How much does Botox cost in 2026?

Botox pricing confuses most patients because practices quote it inconsistently — some advertise a per-unit price, others quote a flat rate per area, and some use a "per session" number with vague unit totals. Here's how to understand what you'll actually pay.

How Botox is priced

The standard pricing model is per unit. A unit is a standardized measure of botulinum toxin activity — it's the same regardless of which brand (Botox, Dysport, Xeomin) is used, though unit-to-brand conversions differ (see below).

Typical per-unit pricing in the US in 2026:

Urban markets (NYC, LA, SF, Miami): $15–$22 per unit
Mid-size markets: $12–$17 per unit
Suburban and smaller markets: $10–$14 per unit

These ranges reflect differences in real estate, labor costs, and market positioning — not differences in product quality. Botox, Dysport, and Xeomin are FDA-regulated pharmaceutical products with consistent formulation.

Units by treatment area

| Treatment area | Typical units (Botox) | Typical cost at $14/unit |
|---|---|---|
| Forehead lines | 10–20 units | $140–$280 |
| Between the brows (11s) | 15–25 units | $210–$350 |
| Crow's feet (both sides) | 10–24 units | $140–$336 |
| Brow lift | 2–5 units | $28–$70 |
| Lip flip | 4–6 units | $56–$84 |
| Bunny lines (nose) | 4–6 units | $56–$84 |
| Gummy smile | 2–4 units | $28–$56 |
| Chin (mentalis) | 2–6 units | $28–$84 |
| Masseter (jaw slimming) | 20–30 units per side | $560–$840 |
| Neck bands (platysmal) | 20–40 units | $280–$560 |
| Hyperhidrosis (each underarm) | 50 units per side | $700–$1,400/side |

Most first-time patients treat 2–3 areas. A typical first visit for forehead, 11s, and crow's feet might use 50–70 units — costing $700–$1,400 depending on market.

Why Dysport and Xeomin are priced differently on paper

Dysport units are more dilute — it takes roughly 2.5–3 Dysport units to equal 1 Botox unit of effect. Practices pricing Dysport per unit will quote a lower number that may look cheaper. When you divide by 2.5–3, the actual per-Botox-equivalent cost is usually similar or slightly lower.

If a practice is comparing prices between products, ask them to do the conversion math for you. "20 Botox units" and "50 Dysport units" are roughly equivalent treatments.

What's included in the price

At most practices, the unit price includes:

The injectable product itself
Provider time for the injection
Post-injection assessment at the appointment

It typically does not include a follow-up visit (though reputable practices offer one) or a consultation fee (some practices waive this if you proceed with treatment).

Ask before booking: "Is there a consultation fee, and is it applied toward treatment if I book the same day?"

Red flags in Botox pricing

Very low per-unit prices (under $9–$10 in most markets) can indicate:
Diluted product — some practices add extra saline to stretch their supply
Unlicensed or undertrained providers
"Party Botox" events with compromised sterility protocols

Flat-fee pricing without unit disclosure is harder to evaluate — ask how many units are included in the flat fee and what happens if you need more.

No consultation before first-time treatment at a reputable provider is unusual. A provider who will inject without first assessing your anatomy and discussing your goals is a provider to approach cautiously.

Does Botox wear off faster if you pay less?

No. Results duration depends on the amount of product used, the treatment area, and your individual metabolism — not the price. Underdosing (using fewer units to lower cost) does shorten duration, which is why understanding units rather than just price is important.

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