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Testosterone Therapy Cost: TRT Pricing Guide (2026)

Cost breakdown for testosterone replacement therapy. Compare telehealth TRT subscriptions, traditional clinic pricing, insurance coverage, and medication format costs.

Testosterone replacement therapy costs depend on the format, the program, and your insurance. As of September 11, 2026, DudeMeds lists commercial injectable testosterone from $77 per month, including the televisit, prescription, medication, and free shipping, and Peter MD charges from $79 per month on its 12-month plan, $109 on its 6-month plan, and $139 on its 1-month plan. Through a traditional urology practice, you pay separately for visits, labs, and pharmacy fills, and what you pay depends on your insurance. Format also drives price differences between injections, gels, oral capsules, and pellets. This guide breaks down prices across telehealth providers, traditional clinics, and pharmacy options, plus the insurance and HSA strategies that reduce what you actually pay.

Verified TRT Prices

Lowest verified price for testosterone cypionate on Sep 11, 2026: DudeMeds at $77/mo.

ProviderProductPriceIncludesCheckedEvidence
DudeMedsCommercial Injectable Testosterone$77/moMedicationSep 11, 2026Screenshot
MaximusTestosterone Cream$99.99/moMedication, ConsultSep 11, 2026Screenshot
MaximusInjectable Testosterone$99.99/moMedication, ConsultSep 11, 2026Screenshot
DudeMedsOral TRT - Enclomiphene$125/moMedicationSep 11, 2026Screenshot
DudeMedsTestosterone + Pregynl [Branded HCG]$222/moMedicationSep 11, 2026Screenshot

We load each provider's public pricing page, capture a cropped screenshot, and record only prices we can see next to the product name. A membership is shown as the provider lists it; check with the provider whether it applies to your plan. Prices change, so check the provider before you buy.

Price Ranges We Published Earlier

Telehealth TRT pricing is subscription-based and includes medication, while traditional routes separate visit, lab, and pharmacy costs. Here is how the main options compare, with prices checked on September 11, 2026:

ProviderMonthly CostPer DoseConsultationShippingNotes
Peter MDFrom $79/month (12-month plan, $948 billed upfront); $109/month (6-month); $139/month (1-month)N/A (subscription only)Included (unlimited provider access)FreeTestosterone cypionate with medications included. Labs at a nearby Quest location. Not available in Alabama or Idaho.
Taurus MedsPrice not shown before signupN/AStarts with a free testosterone testDelivered to your doorAlso offers ED, peptide, and hair treatments. The TRT price appears only inside its intake.
DudeMedsFrom $77/month (commercial injectable testosterone)N/A (monthly pricing)Televisit includedFreeVideo call with a doctor licensed in your state. Upload your lab work or order it through DudeMeds. Testosterone plus branded hCG (Pregnyl) from $222/month.
Traditional Urology ClinicN/ASet by the practiceInitial visit fee set by the practiceN/A (pharmacy pickup)Medication and labs billed separately; ask whether your insurance covers testosterone
Local Pharmacy (Cash + Discount Card)N/AVaries by pharmacy (generic cypionate)Requires outside prescriptionN/A (pharmacy pickup)If you already have a prescriber, ask your pharmacy for the cash price and compare it with telehealth programs

Top Testosterone Replacement Therapy Providers by Value

Our Top Choice
1

100% Online TRT From $149/mo - $49 Labs and Clinician Review

  • FREE testosterone test to establish your baseline before treatment
  • Taurus reports client increases of 2-5x total and 3-4x free testosterone (individual results vary)
  • Clinicians adjust dosages and medications directly with you for optimal results
  • Testosterone cypionate injections are FDA-approved; enclomiphene option is compounded (not FDA-approved) - 100% online and shipped to your door
9.6
ExceptionalScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
2

Get Started for $99/mo. Free Consultation + Free Shipping

  • Testosterone support and optimization
  • Licensed providers in all 50 states
  • FSA/HSA eligible
  • Cancel anytime, no commitment
9.4
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
3

Injectable TRT From $129/mo - Free Biomarker Assessment Included

  • Injectable TRT from $129/mo with a free biomarker assessment through Quest Diagnostics or LabCorp
  • Enclomiphene daily capsules from $169/mo if you want to avoid injections and preserve fertility
  • Licensed US clinicians review your lab results before writing a treatment plan
  • Transparent pricing, free shipping, and no commitment, so you can cancel anytime
9.2
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★

Detailed Price Breakdown by Provider

Peter MD

Peter MD offers testosterone cypionate on 1-month, 6-month, and 12-month plans, with pricing starting at $79 per month on the yearly plan. Longer plans are billed upfront. Plans include medications, unlimited provider access, and free shipping, and Peter MD guides you to a nearby Quest lab or may use your recent bloodwork. It is not available in Alabama or Idaho.

Consultation:Unlimited provider access included
Medication:$79/month (12-month plan, $948 total), $109/month (6-month, $654 total), $139/month (1-month)
Shipping:Free shipping
Total:From $79/month on the 12-month plan, billed upfront

Taurus Meds

Taurus Meds is a telehealth clinic for men that offers TRT alongside ED, peptide, and hair treatments. It does not show a TRT price before signup. Its site says you start your program with a free testosterone test to understand your baseline, and prescribed TRT medications are delivered to your door.

Consultation:Not shown before signup
Medication:Not shown before signup
Shipping:Delivered to your door
Total:Not shown before signup; starts with a free testosterone test

DudeMeds

DudeMeds lists commercial injectable testosterone from $77 per month, covering the televisit, prescription, medication, and free shipping. You upload your required lab work or order it through DudeMeds, which also offers an at-home lab option, then schedule a video call with a doctor licensed in your state.

Consultation:Televisit included
Medication:From $77/month (commercial injectable testosterone); with branded hCG (Pregnyl) from $222/month
Shipping:Free shipping
Total:From $77/month, plus any labs you order

Traditional Urology or Endocrinology Clinic

The traditional route separates every cost: office visits, lab panels, and medication filled at your pharmacy. Insurance can change this math if your plan covers testosterone, so ask your plan what it requires before you start.

Consultation:Per visit, set by the practice
Medication:Pharmacy price, depends on format and insurance
Shipping:N/A (pharmacy pickup)
Total:Depends on your insurance and visit schedule

Insurance Coverage for TRT

Whether insurance covers testosterone therapy depends on your plan, so ask what it requires before you start. None of the telehealth TRT programs on this page advertise insurance billing. Peter MD says its plans are FSA and HSA eligible, and the IRS counts laboratory fees that are part of medical care as medical expenses.

Commercial Insurance

Coverage: Depends on your plan

Ask your plan whether it covers testosterone, which formats are on its formulary, and whether it requires prior authorization or lab results first. The telehealth programs on this page do not advertise insurance billing.

Medicare

Coverage: Check your Part D formulary

Check whether your Medicare drug plan formulary includes testosterone and what it requires. None of the telehealth programs on this page advertise Medicare billing, so you would use a prescriber and pharmacy that take your plan.

HSA / FSA

Coverage: Peter MD plans are FSA and HSA eligible

Peter MD says its plans are FSA and HSA eligible. The IRS counts prescribed medicines and laboratory fees that are part of medical care as medical expenses. Ask any other program for itemized receipts.

Self-Pay / No Insurance

Coverage: N/A

Without insurance, DudeMeds lists commercial injectable testosterone from $77 per month and Peter MD charges from $79 per month on its 12-month plan, as of September 11, 2026. If you only need medication and already have a prescriber, ask your pharmacy for its cash price on generic testosterone cypionate.

TRT Format and Brand vs Generic Costs

Format choice changes your medication cost. On this page, the lowest advertised telehealth prices are for injectable testosterone (DudeMeds from $77/month, Peter MD from $79/month).

MedicationCompounded/GenericBrand-NameSavings
Testosterone Cypionate (injectable)Generic testosterone cypionate: price varies by pharmacyDepo-Testosterone (brand testosterone cypionate): price varies by pharmacyGenerics tend to cost less, per the FDA
Testosterone Gel (daily topical)Generic testosterone gel: price varies by pharmacyAndroGel 1.62%: price varies by pharmacyAsk your pharmacy for both prices before you choose
Oral Testosterone (capsules)Ask your pharmacy whether a generic is availableJatenzo, Kyzatrex: price varies by pharmacyThe lowest advertised prices on this page are for injectables
Testosterone Pellets (implanted)N/A (procedure-based)Testopel: price set by the clinicAsk for the per-insertion price and how often you would need one

How to Save on TRT

  • Compare formats before you choose. The lowest advertised prices on this page are for injectable testosterone, starting at $77/month at DudeMeds.
  • Compare what each plan includes, not just the monthly price. Ask whether labs are included; DudeMeds lets you upload lab work you already have or order labs through it.
  • Use HSA or FSA funds: Peter MD says its plans are FSA and HSA eligible, and the IRS counts prescribed medicines and laboratory fees that are part of medical care as medical expenses.
  • If you have insurance, ask your plan whether it covers testosterone through a traditional prescriber, and compare that cost with a cash program.
  • Compare plan lengths: Peter MD charges $79/month on its 12-month plan and $109/month on its 6-month plan, billed upfront, versus $139/month on its 1-month plan.
  • Decline add-ons you do not need: ask your prescriber whether anastrozole, hCG, or vitamin blends are clinically indicated for you before you pay for them.

Hidden Costs to Watch For

  • Initial lab panels: some advertised prices exclude labs. DudeMeds lets you upload existing lab work or order it through them, and Peter MD guides you to a nearby Quest lab, so ask what labs cost before checkout.
  • Ongoing monitoring labs: confirm whether your subscription includes follow-up testing. The Depo-Testosterone label says hemoglobin and hematocrit levels should be checked periodically.
  • Dose-based pricing tiers: ask whether your price changes if your dose changes after titration.
  • Add-on medication creep: DudeMeds lists testosterone plus branded hCG (Pregnyl) at $222/month versus $77/month for injectable testosterone alone.
  • Plan terms: Peter MD bills its 6-month and 12-month plans upfront, so check refund and cancellation terms before you commit.
  • Expedited shipping charges, if a program offers faster delivery than its standard shipping.

Frequently Asked Questions

How much does TRT cost per month with everything included?

As of September 11, 2026, DudeMeds lists commercial injectable testosterone from $77 per month, including the televisit, prescription, medication, and free shipping, with lab work uploaded or ordered separately. Peter MD charges $79 per month on its 12-month plan ($948 billed upfront), $109 per month on its 6-month plan, and $139 per month on its 1-month plan, with medication and free shipping included. Taurus Meds does not show a TRT price before signup. Traditional care is billed per visit, lab, and pharmacy fill, so your cost depends on your insurance. Format matters too: the lowest prices on this page are for injectables.

Is TRT covered by insurance?

It depends on your plan. Ask whether it covers testosterone, which formats are on its formulary, and whether it needs prior authorization or lab results first. None of the telehealth programs on this page advertise insurance billing, so their prices are what you pay out of pocket. Telehealth trades insurance billing for flat pricing and home delivery. Peter MD says its plans are FSA and HSA eligible.

Is injectable testosterone cheaper than gels?

On this page, the lowest advertised telehealth prices are for injectable testosterone: DudeMeds from $77 per month and Peter MD from $79 per month. Pharmacy cash prices for generic injectables and gels vary, so ask your pharmacy for both. Beyond price, gels carry a boxed warning about secondary exposure, and the AndroGel 1.62% label says to avoid unintentional exposure of women or children. Injections avoid that transfer risk but mean needles, on a schedule your prescriber sets.

Are cheap online TRT clinics legitimate?

Price alone does not separate legitimate clinics from prescription mills; process does. A legitimate program at any price asks for lab testing that confirms low testosterone, a symptom evaluation, and a licensed clinician review before prescribing, followed by monitoring labs. DudeMeds and Peter MD both start with lab work. The warning signs worth acting on are guaranteed approval before any blood work, protocols that bundle anastrozole and hCG for everyone from day one, no named medical providers on the website, and no mention of ongoing lab monitoring. Testosterone is a Schedule III controlled substance, and any site offering it without a prescription process is operating illegally regardless of how professional the storefront looks.

How much do TRT labs cost?

It depends on where you test. DudeMeds lets you upload lab work you already have, order labs through it, or use an at-home lab option, and Peter MD guides you to a nearby Quest lab or may use your recent bloodwork. Neither page we checked lists a standalone lab price, so ask before you order. Follow-up labs matter too: the Depo-Testosterone label says hemoglobin and hematocrit levels should be checked periodically. When comparing providers, ask how many panels per year the price includes and what a standalone panel costs. The IRS counts laboratory fees that are part of medical care as medical expenses.

Is TRT worth the cost?

It depends on your diagnosis. The Testosterone Trials (New England Journal of Medicine, 2016), in 790 men 65 or older with low testosterone, found moderate benefit for sexual function and some benefit for mood and depressive symptoms, but no benefit for vitality or walking distance. The TRAVERSE trial (2023), in 5,246 men aged 45 to 80 with or at high risk of cardiovascular disease, found testosterone noninferior to placebo for major adverse cardiac events, with a higher incidence of atrial fibrillation, acute kidney injury, and pulmonary embolism. Online programs on this page start at $77 per month. The honest caveat: if your testosterone is normal and your symptoms come from sleep, stress, or untreated depression, TRT may not help, and the Depo-Testosterone label notes that at large doses sperm production may be suppressed. Confirm the diagnosis first, then weigh the cost with your prescriber.

How much does TRT cost per year?

It depends on the program and how labs are billed. Peter MD lists $948 total for its 12-month plan, billed upfront, and $139 per month on its 1-month plan. DudeMeds lists injectable testosterone from $77 per month, with lab work uploaded or ordered separately. Add any lab costs your program does not include. Traditional care adds up visit, lab, and pharmacy costs, and a well-covered insurance route may cost you less. Budget TRT as an ongoing expense rather than a short trial, and confirm plan terms before you commit.

What is the cheapest way to get TRT?

It depends on your insurance. If your plan covers testosterone through a traditional prescriber, that may be your lowest out-of-pocket route, so ask your plan first. Among the cash-pay telehealth programs on this page, DudeMeds lists injectable testosterone from $77 per month and Peter MD from $79 per month on its 12-month plan. The hybrid route is to get diagnosed and prescribed anywhere, then fill generic cypionate at a local pharmacy; ask for the cash price, and remember you still need to pay for visits and lab orders. What is never cheap: buying testosterone without a prescription from gray-market websites. Testosterone is a Schedule III controlled substance, and with an unprescribed product you cannot verify what you are getting.

Do TRT costs vary by state?

The national telehealth programs on this page list one price rather than state-by-state prices, but access varies. Peter MD says its TRT is not available in Alabama or Idaho, Fridays says it is not available in all 50 states, and DudeMeds schedules your video call with a doctor licensed in your state. Traditional care costs also vary by location, because office visit rates and insurance networks are local. Check each provider site for availability in your state before comparing prices.

How much do TRT add-ons like anastrozole and hCG cost?

DudeMeds lists testosterone plus branded hCG (Pregnyl) at $222 per month versus $77 per month for injectable testosterone alone, as of September 11, 2026. The cost question, though, comes second; the clinical question comes first. Anastrozole (Arimidex) is FDA-approved only for breast cancer in postmenopausal women, so using it with TRT is off-label. Pregnyl (hCG) is FDA-approved for uses that include selected cases of hypogonadotropic hypogonadism in males, and preserving fertility while on TRT is not one of its listed indications. That matters greatly for some men and not at all for others. Evaluate any clinic that includes both in every starter protocol carefully, because that pattern may reflect revenue design rather than your labs. Declining unneeded add-ons is an easy way to keep TRT near the advertised price, and you can always add them later if labs and symptoms actually indicate them.

Sources & References

Our comparisons are informed by official sources and regulatory guidelines. We encourage readers to verify information with authoritative sources.

Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards

Start With a Top Testosterone Replacement Therapy Provider

Our Top Choice
1

100% Online TRT From $149/mo - $49 Labs and Clinician Review

  • FREE testosterone test to establish your baseline before treatment
  • Taurus reports client increases of 2-5x total and 3-4x free testosterone (individual results vary)
  • Clinicians adjust dosages and medications directly with you for optimal results
  • Testosterone cypionate injections are FDA-approved; enclomiphene option is compounded (not FDA-approved) - 100% online and shipped to your door
9.6
ExceptionalScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
2

Get Started for $99/mo. Free Consultation + Free Shipping

  • Testosterone support and optimization
  • Licensed providers in all 50 states
  • FSA/HSA eligible
  • Cancel anytime, no commitment
9.4
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★
3

Injectable TRT From $129/mo - Free Biomarker Assessment Included

  • Injectable TRT from $129/mo with a free biomarker assessment through Quest Diagnostics or LabCorp
  • Enclomiphene daily capsules from $169/mo if you want to avoid injections and preserve fertility
  • Licensed US clinicians review your lab results before writing a treatment plan
  • Transparent pricing, free shipping, and no commitment, so you can cancel anytime
9.2
OutstandingScore based on review by ManyTreatments editors, popularity, brand reputation, features and benefitsLearn how we score
★★★★★

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Disclaimer: Pricing information is based on publicly available data and may change without notice. Actual costs depend on your specific treatment plan, insurance coverage, and provider. Always verify current pricing with providers before purchasing. This article is for informational purposes only and is not financial or medical advice. We may receive compensation through affiliate links, which helps support our research.

Regulatory noticeRegulatory note (verified August 22, 2026): On September 9, 2025 the FDA sent Hims & Hers Health, Inc. a warning letter covering the Hims brand, MARCS-CMS 716567, drawn from a review of hims.com the previous month. Two lines about compounded semaglutide are quoted in it: "Same active ingredient as Ozempic and Wegovy" and "Clinically proven ingredients." Compounded drug products are not FDA-approved, and the agency said phrasing of this sort suggests otherwise, which is what makes the products misbranded under FD&C Act sections 502(a) and 502(bb). A companion letter went to the same company that day for its Hers brand. No close-out letter appears in FDA’s index; treat this as open. Read the FDA letter

Regulatory noticeRegulatory note (verified August 22, 2026): A May 2026 review of maximustribe.com led the FDA to issue Maximus Health, Inc. warning letter MARCS-CMS 730095 on June 8, 2026. The language quoted here concerns effect and sourcing rather than ingredient comparison: "Clinically studied ingredients," "Clinically studied to help patients...," and "Proven to lose weight effectively," alongside a statement that the compounded products come from "FDA approved pharmacies." On that last point the agency was explicit that no FDA-approved or FDA-licensed designation exists for compounding pharmacies or outsourcing facilities, so describing one that way is misleading. Both findings were cited as misbranding under FD&C Act 502(a) and 502(bb). Nothing in FDA’s index records a close-out, so we log the matter as open. Read the FDA letter