Testosterone replacement therapy in the UK can cost anywhere from £80 to £300 a month, depending on the clinic, the medication and the level of monitoring included.
That's a wide range. And the reasons for it aren't always obvious from the outside.
This guide breaks down what you should expect to pay, what should be included, how the main UK clinics and the NHS compare on price, and the pricing structures to be cautious of.
How much is TRT a month in the UK?
Private TRT in the UK typically costs between £99 and £200 a month, with most established clinics clustering between £120 and £180. That monthly figure usually covers your medication and some level of monitoring, with initial blood tests and a consultation paid on top before you start.
Where you land in that range depends on three things: which medication you're prescribed (injections, gel, cream or oral), whether HCG or other medications are added, and how much monitoring and doctor time is built into the fee rather than charged separately. A £99 plan and a £189 plan can look very different once you add up a year of blood tests and reviews.
At Arc, our Essential plan is £159 a month, with four blood tests and clinician reviews in year one, then two a year, plus injection training and all supplies included. Plans with HCG start at £195. Testing starts from £45 for an at-home kit and £110 for the enhanced panel, and the initial consultation is £99. Everything is listed on our pricing page.
What you're actually paying for
TRT isn't just the cost of testosterone. A properly run plan has several moving parts:
- Initial blood tests to confirm you actually need treatment
- Doctor consultation to interpret results and plan treatment
- Confirmatory blood test to meet UK clinical guidelines before prescribing
- The medication itself (injectable testosterone, gel, cream or oral)
- Ancillary medication if needed, such as HCG
- Ongoing monitoring with regular blood tests every 3 to 6 months
- Clinical reviews and access to a doctor when you have questions
A cheap monthly price often means one or more of these is missing.
UK TRT prices compared: Arc, Voy, Manual, Optimale, Balance My Hormones and the NHS
Men ask me how we compare on price, so here it is in one place. The figures below are taken from each provider's public pricing page as it read in October 2026. Where a figure wasn't published on the page, or the page wasn't available when we checked, I've written "See website" rather than guess. Prices change, so treat this as a starting point and confirm with each provider before you commit.
| Provider | Initial blood test | Monthly treatment from | What's included (bloods and consults) | Notes |
|---|---|---|---|---|
| Arc TRT | £45 at-home finger-prick kit; £110 enhanced panel | £159 a month (Essential plan) | 4 blood tests and clinician reviews in year one, then 2 a year; injection training and all supplies; ongoing clinical team support | Initial consultation £99 at the current offer price (usually £150). Plans with HCG from £195 a month. Discounts for 6-month and annual billing. |
| Voy | £33.95 at-home finger-prick test; enhanced test from £49.95 | £99 a month (oral or injectable); topical from £129 | Medication, monitoring blood tests, follow-up reviews and doctor's letters included in the subscription | Published ranges: injectable £99 to £169, topical £129 to £169. Specialist doctor consultation £79.95. |
| Manual | £33.95 at-home finger-prick test; enhanced test from £49.95 | £99 a month (oral or injectable); topical from £129 | Medication, follow-up reviews, monitoring blood tests, doctor's letters, referrals and postage | Manual's TRT site states that Manual is now Voy. Published ranges: injectable £99 to £169, topical £129 to £159. Doctor consultation £79.95. |
| Optimale | See website | See website | See website | Pricing page not available to us when checked. Confirm current prices at optimale.co.uk. |
| Balance My Hormones | £35 finger-prick kit (Blood Test One); CORE confirmatory panel from £99 | £149 a month all-inclusive; pay-as-you-go from £90 | All-inclusive: medication, scheduled monitoring bloods, follow-up doctor consultations, case manager and injection supplies. Pay-as-you-go: medication, delivery and case manager only, with bloods and consultations bought separately | Doctor consultation £119, included in test bundles. All-inclusive with HCG £189. HCG add-on £25 to £50 a month on pay-as-you-go. |
| NHS | Free through your GP | Prescription charge only: £9.90 per item in England; free in Scotland, Wales and Northern Ireland | GP and specialist appointments and monitoring bloods are free at the point of use | Eligibility usually requires clearly low results and often an endocrinology referral. A prescription prepayment certificate costs £32.05 for 3 months or £114.50 for 12 months. |
A few things stand out. The entry-level monthly prices are closer than the headline range suggests: most sit between £99 and £159. The bigger differences are in what the monthly fee covers, how many blood tests and reviews you get each year, and what the initial work-up costs before you start. Voy and Manual publish the lowest starting prices; Balance My Hormones and Arc include more monitoring in a higher monthly figure; the NHS is by far the cheapest if you qualify, but the route to treatment is slower and narrower.
Prices checked October 2026. All figures are as published on each provider's website on the date checked and may have changed since.
Sources: Arc TRT pricing and testing pages. Voy: joinvoy.com/trt/how-it-works. Manual: trt.manual.co/how-it-works and trt.manual.co. Balance My Hormones: balancemyhormones.co.uk/how-much-does-trt-cost. Optimale: optimale.co.uk. NHS prescription charge: nhs.uk, NHS prescription charges and nhs.uk, prescription prepayment certificates.
Typical UK TRT pricing structures
There are three common models you'll come across:
Subscription model
You pay a flat monthly fee that covers consultations, medication and bloodwork at set intervals. Usually somewhere between £130 and £250 per month. The advantage is predictability. The disadvantage, if the clinic isn't transparent, is that "everything included" can mean different things at different clinics.
Pay-as-you-go
You pay separately for the initial workup, ongoing prescriptions, and each blood test. This can work out cheaper if you're stable on a dose and need fewer reviews, but the up-front cost is higher and it's easier to skip monitoring to save money. Skipping monitoring is the wrong place to save money.
Mixed model
Most reputable UK clinics use a combination. A higher up-front cost for the initial assessment, followed by a lower monthly fee that includes the prescription and a set number of follow-up blood tests per year.
What you should expect to pay
Initial setup (one-off): - Initial blood panel: £45 to £150 - Doctor consultation: £100 to £250 - Confirmatory blood test: £45 to £150
Total to get started: roughly £250 to £550.
Ongoing monthly: - Medication: £40 to £100 depending on type - Monitoring and clinical support: £50 to £150 - Total monthly: typically £100 to £250
Annual extras to factor in: - Comprehensive review bloodwork every 3 to 6 months - HCG if you're using it (often £30 to £60 per month on top) - Adjunct treatments where clinically relevant (weight loss medication, hair loss plans, or DNA testing for treatment response) - Any additional consultations outside the standard plan
A note on adjuncts: some clinics, including Arc TRT, offer integrated adjunct care alongside TRT. Others treat these as separate services from separate providers. If you'd benefit from weight loss support or hair loss treatment alongside testosterone therapy, the all-in cost of integrated care is often more transparent (and often more cost-effective) than buying each service separately.
What to be cautious of
Suspiciously cheap monthly fees
If a clinic offers TRT for £50 a month, ask what's included. Usually it's medication only. Blood tests, consultations and clinician access are charged separately, often adding up to more than a transparent inclusive plan.
No initial bloodwork required
Any UK clinic that prescribes TRT without first confirming low testosterone on two separate blood tests is not following British Society for Sexual Medicine (BSSM) guidelines. This is a regulatory and safety issue, not a cost-saving feature.
Pharmacist-only oversight
Some online providers use pharmacists or nurses rather than doctors for clinical decisions. A pharmacist can dispense. A doctor diagnoses, prescribes and adjusts treatment. The distinction matters.
Charges for every interaction
Some clinics charge per email, per phone call, per dose change. This can compound quickly. Look for plans where reasonable clinical contact is built into the price.
Why private TRT costs what it does
The cost reflects real clinical work, not just medication. A properly trained UK GMC-registered doctor reviewing your results, adjusting your dose, monitoring for side effects, and being available for questions is the bulk of what you're paying for. The testosterone itself is relatively inexpensive.
That's why the cheapest option is rarely the best option. And why the most expensive isn't automatically better either. What you want is a clinic that explains exactly what you're paying for and what's included, with no surprise charges.
NHS TRT and cost
If you qualify for TRT on the NHS, the cost to you is the standard prescription charge: £9.90 per item in England at the time of writing (October 2026), and free in Scotland, Wales and Northern Ireland. If you pay for other prescriptions too, a prepayment certificate caps the cost at £32.05 for 3 months or £114.50 for 12 months. Bloods and consultations are also free.
The trade-off is access. NHS eligibility criteria are strict, GP awareness varies, and endocrinology waiting lists can run into months. Many men who would benefit from treatment are told they're "in range" and offered nothing further. I've written a separate guide to getting TRT on the NHS that covers the thresholds and the route in detail.
The bottom line on cost
Expect to pay £100 to £250 per month all-in for high-quality private TRT in the UK, with most men landing between £120 and £180 and the upper end usually reflecting HCG or additional medications. Add a one-off setup cost of £250 to £550. Anything substantially cheaper is usually missing something important. Anything substantially more expensive should come with a clear explanation of what extra you're getting.
The right question isn't "what's the cheapest?" It's "what does this cost cover, and what would I be paying extra for elsewhere?"
Want clear, transparent TRT pricing?
Arc TRT publishes its pricing openly, with no hidden fees and no surprise charges. Doctor-led, properly monitored treatment from a UK clinic with over 3,000 patients treated.
This article is for general information and does not replace personalised medical advice. Pricing referenced is indicative of the UK private TRT market at time of writing. Competitor prices are as published on their websites in October 2026 and may have changed. Speak to a qualified clinician about your individual circumstances.
Keep reading
For the complete picture, see our full guide to TRT in the UK, covering eligibility, blood test thresholds, NHS and private routes, costs and monitoring. If you are still working out whether any of this applies to you, start with the symptoms of low testosterone.
