet i2 Test

The Wormwood w5 IgE Test measures IgE antibodies to allergens from wormwood pollen. Elevated levels may indicate an allergic reaction, which can cause hay fever symptoms such as sneezing, runny nose, itchy eyes, or asthma flare-ups during pollen season. This test helps identify wormwood pollen allergies and supports management through avoidance strategies or allergy treatments guided by healthcare providers.

Blood
Blood Draw
Also Known As: Wormwood IgE Test, Wormwood w5 Test

The Yellow Hornet i5 IgE Test measures IgE antibodies to venom proteins from yellow hornets. Elevated levels may indicate an allergic reaction, which can cause swelling, hives, itching, respiratory issues, or in severe cases, anaphylaxis after stings. This test helps identify yellow hornet venom allergies and supports management through avoidance measures and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Yellow Hornet IgE Test, Yellow Hornet i5 Test

The Yellow Jacket i3 IgE Test measures IgE antibodies to venom proteins from yellow jackets. Elevated levels may indicate an allergic reaction, which can cause swelling, hives, itching, respiratory symptoms, or in severe cases, anaphylaxis after stings. This test helps identify yellow jacket venom allergies and supports management through avoidance measures and treatment strategies guided by healthcare providers.

Blood
Blood Draw
Also Known As: Yellow Jacket IgE Test, Yellow Jacket i3 Test

Did you know almost 5% to 7% of people in the United States experience severe allergic reactions to insect stings during their lifetime? 

The venom from bees, wasps, and yellow jackets causes the most severe reactions. An insect allergy test is a lifesaving measure for a small percentage of people to identify if they have severe and life-threatening allergic reactions to insects.

If you suspect you might have an allergy to bees or other insects, then you should get yourself tested. Keep reading this guide to learn everything you need to know about bee allergies and insect allergies and what to expect when you get a bee allergy test

What Are Bee Sting Allergies?

Most people who are stung by bees get a minor reaction. This reaction includes mild redness, swelling, and itching at the site of the sting. Usually, this reaction goes away within an hour or two. But for some people, a bee sting can cause a life-threatening allergic reaction. 

An allergic reaction is when your immune system responds to a foreign substance by producing antibodies. When you have a bee sting allergy, your immune system is mistaking the venom as an invader.

When you're first stung, your body might produce a small number of antibodies. But when you're stung again, your body produces antibodies more rapidly, releasing chemicals that cause a bee sting allergic reaction.

There are certain families of insects that cause the most allergic reactions. These include:

  • Yellowjackets, hornets, and wasps
  • Bees including honey bees, sweat bees, and occasionally bumble bees
  • Fire ants and harvester ants   

Risk factors for Bee Sting Allergies

You're more likely to have an allergic reaction to a bee sting if you've had an allergic reaction in the past, even if it was a minor one. If you're an adult, you're more likely to have a severe allergic reaction than a child is. Other risk factors for bee stings include:

  • If you live in an area where bees are active
  • You have beehives or nests nearby
  • You work outside
  • You have outdoor sports and hobbies

Causes of Bee Sting Allergies

The cause of bee sting allergies is the bee sting itself. Bee sting venom has proteins that affect your immune system and skin cells, causing pain and swelling around the sting area. If you have a bee sting allergy, to begin with, bee venom can trigger a more serious reaction involving your immune system.

Signs and Symptoms of Bee Sting Allergies

Symptoms of bee stings can vary for each person, depending on how severe your allergies are. You can have mild, moderate, or severe allergies. Symptoms of a mild bee sting include:

  • Sharp burning pain right after the sting
  • The sting area becomes raised and red
  • Slight swelling

When you have a moderate bee sting reaction, it means your body has a stronger response to the bee venom. This reaction is also called a large local reaction (LLR) and takes at least a week to heal completely. Symptoms of a moderate reaction include severe redness and swelling increase to a 10 cm diameter 24 to 48 hours after the sting.

Some people can have a severe allergic reaction to a bee sting called anaphylaxis. This type of reaction is a life-threatening reaction that requires emergency treatment. Symptoms of anaphylaxis develop rapidly, and you shouldn't delay medical treatment. Symptoms include:

  • Itching and hives
  • Pale skin
  • Swelling in the tongue or throat
  • Trouble breathing
  • Abdominal pain, nausea, and vomiting
  • Dizziness
  • A weak and rapid pulse
  • Loss of consciousness

Bees generally aren't as aggressive as wasps, but there are chances you can get multiple stings at once if you disrupt a hive or nest. Being stung multiple times at once increases your risk for a severe reaction and can make you very sick.

If you have a severe allergic reaction to a bee sting, you have between a 25% to 65% chance of developing anaphylaxis the next time you're stung. It's important that you talk to your doctor about seeing an allergy specialist.

How Bee Sting Allergies Are Diagnosed

If you've reacted to a bee sting in the past, then see your doctor about testing for bee allergies. Your doctor will ask you about your past medical history, past bee stings, and the symptoms you experienced. 

Depending on your symptoms, your doctor will likely start with ordering a skin test. For skin testing, a small amount of the suspected allergen is placed into the skin of your arm. If you're allergic to bees, you'll get a raised bump on your skin at the site of the test.

Your doctor will also order allergy blood tests to measure your immune system response to bee venom. Your immune response is determined by measuring the number of antibodies in your bloodstream that cause allergies.

Lab Tests to Diagnose Bee Sting Allergies

The first bee sting test your doctor will order is a honey bee (i1) IgE test. The honey bee test measures the levels of the antibody IgE in your blood. High levels of this antibody indicate an allergy to bees.

If you've had multiple reactions to different bees, wasps, or ants, you'll need an allergy insect venom panel. This panel tests your IgE antibodies to:

  • Honey bees
  • Yellow jackets
  • Paper wasps
  • Fire ants
  • White-faced hornets.

Another great panel to test for allergies to all stinging insects is allergy panel 13, the stinging insect group. This panel tests for allergies to:

  • Honey bees
  • Yellow jackets
  • Yellow hornets
  • White-faced hornets
  • Paper wasps.

You may also want to be tested for a mosquito allergy and allergies to the American cockroach. Often people with allergies to stinging insects have other insect allergies as well.

FAQS About Bee Sting Allergies

What should I do if I am stung by a bee? The first thing to do is remain calm and try to remove the stinger to stop the release of venom. You can use tweezers, the side of a credit card, or even your fingernail to remove the barb. Make sure to use ice to reduce pain and swelling as soon as possible.

If I've been stung by a bee in the past without a serious reaction, what are the chances I will develop a serious reaction? Luckily, your chances of developing a serious reaction are low, at no more than 5% to 10%.

What is the best treatment for a bee sting? Many people take an antihistamine or put a topical steroid cream on the sting site.

If one of my parents has severe bee allergies, does that mean I will too? Fortunately, the answer is no. A family history of bee sting allergies does not increase your risk. 

Order a Bee Allergy Test With Ulta Lab Tests

Ulta Lab Tests offers a highly accurate bee allergy test, allowing you to make the best decisions about your health. Here are some awesome things you'll love about Ulta Lab Tests:

  • Secure and confidential results
  • No need for a physician's referral
  • Always affordable pricing
  • A 100% satisfaction guarantee

Order your bee allergy and insect allergy lab tests today, and your results will be provided to you securely online in 24 to 48 hours in most cases.

Take charge of your health and visit Ulta Lab Tests today!