How much does at-home ketamine therapy cost in Michigan?
Two separate costs: the appointments, which insurance can cover, and the compounded medication, which it usually can't. Here is what each one runs in our program.
The short answer
| Item | Insurance | Cash-pay |
|---|---|---|
| Psychiatric evaluation (60-minute first visit) | Billable. You pay your usual specialist copay or deductible amount. | $275 |
| Follow-up appointments | Billable. Closer together at first, then about every 3 months once stable. | $100–$165 per visit depending on length. Once you're on quarterly visits that works out to about $50 per month. |
| Compounded ketamine troches | Usually not covered by any insurer, because compounded ketamine is off-label. | Typically under $80 per month, paid directly to the compounding pharmacy. |
So once you're stable, an uninsured patient pays roughly $130 a month all-in. An insured patient pays the medication cost plus a copay every three months.
Insurance we accept
All of our prescribers are in-network with the major Michigan plans, so your evaluation and follow-up visits can go through insurance:
BCBS of Michigan
BCN
In-network
In-network
In-network
Michigan Medicaid plans
Don't see your plan? Call (734) 999-3505 and we'll check. In-network copays and deductibles vary by plan.
Self-pay rates, if you'd rather not use insurance
| Visit | Self-pay |
|---|---|
| 60-minute new-patient evaluation | $275 |
| 30-minute follow-up | $165 |
| 20-minute follow-up | $155 |
| 15-minute follow-up | $135 |
| 10-minute check-in | $100 |
| Therapy session (45–60 minutes), optional | $125–$200 |
Why the medication isn't covered
Ketamine is FDA-approved as an anesthetic, not as an antidepressant. When a compounding pharmacy makes ketamine troches for depression, that's an off-label, compounded product, and insurers almost never pay for it. Compounded ketamine is inexpensive to make, though, which is why the monthly cost stays low even without coverage.
The one ketamine product that is FDA-approved for depression is Spravato (esketamine nasal spray), and insurance often does cover it, but it must be taken in a certified clinic with two hours of monitoring each time. See troches vs Spravato for the trade-offs.
How this compares to online-only ketamine programs
Most national at-home ketamine services sell a bundle: the medication, a set number of video check-ins and app-based support, billed as a monthly subscription or a multi-week package. Publicly listed prices for those bundles generally run from a little over $100 to several hundred dollars a month, and the bundle usually ends when the program ends.
Our model is a psychiatric practice, not a package. That means:
- Your appointments can go through insurance instead of a subscription.
- You are seeing the same prescribers who manage your antidepressants, sleep, ADHD or anxiety medications, not a separate ketamine-only clinician.
- When the ketamine course ends, your care doesn't. You stay a patient of the practice.
- If an in-person visit is needed, we have offices in Ann Arbor and East Lansing.
What's not included
- Therapy sessions, if you choose to add them, are billed separately (and are also insurance-billable).
- A home blood-pressure cuff, which we ask every patient to have. Basic models cost $20–40.
- Pharmacogenetic testing, if we recommend it, is billed by the lab and often covered by insurance.
Questions about a specific plan? Call (734) 999-3505 and our team will check your coverage before you book, or Book a new-patient evaluation.