How much does TRT cost per month?

Short answer: typical out‑of‑pocket cost for testosterone replacement therapy (TRT) is about $50–$300 per month for most men, but it can be as low as $20–$50/month or as high as $500+/month depending on formulation, monitoring and whether insurance pays.

What drives the cost

• Formulation: injections (cheapest), compounded injections, gels/patches (more expensive), pellets (high upfront procedure cost).
• Provider model: independent telehealth clinics often bundle labs/visits and meds; specialty clinics may charge more for hands‑on care.
• Lab monitoring and office/telemedicine visits (baseline labs, regular follow‑ups, PSA/CBC/estradiol testing).
• Insurance coverage and prior authorization — many plans cover TRT if medically indicated.

Typical ranges (estimates)

• Generic intramuscular injections (self‑administered testosterone cypionate/enanthate): $20–$100/month for medication + supplies; plus labs/visits ~$25–$150/month averaged.
• Compounded injections (custom doses): $40–$150/month.
• Brand gels (AndroGel, Testim): $150–$400+/month if paying cash.
• Patches (Androderm): $200–$400/month.
• Pellets (Testopel insertion): procedure $500–$2,000 every 3–6 months → $83–$667/month equivalent, plus follow‑up labs.
• Full service concierge/clinic care: $100–$500+/month depending on monitoring frequency and services.

Brands/services that can help (examples)

• Roman and Hims — telehealth + home delivery, competitively priced subscription plans and easy home injection/gels options. Good for convenience and lower monthly costs.
• Vault Health — at‑home testing kits and men’s health programs; useful if you prefer remote lab testing and physician oversight.
• Defy Medical — men’s health/endocrinology clinics that specialize in TRT and thorough monitoring; good if you want specialty care.
• Local compounding pharmacies — can make custom-dose injections (sometimes cheaper or better-tolerated doses) — costs vary widely.
• GoodRx — use coupons/pricing checks to lower pharmacy costs for generics and brand drugs.

Other cost notes and safety

• Initial evaluation and baseline labs often $100–$400 total; follow‑up labs every 3–6 months add $50–$200 each.
• Insurance: many plans will partially/fully cover TRT if you meet diagnostic criteria; call your insurer and ask about coverage and required documentation.
• Always have treatment and labs supervised by a clinician; inappropriate TRT can have risks (polycythemia, prostate monitoring, infertility).

If you want, tell me:

• which formulation you prefer (injection, gel, patch, pellets), and whether you have insurance — I can give a tighter monthly estimate and suggest the most cost‑effective providers in your area.