This article is for informational purposes only and does not constitute medical advice. Testosterone replacement therapy is a prescription treatment that requires evaluation by a licensed healthcare professional. Always consult a qualified clinician before starting any prescription medication. This content contains affiliate links. If you purchase through these links, a commission may be earned at no additional cost to you. This compensation does not influence the accuracy or integrity of the information presented.
The monthly number on the pricing page is the least useful piece of information when you're comparing TRT providers. A platform advertising $99/month might not include labs. One at $250/month might include quarterly monitoring that the cheaper option charges separately. And the real testosterone replacement therapy cost isn't just the subscription — it's what happens when you need a dose adjustment three months in and your provider charges extra for the follow-up consultation.
This comparison breaks down what four of the most visible online TRT platforms — Titan, Hims, PeakPerforMAX, and PeterMD — actually charge, what's included at each price point, and what you should prioritize when the monthly fees all look similar but the clinical oversight behind them doesn't.
What TRT Actually Costs: The Components Behind the Price
Every testosterone replacement therapy program breaks down into the same basic components, regardless of the platform. Understanding these helps you compare apples to apples rather than getting distracted by headline prices.
Initial labs establish your baseline. A comprehensive panel testing total and free testosterone, estradiol, PSA, CBC, metabolic markers, and sometimes thyroid and lipid panels. Some platforms include this in the startup fee; others charge separately or require you to use your own insurance at a local lab.
Clinician consultation is where a licensed provider reviews your labs, discusses your symptoms and goals, and determines whether TRT is appropriate. This may be a video call, phone call, or asynchronous review depending on the platform.
Medication is the ongoing cost — typically compounded testosterone cypionate for injections or testosterone cream for topical application, plus supplies like syringes and alcohol pads. Some platforms also include ancillary medications like anastrozole or offer alternatives like enclomiphene.
Ongoing monitoring is the piece most men don't factor into their comparison. Follow-up labs at regular intervals are where side effects get caught early — polycythemia, estradiol imbalances, PSA trends. If your platform doesn't include regular lab work in the monthly fee, you're either paying out of pocket for separate orders or — worse — not getting monitored at all.
Titan TRT: What You're Paying and What's Included
According to publicly available information, Titan starts at $49 for the initial intake — which according to the company covers a comprehensive lab panel and clinician consultation. The initial panel tests 11 biomarkers: free testosterone, FSH, LH, estradiol, AST, ALT, prolactin, PSA, hematocrit, SHBG, and albumin. Labs can be completed at Quest Diagnostics, LabCorp, or BioReference locations — your facility is assigned based on geography.
After intake, the monthly program membership is billed every 28 days. Based on published reviews and third-party analyses from early 2026, Titan's monthly fee appears to range from approximately $150 to $300 per month depending on the individual treatment plan. Important context: the billing cycle is 28 days, but medication shipments arrive in larger quantities — an 8-week initial supply after the first prescription, and 12-week supplies with subsequent renewals. The company frames the 28-day billing as ensuring continuous access to clinical services, labs, and support between shipments.
What makes Titan's membership structure stand out: lab costs are included — there's no separate charge for the bloodwork required before each renewal. The membership also includes medication with injection supplies, unlimited access to licensed clinicians (appointments available daily), free shipping, and customer support seven days a week. The company also includes anastrozole at no extra cost when estradiol management is needed. Medication options cover injectable testosterone, topical cream, oral dissolvable tablets, and enclomiphene as a fertility-preserving alternative.
Titan is cash pay only and does not accept insurance. Monthly membership fees are non-refundable once a prescription enters pharmacy fulfillment. The platform is LegitScript approved and operates under a transparent three-entity structure (Titan Meds Platform LLC, OpenLoop Healthcare Partners clinicians, licensed pharmacy partners). For our complete evaluation, see the Titan TRT review.
View the current Titan TRT program details (official Titan page)
Hims TRT: What You're Paying and What's Included
According to published pricing information, Hims offers TRT starting at approximately $99 per month for an all-inclusive plan that covers testing, medication, and provider messaging. Hims is one of the most recognizable names in men's telehealth, with offerings spanning beyond TRT into hair loss, ED treatment, mental health, and weight management.
The advantage of Hims is scale and brand recognition. It's a publicly traded company with a large clinician network, which generally means broader state availability and faster response times. The $99 price point is competitive and transparent — you know what you're paying upfront.
The trade-off is depth of specialization. Hims operates as a broad consumer health platform, not a hormone-focused clinic. Its TRT offering is one product line among many, which means the clinicians handling your case may not specialize in hormone optimization the way providers on a TRT-focused platform would. The monitoring cadence — how often you're getting follow-up labs and clinician check-ins — may not match what you'd get from a dedicated hormone clinic. If you're a straightforward case — clearly low testosterone, no complicating factors — Hims is efficient and affordable. If your situation involves fertility concerns, estradiol management, or complex medication adjustments, the generalist model may leave gaps.
PeakPerforMAX: What You're Paying and What's Included
PeakPerforMAX sits at a higher price point — approximately $150 to $250 per month when prescribed — but positions itself as a medically rigorous alternative to budget-focused platforms. According to published reviews, the monthly fee includes medication, supplies, and ongoing provider access with regular lab monitoring built into the program.
What differentiates PeakPerforMAX is its emphasis on clinical oversight. The company markets frequent lab monitoring for hematocrit, PSA, lipids, and other safety markers; personalized protocols that adjust based on follow-up data; and access to providers who specialize in hormone optimization. For men who want the most proactive monitoring possible and are willing to pay for it, PeakPerforMAX represents the premium end of the market.
The pricing is higher than Titan or Hims, and if cost is your primary constraint, this won't be the most affordable option. But when you factor in the frequency of lab monitoring and the level of clinician specialization — which is what actually determines whether your TRT experience goes well over time — the cost-per-quality-of-oversight calculation may look different than the headline monthly fee suggests.
PeterMD: What You're Paying and What's Included
PeterMD is positioned as one of the most affordable options at approximately $99 per month for TRT. Based in Vero Beach, Florida, the company offers telehealth consultations with U.S.-based providers, medication delivery, and a streamlined intake process. According to published reviews, the monthly fee covers consultation, medication, and shipping.
PeterMD's advantage is simplicity and cost. For men who already know they have low testosterone, understand the therapy, and primarily need a convenient prescription and delivery service, the no-frills approach works. The platform also accepts outside lab work, which can save money if you already have recent testosterone panels from another provider.
The limitation is the same as any budget-focused platform: less thorough support for complex cases, potentially less frequent follow-up monitoring, and a more transactional care experience. If you're new to TRT and want education, guidance on injection technique, or active management of side effects, a platform with more clinical infrastructure may be worth the premium.
What Matters More Than the Monthly Price
After comparing these four platforms, the pattern is clear: the headline monthly fee tells you almost nothing about the actual value of the service. What separates a good TRT experience from a frustrating one comes down to factors that don't show up on the pricing page.
Monitoring frequency is the single most important variable. How often does the platform require follow-up labs? Titan's renewal process requires updated labs before each prescription renewal, which creates a built-in monitoring cadence. Platforms that only test at intake and then annually are cutting corners on your safety — because polycythemia, estradiol imbalances, and PSA changes can develop within months, not years. If you want to understand why this matters clinically, our guide to TRT side effects and monitoring covers the specifics.
Clinician specialization matters more than you'd expect. Is the provider evaluating you a hormone specialist, or a generalist handling TRT alongside weight loss, hair loss, and other product lines? Both can be competent, but specialists are more likely to catch subtle dosing issues and manage ancillary medications like anastrozole effectively. Titan positions its clinicians as hormone optimization specialists — whether that matches every patient's experience is worth verifying through the consultation.
Medication flexibility determines your options if the first approach doesn't work. Can the platform offer injection, topical, and oral options? Can it prescribe enclomiphene for men concerned about fertility? Can it add anastrozole for estradiol management without an extra charge? Titan and PeakPerforMAX offer this range; Hims and PeterMD may be more limited.
Lab cost inclusion is an underappreciated cost factor. If labs aren't included in your membership, you're either paying $150-$400 per panel out of pocket at Quest or LabCorp, or you're not getting tested often enough. Titan includes lab costs in the membership fee. Verify what's included with any platform before you sign up — the cheapest monthly fee becomes the most expensive option if you're paying separately for every blood draw.
State coverage is a binary qualifier that you should check before anything else. Can the platform actually prescribe in your state? Telehealth laws vary, and not every provider covers all 50 states. Titan's Terms note that TRT may not be available in every state. Verify this before paying the intake fee on any platform.
The Right Platform Depends on What You Need
There isn't a single best online TRT provider — there's the best provider for your specific situation. If you're cost-sensitive and have a straightforward case, Hims or PeterMD at $99/month gets you started with minimal friction. If you want the most comprehensive monitoring and don't mind paying for it, PeakPerforMAX is the premium option. If you want a balance — labs included, multiple medication options including enclomiphene, unlimited clinician access, and a structured renewal process that enforces regular monitoring — Titan occupies a middle position that's worth evaluating.
What you shouldn't do is choose based on price alone. The regulatory environment for online TRT has shifted significantly in 2025-2026, and the platforms that invest in proper clinical infrastructure — regular labs, specialized clinicians, transparent three-entity structures — are the ones that will deliver results safely over the long term. And if you're still figuring out whether your symptoms actually point to low testosterone in the first place, start with our guide to what changes after 30 before evaluating any platform.
All pricing information in this article was based on publicly available sources reviewed as of April 2026 and is subject to change. Always verify current pricing, terms, and plan details directly with each platform before making purchasing decisions.
MedicalFoundationOfNC.org Editorial Team — This article was prepared for informational and educational purposes only. It does not constitute medical advice, diagnosis, or treatment. The editorial team researched and wrote this content; the products and services described are offered by their respective companies. Consult a qualified healthcare professional before making any decisions about prescription medication. Testosterone replacement therapy is a prescription treatment — approval is not guaranteed and depends on individual clinical evaluation. A commission may be earned through affiliate links at no additional cost to you.