How Much Does Xeomin Cost?
Xeomin costs $450 on average, but the price can range from $250 to $841, according to 105 reviews from RealSelf members.
Read on to find out why the average cost in your area may vary, when it's covered by insurance, and whether actual patients think Xeomin is worth the money.
Is Xeomin worth the money?
Xeomin has a 98% Worth It Rating from RealSelf members, so it has a high satisfaction rate among people who have used it to reduce the appearance of fine lines and wrinkles.
Some patients (and injectors) prefer the effects of Xeomin (aka incobotulinumtoxinA) to those of other neurotoxins like Dysport or Botox, especially if another option has seemingly stopped working as well.
Even though both Botox and Xeomin contain the same active ingredient (botulinum toxin type a), Xeomin goes through a purification process to remove additives and complexing proteins.
Research has found that long-term Botox patients can develop antibodies to the botulinum toxin molecule, causing this injectable to stop working over time.
Doctors theorize that Xeomin's absence of additives and complexing proteins makes it less likely to cause resistance over time, making it potentially more worth the investment.
To help decide if this is the right choice for your concerns, goals, and budget, discuss all your options with an experienced provider and ask for an all-in cost estimate.
Remember that the effects of Xeomin typically last three to four months. It's not necessary to keep getting it once you start, but if you plan to keep up your results, you'll also need to budget for maintenance treatments.
What factors affect the cost of Xeomin?
Your Xeomin injection cost will depend on:
1) How many units of Xeomin you need.
Dr. Stephen Prendiville, a facial plastic surgeon in Fort Myers, Florida, says that Xeomin costs $9 to $10 per unit in his area—similar to the price of Botox.
The total number of units you get during your treatment will depend on your aesthetic goals (e.g., how much movement you’d like to maintain), the strength of the muscles you're trying to relax, and how many treatment areas are involved.
The dosage per area varies by person, so it's worth having a conversation about your specific treatment plan and the total estimated cost before your injector takes out the needle.
“In my practice,” says Dr. Prendiville, “I typically use 20 units for the glabella [between the eyebrows] and another 20 units for the forehead, with similar dosing for the crow's-feet.”
Someone who has stronger muscles and wants less movement will likely need more units of Xeomin, which will hike up their bill.
2) Where you have your treatment.
You'll end up paying more for cosmetic treatments like this one in a major metro area like LA or New York, where the practices tend to have more overhead from high rents.
Prices can also vary by ZIP code, so if you're looking to save money, it may be worth finding a qualified injector in a more affordable neighborhood.
3) The expertise of your injector.
As with any cosmetic injection treatment, board-certified dermatologists or plastic surgeons with extensive experience injecting neuromodulators will typically charge more than a nurse injector. However, some RNs who specialize in injectables have a high demand for their services, and they charge accordingly.
You may be able to save money by booking an appointment with a nurse injector or certified aesthetician who has just a few years of experience, but we recommend paying what you need to for a more experienced provider.
Beyond common side effects like minor bruising at the injection site, this treatment comes with potentially more serious complications (like allergic reactions or muscle weakness). Asymmetry is also possible, and while results can be refined with more product, they can't be completely reversed: you just have to wait three to four months for them to wear off.
A well-trained, experienced injector should know how to avoid these pitfalls and do it right the first time.
4) Any additional treatments you get at the same time.
It isn’t uncommon for people to pair a Xeomin treatment with a complementary procedure. For example, many providers pair neurotoxins with dermal fillers, like Restylane or Juvéderm, to restore volume and smooth wrinkles.
Dermal fillers cost $1,200 on average, so this add-on can plump up your bill. However, some providers offer package deals or discounts on each additional treatment.
5) Any special deals or coupons.
Using discount websites to book any cosmetic treatment can be risky (it's hard to know who your injector will be, and whether they know what they're doing), it is possible to find discounted rates there.
However, many providers also run their own deals. Keep an eye on your preferred providers' social media accounts, sign up for their email newsletter, and check their RealSelf profile to stay up to date on promotions.
“Some doctors offer special introductory rates,” says Birmingham, Alabama, dermatologist Dr. Jo Herzog. “If you find specials,” she notes, “make sure the injector is experienced and that there’s a special because the company is introducing a deal, not because the injector is learning and looking for patients.”
Does insurance cover the cost of Xeomin?
Xeomin injections for cosmetic treatment are not covered by health insurance.
However, Xeomin does have FDA approval for the medical conditions like muscle spasticity, blepharospasm, cervical dystonia, and excessive drooling.
If your doctor can provide medical documentation of one of these conditions, your insurance company many approve coverage for at least a portion of the cost.
Xeomin costs in U.S. states
Browse the average out-of-pocket cost of Xeomin in select U.S. states, according to patient reviews on RealSelf. States not currently listed did not have enough data to include.
State | Average Cost of Xeomin |
|---|---|
Florida | $300 |
Arizona | $383 |
Nevada | $514 |
Texas | $650 |
California | $942 |