How Much Does Medical Botox Cost?

Medically Reviewed By William C. Lloyd III, MD, FACS
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If you are considering medical Botox®, one that is bound to come up is how much your treatment will cost. The answer depends on a few things, including insurance coverage. Read on to learn what you can expect and some strategies for managing the cost of your treatment.

Insurance Coverage for Medical Botox

Most insurance plans—including Medicare and Medicaid—cover medical Botox indications that carry FDA (Food and Drug Administration) approval. Talk to your insurance provider and ask about your coverage. Find out if you need preauthorization or any other paperwork before starting treatment. FDA-approved medical Botox indications include: 

  • Cervical dystonia—a nerve disorder that causes muscles in the neck and shoulder to involuntarily pull
  • Chronic migraine
  • Crooked eyes—also known as strabismus 
  • Excessive underarm sweating—also known as hyperhidrosis
  • Eyelid muscle spasms—also known as blepharospasm 
  • Overactive bladder
  • Upper limb spasticity

There are also a variety of off-label uses. An off-label use means that the FDA has not approved the drug for that use, but it has acceptance among doctors. Insurance coverage varies for off-label uses. Your plan may only cover part of the cost for some conditions or it may not cover it at all. If your doctor is recommending medical Botox for an off-label use, contact your insurance plan and find out about your coverage. 

Out-of-Pocket Payments

The amount you will pay out-of-pocket for medical Botox treatment depends on insurance coverage. Even if your insurance covers Botox for your condition, you will likely have to pay for part of the cost. Ask your insurance provider about your costs—copays and deductibles—for your Botox treatment. 

For off-label uses, it’s likely that you will be responsible for more or all of the costs. This cost varies widely depending on the extent of the procedure and your geographic location. Keep in mind that you will need injections at intervals throughout the year. A medical Botox treatment can last up to three months, but the effect varies from person to person. 

If the cost of medical Botox is too high, consider contacting Allergan—the maker of Botox. They have a reimbursement support center that can help you resolve insurance coverage issues. They also have a patient assistance program for people who qualify. 

Cosmetic Botox Costs

It’s likely that you will be responsible for the entire cost of a cosmetic Botox treatment. The cost can vary widely depending on the extent of the treatment and your area of the country. At a minimum, the cost will include the doctor’s fee. Other costs may include anesthesia, a surgery center’s fee, and prescription medicines. The average cost of a cosmetic Botox treatment in the United States is about $408 per session.

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  1. Frequently Asked Questions About Botox. Allergan.
  2. How Much Will a Botulinum Toxin Procedure Cost? American Society of Plastic Surgeons.
Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2020 Sep 9
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the site. If you think you may have a medical emergency, immediately call your doctor or dial 911.