How much does Sesame cost without insurance?
Sesame shows you a cash price before you book, and it doesn't bill insurance at all. Here's what visits cost, why prices vary, whether Sesame Plus is worth it, and how to pay less.
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The short answer
- Visits start at $34. That's Sesame's own figure, but providers set their own prices, so many visits cost more.
- No insurance billing. You pay the price shown when you book. HSA, FSA and HRA cards are accepted.
- Medication costs extra. It isn't included in the visit price.
- Sesame Plus costs $10.99 a month or $99 a year. You get $10 off visits, plus one free lab test a year with the annual plan.
See Sesame prices Paid link
How Sesame pricing works
Sesame is a marketplace. The doctors and clinicians on it run their own practices and use Sesame's platform to offer visits. Each one sets their own price, so the same type of visit can cost different amounts from different providers. Before you book, Sesame shows each provider's price, reviews and open time slots. You can sort the results by lowest price.
Because Sesame doesn't bill insurance, there are no copays, deductibles or bills sent later for the visit itself. Its telehealth page says pay-per-visit care has "no membership fees, no surprise bills, no insurance needed". You pay when you book.
Sesame quotes slightly different "from" prices in different places. On October 24, 2026, its homepage and urgent care page said visits start at $34. The title of its telehealth visit page said "from $37". The price that counts is the one shown for the provider and time you choose.
Example Sesame prices
Sesame's membership page lists sample prices for common services, for non-members and for Sesame Plus members. Sesame notes that prices and availability vary by region.
| Service | Regular price | Sesame Plus price |
|---|---|---|
| Prescription refill visit | $47 | $37 |
| In-person doctor visit | $70 | $60 |
| Video therapy session | $75 | $65 |
| Dental cleaning and exam | $145 | $135 |
| Hemoglobin A1C lab test | $27 | Free* |
| Standard health panel (CBC, CMP, UA, A1c, lipid) | $45 | Free* |
| MRI without contrast | $329 | $319 |
What you can book on Sesame
Sesame lists hundreds of services. The main kinds of visit include:
- Online urgent care for things like colds and flu, sinus infections, UTIs, allergies and rashes. Sesame says this is available 24/7, though availability depends on your state.
- Prescription refills for non-controlled medications, which Sesame says usually take around 15 minutes.
- Ongoing care such as weight loss, mental health prescriptions, menopause and PCOS treatment, and prescription skincare.
- Pediatric visits, lab and imaging referrals, and in-person visits with doctors, dentists and specialists, where available near you.
Sesame is clear about what it doesn't do. Its providers can't prescribe controlled substances, such as stimulants, opioids or benzodiazepines. Emergencies like chest pain, trouble breathing or signs of stroke need 911 or an emergency room, not a video visit.
Costs that aren't in the visit price
- Medication. Sesame says the cost of any medication you're prescribed isn't included in the visit price. If you're uninsured, Sesame offers a free Rx savings card. It says the card can save up to 80% at participating pharmacies, including CVS, Walgreens, Walmart and Kroger.
- Labs and imaging are separate services with their own prices.
- Visits with no prescription. Sesame says prescriptions are up to the provider, and if the provider decides one isn't needed, the visit isn't refundable. You're paying for the consultation, not a guaranteed prescription.
Sesame Plus: is the membership worth it?
Sesame Plus is an optional membership. On October 24, 2026, it cost $10.99 a month or $99 a year. Sesame says members get:
- $10 off telehealth and primary care visits
- $10 off in-person dentist and specialist visits
- One free lab or blood test a year with an annual membership. Sesame calls it a "$65+ value" and says it's not available in Washington State.
- Access to a concierge team that helps you find a provider
The maths: on the monthly plan, the $10 discount roughly cancels out the $10.99 fee if you book one visit a month. On the annual plan, $99 is about ten $10 discounts. If you use the free lab, you need fewer visits to break even. Sesame lists an A1c test at $27 and a standard panel at $45. If you only see a doctor once or twice a year, paying per visit is probably cheaper.
Sesame says the membership isn't insurance and can't be combined with insurance or Medicare.
If you have insurance or an HSA
Sesame doesn't work with insurance. Its pitch to insured people is that a cash visit can cost less than paying toward a high deductible. You can pay with HSA, FSA or HRA funds by entering your health account card at checkout. Your visit details include an option to view an insurance/HSA receipt (a "superbill") once the visit summary is complete. Whether your insurer will reimburse any of it depends on your plan, so ask them.
The one exception Sesame mentions: for patients in its online weight loss program, its clinicians can help with insurance prior authorization for medication coverage.
Ways to pay less on Sesame
- Sort by lowest price and compare a few providers. Prices for the same service vary.
- Sign up for Sesame's emails. Its homepage offered 20% off your first visit for signing up on October 24, 2026.
- Pay with HSA or FSA funds if you have them.
- Only buy Sesame Plus if you expect regular visits or will use the free annual lab.
- Check the medication price before you leave the visit, and use the Rx savings card if you're uninsured.
Find a Sesame provider Paid link
Frequently asked questions
How much is a Sesame visit without insurance?
Sesame doesn't bill insurance, so everyone pays the cash price shown before booking. On October 24, 2026, Sesame said visits start at $34. Providers set their own prices, though, so many visits cost more. For example, Sesame's membership page listed a prescription refill visit at $47 and a video therapy session at $75 for non-members.
Does Sesame take insurance?
No. Sesame says it doesn't accept or bill health insurance, which it says keeps prices low. You can pay with an HSA, FSA or HRA card.
How much is Sesame Plus?
On October 24, 2026, Sesame Plus cost $10.99 a month or $99 a year. It gives you $10 off telehealth and primary care visits, $10 off in-person dentist and specialist visits, and one free lab test a year with an annual membership (not available in Washington State).
Is the medication included in the Sesame visit price?
No. Sesame says medication is charged separately. What you pay depends on your pharmacy and any insurance you have. Sesame also offers a free Rx savings card.
Can Sesame prescribe any medication?
No. Sesame says its providers can't prescribe controlled substances, such as stimulants, opioids or benzodiazepines. It also says that if a provider decides you don't need a prescription, the visit isn't refundable.
Sources
All checked on October 24, 2026.
- Sesame homepage (visits start at $34; email sign-up offer)
- Sesame: telehealth visit (how booking works, medication, insurance, controlled substances)
- Sesame: online urgent care (prices from $34, what can't be treated)
- Sesame: insurance FAQs (no insurance billing; HSA/FSA/HRA)
- Sesame Plus membership (prices, sample service prices, free lab)