Original data · 16 platforms · Latest check July 31, 2026 · Free to cite

The HRT Price Index16 hormone-care platforms. The women's median is $79/mo.

The cheapest all-in monthly hormone-care program in this index is Alloy at $40/mo, and the median across the 9women's-wing platforms that charge a monthly rate is $79/mo. The men's TRT wing runs $25 to $100/mo with a median of $99. Every figure below carries two labels the rest of this category leaves off: what kind of charge it is, and whether it buys the medication.

GoodRx prices the drug. This prices the program. 3 of the 16 platforms bill per visit instead of per month and 1 publishes only a self-described average, so all 4 sit out of every median on this page and are named where that happens.

Platforms indexed
16
13 women's wing, 5 men's wing
Women's median
$79/mo
$25 to $129 across 9 monthly rates
Men's median
$99/mo
$25 to $100 across 4 monthly rates
Cheapest all-in
$40/mo
Alloy, medication included, billed monthly
Publish a price
16 of 16
12 as a monthly rate, 3 per visit, 1 as an average
Medication included
7 of 16
5 month to month, 2 only on an annual plan
Medication billed separately
6 of 16
3 more do not establish which
Bill insurance
3 of 16
Transparency grades: 1 A, 6 B, 5 C, 4 D

Platforms that charge a monthly rate

12 of the 16. These are the only figures in the index that can be compared with each other directly, and even here the "What it includes" column decides whether two numbers mean the same thing. Sorted by published price, low to high. Affiliate status plays no part in this order, and our score-sorted ranking lives on the homepage.

PlatformWingPublished priceWhat it isWhat it includesInsuranceGradeVerified
Hone HealthBoth$25/moMonthly rateMedication billed separatelyNoC
AlloyWomen$40/moMonthly rateMedication includedNoA
WinonaWomen$54/moMonthly rateMedication includedNoB
Hers MenopauseWomen$79/moMonthly rateIncluded, annual planNoD
Gala HealthWomen$79/moMonthly rateMedication includedNoC
Sesame CareWomen$99/moMonthly rateMedication billed separatelyNoB
WispWomen$99/moMonthly rateMedication billed separatelyNoB
Inner BalanceWomen$99/moMonthly rateNot establishedNoD
PeterMDMen$99/moMonthly rateMedication includedNoC
MangoRxMen$99/moMonthly rateMedication includedNoC
MaximusMen$100/moMonthly rateIncluded, annual planNoD
Telos RXWomen$129/moMonthly rateNot establishedNoD

Platforms that do not charge a monthly rate

4 of the 16, held out of every median and average above. Elektra Health, Midi Health and Gennev charge for a consult with no subscription attached. Defy Medicalpublishes a ceiling on its own average, where the word "under" carries all the hedging. Their real figures are here because leaving them out of the table entirely would hide the most expensive end of the category.

PlatformWingPublished priceWhat it isWhat it includesInsuranceGradeVerified
Elektra HealthWomen$149 per visitPer visitMedication billed separatelyYesB
Midi HealthWomen$150 per visitPer visitMedication billed separatelyYesB
GennevWomen$199 per visitPer visitMedication billed separatelyYesB
Defy MedicalBothUnder $250/mo, their averageAverage onlyNot establishedNoC

Methodology

Where each number comes from.Every price is the figure the platform itself publishes, read off its own pricing page wherever the site allows an ordinary fetch. Nothing here is a quote from another comparison site, a press summary or a reviewer's recollection. Each row's full verification record, including the exact pages read and the facts that could not be confirmed, sits on that platform's review page under our published methodology.

What the medians exclude, and who. A median that mixes a monthly subscription with a per-visit consult fee is arithmetic on two different products. So the medians on this page use only the 12 platforms that charge a recurring monthly rate. Held out: Elektra Health, Midi Health and Gennev, all billing per visit, and Defy Medical, whose only published all-in figure is a ceiling on its own self-described average, where the word "under" carries the hedging. Those 4 appear in the second table with their real figures and their labels.

What a price includes changes what it means. 5 platforms bill a month-to-month figure that covers the medication. 2 include the medication only on an annual or 12-month plan, so the monthly number is a division rather than a charge. 6 publish a price that buys care or membership while the prescription is billed by a pharmacy. For the remaining 3 we could not establish which, and the table says so. Comparing an all-in figure against a membership fee is the single most common error in this category.

Verified against Reported. 5 of the 16 platforms block verification crawlers on the pages that carry their prices: Elektra Health, Winona, Hers Menopause, Gala Health and MangoRx. Depending on the platform that means a Cloudflare challenge, a 500 on the homepage, or a funnel that renders only in JavaScript. Facts we could not read with an ordinary fetch carry a [Reported] label on the review page rather than [Verified], and some were read through a headed browser session instead. We publish that limitation rather than scrubbing it, because a price you cannot re-check is worth less than one you can.

What we could not confirm. All 16 records in this dataset list at least one fact still resting on a third-party source, and each names which. The recurring gaps across the category are lab pricing, medication cost where the prescription goes to your own pharmacy, cancellation terms, and the carriers an insurance-billing platform is actually in-network with.

Dates. Records are re-checked on a rotating schedule, so the index is a rolling record with a date on every row. The most recent check here is July 31, 2026 and the oldest is May 12, 2026. Every row shows its own date in the Verified column. Providers change prices without notice, and a figure checked in May is a weaker claim than one checked in July.

Transparency Grade. The A to F grade in the table is a separate axis from our 0 to 10 score. It grades what a platform discloses before intake: pricing visible without a quiz or an account, named clinicians with credentials, a published cancellation policy, corporate disclosure, and accessible third-party reviews. The current distribution across the 16 platforms is 1 A, 6 B, 5 C, 4 D. Affiliate status has never moved a grade, a score or a position in this index.

How to cite this index

Free to quote, chart, republish and build on with attribution and a link back, under a Creative Commons Attribution 4.0 licence. No permission request needed. If you are writing about hormone therapy pricing and want the underlying rows, the CSV carries every column in the table above.

Suggested citation

HRT Picks. HRT Picks HRT Price Index. 16 US hormone-care telehealth platforms, latest record checked July 31, 2026. Retrieved from https://hrtpicks.com/hrt-price-index

Journalists and researchers: we will answer questions about how a specific number was checked, share the verification record behind any row, and correct the index on the record if you find an error. Corrections go live the day they are confirmed, including when they hurt a company we earn commission from.

FAQ

HRT pricing, answered from the data

How much does HRT cost per month in 2026?

Across the 12 hormone-care platforms in this index that publish a recurring monthly rate, the median is $99/mo and the range runs $25 to $129/mo. Split by wing: the women's menopause HRT median is $79/mo across 9 platforms, and the men's TRT median is $99/mo across 4. Those medians deliberately leave out 4 platforms that do not charge a monthly rate at all: 3 bill per visit and 1 publishes only a self-described average. A monthly figure and a per-visit fee are different products, so averaging them together produces a number nobody pays.

Which hormone therapy provider is cheapest?

On an all-in monthly basis, meaning the number covers the medication as well as the care and bills month to month, Alloy is the cheapest in the index at $40/mo, and the all-in class runs to $99/mo. Lower headline numbers exist and they buy less: 6 of the 16 platforms publish a price that covers care or membership while the prescription is billed somewhere else, so the figure on the page is a floor rather than a bill. The index labels which class each number belongs to, in the "What it includes" column.

Why are some providers excluded from the median?

Because their published number is not a monthly rate. Elektra Health, Midi Health and Gennev charge per visit with no subscription, and Defy Medical publishes only a hedged average where a rate should be. Rendering any of those as a monthly price would be a false comparison against a platform that genuinely charges that amount every month. All 4 still appear in the index table with their real figure and its label. They are held out of the medians and named here so the exclusion is auditable.

Does any HRT telehealth platform take insurance?

3 of the 16 platforms in this index bill commercial insurance. The rest are cash-pay, which is the category norm: most menopause and TRT telehealth runs on a subscription or a per-visit fee and hands you no claim. HSA and FSA eligibility is more common than insurance billing. Check whether a platform is in-network for your specific carrier before paying, because the ones that do bill insurance mostly decline to name which carriers they accept.

How often is this index updated, and can I reuse the data?

Every row carries the date we last checked it, in the "Verified" column. The most recent check in the current dataset is July 31, 2026 and the oldest is May 12, 2026, so the index is a rolling record rather than a single dated sweep. The data is free to reuse and republish with attribution under CC BY 4.0. A machine-readable CSV of every column in the table is at https://hrtpicks.com/hrt-price-index/csv.

Related

This is general information, not medical advice. Prices change without notice and a published figure is not a quote. Confirm the current cost with the platform before paying. Compiled and reviewed by Iacob Pastina.

Featured Partners

Providers we may earn a commission from. Scores never move for affiliate status.

Winona logoWinona

8.4/10

From $54/moGrade B

AAlloy

8.9/10

From $40/moGrade A

Midi Health logoMidi Health

7.7/10

From $150/moGrade B

Sesame Care logoSesame Care

7.6/10

From $99/moGrade B

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