Written by Dr Aman Chungh, GP and Men’s Health Specialist, BMBS MRCGP BSc BMedSci GMC: 7456077
Clinical pharmacy review by Ahmed Al Saraf, Superintendent Pharmacist GPHC: 2046792
Published 16 May 2025 · Next review 9 September 2027
Understanding TRT Costs in the UK
TRT costs depend on the assessment, blood tests, medication and follow-up your treatment requires. This page separates those costs and explains the difference between NHS prescription charges and private clinic fees.
Omniya publishes separate fees for screening, the doctor’s consultation, laboratory panels and follow-up. The key information is set out below; the TRT pricing overview gives the full published breakdown.
Prices only mean something alongside what the pathway includes - our guide to private TRT in the UK - the full clinical pathway explains the assessment, prescribing and monitoring behind these numbers.
The Two Routes
TRT may be available through the NHS or privately following an appropriate assessment. Access, prescribing arrangements and charges differ. When comparing services, check what is included in the assessment, medication supply, blood tests and follow-up rather than assuming that private treatment is more effective.
How much does NHS TRT Cost?
- Initial blood test: Free (arranged by your GP)
- Specialist referral: If required, the referral route and waiting time depend on your local service and clinical needs.
- Medication: The standard NHS prescription charge in England is £9.90 per item unless you are exempt (checked 2 November 2026). This is not a universal monthly TRT price. Charges and exemptions differ across the UK.
- Monitoring: Reviews and blood tests are needed after starting TRT and during ongoing treatment. The timing depends on your treatment, response and clinical needs.
How much does Private TRT Cost?
- Doctor’s consultation, examination and first prescription: £350. Blood tests and medication are separate costs.
- Comprehensive TRT blood panel: from £350. The named TRT Essential Panel is listed separately at £450; the appropriate panel depends on the assessment.
- Medication: Varies based on type (e.g. injections, creams)
- Six-week follow-up care review: £220. Additional reviews, blood tests and medication depend on your treatment plan.
These are Omniya’s published fees, checked on 2 November 2026. They are individual components, not an all-inclusive monthly subscription. See the TRT pricing overview for the full list and confirm your treatment estimate before booking.
What Are You Paying For with Private TRT?
When comparing private TRT services, check the following parts of the care pathway and what each fee includes:
- Appointment arrangements: Check current appointment availability and the arrangements for follow-up before choosing a service.
- Blood tests: Published panels include tests such as total and free testosterone, SHBG, oestradiol, prolactin, thyroid function and PSA. Check which panel is recommended, why the tests are needed and whether additional tests are charged separately.
- Consultation: Time to discuss symptoms, medical history, test results, treatment options and questions about ongoing care.
- Choice of medications: Including fast acting injectables (e.g. cypionate),compounded creams, daily gels or long-acting injectables (e.g. Nebido)
- Follow-up arrangements: Check how reviews are provided and how to contact the clinic if you have concerns between appointments.
- Monitoring and safety: Routine bloodwork to monitor haematocrit, PSA, and cardiovascular markers
A useful cost comparison includes the whole pathway, not just the price of the medicine. Ask which reviews and tests are included and which may be charged separately.
For a step-by-step explanation, read our guide on How to Start Testosterone replacement therapy UK.
How Medication Type Affects Cost
Not all testosterone medications are priced equally. Some forms are significantly more expensive due to their formulation, delivery method, or duration of action.
Common TRT options include:
- Cypionate (fast-acting injection): Mid-range cost, but requires frequent administration
- Nebido (long-acting injection): Higher upfront cost, but longer dosing intervals (every 10-12 weeks)
- Testosterone gels (e.g. Testogel, Tostran): Mid-range cost, daily application, widely used on NHS
- Compounded creams: Bespoke formulas from private pharmacies, often at a premium
- Testosterone pellets: Rare in this country, and typically more expensive, but long-lasting
At Omniya, we help patients assess the best balance of convenience, efficacy and cost when selecting a medication. No one-size-fits-all approach. For more information on the types of medication, please visit our page regarding Testosterone replacement therapy UK treatment options or which TRT is right for me?
Are There Hidden Costs with TRT?
Beyond consultations and prescriptions, there are additional considerations to factor into your TRT budget:
- Ongoing blood tests and reviews: These are part of monitoring treatment; the frequency and cost depend on your clinical plan.
- Fertility preservation treatments such as HCG, which may be added to your plan
- Optional products or additional services: Ask whether they are necessary for your care and whether they are included in your estimate. Supplements should not be assumed to improve treatment outcomes.
- Travel and time away from work: Include any practical costs of attending appointments in your budget.
Do not assume that TRT will reduce other healthcare costs. Before starting, compare the expected costs with the potential benefits, limitations and risks discussed at your assessment.
Is Private TRT Worth the Cost?
Whether private care is worth the cost depends on your clinical needs, the service offered and your budget. Compare access, assessment, monitoring, medication costs and follow-up arrangements. Paying privately does not by itself establish that treatment will be more effective.
If you have already been assessed elsewhere, bring your previous results and treatment history. A new clinician will need to consider them alongside your symptoms and current health.
Questions to ask before paying for private TRT:
- What does the initial consultation fee include?
- Which blood tests are needed, and what do they cost?
- How are treatment response and side effects reviewed?
- How are medication and repeat prescriptions charged?
- What follow-up costs should I budget for?
You can see examples of how our clinic works in our TRT Process guide.
Is TRT covered by insurance?
Insurance cover depends on your policy and circumstances. Ask your insurer whether assessment, blood tests, medication and follow-up are covered, whether prior authorisation is required and what you would need to pay yourself.
FAQs
Can I move from NHS to private TRT?
Yes. If you move between NHS and private care, the new clinician will need to review your records, results and treatment history. Prescribing arrangements must be agreed rather than assumed to transfer automatically.
Is there a cheaper way to access private TRT?
Some clinics offer packages or payment plans to spread the cost. At Omniya, we aim to make pricing transparent and manageable. We also offer testosterone blood testing as a standalone service.
Summary: Understanding the Real Cost of TRT
There is no single monthly TRT cost that applies to everyone. At Omniya, the published doctor’s consultation, examination and first prescription fee is £350; comprehensive blood panels start at £350, and the six-week follow-up review is £220. Medication and any additional care must be included when estimating the total. NHS prescription charges are a separate charging system, not a like-for-like private treatment package.
If you’re unsure where to begin, read our guide on How to Start Testosterone replacement therapy UK or speak to our team about the right plan for you.
Explore pricing in full at our TRT Pricing Overview, or book a consultation to start your journey.
