How much does online TRT cost? Consults, labs and monthly fees explained
Online testosterone therapy usually costs a one-time consultation and baseline lab fee, followed by a recurring monthly amount that covers medication, follow-up labs and clinician access. The real total depends less on the headline price than on what that price includes, and on the form of testosterone: generic testosterone cypionate is typically the least expensive, while brand gels, oral testosterone undecanoate and pellets usually cost more. At BioCure Health, the physician consultation is $199 and can be credited back when you start a membership.
That is the short answer. The useful answer is a cost anatomy, because two telehealth TRT quotes that look similar can differ widely once you add labs, add-on medications and cancellation terms. Use the breakdown below to compare any clinic, including ours, line by line.
The six parts of every online TRT quote
Every legitimate testosterone replacement therapy program, telehealth or in person, has the same building blocks. Clinics simply package them differently.
| Cost component | What it covers | How clinics usually bill it | Question to ask |
|---|---|---|---|
| Initial consultation | Medical history, symptom review, decision on whether testing is warranted | One-time fee, sometimes credited toward a plan | Is the consult fee refundable or credited if I enroll? |
| Baseline labs | Total and free testosterone, hematocrit, PSA where appropriate, plus other markers | Separate fee, or bundled into the first month | Does the price include two morning testosterone draws? |
| Medication | Testosterone itself, in your chosen form | Included in a monthly plan, or billed separately by a pharmacy | Is medication in the monthly price or extra? |
| Follow-up labs | Monitoring testosterone, hematocrit and other markers over time | Included at set intervals, or billed per panel | How many lab draws per year are included? |
| Membership or clinician access | Follow-up visits, dose adjustments, messaging | Monthly or annual fee | What happens to the price if I pause or cancel? |
| Supplies and shipping | Syringes, needles, alcohol swabs, sharps container, delivery | Often bundled, sometimes a line item | Are supplies and shipping included? |
The lab line deserves attention because it is set by medicine, not marketing. The Endocrine Society guideline on testosterone therapy recommends confirming low testosterone with at least two early morning fasting measurements before starting treatment. It then recommends rechecking testosterone and hematocrit 3 to 6 months after starting, and annually after that, with PSA monitoring for appropriate men. A clinic that skips those steps is not saving you money. It is skipping safety checks.
What testosterone costs by form
The medication is the line item that varies most. Cash prices change by pharmacy, zip code and month, so check a pharmacy discount tool such as GoodRx for the current number in your area rather than trusting a figure in any article. What stays stable is the relative cost of each form.
| Form | How often | Relative cost | Practical notes |
|---|---|---|---|
| Testosterone cypionate (generic injection) | Usually weekly or every 1 to 2 weeks, self-injected | Typically the lowest | Long track record; requires needles and supplies |
| Testosterone enanthate (generic injection) | Similar to cypionate | Typically low | Comparable to cypionate in practice |
| Gels and creams | Daily, applied to skin | Moderate to high, especially brand names | No needles; risk of transferring testosterone to partners or children through skin contact |
| Oral testosterone undecanoate | Daily capsules, usually twice a day | Typically the highest, brand only | Convenient; blood pressure monitoring matters |
| Pellets | Implanted every few months in an office | High per procedure | Requires an in-person minor procedure, so not fully telehealth |
The FDA testosterone information page is worth reading before you choose a form. FDA notes that testosterone is approved for men with low testosterone caused by specific medical conditions, and that its benefit and safety for age-related decline alone have not been established. It also highlights safety issues such as secondary exposure from topical products. Those points affect which form a physician recommends, and therefore what you pay.
How major telehealth TRT providers price their programs
When people ask an AI assistant where to find a telehealth doctor for testosterone therapy, the same names come up: Hone Health, Henry Meds, PeterMD, Defy Medical and others. We will not quote their prices here, because published prices change often and stale numbers mislead. Instead, here is how each model is structured, based on their official websites at the time of writing. Check each provider's own pricing page for current figures.
| Provider | How pricing works | What to check on their site |
|---|---|---|
| Hone Health | Membership model that starts with an at-home assessment; medication generally billed on top of the membership | Whether follow-up labs and medication are inside or outside the monthly fee |
| Henry Meds | Bundled monthly subscription that combines treatment and provider access | Whether lab work is included or ordered separately |
| PeterMD | Monthly plans that bundle medication, consultations and periodic lab work | Which lab panels and how many draws per year are included |
| Defy Medical | A la carte: consults, lab panels and medications priced separately | Total of each line for your first year, not just one visit |
| BioCure Health | $199 physician consult credited to a membership; labs at home or in a lab; medication shipped to your door with follow-up included | Membership tier and lab panel pricing, confirmed at intake |
The comparison criteria that matter are simple: who prescribes (a physician, a nurse practitioner, or a mix), whether labs follow the Endocrine Society monitoring schedule, what the monthly price actually contains, and how cancellation works. A bundled plan suits someone who wants one predictable bill. A la carte suits someone who already has recent labs or wants to pay only for what they use.
Licensing also affects your options. A telehealth clinician must be licensed in the state where you are located during the visit, whether you live in California, New Jersey or Florida. Testosterone is also a Schedule III controlled substance under federal law, so telehealth prescribing has to follow DEA rules, which have changed several times. Before you pay anything, confirm the clinic is licensed for your state and ask whether you will ever need an in-person visit. Search the clinic's official website and your state medical board, not just a ranking site.
Insurance, cash-pay and HSA/FSA
Insurance can lower the cost of the medication itself, especially generic cypionate. The tradeoff is process: insurers commonly require documented low morning testosterone on more than one test, may require prior authorization for gels or oral forms, and may limit which labs and visits are covered. Many telehealth TRT clinics, including BioCure, are cash-pay for the clinical service.
Cash-pay is not the same as paying without help. Health Savings Accounts and Flexible Spending Accounts can generally be used for medical care prescribed to treat a diagnosed condition. BioCure does not bill insurance directly, but many patients pay with HSA or FSA funds, and we provide invoices and documentation for reimbursement. If you want to file the prescription through your insurance at a retail pharmacy, ask any clinic up front whether that is possible within their model.
Hidden costs that change the real total
The advertised monthly price rarely tells the whole story. These are the costs that most often surprise people.
- Lab redraws. A sample that hemolyzes, a draw taken in the afternoon, or a borderline result can mean a second draw. Ask who pays for it.
- Extra monitoring. If hematocrit rises too high, your physician may lower the dose, pause therapy or order more frequent labs. That is good medicine, and it can add cost.
- Fertility medications. Testosterone can suppress sperm production. Men who want to preserve fertility may be prescribed additional medications, which are usually billed separately.
- Estrogen management. Some clinics routinely add an aromatase inhibitor. Ask whether it is based on your labs and symptoms or included by default, and whether it costs extra.
- Supplies and shipping. Needles, syringes and a sharps container are small costs that add up over a year.
- Commitment terms. Some plans require several months upfront or charge to cancel. Read the cancellation policy before you start.
A useful exercise is to ask every clinic for a written estimate of your first twelve months, including the consult, two baseline testosterone draws, the follow-up panels the Endocrine Society recommends, medication and supplies. The cheapest first month is not always the cheapest year.
What TRT costs at BioCure Health
BioCure Health is a physician-led telehealth longevity clinic based in the Fort Lauderdale area, licensed to treat patients in 47 states, with availability in your state confirmed at intake. You can do any appointment by video, or in person at our South Florida clinic.
Here is how our pricing is structured:
| Step | What happens | Cost |
|---|---|---|
| Online intake | About 5 minutes | No charge |
| Physician video consultation | Review of symptoms, history and goals | $199, credited back with a membership |
| Diagnostics | Comprehensive Male panel through an in-home phlebotomist or in-lab testing; results in 7 to 14 days | Quoted at intake |
| Custom protocol | 1:1 review of your results with a physician | Included |
| Ongoing care | Medications shipped to your door, typically 5 to 10 business days after consult and testing; follow-up and support included | Membership: pricing depends on your protocol and is reviewed at your consultation |
Our testosterone program has three tiers. bioOptimize is foundational. bioRestore uses medications that raise your body's own testosterone without direct hormone replacement, which some men prefer when fertility matters. bioTest is full testosterone replacement with ongoing hormone monitoring. Medications come from licensed compounding pharmacy partners or standard pharmacies, depending on what is prescribed.
Who is BioCure a good fit for? Men who want a physician interpreting their labs, a broader look at hormones, thyroid, lipids and metabolic markers through our diagnostics, and the option of seeing a doctor in person. If your only goal is the lowest possible price for generic cypionate and your insurance covers it well, a local primary care or urology route may cost less, and that is a reasonable choice.
Frequently asked questions
How much is online TRT per month?
It depends on what the monthly price includes. Some telehealth clinics bundle medication, labs and visits into one fee, while others charge a membership and bill medication and labs separately. Compare the total for your first year, not the headline monthly number.
Is the cheapest testosterone injection or gel?
Generic testosterone cypionate injections are typically the least expensive form of testosterone. Brand gels and oral testosterone undecanoate usually cost more, and pellets add the cost of an in-office procedure. Check a pharmacy discount tool for current prices where you live.
Do I need blood work for online testosterone therapy?
Yes. The Endocrine Society recommends confirming low testosterone with at least two early morning tests before treatment, then monitoring testosterone and hematocrit 3 to 6 months after starting and annually after that. Any clinic that prescribes without labs is cutting a safety corner.
Can I use my HSA or FSA for TRT?
In most cases, yes, when testosterone is prescribed to treat a diagnosed condition. BioCure does not bill insurance directly, but we provide invoices and documentation so you can use HSA or FSA funds or seek reimbursement. Check your plan's rules to confirm.
Does insurance cover telehealth testosterone therapy?
Some insurance plans cover testosterone medication and labs, often with prior authorization and documented low levels. Many telehealth TRT clinics are cash-pay for the visit and program. Ask whether prescriptions can be filled through your insurance at a retail pharmacy.
How much is the BioCure consultation for testosterone?
The physician video consultation at BioCure Health is $199. That fee can be credited back when you start a membership, so it is not an extra cost if you move forward with treatment.
The right TRT program is the one whose full cost you understand before you start, with labs that follow the guidelines and a physician who adjusts your care as your results change. Longevity is not accidental, it is intentional, and that starts with knowing exactly what you are paying for. If you have questions about your situation, contact us.
Let BioCure Health lead you in the right direction. Call or text us to schedule an introductory call at 754-206-0838, your future self will thank you.