If you're considering testosterone replacement therapy, the number of online clinics competing for your business can feel overwhelming. Prices range from $87/month to $300+/month, and every clinic claims to be "the best."
We spent time comparing the seven most popular options — looking at what you actually pay, what kind of medical oversight you get, how lab monitoring works, and what real patients say. This isn't a sponsored ranking. We'll be straightforward about each clinic's strengths and weaknesses, including our own.
This comparison is published by Heyday Health. We include ourselves because we believe transparency builds trust. We've been as objective as possible, but you should know the source. All pricing was verified as of May 2026.
How We Evaluated Each Clinic
We scored each clinic across five categories that matter most when you're putting a hormone in your body:
- Total cost — Monthly price including labs, consultations, medication, and shipping. No hidden fees.
- Lab monitoring — How often they check your bloodwork, how many biomarkers they track, and whether it's at-home or lab-visit.
- Provider access — Live video consultations vs. text-only questionnaires. Can you actually talk to your doctor?
- Treatment options — Injectable, cream, troches, enclomiphene, ancillary medications (AI, HCG).
- Patient experience — App quality, shipping speed, responsiveness, and what people actually say online.
Quick Comparison Table
| Clinic | Monthly Cost | Lab Method | Live Consults | Best For |
|---|---|---|---|---|
| Heyday Health | $99/mo | At-home (Tasso+) | Yes — video | Comprehensive monitoring + value |
| Hone Health | $135–$155/mo + meds | At-home kit | Yes — video | Data-driven, tech-forward |
| Fountain TRT | $199/mo | At-home kit | Yes — video | Concierge-style support |
| Peter MD | $87–$99/mo + labs | Lab visit (LabCorp) | Async only | Lowest medication price |
| TRT Nation | $99/mo | Included every 6 mo | Yes | Budget-friendly all-in |
| Defy Medical | $200–$250/mo | Lab visit (LabCorp) | Yes — video | Complex cases, deep expertise |
| Marek Health | $150–$250/mo | Lab visit | Yes — video | Advanced protocols, peptides |
1. Heyday Health
Heyday Health
From $99/monthHeyday combines at-home lab testing with live provider consultations and ongoing monitoring — all at a price point that undercuts most competitors. The Tasso+ blood draw means you never visit a lab, and your provider reviews comprehensive biomarkers (not just total T).
What's included: Testosterone cypionate, injection supplies, shipping, at-home Tasso+ blood draw, live video consultations with board-certified providers, ongoing biomarker monitoring.
Also available: GLP-1 weight loss, peptides (BPC-157, sermorelin, PT-141), ED medication, supplement protocols.
✅ Strengths
- Hospital-grade at-home blood draw (no lab visit)
- Board-certified providers with hormone specialization
- Comprehensive biomarker panels, not just total T
- Full treatment ecosystem (TRT + GLP-1 + peptides)
- $99/mo is among the lowest all-in prices
⚠️ Limitations
- Injectable testosterone only (no cream or troches)
- Newer platform — fewer online reviews than established players
- No insurance accepted
2. Hone Health
Hone Health
$135–$155/mo + medicationHone was one of the first online TRT platforms and remains one of the most polished. Their app-based experience is slick, and they offer a wide range of medication formats including injections, creams, and troches. The catch: their advertised price is the membership fee — medications cost extra.
Membership tiers: Plus ($135/mo, 8–11 biomarkers) or Premium ($155/mo, 40+ biomarkers). Medications are additional — starting at $28/mo for injections, $60/mo for creams.
✅ Strengths
- Well-designed app with biomarker tracking
- Wide medication variety (injections, cream, troches, enclomiphene)
- Live video consultations with licensed physicians
- 5+ years of operational experience
- Premium plan tracks 40+ biomarkers
⚠️ Limitations
- True all-in cost is $163–$215/mo (membership + meds)
- Pricing structure can be confusing — meds are separate
- Some patients report shipping issues and order errors
- Enclomiphene emphasis may not be right for everyone
3. Fountain TRT
Fountain TRT
$199/monthFountain is the "concierge" option. You get a live video consultation, coordinated labs, medication, and ongoing follow-up bundled into one flat rate. They emphasize testosterone cream protocols (no needles), which appeals to injection-averse patients.
What's included: At-home blood test, physician consultation, medication (typically cream), and ongoing follow-up.
✅ Strengths
- Transparent flat-rate pricing — no hidden fees
- Live video consultations with every visit
- Cream-based protocol option (needle-free)
- Strong patient support reputation
⚠️ Limitations
- $199/mo is nearly 2x the price of budget competitors
- Cream absorption varies significantly between patients
- Limited treatment variety beyond TRT
- Injectable option costs the same despite cream being more expensive to produce
4. Peter MD (formerly Peter Uncaged)
Peter MD
$87–$99/mo + labsPeter MD competes on price. Their medication costs are among the lowest in the industry — $87/month on a 6-month plan, or $99/month-to-month. The tradeoff: consultations are asynchronous (text-based, no live video), and labs require a visit to LabCorp.
Lab costs: $215 for the first year, $96/year after that (separate from medication).
✅ Strengths
- Lowest medication pricing in the market
- Simple, no-frills approach
- Full refund if you don't qualify
- Also offers hair loss and ED treatments
⚠️ Limitations
- No live consultations — everything is text-based
- Lab visits required (LabCorp) — no at-home option
- Limited biomarker tracking
- Unusual onboarding structure
5. TRT Nation
TRT Nation
$99/month all-inTRT Nation is the budget champion. $99/month flat covers testosterone cypionate, supplies, shipping, and unlimited doctor access. Labs are included every 6 months. No contracts, cancel anytime. For men who want straightforward TRT without bells and whistles, it's hard to beat on price.
✅ Strengths
- True all-in pricing at $99/month
- No contracts — cancel anytime
- Unlimited physician access included
- Labs included every 6 months
⚠️ Limitations
- Injectable only — no cream, troches, or alternative protocols
- Basic biomarker panel (not comprehensive)
- Limited ancillary medications
- Less personalized approach than premium clinics
6. Defy Medical
Defy Medical
$200–$250/monthDefy is the veteran of online TRT — they've been doing this longer than almost anyone. Their strength is handling complex cases: patients with multiple hormonal issues, complicated medical histories, or who've had poor results elsewhere. They use a pay-per-service model rather than subscriptions.
Pricing breakdown: Initial consultation $250–$350. Follow-ups $100–$200. Labs through LabCorp (costs vary). Medications priced separately.
✅ Strengths
- Deep expertise with complex cases
- Both telehealth and in-person options (Florida)
- Highly individualized protocols
- Wide medication and peptide formulary
⚠️ Limitations
- Most expensive option at $200–$300/month total
- Pay-per-service pricing makes costs unpredictable
- Technology feels dated compared to newer platforms
- Longer wait times for appointments
7. Marek Health
Marek Health
$150–$250/monthMarek Health targets the optimization-focused patient. Known for their connection to the fitness and biohacking community, they offer advanced protocols including peptides, growth hormone secretagogues, and comprehensive bloodwork. The $250 intake deposit goes toward your first session.
✅ Strengths
- Advanced protocols beyond basic TRT
- Comprehensive bloodwork panels
- Strong reputation in fitness/optimization community
- Optional membership for ongoing care
⚠️ Limitations
- Higher cost with $250 intake deposit
- Bloodwork can add $200+ per draw
- Complex pricing structure
- May be overkill for straightforward TRT needs
What to Look For in an Online TRT Clinic
Before choosing a clinic, ask these questions:
1. What's the real total cost?
Some clinics advertise low monthly fees but charge separately for labs, consultations, or medication. Add everything up for an accurate comparison. A "$99/month" clinic with $215 in annual lab fees and separate consultation charges may cost more than a "$135/month" clinic that bundles everything.
2. Do you get a live consultation?
Testosterone affects nearly every system in your body. A text-based questionnaire isn't the same as a conversation with a physician who can ask follow-up questions, adjust your protocol in real time, and explain what your labs actually mean. We strongly recommend choosing a clinic with live video consultations.
3. How do they handle labs?
At-home blood draws (like the Tasso+ device) eliminate the need for lab visits. This matters for convenience, but also for accuracy — your testosterone peaks in the early morning, and at-home testing lets you draw at the optimal time without commuting.
4. What are they actually monitoring?
Total testosterone alone doesn't tell the full story. Your clinic should be tracking free testosterone, estradiol, SHBG, hematocrit, PSA, and metabolic markers. If they're only checking total T, that's a red flag.
5. What happens when you need to adjust?
Most men need at least one dosage adjustment in their first 6 months. Clinics with responsive providers and regular lab monitoring catch issues faster. Ask how long protocol changes take and whether follow-up consultations cost extra.
Frequently Asked Questions
Is online TRT legitimate?
Yes. Reputable online TRT clinics use licensed physicians, require bloodwork, and prescribe FDA-approved medications through licensed pharmacies. The telehealth model has been validated by millions of patient encounters across specialties. What matters is the clinic's medical protocols — not whether you physically walked into an office.
How much should TRT cost per month?
A reasonable all-in cost (medication + labs + consultations) ranges from $99 to $200/month. Be suspicious of anything under $75/month (corners are being cut somewhere) or over $300/month (you're likely overpaying unless you have a complex case).
Do online TRT clinics accept insurance?
Most do not. Online TRT clinics typically operate on a cash-pay model. However, the convenience, monitoring quality, and total cost often compare favorably to the copays, deductibles, and lab fees associated with insurance-based treatment through traditional endocrinologists.
What's the difference between testosterone cypionate and cream?
Testosterone cypionate (injectable) is the clinical gold standard — it provides reliable, consistent absorption and precise dosing. Creams are convenient but absorption varies widely between patients (and even day to day). Most clinics specializing in TRT recommend starting with injectables unless there's a specific reason not to.
How do I know if I need TRT?
You need bloodwork. Symptoms like fatigue, low libido, brain fog, and difficulty building muscle can suggest low testosterone, but the only way to know is a comprehensive blood panel. Most clinics require total testosterone below 300–400 ng/dL (combined with symptoms) to prescribe TRT. Learn more about symptoms of low T →