TRT costs explained: every fee you'll actually pay
TRT pricing looks chaotic because providers sell different bundles. Here is every fee you will actually pay, with published numbers.
1. The headline monthly price (£59.99–£189)
This is medication-plus-service in flat-subscription models (Optimale from £59.99, Manual £59.99–£109.99), or membership-only in membership models (Leger £10–£60 for meds separately; Balance My Hormones £149–£189 all-in). Verified at source — see the price registry.
2. Blood tests (£19–£79 each)
The recurring cost most men underestimate. Expect 2–4 draws in year one (baseline, 6–12 weeks, then periodic): Optimale £33.95, Leger £19 kit/£79 follow-up, plus £20–£40 clinic-visit fees where relevant.
3. Consultations (£0–£80)
Telehealth reviews are usually in the subscription. Initial consults can cost extra (£79.95 remote at Optimale). Clinic visits add £20–£40.
4. Injection equipment (~£30 one-off)
Starter kits (needles, vials, sharps bin) — usually supplied once, lasting months.
5. Extras: letters, referrals, dose changes
Usually included at telehealth providers (Manual and Optimale state doctor's letters are covered); always confirm.
The realistic year-one total
- Budget subscription (Optimale/Manual low tier): ~£720–£1,000 all-in.
- Mid-market (Manual upper tiers): ~£1,000–£1,600.
- Full-service (Balance My Hormones/Leger): ~£1,400–£2,300.
Use the TRT cost calculator to total a specific provider model. NHS patients who qualify for treatment pay prescription charges instead of all of this — see how to get TRT in the UK for the NHS thresholds (total T below 12 nmol/L for assessment, lower cut-off at many local labs).
All prices verified at the providers' own pages on 2026-10-08; re-verify before committing.
Information directory — medically reviewed sources cited per page · Source-checked 2026-10-09 · Independent information directory — not medical advice.