Testosterone replacement therapy (TRT) typically costs between $40 and $100 per month for injectable testosterone when paying out of pocket, though the total monthly cost can range from $40 to over $1,000 depending on the delivery method, clinic fees, and whether you have insurance[1][2]. Key cost factors by treatment type: Treatment Type Monthly Cost (Out of Pocket) Notes Injections (Cypionate/Enanthate) $20–$100 Most affordable option; often $28–$40/month at telehealth clinics[1][6] Topical Creams/Gels $150–$500 Brand-name gels like AndroGel can reach $500/month[1][6] Oral Testosterone $200–$1,000 Kyzatrek or standard capsules are expensive[3][5] Patches $200–$600 Less common, higher daily cost[4][8] Pellets $650–$2,000 per insertion (every 3–6 months) Spreads to ~$110–$333/month, but billed upfront[1][5] Insurance impact: With insurance, out-of-pocket medication expenses often drop to a standard pharmacy copay of $10–$40 per month[1]. Some telehealth providers (e.g., Hone Health) include a $135/month subscription that covers medication, shipping, supplies, and medical support, making injections start at $28/month for the drug alone[1]. Additional costs to consider: Lab tests and doctor visits can add $100–$500 annually if paying out of pocket[2][4]. Online clinics often offer all-inclusive packages (medication + labs + oversight) starting at $99–$250/month[3]. Bottom line: For most patients choosing injections without insurance, expect $40–$100/month. If you include lab fees and provider visits, the true monthly cost may be $99–$250 with online clinics or $250–$700+ with traditional local clinics[3].
Mentioned in position 2 of 3
Read full answer with sources →