How Much Does TRT Cost Per Month by Delivery Method
How much does TRT cost? At our clinics, testosterone replacement therapy costs between $149 and $265 per month. We offer five delivery methods (injections, pellets, cream, oral capsules, and enclomiphene), each with transparent pricing and no hidden fees.
We treat patients at our TRT clinic near me in Rockville and Reston, plus virtual care across additional states. Most patients are 30 or older, and we look for the root cause of low testosterone before writing a prescription. We accept transfers from other clinics if you’re already on TRT elsewhere.
What Does TRT Cost Per Month?
Here’s the monthly cost for each TRT option at HITx, including what’s included in the price:
| Delivery Method | Monthly Cost | What’s Included |
|---|---|---|
| Testosterone injections | $149 | Medication, injection training, at-home self-administration |
| Testosterone pellets | $200–$265 | $799 per insertion, lasts 3–4 months, in-office procedure |
| Testosterone cream | $210 | Topical compounded cream, daily application |
| Kyzatrex (oral) | $240 | Oral testosterone capsules, twice daily |
| Enclomiphene | $175 | Compounded oral medication, promotes natural testosterone production (off-label use) |
Labs are rechecked six weeks after you start therapy, then twice a year to keep your levels dialed in. The cost above covers the medication itself; lab work is billed separately.
Injections are $149 per month. You self-administer at home, which reduces clinic overhead. We teach you to inject, usually into the thigh or glute. Pellets cost $799 per insertion and last three to four months ($200–$265 per month). They’re inserted in-office, so the price includes the procedure.
Cream and oral options fall in the middle. Cream is applied daily to the shoulders or thighs. Kyzatrex is an FDA-approved oral testosterone taken twice a day with food. Enclomiphene is a compounded oral medication that stimulates your body’s own testosterone production; it’s prescribed off-label for this purpose and isn’t FDA-approved for testosterone therapy, but some men prefer it because it preserves fertility.
Does Insurance Cover TRT?
Coverage varies by plan. Some insurance policies cover testosterone therapy when it’s medically necessary (meaning you have documented low testosterone and symptoms). Other plans don’t cover it at all, or they cover certain delivery methods but not others.
Compounded medications are typically not covered by insurance. Brand-name injectables and oral options tend to have better coverage. If your plan does cover TRT, you’ll typically pay a copay or coinsurance after meeting your deductible. If it doesn’t, the prices above are what you’d pay out of pocket. Call your insurance provider or ask our team during your consultation, and we’ll help you figure out what’s covered.
What Affects the Cost of TRT?
Cost depends on delivery method and whether your medication is brand-name or compounded. Lab frequency is the same for all patients unless you need extra checks.
Delivery method makes the biggest difference:
- Injections are inexpensive and self-administered at home.
- Pellets require in-office insertion, which adds cost.
- Cream and oral daily dosing fall in between.
Lab frequency follows a standard schedule: initial labs, then a six-week recheck, then biannual monitoring. Some patients need extra checks if their levels aren’t stable. That adds to the annual cost.
Brand-name versus compounded also matters. Brand-name testosterone (like Kyzatrex) is manufactured by a pharmaceutical company and may be covered by insurance. Compounded medications are mixed by a pharmacy to your exact dose and usually aren’t covered, but they give us more flexibility to tailor your therapy.
Frequently Asked Questions
How much does TRT cost per month on average?
At HITx, TRT costs between $149 and $265 per month depending on the delivery method. Injections start at $149, and oral enclomiphene is $175.
Does insurance cover testosterone replacement therapy?
Some plans do, some don’t. Coverage depends on your specific policy and whether your TRT is deemed medically necessary. Compounded medications are often not covered. Check with your insurance provider to know for sure.
What drives the cost of TRT?
The delivery method, lab frequency, and whether the medication is compounded or brand-name. Injections cost less because they’re self-administered at home. Pellets cost more because they require an in-office procedure. Compounded options usually aren’t covered by insurance.
How often do I need testosterone pellets, and what do they cost?
Pellets are inserted every three to four months and cost $799 per insertion. That works out to roughly $200 to $265 per month, depending on how long they last for you.
Can I transfer to HITx if I’m already on TRT?
Yes. We accept transfers from other TRT clinics. Bring your recent labs and current prescription details to your first appointment, and we’ll continue your therapy or adjust it if needed.
Book a Consultation to Get Your TRT Cost
Get labs and talk through your options with our team to confirm your cost. We’ll test your testosterone, review your symptoms, and recommend the delivery method that fits your routine and budget. We take transfers and can usually keep you on the same protocol or make changes if your current plan isn’t working.
Book a consultation at our Rockville or Reston clinic to get started. We’ll give you a clear price for the option that works, and you’ll leave with a plan to get your levels where they should be.