ESA letter cost
What ESA letter typically costs, with and without insurance.
Cash price
$149-$199 / letter
With insurance: Most plans do not pay for the letter itself; Ondoc bills the clinical evaluation to commercial insurance when applicable, otherwise it is self-pay.
No insurance? What Ondoc costs
These are typical US market prices, not Ondoc's price. An Ondoc ESA clinical evaluation is $100 self-pay, or billed to your commercial insurance when applicable. The fee pays for the evaluation and does not guarantee that documentation will be issued.
$100 self-pay for the ESA clinical evaluation, or commercial insurance where applicable. The fee pays for the evaluation — it does not purchase or guarantee a letter.
Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed