How much does TRT cost per month?

Short answer (U.S. typical ranges): about $30–$800+ per month depending on formulation, monitoring frequency, and whether you use brand-name products or are insured.

More detail by component and formulation

• Self-injection (generic testosterone cypionate or enanthate): $30–$120/month. (Many people who self-inject with generic vials and syringes pay on the low end.)
• Branded gels (AndroGel, Testim): $200–$500+/month without insurance. Generic gels are often $60–$200/month.
• Patches (Androderm): ~$300–$600/month.
• Pellets (Testopel inserted every 3–6 months): $500–$2,000 per insertion → roughly $80–$670/month equivalent depending on interval and clinic fee.
• Compounded topical or subcutaneous preparations: $40–$200/month (varies a lot by compounding pharmacy and dose).

Ongoing monitoring and other costs

• Initial/ongoing doctor visits: $75–$300+ per visit (telemedicine often cheaper; some clinics include follow-up in membership fees).
• Labs (baseline and repeat testosterone, CBC, PSA, metabolic panel): $50–$300 per panel depending on location and whether you use Labcorp/Quest or an at‑home kit. Typical early monitoring every 6–12 weeks then every 3–12 months.
• Additional meds (hCG to preserve fertility, aromatase inhibitors): $20–$200/month if prescribed.
• Total realistic monthly budgets: low-cost plan (telemedicine + generic injections + periodic labs) ≈ $30–$120/month; mid-range (generic/brand gel + monitoring) ≈ $150–$400/month; higher-cost (pellets, branded meds, frequent labs) ≈ $400–$900+/month.

Insurance and savings

• Insurance may cover TRT and related labs/visits if medically indicated; coverage and copays vary widely. With insurance your out‑of‑pocket can be $0–$200+/month.
• Ways to reduce cost: use generics, shop around pharmacies, use telemedicine clinics with included follow-up, or ask about manufacturer coupons for brand products.

Services and brands to consider

• Roman and Hims — telemedicine platforms that handle consults, prescriptions, and home delivery; convenient and often lower up‑front cost for men starting TRT.
• Vault Health — focused men’s health/TRT care with more extensive testing and follow-up options.
• Lemonaid Health / Cerebral-style clinics — telemedicine options that can be lower-cost for visits and prescriptions in some states.
• Labcorp and Quest Diagnostics — common nationwide lab providers for testosterone and monitoring tests.
• LetsGetChecked and Everlywell — at‑home test kits for preliminary monitoring (convenient but check reliability/what your clinician accepts).

Next steps

• Talk to your clinician about which formulation fits your lifestyle and budget.
• Check your insurance benefits before starting treatment.
• Get a written estimate from the clinic or telemedicine service you plan to use, including expected follow‑up lab/visit schedule.

If you tell me whether you’re in the U.S. or another country and which formulation you’re considering (injections, gel, patches, or pellets), I can give a tighter monthly estimate and specific cost examples in your area.