How Much Does Online TRT Cost?
Testosterone replacement therapy through telehealth typically costs $100-$250 per month all-in. Here's exactly what you'll pay, what's included, and how to compare providers.
Quick Cost Overview
Monthly Range
$100 - $250/mo
Most telehealth TRT providers fall in this range for complete care.
What's Typically Included
- ✓ Testosterone medication
- ✓ Provider consultations
- ✓ Supplies (syringes, etc.)
- ✓ Home delivery
- ~ Lab work (varies)
Breaking Down TRT Costs
Online TRT pricing can be confusing because providers bundle their services differently. Some advertise low medication costs but charge separately for consultations and labs. Others offer all-inclusive monthly pricing. Here's what each component typically costs:
Cost Component Breakdown
First visit with provider
Testosterone, CBC, PSA panels
Ongoing care & access
Injectable, gel, or cream
Syringes, needles, alcohol wipes
Anastrozole, hCG (if prescribed)
Medication Type Affects Cost
The type of testosterone you're prescribed significantly impacts your monthly cost:
| Type | Monthly Cost | Notes |
|---|---|---|
| Injectable Testosterone Cypionate or Enanthate |
$28 - $100 | Most affordable option. Weekly or bi-weekly injections. |
| Testosterone Cream Compounded topical |
$60 - $120 | Daily application. No needles. |
| Testosterone Gel AndroGel, Testim |
$50 - $150 | Daily application. Brand may cost more. |
| Sublingual Troches Dissolve under tongue |
$60 - $100 | Daily. No needles, no skin transfer risk. |
| Nasal Testosterone Natesto |
$200+ | 3x daily. Most expensive. Less common online. |
Best Value
Injectable testosterone cypionate is typically the most cost-effective option. It's what most online TRT providers offer as their primary treatment, and it's the most commonly prescribed form of TRT overall.
Comparing Popular Online TRT Providers
Here's how pricing compares across major telehealth TRT platforms:
| Provider | Monthly Cost | Initial Cost | What's Included |
|---|---|---|---|
| Hone Health | $129 + meds ($28+) | $45 (labs) | Consultations, follow-ups, delivery |
| Rex MD | $129 all-in | $79 (first mo) | Labs, meds, supplies, consultations |
| TRT Nation | $99/mo | Labs separate | Meds, supplies, free consultations |
| Alpha MD | $129/mo | $49 consult | Meds, consultations, delivery |
| Fountain TRT | $159-199/mo | Included | Personalized kit, urologist-led |
| Wellcore | $179-225/mo | Included | Meds, oversight, home delivery |
Prices as of 2025. Verify current pricing directly with providers as costs change.
Online TRT vs Traditional Clinic Costs
Is online TRT more or less expensive than going through a urologist or endocrinologist? It depends on your insurance situation.
Online TRT Telehealth
+ Convenient, private, no office visits
- No insurance coverage
Traditional Doctor + Insurance
+ Much cheaper with good insurance
- Office visits, less privacy
Important Finding
A study published in the Journal of Sexual Medicine found that 12 months of TRT through telehealth platforms ranged from $1,586 to $4,200, compared to $134 to $1,333 at a tertiary center with insurance. If you have good insurance, traditional care is often cheaper.
When Online TRT Makes Financial Sense
Despite potentially higher costs, online TRT can be worth it in certain situations:
No insurance or high-deductible plan
If you're paying out of pocket anyway, online TRT's transparent pricing may beat uninsured clinic rates.
Time is money
No time off work for appointments, no travel costs. For busy professionals, the convenience has real value.
Privacy priority
Everything happens from home. No waiting rooms, no explaining to coworkers why you're leaving.
Difficulty finding local TRT-friendly doctor
Some areas have limited access to providers who understand and prescribe TRT appropriately.
HSA/FSA availability
Many online TRT services are HSA/FSA eligible, letting you pay with pre-tax dollars.
What to Look For in Pricing
When comparing online TRT providers, watch for these details:
Good Signs
- ✓ Clear, all-inclusive monthly pricing
- ✓ Labs included or clearly priced
- ✓ Free follow-up consultations
- ✓ Supplies included
- ✓ Free shipping
- ✓ Easy cancellation policy
Watch Out For
- ⚠ Hidden fees for labs or consultations
- ⚠ Medication priced separately from subscription
- ⚠ Required add-ons at extra cost
- ⚠ Shipping fees
- ⚠ Long-term contract requirements
- ⚠ Charges for dose adjustments
Ways to Reduce TRT Costs
- • Choose injectable testosterone: It's the most cost-effective option at most providers.
- • Use HSA/FSA funds: Most TRT expenses qualify, saving you the tax on that money.
- • Look for first-month discounts: Many providers offer 25-50% off the first month.
- • Consider annual plans: Some services offer discounts for prepaying.
- • Get labs done separately: If labs aren't included, using your insurance for bloodwork at a local lab can save money.
- • Compare before committing: Initial consultations are often free or low-cost, so you can evaluate multiple providers.
Ready to Explore Online TRT?
Get started with an at-home hormone test to see if TRT might be right for you.
Check Your TestosteroneThe Bottom Line
Online TRT typically costs $100-$250 per month, including medication, consultations, and delivery. Injectable testosterone is the most affordable option. While telehealth TRT is more expensive than traditional care with good insurance, it offers convenience and privacy that many men find worth the premium. Before choosing a provider, compare what's actually included in the quoted price—the cheapest monthly rate isn't always the best value.