Access · Pricing
How much does HRT cost? Insurance & cash pricing
FDA-approved generic estradiol and micronized progesterone are among the least expensive prescriptions in medicine. Compounded creams and pellet implants cost 5–20x more without proven benefit.
Typical ranges (US, 2026)
- Estradiol patch (generic): $20–60/month
- Estradiol gel: $30–80/month
- Micronized progesterone 100–200mg: $15–40/month
- Compounded creams: $60–200/month
- Pellet therapy: $300–800 per insertion, every 3–4 months
Frequently asked questions
Is HRT covered by insurance?
Yes, generic FDA-approved formulations are covered by nearly all US commercial plans and Medicare Part D.
What if I have no insurance?
GoodRx pricing for generic estradiol patches is typically $20–40/month; oral progesterone $15–30/month.
Why are pellets so expensive?
Insertion visits, compounded product markup, and reinsertion every 3–4 months. Not covered by insurance.
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Written and medically reviewed by the Kindr Health Clinical Team · Published 2026-06-19 · Last reviewed 2026-07-01. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.