Short answer Online dermatology (telederm) is usually much cheaper for routine issues: expect roughly $25–$150 for an asynchronous/photo consult or $50–$200 for a live video visit. Prescription‑subscription services run about $10–$60/month. An in‑person dermatologist visit without insurance typically runs $150–$400 for an initial evaluation; with insurance you’ll usually pay a $10–$50 copay. Procedures (biopsies, excisions, MOHS) are extra and can be hundreds to thousands of dollars. Why the ranges vary Type of service (asynchronous photo review vs live video vs in‑office). Whether you use direct‑to‑consumer platforms (out‑of‑pocket) or a visit billed to insurance. Complexity of care — biopsies, lab work, procedures, cosmetic treatments increase cost. Geographic and provider differences. Examples of services (and why you might pick them) Curology — subscription acne care with a custom topical prescription; good if you want ongoing management and lower monthly cost. Apostrophe — similar to Curology (acne/skin Rx) with convenient subscription pricing. Hims / Keeps — if your concern is hair loss, these are affordable monthly subscription options that include provider evaluation and meds. Teladoc / Amwell / MDLive — larger telehealth networks that offer live video dermatology; often integrated with insurers/employer plans so a visit may be covered or have the normal telehealth copay. First Derm — low‑cost, quick asynchronous mole/rash photo triage; useful for a rapid second opinion. DermatologistOnCall / DermCare (local telederm services) — board‑certified dermatologists for photo/video consults; good for straightforward rashes or medication management. When online dermatology is a good, cheaper option Acne follow‑up or initiation of topical/oral meds Common rashes (eczema, contact dermatitis, psoriasis) if photos are clear Hair loss management (pattern hair loss) Quick triage of a suspicious lesion (but suspicious moles often need in‑person evaluation) When to choose an in‑person dermatologist despite higher cost Any lesion that looks suspicious for skin cancer (needs dermoscopy, biopsy) Surgical procedures (biopsy, excision, MOHS) Severe, widespread, or rapidly progressing disease When a full skin exam is needed (e.g., history of skin cancer) Money‑saving tips Check whether your insurer/employer offers telederm covered benefits (Teladoc/Amwell are commonly covered). Use an inexpensive asynchronous photo service first (e.g., First Derm) for triage. Ask for a price estimate for procedures before scheduling. Consider starting with a telederm visit and upgrading to in‑person if needed. If you tell me the issue you’re facing (acne, mole, rash, hair loss) and whether you have insurance, I can recommend the single best option and give a more precise expected cost for your situation.
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