A transparent breakdown by treatment type — and what hidden fees clinics don't advertise upfront
Peptide therapy pricing is genuinely confusing — the same protocol can cost $150/month at one clinic and $600/month at another. The differences aren't always about quality. Here's how to decode what you're actually paying for.
The biggest cost driver isn't the peptide itself — it's where it's sourced. A 503B FDA-registered compounding pharmacy charges more than a research chemical supplier. That price difference is real, but it reflects a real quality difference. Why sourcing matters →
| Peptide | Typical Monthly Cost | What's Usually Included | What's Often Extra |
|---|---|---|---|
| Semaglutide | $150–$400/mo | Compound + injection supplies | Baseline labs ($150–300), monthly check-ins ($50–100) |
| Tirzepatide | $200–$500/mo | Compound + supplies | Same as semaglutide; often higher due to compound cost |
| BPC-157 | $80–$200/mo | Compound, BAC water, syringes | Labs often not required; consultation fee may apply |
| TB-500 | $100–$250/mo | Compound + supplies | Usually stacked with BPC-157; stack price is $150–350 |
| CJC-1295/Ipamorelin | $200–$450/mo | Both peptides + supplies | IGF-1 labs ($80–150), quarterly monitoring |
| Sermorelin | $150–$350/mo | Compound + supplies | Hormone panel before start ($150–300) |
| NAD+ (IV infusion) | $200–$800/infusion | IV, clinic time, nurse | Typically all-inclusive per session; some add supplements |
| NAD+ (subcutaneous) | $150–$300/mo | Compound + supplies | Lower cost, less immediate effect than IV |
| PT-141 | $80–$200/mo | Compound, dosing guide | May include consult fee for sexual health assessment |
| Thymosin Alpha-1 | $200–$400/mo | Compound + supplies | Immune labs before start recommended ($100–200) |
Most quality clinics require baseline labs before prescribing. This is correct clinical practice — but it's often not included in the quoted monthly price. Ask upfront: "Is lab work included, and how often do you retest?" The answer reveals both cost and quality of monitoring.
Some clinics charge separately for the initial consultation and follow-up appointments. Others include it. Telehealth clinics typically have lower or no consultation fees versus in-person. Ask specifically whether follow-up dose adjustments incur additional charges.
Many clinics offer 3- or 6-month prepaid packages at a "discount." These look attractive but lock you in before you know if the protocol works for you. Ask about the refund policy before committing. A confident clinic with good outcomes doesn't need to lock you into a 6-month payment.
Bacteriostatic water, syringes, alcohol wipes, and shipping on compounded medications can add $20–$50/month. Telehealth clinics ship directly to your home; in-person clinics may have you pick up or also charge shipping. Ask what the all-in monthly number is.
The same compound can have a 3–4× price difference between clinics. Factors:
Don't optimize purely on price — but do ask enough questions to understand why one clinic costs more than another. A clinic that names its 503B pharmacy, requires baseline labs, and includes follow-ups at $350/month is a better value than one that skips all of that at $200/month.