Online ED Visit Cost: Consult Fees at 18 Programs Compared

The count is our tally from each program's record on this site. Below is what each one says, the fee where one exists, and what a one-off visit costs if you only want a prescription.

How much an online ED visit costs, program by program

Each row quotes the program's own wording on the visit, from its page on the date shown.

Why most online ED visits are free

Most programs earn their money on the medication, so they fold the visit into the price of the pills. Strut's page puts it plainly: "Price includes healthcare provider consultations and free shipping." (Strut sildenafil page, read 14 November 2026). MangoRx headlines "Free provider visits and shipping on all orders" (MangoRx sildenafil page, read 14 November 2026).

The catch: a free visit usually comes with the program's own pharmacy. You buy the medication there, at its price. Our ED medication cost per year guide shows what that adds up to.

HealthRX adds a refund rule: its pricing page says no visit fee applies, and the order is refunded if the clinician says no. Its FAQ says a licensed provider "will review your file within approximately 24 hours" (HealthRX FAQ, read 14 November 2026).

ED visit cost without insurance

If you only want a prescription, two programs sell the visit on its own.

• Lemonaid Health charges a one-time consult fee for ED. Its page says: "One consult covers 12 refills" (Lemonaid ED page, read 14 November 2026). You can send the prescription to a local pharmacy or use its mail-order partner.
• Sesame sells pay-per-visit appointments. Each provider sets a price. Its sildenafil and tadalafil pages listed visits from the price in the table above when we read them on 7 November 2026. Its pages describe the option as "Best for new prescriptions or one-off refills" (Sesame sildenafil page, read 14 November 2026).

Lemonaid also explains how its visit works: "you select a local pharmacy where you want us to send your prescription, and finally you enter your payment details to pay our visit fee" (Lemonaid sildenafil page, read 14 November 2026).

A paid visit plus cheap tablets can beat a bundled plan. With your own prescription, Cost Plus Drugs lists generic sildenafil at $0.22 a tablet before shipping. See online ED markup vs Cost Plus for the full sum.

We do not track the cost of an in-person doctor visit. It depends on the clinic, your area and your plan. Ask the clinic for its cash price before you book.

Telehealth ED consultation fee vs membership

A membership is different from a visit fee. You pay it every month whether or not you see anyone.

• Hone Health sells a lower membership where consults are extra, and a higher one that includes them.
• Sesame has an optional subscription that includes visits and gives access to low-cost generics. Its page lists this ongoing care plan as "Best for ongoing refills" (Sesame sildenafil page, read 14 November 2026). The annual plan fee is non-refundable once paid, per our record.

A membership makes sense only if you use it often, or need more than ED treatment. For one prescription a year, a one-off visit is cheaper.

What the free visit includes

A typical online ED visit is a written health questionnaire. A licensed clinician reads it and asks follow-up questions by message. Some states require a phone or video call. Idun Rx's FAQ notes that some states need a video consultation or live chat, and that a doctor usually replies within about a day (Idun Rx FAQ, read 14 November 2026).

The clinician checks for heart problems, blood pressure medicines and nitrates, which must not be taken with ED pills. Be honest on the form. A clinician can only keep you safe with the full picture.

Hair loss visits cost about the same

The pattern holds for hair loss. Most programs include the visit. A few differ:

Our hair loss treatment cost per year guide adds these fees to the yearly totals.