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Content Reviewed by AEDIT Medical Advisory Board
What is the average cost of Xeomin®?
According to the American Society of Plastic Surgeons (ASPS), the average cost of a Xeomin® injection procedure in 2019 was $408. It is important to note that this is a general cost estimate based on cost per unit of Xeomin®, the provider, and the location of the facility. For candidates considering Xeomin®, the total cost of the cosmetic procedure will be largely determined by the number of Xeomin® units used which is specific to the area being treated.
- Average Cost of Xeomin®: $375
- Price Range for Xeomin®: $100 - $2,000
‘Botox’ has been a catch all term for cosmetic botulinum toxin type A (BoNT-A) injections since it was first approved by the United States Food and Drug Administration (FDA) for the cosmetic treatment of glabellar lines in April 2002. In reality, Botox® (onabotulinumtoxina) specifically refers to the formulation manufactured by Allergan, which is estimated to have about 80 percent of the BoNT-A injection market. Competitors include Dysport®, Jeaveau®, and Xeomin®.
Xeomin® (incobotulinumtoxinA) by Merz is a formulation that was FDA-approved to treat frown lines in 2011. Unlike it’s fellow neurotoxins, Xeomin® does not include complex proteins, which allows it to be stored outside the refrigerator for a slightly more comfortable injection. Lately, it’s garnered also attention for being a ‘pure’ or ‘clean’ alternative to Botox®. And while that’s up for debate, there is no denying that patients who develop antibody resistance to the protective proteins in other BoNT-A injections might find success with Xeomin®.
Factors to Consider in the Total Cost of a Xeomin® Procedure
|Procedure Area||Fine lines & wrinkles, hyperhidrosis, calf reduction, etc.|
|Provider||Training, experience, specialty|
|Consultation Fee||May or may not be applied towards procedure cost|
|Cost per Unit||Dependent on provider and location|
|Location||Provider fees vary by region|
|Maintenance||Cadence of follow-up treatments|
What affects the cost of Xeomin®?
The cost of a Xeomin® treatment will be affected by numerous factors. The actual cost of the Xeomin® units, the time of the injector performing the procedure, the concern area being treated, the desired results, your geographic location, and the supplies used during the procedure all affect cost.
It is also important to remember that Xeomin® is temporary. Results, in some cases, can only be achieved through numerous initial treatments, and all results can only be maintained with consistent sessions. For example, if your crow’s feet procedure costs $300 and maintenance is needed every three to four months, your cost per year to maintain results will be $900 to $1,200.
Many facilities and providers have discounts, special offers, and/or rewards programs for regular Xeomin® patients to reduce the financial impact of repeated maintenance sessions. Looking into these types of programs and incentives in your area can be beneficial in reducing costs.
The table below reviews the average price per session for areas typically treated with Xeomin®.
Average Xeomin® Cost by Treatment Area
|Treatment Area||Cost Range|
|Forehead (horizontal lines)||$225 to $700|
|Glabellar Lines (frown lines)||$175 to $700|
|Crow’s Feet||$250 to $700|
|Brow||$150 to $950|
|Nose||$150 to $950|
|Chin||$250 to $950|
|Jawline||$450 to $1,400|
What does the cost of Xeomin® include?
You might be wondering what the cost range actually includes. Xeomin® is most easily understood by looking at the number of units needed for the desired cosmetic result. In the United States, Xeomin® units typically cost $8 to $18 each. This is slightly less expensive than Botox®, which ranges from $10 to $20 per unit. Numerous units will be required at each injection site and this will ultimately vary by individual.
Besides the actual cost of the Xeomin®, there will be additional costs for the provider’s time, the supplies used during the procedure (gloves, needles, anesthetics), and, possibly, facility fees. Also of note: the prices reported above are per session costs. Maintenance treatments are needed for upkeeping results. Depending on your provider and facility, there may be incentive programs to reduce costs for frequent Xeomin® patients.
How much does Xeomin® cost?
We’ll say it again, the best way to think about Xeomin® cost is by the number of units needed. While injectors receive guidelines regarding the number of units needed to achieve optimal results in each treatment area, the actual number of units used will vary due to factors like gender, muscularity, severity of issue, and desired results. The table below provides estimates of the general number of units of Xeomin® used by area. Remember that Xeomin® averages $8 to $18 per unit in the U.S.
Average Number of Units of Xeomin® by Treatment Area
|Procedure Area||Average # of Units|
|Forehead (horizontal lines)||15 to 25 units|
|Glabellar Lines (frown lines)||20 to 30 units|
|Crow’s Feet||20 to 30 units|
|Brow||20 to 40 units|
|Nose||20 to 30 units|
|Chin||10 to 25 units|
|Jawline||20 to 30 units|
How much does Xeomin® cost across the United States?
Another factor with a significant impact on Xeomin® cost: Location, location, location. The ASPS 2018 Statistics Report states 73 percent of all botulinum toxin type A procedures take place along the coasts. It’s probably not surprising to learn that cosmetic surgery costs typically tend to be higher on the east and west coasts. Yes, we know, so shocking.
The table below breaks down costs by state. The numbers in this table are from zip codes selected from the capital of each listed state.
Average Cost of Xeomin® Treatments by State
*these states are presented as national averages as specific information is not available
How much does Xeomin® cost around the world?
For those considering a Xeomin® cosmetic procedure abroad, the following table looks at average Xeomin® costs for a few countries around the world. Remember the additional travel costs, the reputation of the provider and facility, and expenses related to recovery when considering the cost difference. The table below reflects costs converted to U.S. dollars.
Average Cost of Xeomin® Treatments by Country in USD
|Canada||$200 to $1,000|
|Mexico||$50 to $750|
|Colombia||$25 to $500|
|United Kingdom||$150 to $750|
|Australia||$150 to $1,000|
|Japan||$100 to $550|
|United Arab Emirates||$125 to $500|
Does insurance cover the cost of Xeomin®?
When it comes to insurance, things are usually confusing. When it comes to the marriage of health insurance and plastic surgery, it gets even trickier. We’re here to help. It’s generally understood cosmetic procedures are not covered by insurance, and while this is most often true, certain cosmetic procedures that provide medical benefits for documented conditions may be covered. Definitions from the American Medical Association (AMA) can help to further clarify:
- Cosmetic Surgery: Reshapes normal structures of the body in order to improve appearance and self-esteem.
- Reconstructive Surgery: Alterations to abnormal body structures caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease.
Xeomin® is non-surgical, but it does have FDA approval for two medical conditions: muscle spasticity and excessive drooling. In these instances, Xeomin® would most likely be covered by insurance, provided your medical provider has adequate documentation to demonstrate medical necessity. Xeomin® may also be used off-label for blepharospasm and cervical dystonia. In all other cases (i.e. the cosmetic ones), Xeomin® will not be covered by your insurance provider.
Neuromodulator injectables are popular and for good reason. They're effective, well trialed, and have minimal side effects or downtime. Xeomin® by Merz differs from Botox®, Dysport®, and Jeaveau® in that it is free of the additives found in the other formulations. This leads to less side effects and allergic reactions, which makes Xeomin® a popular choice for those with active ingredient antibodies causing resistance to other injectables. Keep that in mind when comparing the cost of different BoNT-A treatments.