Botox Price per Unit by City: 2026
Signal Hill Strategies opened 112 med spa, dermatology, and plastic surgery pricing pages across 20 large US metros on November 1, 2026 and recorded every posted per-unit price for Botox, Dysport, Xeomin, Jeuveau, and Daxxify. The result shows what a unit of Botox costs in each city as of the fourth quarter of 2026, and how provider type, brand, and discounts move that price.
Key Findings
|
Neuromodulators such as Botox made up half of all minimally invasive cosmetic treatments in 2025, according to the American Society of Plastic Surgeons. The society counted 9,883,711 neuromodulator injection procedures in 2024, up 4% from 9,480,949 the year before, according to its 2024 procedural statistics. Yet the society's 2024 fee table no longer lists a neuromodulator fee. Its last figure, an average of $435 per treatment, dates to 2023, and its 2025 report gives only that share of treatments, with no count or fee. A per-visit average from three years ago tells a shopper little, because clinics sell Botox by the unit and post those unit prices on their own websites.
Our analysts recorded only prices printed on each provider's own page, kept regular prices apart from membership, new-client, and volume rates, and grouped every page by metro, provider type, and brand. Where a page charged Dysport or Daxxify at 80% or more of its own Botox rate, we treated it as one shared rate and left it out of the brand-level figures, since both brands use more units per labeled dose than Botox.
In the following sections, we compare Botox prices per unit by metro, by provider type, and by brand, then look at how much memberships and first-visit offers take off the posted price.
Botox Price per Unit in 20 Large US Cities
Most of these cities sit within a few dollars of each other. The real differences show up at the edges, where one high-end practice or one discount chain stretches a city's range.
Posted Botox Prices per Unit by Metro (November 2026)
Metro | Pages | Median | Lowest | Highest |
New York City | 6 | $16.00 | $15.00 | $19.00 |
Philadelphia | 4 | $15.00 | $13.00 | $16.00 |
San Francisco Bay Area | 4 | $15.00 | $12.00 | $16.00 |
Chicago | 7 | $15.00 | $13.00 | $15.00 |
Miami | 7 | $14.00 | $13.00 | $20.00 |
Minneapolis-St. Paul | 5 | $14.00 | $13.50 | $16.00 |
Seattle | 5 | $14.00 | $13.00 | $16.00 |
Washington DC | 6 | $14.00 | $12.00 | $16.00 |
Denver | 6 | $14.00 | $12.00 | $14.00 |
Houston | 6 | $13.50 | $12.50 | $16.50 |
Charlotte | 5 | $13.50 | $11.00 | $15.00 |
Atlanta | 5 | $13.50 | $11.00 | $14.00 |
Dallas-Fort Worth | 6 | $13.25 | $12.00 | $14.00 |
Los Angeles | 7 | $13.00 | $10.00 | $15.00 |
Boston | 5 | $13.00 | $12.00 | $14.00 |
Nashville | 5 | $13.00 | $12.00 | $14.00 |
San Diego | 5 | $13.00 | $12.00 | $14.00 |
Austin | 6 | $13.00 | $12.00 | $14.50 |
Tampa | 7 | $12.00 | $12.00 | $14.00 |
Phoenix | 5 | $12.00 | $12.00 | $13.50 |
Source: Signal Hill Strategies analysis of 112 provider pricing pages in 20 US metros, accessed November 1, 2026
Source: Signal Hill Strategies analysis of 112 provider pricing pages in 20 US metros, accessed November 1, 2026
Key Findings
Every one of the six New York City pages posted at least $15 per unit, and the highest reached $19. San Francisco Bay Area, Philadelphia, and Chicago followed with $15.00 medians.
Miami had the widest spread, from $13 at three clinics to $20 at a plastic surgery practice. Choosing the low end there saves $7 per unit, or $140 on a 20-unit frown-line treatment.
103 of the 112 pages, or 92%, posted a regular price between $12 and $16 per unit. For a regular, non-member visit in a large US city, that band is a fair expectation, and a quote well outside it deserves a question about what it includes.
Plastic Surgery and Dermatology Practices Charge More per Unit Than Med Spas
Who runs the clinic shapes the bill. We sorted every page by the kind of business that posted it, and separately by whether it belongs to a multi-location chain.
Botox Price per Unit by Type of Provider (November 2026)
Provider type | Pages | Median | Lowest | Highest |
Plastic surgery and dermatology practices | 20 | $15.00 | $12.00 | $20.00 |
Med spas | 84 | $13.25 | $10.00 | $18.00 |
Other physician-led aesthetic clinics | 8 | $13.25 | $12.00 | $19.00 |
Independent businesses | 87 | $14.00 | $10.00 | $20.00 |
Multi-location chains | 25 | $13.50 | $11.00 | $16.00 |
Source: Signal Hill Strategies analysis of 112 provider pricing pages in 20 US metros, accessed November 1, 2026
Source: Signal Hill Strategies analysis of 112 provider pricing pages in 20 US metros, accessed November 1, 2026
Key Findings
The gap between surgeon and dermatologist offices and med spas comes to $1.75 per unit. On a 40-unit visit for forehead and frown lines, that adds $70.
Multi-location chains posted a median of $13.50, compared with $14.00 at independent businesses. Hiatus Spa + Retreat and Viva Day Spa + Med Spa post the same Botox rate across their Texas locations.
Some physician practices post a lower rate when a nurse gives the injection, as Shah Facial Plastics in Chicago does. Asking who will inject can narrow the gap with med spa pricing.
Dysport, Xeomin, Jeuveau, and Daxxify Prices per Unit Compared With Botox
Comparing brands unit by unit can mislead, since each label sets its own dose. So we priced each brand at the dose its FDA label gives for frown lines, the treatment all five labels share.
Neurotoxin Price per Unit and Frown-Line Dose Cost by Brand (November 2026)
Brand | Pages | Median per unit | Labeled frown-line dose | Dose cost at median |
Daxxify | 12 | $8.13 | 40 units | $325 |
Botox | 112 | $13.50 | 20 units | $270 |
Jeuveau | 11 | $12.99 | 20 units | $260 |
Dysport | 38 | $5.00 | 50 units | $250 |
Xeomin | 27 | $12.00 | 20 units | $240 |
Sources: Signal Hill Strategies analysis of 112 provider pricing pages, accessed November 1, 2026; FDA labeling for Botox Cosmetic, Dysport, Xeomin, Jeuveau, and Daxxify
Sources: Signal Hill Strategies analysis of 112 provider pricing pages, accessed November 1, 2026; FDA labeling for each brand
Key Findings
Daxxify's lower unit price does not carry through to the bill, because its label calls for 40 units on frown lines, twice the Botox dose. At the median, a Daxxify frown-line treatment cost $55 more than a Botox one.
28 of the 66 pages that listed Dysport charged it at 80% or more of their own Botox rate. Some of those pages say they bill Dysport in Botox-equivalent units, so a $13 Dysport price and a $5 one describe different units.
Xeomin and Jeuveau share Botox's 20-unit labeled dose. On the 27 pages that listed Xeomin beside Botox, Xeomin matched the Botox price 15 times and came in lower 12 times, so asking about a second brand can trim the bill.
Botox Membership and New-Client Discounts by Offer Type
Many pages list a second, lower Botox price next to the regular one. The condition attached is usually a monthly fee, a prepaid bundle, or a first visit.
Discounted Botox Prices per Unit by Offer Type (November 2026)
Offer type | Pages | Median discount | Smallest discount | Largest discount |
New-client offer | 11 | 20.0% | 14.3% | 33.3% |
Membership | 15 | 18.2% | 7.7% | 35.3% |
Day or event special | 6 | 13.9% | 7.8% | 38.5% |
Prepaid unit bank | 5 | 13.3% | 7.1% | 20.0% |
Volume tier | 5 | 7.7% | 7.1% | 33.3% |
All offer types | 42 | 15.4% | 7.1% | 38.5% |
Source: Signal Hill Strategies analysis of 42 provider pages listing both a regular and a discounted Botox price, accessed November 1, 2026
Source: Signal Hill Strategies analysis of 42 provider pages listing both a regular and a discounted Botox price, accessed November 1, 2026
Key Findings
New-client offers took the most off, at a median of 20.0%. They apply to a first visit, so the next treatment goes back to the regular rate.
Memberships cut a median of 18.2%, and some go much further. InjectCo's $24.99-a-month plan drops Botox from $12.00 to $7.77 per unit, which is $169.20 off a 40-unit visit before the monthly fee.
Volume tiers saved the least, a median of 7.7%, and they require 41 or more units in one visit. For a typical frown-line treatment, a membership or first-visit offer is the larger saving.
For most people, these numbers put a regular Botox visit for frown lines in a large US city at about $240 to $320, depending on the city and who injects. Asking which brand a quote covers, and whether Dysport is billed in its own units, makes two clinics' prices comparable.
Posted regular rates sit in a narrow band from city to city. Much of the price variation we found runs through memberships, prepaid banks, and first-visit offers, and the steepest membership plans cut the regular rate by a third or more.
So if you are pricing Botox in one of these 20 metros, a regular rate far outside $12 to $16 per unit is worth a second look.
Sources
Signal Hill Strategies analysis of posted per-unit neurotoxin prices on 112 provider pricing pages in 20 US metro areas, conducted November 1, 2026
American Society of Plastic Surgeons, 2024 Average Surgeon/Physician Fees
American Society of Plastic Surgeons, 2023 Average Surgeon/Physician Fees
American Society of Plastic Surgeons, 2025 Plastic Surgery Statistics Report
Methodology
We searched for med spas, dermatology practices, plastic surgery practices, and other physician-led aesthetic clinics in 20 large US metros and opened each provider's own pricing or treatment page on November 1, 2026. Suburbs are grouped with their metro, such as Scottsdale with Phoenix and Arlington, Virginia, with Washington DC.
We kept 112 pages that posted a regular per-unit Botox price. We dropped pages that listed only per-area prices, only promotional prices, only ranges with no single rate, prices dated before 2025, or no confirmed location in the metro. Where a page gave a range of regular prices, we used the low end, and where it listed separate prices by injector, we used the physician rate.
Metro, provider type, and chain figures are medians of the pages in each group. Dysport and Daxxify brand figures exclude pages that charged those brands at 80% or more of the same page's Botox price. Labeled frown-line doses come from each brand's FDA prescribing information for glabellar lines.
Discounts compare a page's membership, prepaid bank, new-client, event-day, or volume price with the regular price on the same page. Pages that listed a lower price only for a nurse or physician assistant injector were not counted as discounts.
Derived figures, including medians, dose costs, dollar differences, and percentage discounts, were calculated from these data.
Comments