Key statistics
- 4,462 of the 53,215 US med spas in the MedSpaStandard directory (8.4%) offer testosterone therapy, going by their Google listings and websites, as of October 2026.
- Testosterone therapy ranks 52nd by provider count among the 81 treatments MedSpaStandard tracks, as of October 2026.
- Florida has the most testosterone therapy providers, with 720 med spas, according to MedSpaStandard directory data for October 2026.
- Nationally there are 1.3 med spas offering testosterone therapy per 100,000 residents, according to MedSpaStandard directory data for October 2026.
- Florida has the most testosterone therapy providers per capita: 3.1 per 100,000 residents (720 med spas), according to MedSpaStandard directory data for October 2026.
- Google reviews of med spas offering testosterone therapy average 4.88 stars, across 589,105 reviews of 4,246 rated listings, according to MedSpaStandard directory data for October 2026.
- In a large U.S. commercial-insurance database (Baillargeon et al., JAMA 2018; 9.96 million men aged 30+), the share of men prescribed testosterone rose from 0.52% in 2002 to 3.20% in 2013, then fell to 1.67% in 2016 after reports linking testosterone to cardiovascular events and an FDA safety communication. [1]
- A study of state prescription drug monitoring program data (Selinger & Thallapureddy, PLoS One 2024) found 27% more people filled testosterone prescriptions in 2022 than in 2018 (+439,659 people), with the largest rises at ages 35–44 (+58%) and 45–54 (+35%), mostly after 2020. [3]
- Cleveland Clinic says testosterone levels can drop about 1% per year starting in the late 30s and that providers consider adult levels below 300 ng/dL low; low testosterone with symptoms is called male hypogonadism. [4]
- FDA's public FAERS data (openFDA, data through the 2026-07-30 update) contain 34,368 adverse-event reports listing a testosterone product as a suspect drug, 19,587 of them flagged serious; these are voluntary report counts, not rates, and cannot show the drug caused the event. [5]
- 96% of the Google reviews left for testosterone therapy providers are 5-star, according to MedSpaStandard directory data for October 2026.
- Med spas offering testosterone therapy are listed in 51 of the 51 states (counting Washington, DC), according to MedSpaStandard directory data for October 2026.
How many med spas offer testosterone therapy?
4,462 of the 53,215 US med spas in our directory (8.4%) offer testosterone therapy, going by their Google listings and websites.
Testosterone therapy ranks 52nd by provider count among the 81 treatments we track.
Med spas offering testosterone therapy are listed in 51 of the 51 states (counting Washington, DC).
What else do testosterone therapy providers offer?
89% of med spas offering testosterone therapy also offer Botox.
83% of med spas offering testosterone therapy also offer dermal fillers.
79% of med spas offering testosterone therapy also offer hormone replacement therapy.
Find TRT providers near you
Compare Google ratings, reviews and posted prices at med spas in your city.
Who performs testosterone therapy?
47% of the 2,357 testosterone therapy providers that name their clinical team online list a physician (MD or DO).
57% of the 2,357 testosterone therapy providers that name their clinical team online list a nurse practitioner.
18% of the 2,357 testosterone therapy providers that name their clinical team online list a physician assistant.
How many men are on TRT in the US?
In a large U.S. commercial-insurance database (Baillargeon et al., JAMA 2018; 9.96 million men aged 30+), the share of men prescribed testosterone rose from 0.52% in 2002 to 3.20% in 2013, then fell to 1.67% in 2016 after reports linking testosterone to cardiovascular events and an FDA safety communication. [1]
Baillargeon et al. (JAMA Intern Med 2013) found androgen use among commercially insured U.S. men aged 40+ more than tripled from 0.81% in 2001 to 2.91% in 2011; by 2011, 2.29% of men in their 40s and 3.75% of men in their 60s were on some form of testosterone. [2]
How do patients rate testosterone therapy providers on Google?
Google reviews of med spas offering testosterone therapy average 4.88 stars, across 589,105 reviews of 4,246 rated listings.
96% of the Google reviews left for testosterone therapy providers are 5-star.
Star ratings in Google reviews of testosterone therapy providers
Share of 589,105 reviews
Source: Google reviews, MedSpaStandard, October 2026
86% of testosterone therapy providers with at least 5 reviews hold a 4.8-star rating or better.
2.7% of the Google reviews left for testosterone therapy providers give 1 or 2 stars.
1.1% of testosterone therapy providers with at least 5 reviews average under 4.0 stars.
Google lists results as a review theme for 10% of testosterone therapy providers with review themes.
Google lists natural-looking results as a review theme for 4.6% of testosterone therapy providers with review themes.
What published research says
These numbers come from outside sources, not our directory; each one links to its source below.
- A study of state prescription drug monitoring program data (Selinger & Thallapureddy, PLoS One 2024) found 27% more people filled testosterone prescriptions in 2022 than in 2018 (+439,659 people), with the largest rises at ages 35–44 (+58%) and 45–54 (+35%), mostly after 2020. [3]
- Cleveland Clinic says testosterone levels can drop about 1% per year starting in the late 30s and that providers consider adult levels below 300 ng/dL low; low testosterone with symptoms is called male hypogonadism. [4]
- FDA's public FAERS data (openFDA, data through the 2026-07-30 update) contain 34,368 adverse-event reports listing a testosterone product as a suspect drug, 19,587 of them flagged serious; these are voluntary report counts, not rates, and cannot show the drug caused the event. [5]
What these numbers can't tell you
- Counts are Google Maps listings we classify as med spas, so they include dermatology and plastic surgery practices that offer med spa treatments and exclude spas without a Google listing.
- A treatment counts when the spa's Google listing or website names it, so a spa with an outdated menu can be over- or under-counted.
- Credentials count only clinicians a spa names with a credential (MD, DO, NP, PA, RN) on its own website, so spas that leave their team off their website are left out of those shares.
- We hold no patient records: every figure describes providers, their listings and their Google reviews, not who gets treated.
- Ratings and review themes are Google's, as shown on each listing on the snapshot date; Google filters some reviews and does not publish how.
Frequently asked questions
How many med spas offer testosterone therapy?
4,462 of the 53,215 US med spas in the MedSpaStandard directory (8.4%) offer testosterone therapy, going by their Google listings and websites, as of October 2026. Nationally there are 1.3 med spas offering testosterone therapy per 100,000 residents.
Which state has the most testosterone therapy providers per capita?
Florida has the most testosterone therapy providers per capita: 3.1 per 100,000 residents (720 med spas), according to MedSpaStandard directory data for October 2026. Florida has the most testosterone therapy providers, with 720 med spas.
What other treatments do testosterone therapy providers offer?
89% of med spas offering testosterone therapy also offer Botox, according to MedSpaStandard directory data for October 2026. 83% of med spas offering testosterone therapy also offer dermal fillers.
Who performs testosterone therapy at med spas?
47% of the 2,357 testosterone therapy providers that name their clinical team online list a physician (MD or DO), according to MedSpaStandard directory data for October 2026. 57% of the 2,357 testosterone therapy providers that name their clinical team online list a nurse practitioner.
How do patients rate testosterone therapy providers on Google?
Google reviews of med spas offering testosterone therapy average 4.88 stars, across 589,105 reviews of 4,246 rated listings, according to MedSpaStandard directory data for October 2026. 96% of the Google reviews left for testosterone therapy providers are 5-star.
Sources and methodology
Our data. October 2026 snapshot of 53,215 US med spa Google listings and their websites. How we build these numbers
- pmc.ncbi.nlm.nih.gov · National Library of Medicine
- pmc.ncbi.nlm.nih.gov · National Library of Medicine
- pubmed.ncbi.nlm.nih.gov · National Library of Medicine
- my.clevelandclinic.org · Cleveland Clinic
- api.fda.gov · U.S. Food and Drug Administration
MedSpaStandard. (2026, October 30). Testosterone Therapy Statistics 2026. https://medspastandard.com/statistics/testosterone-therapy/
Medical disclaimer. MedSpaStandard is for education only and is not medical advice. Talk to a licensed provider about your own health, and check any provider's license with your state board.