What Ketamine Therapy Costs

Typical ranges (US, mid-2026, educational)

• IV infusion: $400–$800 per session; induction course $2,400–$5,000+.
• Intramuscular (IM): $300–$600 per session.
• Intranasal esketamine (Spravato): variable; often covered partially by insurance after prior authorization. Out-of-pocket can be substantial.
• Sublingual / oral troches: $150–$400 per session in clinic; lower for telehealth programs.
• Ketamine-assisted psychotherapy (KAP): often $500–$1,500 per session, reflecting combined medication and therapy time.

What drives variation

• Clinical setting (anesthesia-supervised vs psychiatry-led vs primary-care).
• Whether a licensed therapist is present during dosing.
• Length of monitoring and integration support included.
• Geographic market and overhead.
• Diagnostic intake depth and medical screening.

Hidden or commonly underestimated costs

• Maintenance dosing after induction.
• Adjunct therapy and integration sessions.
• Lab work, EKGs, or specialist consults.
• Time off work and transportation.
• Cancellation and rescheduling fees.

Questions worth asking

• What is the all-in cost of a typical course of care?
• What is included in each session fee?
• Are integration sessions optional or recommended? Cost?
• What is the maintenance plan and its cost?
• Do you offer sliding-scale or payment plans?
• What happens financially if I do not respond?