How much does TRT cost per month?

Short answer: it depends — in the U.S. most men pay anywhere from about $30/month to $500+/month depending on the formulation, whether you have insurance, and extra costs for doctor visits and lab monitoring.

Typical monthly ranges by formulation (U.S. cash prices, approximate)

• Intramuscular injections (generic testosterone cypionate/enanthate, self‑administered): $30–$100/month. Branded or compounded injections can be more.
• Topical gels (AndroGel, Testim, Axiron): $150–$450/month (brand name gel is usually more expensive).
• Transdermal patch (Androderm): $150–$400/month.
• Nasal gel (Natesto): $250–$600/month.
• Buccal (Striant): $150–400/month.
• Subcutaneous pellets (Testopel implant): $500–1,200 per insertion that lasts ~3–6 months (rough monthly equivalent $80–$400, plus insertion fee).
• Telemedicine subscription clinics: $99–$249/month (often includes visits, meds, and some labs).

Other costs to budget for

• Initial consultation and physical exam: $100–$300 (can be higher at specialty clinics).
• Ongoing lab monitoring (testosterone, PSA, hematocrit, etc.) every 3–6 months: $50–$200 per lab panel (insurance may reduce or eliminate).
• Procedure fees for pellet insertion: $200–400 per visit (in addition to pellet cost).
• Supplies (syringes, alcohol swabs, shipping): small additional monthly cost.

Insurance

• If your insurer covers TRT as medically necessary, your copay can be much lower (often $0–$50/month for generics), but coverage varies by plan and by formulation. Branded products are more likely to be expensive even with insurance.

Services/providers (examples)

• Hims and Roman: telemedicine subscription models that simplify access and often bundle visits/monitoring with medication; good if you want convenience and predictable monthly billing.
• Vault Health and Keeps: similar telehealth options with lab integration.
• Defy Medical: specialty men’s health clinic with individualized care and more thorough hormone management — good if you want a specialist-driven approach (typically higher cost).
• Local urologists/endocrinologists or primary care: good if you prefer in‑person management; costs depend on office and insurance.
• Compounding pharmacies: can offer lower-cost injections/gels but quality and consistency vary — choose accredited compounding pharmacies.

How to get a better estimate

• Check your insurance drug formulary and copays for “testosterone cypionate/enanthate,” “AndroGel,” “Natesto,” etc.
• Decide on a delivery method (injection is usually cheapest; brand-name gels/patches and nasal/buccal are typically costlier).
• Ask prospective providers (telehealth clinics or local specialists) for a total monthly price that includes meds, visits, and required labs.

If you tell me: (1) your country/insurance status and (2) preferred delivery method (injection, gel, patch, pellets, or open to recommendations), I can give a tighter estimate and suggest specific low-cost options.