By Sarah Walner, PA-C, lead injector at WiserMD. Medically reviewed by Dr. Itay Wiser, October 2026.
Botox and the other neuromodulators are priced per unit, and the number of units depends on the area and the strength of your muscles. Dermal fillers are priced per syringe, and the number of syringes depends on the areas and the volume lost. The total therefore depends on your plan, which is why a written estimate after a consultation is more useful than any list price. This guide from Dr. Itay Wiser's practice explains how the numbers are built and what to compare.
How Botox pricing is built
- Per unit. You pay for the units injected. Frown lines, forehead lines and crow's feet each take a typical range; stronger muscles need more.
- First visit versus maintenance. A first treatment is often conservative, with a two-week follow-up to add if needed; maintenance visits every few months settle into a predictable dose.
- Product. Botox, Dysport and Daxxify are priced differently per unit and their units are not interchangeable, so compare by area, not by unit count.
How filler pricing is built
- Per syringe. Each area takes a typical number of syringes: lips often one, cheeks or jawline often two or more.
- Product and thickness. Firmer products for cheeks and jawline and softer products for lips are priced differently.
What drives the number
- Who injects. A plastic surgeon or physician costs more per unit than a nurse injector or aesthetician; training in facial anatomy is what you are paying for, and it is also what reduces the risk of a result that needs correcting.
- The product. Brand, formulation and how long it lasts.
- The setting. A medical practice with follow-up included versus a walk-in bar.
- Your plan. Areas, dose, and whether neuromodulator and filler are combined.
How to compare quotes
Ask four questions: per unit or per area; which product; who will inject; and whether the two-week follow-up and any adjustment are included. A low headline price with an inexperienced injector and no follow-up is the most expensive option if the result needs dissolving or correcting.
Packages
The practice offers package pricing for maintenance plans; the coordinator explains it at the consultation. The Botox and fillers in NYC page covers the treatments, the dermal fillers in NYC page covers products and areas, and Botox vs fillers explains which you need.
Questions patients ask
Why is Botox priced per unit?
Because the dose varies by area and muscle strength. Pricing per unit means you pay for what is used; pricing per area is simpler but can hide how much product you received. Ask which model a practice uses when comparing quotes.
How many syringes of filler will I need?
One syringe is a common starting point for lips or a single area; cheeks or a jawline often take two or more. Sarah plans conservatively and adds in stages, so the first visit may use fewer than a full plan.
Why do prices differ so much between practices?
Who injects (physician, nurse, aesthetician), the product used, the setting, and whether follow-up is included. A low per-unit price with an inexperienced injector can cost more in corrections.
Get a written estimate
At the free virtual consultation Sarah maps your areas and dose, and the coordinator provides a written estimate with package options.
About the author. Sarah Walner, PA-C, joined WiserMD in 2024 after receiving her Master of Science in Physician Assistant Studies from Midwestern University. Before her physician assistant studies, she received her Bachelor of Science in Human Development from the University of Wisconsin-Madison. After becoming a certified physician assistant in 2024, Sarah began her career as a plastic surgery PA with Dr. Wiser. She has assisted in a wide range of cosmetic surgical procedures, including body contouring, breast surgery, facelift and blepharoplasty. Sarah is also the lead injector at WiserMD, specializing in natural, non-surgical facial rejuvenation with Botox, filler and microneedling. Every treatment plan is medically reviewed by Dr. Itay Wiser, Associate Clinical Professor of Surgery at Mount Sinai Elmhurst Hospital.
Medical disclaimer: This page is for general education and does not replace an individual consultation. Results and longevity vary by patient and product.