How Much Does Sclerotherapy Cost?

There is no sclerotherapy price we can verify at the national level.

ASPS's 2025 procedural statistics release does not report counts or fees for minimally invasive treatments — it lists only the top five minimally invasive treatments by volume while it looks for a new data source — so no current ASPS average fee exists for sclerotherapy.

The price-averaging pages you will land on in a search, such as RealSelf's, could not be read by our researchers either, so we do not quote them.

That is why this page will not hand you a dollar figure dressed up as "the" sclerotherapy price: our research found no current national figure for it.

What the sources do establish is the shape of the bill.

The American Academy of Dermatology (AAD) calls sclerotherapy the most common leg-vein treatment, says 2 to 3 treatments may be needed, and notes that no anesthesia is required.

The Asclera label spaces repeat sessions 1 to 2 weeks apart.

And across the treatments in our research, the number of sessions is a main price driver — so the budget question is not one appointment, it is the total for the course you are quoted.

If you are still settling on the treatment itself, the sclerotherapy guide covers what it is, which leg veins the FDA-approved sclerosants treat, and what the studies show.

Which veins are being treated. Asclera (polidocanol, initial US approval 2010) is FDA-approved to sclerose uncomplicated spider veins (1 mm or smaller) and reticular veins (1 to 3 mm) in the legs; it has not been studied in veins over 3 mm.

Its label sets the doses — 0.5% for spider veins, 1% for reticular veins, 0.1 to 0.3 mL per injection, no more than 10 mL per session — so a course needing more than that cannot fit in one session.

Varicose veins are a different pathway: Sotradecol (sodium tetradecyl sulfate) is FDA-labeled for small uncomplicated varicose veins of the legs with competent valves, and Varithena (polidocanol injectable foam, initial US approval 2013) is approved for incompetent great saphenous and accessory saphenous veins and visible varicosities of the great saphenous vein system — varicose-vein disease, not cosmetic spider veins.

Ask any office which veins it plans to treat and with which product, because that decides what the appointment actually is.

The number of sessions. This is a main price driver.

The AAD says 2 to 3 treatments may be needed, and Asclera's label separates repeat sessions by 1 to 2 weeks.

NHLBI notes new varicose veins may form after treatment and treatments may need repeating — a budget possibility worth hearing before you commit.

The device. Injections are not the only leg-vein treatment.

The AAD says with laser treatment of leg veins, small spider veins may vanish immediately while larger ones darken and remain for 1 to 3 months, and complete clearing may need 3 or more treatments, with sun protection for 3 to 4 weeks afterward.

A laser quote is a different scope of work from an injection series, so confirm which one you are comparing.

The provider. Who may inject sclerosants at a med spa is a state-law question, and our researchers found no federal rule that sets who may perform cosmetic sclerotherapy.

AmSpa, the med spa trade association, says of botulinum toxin (not sclerosants) that injecting it is the practice of medicine because a prescription (legend) drug is used to affect living tissue, so it must be done by a physician, an independent-practice NP or another licensed professional acting within their scope, under rules that vary by state.

Ask who will do the injecting, what license they hold, and how the supervising doctor is involved where you live.

Where you live. We have no verified city-by-city sclerotherapy figures on this page, so the comparison that counts is the one you collect locally, in writing.

We could not confirm package or series pricing for sclerotherapy, so this is a comparison you build from quotes.

What the sources establish is the shape of a course: the AAD says 2 to 3 treatments may be needed, Asclera's label spaces repeat sessions 1 to 2 weeks apart, and, on the AAD's timeline, spider veins usually disappear in 3 to 6 weeks while varicose veins take 3 to 4 months.

Each session also carries around-treatment costs in time and supplies.

Asclera's label calls for a 15 to 20 minute walk under observation after treatment, plus compression — 2 to 3 days for spider veins and 5 to 7 days for reticular veins, to reduce the risk of deep vein thrombosis.

The AAD's patient guidance is longer: most patients wear compression stockings for 2 to 3 weeks.

The two sources give different durations, so hear both and ask which applies to your plan — and whether stockings are in the price.

When you compare, get both numbers in writing: the standalone single-session price and the total for the planned course.

Ask what happens if you stop after the first session, whether the per-session price inside a package differs from the standalone price, and what the quote includes — compression stockings, follow-up visits and aftercare.

We found no verified sclerotherapy package or membership pricing to evaluate, so nobody can tell you in the abstract that a package is worth it — it depends on the quote in front of you.

Treat any package as a set of questions: how many sessions it includes, what happens to unused sessions, whether compression stockings and follow-up visits sit inside the price, and what the practice charges per session without the package.

If you would rather spread the cost, read the terms before you sign.

If a medical credit card or an installment plan is on the table, the structure matters: the Consumer Financial Protection Bureau reported in May 2023 that many medical credit cards use deferred ("springing") interest over 6 to 18 month promotional periods, and if any balance remains at the end, all the interest since the purchase date is charged.

Our financing options guide compares the plans and lists the terms to read first.

A low quote is a reason to ask more questions, not automatically a red flag — but the sclerosants our research covers carry FDA labels with warnings and contraindications, and a cheap price should still buy a medical setup.

Start with the product: ask which sclerosant the office uses.

The sclerosants our research covers are Asclera, Sotradecol and Varithena, each with its own FDA label for different veins.

Asclera is contraindicated with a known polidocanol allergy and acute thromboembolic disease — the kind of screening a legitimate price pays for.

Even the routine reactions are worth knowing before you compare prices.

In Asclera's pivotal EASI study (Asclera, n=180), injection-site reactions were common: hematoma 42%, irritation 41%, discoloration 38%, pain 24%, itching 19% and warmth 16%, against 19%, 30%, 4%, 9%, 4% and 6% on placebo.

Postmarketing reports include skin hyperpigmentation and injection-site necrosis.

A trial average is not a prediction for any individual, but a price that arrives with no medical questions at all is its own warning.

Then ask the staffing questions.

Who may inject sclerosants at a med spa is a state-law question — our researchers found no federal rule that sets who may perform cosmetic sclerotherapy — so ask who will perform the injections, what license they hold and how supervision works where you live.

For the full vetting checklist, see our guide to how to choose a med spa.

Quote by quote.

We have no verified national price to give you, and the price that fits your case depends on the veins, the product and the session count — so the comparison that counts is the one you collect locally, in writing.

Ask each licensed provider for an itemized quote: which veins, which sclerosant, how many sessions at what price, the standalone single-session price, stockings, follow-up visits and the course total.

Compare like for like — same veins, same product, same session count.

Add the legal question: who may inject sclerosants is a state-law question, and we found no federal rule for cosmetic sclerotherapy, so confirm who will inject and how supervision works where you live.

Our state med spa laws guide explains how those rules work before you book.