Men's cost guide · Prices verified August 16, 2026
How much does TRT actually cost in 2026?
Where to actually start
Cheapest all-in
MangoRx
$99/mo all-in
7/10 by our methodology · Transparency Grade C
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Hone Health
$25/mo + medication
7.5/10 by our methodology · Transparency Grade C
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Featured affiliate partners; commissions never change a score or grade. Full table below.
All-in, online TRT costs about $53 to $250 per month, once you add the three parts every clinic bills but few advertise together: membership, medication, and labs. The cheapest single package is MangoRx at $99/mo covering visits, consultations and the medication, with labs billed on top at $75 or $100. PeterMD bundles labs-optional care into $139/mo month to month. The lowest floor is Hone Health at ~$53/mo ($25 membership + injections from $28). The fertility-preserving specialist is Maximus at $99.99/mo for enclomiphene or injections, but only on a 6-month or 12-month commitment, and it carries a BBB F. The one clinic here that bills no membership at all is Defy Medical, which charges at the time each service is purchased, so patients pay only for what they use [Verified July 2026].
Most “TRT cost” articles quote a vague $20 to $500 range and move on. Below is the table they don't publish: real per-clinic math with a [Verified] or [Reported] label on every number and each clinic's A-F Transparency Grade.
| Clinic | Advertised | What that includes | Labs | Real monthly all-in | Year one | Grade |
|---|---|---|---|---|---|---|
| $25/mo [Verified] | Membership only. Meds extra: injections from $28/mo, cream from $60/mo, enclomiphene $42/mo [Reported] | $65 initial 50+ biomarker panel + consult; retests every 6 mo (Basic) or 90 days (Premium $155/mo) [Verified] | ~$53 to $180+ | ≈ $700 | C | |
| $99/mo [Verified August 2026] | Injectable TRT: doctor visits, consultations and the medication in one flat monthly fee. Labs sit outside it [Verified August 2026] | $75 SpotDX dried blood kit or the $100 Tasso+ kit MangoRx names as preferred, billed separately, and the bloodwork has to be from the last 30 days [Verified August 2026] | $99, plus $75 to $100 in month one | ≈ $1,288 | C | |
| $99.99/mo [Verified August 2026] | Medication only, at the 12-month enclomiphene rate or the 6-month cream and injectable rate, billed monthly rather than prepaid. One month costs $199.99, or $249.99 on oral testosterone. Bundles $149.98 and $199.98 [Verified August 2026] | $99.99 at-home testosterone test (9 biomarkers), billed separately [Verified August 2026] | $100 to $250 | ≈ $1,250 | D | |
| $139/mo [Verified August 2026] | Testosterone up to 200mg/wk, aromatase inhibitor if needed, supplies, shipping, unlimited consults. HCG is a $147 one-time 5,000 IU vial, not a monthly add-on [Verified August 2026] | $95 Health Assessment Panel ($190 list at the standing '50% off'), mandatory unless you bring bloodwork from the last 6 months. Prepaid plans drop the monthly to $109 on 6 months or $79 on 12 [Verified August 2026] | $139, plus $11.09 at checkout | ≈ $1,774 | C |
[Verified] = read directly on the clinic's official site, most recently on August 16, 2026. [Reported] = from the clinic's own indexed pages or third-party reviews, not independently re-confirmed. Every clinic in this table is now readable to our crawler, so the prices come from the live site rather than from a review. Year-one totals assume the cheapest standard protocol; assumptions are documented on each clinic's review page.
What actually drives the price
- Pricing structure, not medicine.The same testosterone cypionate costs $28/mo inside Hone's two-part model, is bundled into PeterMD's flat monthly fee, and is priced at the 6-month commitment rate inside Maximus's model. You're mostly paying for how the clinic packages care, labs, and access.
- Modality. Injections are cheapest ($28 to $100/mo). Cream runs $60 to $100/mo. Oral testosterone is the premium tier($149.99/mo at Maximus). Enclomiphene sits at $42 to $99.99/mo.
- Lab depth and cadence. A $65 intro panel with 6-month retests (Hone Basic) against a $95 panel (PeterMD), a $75 or $100 kit (MangoRx) or a separate $99.99 test (Maximus) can swing the annual bill before a single dose ships.
- Billing anchors.Maximus's advertised monthlies are its longest commitment tier; PeterMD's $79 headline needs $948 prepaid, and its labs carry a permanent “50% off.” The advertised number is the best case. The default costs more.
Hidden costs to check before you pay
- Month-to-month deltas.Maximus publishes its one-month rate beside every discounted tier, and it is double: $199.99, or $249.99 on oral testosterone [Verified August 2026]. PeterMD's ladder works the same way. Read the tier before the headline.
- Upfront blocks.Some clinics bill in blocks or take the term upfront: PeterMD's $79/mo is $948 charged once, and its entry SKU is a $278 two-month block.
- Cancellation terms. BBB files at PeterMD and Maximus both feature refund and fulfillment disputes [Reported], and cancelling a Maximus plan mid-term still leaves you owing every remaining month [Verified August 2026]. Pay with a card you can dispute from.
Medical disclaimer: HRT Picks is a comparison site, not a medical provider. Nothing on this page is medical advice. TRT is a prescription treatment, and decisions belong with a licensed clinician.
Next step
Now see which clinic is actually worth it.
Price is one of five scoring dimensions. The full TRT rankings add clinical depth, patient experience, and transparency, or jump straight to the cheapest-first list.
FAQ
TRT cost, asked straight
How much does TRT cost per month?
All-in (membership plus medication plus labs), online TRT costs roughly $53 to $250 per month in 2026. The floor is Hone Health at ~$53/mo ($25 membership + injections from $28/mo). The cheapest single-price package is MangoRx at $99/mo, with labs billed on top at $75 or $100 [Verified August 2026]. Maximus runs $99.99/mo for enclomiphene on a 12-month commitment or injections on a 6-month one, and one month alone costs $199.99. See the per-clinic table above for the full math.
Why does Hone advertise $25/mo if TRT costs more?
Because $25/mo is a membership fee, not a treatment price. Hone's structure is two-part: Basic membership $25/mo (or Premium $155/mo) PLUS medication (injections from $28/mo, cream from $60/mo, enclomiphene $42/mo [Reported]), plus a $65 initial biomarker assessment. Real treatment cost lands between about $53 and $180+ per month. It can still be the cheapest option online; you just have to do the addition the ad doesn't.
What is the cheapest way to get TRT online?
Two honest answers. Cheapest single package: MangoRx at $99/mo covering visits, consultations and the medication, plus a required $75 or $100 lab kit, about $1,288 in year one [Verified August 2026]. Cheapest floor: Hone Health at ~$53/mo ($25 membership + $28/mo injections), about $700 in year one, with a far stronger complaint record (BBB A+ accredited against PeterMD's BBB dispute file). If insurance covers generic testosterone cypionate through your own doctor, that route can beat both.
How much do TRT labs cost?
Initial panels run $65 at Hone (50+ biomarkers, consult included), $75 or $100 at MangoRx depending on which kit you take, $95 at PeterMD ($190 list at a standing 50% off), and $99.99 at Maximus (9 biomarkers). PeterMD waives its panel if you bring bloodwork from the last 6 months; MangoRx requires yours to be from the last 30 days. Ongoing monitoring is usually every 90 days to 6 months and may be included (Hone Basic every 6 months, Premium every 90 days) or billed separately (Maximus).
Does insurance cover TRT?
Often for the drug, rarely for these clinics. With a documented diagnosis (total testosterone below 300 ng/dL on two morning draws, per the American Urological Association guideline), most commercial plans cover generic testosterone cypionate prescribed by your own doctor, with labs billed to insurance. None of the four online clinics in this comparison bill insurance. All are cash-pay, some accept HSA/FSA. Cash telehealth buys speed and convenience; insurance buys a lower drug price with more friction.
How much does enclomiphene cost?
From $42/mo at Hone Health (plus $25/mo membership) to $99.99/mo at Maximus on a 12-month commitment billed monthly [Verified August 2026]. Hims sells prepaid plans working out to ~$99 to $199/mo depending on how many months you pay upfront [Reported]. Two things to know about the Maximus number: enclomiphene is a compounded medication and not FDA-approved, and a single month costs $199.99, double the committed rate. Cancelling inside the term still leaves you owing every remaining month.