How Much a Hormone Test Costs, and Why You Should Budget for Two
At ACT 2 Health, hormones are measured on the Comprehensive Lab Panel, a one-time $199 blood test, and the DUTCH dried-urine hormone test is $399. For testosterone, plan on two morning blood draws rather than one, because guidelines require a repeat before a diagnosis: $398, assuming both draws are the comprehensive panel. In perimenopause, a hormone test is often not needed at all.
This page is about what hormone testing costs and how timing changes the total. Prices for everything else are on the pricing page, and blood work costs in general, including when insurance pays, are on the lab testing cost page.
What ACT 2 charges for a hormone test
Both tests are one-time charges with a clinician's review of the results. Neither requires a membership or a treatment plan.
| Treatment | Option | Price | How it is billed |
|---|---|---|---|
| Comprehensive Lab Panel | One-time | $199 | One-time |
| DUTCH® Test | One-time | $399 | One-time |
ACT 2 does not sell a single-hormone blood test. Testosterone, estradiol and the pituitary hormones that drive them are measured on the Comprehensive Lab Panel, alongside thyroid function, blood count, metabolic and cardiovascular markers, and iron and vitamin D. That matters for cost: the markers that most often explain "hormonal" symptoms are on the same draw, so you are not paying for a second test to rule them out.
Blood panel or DUTCH test: what each is for, and what each costs
The two tests answer different questions, and for most people only one of them is needed.
The blood panel ($199) measures how much of each hormone is circulating at the moment of the draw. Serum testing is the reference standard that treatment decisions are built on, which is why the blood panel is the starting point for TRT and for hormone therapy. Its limit is that it is one moment in time.
The DUTCH test ($399) is a Dried Urine Test for Comprehensive Hormones, collected at home [7]. Because samples are taken at set points across a day, it shows the daily cortisol rhythm and the metabolites a hormone is converted into, which a blood level cannot. ACT 2's DUTCH test page is candid about its standing: mainstream endocrinology does not consider dried-urine metabolite testing validated for guiding hormone treatment, and it is best treated as an additional layer for someone already in care with a specific unanswered question.
In cost terms: the blood panel is the purchase almost everyone needs first. The DUTCH test is an optional second purchase, and adding it to a baseline brings the total to $598, assuming one of each.
The real cost of a hormone test is getting the timing right
A hormone result is only worth what you paid for it if it was drawn at the right time. A mistimed draw does not just produce a misleading number; it produces a number you then pay to redo.
Testosterone: morning, and twice. Testosterone is highest in the early morning, which is why the test is drawn between about 7 and 10 a.m. [3]. The Endocrine Society recommends confirming a diagnosis of low testosterone by repeating the morning fasting measurement [1]. The American Urological Association is firmer: the diagnosis should be made only after two total testosterone measurements on separate occasions, both in the early morning, and ideally at the same laboratory with the same assay [2]. A single low number is a reason to repeat, not a reason to treat, which the getting the test right page explains in full.
So the honest price of a testosterone test is two tests. If the first result is low or borderline, budget for the confirming draw from the start rather than being surprised by it.
Perimenopause: often no test at all. In perimenopause, estrogen and FSH fluctuate, so guidance for people over 45 is to identify it from symptoms and cycle changes rather than a hormone test [4][5][6]; when to test hormones in perimenopause explains why.
The cost consequence is counterintuitive: the most useful blood test in perimenopause is often the one that settles everything else, such as thyroid function, iron and blood sugar, which do not depend on the day of the cycle. If cycle-sensitive hormones are drawn, the day matters; when to test hormones in perimenopause sets out the timing.
What to budget, by situation
| Situation | What is usually drawn | Budget |
|---|---|---|
| Man checking for low testosterone | Two morning comprehensive panels on separate days | $398 |
| Man whose first draw was not in the morning | That draw, plus two correctly timed panels | $597 |
| Woman over 45 with perimenopause symptoms | One baseline panel, mainly to rule out other causes | $199 |
| Woman in hormone care with a specific question the blood panel did not answer | One baseline panel plus a DUTCH test | $598 |
Each figure assumes every blood draw is the comprehensive panel at its catalog price, because that is the blood test ACT 2 lists. Your clinician decides which tests you actually need, and may decide you need fewer. For what a result means once you have it, see testosterone levels by age.
How this compares with using insurance
A hormone test ordered because of symptoms is a diagnostic test. Insurers generally cover it as an ordinary service that counts toward your deductible [8], and Medicare Part B covers medically necessary diagnostic lab tests when a provider orders them [9]. If you have already met your deductible, or you have Medicare, your insurer may well be the less expensive route for a testosterone test and its repeat. ACT 2 does not bill insurance or Medicare for lab panels; the fixed $199 is most useful when your deductible is high, or when you want the hormone results on the same draw as a full baseline. The DUTCH test is the one most likely to be uncovered anywhere, so its price is closer to what you would pay regardless.
What changes the number
- Starting treatment. Lab work is not included in the TRT or HRT program prices. The first-year arithmetic, including monitoring panels, is on the TRT cost page and the HRT cost page.
- The welcome offer does not apply. The 10% new-patient discount excludes lab panels and diagnostics, including the DUTCH test.
- Where you live. Lab testing is not currently available in New York, New Jersey or Rhode Island; see states we serve.
- HSA and FSA. Eligibility is decided by your plan administrator. The pricing and insurance FAQ covers it.
Frequently asked questions
At ACT 2 Health, a hormone blood test is part of the Comprehensive Lab Panel, which costs $199, paid once, with a clinician's review of the results. The DUTCH dried-urine hormone test costs $399. Because a testosterone diagnosis needs a repeat morning draw, a realistic budget for that question is $398, assuming both draws are the comprehensive panel.
A testosterone test at ACT 2 is drawn on the Comprehensive Lab Panel at $199. Endocrine Society and American Urological Association guidance calls for a second early-morning measurement on a separate day before diagnosing low testosterone, so plan for $398, assuming both draws are the full panel. A draw taken later in the day may need to be redone.
A female hormone blood test at ACT 2 is part of the Comprehensive Lab Panel at $199; the DUTCH test is $399. In perimenopause, NICE advises that people aged 45 and over are identified from symptoms and cycle changes without hormone tests, because levels fluctuate. The panel's main value at that stage is ruling out thyroid, iron and blood sugar causes.
The DUTCH test costs $399 at ACT 2, paid once, including a clinician's review. It is an at-home dried-urine collection taken across a day, and it adds cortisol rhythm and hormone metabolite data a blood test cannot show. It is not a replacement for a blood panel, so most people buy it only after one, for $598 in total.
You pay for a second testosterone test because a single result cannot confirm a diagnosis. Testosterone varies from day to day and is highest in the early morning, so guidelines from the Endocrine Society and the American Urological Association require a repeat morning measurement on a separate occasion. A second draw costs another $199 at catalog price and prevents treating a one-off low reading.
Insurance often covers hormone testing when it is ordered to investigate symptoms, as a diagnostic test that counts toward your deductible; Medicare Part B covers medically necessary diagnostic lab tests. If your deductible is met, insurance may cost you less than paying directly. ACT 2 does not bill insurance for labs. DUTCH testing is less likely to be covered by any plan.
Where this fits in your plan
If testosterone is the question, get the timing right first, then book two morning draws. If perimenopause is the question, a baseline that rules out other causes is usually worth more than a hormone level. Either way, the Comprehensive Lab Panel is the starting point, and the DUTCH test is an add-on for a specific question.
We measure first. Then we act.
References
- Endocrine Society. Testosterone Therapy for Hypogonadism Guideline Resources (Bhasin S et al., Testosterone Therapy in Men With Hypogonadism, 2018). https://www.endocrine.org/clinical-practice-guidelines/testosterone-therapy
- American Urological Association. Evaluation and Management of Testosterone Deficiency (Mulhall JP et al.). https://www.auanet.org/guidelines-and-quality/guidelines/testosterone-deficiency-guideline
- MedlinePlus. Testosterone Levels Test. U.S. National Library of Medicine. https://medlineplus.gov/lab-tests/testosterone-levels-test/
- The Menopause Society. Perimenopause. Menopause Topics, patient education. https://menopause.org/patient-education/menopause-topics/perimenopause
- National Institute for Health and Care Excellence. Menopause: identification and management (NG23), Recommendations 1.3. https://www.nice.org.uk/guidance/ng23/chapter/Recommendations
- MedlinePlus. Follicle-Stimulating Hormone (FSH) Levels Test. U.S. National Library of Medicine. https://medlineplus.gov/lab-tests/follicle-stimulating-hormone-fsh-levels-test/
- Precision Analytical. The DUTCH Test (Dried Urine Test for Comprehensive Hormones). https://dutchtest.com/
- HealthCare.gov. Deductible (glossary). U.S. Centers for Medicare & Medicaid Services. https://www.healthcare.gov/glossary/deductible/
- Medicare.gov. Diagnostic laboratory tests. U.S. Centers for Medicare & Medicaid Services. https://www.medicare.gov/coverage/diagnostic-laboratory-tests
- Back toPricing
- Lab testing costWithout insurance, ACT 2's comprehensive blood panel is $199, paid once. When your insurer pays instead, and what specialty panels cost.Read
- TRT costTRT at ACT 2 is $249 the first month, then $149 a month with medication included. Labs are extra. The first-year math and insurance rules.Read
- HRT costHRT at ACT 2 is $399 the first month, then $149 a month, whichever preparation you use. Labs are extra. Insured vs direct-pay.Read
- DUTCH testAn advanced dried-urine panel mapping hormones and their metabolites.Read
- Getting the testosterone test rightMorning, fasted, repeated — and why the assay, the carrier protein and one bad night all change the number. How to get a result worth reading.Read
How we write and review our content
ACT 2 Health provides clinician-led care. Treatments are available only to eligible patients following clinical evaluation and within applicable regulations. This content is educational and is not medical advice. Individual results vary.
Diagnostic testing does not diagnose or rule out disease on its own and is interpreted by a licensed provider alongside your history and examination.
Care is delivered via telemedicine by healthcare professionals licensed in the state where the patient is located. Services are available only in states where our providers are licensed.
Prices shown are current catalog prices and are confirmed at your eligibility review; how many tests you need is decided by your clinician, not by the budgets on this page.