Botox for migraine cost without insurance
Across 354 US markets, hospitals list an outpatient cash price for Botox injections for chronic migraine from $52.42 to $37,469.21. The median market price is $450.72. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Sep 27, 2026 Each price links to its source file All Steroid injection costs
Lowest$52.42any market
Median market$450.72middle of market medians
Highest$37,469.21any market
Listings700hospital prices
Compared with Medicare
$313.60 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $489.00 across 702 hospitals, is 1.6× that.
Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.
What it is
This code covers injecting botulinum toxin into muscles of the head and neck to prevent chronic migraine, usually every 12 weeks.
What the price covers
The price usually covers the injection. The steroid or other medicine may be billed separately.
Why prices differ
Pain management clinics and ambulatory surgery centers often charge less than hospitals.
What to ask
Ask whether the self-pay price for CPT 64615 includes the medicine.
Prices by state
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$695.94
- Alaska$1,091.88
- Arizona$421.00
- Arkansas$246.75
- California$888.00
- Colorado$1,700.37
- Connecticut$700.20
- Delaware$890.40
- Florida$429.66
- Georgia$781.56
- Hawaii$630.00
- Idaho$818.00
- Illinois$251.38
- Indiana$535.65
- Iowa$358.40
- Kansas$1,490.85
- Kentucky$1,241.33
- Louisiana$132.00
- Maine$93.25
- Maryland$337.00
- Massachusetts$545.52
- Michigan$569.00
- Minnesota$606.61
- Mississippi$181.72
- Missouri$137.33
- Montana$289.33
- Nebraska$268.09
- Nevada$531.00
- New Hampshire$287.04
- New Jersey$384.82
- New York$400.43
- North Carolina$382.10
- North Dakota$207.95
- Ohio$526.50
- Oklahoma$252.70
- Oregon$279.50
- Pennsylvania$476.73
- Rhode Island$355.00
- South Carolina$416.00
- South Dakota$573.37
- Tennessee$158.40
- Texas$556.86
- Vermont$270.40
- Virginia$489.00
- Washington$389.61
- West Virginia$298.60
- Wisconsin$627.90
- Wyoming$405.19
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Ada, MN single city | 1 | $662.88 | $662.88 | $662.88 | 1.0× |
| Ahoskie, NC single city | 1 | $1,313.76 | $1,313.76 | $1,313.76 | 1.0× |
| Anna, IL single city | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Antigo, WI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Ada, OK | 1 | $339.30 | $339.30 | $339.30 | 1.0× |
| Akron, OH | 4 | $301.80 | $620.63 | $1,324.05 | 4.4× |
| Albany, OR both sides | 2 | $424.00 | $424.00 | $424.00 | 1.0× |
| Albany-Schenectady-Troy, NY | 1 | $37,469.21 | $37,469.21 | $37,469.21 | 1.0× |
| Albemarle, NC both sides | 1 | $1,460.50 | $1,460.50 | $1,460.50 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $1,871.20 | $1,871.20 | $1,871.20 | 1.0× |
| Anchorage, AK | 1 | $1,248.00 | $1,248.00 | $1,248.00 | 1.0× |
| Ann Arbor, MI | 1 | $402.40 | $402.40 | $402.40 | 1.0× |
| Appleton, WI | 3 | $449.73 | $732.98 | $732.98 | 1.6× |
| Ardmore, OK | 2 | $80.60 | $148.68 | $216.75 | 2.7× |
| Asheville, NC | 1 | $2,031.00 | $2,031.00 | $2,031.00 | 1.0× |
| Ashland, OH | 1 | $762.75 | $762.75 | $762.75 | 1.0× |
| Athens, OH | 1 | $746.85 | $746.85 | $746.85 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 19 | $499.50 | $781.56 | $953.00 | 1.9× |
| Atlanta-Sandy Springs-Roswell, GA both sides | 1 | $494.00 | $494.00 | $494.00 | 1.0× |
| Atlantic City-Hammonton, NJ | 1 | $397.14 | $397.14 | $397.14 | 1.0× |
| Auburn, IN | 1 | $651.00 | $651.00 | $651.00 | 1.0× |
| Auburn-Opelika, AL | 1 | $475.75 | $475.75 | $475.75 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $781.56 | $781.56 | $781.56 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 8 | $556.86 | $556.86 | $1,742.00 | 3.1× |
| Austin-Round Rock-San Marcos, TX both sides | 1 | $677.37 | $677.37 | $677.37 | 1.0× |
| Bad Axe, MI both sides single city | 1 | $138.10 | $138.10 | $138.10 | 1.0× |
| Berlin, WI single city | 1 | $732.98 | $732.98 | $732.98 | 1.0× |
| Big Stone Gap, VA single city | 1 | $56.85 | $56.85 | $56.85 | 1.0× |
| Bryan, OH single city | 1 | $409.00 | $409.00 | $409.00 | 1.0× |
| Buckhannon, WV single city | 1 | $131.00 | $131.00 | $131.00 | 1.0× |
| Bakersfield-Delano, CA | 1 | $196.10 | $196.10 | $196.10 | 1.0× |
| Baltimore-Columbia-Towson, MD | 1 | $337.00 | $337.00 | $337.00 | 1.0× |
| Baltimore-Columbia-Towson, MD both sides | 1 | $697.60 | $697.60 | $697.60 | 1.0× |
| Bangor, ME | 1 | $69.51 | $69.51 | $69.51 | 1.0× |
| Barre, VT | 1 | $755.06 | $755.06 | $755.06 | 1.0× |
| Batavia, NY | 1 | $318.36 | $318.36 | $318.36 | 1.0× |
| Bay City, MI both sides | 1 | $167.00 | $167.00 | $167.00 | 1.0× |
| Beaver Dam, WI both sides | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Bellingham, WA | 1 | $117.65 | $117.65 | $117.65 | 1.0× |
| Bemidji, MN | 1 | $570.40 | $570.40 | $570.40 | 1.0× |
| Bennington, VT | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Big Rapids, MI | 1 | $569.00 | $569.00 | $569.00 | 1.0× |
| Birmingham, AL | 1 | $916.13 | $916.13 | $916.13 | 1.0× |
| Bismarck, ND | 2 | $147.39 | $438.90 | $730.40 | 5.0× |
| Blackfoot, ID | 1 | $459.20 | $459.20 | $459.20 | 1.0× |
| Bluefield, WV-VA | 1 | $332.00 | $332.00 | $332.00 | 1.0× |
| Boise City, ID | 4 | $240.50 | $529.25 | $818.00 | 3.4× |
| Boston-Cambridge-Newton, MA-NH | 6 | $282.15 | $492.98 | $1,350.00 | 4.8× |
| Boulder, CO | 1 | $1,700.37 | $1,700.37 | $1,700.37 | 1.0× |
| Bozeman, MT | 1 | $339.20 | $339.20 | $339.20 | 1.0× |
| Brattleboro, VT | 1 | $178.50 | $178.50 | $178.50 | 1.0× |
| Brenham, TX | 1 | $423.90 | $423.90 | $423.90 | 1.0× |
| Buffalo-Cheektowaga, NY | 4 | $639.00 | $639.00 | $3,710.00 | 5.8× |
| Burlington-South Burlington, VT | 1 | $612.00 | $612.00 | $612.00 | 1.0× |
| Cades, SC single city | 1 | $301.00 | $301.00 | $301.00 | 1.0× |
| Caro, MI both sides single city | 1 | $138.10 | $138.10 | $138.10 | 1.0× |
| Cedar Rapids, IA single city | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Columbus, NC single city | 1 | $728.49 | $728.49 | $728.49 | 1.0× |
| Concord, NC both sides single city | 1 | $1,402.05 | $1,402.05 | $1,402.05 | 1.0× |
| Corning, IA single city | 1 | $134.88 | $134.88 | $134.88 | 1.0× |
| Coudersport, PA single city | 1 | $67.80 | $67.80 | $67.80 | 1.0× |
| Cambridge, OH | 1 | $412.75 | $412.75 | $412.75 | 1.0× |
| Canton-Massillon, OH | 1 | $1,324.05 | $1,324.05 | $1,324.05 | 1.0× |
| Cape Coral-Fort Myers, FL | 5 | $354.20 | $354.20 | $354.20 | 1.0× |
| Cape Girardeau, MO-IL | 2 | $83.85 | $232.80 | $381.75 | 4.6× |
| Cedar Rapids, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Charleston, WV | 1 | $362.00 | $362.00 | $362.00 | 1.0× |
| Charleston-Mattoon, IL | 1 | $882.72 | $882.72 | $882.72 | 1.0× |
| Charleston-North Charleston, SC | 1 | $416.00 | $416.00 | $416.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC both sides | 11 | $1,402.05 | $1,402.05 | $1,443.00 | 1.0× |
| Charlottesville, VA | 1 | $562.00 | $562.00 | $562.00 | 1.0× |
| Charlottesville, VA both sides | 1 | $562.00 | $562.00 | $562.00 | 1.0× |
| Chattanooga, TN-GA | 1 | $158.40 | $158.40 | $158.40 | 1.0× |
| Cheyenne, WY | 1 | $405.19 | $405.19 | $405.19 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 25 | $156.37 | $339.00 | $3,988.25 | 25.5× |
| Chicago-Naperville-Elgin, IL-IN both sides | 10 | $156.37 | $487.50 | $1,008.00 | 6.4× |
| Cincinnati, OH-KY-IN | 6 | $339.20 | $642.75 | $1,218.00 | 3.6× |
| Clarksburg, WV | 1 | $353.00 | $353.00 | $353.00 | 1.0× |
| Cleveland, OH | 20 | $78.53 | $923.78 | $1,324.05 | 16.9× |
| College Station-Bryan, TX | 1 | $423.90 | $423.90 | $423.90 | 1.0× |
| Columbia, MO | 1 | $217.80 | $217.80 | $217.80 | 1.0× |
| Columbia, MO both sides | 2 | $393.00 | $546.30 | $699.60 | 1.8× |
| Columbus, NE | 1 | $238.85 | $238.85 | $238.85 | 1.0× |
| Columbus, OH | 12 | $426.61 | $1,087.45 | $1,292.20 | 3.0× |
| Columbus, OH both sides | 1 | $315.00 | $315.00 | $315.00 | 1.0× |
| Corbin, KY | 1 | $1,241.33 | $1,241.33 | $1,241.33 | 1.0× |
| Corning, NY | 3 | $52.42 | $221.38 | $400.43 | 7.6× |
| Cortland, NY | 1 | $400.43 | $400.43 | $400.43 | 1.0× |
| Corvallis, OR both sides | 1 | $424.00 | $424.00 | $424.00 | 1.0× |
| Cumberland, MD-WV | 1 | $131.00 | $131.00 | $131.00 | 1.0× |
| Decorah, IA single city | 1 | $458.50 | $458.50 | $458.50 | 1.0× |
| Dillon, MT single city | 1 | $969.00 | $969.00 | $969.00 | 1.0× |
| Durham, NC single city | 1 | $293.00 | $293.00 | $293.00 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 20 | $430.50 | $556.86 | $1,673.38 | 3.9× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $358.40 | $616.60 | $918.60 | 2.6× |
| Dayton-Kettering-Beavercreek, OH | 7 | $339.20 | $339.20 | $840.70 | 2.5× |
| Decatur, IN | 1 | $471.00 | $471.00 | $471.00 | 1.0× |
| Denver-Aurora-Centennial, CO | 7 | $189.82 | $1,700.37 | $1,700.37 | 9.0× |
| Denver-Aurora-Centennial, CO both sides | 1 | $617.50 | $617.50 | $617.50 | 1.0× |
| Des Moines-West Des Moines, IA | 2 | $352.30 | $355.35 | $358.40 | 1.0× |
| Detroit-Warren-Dearborn, MI | 8 | $782.25 | $1,084.00 | $1,314.00 | 1.7× |
| Detroit-Warren-Dearborn, MI both sides | 8 | $138.10 | $167.98 | $168.95 | 1.2× |
| Dickinson, ND | 1 | $64.89 | $64.89 | $64.89 | 1.0× |
| Dover, DE | 1 | $890.40 | $890.40 | $890.40 | 1.0× |
| Dubuque, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Duluth, MN-WI | 9 | $525.50 | $592.02 | $662.88 | 1.3× |
| Durant, OK | 1 | $3,617.28 | $3,617.28 | $3,617.28 | 1.0× |
| Durham-Chapel Hill, NC | 1 | $288.00 | $288.00 | $288.00 | 1.0× |
| Eagle River, WI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Edenton, NC single city | 1 | $489.44 | $489.44 | $489.44 | 1.0× |
| Estherville, IA single city | 1 | $792.49 | $792.49 | $792.49 | 1.0× |
| Eau Claire, WI | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Eau Claire, WI both sides | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Elizabeth City, NC | 1 | $425.00 | $425.00 | $425.00 | 1.0× |
| Elizabethtown, KY | 1 | $1,241.33 | $1,241.33 | $1,241.33 | 1.0× |
| Elmira, NY | 2 | $52.42 | $52.42 | $52.42 | 1.0× |
| Evansville, IN | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Farmington, CT single city | 1 | $700.20 | $700.20 | $700.20 | 1.0× |
| Farmington, ME single city | 1 | $286.10 | $286.10 | $286.10 | 1.0× |
| Fremont, MI single city | 1 | $569.00 | $569.00 | $569.00 | 1.0× |
| Fairbanks-College, AK | 1 | $935.75 | $935.75 | $935.75 | 1.0× |
| Fargo, ND-MN | 2 | $268.50 | $453.45 | $638.40 | 2.4× |
| Fayetteville-Springdale-Rogers, AR | 1 | $98.15 | $98.15 | $98.15 | 1.0× |
| Flint, MI both sides | 1 | $138.10 | $138.10 | $138.10 | 1.0× |
| Fond du Lac, WI | 1 | $732.98 | $732.98 | $732.98 | 1.0× |
| Fort Dodge, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Fort Smith, AR-OK | 1 | $98.15 | $98.15 | $98.15 | 1.0× |
| Fort Wayne, IN | 7 | $69.60 | $87.00 | $673.00 | 9.7× |
| Fresno, CA | 3 | $888.00 | $888.00 | $918.40 | 1.0× |
| Gassaway, WV single city | 1 | $131.00 | $131.00 | $131.00 | 1.0× |
| Graceville, MN single city | 1 | $662.88 | $662.88 | $662.88 | 1.0× |
| Grinnell, IA single city | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Gainesville, FL | 1 | $606.10 | $606.10 | $606.10 | 1.0× |
| Grand Forks, ND-MN | 1 | $662.88 | $662.88 | $662.88 | 1.0× |
| Grand Junction, CO | 1 | $940.24 | $940.24 | $940.24 | 1.0× |
| Grand Rapids, MN | 2 | $283.05 | $472.97 | $662.88 | 2.3× |
| Grand Rapids-Wyoming-Kentwood, MI | 5 | $310.00 | $512.00 | $569.00 | 1.8× |
| Green Bay, WI | 1 | $270.39 | $270.39 | $270.39 | 1.0× |
| Green Bay, WI both sides | 1 | $510.00 | $510.00 | $510.00 | 1.0× |
| Greencastle, IN | 1 | $600.30 | $600.30 | $600.30 | 1.0× |
| Greeneville, TN | 1 | $56.85 | $56.85 | $56.85 | 1.0× |
| Greensboro-High Point, NC both sides | 1 | $257.00 | $257.00 | $257.00 | 1.0× |
| Greenville, NC | 1 | $339.20 | $339.20 | $339.20 | 1.0× |
| Hartford, CT single city | 2 | $290.40 | $502.70 | $715.00 | 2.5× |
| Hagerstown-Martinsburg, MD-WV | 1 | $353.00 | $353.00 | $353.00 | 1.0× |
| Hailey, ID | 1 | $818.00 | $818.00 | $818.00 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $458.45 | $603.91 | $635.76 | 1.4× |
| Harrisonburg, VA | 1 | $562.00 | $562.00 | $562.00 | 1.0× |
| Harrisonburg, VA both sides | 1 | $562.00 | $562.00 | $562.00 | 1.0× |
| Helena, MT | 1 | $239.46 | $239.46 | $239.46 | 1.0× |
| Henderson, KY | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Hermitage, PA | 1 | $594.60 | $594.60 | $594.60 | 1.0× |
| Holland, MI | 2 | $231.00 | $287.09 | $343.17 | 1.5× |
| Houghton, MI | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 4 | $283.25 | $1,012.63 | $3,542.51 | 12.5× |
| Houston-Pasadena-The Woodlands, TX both sides | 1 | $677.37 | $677.37 | $677.37 | 1.0× |
| Huntington, IN | 1 | $641.50 | $641.50 | $641.50 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 3 | $151.28 | $280.00 | $333.76 | 2.2× |
| Iron River, MI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Ironwood, MI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 5 | $358.53 | $604.80 | $853.20 | 2.4× |
| Indianapolis-Carmel-Greenwood, IN both sides | 1 | $753.60 | $753.60 | $753.60 | 1.0× |
| Ithaca, NY | 1 | $205.80 | $205.80 | $205.80 | 1.0× |
| Jackson, MI both sides | 1 | $151.00 | $151.00 | $151.00 | 1.0× |
| Jackson, MS both sides | 1 | $160.44 | $160.44 | $160.44 | 1.0× |
| Jacksonville, FL | 5 | $412.18 | $429.66 | $429.66 | 1.0× |
| Jacksonville, FL both sides | 1 | $434.75 | $434.75 | $434.75 | 1.0× |
| Jamestown-Dunkirk, NY | 1 | $75.90 | $75.90 | $75.90 | 1.0× |
| Jasper, IN | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Johnson City, TN | 3 | $56.85 | $56.85 | $56.85 | 1.0× |
| Jonesboro, AR both sides | 1 | $102.98 | $102.98 | $102.98 | 1.0× |
| Joplin, MO-KS | 2 | $99.45 | $234.98 | $370.50 | 3.7× |
| Kenton, OH single city | 1 | $807.30 | $807.30 | $807.30 | 1.0× |
| Kansas City, MO-KS | 4 | $175.20 | $1,451.65 | $2,728.09 | 15.6× |
| Kendallville, IN | 1 | $653.00 | $653.00 | $653.00 | 1.0× |
| Killeen-Temple, TX | 3 | $423.90 | $423.90 | $423.90 | 1.0× |
| Kingsport-Bristol, TN-VA | 5 | $56.85 | $56.85 | $56.85 | 1.0× |
| Ladysmith, WI both sides single city | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| LaGrange, IN single city | 1 | $644.50 | $644.50 | $644.50 | 1.0× |
| Lebanon, VA single city | 1 | $56.85 | $56.85 | $56.85 | 1.0× |
| Loveland, CO both sides single city | 1 | $260.15 | $260.15 | $260.15 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $233.60 | $233.60 | $233.60 | 1.0× |
| LaGrange, GA-AL | 1 | $781.56 | $781.56 | $781.56 | 1.0× |
| Lakeland-Winter Haven, FL both sides | 1 | $748.00 | $748.00 | $748.00 | 1.0× |
| Lancaster, PA | 1 | $556.32 | $556.32 | $556.32 | 1.0× |
| Lansing-East Lansing, MI | 1 | $168.85 | $168.85 | $168.85 | 1.0× |
| Lansing-East Lansing, MI both sides | 1 | $138.10 | $138.10 | $138.10 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $201.35 | $201.35 | $201.35 | 1.0× |
| Lewiston-Auburn, ME | 1 | $89.30 | $89.30 | $89.30 | 1.0× |
| Lexington-Fayette, KY | 2 | $506.34 | $873.84 | $1,241.33 | 2.5× |
| Lima, OH | 1 | $328.50 | $328.50 | $328.50 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 2 | $468.00 | $8,633.59 | $16,799.17 | 35.9× |
| Logansport, IN | 1 | $92.58 | $92.58 | $92.58 | 1.0× |
| Longview-Kelso, WA | 1 | $182.65 | $182.65 | $182.65 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 15 | $540.80 | $540.80 | $1,365.34 | 2.5× |
| Louisville/Jefferson County, KY-IN | 4 | $165.00 | $1,241.33 | $1,241.33 | 7.5× |
| Ludington, MI | 1 | $569.00 | $569.00 | $569.00 | 1.0× |
| Magazine, AR single city | 1 | $246.75 | $246.75 | $246.75 | 1.0× |
| Malone, NY single city | 1 | $900.00 | $900.00 | $900.00 | 1.0× |
| Mansfield, AR single city | 1 | $246.75 | $246.75 | $246.75 | 1.0× |
| Marble Falls, TX single city | 1 | $423.90 | $423.90 | $423.90 | 1.0× |
| Marion, VA single city | 1 | $56.85 | $56.85 | $56.85 | 1.0× |
| McCall, ID single city | 1 | $818.00 | $818.00 | $818.00 | 1.0× |
| Medford, WI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Merrill, WI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Minocqua, WI both sides single city | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Montpelier, OH single city | 1 | $409.00 | $409.00 | $409.00 | 1.0× |
| Morganfield, KY single city | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Macon-Bibb County, GA both sides | 1 | $1,386.50 | $1,386.50 | $1,386.50 | 1.0× |
| Madison, WI | 2 | $561.60 | $594.75 | $627.90 | 1.1× |
| Manchester-Nashua, NH | 2 | $287.04 | $425.83 | $564.62 | 2.0× |
| Manhattan, KS | 2 | $241.60 | $247.60 | $253.60 | 1.0× |
| Mansfield, OH | 2 | $565.50 | $565.50 | $565.50 | 1.0× |
| Marietta, OH | 2 | $143.67 | $183.02 | $222.36 | 1.5× |
| Marion, OH | 1 | $526.50 | $526.50 | $526.50 | 1.0× |
| Marion-Herrin, IL | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Marshalltown, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Mason City, IA | 1 | $196.95 | $196.95 | $196.95 | 1.0× |
| Massena-Ogdensburg, NY | 2 | $398.55 | $401.40 | $404.24 | 1.0× |
| Memphis, TN-MS-AR | 6 | $181.72 | $181.72 | $181.72 | 1.0× |
| Memphis, TN-MS-AR both sides | 5 | $81.30 | $113.82 | $130.08 | 1.6× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 4 | $278.00 | $674.55 | $1,654.90 | 6.0× |
| Michigan City-La Porte, IN | 1 | $104.61 | $104.61 | $104.61 | 1.0× |
| Milwaukee-Waukesha, WI | 1 | $316.25 | $316.25 | $316.25 | 1.0× |
| Milwaukee-Waukesha, WI both sides | 6 | $510.00 | $510.00 | $510.00 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 15 | $228.28 | $606.61 | $1,447.54 | 6.3× |
| Minneapolis-St. Paul-Bloomington, MN-WI both sides | 1 | $1,706.00 | $1,706.00 | $1,706.00 | 1.0× |
| Modesto, CA | 1 | $918.40 | $918.40 | $918.40 | 1.0× |
| Morgantown, WV | 1 | $392.00 | $392.00 | $392.00 | 1.0× |
| Mount Pleasant, MI both sides | 1 | $167.00 | $167.00 | $167.00 | 1.0× |
| Mount Vernon, IL | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $264.80 | $264.80 | $264.80 | 1.0× |
| Muscatine, IA | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Muskogee, OK | 1 | $252.70 | $252.70 | $252.70 | 1.0× |
| Nebraska City, NE single city | 1 | $268.09 | $268.09 | $268.09 | 1.0× |
| Neillsville, WI both sides single city | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| New Hampton, IA single city | 1 | $227.50 | $227.50 | $227.50 | 1.0× |
| New Hampton, IA both sides single city | 1 | $300.95 | $300.95 | $300.95 | 1.0× |
| New London, WI single city | 1 | $732.98 | $732.98 | $732.98 | 1.0× |
| New Martinsville, WV single city | 1 | $367.50 | $367.50 | $367.50 | 1.0× |
| Newport, VT single city | 1 | $324.80 | $324.80 | $324.80 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $163.56 | $234.06 | $304.56 | 1.9× |
| Natchitoches, LA | 1 | $293.60 | $293.60 | $293.60 | 1.0× |
| New Castle, IN | 1 | $322.49 | $322.49 | $322.49 | 1.0× |
| New Orleans-Metairie, LA | 7 | $113.54 | $123.20 | $322.96 | 2.8× |
| New Philadelphia-Dover, OH | 1 | $1,324.05 | $1,324.05 | $1,324.05 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 34 | $151.87 | $362.53 | $1,889.35 | 12.4× |
| New York-Newark-Jersey City, NY-NJ both sides | 5 | $2,610.00 | $2,610.00 | $2,610.00 | 1.0× |
| Newport, OR both sides | 2 | $424.00 | $424.00 | $424.00 | 1.0× |
| Niles, MI | 2 | $276.00 | $276.00 | $276.00 | 1.0× |
| Norfolk, NE | 1 | $236.04 | $236.04 | $236.04 | 1.0× |
| Ogallala, NE both sides single city | 1 | $169.18 | $169.18 | $169.18 | 1.0× |
| Olivia, MN single city | 1 | $491.66 | $491.66 | $491.66 | 1.0× |
| Olla, LA single city | 1 | $722.40 | $722.40 | $722.40 | 1.0× |
| Olla, LA both sides single city | 1 | $722.40 | $722.40 | $722.40 | 1.0× |
| Ontario, CA single city | 1 | $540.80 | $540.80 | $540.80 | 1.0× |
| Ocean Pines, MD both sides | 1 | $371.00 | $371.00 | $371.00 | 1.0× |
| Oklahoma City, OK | 3 | $80.60 | $82.30 | $216.75 | 2.7× |
| Omaha, NE-IA | 3 | $137.69 | $477.75 | $477.75 | 3.5× |
| Ontario, OR-ID | 1 | $231.40 | $231.40 | $231.40 | 1.0× |
| Orangeburg, SC | 1 | $416.00 | $416.00 | $416.00 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 3 | $606.10 | $606.10 | $893.00 | 1.5× |
| Orlando-Kissimmee-Sanford, FL both sides | 4 | $748.00 | $748.00 | $748.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $732.98 | $732.98 | $732.98 | 1.0× |
| Othello, WA both sides | 1 | $111.30 | $111.30 | $111.30 | 1.0× |
| Ottawa, KS | 1 | $2,728.09 | $2,728.09 | $2,728.09 | 1.0× |
| Paris, AR single city | 1 | $246.75 | $246.75 | $246.75 | 1.0× |
| Park Falls, WI both sides single city | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Petersburg, WV single city | 1 | $470.40 | $470.40 | $470.40 | 1.0× |
| Pikeville, TN single city | 1 | $86.70 | $86.70 | $86.70 | 1.0× |
| Polson, MT single city | 1 | $180.80 | $180.80 | $180.80 | 1.0× |
| Presque Isle, ME both sides single city | 1 | $66.78 | $66.78 | $66.78 | 1.0× |
| Princeton, IN single city | 1 | $138.95 | $138.95 | $138.95 | 1.0× |
| Punxsutawney, PA single city | 1 | $498.24 | $498.24 | $498.24 | 1.0× |
| Paducah, KY-IL | 2 | $524.40 | $882.87 | $1,241.33 | 2.4× |
| Palm Bay-Melbourne-Titusville, FL both sides | 1 | $748.00 | $748.00 | $748.00 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $353.00 | $353.00 | $353.00 | 1.0× |
| Peru, IN | 1 | $145.00 | $145.00 | $145.00 | 1.0× |
| Petoskey, MI both sides | 1 | $167.00 | $167.00 | $167.00 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 10 | $376.67 | $421.00 | $421.00 | 1.1× |
| Phoenix-Mesa-Chandler, AZ both sides | 2 | $74.65 | $119.31 | $163.96 | 2.2× |
| Pittsburgh, PA | 8 | $65.55 | $351.40 | $667.20 | 10.2× |
| Plattsburgh, NY | 1 | $818.00 | $818.00 | $818.00 | 1.0× |
| Port St. Lucie, FL | 1 | $1,654.90 | $1,654.90 | $1,654.90 | 1.0× |
| Port Townsend, WA | 1 | $680.00 | $680.00 | $680.00 | 1.0× |
| Portland-South Portland, ME | 3 | $82.68 | $97.20 | $368.40 | 4.5× |
| Portland-Vancouver-Hillsboro, OR-WA | 6 | $279.50 | $279.50 | $871.65 | 3.1× |
| Portland-Vancouver-Hillsboro, OR-WA both sides | 1 | $239.20 | $239.20 | $239.20 | 1.0× |
| Portsmouth, OH | 1 | $387.85 | $387.85 | $387.85 | 1.0× |
| Providence-Warwick, RI-MA | 2 | $355.00 | $883.06 | $1,411.11 | 4.0× |
| Reed City, MI single city | 1 | $569.00 | $569.00 | $569.00 | 1.0× |
| Rhinelander, WI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Richmond, CA single city | 1 | $918.40 | $918.40 | $918.40 | 1.0× |
| Ripley, WV single city | 1 | $294.00 | $294.00 | $294.00 | 1.0× |
| Racine-Mount Pleasant, WI both sides | 2 | $510.00 | $510.00 | $510.00 | 1.0× |
| Raleigh-Cary, NC | 1 | $293.00 | $293.00 | $293.00 | 1.0× |
| Rapid City, SD | 1 | $573.37 | $573.37 | $573.37 | 1.0× |
| Reading, PA | 1 | $499.13 | $499.13 | $499.13 | 1.0× |
| Reno, NV | 1 | $531.00 | $531.00 | $531.00 | 1.0× |
| Rice Lake, WI both sides | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Richmond-Berea, KY | 1 | $1,241.33 | $1,241.33 | $1,241.33 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 4 | $540.80 | $540.80 | $868.23 | 1.6× |
| Rochester, NY | 6 | $180.50 | $391.40 | $449.22 | 2.5× |
| Sandstone, MN single city | 1 | $662.88 | $662.88 | $662.88 | 1.0× |
| Sistersville, WV single city | 1 | $298.60 | $298.60 | $298.60 | 1.0× |
| South Boston, VA single city | 1 | $489.00 | $489.00 | $489.00 | 1.0× |
| St. Johnsbury, VT single city | 1 | $216.00 | $216.00 | $216.00 | 1.0× |
| St. Paul, MN single city | 1 | $1,447.54 | $1,447.54 | $1,447.54 | 1.0× |
| Suffolk, VA single city | 1 | $489.00 | $489.00 | $489.00 | 1.0× |
| Suffolk, VA both sides single city | 1 | $489.00 | $489.00 | $489.00 | 1.0× |
| Summersville, WV single city | 1 | $131.00 | $131.00 | $131.00 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $918.40 | $918.40 | $918.40 | 1.0× |
| Salem, OR | 3 | $143.63 | $143.63 | $279.50 | 1.9× |
| Salinas, CA | 1 | $381.00 | $381.00 | $381.00 | 1.0× |
| Salt Lake City-Murray, UT both sides | 1 | $283.50 | $283.50 | $283.50 | 1.0× |
| San Antonio-New Braunfels, TX | 1 | $141.25 | $141.25 | $141.25 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $348.15 | $540.80 | $540.80 | 1.6× |
| San Francisco-Oakland-Fremont, CA | 9 | $918.40 | $918.40 | $918.40 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 4 | $319.00 | $918.40 | $2,707.50 | 8.5× |
| San Jose-Sunnyvale-Santa Clara, CA both sides | 1 | $1,085.60 | $1,085.60 | $1,085.60 | 1.0× |
| Santa Rosa-Petaluma, CA | 1 | $918.40 | $918.40 | $918.40 | 1.0× |
| Sayre, PA | 3 | $400.43 | $400.43 | $400.43 | 1.0× |
| Seaford, DE | 1 | $890.40 | $890.40 | $890.40 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 5 | $146.88 | $450.72 | $1,942.20 | 13.2× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $1,654.90 | $1,654.90 | $1,654.90 | 1.0× |
| Sebastian-Vero Beach-West Vero Corridor, FL both sides | 1 | $748.00 | $748.00 | $748.00 | 1.0× |
| Shawano, WI | 1 | $732.98 | $732.98 | $732.98 | 1.0× |
| Shelby-Kings Mountain, NC both sides | 1 | $1,402.05 | $1,402.05 | $1,402.05 | 1.0× |
| Shelbyville, TN | 1 | $163.56 | $163.56 | $163.56 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Sioux Falls, SD-MN both sides | 1 | $752.00 | $752.00 | $752.00 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $123.20 | $123.20 | $123.20 | 1.0× |
| Springfield, MA | 1 | $513.00 | $513.00 | $513.00 | 1.0× |
| Springfield, MO | 2 | $99.45 | $99.45 | $99.45 | 1.0× |
| St. Louis, MO-IL | 5 | $83.85 | $83.85 | $1,408.32 | 16.8× |
| Staunton-Stuarts Draft, VA | 1 | $387.50 | $387.50 | $387.50 | 1.0× |
| Stevens Point-Plover, WI | 2 | $627.90 | $627.90 | $627.90 | 1.0× |
| Stevens Point-Plover, WI both sides | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Stockton-Lodi, CA | 1 | $918.40 | $918.40 | $918.40 | 1.0× |
| Storm Lake, IA | 1 | $228.00 | $228.00 | $228.00 | 1.0× |
| Tell City, IN single city | 1 | $1,591.80 | $1,591.80 | $1,591.80 | 1.0× |
| Temple, TX single city | 1 | $423.90 | $423.90 | $423.90 | 1.0× |
| Tomahawk, WI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Torrington, CT single city | 1 | $715.00 | $715.00 | $715.00 | 1.0× |
| Two Harbors, MN single city | 1 | $795.02 | $795.02 | $795.02 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 3 | $377.65 | $526.50 | $1,358.89 | 3.6× |
| Tampa-St. Petersburg-Clearwater, FL both sides | 2 | $748.00 | $748.00 | $748.00 | 1.0× |
| Terre Haute, IN | 1 | $664.79 | $664.79 | $664.79 | 1.0× |
| Toledo, OH | 1 | $310.80 | $310.80 | $310.80 | 1.0× |
| Toledo, OH both sides | 1 | $558.00 | $558.00 | $558.00 | 1.0× |
| Traverse City, MI | 1 | $952.00 | $952.00 | $952.00 | 1.0× |
| Trenton-Princeton, NJ | 2 | $13,177.00 | $13,177.00 | $13,177.00 | 1.0× |
| Truckee-Grass Valley, CA | 1 | $531.00 | $531.00 | $531.00 | 1.0× |
| Tucson, AZ both sides | 1 | $235.59 | $235.59 | $235.59 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $163.56 | $163.56 | $163.56 | 1.0× |
| Tulsa, OK | 2 | $252.70 | $252.70 | $252.70 | 1.0× |
| Twin Falls, ID | 1 | $818.00 | $818.00 | $818.00 | 1.0× |
| Urban Honolulu, HI | 1 | $630.00 | $630.00 | $630.00 | 1.0× |
| Vinita, OK single city | 1 | $252.70 | $252.70 | $252.70 | 1.0× |
| Vallejo, CA | 3 | $434.81 | $918.40 | $918.40 | 2.1× |
| Van Wert, OH | 1 | $487.50 | $487.50 | $487.50 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 7 | $186.00 | $489.00 | $489.00 | 2.6× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC both sides | 5 | $489.00 | $489.00 | $489.00 | 1.0× |
| Wallingford, CT single city | 1 | $271.24 | $271.24 | $271.24 | 1.0× |
| Waupaca, WI single city | 1 | $732.98 | $732.98 | $732.98 | 1.0× |
| Wellsville, NY single city | 1 | $141.92 | $141.92 | $141.92 | 1.0× |
| Wild Rose, WI single city | 1 | $732.98 | $732.98 | $732.98 | 1.0× |
| Woodruff, WI single city | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Wabash, IN | 1 | $660.00 | $660.00 | $660.00 | 1.0× |
| Waco, TX | 1 | $423.90 | $423.90 | $423.90 | 1.0× |
| Warrensburg, MO | 1 | $1,600.00 | $1,600.00 | $1,600.00 | 1.0× |
| Washington, NC | 1 | $339.20 | $339.20 | $339.20 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 6 | $489.00 | $518.00 | $518.00 | 1.1× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV both sides | 1 | $489.00 | $489.00 | $489.00 | 1.0× |
| Waterloo-Cedar Falls, IA | 2 | $358.40 | $363.20 | $368.00 | 1.0× |
| Wausau, WI | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Wausau, WI both sides | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $127.00 | $127.00 | $127.00 | 1.0× |
| Wenatchee-East Wenatchee, WA | 1 | $328.50 | $328.50 | $328.50 | 1.0× |
| West Plains, MO | 1 | $381.55 | $381.55 | $381.55 | 1.0× |
| Wheeling, WV-OH | 3 | $133.50 | $200.00 | $487.50 | 3.7× |
| Whitewater-Elkhorn, WI both sides | 1 | $510.00 | $510.00 | $510.00 | 1.0× |
| Williamsport, PA | 1 | $783.00 | $783.00 | $783.00 | 1.0× |
| Williston, ND | 1 | $59.74 | $59.74 | $59.74 | 1.0× |
| Winston-Salem, NC both sides | 2 | $243.00 | $249.75 | $256.50 | 1.1× |
| Wisconsin Rapids-Marshfield, WI | 1 | $627.90 | $627.90 | $627.90 | 1.0× |
| Wisconsin Rapids-Marshfield, WI both sides | 1 | $397.10 | $397.10 | $397.10 | 1.0× |
| Worcester, MA | 3 | $1,049.00 | $1,173.00 | $1,176.00 | 1.1× |
| Yuma, AZ | 1 | $423.80 | $423.80 | $423.80 | 1.0× |
Common questions
Is the Botox itself included?
No. The drug is billed separately and usually costs more than the injection.
Who qualifies?
Adults with headaches on 15 or more days a month, at least 8 of them migraines.
How much does Medicare pay for CPT 64615 (Botox for migraine)?
$313.60 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $489.00 across 702 hospitals, is 1.6× that.
Other steroid injection prices
Median hospital cash price, one per hospital.