How much does HRT cost?

Hormone therapy pricing is one of the messiest things to pin down honestly, because it genuinely varies by medication form, dose, pharmacy, insurance status, and where you fill it. Here's what we could actually verify, dated clearly, rather than a single misleading "average" number.

What the medication itself costs (without insurance)

As of November 2026, GoodRx listed US retail (non-insurance) prices for a one-month supply of generic estradiol:

• Once-weekly transdermal patches: roughly $37 to $69, depending on dose
• Estradiol gel packets: far less consistent — from about $39 up to $545 depending on the exact dose and quantity combination, with some specific strengths priced unusually high, likely reflecting how that particular product is manufactured and substituted at the pharmacy level

The wide gel range is a genuinely useful thing to know before you fill a prescription: the same drug at a different dose or packet count can cost dramatically differently. It's worth checking the specific product, dose, and pharmacy your prescription is actually for, rather than assuming a single "typical" price. These are retail list prices before any coupon, discount card, or insurance — your actual price with insurance or a pharmacy discount program is often lower.

What a telehealth visit costs

If you're considering a menopause-focused telehealth provider instead of (or alongside) your regular doctor, self-pay pricing as of November 2026:

• Midi Health: $250 for a first visit, $150 for follow-ups, not including labs or medications, no membership required; insured patients reportedly average lower out-of-pocket costs when in-network
• Evernow: a membership starting at $35/month (includes ongoing messaging and optional insurance-eligible video visits), or a one-time insurance-eligible visit with no membership
• Alloy: explicitly cash-pay, FSA/HSA accepted; we could not confirm a specific current consult price on Alloy's public pages

See our full telehealth comparisons for how these models differ beyond price.

Why your real cost will differ from any number on this page

• Insurance coverage varies enormously — see our insurance and menopause care guide for what the research shows about access gaps by insurance type
• Brand-name vs. generic can mean a large price difference for the identical active ingredient
• Dose and formulation (patch vs. gel vs. pill vs. vaginal insert) price very differently from each other
• Prices change, and this page reflects what we verified on the date noted above — always check the current price before committing

What to actually do with this information

• Ask your pharmacy for the cash price even if you have insurance — sometimes it's lower than your copay for generics
• Ask your prescriber if a different formulation (patch vs. gel vs. pill) would be clinically equivalent for you, since prices differ substantially between forms
• If considering telehealth, compare its current self-pay price against your actual in-network out-of-pocket cost before assuming either is cheaper
• Use our treatment conversation builder to prepare these cost questions before your appointment