How Much Does TRT Cost in 2026? Telehealth vs Clinic Pricing

The biggest source of confusion in TRT pricing is what the quoted monthly rate includes. There are three main cost components: medication, provider consults, and lab work. Most telehealth platforms quote the medication only and bill consults and labs separately.

In-person clinics like SynergenX and Gameday Men's Health typically bundle consults and monitoring into a membership rate, which is why their headline prices appear higher. When you factor in the all-in cost, the gap between telehealth and clinic often narrows.

Common cost components to ask about:

• Testosterone cypionate or enanthate (injections): $28–$99/month via telehealth
• Telehealth consult fee: $0–$75/month (some platforms include this, others don't)
• Lab panel (testosterone, estradiol, CBC, PSA): $75–$150 per draw, required 2–4× per year
• Needles, syringes, and supplies: $10–$20/month for self-injection protocols

Telehealth TRT platforms have compressed the price floor substantially over the past few years. The cheapest documented monthly prices from tracked providers currently range from $28 to $129 per month.

Hone Health has one of the lowest published testosterone medication prices at $28/month, though membership and monitoring costs are listed separately. TRT Nation publishes a straightforward $99/month plan that includes medication and some monitoring. Hims & Hers has a $75/month testosterone program. LifeMD and Ro both offer TRT starting around $99/month.

Maximus and Lifeforce sit in the $129/month range and position their programs as more protocol-driven or comprehensive. If you're comparing strictly on medication delivery cost, the sub-$100 options from TRT Nation, Hims, and LifeMD are the most price-transparent.

Local TRT clinics include in-office blood draws, physician visits, and sometimes weekly or biweekly injections administered at the clinic. This model costs more but can be preferable for men who don't want to self-inject or who want more face-to-face monitoring.

SynergenX is one of the more price-transparent clinic chains, with plans starting around $59/month for self-injection and higher for in-clinic dosing. Gameday Men's Health runs around $199/month and operates across multiple states with a consistent in-person model. Defy Medical offers a physician-led program with more customization at around $250/month. Marek Health is on the premium end of the telehealth-adjacent space at $299/month, with extensive labs and optimization framing.

The key question for clinic-based TRT is whether the membership includes all blood draws. Some clinics charge $50–$100 per draw even within a membership.

Most TRT protocols require labs at baseline (before starting), at 6–8 weeks, and then every 3–6 months ongoing. A standard TRT monitoring panel tests total and free testosterone, estradiol (E2), hematocrit, PSA, and sometimes LH and FSH.

If your provider does not include labs in their monthly rate, expect to pay $75–$150 per panel through services like Quest or LabCorp. On a quarterly monitoring schedule, that adds $300–$600 per year on top of the medication cost.

Providers like TRT Nation explicitly state that labs are not included. Defy Medical and Marek Health tend to bundle more lab coverage. Always ask the provider: are labs included, and how many panels per year?

Insurance coverage for TRT is limited and inconsistent. Brand-name testosterone medications (Androgel, Testim) can be covered with a confirmed hypogonadism diagnosis, but coverage decisions vary widely by plan and diagnosis code.

Most telehealth TRT platforms operate entirely outside insurance because they use compounded testosterone, which is not eligible for insurance reimbursement under most plans. If you have a confirmed hypogonadism diagnosis, it may be worth contacting your insurance to ask about brand-name testosterone coverage through a traditional endocrinology practice — the total cost may be lower than a cash-pay telehealth plan.

For most men using TRT for optimization rather than diagnosed hypogonadism, cash-pay telehealth is the most practical route and the one most providers are built around.