How much does TRT cost per month?

Short answer: it varies a lot. In the U.S. expect roughly $50–$700+ per month depending on delivery method, whether you use insurance, and whether clinic fees/monitoring are included.

Typical out‑of‑pocket ranges (US, per month)

• Self‑injected testosterone (generic cypionate/enantate): $30–$150 for medication alone. If you use a telehealth clinic that includes labs/visits, plan $100–300/month.
• Topical gels (AndroGel, Testim, generics): $100–500/month for brand; generics or coupons can lower it to $50–200/month.
• Patches (Androderm): ~$150–400/month.
• Pellets (Testopel): $500–2,000 per insertion every 3–6 months → roughly $100–700/month averaged.
• Compounded creams/gels: ~$30–150/month depending on compounding pharmacy and dose.

Other costs to include

• Initial labs and consult: $100–500 (may be higher if specialist visits are needed).
• Ongoing labs/monitoring every 3–6 months: $50–250 per round.
• Clinic or injection administration fees (if not self‑injecting): $20–100+ per visit.
• Possible costs for managing side effects (e.g., hematocrit management, prostate checks).

Insurance and savings

• Many insurers cover TRT when medically indicated (low measured testosterone + symptoms). Copays/coinsurance vary; prior authorization may be required.
• Pharmacy savings tools (GoodRx), manufacturer coupons (less common for generics), and telehealth clinics can reduce costs.

Examples of providers (for price comparison)

• Hims / Roman / Everlywell / Vault — telehealth TRT programs commonly charge around $100–300/month (often include lab coordination and meds).
• Compounding pharmacies — lower cost for customized gels/creams.
• Traditional urologists/endocrinologists — higher clinic fees but comprehensive care; costs depend on insurance.

What to do next

• Check your insurance formulary and prior‑authorization rules.
• Decide on a delivery method (injections are usually cheapest).
• Get baseline labs and a medical evaluation before starting TRT.
• Compare telehealth TRT services and local compounding pharmacies if you prefer out‑of‑pocket care.

If you tell me your country, whether you have insurance, and which form you’re considering (injection, gel, patch, pellet), I can give a tighter estimate and list specific providers/pricing to compare.