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How Much Does Ketamine Cost in Virginia?

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Ketamine therapy in Virginia clinics can cost between $300 and $1,300 per session, depending on the treatment type and provider. Intravenous (IV) ketamine therapy, the most common and research-backed form, ranges from $400 to $1000 per dose. Ketamine-assisted psychotherapy (KAP), which combines ketamine and psychotherapy, comes with an even higher price tag. Intramuscular (IM) ketamine is more affordable but has dosing limitations. Finally, intranasal esketamine spray (Spravato®) is the lowest-cost Virginia ketamine therapy option for patients whose insurance plans approve this benefit. 

Virginia ketamine prices are comparable to national averages, though they vary based on factors such as the provider’s expertise, the clinic’s location, and the quality of the facility. Insurance coverage, private funding, and financing options can help subsidize the cost of ketamine therapy, making it more accessible to Virginians in need.

Call Avesta’s insurance experts to find out about ketamine costs in Virginia today.

Virginia Ketamine Therapy Costs Per Treatment Type  

Virginia offers several types of in-clinic ketamine therapy, each with varying costs:

Intravenous (IV) Ketamine Therapy in Virginia

Intravenous (IV) ketamine therapy remains the most popular method in Virginia. Extensive clinical research shows sub-anesthetic infusions are incredibly effective at rapidly diminishing symptoms of treatment-resistant depression, suicidality, severe anxiety, OCD, and other persistent psychiatric conditions. IV ketamine therapy typically requires six infusions over two to three weeks and is not generally covered by insurance. 

  • In Virginia, sessions usually cost between $400 and $800. However, some clinics may charge $1,000 per session. 
  • A complete course ranges from $2,400 to $8,000.

Ketamine-Assisted Psychotherapy (KAP) in Virginia

Ketamine-assisted psychotherapy sessions, combining ketamine with psychotherapy before, during, or after the infusion, typically cost more due to the added psychotherapy component. 

  • Virginia therapists charge about $150 per hour on average. 
  • So, an entire course of KAP can cost around $3,000 to $6,000 or more. 

Virginia patients seeking KAP may seek providers that accept insurance coverage to reduce costs. Avesta’s vetted list of Virginia ketamine psychotherapists and integration therapists is a great place to start. 

Intramuscular (IM) Ketamine Therapy Costs in Virginia

Intramuscular (IM) ketamine therapy, involving injecting ketamine directly into the muscle,  often costs less than IV ketamine. However, patients typically prefer IV because clinicians can control the dosage and titrate up or down during sessions to ensure a beneficial experience. IM injections do not allow for such customization and can be more intense for patients as ketamine enters the body. 

  • Still, IM ketamine therapy can offer rapid antidepressant relief with sessions priced around $300 plus monitoring fees. 
  • With a therapist or facilitator involved, each IM session typically costs $400+.  
  • The total cost for a standard series of IM treatments in Virginia often falls around $2,500.

Spravato® Therapy Price in Virginia

Spravato® therapy in Virginia can vary significantly in price depending on whether the patient’s insurance plan covers the medication for the patient. 

Without Insurance

Spravato patients without insurance and those ineligible for coverage will be responsible for $10,800 and $15,600 out of pocket. Let’s break it down.

  • Without insurance, the Spravato® medication costs around $600 for a 56mg dose and $900 for an 84mg dose. 
  • Over an eight-week Spravato® protocol, typically 12 sessions, Virginians whose insurance plans will not cover Spravato will pay between $7,200 and $8,400 out of pocket for the medication. 
  • Separate mandatory monitoring fees add $200 to $400 per visit. Including mandatory monitoring fees, an eight-week Spravato® protocol could cost $10,800 and $15,600 out of pocket. 

With Insurance

Spravato® costs are more affordable for Virginia patients whose insurance plans will cover Spravato, even at an out-of-network clinic. However, there are significant pricing differences between in and out-of-network costs.

  • In-Network: If treatment is done at an in-network clinic, eligible patients can pay a co-pay, such as $30 to $50 per co-pay per visit. The full eight-week Spravato® protocol in-network typically costs $480 to $720. 
  • Out-of-network: Over the full eight-week Spravato® protocol, insured patients at out-of-network clinics could expect to pay between $2,400 and $4,800 out of pocket. Mandatory monitoring fees add $200 to $400 per visit. 

Lower costs make Spravato® a more accessible option for many Virginians whose insurance plans cover this treatment. However, getting insurance approved for Spravato can be difficult.

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Ketamine Therapy in Virginia Costs Compared to Other States

Virginia ketamine costs align closely with national averages, between $2,400 to $6,000 for a six-session protocol.  The price variation relates more to the provider and the specific treatment protocols than the state.

Factors Influencing Virginia Ketamine Costs

Several factors influence the cost of clinical ketamine therapy in Virginia.


01. Type of Treatment

The method of administration (IV, IM, KAP, Spravato) significantly affects pricing, with IV and KAP generally being more expensive. Spravato® is the most costly ketamine therapy option out-of-pocket. However, if a patient can get their Spravato® treatment approved by insurance, this option can be the most affordable. 

02. Provider Expertise

Virginia ketamine clinics with extensive specialization often charge higher fees. These providers usually have advanced training, certifications, and considerable experience in administering ketamine for chronic pain and mental health conditions. The comprehensive nature of their care, including personalized treatment plans, thorough monitoring, and follow-up care, typically warrants higher costs. 

03. Location

Ketamine clinics in urban centers in Virginia, such as Richmond, McLean, or Northern Virginia, often have higher prices due to increased operational costs, including rent, salaries, and utilities. Conversely, clinics in rural areas may offer lower prices due to lower operational costs. However, the availability of specialized services and the convenience of access might be limited in these areas, prompting many patients to seek ketamine in urban centers despite the higher costs.

04. Facility Quality

High-end clinics offering luxurious settings, state-of-the-art equipment, and additional amenities may charge premium prices for their services. These clinics often provide a more comfortable environment, enhancing the overall treatment experience. Amenities such as private treatment rooms, personalized care, extended monitoring, in-session coaching, and additional therapeutic services (e.g., yoga, meditation, nutritional counseling) contribute to the higher costs.

Five Options to Subsidize Ketamine Therapy in Virginia

Paying for clinical ketamine therapy is a valid concern. Fortunately, Virginia patients have options to help subsidize these costs.

01. Insurance Coverage

Insurance coverage for Virginia ketamine therapy varies. 

IV and IM ketamine protocols are typically out-of-pocket expenses. However, Some insurance providers cover a portion of the costs, especially if the therapy is deemed medically necessary for conditions like treatment-resistant depression. Patients should explore options for ketamine insurance coverage in Virginia and consult their providers to understand the extent of their potential reimbursement.

02. Private Funding and Financing

Many ketamine clinics in Virginia offer financing options through partnerships with healthcare credit card companies. Avesta Ketamine and Wellness clinics in McLean, Virginia, Washington DC, and Bethesda, Maryland, partner with Advance Care to provide flexible financing options for patients in need.  

Avesta also provides access to Reimbursify, a complimentary service that helps patients get maximum insurance reimbursement for ancillary ketamine therapy services, including consultations and monitoring. 

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03. Discount Programs

Some Virginia ketamine clinics offer discounts for patient populations like veterans and first responders. Avesta offers free ketamine therapy for eligible Veterans Affairs (VA) veterans at its Virginia, DC, and Maryland clinics through its contract with the VA. It also offers discounted ketamine for Virginia’s first responders and service members who do not have VA healthcare coverage. 

04. Clinical Trials:

Participating in ketamine clinical trials can provide access to this therapy at reduced or no cost. Patients can look for new ketamine trials in Virginia through resources like

05. Employer Benefits:

Employers in the United States are beginning to include ketamine therapy in their healthcare plan offerings, primarily through partnerships with benefits administrators like Enthea. Employers who partner with Enthea choose to cover ketamine therapy in their employees’ healthcare plans, similar to adding dental or vision coverage. 

Dr. Bronner’s is one of the first and most well-known employers to offer ketamine-assisted therapy benefits through the mental health company Enthea. Clinics such as Avesta Ketamine and Wellness in Virginia are signed up with Enthea and Tara Mind to provide care to its Virginia patients. 

The Bottom Line

Virginia ketamine therapy costs range between $300 and $1,300 per session, depending on the type of treatment and clinic. Virginia’s prices are comparable to national averages but vary based on provider expertise, clinic location, and facility quality. Options like insurance coverage, private funding, and financing can help subsidize the costs, making ketamine therapy more accessible to Virginians in need.

Schedule a free consultation with Avesta’s Virginia insurance experts to determine the best ketamine therapy pricing and options for you. 

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