We demonstrate a powerful tool for high-resolution mid-IR spectroscopy and frequency metrology with quantum cascade lasers (QCLs). We have implemented frequency stabilization of a QCL to an ultra-low expansion (ULE) reference cavity, via upconversion to the near-IR spectral range, at a level of 1×10(-13). The absolute frequency of the QCL is measured relative to a hydrogen maser, with instability <1×10(-13) and inaccuracy 5×10(-13), using a frequency comb phase stabilized to an independent ultra-stable laser. The QCL linewidth is determined to be 60 Hz, dominated by fiber noise. Active suppression of fiber noise could result in sub-10 Hz linewidth.