Total Iron-Binding Capacity Calculator

Work out total iron-binding capacity and transferrin saturation from a standard iron panel.

How it is calculated

There are two modes. In the default mode the tool adds serum iron and UIBC (unsaturated iron-binding capacity), both in µg/dL: TIBC = iron + UIBC. In transferrin mode it estimates TIBC = 1.25 × transferrin, with transferrin in mg/dL, and derives UIBC as TIBC − iron. Transferrin saturation is then iron ÷ TIBC × 100. The tool labels TIBC below 250 µg/dL as low, 250 to 450 as within the usual range and above 450 as high, and quotes a saturation reference of 20 to 50%. Results are rounded to whole µg/dL. TIBC must be positive, and serum iron cannot exceed TIBC (saturation above 100% is impossible), so such inputs give no result; transferrin mode also needs a transferrin value above zero. Labs may use other reference ranges and units, so check yours.

Worked example

Serum iron is 80 µg/dL and UIBC is 250 µg/dL, using the UIBC method. TIBC = 80 + 250 = 330 ug/dL. Transferrin saturation = 80 ÷ 330 × 100 = 24.24%. The UIBC row simply repeats 250 ug/dL. Because 330 sits between 250 and 450, the interpretation reads "TIBC 250-450 ug/dL: within the usual reference range." The saturation of 24.24% is also inside the 20 to 50% band quoted by the tool.

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Common mistakes

  • Choosing the transferrin method but typing the lab's UIBC value, or the other way round. A UIBC of 250 read as transferrin gives a TIBC of 312.5 and a UIBC of about 233, not what the lab reported.
  • Entering transferrin in g/L. The formula expects mg/dL, so 2.6 g/L must be entered as 260; typing 2.6 gives a TIBC of about 3 and, because iron then exceeds it, no result.
  • Mixing units: iron in µmol/L together with UIBC in µg/dL gives a meaningless sum, since all values must be µg/dL.
  • Entering a serum iron larger than the TIBC (for example iron 400 with transferrin 264, which gives a TIBC of 330). The tool rejects it and shows no result instead of a saturation above 100%.
  • Reading a low saturation as a diagnosis. The tool only labels the numbers and cannot tell the cause.

Sources

About this calculator

Total iron-binding capacity (TIBC) measures the blood’s total capacity to bind iron via transferrin, and can be calculated two ways: as serum iron plus UIBC (unsaturated iron-binding capacity, the unused portion measured directly by the lab), or estimated from a transferrin level using the approximation TIBC ≈ transferrin (mg/dL) × 1.25.

Dividing serum iron by TIBC gives transferrin saturation, the percentage of binding sites actually occupied by iron — the single most useful number on an iron panel for telling conditions apart. Low saturation (typically under 15–20%) points toward iron-deficiency anemia, while high saturation (often above 45%) is a hallmark of hereditary hemochromatosis or other iron-overload states; anemia of chronic disease, by contrast, often shows a low or normal TIBC alongside low serum iron, the opposite pattern from deficiency.

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