Functional medicine is usually paid for out of pocket, and prices vary widely. In the few US practices we found that publish fees, a first visit or first consult package cost $750 to $3,800, and yearly memberships or programs cost about $1,500 to $4,500. Lab tests and supplements are usually extra. Insurance rarely pays membership or program fees, but it may pay for visits and standard lab tests, depending on the clinician's license and whether the practice is in your network.
Price data is thin. Many practices, including every New York City functional medicine practice we checked, don't publish visit prices. Treat the figures below as examples, not market rates.
What functional medicine costs: published examples
| Practice | Location | Published prices | Insurance (as stated by the practice) | Source (checked) |
|---|---|---|---|---|
| Parsley Health | National | Membership $150 a month for insurance members, or $1,500 paid up front; $275 a month self-pay. Both require a 12-month commitment. No visit price published. | Bills visits to insurance; membership fee not covered; doesn't bill Medicare, Medicare Advantage or Medicaid | parsleyhealth.com (Oct 10, 2026) |
| FirstHealth Functional Medicine | Pinehurst, North Carolina (one practice) | $750 functional consult: a 2-hour first consult plus two 60-minute follow-ups within 12 months. Functional Wellness membership $2,500 a year; Functional Intensive membership $4,500 a year. | Not billed to insurance | firsthealth.org (Oct 10, 2026) |
| Jill Carnahan practice | Louisville, Colorado | Founder: $3,800 initial consult, $1,190 per 60-minute consult. Two other clinicians: $1,500 initial, $520 per 60-minute consult. | Doesn't bill insurance; has opted out of Medicare; gives a receipt for reimbursement claims | jillcarnahan.com (Oct 10, 2026) |
For comparison, a national vendor estimate puts a first naturopathic visit at about $150 to $400. See how much a naturopath costs.
New York City: what we found
We checked the websites of New York City practices that describe functional or integrative medicine. None published a clear per-visit price for functional medicine:
- Dr. Elena Klimenko (Madison Avenue, Manhattan) is an MD listed by IFM as a certified practitioner. Her site shows two plans. A 12-month care plan costs $235 a month plus a $99 setup fee and covers a 90-minute first visit, four 30-minute follow-ups and five coaching sessions. A shorter plan costs $1,750, billed once, and covers a 90-minute first visit, one 30-minute follow-up within 60 days and three coaching sessions; its fee is non-refundable after the first visit. The site shows no per-visit price (drelenaklimenko.com, page dated July 2026, checked Oct 10, 2026).
- NY Center for Integrative Health (Manhattan) describes functional medicine, naturopathic medicine and acupuncture, but its homepage and good-faith-estimate page give no price.
- Patients Medical (Fifth Avenue, Manhattan) describes its physicians as board-certified MDs, says it is private pay, and says first visits run 60 minutes or more. Its fee page shows no dollar amounts, and its first-visit page gives two different ranges for the initial visit, so we don't quote either. Ask the practice for its current fee.
- The only NYC integrative prices we found were for acupuncture, such as a $390 initial session at Integrative Healing Arts (Union Square), which is out of network.
If you're in New York, call and ask for the new-patient fee, the follow-up fee and any membership price before booking.
What the first visit usually covers
First visits are long. In the examples above, Dr. Klimenko's plans start with a 90-minute visit, FirstHealth's first consult runs 2 hours, and Patients Medical says 60 minutes or more. Some fold the first visit into a membership or program; others charge it separately. Ask which applies before you book.
Costs on top of the visit or membership
- Standard lab tests: Parsley Health estimates $200 to $500, billed to insurance, and up to $3,500 on some high-deductible plans (Parsley Health).
- Specialty tests: about $400 each plus an administrative fee at Parsley, and typically not covered by insurance. Some popular specialty tests have weak validation; see is functional medicine legit?
- Supplements: $30 to $100 a month at Parsley.
Does insurance cover functional medicine?
Partly. Functional medicine isn't a license type, so coverage depends on the clinician's actual license (MD, DO, ND, NP and so on), your plan, and whether the practice is in network.
| Cost | Usually covered? | Notes |
|---|---|---|
| Membership or program fee | Generally no | Parsley says its membership isn't covered; FirstHealth's functional medicine fees aren't billed to insurance; Jill Carnahan's practice doesn't bill insurance at all. |
| Visits | Sometimes | Depends on the clinician's license and network status. Parsley bills visits to insurance and says it's in network with some commercial plans; coverage varies by plan. |
| Standard lab tests | More often | More likely to be covered when medically necessary. |
| Specialty tests | Usually no | Parsley says they typically aren't covered. |
| Supplements | Generally no | See the HSA section below for the tax rules. |
Medicare and Medicaid
- Medicare covers physician services from MDs and DOs (42 U.S.C. § 1395x(r)). It doesn't list naturopathic doctors as physicians, so ND visits aren't covered.
- Even with an MD or DO, a functional medicine practice may not bill Medicare. Parsley Health doesn't bill Medicare or Medicare Advantage, and Jill Carnahan's practice has opted out of Medicare. Ask before you book.
- Medicaid: Parsley doesn't bill Medicaid or Medi-Cal. Other practices weren't checked; ask directly.
Out-of-network claims and superbills
If a practice is out of network, ask for a superbill (an itemized receipt with diagnosis and procedure codes) and submit it to your insurer. First ask your insurer whether your plan has out-of-network benefits, what the out-of-network deductible is, and what share it pays. A superbill doesn't guarantee reimbursement; the insurer decides.
Submit it promptly. Each plan sets its own deadline. Cigna, for example, considers out-of-network claims sent to it within 180 days of the date of service (Cigna). Check your plan's deadline before you pay for care.
Can you use an HSA or FSA?
- Visits and lab tests to diagnose or treat a medical condition are qualified medical expenses, including laboratory fees that are part of medical care (IRS Publication 502).
- Supplements and vitamins qualify only if recommended for a specific condition a physician has diagnosed. Vitamins for general health don't qualify (Publication 502).
- Prepaid memberships are less clear. Publication 502 generally doesn't count payments now for care that will be given well beyond the end of the year, and we found no IRS guidance that addresses membership or retainer fees directly. Parsley says its membership and specialty tests are HSA/FSA eligible, but that's the practice's statement, not an IRS ruling. Ask your plan administrator or a tax professional before paying a year up front.
- Paperwork: an FSA may ask for a written statement from an independent third party showing the expense and its amount (IRS Publication 969). The IRS doesn't require a letter of medical necessity for HSA claims, but some plan administrators ask for one.
More detail: using an HSA or FSA for holistic care.
Questions to ask before you sign up for a program
- What license does the clinician hold, and in which state? Can I check it online?
- What does the first visit cost? What does each follow-up cost?
- Is there a membership or program fee? What exactly does it include: visits, messaging, labs, supplements?
- Is it a 12-month commitment? What's the refund policy if I stop early?
- Do you bill my insurance for visits or labs, or give a superbill for out-of-network claims?
- Do you bill Medicare? (If you're on Medicare, ask this first.)
- Which tests do you plan to order, what does each cost, and will insurance cover them?
- Can you use my recent lab results instead of repeating tests?
- Do you sell supplements? Can I buy the same products elsewhere?
- How will we judge whether the plan is working, and by when?
Pressure to prepay a large program at the first visit is a reason to slow down.
Ways to keep the cost down
- Bring copies of recent lab results so tests aren't repeated.
- Ask which tests would change the plan, and start with those.
- Ask whether the practice offers per-visit pricing instead of a yearly program.
- Ask whether standard tests can be ordered through your insurance.
- Use an HSA or FSA for eligible visits and labs.
- Consider an MD or DO who bills your insurance for visits. See integrative vs functional medicine and naturopath vs functional medicine doctor.
What to do next
- Browse functional medicine doctors and check each listing's license and insurance details.
- Compare integrative medicine doctors and naturopathic doctors near you.
- Use the question list above when you call.
When to see a medical doctor: for new, severe or worsening symptoms, see a medical doctor or urgent care first. Your primary care doctor can also tell you which tests your plan already covers.
Last reviewed: October 2026