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Self-Pay Pricing & Payment Plans

Flat, all-inclusive prices for consultations and procedures — and the option to pay over time with 0%-interest plans. No insurance required, no surprise fees.

0%-APR plan options · Soft credit check, no score impact · HSA & FSA cards accepted

If your deductible resets every January, your plan doesn't cover the procedure you need, or you simply want to skip the insurance back-and-forth, paying directly is often the faster and cheaper route. Modal Pain Management NYC publishes its self-pay prices in full so you can decide before you ever sit down in the office.

Every price below is all-inclusive. It covers Dr. Movshis's physician fee, the ultrasound or fluoroscopic guidance used during the procedure, and the medication — charged per session as the procedure is typically performed. There is no separate facility fee. If your case needs something different, that's confirmed in writing at your consultation before anything is scheduled.

Pay over time with Cherry

Split any price on this page into monthly payments. 0%-APR options on shorter plans, a soft credit check that doesn't touch your score, and an answer in about a minute from your phone.

HSA & FSA cards accepted

Both accounts follow the IRS definition of medical care (Publication 502), so each price below is marked:

  • HSA/FSA eligible treats a medical condition
  • HSA/FSA with a doctor's letter vitamins and infusions count when a physician recommends them for a diagnosed condition; your plan may ask for a letter of medical necessity
  • HSA/FSA for medical use, not cosmetic eligible for a medical use such as migraine, dystonia, or TMJ; cosmetic use is excluded

Office Visits

ServiceSelf-pay price
New patient consultation
Your first visit with Dr. Movshis — exam, diagnosis, and a treatment plan.
HSA/FSA eligible
$250
Follow-up visit
A return visit to check progress or adjust your plan.
HSA/FSA eligible
$150

Spinal Injections (Back & Neck)

ServiceSelf-pay price
Epidural steroid injection — lower back (interlaminar or caudal)
Anti-inflammatory injection into the epidural space of the lower spine, from the midline (interlaminar) or through the tailbone opening (caudal) — for sciatica, a herniated or bulging disc, spinal stenosis, or a pinched nerve causing lower-back and leg pain.
HSA/FSA eligible
$1,000
Transforaminal epidural steroid injection — lower back (lumbar)
Places the medication at the exact nerve root that is inflamed, through the opening (foramen) where it leaves the spine — for sciatica or a disc pinching a specific nerve. $1,000 covers the first level; each additional level treated in the same session adds $500.
HSA/FSA eligible
$1,000first level+ $500 each additional level
Epidural steroid injection — neck / upper back (cervical / thoracic)
The same epidural approach for a pinched nerve or disc in the neck or upper spine causing neck, shoulder, or arm pain.
HSA/FSA eligible
$1,500
Facet (medial branch) nerve block — lower back
A numbing test injection on the small spine-joint nerves to pinpoint the source of lower-back pain.
HSA/FSA eligible
$1,000
Facet (medial branch) nerve block — neck
The same diagnostic nerve block for neck pain coming from the facet joints.
HSA/FSA eligible
$1,500

Joint, Nerve & Muscle Injections

ServiceSelf-pay price
Cortisone shot — knee, shoulder, hip & other joints
An ultrasound- or X-ray-guided steroid injection to calm an inflamed joint or bursa — for arthritis, bursitis, or tendon pain.
HSA/FSA eligible
$700
Sacroiliac (SI) joint injection — low back / tailbone area
Image-guided injection where the spine meets the pelvis — for low-back, buttock, or hip pain.
HSA/FSA eligible
$700
Trigger point injection — muscle knots
A small injection into a tight, painful muscle knot to release spasm and myofascial pain.
HSA/FSA eligible
$500
Occipital nerve block — headaches
A nerve injection at the base of the skull for migraines, tension headaches, and occipital neuralgia.
HSA/FSA eligible
$500
Stellate ganglion block
A sympathetic nerve block in the neck, ultrasound- and fluoroscopy-guided. Covered by insurance for CRPS. Self-pay price is per session for off-label uses such as PTSD and long-COVID symptoms.
HSA/FSA eligible
$1,000

Radiofrequency Ablation (RFA) — Longer-Lasting Relief

ServiceSelf-pay price
Radiofrequency ablation (RFA) — lower back, up to 3 levels
Uses heat to quiet the small nerves behind facet-joint back pain — for longer-lasting relief after a successful nerve block. The price covers up to three spinal levels treated in one session.
HSA/FSA eligible
$1,500
Radiofrequency ablation (RFA) — neck, up to 3 levels
The same long-lasting nerve treatment for chronic neck pain. The price covers up to three spinal levels treated in one session.
HSA/FSA eligible
$2,000
Radiofrequency ablation (RFA) — sacroiliac (SI) joint
Quiets the small (lateral branch) nerves that carry SI joint pain, after a positive diagnostic block. In people who respond, relief often lasts about 6 to 12 months.
HSA/FSA eligible
$1,500
Radiofrequency ablation (RFA) — knee (genicular nerves)
Quiets the small sensory (genicular) nerves that carry knee arthritis pain. When it works, relief usually lasts several months to a year, and it can be repeated. Usually done after a diagnostic nerve block.
HSA/FSA eligible
$1,000

Regenerative

ServiceSelf-pay price
PRP (platelet-rich plasma) injection
Platelet-rich plasma from your own blood, injected under ultrasound. Evidence is mixed and varies by condition. Most insurers do not cover it.
HSA/FSA eligible
$1,000

Botox & Wrinkle-Relaxer (Neuromodulator) Injections

Botox and Daxxify are dosed roughly one-to-one; Dysport uses about three units for every one unit of Botox, so Dysport is priced per three units. The product and dose are chosen at your visit, and your total reflects the units used.

ServiceSelf-pay price
Botox for chronic migraine — 155-unit protocol
The FDA-approved 31-injection protocol to prevent chronic migraine (15+ headache days a month), repeated every 12 weeks. Usually covered by commercial plans with prior authorization — the 2-minute eligibility check tells you whether you qualify.
HSA/FSA eligible
$2,000
Botox for jaw clenching & TMJ — masseter, 50 units
Relaxes the jaw muscles for TMJ pain, clenching, and teeth grinding.
HSA/FSA eligible
$700
Botox HSA/FSA for medical use, not cosmetic $15 / unit
Daxxify HSA/FSA for medical use, not cosmetic $10 / unit
Dysport HSA/FSA for medical use, not cosmetic $13 / 3 units

IV Therapy & Vitamin Injections

ServiceSelf-pay price
Migraine cocktail IV
Toradol and Reglan with magnesium and fluids for a migraine attack, given in the office over 45–60 minutes.
HSA/FSA with a doctor's letter
$250
IV anti-inflammatory infusion
A physician-supervised drip (glutathione, magnesium, vitamin C, and an anti-inflammatory) to calm inflammation.
HSA/FSA with a doctor's letter
$200
NAD+ IV drip — 250 mg
Cellular-energy infusion used as an add-on for chronic pain, recovery, and fatigue.
HSA/FSA with a doctor's letter
$400
NAD+ IV drip — 500 mg
The higher-dose NAD+ session.
HSA/FSA with a doctor's letter
$500
NAD+ injection — 100 mg
A quick NAD+ shot, no drip.
HSA/FSA with a doctor's letter
$100
NAD+ injection — 200 mg
The larger NAD+ shot. It is not known to work better than 100 mg.
HSA/FSA with a doctor's letter
$200
Glutathione IV
Glutathione, vitamin C, zinc and L-carnitine by IV. No skin-lightening claims.
HSA/FSA with a doctor's letter
$200
Myers' cocktail IV
Magnesium, B-complex, B12, calcium and vitamin C with IV fluids, about 30 minutes.
HSA/FSA with a doctor's letter
$150
GLP-1 support IV
IV fluids and nutrients for patients on a GLP-1 medication, with an optional anti-nausea add-on.
HSA/FSA with a doctor's letter
$225
Athletic recovery IV
Fluids with an amino acid or B-vitamin formula. No NSAID drips for race recovery.
HSA/FSA with a doctor's letter
$200
B12 shot
Hydroxocobalamin by intramuscular injection. Treats B12 deficiency.
HSA/FSA with a doctor's letter
$50
Lipo-B shot (MIC + B12)
Methionine, inositol, choline and B12. No proven fat-loss effect.
HSA/FSA with a doctor's letter
$50
Vitamin D shot (vitamin D3)
A quick intramuscular vitamin D3 (cholecalciferol) injection, no drip. Most useful when your level is actually low — we can check it first.
HSA/FSA with a doctor's letter
$50

Prices are current as of September 2026 and are charged per session. They are not a quote or a guarantee of medical necessity — the right plan for you is determined by Dr. Movshis at your evaluation. Modal Pain Management NYC does not accept Medicare, Medicaid, HMO plans, or workers' compensation.

Pay Over Time

Cost shouldn't be the reason you put off care. Modal Pain Management NYC offers "pay over time" plans through Cherry, our healthcare financing partner, so you can spread a procedure across monthly payments instead of paying everything up front.

  • 0%-interest options on shorter plans, with low fixed-interest plans available for larger amounts.
  • Soft credit check to see if you qualify — checking does not affect your credit score.
  • High approval rates, including for patients turned down by traditional medical credit cards.
  • Decision in about a minute, right from your phone, before or at your visit.

HSA and FSA cards are also accepted for eligible care (each price above is marked). You can put part of a bill on your HSA or FSA and finance the rest with Cherry.

See your monthly payment

Use the Cherry payment calculator to estimate a monthly plan for any price on this page, and see if you prequalify — the soft check takes about a minute and doesn't affect your credit score.

Payment Plans & Calculator

Have Insurance? You Still Have Options

Self-pay isn't only for the uninsured. Many patients with PPO coverage choose to pay directly when they have a high unmet deductible, when a plan won't cover a specific procedure, or when they don't want to wait on prior authorization. We check your benefits and go over what your plan covers and any expected cost by phone before your visit, so there are no surprise bills. The insurance and billing page explains how that check works.

Not sure which path costs less for you? Verify your benefits first — it's free and there's no obligation — then compare that against the self-pay prices above.

Self-Pay & Payment Plan FAQ

Direct answers to the cost questions new patients ask most.

How much does a pain management visit cost without insurance in NYC?

At Modal Pain Management NYC, a self-pay new-patient consultation with Dr. Alex Movshis is $250 and a follow-up visit is $150. These are flat, all-inclusive prices — there is no separate facility or paperwork fee. Individual procedures are priced separately and listed on this page; select IV wellness therapies are priced on their own pages.

Are your self-pay prices all-inclusive?

Yes. Each listed price covers the physician fee, the imaging guidance used (ultrasound or fluoroscopy), and the medication, charged per session as the procedure is typically performed. There is no separate facility fee. Your exact plan is confirmed at your consultation before anything is scheduled.

Can I use my HSA or FSA?

Yes. HSA and FSA cards are accepted, and both follow the IRS definition of medical care (IRS Publication 502), so what counts is what the service treats. Office visits, spinal and joint injections, nerve blocks, radiofrequency ablation, PRP, and Botox for migraine or TMJ qualify. Vitamin shots, NAD+, and IV infusions qualify only when a physician recommends them to treat a diagnosed condition, so your plan administrator may ask for a letter of medical necessity. Neuromodulator treatment for cosmetic reasons does not qualify, and a limited-purpose FSA covers only dental and vision care. Every price on this page is marked with its HSA/FSA status, and you receive an itemized receipt for your records.

Do you offer payment plans? Can I pay over time?

Yes. Modal Pain Management NYC offers "pay over time" plans through Cherry, a healthcare financing platform, including 0%-APR options on shorter terms and low fixed-APR plans for larger amounts. Checking whether you qualify uses a soft credit check, which does not affect your credit score. Apply online in about a minute, estimate a monthly payment with the payment calculator, or call (646) 290-6660. You can also combine a payment plan with your HSA or FSA.

How much does an epidural, a cortisone shot, or RFA cost without insurance?

Self-pay prices at Modal Pain Management NYC: a lower-back epidural steroid injection is $1,000 (interlaminar or caudal). A transforaminal lumbar epidural is $1,000 for the first level plus $500 for each additional level treated in the same session. A neck or upper-back epidural (cervical/thoracic) is $1,500. A cortisone shot for a joint or bursa is $700. Radiofrequency ablation (RFA) is $1,500 for the lower back and $2,000 for the neck, each covering up to three spinal levels in one session, $1,000 for the knee (genicular nerve RFA), and $1,500 for the sacroiliac (SI) joint. Facet (medial branch) nerve blocks are $1,000 (lower back) and $1,500 (neck). Every price is flat, all-inclusive, and charged per session.

How much does Botox for migraines cost?

Self-pay Botox for chronic migraine at Modal Pain Management NYC is $2,000 per session for the FDA-approved 155-unit, 31-injection PREEMPT protocol, all-inclusive — the physician fee, the injections, and the drug. Sessions are every 12 weeks, so a full year is four sessions. With commercial insurance, Botox for chronic migraine is usually covered with prior authorization when you have headache on 15 or more days a month, migraine features on at least 8 of them, and two oral preventives tried; what you pay then depends on your deductible and coinsurance, and the manufacturer's savings program can reimburse part of the drug cost for eligible commercially insured patients. We do not accept Medicare, Medicaid, HMO plans, or workers' compensation. Whether you meet the criteria takes two minutes to check with our chronic migraine Botox eligibility check, and this guide covers the authorization, the denials, and the timeline.

Why pay self-pay if I have insurance?

Three common reasons: your plan has a high deductible you have not met, your plan does not cover the specific procedure, or you prefer the speed and privacy of paying directly. We check your benefits and go over what your plan covers and any expected cost by phone before your visit, so you can compare that with the self-pay price and there are no surprise bills.

Ready to Start?

Book a consultation with Dr. Movshis or call (646) 290-6660. We'll confirm your self-pay total and payment-plan options before anything is scheduled.

Book an Appointment

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