Post-Test Probability Calculator

Turn a pre-test probability into post-test probabilities with a test’s sensitivity and specificity.

100% FreeNo sign-upPrivate — runs in your browser
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Post-test probability if positive

Positive likelihood ratio (LR+)
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Negative likelihood ratio (LR−)
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Post-test probability if negative
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How to use this tool

1
Enter the pre-test probability

Enter the chance before testing, as a percent.

2
Enter sensitivity and specificity

Enter the test’s sensitivity and specificity as percents.

3
Read the positive case

Read the post-test probability after a positive result.

4
Read the negative case

Read the post-test probability after a negative result.

Formula & worked example

LR+ = sensitivity ÷ (1 − specificity); LR− = (1 − sensitivity) ÷ specificity; post-test odds = pre-test odds × LR; probability = odds ÷ (1 + odds).

With a 10% pre-test probability and a test that is 90% sensitive and 90% specific, a positive result raises the probability to 50%.

Limitations — read this before you rely on it

Assumes the stated sensitivity and specificity apply to your patient and that the pre-test estimate is sound; it does not replace clinical judgement.

Frequently asked questions

Your estimate of the chance of disease before testing, from prevalence, symptoms or clinical judgement.

How many times more likely a positive result is in disease than without it; larger LR+ values shift probability more.

Because false positives matter: with a low pre-test probability, even a good test leaves substantial doubt.

Use LR− the same way; the tool shows the post-test probability if negative alongside the positive case.

Yes, by population, disease stage and test execution; use values measured in a similar setting.