How Much Does Progesterone Cost?
Micronized progesterone costs about $30–50/month through telehealth HRT providers, and often less through insurance at a retail pharmacy. It's the essential partner medication for any woman taking estrogen who has a uterus — which means its cost should always be counted as part of the total HRT price, not an optional add-on.
Progesterone Prices by Provider
Sorted by lowest starting price — the tracked range runs $39 to $39/mo.
Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.
What drives progesterone pricing
Generic micronized progesterone (the bioidentical form, originally branded Prometrium) is inexpensive. Telehealth pricing wraps in the prescription management and delivery. Compounded progesterone creams cost more and — importantly — transdermal progesterone absorbs poorly and isn't considered reliable endometrial protection, so oral capsules remain the standard.
The peanut-allergy exception
Standard progesterone capsules are formulated in peanut oil. Women with peanut allergies need a compounded peanut-oil-free version, which costs more — one of the few cases where compounding is clinically necessary rather than optional.
Total HRT math
A typical telehealth HRT stack — estradiol plus progesterone — runs about $80–200/month all-in with consultations bundled. Through insurance with generics, the medications alone can cost under $20/month. As with estradiol, coverage status and prescriber access determine which path wins.
How to Pay Less for Progesterone
- ✓Price the estradiol + progesterone pair together — that's your real monthly HRT cost.
- ✓Insured? Generic micronized progesterone through your pharmacy is often just a small copay.
- ✓Oral capsules over compounded creams — cheaper and better-evidenced for uterine protection.
- ✓Taking it at bedtime turns the main side effect (drowsiness) into a feature — no extra sleep-aid purchase needed.
Progesterone Cost — Frequently Asked Questions
Why do I have to pay for progesterone at all if estrogen treats my symptoms?
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Unopposed estrogen stimulates the uterine lining and raises endometrial cancer risk. Progesterone protects against that. If you have a uterus, it's a safety requirement, not an upsell; if you've had a hysterectomy, you generally don't need it — and shouldn't be paying for it.
Is compounded progesterone cream a cheaper alternative?
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It's usually more expensive, and worse: transdermal progesterone absorbs too poorly to reliably protect the uterine lining, so guidelines favor oral micronized progesterone. The cream route saves neither money nor risk.
What does the progesterone half of HRT add to the total cost?
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Typically $30–50/month at telehealth pricing, or a small copay with insurance coverage of the generic. When comparing HRT providers, check whether quoted plan prices include both hormones — some headline prices are estradiol-only.
Want the full picture — how progesteroneworks, side effects, and who it's not for?
Read the Progesterone Guide