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Peptide therapy costs most patients $150 to $500 a month for compounded peptides, plus a few hundred dollars to start for the first consult and baseline labs. Here is each line of the bill, what a physician running a peptide practice charges, and why insurance almost never pays.
Peptide therapy costs most patients $150 to $500 a month for compounded peptides, plus $350 to $900 up front for the first consultation and baseline labs. Programs built around brand-name weight loss drugs cost more, and insurance pays for almost none of it.
The spread is wide because "peptide therapy" covers very different programs: a monthly telehealth plan with a short video visit, a physician practice with hour-long consults and regular lab monitoring, and everything in between. This guide breaks the bill into its parts, shows what one physician who runs a peptide practice charges, and explains how clinicians should think about their own prices.
Checked October 14, 2026. Peptavo trains clinicians to prescribe peptides and sells no peptides. Market ranges below come from published price guides, which are mostly written by clinics and telehealth companies that sell what they price. We say where a figure comes from so you can weigh it.
Most peptide therapy is paid in cash and billed in pieces. Here is what each piece usually costs.
| Line item | Typical cost | How often |
|---|---|---|
| Initial consultation | $200 to $500 | Once |
| Baseline labs | $150 to $400 | Once, then every few months |
| Follow-up visits |
| $100 to $300 each |
| Monthly to quarterly |
| Compounded peptide medication | $100 to $500 a month | Monthly |
| Syringes, bacteriostatic water, and cold shipping | $30 to $70 a month | Monthly |
| Telehealth membership or platform fee | $0 to $99 a month | Monthly, where charged |
Add it up and a first month typically lands between $500 and $1,500, then settles at $150 to $500 a month for the medication and supplies, with follow-up visits and repeat labs on top. All-inclusive telehealth plans that fold labs, visits, and medication into one fee usually run $250 to $500 a month.
The consultation. The first visit is where the clinician takes a history, reviews prior labs, screens for contraindications, and decides whether peptides are appropriate at all. A longer, more thorough first visit costs more and is worth more. Jesse Morse, MD, who teaches Peptavo's course and runs a peptide practice in Miami, charges $450 for a 60-minute first consult and $300 for a 30-minute follow-up, and says his prices sit at the high end because Miami is an expensive city to practice in.
Labs. A responsible program checks baseline bloodwork before starting and repeats some of it to monitor. Some clinics include labs in a program fee and many bill them separately, so ask.
The medication. Compounded peptides are prescribed for one patient and made by a licensed compounding pharmacy. The price depends on the compound, the dose, and the pharmacy. Our guide to choosing a peptide compounding pharmacy covers what separates a good one.
Supplies and shipping. Most peptides are injected, so the patient needs syringes and bacteriostatic water, and the vials ship cold. Clinics that leave these off the quote surprise patients later.
Follow-up. Peptide therapy is a course of treatment, adjusted over time. Each check-in costs clinician and staff time, whether it is billed per visit or covered by a membership.
| Program | Typical monthly cost | What drives it |
|---|---|---|
| Compounded wellness or recovery protocol | $100 to $500 | Number of compounds, dose, and how often labs repeat |
| Growth hormone secretagogue program | $150 to $400 | Compound choice and lab monitoring |
| All-inclusive telehealth plan | $250 to $500 | What the plan bundles, and whether it bills when you pause |
| Brand-name GLP-1 weight program, self-pay | $349 and up for the drug, plus clinic fees | Manufacturer cash price, set by the drugmaker |
Weight loss programs changed the most in the past year. Novo Nordisk now sells Wegovy pens direct to self-paying patients through NovoCare Pharmacy at $349 a month for most doses, with a $199 introductory price for the first two fills through December 31, 2026, and the Wegovy pill from $149 a month. A clinic's weight program now competes against those prices plus whatever the clinic charges for its own care.
Monthly prices hide the total, so add up a first year. At the low end: $350 for the first consult and labs, twelve months of medication and supplies at $150, four follow-up visits at $100, and two repeat lab panels at $150, which comes to about $2,850. At the high end, the same year at $900, $500 a month, $300 a visit, and $400 a panel comes to about $8,900. Most patients land between those, and a clinic that quotes only the monthly medication price is leaving out roughly a third of the year's cost.
Telehealth plans usually cost less. One published estimate puts them 20 to 40 percent below in-person clinics, because visits are shorter, often asynchronous, and carry less overhead. The savings are real when the care is the same. Before choosing a cheaper plan, check whether a licensed clinician actually evaluates you or only reviews a questionnaire, whether baseline labs are ordered and included, which licensed pharmacy fills the prescription, and whether the membership fee keeps billing in months you pause treatment.
Almost never. Compounded drugs are not FDA-approved, and insurers rarely pay for them. Dr. Morse's rule of thumb in the course: "insurance doesn't cover 99% of these," with FDA-approved GLP-1 drugs as the exception when they are prescribed for a covered use.
Even there, coverage is narrow. Federal law keeps drugs used for weight loss out of Medicare Part D, so Medicare generally pays for a GLP-1 drug only when it is prescribed for another approved use. Commercial plans vary by employer and often require prior authorization. A clinic's own fees for consults and monitoring in a cash-pay practice sit outside insurance entirely.
Sometimes. IRS Publication 502 counts prescribed drugs as medical expenses, defining a prescribed drug as one that requires a doctor's prescription for its use by an individual. It also says medical expenses must be primarily to alleviate or prevent a disease or condition, and that expenses merely beneficial to general health don't qualify. A peptide prescribed to treat a diagnosed condition has a reasonable case; a general wellness or anti-aging protocol is weaker. Ask your plan administrator before you pay, and keep the prescription and the clinician's note.
When a price falls far below these ranges, something has usually been removed: the physician exam, the labs, or the licensed pharmacy. Peptides sold online as "research use only" are not made for people and are not legal to sell for human use, which our guide to whether peptides are legal explains. A low monthly price that skips the exam and the monitoring saves money by skipping the medicine.
If you are adding peptides to a practice, three decisions set your prices.
Fee for service or membership. A membership charges a flat monthly fee for a defined bundle of care, which brings steady income and some patients who call constantly. Fee for service charges for each visit and product. Dr. Morse runs fee for service with a membership available, because most of his care is personalized. The course teaches both and suggests starting with one and switching if it doesn't fit.
Your time. Price the consult for the time you actually spend. Staff time counts too: answering questions, coordinating pharmacy orders, and explaining supplies. That work rarely gets billed directly, so it has to be built into the fees you do charge.
The medication spread. Dr. Morse dispenses at about 2.4 times acquisition cost, so a vial acquired at $50 is dispensed at $120, to cover overhead in an expensive market. Software vendor Boulevard puts typical med spa markups at 200 to 400 percent. Whatever you choose, the course is firm on one point: show the consultation, monitoring, and compounds as separate lines. Folding a large markup into one undifferentiated program fee hides the spread from the patient, may break state rules on dispensing, and costs you the trust a cash practice depends on.
Peptavo's course covers practice models, cash-pay pricing, and the conflict of interest that comes with recommending what you sell, and it includes a pricing and packaging playbook with the itemized approach above. It costs $2,900 and carries 20 accredited credits for physicians, nurse practitioners, physician assistants, pharmacists, and more. Our peptide certification cost guide compares it with every other accredited program. The physician course page and the nurse and NP course page lay out the curriculum.
Most patients pay $150 to $500 a month for compounded peptides and supplies once treatment is under way, plus follow-up visits and periodic labs. All-inclusive telehealth plans usually run $250 to $500 a month.
Nearly all peptide therapy is paid without insurance. Expect $350 to $900 to start for the first consult and baseline labs, then $150 to $500 a month for medication and supplies.
Most peptide therapy isn't priced per session, because patients usually inject at home from a monthly supply. The visits are what you pay for per session: $200 to $500 for a first consultation and $100 to $300 for a follow-up. Clinics that give injections in the office charge for the visit and the dose.
Compounded peptides are not FDA-approved and are rarely covered. Some FDA-approved peptide drugs, such as GLP-1 receptor agonists, may be covered when prescribed for an approved, covered use, often with prior authorization.
Patients pay cash for clinician time, lab monitoring, a compounded medication made for them, and cold shipping, with no insurer negotiating any of it down.
Enough to cover your time, your staff's time, and your overhead, priced in separate lines so patients can see what they pay for. For reference, one physician in a high-cost market charges $450 for a first consult, $300 for a follow-up, and dispenses compounds at about 2.4 times cost.