Botox for migraine is a hospital service. Prices are from 1506 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $492 — about 3.1× the Medicare rate ($157). On the higher side. A fair cash price is usually within ~2× Medicare ($314).
💡 Asking for the cash price instead of the $832 list price could save about $340 (41%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Banner Desert Medical Center | Mesa, AZ | $75 | $315 | ★ 2/5 | 269 min | — |
| Westfield Memorial Hospital, Inc | Westfield, NY | $76 | $150 | — | 120 min | — |
| Canonsburg General Hospital | Canonsburg, PA | $76 | $150 | ★ 3/5 | 155 min | — |
| Forbes Hospital | Monroeville, PA | $76 | $150 | ★ 3/5 | 261 min | — |
| Adventist Health Tulare | Tulare, CA | $77 | $109 | ★ 3/5 | 198 min | — |
| Grove City Medical Center | Grove City, PA | $79 | $150 | ★ 4/5 | 150 min | — |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $81 | $237 | ★ 4/5 | 151 min | — |
| Allegheny Valley Hospital | Natrona, PA | $83 | $150 | ★ 4/5 | 203 min | — |
| Allegheny General Hospital | Pittsburgh, PA | $83 | $150 | ★ 3/5 | 274 min | — |
| Mercy Specialty Hospital Southeast Kansas | Galena, KS | $84 | $277 | — | — | — |
| Mercy Hospital St Louis | Saint Louis, MO | $84 | $274 | ★ 4/5 | 220 min | — |
| Mercy Hospital Southeast | Cape Girardeau, MO | $84 | $277 | ★ 2/5 | 169 min | — |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $85 | $227 | ★ 2/5 | 174 min | — |
| North Texas Medical Center | Gainesville, TX | $87 | $295 | ★ 4/5 | 117 min | — |
| St Mary's Regional Medical Center | Lewiston, ME | $89 | $671 | ★ 4/5 | 135 min | — |
| Ahn Wexford Hospital | Wexford, PA | $90 | $164 | ★ 5/5 | 184 min | — |
| West Penn Hospital | Pittsburgh, PA | $93 | $167 | ★ 3/5 | 208 min | — |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | $94 | $295 | ★ 4/5 | 134 min | — |
| Exceptional Community Hospital Ardmore | Ardmore, OK | $94 | $295 | — | — | — |
| Bassett Healthcare | Cooperstown, NY | $98 | $112 | ★ 2/5 | 199 min | — |
| Washington County Hosp Inc | Plymouth, NC | $98 | — | — | — | — |
| Mercy Hospital Jefferson | Crystal City, MO | $98 | $274 | ★ 4/5 | 202 min | — |
| Cox Medical Centers | Springfield, MO | $99 | $306 | ★ 3/5 | 219 min | — |
| Mercy Hospital Joplin | Joplin, MO | $99 | $144 | ★ 1/5 | 226 min | — |
| Mercy Hospital Springfield | Springfield, MO | $99 | $252 | ★ 3/5 | 299 min | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Botox for migraine
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $492; Medicare pays $157.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Amerigroup | 130 |
$62 – $324 |
| Medicaid | 183 |
$40 – $368 |
| Univera | 11 |
$10 – $141 |
| Medicare | 314 |
$51 – $349 |
| Independent Health | 16 |
$69 – $349 |
| Highmark | 76 |
$84 – $601 |
| Priority Health | 36 |
$109 – $833 |
| Geisinger | 40 |
$134 – $1,281 |
| Workers' Comp / No-Fault | 59 |
$241 – $848 |
| AmeriHealth | 129 |
$101 – $3,251 |
| Tricare / VA | 213 |
$104 – $439 |
| Molina Healthcare | 433 |
$65 – $2,702 |
| Devoted Health | 128 |
$263 – $355 |
| UCare | 50 |
$95 – $607 |
| UPMC Health Plan | 58 |
$113 – $1,222 |
| Blue Cross Blue Shield | 831 |
$89 – $1,875 |
| Humana | 685 |
$109 – $3,350 |
| Harvard Pilgrim | 33 |
$177 – $758 |
| Kaiser Permanente | 151 |
$83 – $871 |
| Centene / Ambetter | 558 |
$70 – $1,423 |
| MVP Health Care | 47 |
$98 – $974 |
| HealthPartners | 131 |
$116 – $825 |
| Sanford Health Plan | 43 |
$123 – $891 |
| Medica | 117 |
$115 – $1,273 |
| Coventry | 69 |
$187 – $1,227 |
| UnitedHealthcare | 998 |
$104 – $2,751 |
| AvMed | 45 |
$303 – $9,160 |
| Anthem | 401 |
$84 – $4,764 |
| Security Health Plan | 36 |
$281 – $1,142 |
| Health Net | 140 |
$131 – $2,525 |
| SelectHealth | 35 |
$218 – $5,307 |
| MultiPlan / PHCS network | 405 |
$146 – $2,013 |
| EmblemHealth | 57 |
$221 – $12,590 |
| Aetna | 909 |
$128 – $3,701 |
| Bright Health | 43 |
$607 – $2,644 |
| Cigna | 709 |
$167 – $8,253 |
| Healthcare Highways | 30 |
$2,069 – $14,612 |
| Oscar Health | 173 |
$463 – $3,549 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| Tennessee | $103 |
| Mississippi | $133 |
| Arkansas | $196 |
| Vermont | $209 |
| Michigan | $212 |
| Utah | $230 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Violetta Mailyan, D.O. | Family Practice | Glendale, CA | 9,161 |
| Sheila Manhas, M.D. | Neurology | Sun Valley, CA | 2,670 |
| Lusine Apikyan, N.P. | Nurse Practitioner | Los Angeles, CA | 1,134 |
| Steven Herzog, M.D. | Neurology | Dallas, TX | 1,038 |
| Stuart Hetrick, D.O. | Neurology | Phoenix, AZ | 942 |
| Jack Schim, M.D | Neurology | Carlsbad, CA | 609 |
| Eugeniu Muntean, MD | Neurology | Fargo, ND | 508 |
| Jane Davidson, P.A.-C. | Physician Assistant | La Jolla, CA | 458 |
| Christopher O'carroll, M.D. | Neurology | Newport Beach, CA | 449 |
| Jaclyn Duvall, MD | Neurology | Tulsa, OK | 417 |
| Michael Novak, MD | Neurology | Naples, FL | 362 |
| Jenine Rahman, NP, APRN | Nurse Practitioner | Sherman Oaks, CA | 358 |
Does Medicare cover Botox for migraine?
Yes — Medicare generally covers Botox for migraine. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $157. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $31 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 1506 US hospitals across 52 states, the typical (median) cash price is $492, versus a chargemaster (list) price around $832, a median insurer-negotiated rate of $375, a Medicare rate of about $157. Most cash prices fall between $147 and $1,289 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Botox for migraine cost without insurance?
Does Medicare cover Botox for migraine?
What does Medicare pay for Botox for migraine?
Why do Botox for migraine prices vary between hospitals?
Is the cash price lower than using insurance?
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