Botox (onabotulinumtoxinA) is a prescription drug that’s used to relax certain muscles and glands. Botox’s cost may depend on factors such as your dosage, where you receive your injections, and whether you have health insurance.
Botox injections are approved for the following medical conditions in adults:
- blepharospasm (twitching eyelid)*
- cervical dystonia (neck muscle spasms)
- chronic migraine
- excessive underarm sweating
- muscle spasticity*
- strabismus (crossed or misaligned eyes)*
- urge urinary incontinence, urgency, and frequency from overactive bladder
- urinary incontinence due to a neurological condition, such as multiple sclerosis or spinal cord injury*
The active ingredient in Botox is onabotulinumtoxinA. (An active ingredient is what makes a drug work.) Botox comes as a powder in single-use vials. It’s mixed with sterile saline to make a solution that used for injection.
For more details on Botox, see this in-depth article.
* Botox is also approved for use in some children with these conditions.
The price you pay for Botox can vary. Your cost may depend on whether Botox is approved to treat your condition, the complexity of the treatment, your dosage, your health insurance (if you have it), and where you receive your injections.
To find out how much you’ll pay for Botox, talk with your doctor or insurance provider.
Note: If you have insurance, you may need to get prior authorization before your insurance provider will cover Botox. This means your insurer and your doctor will discuss Botox in regard to your treatment. Then the insurance company will determine whether the drug is covered. If Botox requires prior authorization and you don’t receive it before you start treatment, you could pay the full cost of the drug.
Be sure to ask your insurance company whether Botox requires prior authorization.
Why is there such a cost difference between biologic drugs and biosimilar drugs?
Biologic drugs can be expensive because of the research and testing needed to ensure their safety and effectiveness. The manufacturer of a biologic drug can sell it for up to
12 years. When the biologic drug’s patent expires, other drug manufacturers can create biosimilar versions. This competition in the market may lead to lower costs for biosimilars. And because biosimilars are very similar to biologic drugs, they don’t need to be studied again. This can also lead to lower costs for biosimilars.
If you need help covering the cost of Botox or understanding your insurance, check out these resources:
On these sites, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.
If you have questions about how to pay for Botox, talk with your doctor.
Below are answers to some frequently asked questions about Botox and cost.
How much do Botox injections cost without insurance?
Your cost for Botox injections without insurance will depend on several factors, including
- your dosage (how many units of Botox you’ll need)*
- the complexity of the procedure
- whether you require some form of anesthesia
- where the procedure takes place (doctor’s office or hospital)
- the need for additional imaging tools, such as electromyography or ultrasonography
The current list price for Botox is $1,244 for a 200-unit vial. But the price you pay may be different. You can find more cost information on the drug manufacturer’s website.
Your doctor may also be aware of savings programs for you, depending on the condition you’re using Botox to treat. To find out how much you’ll pay for Botox injections without insurance, talk with your doctor.
* For more information about typical Botox dosages, see this article.
Is Botox covered by Medicare?
While Medicare doesn’t cover Botox for cosmetic purposes, it will usually cover approved medical uses. Approved medical uses are listed in the drug’s prescribing information and at the top of this article.
When prescribed as a treatment for one of these conditions, Botox is given as an injection in a doctor’s office or another healthcare facility. Medicare Part B covers approved outpatient medical services.
To learn more, you can read this article about Botox and Medicare. Your doctor will likely be able to provide additional information, too. But to find out if your plan will cover Botox, it’s best to talk with your Medicare plan provider directly.
If you still have questions about the cost of Botox, talk with your doctor. They may be able to give you a better idea of what you’ll pay for this drug. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Botox.
Examples of questions you may want to ask your doctor or insurance provider include:
- How does my dosage affect the cost of my Botox injections?
- If I can’t afford Botox injections, what are my options?
- Am I charged for unused units of Botox?
- Is it cheaper to receive my Botox injections at a surgical center or at the hospital?
- If you suggest sedation or general anesthesia for my Botox injections, how much will I have to pay for this?
To learn more about Botox, see these articles:
- All About Botox
- Side Effects of Botox: What You Need to Know
- Dosage Details for Botox
- Botox and Its Use for Treating Bladder Problems
To get information on different conditions and tips for improving your health, subscribe to any of Healthline’s newsletters. You may also want to check out the online communities at Bezzy. It’s a place where people with certain conditions can find support and connect with others.
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.