--- title: TRT Starting Panel type: panel id: trt-starting url: "https://www.test-well.com/tests/trt-starting-panel" price_usd: 229.99 lab_fee_usd: 6 all_in_usd: 235.99 tests_included: 14 biomarkers_measured: 46 category: Hormones sample: Blood draw fasting_required: true results_in: "2–4 business days" labs: - Quest - Labcorp orderable: true reviewed_at: 2026-09-14 order_url: "https://www.test-well.com/cart?add=trt-starting-panel&utm_source=ai_agent&utm_medium=markdown" --- # TRT Starting Panel > TRT Starting Panel bundles 14 tests — Testosterone, Total, Testosterone, Free (Direct) and SHBG (Sex Hormone Binding Globulin) plus 11 more — for $229.99 all-in (about $16.43 per test). Fast 8–12 hours before the draw; results post in 2–4 business days. Physician-authorized with no doctor's visit or insurance needed; one draw at Quest or Labcorp. *Complete baseline labs before starting testosterone replacement therapy* ## Key facts | Fact | Value | | --- | --- | | Price | $229.99 + $6 lab processing fee per order ($235.99 all-in) | | Versus buying separately | $445.86 for the 14 tests individually — the panel saves 48% | | Tests included | 14 | | Biomarkers measured | 46 | | Sample | Blood draw | | Fasting | Yes — 8–12 hours | | Results | 2–4 business days | | Labs | Quest Diagnostics, Labcorp | | Physician authorization | Included — no doctor's visit, referral or insurance needed | ## What does the TRT Starting Panel cover? 14 tests establishing baseline values before TRT. Covers testosterone (total + free), SHBG, estradiol, LH/FSH, PSA, CBC, CMP, lipid panel, HbA1c, prolactin, thyroid panel, and vitamin D. The TRT Starting Panel provides all the baseline labs your provider needs before initiating testosterone replacement therapy. It establishes pre-treatment levels for testosterone (total and free), SHBG, and estradiol — the key hormones that will change on therapy. LH and FSH document pituitary function before suppression. PSA provides a baseline for prostate monitoring. CBC is essential since testosterone can increase red blood cell production (polycythemia risk). CMP, lipid panel, and HbA1c establish metabolic and cardiovascular baselines. Prolactin rules out pituitary causes of low testosterone. Thyroid panel and vitamin D round out the assessment since both affect testosterone production and overall wellbeing. **Clinical use:** Pre-TRT baseline: Total + Free Testosterone, SHBG, Estradiol, LH, FSH, Prolactin, PSA, CBC, CMP, Lipid Panel, TSH, Vitamin D. Establishes the diagnosis, identifies cause (primary vs secondary), and screens for contraindications. ## Who should order it? Men considering testosterone replacement therapy — required by most TRT clinics and good medical practice before initiating treatment. Confirms the diagnosis, rules out pituitary tumors, and establishes baselines for safety monitoring. ## Tests included | Test | Biomarkers | Standalone price | CPT | | --- | --- | --- | --- | | [Testosterone, Total](https://www.test-well.com/tests/testosterone-total) | 1 (Total Testosterone) | $33.99 | 84403 | | [Testosterone, Free (Direct)](https://www.test-well.com/tests/testosterone-free) | 1 (Free Testosterone) | $33.99 | 84402 | | [SHBG (Sex Hormone Binding Globulin)](https://www.test-well.com/tests/shbg-sex-hormone-binding-globulin) | 1 (SHBG) | $34.99 | 84270 | | [Estradiol (E2)](https://www.test-well.com/tests/estradiol) | 1 (Estradiol) | $35.99 | 82670 | | [LH (Luteinizing Hormone)](https://www.test-well.com/tests/luteinizing-hormone) | 1 (LH) | $36.99 | 83002 | | [FSH (Follicle Stimulating Hormone)](https://www.test-well.com/tests/fsh) | 1 (FSH) | $29.99 | 83001 | | [PSA, Total](https://www.test-well.com/tests/psa-total) | 1 (PSA Total) | $28.99 | 84153 | | [CBC with Differential](https://www.test-well.com/tests/cbc-with-differential) | 14 (WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, …) | $21.99 | 85025 | | [Comprehensive Metabolic Panel](https://www.test-well.com/tests/comprehensive-metabolic-panel) | 14 (Glucose, BUN, Creatinine, Sodium, Potassium, Chloride, …) | $22.99 | 80053 | | [Lipid Panel](https://www.test-well.com/tests/lipid-panel) | 4 (Total Cholesterol, HDL Cholesterol, LDL Cholesterol (calculated), Triglycerides) | $24.99 | 80061 | | [Hemoglobin A1c](https://www.test-well.com/tests/hemoglobin-a1c) | 1 (Hemoglobin A1c) | $21.99 | 83036 | | [Prolactin](https://www.test-well.com/tests/prolactin) | 1 (Prolactin) | $39.99 | 84146 | | [Thyroid Panel with TSH](https://www.test-well.com/tests/thyroid-panel-with-tsh) | 4 (TSH, Total T4 (Thyroxine), T3 Uptake, Free T4 Index (FTI)) | $36.99 | 84443, 84436, 84479 | | [Vitamin D, 25-Hydroxy](https://www.test-well.com/tests/vitamin-d) | 1 (25-Hydroxy Vitamin D) | $41.99 | 82306 | ## Price by lab | Lab | Panel price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Quest Diagnostics | $229.99 | $235.99 | Choose at checkout | | Labcorp | $279.99 | $285.99 | Choose at checkout | ## How much does a TRT Starting Panel cost? A TRT Starting Panel costs $229.99 at TestWell — $235.99 all-in when ordered alone, because the $6 lab processing fee is charged once per order, with no draw fee or physician fee added. With insurance, what you pay depends on your deductible and your plan's negotiated rate; TestWell's price is fixed before the draw and is HSA/FSA-eligible. | Where you order | Price | One test, all-in | Notes | | --- | --- | --- | --- | | TestWell (drawn at Quest or Labcorp) | $229.99 | $235.99 | Includes the one $6 lab processing fee, charged once per order | ## How do you prepare? Fasting for 10–12 hours is recommended. Morning blood draw (before 10 AM) is strongly preferred for accurate testosterone levels. ## Related conditions - [Hypogonadism](https://www.test-well.com/conditions/low-testosterone) (E29.1) - Late-onset hypogonadism (andropause) (E29.1) - [Erectile dysfunction](https://www.test-well.com/conditions/erectile-dysfunction) (N52.9) ## Common questions about the TRT Starting Panel ### Why do I need so many tests before starting TRT? Three reasons: (1) confirm the diagnosis with multiple morning testosterone values, (2) identify cause — testicular vs pituitary failure changes treatment, (3) establish baselines for safety monitoring (PSA, CBC, lipids, liver) so changes during therapy can be detected. Reputable TRT clinics require all of these. ### How much does the TRT Starting Panel cost? TestWell charges $229.99 — vs $399 at Quest Direct and $400-$1,200 at TRT clinics. ### Do I need to fast? Yes — morning fasting draw between 7-10 AM. Testosterone follows a strong diurnal rhythm; afternoon draws underestimate by 20-30%. ### Why are PSA and CBC included? TRT can accelerate pre-existing prostate cancer growth (PSA baseline matters) and increase red blood cell production (CBC baseline matters — elevated hematocrit on TRT can require dose reduction or phlebotomy). ### What happens after I start TRT? Repeat with our [TRT Quarterly Panel](https://www.test-well.com/tests/trt-quarterly-panel) at 6-8 weeks, 3 months, then every 3 months ongoing. Monitor T levels (aim for mid-normal range), hematocrit (<54%), PSA (any rise >1.0 ng/mL warrants urology referral), and estradiol (manage if symptomatic). ## How to order 1. Add to cart: https://www.test-well.com/cart?add=trt-starting-panel&utm_source=ai_agent&utm_medium=markdown 2. Create an account or sign in, confirm your state and preferred lab, pay by card, HSA or FSA. 3. A licensed physician authorizes the order (usually within minutes); the requisition arrives by email. 4. One draw at any Quest Diagnostics, Labcorp patient service center covers every test in the panel. 5. Results post to your TestWell portal in 2–4 business days. ## Related - [Erectile Dysfunction Panel](https://www.test-well.com/tests/erectile-dysfunction-panel) — 7 tests · $114.99 - [Female HRT Quarterly Monitoring Panel](https://www.test-well.com/tests/female-hrt-quarterly-panel) — 12 tests · $179.99 - [Female HRT Starting Panel](https://www.test-well.com/tests/female-hrt-starting-panel) — 20 tests · $249.99 - [Men's Hair Health Panel](https://www.test-well.com/tests/mens-hair-health-panel) — 19 tests · $499.99 - [Men's Health Advanced Panel](https://www.test-well.com/tests/mens-health-advanced-panel) — 22 tests · $299.99 - [All Hormones tests](https://www.test-well.com/tests/category/hormones) - [Full test directory](https://www.test-well.com/tests/directory) --- Medically reviewed by Youmna DiStefano, MD (Medical Reviewer, TestWell); last reviewed 2026-09-14. Review policy: https://www.test-well.com/reviewers/youmna-distefano-md Canonical page: https://www.test-well.com/tests/trt-starting-panel Machine-readable catalog: https://www.test-well.com/api/catalog.json · MCP server: https://www.test-well.com/mcp · Overview for agents: https://www.test-well.com/llms.txt Prices are cash-pay, in USD, and include physician authorization; every order adds one flat $6 lab processing fee. Educational content is not a diagnosis — discuss results with a clinician.