How Much Does TRT Cost in 2026?
Complete Pricing Guide

One of the first questions men ask about testosterone replacement therapy is "how much does it cost?" The answer depends on where you go and whether you can use insurance. At Revive Low T Clinic, the first visit is $99 — which includes a doctor exam and a 51-biomarker lab panel. That $99 covers the full workup, and it tells you exactly what's going on with your testosterone before you spend a dollar on treatment. Let's break down every option.

The Three Ways to Get TRT

1. Telehealth TRT Companies

Online telehealth TRT companies have made TRT more accessible, but the model works differently from an in-person clinic. Here is what to look for:

• Monthly subscription: medication and consults are usually bundled into one fee
• Medication: some clinics, including many telehealth companies, send every prescription to their own fulfillment pharmacy and make it hard to use the pharmacy you choose
• Lab work: a self-collected home kit with less than half our markers, often extra
• Provider: from an outside medical practice the company contracts with, by video call or online messaging

What to ask: Whether you can use the pharmacy you choose. There is also usually no physical exam, which means important health markers may go unchecked. Lab panels are often minimal, missing key markers like free testosterone, estradiol, and SHBG. Revive's 51-biomarker panel covers all of these.

2. Primary Care / Endocrinologist

Some men get TRT through their primary care doctor or an endocrinologist. Costs include office copays ($20–60 per visit), lab work (often covered by insurance), and medication (often covered by insurance). The total out-of-pocket can be quite low if everything goes through insurance.

The challenge: Many primary care doctors are unfamiliar with TRT and may not test free testosterone or estradiol. Wait times for endocrinologists can be months. And many general practitioners are hesitant to prescribe testosterone. You may also need to advocate for yourself more than you'd expect — and a thin lab panel means your doctor may miss the real picture.

3. Dedicated TRT Clinics (Like Revive)

A dedicated TRT clinic combines the specialization and testosterone expertise that telehealth lacks with a prescription that goes to your own pharmacy. At Revive, you choose where your prescription goes, and we help you pick. A local pharmacy — any pharmacy you choose in Seattle, Kirkland, or Federal Way — is where your own insurance can apply to the medication. Doctor visits are in-person, and your $99 first visit includes a 51-biomarker lab panel.

Revive Low T Clinic 2026 Pricing

Here's what care costs. Every fee is listed on our pricing page. See the full pricing page for complete details.

The Insurance Advantage: Why Local Pharmacy Matters

Here's where the math gets interesting. Because Revive sends your prescription to your local pharmacy, your own insurance can apply to the medication. Most patients pay $0–30/mo for TRT meds, with insurance or without.

Visits are cash-pay. For labs, use your insurance or pay our discounted price (about $40). Your own insurance applies to the medication at your pharmacy.

Year 2 and Beyond: What a Steady Year Costs

After your first year, your protocol is established, so there is no first visit and no extra visits, only two $329 checkups a year. A steady year costs $99 less than a Year 1 with required visits only, and $549 less than a Year 1 with both recommended visits ($1,701 or $1,771).

In year 2 and beyond, the membership comes to $1,088 a year with the prepay, or $1,158 month-to-month, before meds, with labs at our discounted price (about $40); less with insurance. See What a year costs.

What About FSA/HSA?

Yes — checkup visits and lab tests ($99 first visit; follow-up visit fees) are eligible expenses for both Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA), and so are prescription medications. The membership fee is not.

For the eligible items, you can pay with pre-tax dollars, effectively reducing your cost by your tax bracket percentage (typically 22–32%). We provide itemized receipts ready for reimbursement.

3 Locations Serving the Greater Seattle Area

Revive Low T Clinic has three in-person locations, each offering the same $99 first visit, 51-biomarker lab panel, and local pharmacy prescriptions:

• Seattle (University District) — 4500 9th Ave NE, Suite 80
• Kirkland (Eastside / Totem Lake) — 11911 NE 132nd St
• Federal Way (South Sound / I-5) — 720 S 320th St, Suite A