Short answer: online dermatology (telederm) is usually cheaper for straightforward issues — often a fraction of the cost of an in‑person dermatologist visit — but in‑person care can be necessary (and more expensive) when procedures, biopsies or complex exams are required. Estimated cost ranges (approximate) Asynchronous/photo telederm consults (upload photos, get a written plan): $20–$150 per case. Live video telederm visits: $75–$250 per visit. Subscription/ongoing Rx services (acne, anti‑aging): $10–$60 per month (often includes ongoing follow‑ups and medication delivery). In‑person dermatologist initial visit (no insurance): $150–$400+; in some metro areas it can be $300–500. In‑person with insurance: typical copay $20–$50 (or subject to deductible); procedures like biopsies, cryotherapy or excisions are extra ($100s–$1,000+ depending on complexity and pathology fees). Why telederm often costs less No facility fees or on‑site procedure charges. Shorter appointment times and many services use asynchronous review (lower overhead). Many DTC platforms bundle follow‑ups or meds into subscriptions. Limitations and hidden costs Telederm cannot do biopsies, surgical excisions, or some full skin‑exam tasks; if follow‑up in person is needed you’ll incur the in‑person cost. Prescription delivery or specialty meds may be extra. If your insurer covers telehealth, your cost may be the same as an office copay — check your plan. Examples of services (why to consider each) Teladoc / Amwell / MDLIVE — large telehealth networks that include board‑certified dermatologists; often covered by insurers and convenient for video visits. Curology — subscription acne/custom Rx service good for ongoing prescription acne management; affordable monthly plan with clinical oversight. First Derm — inexpensive, anonymous image‑based consults with quick turnaround for simple rashes and acne questions. SkinIO / MoleMap / Miiskin — services focused on mole mapping and monitoring; useful if you need digital tracking but not a biopsy. How to choose and what to check For rashes, acne, follow‑ups and medication refills: telederm is a good, lower‑cost option. For suspicious moles, growths, or anything that might need biopsy: start with an in‑person dermatologist. Before booking: check pricing on the platform (some list fixed fees), ask whether prescriptions are included, and verify whether your insurer will cover telederm. If you tell me your country/state and whether you have insurance, I can look up typical copays and name a few specific telederm services available to you with current price estimates.
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