Specialty Long COVID care has become genuinely expensive. This page explains what the broader landscape costs, what we charge, and what that buys you.
If you have been researching Long COVID specialists, you have already encountered the pricing. Most prominent providers in this space have exited insurance and moved to concierge or platform models that place comprehensive care out of reach for the majority of patients — a population that already carries disproportionate financial burden from illness-related unemployment and medical costs.
We looked carefully at what was available before building this practice's structure. The clinics we reviewed included RTHM, the Center for Healing Neurology, the Complex Autonomic Center, and Bateman Horne Center — each with genuine strengths. They shaped how we thought about what a more accessible model would need to offer differently.
What follows is a transparent account of how pricing in this space is structured, what our fees are, and what distinguishes the care behind them.
Prominent specialty clinics have restructured toward concierge and platform models over the past two years, with pricing that reflects the demand far exceeding the supply of qualified specialists.
AI-assisted platforms that combine online symptom tools with NP or MD consultations. Entry costs include onboarding fees plus monthly minimums with multi-month commitments. The lowest tier provides medication consultation only; comprehensive clinic enrollment involves substantially higher entry costs.
Specialist neurologists with deep expertise in autonomic disease and ME/CFS have moved to concierge models with monthly retainers and additional per-appointment fees. National telehealth reach, but minimum annual commitments that place care out of reach for most patients seeking it.
A smaller number of autonomic specialists have retained flat-fee self-pay consultation models. Prices for a comprehensive new patient visit run approximately $1,000–$1,300. These practices are typically state-limited and have no insurance option.
Nonprofit centers of excellence offer the most credentialed care and insurance acceptance, but are typically single-site, geographically limited, and as of mid-2026 have closed referrals due to demand exceeding capacity.
Three pathways, each priced to make specialist-level care reachable at different points in a patient's situation.
For patients in Massachusetts and New England with Aetna, BCBS, or Harvard Pilgrim. Standard specialist copays and deductibles — no cash-pay premium. The only prominent Long COVID specialist practice in the region accepting these plans.
Available in any state, including those where ongoing licensed care isn't possible. A complete specialist engagement — chart review, intake session, written Diagnostic Framework Summary, follow-up, and optional provider discussion — delivered as a single documented package.
For patients in any of 10 licensed states, without insurance or seeking out-of-network care. A superbill is provided for insurance reimbursement submission. No monthly commitment, no platform fee, no onboarding cost.
Pricing comparisons are only meaningful if the underlying care is comparable. These are the structural differences that aren't visible in the numbers alone.
Long COVID's neuropsychiatric burden — hyperarousal, cognitive dysfunction, sleep architecture disruption, central sensitization, chronic pain — falls squarely across both specialties. No other prominent specialist in this space holds both boards. This is a clinical capability difference, not a credential signal.
The Diagnostic Framework Summary is not a visit note. It's a structured document your PCP can act on, that you can bring to any future provider, and that remains useful as your treatment evolves. Most specialist encounters — at any price — produce nothing comparable.
We accept Aetna, Blue Cross Blue Shield, and Harvard Pilgrim — making this the only specialist Long COVID practice in the region where patients can use their coverage. In a landscape where virtually every prominent specialist has exited insurance, this is a structural access difference for the patients who need it most.
Treatment selection follows from sub-syndrome identification — not the reverse. The three crash-pattern framework (orthostatic, migrainous/central sensitization, delayed systemic) maps directly to different treatment targets. Arriving at the right treatment sequence requires correctly identifying which pattern is dominant. That work happens before any prescription is written.
Some interventions widely promoted in this space have observational support only. Others have strong trial data. We distinguish between them — not to be conservative for its own sake, but because treatment decisions in patients with complex comorbidities should be grounded in what the evidence actually shows, not what patients have been told to ask for.
The Long COVID Tracker app — free, no account required, no data sent anywhere — lets you run the NASA Lean Test, log crashes with the 48-hour window that matters for identifying crash type, track medications, and export a provider-ready report before any appointment. No competitor offers this between-visit infrastructure at any price.
Even $1,500 is real money, especially when you have already spent that amount — and often far more — on providers who did not help. We are not going to tell you the cost doesn't matter, because it does. What we can say is that the Diagnostic Framework Consultation is designed to be a complete engagement rather than a starting point for ongoing fees: you leave with a documented framework that is actionable for your primary care provider and useful to you regardless of what follow-up looks like.
For patients in Massachusetts and New England who have Aetna, BCBS, or Harvard Pilgrim, insurance removes that barrier entirely. For patients elsewhere who are weighing the consultation, the comparison that matters isn't what you've already spent — it's whether, a year from now, having a clear framework would have changed what you and your doctors tried, and in what order.
If cost is the deciding factor and you're not in a licensed state, the articles and app are free. The framework they describe is the same one used in every clinical encounter here. Start there.