How much does it cost average for a breast removal on a transgender female to male and do you need to be on testosterone to get it done?

"TOP Surgery" ~$6000. A reduction mammoplasty or top surgery done on a female-to-male transgendered person runs about $6000, but the cost varies. You don't have to be on testosterone to have this done, but most people are - as they have already sought counseling and have initiated their hormonal transition. Most people are very relieved to have this done: no more binders - and the ability to finally wear tank tops!
From 8-20K. Since this is a cash service you will find a broad range of prices offered. Make sure the price you are quoted includes contouring the chest are so it doesn't look like butchery. Taking testosterone will improve and hasten transition and is preferred but is not required.