What does HRT cost per month through an online clinic?

Short answer: it depends a lot on the type of HRT, the medication form (pill, patch, gel, injection, pellet), whether your insurance covers it, and whether the online clinic charges a membership or ongoing visit fees. Typical out‑of‑pocket ranges through online clinics are roughly $20–$400+ per month.

Typical ranges and what drives cost

• Masculinizing HRT (testosterone)
  • Generic injectable testosterone: roughly $20–$80/month (med cost only).
  • Branded gels (AndroGel, Testim): $100–$400+/month.
  • Clinic/telehealth fees and lab monitoring: add $0–$100/month depending on how the clinic bills (some charge a monthly membership, some charge per visit).
• Feminizing HRT (estradiol ± anti-androgen)
  • Generic estradiol pills and spironolactone: often $10–$50/month combined (generic meds).
  • Estradiol patches or compounded formulations: $40–$200+/month.
  • Again add clinic fees and labs as above.
• Menopausal HRT (estrogen ± progesterone)
  • Oral or topical generics: $10–$100/month; patches and branded products higher, $50–$200+.
• Procedures (pellets, injections at clinic) and compounded bioidentical hormones can be several hundred dollars at time of service (pellet insertion often $300–800 every few months).

Online clinics and services to consider (why)

• Plume — specializes in gender‑affirming care; offers ongoing telehealth, lab monitoring, and medication delivery (good for trans men/trans women wanting an experienced provider).
• Folx Health — queer/trans-focused clinic with membership options and some insurance billing; helpful if you want a provider network that accepts insurance for parts of care.
• Maven Clinic — broader women’s/menopause care; convenient if you’re seeking menopausal HRT and women’s health services.
• Hims / Hers — consumer-facing, easy sign-up and competitive pricing for common formulations (testosterone, menopause treatments); good for straightforward, lower-cost options.
• PlushCare / Teladoc / Nurx — general telehealth companies that can manage HRT for established needs and are often lower-cost per visit; some accept insurance.

What I recommend you do next

1. Tell me which HRT you mean (masculinizing, feminizing, menopausal) and whether you have insurance. I can give a tighter estimate.
2. Compare medication prices on GoodRx or singleCare for the exact drug/form you expect — that shows real retail cost in your area.
3. Check the chosen clinic’s pricing page (many list membership vs per-visit fees) and ask about lab fees and shipping so you can total the monthly expense.

If you tell me which HRT and where you are (U.S. vs another country) I can give more specific price examples and look up the current pricing steps for a couple of clinics.