Primary Care

How Much Does a Telehealth Visit Cost Without Insurance?

February 12, 2026 5 min read

Affiliate Disclosure: This article may contain links to telehealth providers. We may earn a commission if you sign up through our links, at no extra cost to you. We only recommend platforms we've researched thoroughly.

One of the best things about telehealth in 2026 is price transparency. Unlike traditional healthcare — where you often have no idea what you'll owe until the bill arrives — most telehealth platforms tell you exactly what you'll pay before you book. Here's what to expect across different types of visits if you're paying out of pocket.

Primary Care: $16–$75

A standard virtual primary care visit — for issues like cold symptoms, UTIs, sinus infections, rashes, or prescription refills — typically costs between $16 and $75 without insurance. The low end represents platforms with subscription models or high-volume, streamlined visits. The higher end reflects more comprehensive consultations with longer visit times. Compare that to an average in-person primary care visit of $150–$300, and the savings are immediately obvious. For a full guide on what primary care visits can cover, see 10 things telehealth can treat.

Mental Health: $75–$250

Therapy sessions via telehealth typically run $75–$150 per session for a licensed therapist. Psychiatry visits (for medication management) are higher — $150–$300 for initial evaluations and $75–$150 for follow-ups. Subscription-based platforms offering weekly video therapy plus unlimited messaging tend to cost $60–$100 per week billed monthly. Our detailed breakdown of online therapy costs in 2026 covers sliding scales, EAPs, and other ways to reduce costs. Compared to in-person therapy at $100–$200+ per session, virtual options offer meaningful savings — and research confirms equal effectiveness.

Erectile Dysfunction: $20–$75/month (Often Bundled)

Most DTC ED platforms bundle the consultation with medication delivery in a single monthly price. Generic sildenafil programs start as low as $20/month, while tadalafil (daily or as-needed) ranges from $30–$75/month. This typically includes physician consultation, prescription, and home delivery — making it significantly cheaper than a traditional doctor visit plus pharmacy fill. For a full comparison of medications and pricing, see our complete guide to online ED treatment and sildenafil vs tadalafil comparison.

Weight Loss / GLP-1 Programs: $99–$300+/month

Telehealth weight management programs that include GLP-1 medications like semaglutide or tirzepatide are among the more expensive telehealth categories, reflecting the cost of the medications themselves. Platform fees plus medication typically range from $99–$300+ per month depending on the drug, dosage, and whether you're getting brand-name or compounded formulations. Our GLP-1 cost guide for 2026 breaks down the full landscape including insurance, savings programs, and alternatives.

Hair Loss: $20–$90/month

Online hair loss treatment typically bundles a consultation with monthly medication delivery. Finasteride (oral) programs start around $20–$30/month. Combination therapy (finasteride + minoxidil) runs $40–$90/month. Some platforms include dermatologist follow-ups in the subscription price.

Dermatology: $35–$150

Virtual dermatology visits — for acne, rashes, moles, or prescription skincare — range from $35 for asynchronous (photo-based) consultations to $150 for live video visits with a dermatologist. The async model is particularly cost-effective: upload photos, get a diagnosis and prescription within 24–48 hours, often for under $50.

Testosterone: $100–$250/month

Online TRT programs typically include physician consultation, lab work coordination, medication, and ongoing monitoring in a monthly fee. Prices range from $100–$250/month depending on the formulation and platform. Some platforms charge separately for labs (usually $50–$100 per blood draw at a partner lab).

Key finding: Telehealth could save the U.S. healthcare system $305 billion annually, and patients save an average of 121 minutes per visit compared to in-person care. The cost savings are real at both the individual and system level.

Making It Even More Affordable

Even without traditional insurance, there are ways to reduce costs. HSA/FSA accounts can pay for any of the above with pre-tax dollars. Many employers now offer telehealth benefits that cover or subsidize visits. Sliding scale options exist on several therapy platforms. And the simple math of avoiding unnecessary ER or urgent care visits — by using telehealth as a first step — can save thousands per year. If you have insurance, check our guide on telehealth insurance coverage to understand your benefits.

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