How much does functional medicine cost?
What functional medicine practices publish for first visits, follow-ups and memberships, from their own websites.
Of 264 listed practices, 38 publish a first-visit price on their own sites, as of October 2026. Their median is $438, ranging from $250 to $3,600. For follow-ups, 29 publish a price, with a median of $250 ($75 to $500). Monthly memberships are published by 16, with a median of $223/mo ($35/mo to $450/mo). On billing, 25 say they bill insurance for visits and 62 say they provide superbills only.
Functional medicine prices across the practices we list
Ranges and medians of the prices practices publish. Most practices don't publish prices, so treat these as a guide, not a quote.
| What you pay for | Published range | Median | Practices reporting |
|---|---|---|---|
| First visitAs each practice names its initial consultation | $250–$3,600 | $438 | 38 of 264 |
| Follow-up visitPer visit, where priced separately | $75–$500 | $250 | 29 of 264 |
| Membership (per month)Annual fees shown per month | $35–$450/mo | $223/mo | 16 of 264 |
From prices published by the practices we list, as each practice names its visits.
First-visit prices by city
Cities where at least 3 practices publish a price.
| City | Range | Median | Practices reporting |
|---|---|---|---|
| New York, NY | $250–$1,500 | $395 | 5 of 26 |
| San Diego, CA | $390–$595 | $410 | 4 of 21 |
| Houston, TX | $350–$698 | $488 | 4 of 19 |
| Denver, CO | $300–$487 | $333 | 3 of 17 |
| Raleigh, NC | $489–$965 | $623 | 4 of 9 |
How practices handle insurance
Of the 144 practices that state their insurance status on their website.
- In-network for visits (17%)25 of 144
- Superbill (submit yourself) (43%)62 of 144
- Cash only (26%)37 of 144
- Out-of-network (14%)20 of 144
HSA and FSA cards: what the IRS says
We don't decide whether a fee qualifies. These are the rules, quoted from the IRS, with the date we last checked them.
From January 1, 2026, someone in a qualifying direct primary care arrangement can still contribute to an HSA, and can use HSA funds to pay its periodic fees.
“Beginning Jan. 1, 2026, an otherwise eligible individual enrolled in certain direct primary care (DPC) service arrangements may contribute to an HSA. In addition, they may use their HSA funds tax-free to pay periodic DPC fees.”
The arrangement must cover primary care only: not procedures needing general anesthesia, prescription drugs other than vaccines, or lab services not typically done in a primary care office.
“the term “primary care services” does not include (1) procedures that require the use of general anesthesia, (2) prescription drugs other than vaccines (therefore, vaccines are permitted primary care services), and (3) laboratory services not typically administered in an ambulatory primary care setting.”
Fees for all such arrangements can't exceed $150 a month for one person, or $300 a month for an arrangement covering more than one person.
“the aggregate fees for all DPCSAs for the individual for a month exceed $150 (or $300 for any such arrangement that covers more than one individual).”
The IRS defines medical expenses as costs of diagnosing, treating or preventing disease; HSA and FSA spending follows this definition.
“Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease and for the purpose of affecting any part or function of the body.”
Functional medicine cost: questions
Does insurance cover functional medicine?
Practices handle insurance differently, and we can't say what any plan will cover. Of 264 practices, 25 say they bill insurance for visits, 62 say they provide superbills only and 37 say they are cash only. Another 120 don't state their insurance policy. Ask the practice how it bills, then check with your plan before booking.
How much does a first functional medicine visit cost?
Among the 38 of 264 practices that publish a first-visit price, the median is $438. Published prices range from $250 to $3,600, and the middle half fall between $353 and $590. City medians include $395 in New York, NY, $410 in San Diego, CA, $488 in Houston, TX, $333 in Denver, CO and $623 in Raleigh, NC. These prices are self-reported.
Do functional medicine practices charge a membership fee?
Some do. 38 of 264 practices use a membership model, and 16 publish a fee. Those 16 all state a billing period. Monthly fees run from $35/mo to $450/mo, with a median of $223/mo. These figures come from practice websites and are self-reported. We don't say whether a membership is HSA/FSA-eligible; ask your plan administrator.
Can I use an HSA or FSA card at a functional medicine practice?
Some practices say they accept HSA or FSA cards. 64 of the 264 practices we list say so on their sites. Accepting a card at the desk doesn't settle whether a given charge qualifies. We don't say whether a membership or service is HSA/FSA-eligible, so ask your plan administrator before paying.
How long is a first functional medicine visit?
Published first visits run from 45 minutes to 90 minutes. Among the 40 practices that state a first-visit length, the median is 82.5 minutes. Visit lengths are self-reported by each practice, so confirm the scheduled time when you book.
All guides → · How we rank practices →
Sources
- Practice websites — each practice's own website — pricing, insurance, services and conditions (dated per listing)
- IRS Notice 2026-05 (HSA changes under the OBBBA) — HSA rules for direct primary care arrangements (quoted)
- IRS Publication 502, Medical and Dental Expenses — the IRS definition of medical expenses (quoted)
Prices change; confirm current fees and what's included directly with any practice.