Last updated: March 2026
How Much Does Sclerotherapy (Vein Treatment) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Spider Vein Sclerotherapy (per session) | $300 – $600 | $300 – $600 |
| Varicose Vein Sclerotherapy | $500 – $1,000 | $100 – $400 |
| Foam Sclerotherapy | $400 – $800 | $100 – $400 |
CPT/ADA Code: 36470
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Covered when treating symptomatic varicose veins; cosmetic spider vein treatment not covered
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Sclerotherapy costs $300 to $1,000 per session. Most patients need 2-4 sessions for optimal results.
Sclerotherapy for symptomatic varicose veins may be covered. Treatment of cosmetic spider veins is typically not covered.
Treated veins usually disappear permanently within 3-6 weeks. New veins may develop over time and require additional treatment.